Relationship between individual dietary diversity and stunting among children aged 8-23 months

Putri Lestari, Winda Irawati, Hastrin Hositanisita, Yhona Paratmanitya, Herwinda Kusuma Rahayu, Siska Ariftiyana

Abstract


Background: Stunting is a condition where toddlers experience growth and development failure caused by chronic malnutrition and recurrent infectious diseases, especially in the first 1,000 days of life so that children become shorter. Dietary diversity is defined as the consumption of various types of food groups that can fulfill nutritional needs for optimal health. Consumption pattern of dietary diversity among children aged 6-23 months is still low.

Objectives: This study aimed to understand relationship between individual dietary diversity and stunting among children aged 8-23 months in Pajangan Subdistrict, Bantul District, Yogyakarta

Methods: Type of this study was an quantitative observational with cross-sectional design study. Independent variable of dietary diversity and the dependent variable is stunting. Purposive random sampling was conducted with the total of subject was 167 children aged 8-23 months with mothers/ caregivers as respondents. Data collection was done by observation and structured interviews using a questionnaire. Data collection included anthropometric measurements, 24-hour food recall, and the Individual Dietary Diversity Score (IDDS) questionnaire. Statistic test in bivariate analysis used chi-square test.

Results: Results showed that as many as 54,5% of children did not eat a variety of foods and the prevalence of stunting was 32,3%. Average individual dietary diversity score for children is not stunted (4,73) is higher than that for children who are stunted (4,50). There is a significant relationship between dietary diversity and stunting (p=0,005, OR=2,558). Other factors related to IDDS were child’s age (p=0,004, OR=2.498), mother’s age (p=0,013, OR=2,484), mother's employment status (p=0,036, OR=2,070), father's education (p=0,0001, OR=4,087), father’s employment (p=0,013, r=2,426) dan family income (p=0,004, OR=2,528).

Conclusions: There was a relationship between individual dietary diversity and stunting among children aged 8-23 months in Pajangan Subdistrict, Bantul District, Yogyakarta


Keywords


Complementary feeding; Dietary Diversity; IDDS;; Stunting

References


TNP2K. Strategi Nasional Percepatan Pencegahan Anak Kerdil (Stunting). Jakarta: Sekretariat Wakil Presiden Republik Indonesia; 2018.

WHO. Reducing Stunting in Children: Equity Considerations for Achieving the Global Nutrition Targets 2025. 2018.

Saputri RA, Tumangger J. Hulu-Hilir Penanggulangan Stunting Di Indonesia. J Polit Issues. 2019;1(1):1–9.

UNICEF. Improving Child Nutrition - The Achievable Imperative for Global Progress. 2013.

Kemenkes. Buku Saku Hasil Survei Status Gizi Indonesia (SSGI) 2022. 2023.

Kementerian Perencanaan dan Pembangunan Nasional. Pedoman Pelaksanaan Intervensi Penurunan Stunting Terintegrasi di Kabupaten/Kota. Jakarta; 2018.

Paramashanti BA, Paratmanitya Y, Marsiswati M. Individual Dietary Diversity is Strongly Associated with Stunting in Infants and Young Children. J Gizi Klin Indones. 2017;14(1):19.

Fauzia S, Pangestuti D, Widajanti L. Hubungan Keberagaman Jenis Makanan Dan Kecukupan Gizi Dengan Indeks Massa Tubuh (IMT) Pada Ibu Menyusui Di Wilayah Kerja Puskesmas Kedungmundu Kota Semarang Tahun 2016. J Kesehat Masy. 2016;4(3):233–42.

Riskesdas. kementerian Kesehatan Republik Indonesia. Jakarta; 2013.

Wolstenholme H, Kelly C, Hennessy M, Heary C. Childhood Fussy / Picky Eating Behaviours : a Systematic Review and Synthesis of Qualitative Studies. Int J Behav Nutr Phys Act. 2020;17(2):1–22.

Kretz EC, Itaru A, Glas MG, Waswa LM, Jordan I. Is Responsive Feeding Difficult? A Case Study in Teso South Sub-County, Kenya. Nutrients. 2022;14(4677):1–18.

Carruth BR, Skinner J, Houck K, Moran J, Coletta F, Ott D. The Phenomenon of “Picky Eater”: A Behavioral Marker in Eating Patterns of Toddlers. J Am Coll Nutr. 1998;17(2):180–6.

Cano SC, Tiemeier H, Hoeken D Van, Tharner A, Jaddoe VWV, Hofman A, et al. Trajectories of Picky Eating During Childhood: A General Population Study. Int J Eat Disord. 2015;48(6):570–9.

Nurmayasanti A, Mahmudiono T. Status Sosial Ekonomi dan Keragaman Pangan Pada Balita Stunting dan Non-Stunting Usia 24-59 Bulan di Wilayah Kerja Puskesmas Wilangan Kabupaten Nganjuk. Amerta Nutr. 2019;3(2):114–21.

Yang Q, Yuan T, Yang L, Zou J, Ji M, Zhang Y, et al. Household Food Insecurity, Dietary Diversity, Stunting and Anaemia among Left-Behind Children in Poor Rural Areas of China. Int J Environ Res Public Health. 2019;16(23):1–13.

FAO. Guidelines for Measuring Household and Individual Dietary Diversity. Food Agriculture Organization; 2011.

DPKP DIY. Laporan Kegiatan Sistem Kewaspadaan Pangan dan Gizi (SKPG) Kabupaten Bantul tahun 2020. Yogyakarta; 2020.

Badan Ketahanan Pangan Kementerian Pertanian. Laporan Kinerja 2021 Pusat Ketersediaan dan Kerawanan Pangan. 2021.

Tim Survei Konsumsi Makanan Individu. Buku Foto Makanan. Jakarta: Kementerian Kesehatan Republik Indonesia; 2014.

Adamson AJ, Collerton J, Davies K, Foster E, Jagger C, Stamp E, et al. Nutrition in Advanced Age: Dietary Assessment in the Newcastle 85+ Study. Eur J Clin Nutr. 2009;63:6–18.

UNICEF. Indicators for Assessing Infant and Young Child Feeding Practices: Definitions and measurement methods. World Health Organization. 2021.

Keputusan Gubernur Daerah Istimewa Yogyakarta Nomor 353/KEP/2022 tentang Penetapan Upah Minimum Kabupaten/ Kota Tahun 2023.

Widyaningsih NN, Kusnandar, Anantanyu S. Keragaman Pangan, Pola Asuh Makan dan Kejadian Stunting pada Balita Usia 24-59 bulan. J Gizi Indones. 2018;7(1):22–9.

Achadi EL, Thaha AR, Achadi A, Syam AF, Setiarini A, Utari DM, et al. Pencegahan Stunting Pentingnya Peran 1000 Hari Pertama Kehidupan. Depok: Rajawali Pers; 2020.

Prastia TN, Listyandini R. Keragaman Pangan Berhubungan dengan Stunting pada Anak Usia 6-24 Bulan. Hear J Kesehat Masy. 2020;8(1):33–40.

WHO, UNICEF. Global Nutrition Monitoring Framework. Operational Guidance for Tracking Progress in Meeting Targets for 2025. World Health Organization. 2017.

Nai HM, Gunawan IMA, Nurwanti E. Praktik Pemberian Makanan Pendamping ASI (MP-ASI) Bukan Faktor Risiko Kejadian Stunting Pada Anak Usia 6-23 Bulan. J Gizi dan Diebetik Indones. 2014;2(3):126–39.

Mahmudiono T, Sumarmi S, Rosenkranz RR. Household dietary diversity and child stunting in East Java, Indonesia. Asia Pac J Clin Nutr. 2017;26(2):317–25.

Sulistiyanto. Buku Prospektus Investasi Sektor Pangan Kabupaten Bantul. Bantul; 2016.

Utami NH, Mubasyiroh R. Keragaman Makanan dan Hubungannya dengan Status Gizi Balita: Analisis Survei Konsumsi Makanan Individu (SKMI). Gizi Indones. 2020;43(1):37–48.

Astuti DK, Sumarmi S. Keragaman Konsumsi Pangan pada Balita Stunting di Wilayah Pedesaan dan Perkotaan Kabupaten Probolinggo. Media Gizi Indones. 2020;15(1):14–21.

Kemenkes. Pemberian Makanan Bayi dab Anak (PMBA). Jakarta: Kemenkes; 2012.

Kementerian Kesehatan RI. Pedoman Pemberian Makan Bayi dan Anak. Jakarta; 2020.

Rahmaniah, Huriyati E, Irwanti W. Riwayat Asupan Energi dan Protein yang Kurang Bukan Faktor Risiko Stunting pada Anak Usia 6-23 Bulan. J Gizi dan Diet Indones. 2014;2(3):150–8.

Priawantiputri W, Aminah M. Keragaman Pangan dan Status Gizi Pada Anak Balita di Kelurahan Pasirkaliki Kota Cimahi. J Sumberd Hayati. 2020;6(2):40–6.

Michaelsen KF, Weaver L, Branca F, Robertson A. Feeding and Nutrition of Infants and Young Children: Guidelines for the WHO European Region, with emphasis on the former Soviet countries. WHO Regional Publications, European Series, No. 87. Denmark; 2003.

Badan Pusat Statistik (BPS). Rata-rata Konsumsi Perkapita Seminggu Menurut Kelompok Kacang-Kacangan Per Kabupaten/kota. 2022.

Suryawan AE, Ningtyias FW, Hidayati MN. Hubungan Pola Asuh Pemberian Makan dan Skor Keragaman Pangan dengan Kejadian Stunting pada Balita Usia 24–59 Bulan. Ilmu Gizi Indones. 2022;6(1):23–34.

Rahayu A, Yulidasari F, Putri AO, Rahman F. Riwayat Berat Badan Lahir dengan Kejadian Stunting pada Anak Usia Bawah Dua Tahun. J Kesehat Masy Nas. 2015;10(2):67–73.

Ernawati A. Gambaran Penyebab Balita Stunting di Desa Lokus Stunting Kabupaten Pati. J Litbang Media Inf Penelitian, Pengemb dan IPTEK. 2020;16(2):77–94.

Sirait ARA, Achadi EL. Factors Associated with Minimum Dietary Diversity among Breasttfed Children Aged 6-23 Months in Indonesia (Analysis of Indonesia DHS 2017). Indones J Public Heal Nutr. 2020;1(1):13–23.

Sari MRN, Ratnawati LY. Hubungan Pengetahuan Ibu tentang Pola Pemberian Makan dengan Status Gizi Balita di Wilayah Kerja Puskesmas Gapura Kabupaten Sumenep. Amerta Nutr. 2018;2(2):182–8.

Khamis AG, Mwanri AW, Ntwenya JE, Kreppel K. The Influence of Dietary Diversity on The Nutritional Status of Children Between 6 and 23 Months of Age in Tanzania. BMC Pediatr. 2019;19(518):1–9.

Hardinsyah. Review Faktor Determinan Keragaman Konsumsi Pangan. J Gizi dan Pangan. 2007;2(2):55–74.

Ocampo-Guirindola ML, Garcia-Malabad CJ, Valdeabella-Maniego MLM, Punzalan SLM. Association Between Dietary Diversity Score and Nutritional Status of Filipino Children Aged 6-23 Months Mildred. Philipp J Sci. 2016;145(1):57–69.

Lestari W, Margawati A, Rahfiludin Z. Faktor Risiko Stunting Pada Anak Umur 6-24 Bulan di Kecamatan Penanggalan Kota Subulussalam Provinsi Aceh. J Gizi Indones (The Indones J Nutr. 2014;3(1):37–45.




DOI: http://dx.doi.org/10.21927/ijnd.2024.12(5).%25p

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Indonesian Journal of Nutrition and Dietetics (IJND) indexed by:

  


Lisensi Creative Commons View My Stats