Background WHO documents characterize stunting as, "…impaired growth and development that children experience from poor nutrition, repeated infection, and inadequate psychosocial stimulation." The equation of stunting with malnutrition is common. This contrasts with historic and modern observations indicating that growth in height is largely independent of the extent and nature of the diet. Subjects We measured 1716 Indonesian children, aged 6.0-13.2 years, from urban Kupang/West-Timor and rural Soe/West-Timor, urban Ubud/Bali, and rural Marbau/North Sumatra. We clinically assessed signs of malnutrition and skin infections. Results There was no relevant correlation between nutritional status (indicated by skinfold thickness) and height SDS (hSDS). 53% of boys, and 46% girls in rural Soe were short and thin, with no meaningful association between mean of triceps and subscapular skinfolds (x ̅ SF) and height. Skinfold thickness was close to German values. Shortest and tallest children did not differ relevantly in skinfold thickness. The same applied for the association between hSDS and mid upper arm circumference (MUAC) using linear mixed effects models with both fixed and random effects. 35.6% boys and 29.2% girls in urban Ubud were overweight; 21.4% boys and 12.4% girls obese, but with hSDS =-0.3, still short. Relevant associations between hSDS and x ̅ SF and MUAC were only found among the overweight urban children confirming that growth is accelerated in overweight and obese children. There were no visible clinical signs of malnutrition in the stunted children. Conclusion The present data seriously question the concept of stunting as prima facie evidence of malnutrition and chronic infection.

This cross-sectional study assesses the prevalence of stunting, overweight, and obesity in prepubertal children from different socioeconomic groups in Indonesia. Children from rural, poor urban, and nonpoor urban communities were studied (n = 3,010). The prevalences of stunting, wasting, overweight, and obesity were 19.3%, 5.0%, 2.7%, and 0.8%, respectively. The odds ratios (OR) for stunting, as compared with nonpoor urban children, were higher among rural children (2.92; 95% confidence interval [CI], 2.37-3.59) than among poor urban children (1.58; 95% CI, 1.18-2.13). The prevalence of wasting was not influenced by socioeconomic status. Both rural and poor urban children were significantly less likely to be overweight than were nonpoor urban children: in comparison with nonpoor urban children, the OR values were 0.19 (95% CI, 0.10-0.36) for rural and 0.13 (95% CI, 0.04-0.43) for poor urban children. Boys were more likely to be stunted or obese than girls: OR for stunting, 1.75 (95% CI, 1.44-2.12); OR for obesity, 4.07 (95% CI, 1.40-11.8). Stunted children were less likely than non-stunted children to be overweight: OR, 0.10 (95% CI, 0.03-0.43). In Indonesia, undernutrition is still related to poverty, whereas obesity is more related to prosperity.

<p>ABSTRACT</p><p>Background: Stunting is linear growth disturbance indicated by the value of the z-score of TB/U less than -2 SD. There are various factors associated with the incidence of stunting. Social demographics such as low income, low parental education and the number of members in the household, also indirectly related to the incidence of stunting. Parental height is also associated with the incidence of stunting. Short mothers have the possibility of having short baby. The results of the study in Egypt showed that children born from mothers with the height of &lt;150 cm have a higher risk to be stunted.</p><p>Objectives: To determine whether sociodemographic factors and parental height were risk factors for the incidence of stunting in children aged 6-23 months in Sedayu Subdistrict, Bantul, Yogyakarta.</p><p>Methods: The design used case-control study. The research was conducted in April-June 2014 in the Sedayu Subdistrict. Number of samples were 252 children aged 6-23 months. The instruments were a questionnaire to determine the identity of children, the identity of respondents, nutritional status, and sociodemographic data. Infantometer used to measure the length of the children body and microtoise to measure the height of parents. Bivariate analysis using chi-square and multivariate logistic regression test.</p><p>Results: The prevalence of children stunting was 16.20%. Bivariate test showed that the height of mothers significantly associated with the incidence of stunting. Multivariate analysis showed that the most influential factors to the was maternal height, while variables of employment, education, income, expenditure, number of family members, and height of father did not show significant results.</p><p>Conclusions: Maternal height were the risk factor for the incidence of stunting in children aged 6-23 months in Sedayu Subdistrict, but sociodemographic were not.</p><p>KEYWORDS: stunting, sociodemographic, parental height</p><p>ABSTRAK</p><p>Latar belakang: Stunting merupakan gangguan pertumbuhan linier yang ditunjukkan dengan nilai skor-z TB/U kurang dari -2SD. Terdapat berbagai macam faktor yang berhubungan dengan kejadian stunting. Faktor sosial demografi , meliputi pendapatan yang rendah, pendidikan orang tua yang rendah, dan jumlah anggota dalam rumah tangga secara tidak langsung juga berhubungan dengan kejadian stunting. Tinggi badan orang tua juga berkaitan dengan kejadian stunting. Ibu yang pendek memiliki kemungkinan melahirkan bayi yang pendek pula. Hasil penelitian di Mesir menunjukkan bahwa anak yang lahir dari ibu dengan tinggi badan &lt;150 cm memiliki risiko lebih tinggi untuk tumbuh menjadi stunting.</p><p>Tujuan: Mengetahui faktor sosiodemografi dan tinggi badan orang tua sebagai faktor risiko kejadian stunting pada balita usia 6–23 bulan di Kecamatan Sedayu, Bantul, Yogyakarta.</p><p>Metode: Desain penelitian adalah case-control. Penelitian ini dilaksanakan pada bulan April-Juni 2014 di Kecamatan Sedayu. Besar sampel yang diambil sebesar 252 balita usia 6-23 bulan. Instrumen yang digunakan adalah kuesioner untuk mengetahui identitas balita, identitas responden, status gizi balita, dan data sosiodemografi. Infantometer digunakan untuk mengukur panjang badan balita dan microtoise untuk mengukur tinggi badan orang tua. Analisis bivariat menggunakan uji chi-square dan multivariat menggunakan uji regresi logistik.</p><p>Hasil : Dalam penelitian ini diketahui prevalensi kejadian stunting di Kecamatan Sedayu sebesar 16,20%. Hasil uji bivariat menunjukkan bahwa variabel bebas yaitu tinggi badan ibu (p=0,01) menunjukkan hubungan yang signifikan terhadap kejadian stunting. Hasil uji multivariat membuktikan bahwa variabel yang paling berpengaruh dengan stunting yaitu tinggi badan ibu. Variabel pekerjaan, pendidikan, pendapatan dan pengeluaran, jumlah anggota keluarga, dan tinggi badan ayah tidak menunjukkan hasil yang bermakna terhadap kejadian stunting.</p><p>Kesimpulan: Faktor sosioemografi bukan merupakan faktor risiko kejadian stunting, namun tinggi badan ibu merupakan faktor risiko kejadian stunting pada balita usia 6-23 bulan di Kecamatan Sedayu, Bantul,Yogyakarta.</p><p>KATA KUNCI : stunting, sosiodemografi , tinggi badan orang tua</p>

Aims: To assess tracking of body mass index (BMI) of urban Indonesian children from childhood to adolescence and to compare the prevalence of underweight, overweight and obesity in 6- to 8-year-old children from two surveys: years 1999 and 2004. Methods: A longitudinal study assessing BMI tracking of 308 urban children followed from age 6–8 to 11–13 years and two cross-sectional surveys comparing the prevalence of underweight, overweight and obesity in 6- to 8-year-old children: year 1999 (n = 1,524) and 2004 (n = 510). Results: Childhood BMI determined 52.3% variation of later BMI. After 5.1 (0.6) years the prevalence of overweight and obesity increased from 4.2 and 1.9% in childhood to 8.8 and 3.2% in adolescence. The prevalence of underweight decreased from 27.3 to 18.8%. All obese children remained obese, 84.6% overweight children stayed overweight, 56.0% underweight children remained underweight. In cross-sectional comparison the prevalence of overweight and obesity raised from 5.3 to 8.6% and from 2.7 to 3.7%, respectively. The prevalence of underweight remained constant. Conclusions: The prevalence of overweight and obesity increases as children grow into adolescence. Overweight or obese children are more likely to remain overweight or obese. Cross-sectional comparison shows, while the prevalence of underweight stays constant, the prevalence of overweight and obesity increases.

BackgroundThe use of lengthy, detailed, and complex informed consent forms (ICFs) is of paramount concern in biomedical research as it may not truly promote the rights and interests of research participants. The extent of information in ICFs has been the subject of debates for decades; however, no clear guidance is given. Thus, the objective of this study was to determine the perspectives of research participants about the type and extent of information they need when they are invited to participate in biomedical research.MethodsThis multi-center, cross-sectional, descriptive survey was conducted at 54 study sites in seven Asia-Pacific countries. A modified Likert-scale questionnaire was used to determine the importance of each element in the ICF among research participants of a biomedical study, with an anchored rating scale from 1 (not important) to 5 (very important).ResultsOf the 2484 questionnaires distributed, 2113 (85.1%) were returned. The majority of respondents considered most elements required in the ICF to be ‘moderately important’ to ‘very important’ for their decision making (mean score, ranging from 3.58 to 4.47). Major foreseeable risk, direct benefit, and common adverse effects of the intervention were considered to be of most concerned elements in the ICF (mean score = 4.47, 4.47, and 4.45, respectively).ConclusionsResearch participants would like to be informed of the ICF elements required by ethical guidelines and regulations; however, the importance of each element varied, e.g., risk and benefit associated with research participants were considered to be more important than the general nature or technical details of research. Using a participant-oriented approach by providing more details of the participant-interested elements while avoiding unnecessarily lengthy details of other less important elements would enhance the quality of the ICF.Electronic supplementary materialThe online version of this article (10.1186/s12910-018-0318-x) contains supplementary material, which is available to authorized users.