Risk factors associated with childhood stunting in Indonesia: A systematic review and meta-analysis.

IF 1.3 4区 医学 Q4 NUTRITION & DIETETICS Asia Pacific journal of clinical nutrition Pub Date : 2023-01-01 DOI:10.6133/apjcn.202306_32(2).0001
Gusnedi Gusnedi, Ricvan Dana Nindrea, Idral Purnakarya, Hermita Bus Umar, Andrafikar, Syafrawati, Asrawati, Andi Susilowati, Novianti, Masrul, Nur Indrawaty Lipoeto
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引用次数: 1

Abstract

Background and objectives: In Indonesia, stunting is one of the most public health concerns. This study aims to systematically review and meta-analyze childhood stunting risk factors in the country.

Methods and study design: We did a systematic review and meta-analysis of observational (cross-sectional and longitudi-nal) studies on stunting risk factors published between 2010 and 2021 based on available publications in online databases of PubMed, ProQuest, EBSCO, and google scholar. The quality of the publications was evaluated using the Newcastle-Ottawa Quality Assessment Scale and organized according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. Publication bias was examined using Egger's and Begg's tests.

Results: A total of 17 studies from the literature search satisfied the inclusion criteria, with 642,596 subjects. The pooled stunting prevalence was 30.9% (95% CI 25.0%-36.8%). Children born with low birth weight (POR 2.39, 2.07-2.76), female (POR 1.05, 1.03-1.08), and did not get the deworming program (1.10, 1.07-1.12) are the primary child characteristics that contributed to stunting. Meanwhile, maternal age ≥ 30 years (POR 2.33, 2.23-2.44), preterm birth (POR 2.12, 2.15-2.19), and antenatal care <4 times (POR 1.25, 1.11-1.41) were among mother characteristics consistently associated with stunting. The primary household and community risk factors for stunting were food insecurity (POR 2.00, 1.37-2.92), unimproved drinking water (POR 1.42, 1.26-1.60), rural residence (POR 1.31, 1.20-1.42), and unimproved sanitation (POR 1.27, 1.12-1.44).

Conclusions: A diverse range of risk factors associated with childhood stunting in In-donesia demonstrates the need to emphasize nutrition programs by scaling up to more on these determinants.

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印度尼西亚儿童发育迟缓的相关风险因素:系统回顾和荟萃分析。
背景和目标:在印度尼西亚,发育迟缓是最令人关切的公共卫生问题之一。本研究旨在系统回顾和荟萃分析该国儿童发育迟缓的危险因素。方法和研究设计:我们基于PubMed、ProQuest、EBSCO和google scholar在线数据库中的现有出版物,对2010年至2021年间发表的关于发育迟缓危险因素的观察性(横断面和纵向)研究进行了系统回顾和荟萃分析。出版物的质量使用纽卡斯尔-渥太华质量评估量表进行评估,并根据系统评价和荟萃分析的首选报告项目进行组织。发表偏倚采用Egger’s和Begg’s检验。结果:文献检索共有17项研究符合纳入标准,共纳入受试者642,596人。合计发育迟缓患病率为30.9% (95% CI 25.0%-36.8%)。低出生体重(POR为2.39,2.07 ~ 2.76)、女性(POR为1.05,1.03 ~ 1.08)和未获得驱虫计划(POR为1.10,1.07 ~ 1.12)是导致发育迟缓的主要儿童特征。同时,孕产妇年龄≥30岁(POR 2.33, 2.23-2.44)、早产(POR 2.12, 2.15-2.19)和产前保健。结论:印度尼西亚与儿童发育迟缓相关的各种风险因素表明,有必要通过扩大对这些决定因素的关注来强调营养规划。
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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
58
审稿时长
6-12 weeks
期刊介绍: The aims of the Asia Pacific Journal of Clinical Nutrition (APJCN) are to publish high quality clinical nutrition relevant research findings which can build the capacity of clinical nutritionists in the region and enhance the practice of human nutrition and related disciplines for health promotion and disease prevention. APJCN will publish original research reports, reviews, short communications and case reports. News, book reviews and other items will also be included. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by at least two anonymous reviewers and the Editor. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as material cannot be returned. Final acceptance or rejection rests with the Editorial Board
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