Maternal nutrition status during pregnancy highly contributed to risk factors of stunting among children. Bone ossification approximately begins in the sixth weeks of embryonic development and continues to the end of pregnancy. However, inadequate nutrient supply in pregnant women harmed fetal growth. The study aimed to identify the association between pregnant women’s nutrition status and stunting. The case-control study using the retrospective design involved mothers with children aged 12-59 months. A proportional random sampling technique was applied to select participants. The sample was 80 toddlers, divided into 40 stunted, and 40 non-stunted toddlers. Data were taken from 27 April to 3 May 2019 through observations following the Mother and Child Health handbook and children’s height. Weight gain calculation during pregnancy determined the maternal nutrition status, referred to as maternal pre-pregnancy body mass index. The univariate analysis used frequency distribution, while bivariate analysis used the chi-square test. This study obtained approval from The Health Research Ethics Committee of the Institute of Health Science of General Achmad Yani, Cimahi. The mothers’ poor nutritional status caused as many as 85% of stunted toddlers’ prevalence during pregnancy. Results showed that maternal nutritional status during pregnancy was significantly associated with stunting among children (p-value: 0.000). The OR value was 13,222, which means children born to mothers with inadequate nutrient supply during pregnancy were more likely to be stunted as much as 13,222 times, than children born to mothers who had good nutrient supply. It is recommended that health workers prevent stunting from pregnancy by providing supplementary food to pregnant women, and promoting the health of the maternal nutritional status during pregnancy. Suggestions for pregnant women is to increase nutrient intake and nutritional status during pregnancy to prevent stunting in children.
Article Matrics
Abstract views : 1525 times
PDF Downloads: 718
Downloads
Download data is not yet available.
References
Alison, J. et al. (2018). Formation and growth of the fetus. Encyclopedia of reproduction, 2(3), 370-379. https://doi.org/10.1016/B978-0-12-801238-3.64494-X
A.M. Abd El-Maksoud et al. (2017). Evaluation of pro-inflammatory cytokines in nutritionally stunted Egyptian children. Egyptian Pediatric Association Gazette, Elsevier, 65, 80-84. http://dx.doi.org/10.1016/j.epag.2017.04.003
Black, R. E. (2013). Maternal and child nutrition 1: Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet 382, 427-451. http://dx.doi.org/10.1016/S0140-6736(13)60937-X.
Budijanto, D. (2018). Situasi balita pendek (stunting) di Indonesia. (The situation of stunted toddlers in Indonesia). Kementrian Kesehatan RI.
Christiani, R.E., Setyawati, I., & Yulihastuti D.A. (2017) Morfologi & perkembangan skeleton fetus tikus (rathus norvegicus) yang diberi ransum mengandung daun kaliandra (callandra calothyrsus) selama kebuntingan. (Morphology & skeleton development of rat fetus (rathus norvegicus) fed rations containing calliandra leaves (callandra calothyrsus) during pregnancy). Jurnal Biologi, 20(2), 69-74. https://doi.org/10.24843/metamorfosa.2019.v06.i01.p20
Dahlan, M.S. (2010). Besar sampel dan cara pengambilan sampel dalam penelitian kedokteran dan kesehatan (Edisi 3). (Sample size and sampling methods in medical and health research (3rd Edition)). Salemba Medika.
Dwitama et al. (2018). Hubungan pemberian ASI eksklusif dan makanan pendamping ASI terhadap balita pendek usia 2 sampai 5 tahun di Kecamatan Jatinangor. (The relationship between exclusive breastfeeding and complementary feeding for short toddlers aged 2 to 5 years in Jatinangor District). Jurnal Fakultas Kedokteran Universitas Padjadjaran, 3(3), 142-148. http://dx.doi.org/10.24198/jsk.v3i3.16990
Ermiati, Setyawati, A & emaliyawati, E. (2018). Foot Massage Modification to Reduce blood Pressure in Pregnanat Woman with Preeclampsia. Padjadjaran Nursing Journal, 6(2), 131-138. https://doi.org/10.24198/jkp.v6i2.625
Fikawati, S. et al. (2016). Gizi ibu dan bayi. (Mother and baby nutrition). Rajawali Pers.
Guyton & Hall. (2012). Fisiologi Kedokteran.( Medical physiology). EGC.
Helmita, R. (2015). Pola distribusi mitokondria sel sel trofoblas blastosis mencit (mus muculus albinus) dan pengaruhnya terhadap kegagalan hatching dan implantasi. (Mitochondrial distribution pattern of blastoblast trophoblast cells of mice (mus musculus albinus) and their effect on hatching and implantation failure). Jurnal Sainstek, VII(1), 16-25. http://dx.doi.org/10.31958/js.v7i1.121
Irianto, K. (2014). Gizi seimbang dalam kesehatan reproduksi (Balanced nutrition in reproductive health). Alfabeta.
Kamaludin, H. (2018). Ada 7.965 anak yang alami stunting di Kota Cimahi, begini kata dinkes. (There are 7,965 children experiencing stunting in Cimahi City, this is what the health office says). Retrieved October 11, 2019, from https://jabar.tribunnews.com
Karinne, A., C., et al. (2019). Nutrition influence on sow reproductive performance and conceptuses development and survival: A review about L-arginine supplementation. Livestock Science Elsevier, 228, 97-103. https://doi.org/10.1016/j.livsci.2019.08.010
Kementrian Kesehatan RI. (2018). Buku saku pemantauan status gizi 2017. (Nutritional status monitoring pocket book 2017). Kementrian Kesehatan RI.
Nofita, W., et al. (2016). Faktor-faktor yang mempengaruhi status gizi pada ibu hamil di Kabupaten Aceh Besar. (Factors influencing nutritional status of pregnant women in Aceh Besar District). Jurnal Ilmiah Mahasiswa Keperwatan, 1(1).
Picauly, I., & Toy, S.M. (2013). Analisis determinan dan pengaruh stunting terhadap prestasi belajar anak sekolah di Kupang dan Sumba Timur, NTT. (Analysis of determinants and effects of stunting on school children’s learning achievement in Kupang and East Sumba, East Nusa Tenggara). Jurnal Gizi dan Pangan, 8(1). https://doid.org/10.25182/jpg.2013.8.1.55-62
Pusparini et al. (2016). Indeks massa tubuh rendah pada awal kehamilan dan defisiensi vitamin pada trimester kedua sebagai fakor risiko gangguan pertumbuhan linier pada bayi lahir. (Low body mass index in early pregnancy and vitamin deficiency in the second trimester as risk factors for linear growth disorders in newborns). Jurnal Gizi Pangan, 11. https://doi.org/10.25182/jgp.2016.11.3.%25p
Rahayuwati, L., Nurhidayah, I., Hidayati, N. O., Hendrawati, S., Agustina, H. S., & Ekawati, R. (2019). Analysis of Factor Affecting Nutrition Status on Children. Jurnal Keperawatan Padjadjaran, 7(2), 119-133. https://doi.org/10.24198/jkp.v7i2.1131
Rahmaniar, A.M.B. (2011). Faktor-faktor yang berhubungan dengan kejadian kekurangan energy kronis pada ibu hamil di Puskesmas Tampa Padang Kec. Kaluku Kab. Mamuju Prov. Sulawesi Barat tahun 2011. Tesis Tidak Diterbitkan. [Master’s thesis, Universitas Hasanuddin]. Program Pascasarjana Universitas Hasanuddin, Makasar.
Sari, E.M. et al. (2016). Asupan protein, kalsium dan fosfor pada anak stunting dan tidak stunting usia 24-59 bulan. (Intake of protein, calcium and phosphorus in stunted and non-stunted children aged 24-59 months). Jurnal Gizi Klinik Indonesia, 12(4). https://doi.org/10.22146/ijcn.23111
Sethi, A., Priyadarshi, M., & Agarwal, R. (2020). Mineral and bone physiology in the foetus, preterm and full-term neonates. Seminars in Fetal and Neonatus medicine Elsevier, 25(1). https://doi.org/10.1016/j.siny.2019.101076
Setiawan, A., Sagi, M., Asmara, W., & Istriyati. (2012). Analisis pertumbuhan kartilago epifisis os tibia fetus mencit (Mus Musculus L) swiss webster setelah induksi ochratoxin a selama periode organogenesisi. (Analysis of the growth of the epiphyseal cartilage of the tibial bone of the swiss webster mice (Mus Musculus L) after induction of ochratoxin a during the period of organogenesis). Jurnal Biologi Papua,4(1), 25-31. https://doi.org/10.22146/ijcn.23111
Soetjiningsih. (2015). Tumbuh kembang anak (Edisi 2). (Child development (2nd Edition)). Buku Kedokteran EGC.
Sukmawati, Hendrayati, Chaerunnimah, & Nurhumaira. (2018). Status gizi ibu saat hamil, berat badan lahir bayi dengan stunting pada balita. (Maternal nutritional status during pregnancy, birth weight of babies with stunting in toddlers). Jurnal Media Gizi Pangan, 25. http://dx.doi.org/10.32382/mgp.v25i1.55
UNICEF. (2017). Undernutrition contributes to nearly half of all deaths in children under 5 and is widespread in Asia and Africa. Retrieved May 16, 2017, from https://data.unicef.org/topic/nutrition/malnutrition/#