I. P. Sari, Y. Ardillah, A. Rahmiwati
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引用次数: 2

摘要

背景:发育迟缓是5岁以下儿童慢性营养问题的一项指标,不仅受母亲孕前和孕期营养和健康状况的影响,而且还受分娩后母亲营养和健康状况的影响。发育迟缓的长期影响之一是增加肥胖和其他非传染性疾病的风险。出生体重过低是发育迟缓的原因之一,这也表明胎儿在子宫内就已经营养不良,发育迟缓是长期营养不良的表现。目的:本研究旨在确定低出生体重与发育迟缓之间的关系,以及6至59个月儿童的其他变量。方法:采用横断面设计。样本包括约188名年龄在6至59个月之间的符合条件的儿童,采用简单的随机抽样技术。采用结构化问卷对母亲、婴儿和环境特征进行面对面访谈。出生体重和身高的数据来自访谈和母婴健康手册或儿童出生记录的交叉核对,发育迟缓的数据来自基于年龄的身高z分数。数据分析采用卡方检验和logistic回归检验。结果:巨港市西别郎乌鲁1街道6 ~ 59月龄儿童发育迟缓和低出生体重的患病率分别为39.4%和8.5%。出生体重与发育迟缓有关(95% CI=1.28-2.76;p=0.012)和其他变量,如最近1个月内的传染病(95% CI=1.13-2.26;p=0.009),母亲身高(95% CI=1.10-2.19;p=0.016)和家庭月收入(95% CI=1.04-2.28;p = 0.024)。结论:在控制了儿童年龄、产妇分娩年龄、卫生条件和家庭月收入等因素后,低出生体重儿发育迟缓风险比正常体重儿高2.29。
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Berat bayi lahir dan kejadian stunting pada anak usia 6-59 bulan di Kecamatan Seberang Ulu I Palembang
Background: Stunting is an indicator of chronic nutritional problem among children under five years old that influenced by nutrition and health status of mothers not only before and during prenancy but also after delivery. One of the long-term effects of stunting is increasing the risk of obesity and other non-communicable diseases. Low birth weight is one of the causes of stunting which also indicates that the fetus has been malnourished during the womb and stunting is a manifestation of malnutrition for a long time. Objectives: This study aimed to determine of the association between low birth weight and stunting, as well as other variables among children between the ages of 6 to 59 months.Methods: This study used cross sectional design. Samples consisted of about 188 eligible children between the ages of 6 to 59 months which selected using simple random sampling technique. Data of the mother’s, infants and environmental characteristics were obtained through face-to-face interviews using a structured questionnaire. Data on birth weight and length were obtained from interviews and crosscheck from the Maternal and Child Health book or child birth records and data on stunting obtained from height Z-score based on age. Data was analyzed using chi-square and logistic regression test.Results: The prevalence of stunting and low birth weight among children between the ages of 6 to 59 months in Seberang Ulu I subdistrict of Palembang was 39.4% and 8.5%, respectively. Birth weight was related to stunting (95% CI=1.28-2.76; p=0.012) and other variables like infectious diseases in the last 1 month (95% CI=1.13-2.26; p=0.009), maternal height (95% CI=1.10-2.19; p=0.016) and household monthly income (95% CI=1.04-2.28; p=0.024). Conclusion: Children with low birth weight had risk of stunting 2.29 higher than children with normal weight after controlling for other factors such as child’s age, mother’s age during delivery, availability of latrine and household monthly income.
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