Background: The impact of oral nutritional supplementations (ONS) is not well-elucidated in children with stunting. Objective: The aim is to evaluate the effect of ONS on growth in Vietnamese children with stunting. Methods: This 6-month, prospective, single-arm trial evaluated 121 children aged 24–48 months with stunting (height-for-age z-score [HAZ] < -2) and low weight-for-height z-score (WHZ < -1) in Vietnam. Children consumed ONS twice daily. The outcomes included the change in HAZ, WHZ, and weight-for-age z-score (WAZ) from baseline to 3- and 6 months; change in height and weight from baseline to 3- and 6 months; and the prevalence of stunting, wasting (WHZ < -2 SD), and underweight (WAZ < -2 SD) at 6 months. We also examined factors associated with a change in HAZ over the intervention period. Results: The mean age was 34.7 months and 49% were male. Height and weight increased from baseline to 3- and 6-months (p<0.0001). There was a significant increase in median HAZ (0.25 units), WHZ (0.72 units), and WAZ (0.65 units) from baseline to 6 months (p<0.0001). Notably, approximately 40% of children recovered from stunting at 6 months (p<0.0001). The prevalence of wasting and underweight status were also significantly lower at 6 months (p=0.0310 and p<0.0001, respectively) relative to the baseline. Lower HAZ and younger age at baseline were significantly associated with higher linear growth at 6 months. Conclusion: ONS helped improve linear and ponderal growth and reduce the prevalence of stunting, wasting, and underweight status in stunted children at risk of wasting.
Stunting is a health problem characterized by disrupted growth conditions in toddlers due to a lack of nutritional intake over a long period of time, starting in the womb until the child is two years old. Stunting causes children to be short in stature and is at risk of causing problems with motor and mental development. In Cilacap Regency, the prevalence of stunting reached 32.1%, above the national figure and the limit set by WHO. Therefore, accelerating stunting reduction is carried out through a holistic, integrative and multisector approach. One of the efforts made is the development of an information system to comprehensively monitor and prevent stunting, including a diagnostic model that involves various health parameters.
Siti Masrochah, Darmini Darmini, Yeti Kartika Sari et al.
Stunting incidence in infants is one of the nutritional problems globally. Stunting is related to infection, diet, mother’s education level, mother’s work status, birth length. The design of this study was Cross Sectional and Retrospective Cohort with Chi-square test. The research was conducted in the Siantan Hulu Health Center UPK Working Area in June to July 2016. The results of the univariate analysis showed that stunting status of children with no stunting category was 68.5%, infection with no infection category was 59.6%, diet with categories both at 74.2% and the birth length of children with normal categories of 68.5%. After analyzed using the chi square test showed there was a relationship between infection (p = 0.004), diet (p = 0.006) and child birth length (p = 0,000) on stunting status of children aged 24-59 months in the Siantan Hulu Health Center UPK Working Area.
Stunting is a nutritional problem that has lasted a long time in toddlers aged 6-59 months. Stunting is assessed based on the ratio of a child's height to the standard height of a child in a normal population according to age and gender. The purpose of this study was to analyze the direct and indirect influence of knowledge factors on stunting through parenting of toddlers. This research is a quantitative study using a case control study approach. A sample of 100 respondents consisting of 50 case samples and 50 control samples was obtained by taking techniques using fixed disease sampling. The data analysis using chi square test and multivariate analysis. The result of this study showed that the knowledge directly affects the stunting with values (b=1.25; CI 95%=0.27 to 2.23; p=0.012). The knowledge has an indirect but insignificant effects on stunting events through the mediation of parenting with values (b=0.21; CI 95%=-0.78 to 1.2; p=0.667). Parenting directly affects stunting with values (b=1.2; CI95%=0.13 to 2.26; p=0.027). The conclusion of this research was knowledge directly affects the stunting in Toddler. The results of this study are expected to be a reference material for related parties in improving nutrition problems (stunting), especially in increasing mothers’ knowledge and parenting.
Introduction: Stunting remains a major global nutritional challenge for children, with a prevalence of 21.3% in 2019. Low birth weight (LBW) has been recognized as one of the risk factors for stunting. Despite various interventions, stunting continues to be a major public health concern because of its long-term impact on child growth and development. This study was conducted to evaluate the association between birth weight and stunting status in children aged 2-59 months, and to describe their characteristics in the working area of Samigaluh 1 Health Center.Method: This case-control study utilized secondary data obtained from children’ growth monitoring records at the Integrated Healthcare Center and Maternal and Child Health (MCH) handbooks.Results: Among the 80 subjects, 27 children (67.5%) were stunted at the ages of 2-24 months, and 13 children (32.5%) were stunted at ages 25-59 months. Stunting occurred in 21 boys (52.5%). Bivariate analysis using the Chi-square test revealed a significant relationship between LBW and stunting status (p value = 0.009; OR = 13.000; CI = 1.576-107.228).Conclusion: The study established a significant association (p less than 0.05) between LBW and stunting status. Children with LBW were at 13-fold increase of stunting than normal birth weight. Stunting was also more prevalent among boys.
Stunting is a condition in which children experience growth disorders that make a child's height shorter than his age, stunting is due to severe nutritional status over time. Early childhood’s stunting may influence various aspects of a child's development, especially in cognitive aspects. There is a significant link between stunting and child cognitive development. This relates to the maturity of the central nerve organ (brain) which with the ability of a child requires balanced nutritional intake. Therefore, stunting to early childhood children is closely related to cognitive abilities. The study used literature study methods by analyzing relevant research results. The purpose of this study is to know the correlation between stunting to premature cognitive and cognitive effects in cognitive aspects. With this study it is expected that stunting prevention efforts in children's early ages will be possible through roles between teachers, parents, and society institutions from the womb to the birth of children.
Milla Diah Putri Nazidah, Rida Fauziah, Ruli Hafidah et al.
Stunting is a chronic malnutrition condition that has significant impact on inhibiting the growth of a child both physically and intellectually. The study aims toto analyze stunts using a web-based technology system using Tsukamoto’s Fuzzy method. This method was chosen for its ability to deal with the uncertainty and variability medical data. The system integrates various variables that affect stunts, such as nutritional intake and physical growth, to produce a more accurate diagnosis. The research was carried out by collecting data from various health sources and applying the fuzzy Tsukamoto method to process the data. The trial subjects in this developmental study were 30 children aged 1–60 months, or 0–5 years. Subjects were selected by random sampling, consisting of 6 children from 1–5 years of age each. Based on the results of the analysis, it appears that the fuzzy Tsukamoto-based system development trial can provide a better prediction of the risk of stunting in children compared to conventional methods. Using this approach, it is expected to help health workers take more accurate steps in the treatment and prevention of stunts. Keywords: Stunting, Fuzzy Tsukamoto Method, Nutritional Analyisis, Technology Systems, Child Heal
Background: Stunting is a nutritional disorder that results in growth failure in young children. One intervention that can be done is the nutrition programme. Objective: This study identifies the impact of nutrition programme interventions on reducing the incidence of stunting in toddlers. Methods: This study used a systematic review approach from the scince direct database, clinical key for nursing, francis & taylor and Ebsco Host. The articles used were research results published between 2019 - 2023 with search techniques using the PRISMA method. Results: The search found 7 articles. Based on these findings, it shows that the nutrition programme has an influence in the process of reducing the incidence of stunting in toddlers through the provision of adequate nutrition to toddlers. Conclusion: nutrition programmes can be used as one of the community-based interventions in an effort to reduce the incidence of stunting.
Background: The role of social capital on development, with trust, norm and networks as its attributes, has been all the more recognized to generate benefit for development.Social capital also has a positive role in improving child health.With its poor ranking on health indicators among Southeast Asian countries, the health sector in Lao PDR is set as a priority sector that urgently requires improvement.In this sector, child health is of particular significance.This paper examines social capital, in the form of kinship network, and its impacton child health outcomes such as nutrition status.Methods: Following the general definition of social capital, specifically of bonding social capital, kinship network is used in this paper as a proxy of social capital.From field survey data conducted in early 2010 in 3 villages in the Northern Province of the Lao People's Democratic Republic, a Probit regression analysis is applied to 214 samples of children under 10 years old for stunting and underweight cases.Results: It is found that kinship network as social capital plays an important role in reducing stunted and underweight levels of children in these 3 villages.The estimated coefficient for social capital shows that children, who aside from their family nucleus are surrounded bymore families of relatives in the village, are less likely to be stunted and underweight by 1.8% and 1.5% at significant levels of 10% and 5%, respectively.Conclusion: Social capital is one of the mechanisms that people in rural areas of Lao PDR use as a buffer from economic and health shocks.Based on analysis, kinship network shows an impact on improving child health status, especially for long-term child health.Also, as society moves toward urbanization, a family network tends to be smaller and more independent.Thus, a challenge for policymakers is to create an appropriate support mechanism to substitute or complement this traditional social capital.
Alay Phonvisay, Terukazu Suruga, Don Eliseo Lucero‐Prisno
Birth weight is the primary indicator of a baby's health. Babies with low body weight often face challenges in physical growth, metabolic function, and cognitive and intellectual development. The purpose of this study is to determine the relationship between a history of low birth weight and stunting. This study used a correlational analytical design with a cross-sectional approach. The population included 120 pairs of mothers and children aged 2–3 years. A simple random sampling technique selected 108 pairs as the sample. Data were collected by measuring the child's height and by obtaining secondary data on birth weight. Data analysis was carried out using Chi-Square and Contingency Coefficient tests. The results showed that of 69 respondents (63.9%) who had a history of low birth weight, as many as 45 children (41.7%) were stunted. The majority of respondents were children aged 2-3 years (92.3%), female, and firstborn. A chi-square statistical test yields a P-value = 0.008 < a (0.05). This indicates a relationship between a history of low birth weight and the incidence of stunting in children aged 2–3 years, with a Contingency Coefficient rate of 0.462. The conclusion shows that there is a link between low birth weight and the incidence of stunting in children aged 2–3 years. Parents are encouraged to attend Posyandu regularly for growth monitoring and optimal nutrition. Healthcare workers should prioritize nutritional counseling during pregnancy and the first two years of life. Policymakers are recommended to strengthen prenatal screening programs targeting low birth weight as an early predictor of stunting, particularly in agricultural communities with limited healthcare access. Keywords: Low Birth Weight, Stunting, Child Nutrition, Indonesia, Growth Disorders.
Wiwik Utami, Aris Citra Wisuda, Titik Nuryanti et al.
