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19,731 reports · page 1953 of 1974

Peer-reviewed articleOpenAlex30 Sept 2026

Effect of Nutritional Rehabilitation on Neurodevelopmental Status of Children with Severe Acute Malnutrition (SAM)

Severe acute malnutrition (SAM) is a major public health problem in children, contributing to high morbidity, mortality, and impaired neurodevelopment. While nutritional rehabilitation improves survival and physical growth, its effect on cognitive, motor, language, and social development remains inadequately explored. Objective: To evaluate the impact of nutritional rehabilitation on neurodevelopmental outcomes in children aged 1–6 years with SAM. Methods: This prospective observational study was conducted over six months in the Department of Paediatrics of Khairpur Medical College, Sindh. A total of 150 children aged 1–6 years diagnosed with SAM (according to WHO criteria: weight-for-height Z-score < −3 SD or mid-upper arm circumference < 11.5 cm) were enrolled. Participants received eight weeks of standardized nutritional rehabilitation, including therapeutic feeding and micronutrient supplementation, along with management of associated complications. Anthropometric parameters and neurodevelopmental domains (cognitive, motor, language, and social) were assessed at baseline and post-intervention. Data were analysed using SPSS version 23, applying paired t-tests and chi-square tests, with p<0.05 considered significant. Results: Significant improvements were observed in weight (7.3 ± 1.4 vs. 9.2 ± 1.6 kg), MUAC (10.4 ± 0.9 vs. 12.5 ± 1.1 cm), and weight-for-height Z-score (−3.42 ± 0.51 vs. −2.18 ± 0.47) (p < 0.001). Neurodevelopmental scores improved significantly across all domains (p < 0.001). The proportion of children with normal development increased from 20.0% to 53.3%, while moderate developmental delay decreased from 33.3% to 14.7%. Conclusions: Nutritional rehabilitation significantly improves both growth and neurodevelopment in children with SAM. Early identification and timely intervention are crucial for optimal developmental recovery.

Peer-reviewed articleOpenAlex30 Sept 2026

Maternal food literacy and its association with household food security and dietary fiber intake among primary school children in Indonesia

ABSTRAK Latar Belakang: Ibu memiliki peran penting dalam pengambilan keputusan terkait penyediaan pangan dan pola makan keluarga. Literasi pangan dan gizi ibu yang baik dapat meningkatkan ketahanan pangan keluarga dan kualitas diet anak. Tujuan: Penelitian ini bertujuan untuk menguji literasi pangan dan gizi ibu serta hubungannya dengan ketahanan pangan rumah tangga dan kualitas diet anak (asupan serat) di Indonesia Metode: Penelitian menggunakan desain cross-sectional yang dilakukan terhadap 86 pasang ibu dan anak (anak berusia antara 9–12 tahun) di wilayah Kecamatan Kedungbanteng. Literasi pangan dan gizi ibu dievaluasi menggunakan Short Food Literacy Questionnaire (SFLQ). Ketahanan pangan rumah tangga ditentukan menggunakan Household Food Insecurity Access Scale (HFIAS), sementara konsumsi makanan dicatat melalui 24-hour food recall. Korelasi bivariat dan model regresi multivariat (logistik dan linear) digunakan untuk menganalisis data Hasil: Hasil analisis bivariat menunjukkan bahwa literasi ibu dan pendapatan keluarga berhubungan positif dengan ketahanan pangan. Berdasarkan regresi logistik multivariat, hanya pendapatan rumah tangga yang tetap memiliki hubungan yang signifikan dengan ketahanan pangan (AOR = 1,431; p = 0,041). Pada analisis regresi linier berganda, literasi pangan dan gizi ibu menjadi satu-satunya prediktor terhadap asupan serat anak (B = 0,089; p = 0,043), setelah disesuaikan dengan pendapatan rumah tangga, usia ibu, jumlah anggota keluarga, dan kovariat lain yang dimasukkan ke dalam model. Kesimpulan: Literasi pangan dan gizi ibu berkontribusi terhadap asupan serat anak, walaupun hubungan yang diamati relatif kecil. Namun demikian, peningkatan literasi pangan dan gizi pada ibu tetap diperlukan untuk meningkatkan kualitas diet anak. ABSTRACT Background: Mothers play a critical role in decision-making regarding household food security and family dietary patterns. Adequate maternal food and nutrition literacy can enhance household food security and improve children's diet quality. Objectives: This study aimed to examine maternal food literacy and its relationship with household food security and children's dietary quality (fiber intake) in Indonesia. Methods: A cross-sectional survey was completed in 86 mother-child pairs (child’s age between 9 to 12 years) in the Kedungbanteng sub-district. Maternal food literacy was evaluated with the Short Food Literacy Questionnaire (SFLQ). Household food security was determined using the Household Food Insecurity Access Scale (HFIAS), and dietary intake was recorded using a 24-hour food recall. Bivariate correlations and multivariate regression models (logistic and linear) were used to analyze the data. Results: Bivariate analysis showed that maternal literacy and family income were positively associated with food security. Based on multivariate logistic regression, only household income retained an association with food security (AOR = 1.431, p = 0.041). In a multiple linear regression model, maternal food literacy was the only predictor of child fiber intake (B = 0.089, p = 0.043), after adjusting for household income, mother's age, family size, and other covariates included in the model Conclusions: Maternal food and nutrition literacy contributes to child fiber intake, despite a relatively small observed association. However, enhancing maternal food and nutrition literacy is still required to improve children's dietary quality.

Dyah Umiyarni Purnamasari, Atikah Proverawati, Wahyu Vera Wardani

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Peer-reviewed articleOpenAlex30 Sept 2026

Determinants of Stunting among under-fives aged 24–59 months in the villages of Labuan Ratu Kampung, Banjar Ketapang, and Gunung Labuhan

ABSTRAK Latar Belakang: Stunting masih menjadi masalah kesehatan masyarakat yang berdampak terhadap pertumbuhan fisik, perkembangan kognitif, serta kualitas sumber daya manusia di masa mendatang. Kejadian stunting dipengaruhi oleh berbagai faktor. Prevalensi stunting di Indonesia 21,5% dan Kabupaten Lampung Utara memiliki prevalensi yang lebih tinggi sebesar 23,5% pada tahun 2023. Tujuan: Penelitian ini bertujuan menganalisis hubungan riwayat pemberian asi ekslusif, jumlah anggota keluarga dan pendapatan keluarga dengan kejadian stunting pada balita di Desa Labuhan Ratu Kampung, Desa Banjar Ketapang, dan Desa Gunung Labuhan, Kabupaten Lampung Utara. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain observasional analitik menggunakan pendekatan cross-sectional. Penelitian dilaksanakan pada November 2024 sampai dengan Januari 2025 terhadap 65 balita yang dipilih menggunakan teknik cluster random sampling. Data dikumpulkan melalui kuesioner dan pengukuran antropometri, kemudian dianalisis menggunakan uji Gamma dengan tingkat kemaknaan 95% (α=0,05). Hasil: Sebanyak 35 balita (53,8%) mengalami stunting. Hasil analisis menunjukkan terdapat hubungan antara riwayat pemberian ASI eksklusif (p=0,01; Gamma=0,53), jumlah anggota keluarga (p=0,04; Gamma=-0,50) dan pendapatan keluarga (p=0,01; Gamma=-1,00) dengan kejadian stunting. Proporsi stunting lebih tinggi pada balita yang tidak memperoleh ASI eksklusif dan berasal dari keluarga dengan jumlah anggota lebih dari empat orang. Kesimpulan: Riwayat pemberian ASI eksklusif, jumlah anggota rumah tangga, dan pendapatan rumah tangga merupakan faktor-faktor yang berhubungan dengan status stunting pada balita. Upaya pencegahan stunting perlu dilaksanakan melalui pendekatan terpadu yang mendorong pemberian ASI eksklusif dan pemantauan pertumbuhan secara berkala, sembari mempertimbangkan pendapatan rumah tangga dan jumlah anggota keluarga dalam upaya memenuhi kebutuhan gizi anak. ABSTRACT Background: Stunting remains a public health issue that impacts physical growth, cognitive development, and the future quality of human resources. The occurrence of stunting is influenced by various factors. The national prevalence of stunting in Indonesia is 21.5%, while North Lampung Regency recorded a higher prevalence of 23.5% in 2023. Objectives: This study aims to analyze the relationship between the history of exclusive breastfeeding, family size, and family income and the incidence of stunting among children under five in Labuhan Ratu Kampung, Banjar Ketapang, and Gunung Labuhan villages, North Lampung Regency. Methods: This study is a quantitative, analytic observational study employing a cross-sectional design. It was conducted from November 2024 to January 2025, involving 65 children under five years of age selected via cluster random sampling. Data were collected through questionnaires and anthropometric measurements and subsequently analyzed using the Gamma test at a 95% significance level (α=0.05). Results: A total of 35 under-fives (53.8%) were stunted. The results showed significant associations between exclusive breastfeeding history (p=0.01; Gamma=0.53), household size (p=0.04; Gamma=-0.50), and household income (p=0.01; Gamma=-1.00) and stunting status. The proportion of stunting was higher among under-fives who were not exclusively breastfed and who came from families with more than four members. Conclusions: Exclusive breastfeeding, household size, and income are associated with stunting in under-fives. Prevention should promote exclusive breastfeeding and growth monitoring while considering household resources and family size.

Masayu Dian Khairani, Intan Maharani

SurvivalIDRead at source

Peer-reviewed articleOpenAlex30 Sept 2026

PENINGKATAN PENGETAHUAN GURU TAMAN KANAK-KANAK TENTANG SKRINING GIZI ANAK MELALUI PELATIHAN ANTROPOMETRI DAN ANTHROCAL

ABSTRAKStunting masih menjadi salah satu permasalahan gizi prioritas di Indonesia yang memerlukan upaya pencegahan dan deteksi dini sejak usia dini. Guru taman kanak-kanak memiliki peran strategis dalam pemantauan pertumbuhan anak karena berinteraksi secara rutin dengan peserta didik, namun belum seluruhnya memiliki pengetahuan yang memadai mengenai pengukuran antropometri dan penentuan status gizi anak. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan guru taman kanak-kanak mengenai pengukuran antropometri dan skrining cepat status gizi anak sebagai upaya mendukung deteksi dini stunting. Kegiatan dilaksanakan pada bulan April 2026 di TKIT Aqila, Kecamatan Dramaga, Kabupaten Bogor, Jawa Barat dengan melibatkan 20 guru yang berasal dari 10 sekolah taman kanak-kanak. Metode yang digunakan meliputi penyuluhan, praktik pengukuran berat badan dan tinggi badan, demonstrasi penggunaan aplikasi AnthroCal, serta evaluasi menggunakan pre-test dan post-test yang terdiri atas 9 pertanyaan mengenai standar pengukuran antropometri dan penentuan status gizi anak. Hasil evaluasi menunjukkan adanya peningkatan pengetahuan peserta yang ditunjukkan oleh kenaikan nilai rata-rata dari 72,2±11,9 pada pre-test menjadi 90,0±9,2 pada post-test. Sebanyak 80% peserta mengalami peningkatan nilai setelah mengikuti kegiatan dengan rata-rata kenaikan sebesar 22,9±10,3. Kegiatan edukasi yang dikombinasikan dengan praktik langsung efektif meningkatkan pengetahuan guru mengenai pengukuran antropometri dan penentuan status gizi anak. Guru taman kanak-kanak berpotensi menjadi mitra strategis dalam mendukung pemantauan pertumbuhan dan deteksi dini stunting di lingkungan sekolah.Kata kunci: Antropometri; Guru taman kanak-kanak; Status gizi anak; Stunting; Skrining gizi. ABSTRACTStunting remains one of the major nutritional problems in Indonesia, requiring prevention and early detection efforts from an early age. Kindergarten teachers play a strategic role in child growth monitoring because they interact regularly with children; however, their knowledge regarding anthropometric measurements and nutritional status assessment is often limited. This community service program aimed to improve kindergarten teachers’ knowledge of anthropometric measurements and rapid nutritional status screening to support early detection of stunting. The activity was conducted in April 2026 at TKIT Aqila, Dramaga District, Bogor Regency, West Java, involving 20 teachers from 10 kindergarten schools. The methods included health education, practical training on weight and height measurements, demonstration of the AnthroCal application, and evaluation using a pre-test and post-test consisting of 9 questions related to anthropometric measurement standards and child nutritional status assessment. The evaluation results showed an increase in participants’ knowledge, as indicated by an improvement in the mean score from 72.2±11.9 in the pre-test to 90.0±9.2 in the post-test. 80% of participants showed improved knowledge scores, with a mean pre-test to post-test increase of 22.9 ± 10.3 points. The combination of educational sessions and hands-on practice effectively enhanced teachers’ knowledge regarding anthropometric measurements and child nutritional status assessment. Kindergarten teachers have the potential to become strategic partners in supporting child growth monitoring and early detection of stunting in school settings.Keywords: Anthropometry; Child nutritional status; Kindergarten teachers; Nutrition screening; Stunting.

Nunung Cipta Dainy, Rosyanne Kushargina, Nurmalia Lusida et al.

SurvivalDevelopmentPractitionerIDRead at source

Peer-reviewed articleOpenAlex30 Sept 2026

Factors associated with nutritional status of children under-five in Pipara rural municipality, Mahottari district

Background: Poor nutritional status among children under five remains a pressing problem in Nepal and is particularly prevalent in Madhesh Province. Poor educational status and culturally influenced community affect the nutritional intake and poses serious problems in under-five children. The objective of this study was to determine the prevalence of stunting, underweight and wasting along with the factors associated with it in Pipara rural municipality, Mahottari district. Methods: An analytical cross sectional study design was employed among children aged 6 to 59 months with the sample size of 300. All seven wards of Pipara Rural Municipality were included in the study, and eligible participants were selected using systematic random sampling within each ward. Face to face interview and anthropometric measurement technique was used by using semi-structured questionnaire, dietary diversity questionnaire, weighing machine and stadiometer. Data was collected using kobo toolbox and analyzed using World Health Organization (WHO) Anthro Survey Analyzer, Microsoft Excel and statistical package for the social sciences (SPSS) v23. Results: The prevalence of stunting, underweight and wasting was found 39.7%, 24.7%, and 12.3% respectively. Minimum dietary diversity was found 59%. However, stunting and wasting had significant association with ethnicity and parental education. Conclusions: Under-five children nutritional status was still found as the issue needs to be addressed, higher stunting and underweight rate shows about the collective outcome of combination of several socio-demographic, socio-economic and childhood-feeding related determinants. Therefore, it reflects about the essence of having closer scrutiny on the policies or implementation gaps.

Abishek Jha, Paras Pokhrel, Raj Kumar Sangroula

SurvivalNPRead at source

Peer-reviewed articleOpenAlex30 Sept 2026

Nighttime Respiratory Disturbance and Hypoxemia Associated with Impaired Linear Growth in Children with Obstructive Sleep Apnea

Objectives: Although obstructive sleep apnea (OSA) related hypoxia shows stronger associations with multiple complications than respiratory disturbance, its impact on linear growth, a major pediatric concern, remains unclear. This study investigates independent effects of hypoxia and respiratory disturbance on the height of children with OSA. Methods: This retrospective, cross-sectional study clinically evaluated children with suspicious OSA from January 2013 to June 2025. Individuals with other sleep disorders, severe neuropsychiatric disorders and physical disorders were excluded. Subjects underwent overnight polysomnography (PSG) and height measurement. OSA was defined as apnea-hypopnea index (AHI) ≥ 1 event/hour, and those with AHI < 1 event/hour served as the non-OSA reference group. AHI and percentage of total sleep time with oxygen saturation < 90% (T90%), were separately used to evaluate the severity of respiratory disturbance (mild, 1≤AHI < 5 events/h; moderate, 5≤AHI < 10 events/h; severe, AHI ≥ 10 events/h) and hypoxia (T90% quartiles). Height z-scores ≤-1 SD defined subclinical growth impairment. Linear and logistic regression models analyzed the independent associations between AHI and T90% and height and subclinical growth impairment. Nutrition, endocrine disorders, chronic illnesses, and parental height were not collected and adjusted in this study. Results: A total of 2443 children were included (348 children without OSA, 2095 children with OSA). In linear regression models, higher T90% was associated with a lower height z-score in the full sample ( B = − 0.005, 95% CI: − 0.010 to − 0.000, P = 0.033) and children with OSA ( B = − 0.005, 95% CI: − 0.010 to − 0.000, P = 0.034), whereas AHI was not (full sample: B = − 0.003, 95% CI: − 0.006 to 0.001, P = 0.111; children with OSA: B = − 0.002, 95% CI: − 0.005 to 0.002, P = 0.330).Logistic models showed higher odds of subclinical growth impairment in children with moderate (OR = 1.73, 95% CI: 1.05– 2.84) or severe OSA (OR = 1.96, 95% CI: 1.19– 3.21) and in those in the highest T90% quartile (OR = 2.17, 95% CI: 1.30– 3.60), compared with children without OSA. These associations remained stable in females and children aged 2– 9 years. Conclusions: To our knowledge, this is the first study to show that greater respiratory disturbance and nocturnal hypoxemia are associated with a higher risk of short stature in children with OSA. These findings support routine height assessment in the clinical management of pediatric OSA. Keywords: obstructive sleep apnea, children growth, height, polysomnography, apnea-hypopnea index, hypoxia

Yuan Shi, Zhaohua Chen, Xujun Feng et al.

SurvivalCNUSRead at source

Peer-reviewed articleOpenAlex30 Sept 2026

Explainable Machine Learning for Current Stunting Status Classification in Toddlers: A Comparative Evaluation of SMOTEENN and SHAP-Based Interpretation

Stunting remains a major nutritional problem that requires accurate and reliable assessment of children’s current growth status. Machine learning can support stunting classification; however, class imbalance and limited model interpretability remain important challenges. This study aims to evaluate the effect of SMOTEENN across classification algorithms with different learning characteristics and interpret the best-performing model using SHAP. Two secondary datasets were integrated, resulting in 41,176 records, of which 41,173 were retained after data cleaning and numerical conversion. Logistic Regression, Decision Tree, Random Forest, and XGBoost were evaluated using original and SMOTEENN-balanced training data. Hyperparameter optimization was performed using RandomizedSearchCV with stratified five-fold cross-validation and ROC-AUC as the optimization metric. The optimized configurations were fixed and applied to both experimental scenarios. Model performance was evaluated using Accuracy, Precision, Recall, F1-Score, and ROC-AUC on an independent test set. Random Forest trained on the original data achieved the best overall performance, with an Accuracy of 0.9600, Precision of 0.9584, F1-Score of 0.9505, and ROC-AUC of 0.9927. SMOTEENN consistently improved Recall across all models but generally reduced the overall performance of tree-based models. The largest improvement occurred in Logistic Regression, with Recall increasing from 0.7058 to 0.8657. SHAP analysis identified Height and Age (Month) as the most influential features. These findings show that the effect of SMOTEENN depends on dataset and algorithm characteristics, while SHAP provides transparent interpretation of current stunting-status classification within the analyzed datasets.

Siti Nurhasanah Nugraha, Muji Ernawati, Evita Fitri et al.

SurvivalIDRead at source

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Effect of Nutritional Rehabilitation on Neurodevelopmental Status of Children with Severe Acute Malnutrition (SAM)

Maternal food literacy and its association with household food security and dietary fiber intake among primary school children in Indonesia

Determinants of Stunting among under-fives aged 24–59 months in the villages of Labuan Ratu Kampung, Banjar Ketapang, and Gunung Labuhan

PENINGKATAN PENGETAHUAN GURU TAMAN KANAK-KANAK TENTANG SKRINING GIZI ANAK MELALUI PELATIHAN ANTROPOMETRI DAN ANTHROCAL

A review-based socio-economic framework for studying school-age malnutrition among government school children in Ranchi district, Jharkhand

The Importance of Gut Microbiota in Infant Health: Understanding the Impact of Feeding

Analysis of problems and evaluation of stunting intervention programs in Jrakah village, Boyolali Regency based on the System Thinking

Factors associated with nutritional status of children under-five in Pipara rural municipality, Mahottari district

Nighttime Respiratory Disturbance and Hypoxemia Associated with Impaired Linear Growth in Children with Obstructive Sleep Apnea

Explainable Machine Learning for Current Stunting Status Classification in Toddlers: A Comparative Evaluation of SMOTEENN and SHAP-Based Interpretation

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