Dietary diversity, vitamin D intake and childhood stunting: a case-control study in Bantul, Indonesia

Nurhayati, Eka; Paramashanti, Bunga Astria; Astiti, Dewi Puri; Aji, Arif Sabta

doi:10.31246/mjn-2020-0021

Cited by 12 publications

(19 citation statements)

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“…Of the two predictors classified in this factor, low micronutrient quality is the predictor that appears to provide the greatest increased risk of causing stunting, which is equal to 13% ( 33 ) . Although few studies have reported it, it was identified that vitamin D ( 19 ) , iodine ( 33 ) , iron ( 28 ) , and vitamin A ( 31 , 33 ) are micronutrients associated with stunting in Southeast Asia. This finding is also the same as that of another study on stunting in other middleand low-income countries ( 48 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Then, for one other predictor, dietary diversity seems to reduce the odds of stunting by 83% if the food group given has more than four variations ( 19 ) . Apart from being able to provide the energy and macronutrients needed, it was explained that the more diverse types of food, it will promote a more diverse gut microbial community, thereby affecting linear growth ( 49 ) .…”

Section: Discussionmentioning

confidence: 99%

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Stunting predictors among children aged 0-24 months in Southeast Asia: a scoping review

Togatorop,

Rahayuwati,

Susanti

et al. 2024

Rev. Bras. Enferm.

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Objective: To identify predictors of stunting among children 0-24 months in Southeast Asia. Methods: This scoping review focused on articles with observational study design in English published from 2012 to 2023 from five international databases. The primary keyword used were: “stunting” OR “growth disorder” AND “newborn” AND “predict” AND “Southeast Asia”. Results: Of the 27 articles selected for the final analysis there are thirteen predictors of stunting in seven Southeast Asia countries. The thirteen predictors include the child, mother, home, inadequate complementary feeding, inadequate breastfeeding, inadequate care, poor quality foods, food and water safety, infection, political economy, health and healthcare, water, sanitation, and environment, and social culture factor. Conclusion: All these predictors can lead to stunting in Southeast Asia. To prevent it, health service providers and other related sectors need to carry out health promotion and health prevention according to the predictors found.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Stunting predictors among children aged 0-24 months in Southeast Asia: a scoping review

Togatorop,

Rahayuwati,

Susanti

et al. 2024

Rev. Bras. Enferm.

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“…According to research conducted by Van Stuijvenberg et al, children aged 2–5 years in South Africa who are stunted have lower intakes of vitamin D, calcium, riboflavin, and fat compared with children who are not stunted [ 49 ]. The inadequate intake of vitamin D is a significant factor related to stunting (adjusted OR = 5.18; 95% CI: 1.03–26.02) [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

The Association between Vitamin D, Interleukin-4, and Interleukin-10 Levels and CD23+ Expression with Bronchial Asthma in Stunted Children

Sapartini,

Wong,

Indrati

et al. 2023

Biomedicines

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Children with stunted growth have an increased risk of wheezing, and studies have shown that low levels of vitamin D and interleukin (IL)-10, along with increased IL-4 levels and CD23+ expression, are present in stunted and asthmatic children. To date, it is not known whether these factors are related to the incidence of asthma in stunted children. This case-control study investigated the association between vitamin D, IL-4, and IL-10 levels and CD23+ expression with bronchial asthma in stunted children. The study included 99 children aged 24–59 months, i.e., 37 stunted-sthmatic children (cases), 38 stunted children without asthma, and 24 non-stunted children with asthma. All children were tested for their 25(OH)D levels using chemiluminescent immunoassay (CLIA), IL-4 and IL-10 levels were measured through enzyme-linked immunosorbent assay (ELISA) testing, and CD23+ expression was measured through flow cytometry bead testing. The data were analyzed using chi-squared, Kruskal-Wallis, and Mann-Whitney tests. The results showed that stunted asthmatic children had a higher incidence of atopic family members than those without asthma. Additionally, stunted asthmatic children had a higher prevalence of vitamin D deficiency (48.6%) than the control group (44.7% and 20.8%). Furthermore, stunted asthmatic children had significantly lower levels of 25(OH)D [20.55 (16.18–25.55), p = 0.042] and higher levels of IL-4 [1.41 (0.95–2.40), p = 0.038], although there were no significant differences in IL-10 levels and CD23+ expression. The study concluded that low vitamin D and high IL-4 levels are associated with bronchial asthma in stunted children, while IL-10 and CD23+ do not show a significant association.

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“…Some studies show the opposite result. A study in Bantul found that household economic status was not associated with stunting (16). A recent study in Palu, Central Sulawesi showed the same thing that there was no relationship between family economic status (p=0.444) and the incidence of stunting (15).…”

Section: Relationship Between Economic Status and Stuntingmentioning

confidence: 97%

Relationship Between Economic Status, Infectious Diseases and Urinary Iodine Excretion with Stunting Incidence of Elementary School Children in IDD Endemic Areas, Enrekang Regency

Abri

Thaha

Jafar

2022

JHNR

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This study aimed to determine the relationship of economic status, infectious diseases, and Urinary Iodine Excretion (UIE) with the incidence of stunting in elementary school children in IDD endemic areas, Enrekang Regency. This research was an observational analytic study with a cross-sectional approach. Subjects in this study were taken by purposive sampling as many as 100 children aged 6-12 years. Research data were collected using a questionnaire, microtoise, and UIE Lab Test and then processed using the chi-square test. The results showed that the proportion of stunting was 72.2% and normal was 28.0%, the low family economy was 82.0%, infectious disease was 79.0%, and low urinary iodine deficiency was 21.0%. The chi-square test showed that there was a significant relationship between economic status (p=0.045) and infectious diseases (p=0.012) with the incidence of stunting, but there was no relationship between UIE and stunting (p=1,000). The economic status of parents and a history of infectious diseases contribute to the incidence of stunting. Modification of parents' crops by harvesting crops in a short time is recommended to increase family income and increasing children's healthy and clean behaviour is considered necessary to prevent infectious diseases.

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Dietary diversity, vitamin D intake and childhood stunting: a case-control study in Bantul, Indonesia

Cited by 12 publications

References 0 publications

Stunting predictors among children aged 0-24 months in Southeast Asia: a scoping review

Stunting predictors among children aged 0-24 months in Southeast Asia: a scoping review

The Association between Vitamin D, Interleukin-4, and Interleukin-10 Levels and CD23+ Expression with Bronchial Asthma in Stunted Children

Relationship Between Economic Status, Infectious Diseases and Urinary Iodine Excretion with Stunting Incidence of Elementary School Children in IDD Endemic Areas, Enrekang Regency

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