Cigarette smoke exposure and increased risks of stunting among under-five children

Astuti, Dyah Dwi; Handayani, Tri Widyastuti; Astuti, Duwi Pudji

doi:10.1016/j.cegh.2020.02.029

Cited by 12 publications

(12 citation statements)

References 23 publications

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“…Meanwhile, in men, smoking causes erectile dysfunction and decreased sperm quality may occur due to smoking (CDC, 2014). A previous study also mentioned smoking as a risk factor for the occurrence of stunting in children (Astuti et al , 2020; Nadhiroh et al , 2020). The results of this study can be used as a consideration for policymakers to deal with nutrition problems more comprehensively through a cross-sectoral integration between community nutrition programs, smoking cessation programs and reproductive health programs (Meghea et al , 2018).…”

Section: Discussionmentioning

confidence: 97%

Determinants of late adolescent nutritional status in Indonesia: a nation-wide cross-sectional survey

Amrita

Utami

Adhi

2021

NFS

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Purpose This study aims to examine determinants of underweight and overweight nutritional status among late adolescents in Indonesia. Design/methodology/approach A cross-sectional analysis of the 2015 Indonesian Family Life Survey 5 (IFLS-5) was conducted. Respondents for this study were selected through stratified and multistage random sampling. Of all IFLS-5 respondents, 2,791 were adolescents 18–24 years old. Multinomial logistic regression was applied to identify major determinants of nutritional status among late adolescents. Findings The prevalence of underweight and overweight nutritional status was 19.10% and 12.79%, respectively. Underweight status among late adolescents was strongly associated with smoking (adjusted odds ratio [AOR] = 1.72, 95% confidence interval [CI] = 1.29–2.33). Moreover, living in urban areas showed the strongest association with overweight status among the same group (AOR = 1.77, 95%CI = 1.29–2.44). Research limitations/implications This study gained the advantage from the use of national data that are collected by trained enumerators. Therefore, the possibility of bias is very small, and the study results can be generalized to a late adolescent group in Indonesia. However, this study also has limitations in the types of data available, as it uses secondary data. The lack of detailed data regarding food security, frequency of food consumption in a month and sources of income of the adolescents limit the interpretation of the study. Further studies should consider using a retrospective cohort approach in all adolescent age groups using data from the IFLS-1 to IFLS-5 so that the temporal relationship of the multifactorial nutrition variables can be identified. Practical implications Provide input and advice to policymakers in all sectors related to adolescent health and educational curricula for consideration in making interventions that focus on improving nutrition by taking into account the characteristics of adolescents, such as smoking habits, area of residence, income and age of adolescents because nutritional problems are multifactorial. Social implications This study can provide education to adolescents to create healthier consumption habits to reduce non-communicable diseases (NCDs) in the adult phase, ideal body weight, reduce unhealthy lifestyles (smoking, drinking alcohol and drugs) and increase self-esteem and reduce depression. Originality/value This study brings significant findings on the dominant determinant of nutritional status among late adolescents in Indonesia and their vulnerability to NCDs. To address the high prevalence of underweight and overweight nutritional status in Indonesia, a collaboration between smoking cessation, community nutrition and reproductive health programs is required for preventing the underweight nutritional status in adolescents, with a focus on obesity prevention for adolescents living in urban areas. It is expected that this collaboration will support the early prevention of NCD risks.

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Section: Discussionmentioning

confidence: 97%

Determinants of late adolescent nutritional status in Indonesia: a nation-wide cross-sectional survey

Amrita

Utami

Adhi

2021

NFS

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“…Sebuah studi oleh Shah et almenunjukkan bahwa anak-anak yang tinggal dengan perokok memiliki kadar nikotin yang lebih tinggi yaitu 0,36 ng/mL dibandingkan dengan mereka yang tidak tinggal dengan perokok. 30 Dalam penelitian ini, jumlah nikotin yang dihirup oleh anak tidak diukur, sehingga tidak diketahui kadar ambang batas yang dapat menyebabkan peradangan. Hal ini tidak mungkin karena kadar TNF, interleukin 1, dan interleukin 6 tidak diukur dalam penelitian ini.…”

Section: Hubungan Paparan Asap Rokok Dengan Status Gizi Anakunclassified

Faktor-Faktor yang Mempengaruhi Status Gizi pada Anak Usia Prasekolah (Studi di Kelompok Belajar D-BAITO Sunan Plumbon dan Raudhatul Athfal MASYITHOH Krajan Kecamatan Tembarak Kabupaten Temanggung pada Tahun 2021)

Nabilah

Rahfiludin²,

Kartini

2022

MKMI

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Latar belakang: Anak anak usia prasekolah usia 3-6 tahun sedang melewati masa pertumbuhan yang sangat tinggi (growth spurt). Data Kabupaten Temanggung gizi kurang tahun 2019 dengan persentase 5,5%Metode: Jenis penelitian observasional analitik dengan desain cross sectional. Subjek penelitian 77 Ibu yang memiliki anak yang bersekolah di KB D-BAITO Sunan Plumbon dan RA MASYITHOH Krajan. Teknik pengambilan sampel yaitu purposive sampling. Variabel yang dikaji yaitu pendidikan ibu, pekerjaan ibu, pendapatan, pengetahuan ibu, penyakit infeksi dan paparan asap rokok. Pengumpulan data menggunakan kuesioner. Uji analisis data menggunakan uji rank spearman dan chi square.Hasil: Penelitian menunjukkan bahwa Sebagian besar status gizi indikator BB/U responden adalah gizi baik (62,3%), status gizi indikator TB/U anak adalah normal (68,8%) dan status gizi indikator BB/TB anak adalah normal (77,9%). Hasil uji statistik mengunakan rank spearman dan chi square didapatkan bahwa tidak ada hubungan antara pendidikan ibu, pekerjaan ibu, pendapatan, pengetahua ibu, jumlah anggota keluarga dan paparan asap rokok dengan status gizi (BB/U, TB/U dan BB/TB). Terdapat kecenderungan anak yang terpapar asap rokok memiliki nilai HAZ yang lebih rendah (mean ± SD sebesar -1,33 ±1,106) dibandingkan dengan anak yang tidak terpapar asap rokok (-1,13 ± 1,15) dengan p-value=0,265 dari uji chi square.Simpulan: Tidak ada hubungan antara pendidikan ibu, pekerjaan ibu, pendapatan, pengetahuan ibu, jumlah anggota keluarga dan paparan asap rokok dengan status antropometri anak prasekolah di KB D-BAITO Sunan Plumbon dan RA MASYITHOH Krajan. Terdapat kecenderungan anak yang terpapar asap rokok lebih pendek daripada yang tidak terpapar asap rokok.Kata kunci: Status gizi; usia prasekolah; gizi kurangABSTRACTTitle: Factors Affecting Nutritional Status in Preschool Age Children (Studies in the D-BAITO Study Group Sunan Plumbon and Raudhatul Athfal MASYITHOH Krajan, Tembarak District, Temanggung Regency in 2021).Background: Preschool children aged 3-6 years are going through a period of very high growth (growth spurt). The data from Temanggung Regency for malnutrition in 2019 with a percentage of 5.5 %.Method: This type of research is analytic observational with a cross-sectional design. The research subjects were 77 mothers who had children who attended KB D-BAITO Sunan Plumbon and RA MASYITHOH Krajan. The sampling technique is purposive sampling. The variables studied were mother's education, mother's occupation, income, mother's knowledge, infectious diseases and exposure to cigarette smoke. Collecting data using a questionnaire. Test data analysis using rank spearman and chi square.Result: The study showed that most of the nutritional status indicators of the respondents' BB/U were good nutrition (62.3%), the nutritional status of the children's TB/U indicators was normal (68.8%) and the nutritional status of the children's BB/TB indicators was normal (77, 9%). The results of statistical tests using Spearman rank and chi square found that there was no relationship between mother's education, mother's occupation, income, mother's knowledge, number of family members and exposure to cigarette smoke with nutritional status (WAZ, WHZ and HAZ). There is a tendency that children exposed to cigarette smokes had lower HAZ scores (mean ± SD of-1.33 ± 1,106 ) than those who are not exposed to cigarette smokes (-1.13 ± 1,15) with a p-value of chi square test of 0,265Conclusion: There was no association between mother's education, mother's occupation, income, mother's knowledge, number of family members and exposure to cigarette smoke with anthropometric status of preschool children in KB D-BAITO Sunan Plumbon and RA MASYITHOH Krajan. There was a tendency that children exposed to cigarette smokes were shorter than those who were not exposed to cigarette smoke.Keywords: Nutritional status; preschool age; malnutrition

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“…http://jurnal.fk.unand.ac.id Jurnal Kesehatan Andalas. 2021; 10(3) jaringan terkait asap rokok (23) . Tidak lupa orang tua pasien juga diedukasi mengenai pentingnya imunisasi dan disarankan untuk segera ke fasilitas layanan kesehatan terdekat untuk melengkapi imunisasi anak yang telah tertinggal.…”

Section: Simpulanunclassified

Malnutrisi Energi Protein Berat: Laporan Kasus

Hsieh¹,

Wijaya²,

Aziana³

et al. 2022

JKA

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ABSTRAKLatar Belakang: Malnutrisi pada balita masih merupakan masalah kesehatan di Indonesia dan erat kaitannya dengan perawatan rumah sakit. Laporan kasus ini ditulis untuk memberi gambaran mengenai kasus gizi buruk sehingga semakin ditingkatkannya perhatian terhadap gizi anak oleh para tenaga kesehatan di lapangan.Kasus: Anak perempuan berusia 12 bulan datang dengan keluhan sudah 1 bulan berat badan tidak bertambah dan nafsu makan berkurang. Keluhan disertai batuk dan pilek berulang serta demam. Ayah dan ibu merupakan keluarga dengan perekonomian menengah ke bawah sehingga anak hanya diberi makan seadanya. Pada pemeriksaan fisik, anak sadar, tampak sangat kurus dan sakit sedang, didapatkan berat badan menurut usia, panjang badan menurut usia, berat badan menurut panjang badan di bawah -3 SD grafik pertumbuhan WHO. Pemeriksaan toraks menunjukkan kecurigaan terhadap infeksi pada paru kanan. Hasil laboratorium menunjukkan anemia defisiensi besi dengan peningkatan CRP dan foto toraks memperlihatkan adanya infiltrat pada paru kanan. Anak dirawat di rumah sakit dengan pemberian terapi cairan, antibiotik, dan intervensi diet. Dalam 2 minggu keadaan anak menujukkan perbaikan yang bermakna dan dapat dipulangkan dengan memberi edukasi terkait gizi anak, perilaku hidup bersih dan sehat, serta pentingnya imunisasi.Simpulan: Gizi buruk pada balita harus menjadi perhatian karena 1000 hari pertama kehidupan merupakan periode perkembangan otak yang paling pesat. Pemahaman yang baik oleh tenaga medis di lapangan mengenai gizi anak sangat diperlukan dalam rangka memberi edukasi kepada masyarakat untuk mengurangi angka kejadian gizi buruk pada balita Indonesia.Kata kunci: Gizi buruk, balita, edukasi ABSTRACTIntroduction: Malnutrition in toddlers is still a problem in Indonesia and is related to hospitalization. This case is written to give an overview about severe malnutrition in children so that we, as healthcare workers will be more aware to children’s nutrition.Case: Twelve – month – old baby girl came with chief complaint of difficulty in gaining weight. This complaint was accompanied by reduced appetite and fever with repeated cough and cold. Her parents were from middle – to low – income family so this baby wasn’t fed well. On examination, she looked extremely thin. She was alert with weight – for – age, height – for – age, and weight – for – height <3 Z – score WHO growth chart. Thoracal examinations showed abnormalities on right chest. Laboratory findings showed anemia hypochromic microcytic and increased CRP. Chest radiograph showed infiltrates on right lung. She was hospitalized and treated with fluid therapy, antibiotic, and diet intervention. After 2 weeks, her conditions improved and she was discharged. Her parents were educated about feeding practices in children, hygiene, and the importance of immunization.Conclusion: Malnutrition in toddlers has to be a concern because the first 1000 days are the most dramatic phase of neurobehavioral development. Understanding children’s nutrition is essential to all healthcare workers in order to decrease the incidence of malnutrition in Indonesia.Keywords: Malnutrition, children, education

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Cigarette smoke exposure and increased risks of stunting among under-five children

Cited by 12 publications

References 23 publications

Determinants of late adolescent nutritional status in Indonesia: a nation-wide cross-sectional survey

Determinants of late adolescent nutritional status in Indonesia: a nation-wide cross-sectional survey

Faktor-Faktor yang Mempengaruhi Status Gizi pada Anak Usia Prasekolah (Studi di Kelompok Belajar D-BAITO Sunan Plumbon dan Raudhatul Athfal MASYITHOH Krajan Kecamatan Tembarak Kabupaten Temanggung pada Tahun 2021)

Malnutrisi Energi Protein Berat: Laporan Kasus

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