Determinants Of Malnutrition Based On The Composite Index Of Anthropometric Failure (CIAF)
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Abstract
Background: Malnutrition in toddlers (under five years) is known to cause disturbances in growth and development. The Composite Index of Anthropometric Failure (CIAF) is an alternative anthropometric that specifying and combining various growth failures that occur.
Methods: A descriptive quantitative study with a cross-sectional approach was carried out for 10 (ten) months in 2022. A total of 155 samples of toddlers (aged 6 months to 5 years) were taken using the multistage random sampling technique. The instruments used include questionnaires about the characteristics of parents, family economy, family awareness about nutrition, and health seeking behavior. The tools to detect malnutrition are a calibrated digital stature meter and weight scales. The data was analyzed through Chi Square, and Mann-Whitney is used as an alternative if the data found does not meet the requirements.
Results: Of the 155 children under five examined, 48.4% or almost half of the respondents experienced growth failure. Most growth failure was in the stunting and underweight category (21.3%) and the least was in the wasting only category (1.3%). Family awareness about nutrition and health seeking behavior were not found to be related to the nutritional status of children, where statistically the prevalues obtained were 0.217 and 0.173, respectively.
Conclusion: Based on the CIAF, none of the factors studied were found to have an association with malnutrition. Further research is needed by examining a wider scope of variables and providing more intensive training to survey officers to obtain more accurate data.
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References
Adair, L. S., & Guilkey, D. K. (1997). Age-specific determinants of stunting in Filipino children. The Journal of Nutrition, 127(2), 314–320. https://doi.org/10.1093/jn/127.2.314
Angga. (2022). DPRD Siap Support Penanganan Stunting di Bangka Barat. Retrieved November 23, 2022, from Media Satya Laskar Pelangi website: https://negerilaskarpelangi.com/2022/06/03/dprd-siap-support-penanganan-stunting-di-bangka-barat/
Badan Penelitian dan Pengembangan Kesehatan. (2019). Laporan Nasional Riskesdas 2018. Lembaga Penerbit Badan Penelitian Dan Pengembangan Kesehatan, p. 198. Retrieved from http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
Black, R. E., Allen, L. H., Bhutta, Z. A., Caulfield, L. E., de Onis, M., Ezzati, M., … Rivera, J. (2008). Maternal and child undernutrition: global and regional exposures and health consequences. The Lancet, 371(9608), 243–260. https://doi.org/10.1016/S0140-6736(07)61690-0
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., De Onis, M., … Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451. https://doi.org/10.1016/S0140-6736(13)60937-X
Dinas Kesehatan Provinsi Kepulauan Bangka Belitung. (2020). Profil Kesehatan Provinsi Kepulauan Bangka Belitung 2019. In Dinas Kesehatan Provinsi Kepulauan Bangka Belitung. Pangkal Pinang. Retrieved from http://dinkes.babelprov.go.id/sites/default/files/dokumen/bank_data/Profil Dinas Kesehatan Prov. Kep. Bangka Belitung Tahun 2019 %281%29.pdf
Ditjen Bangda. (2022). Monitoring Pelaksanaan 8 Aksi Konvergensi Intervensi Penurunan Stunting Terintegrasi. Retrieved from https://aksi.bangda.kemendagri.go.id/emonev/DashPrev
Endris, N., Asefa, H., & Dube, L. (2017). Prevalence of Malnutrition and Associated Factors among Children in Rural Ethiopia. BioMed Research International, 2017, 6587853. https://doi.org/10.1155/2017/6587853
Fenta, H. M., Zewotir, T., & Muluneh, E. K. (2021). Disparities in childhood composite index of anthropometric failure prevalence and determinants across Ethiopian administrative zones. PLoS ONE, 16(9 September), 1–17. https://doi.org/10.1371/journal.pone.0256726
Fitrajaya, R. (2021). Pemprov Babel Gelar Penilaian Kinerja Kabupaten/Kota dalam Rangka Penurunan Stunting. Retrieved November 23, 2022, from Bappeda Prov. Kep. Babel website: https://bappeda.babelprov.go.id/content/pemprov-babel-gelar-penilaian-kinerja-kabupatenkota-dalam-rangka-penurunan-stunting
Garenne, M., Thurstans, S., Briend, A., Dolan, C., Khara, T., Myatt, M., … Wells, J. C. (2021). Changing sex differences in undernutrition of African children: findings from Demographic and Health Surveys. Journal of Biosocial Science, 1–11. https://doi.org/10.1017/S0021932021000468
Haywood, X., & Pienaar, A. E. (2021). Long-Term Influences of Stunting, Being Underweight, and Thinness on the Academic Performance of Primary School Girls: The NW-CHILD Study. International Journal of Environmental Research and Public Health, 18(17). https://doi.org/10.3390/ijerph18178973
Huda, T. M., Hayes, A., El Arifeen, S., & Dibley, M. J. (2018). Social determinants of inequalities in child undernutrition in Bangladesh: A decomposition analysis. Maternal & Child Nutrition, 14(1). https://doi.org/10.1111/mcn.12440
Martins, V. J. B., Toledo Florêncio, T. M. M., Grillo, L. P., Franco, M. do C. P., Martins, P. A., Clemente, A. P. G., … Sawaya, A. L. (2011). Long-lasting effects of undernutrition. International Journal of Environmental Research and Public Health, 8(6), 1817–1846. https://doi.org/10.3390/ijerph8061817
McDonald, C. M., Olofin, I., Flaxman, S., Fawzi, W. W., Spiegelman, D., Caulfield, L. E., … Study, N. I. M. (2013). The effect of multiple anthropometric deficits on child mortality: meta-analysis of individual data in 10 prospective studies from developing countries. The American Journal of Clinical Nutrition, 97(4), 896–901.
Moiseeva Karina, E., Ivanov Dimitry, O., Alekseeva Anna, V., Kharbediya Shalva, D., & Berezkina Elena, N. (2020). Influence of mother’s age on infant child’s nutrition. Archivos Venezolanos de Farmacologia y Terapeutica, 39(2), 215–220.
Oumer, A., Girum, T., Fikre, Z., Bedewi, J., Nuriye, K., & Assefa, K. (2022). Stunting and Underweight, but not Wasting are Associated with Delay in Child Development in Southwest Ethiopia. Pediatric Health, Medicine and Therapeutics, Volume 13(December 2021), 1–12. https://doi.org/10.2147/phmt.s344715
Porwal, A., Acharya, R., Ashraf, S., Agarwal, P., Ramesh, S., Khan, N., … Johnston, R. (2021). Socio-economic inequality in anthropometric failure among children aged under 5 years in India: evidence from the Comprehensive National Nutrition Survey 2016-18. International Journal for Equity in Health, 20(1), 176. https://doi.org/10.1186/s12939-021-01512-4
Preedy, V. R. (2012). Handbook of Anthropometry: Physical Measures of Human Form in Health and Disease. Handbook of Anthropometry: Physical Measures of Human Form in Health and Disease, (July), 1–3107. https://doi.org/10.1007/978-1-4419-1788-1
Rachmi, C. N., Agho, K. E., Li, M., & Baur, L. A. (2016). Stunting, Underweight and Overweight in Children Aged 2.0-4.9 Years in Indonesia: Prevalence Trends and Associated Risk Factors. PloS One, 11(5), e0154756. https://doi.org/10.1371/journal.pone.0154756
Rahmadini, N., Sudiarti, T., & Utari, D. M. (2013). Status Gizi Balita Berdasarkan Composite Index of Anthropometric Failure. Kesmas: National Public Health Journal, 7(12), 538. https://doi.org/10.21109/kesmas.v7i12.327
Singh, S. K., Srivastava, S., & Chauhan, S. (2020). Inequality in child undernutrition among urban population in India: a decomposition analysis. BMC Public Health, 20(1), 1–15. https://doi.org/10.1186/s12889-020-09864-2
Wahyuni, E., & Febry, F. (2019). Hubungan Status Kadarzi Terhadap Status Gizi Balita 6-59 Bulan Berdasarkan Composite Index Of Anthropometric Failure (Ciaf) Di Wilayah Kerja Puskesmas Indralaya Tahun 2019. Sriwijaya University.
Wemakor, A., Garti, H., Azongo, T., Garti, H., & Atosona, A. (2018). Young maternal age is a risk factor for child undernutrition in Tamale Metropolis, Ghana. BMC Research Notes, 11(1), 1–5. https://doi.org/10.1186/s13104-018-3980-7