Stunted Children Has Higher Risk of Overweight: A Study on Children Aged 6-12 Years in Eight Provinces in Indonesia
DOI:
https://doi.org/10.3923/pjn.2019.455.463Keywords:
Double-burden of malnutrition, overweight, parents education, school-aged children, stuntingAbstract
Background and Objective: A higher risk of overweight has been widely described in other populations but very limited information was available on Indonesian school-aged children (ISC). The aim of this study was to analyze the association between stunting and overweight ISC. Materials and Methods: This study used electronic data of Basic Health Research (BHR) 2010 which was designed as a cross sectional survey. A total of 8,599 ISC aged 6-12 years from eight provinces in Indonesia were selected for the analysis. Overweight and obese were defined as body mass index (BMI) for age Z-score (BAZ) of ≥+1 and ≥+2 standard deviation (SD), while stunting was defined as a height-for-age Z-score (HAZ) of <-2 SD based on WHO cut-off point. Results: The prevalence of overweight, obesity and stunting in ISC were 19.5, 7.9 and 28.0%, respectively. There were 7.5% of ISC categorized as having concurrent stunting and overweight. Most of them were boys and at younger age. They also had low economic status, low parents education and lived in rural areas (p<0.05). In multivariate logistic regression analyses adjusted for all factors, stunting was associated with overweight (OR = 2.33, 95% CI: 2.06-2.61). Conclusion: It is apparent that there is a significant association between stunting and overweight in ISC. This association implies that the double-burden of malnutrition (DBM) does exist in Indonesia and comprehensive planning is needed to overcome the problem.
References
World Bank, 2006. Repositioning Nutrition as Central to Development: A Strategy for Large Scale Action. World Bank Publications, Washington, DC., USA., ISBN: 9780821364000, Pages: 246.
Mamabolo, R.L., M. Alberts, N.P. Steyn, H.A. Delemarre-van de Waal and N.S. Levitt, 2005. Prevalence and determinants of stunting and overweight in 3-year-old black South African children residing in the central region of limpopo province, South Africa. Publ. Health Nutr., 8: 501-508.
Roemling, C. and M. Qaim, 2012. Obesity trends and determinants in Indonesia. Appetite, 58: 1005-1013.
Basic Health Research, 2010. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI [National Institute of Health Research and Development, Republic of Indonesia]. Riset Kesehatan Dasar 2010. Jakarta, Kementerian Kesehatan Republik Indonesia [Ministry of Health, Republic of Indonesia].
Basic Health Research, 2013. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI [National Institute of Health Research and Development, Republic of Indonesia]. Riset Kesehatan Dasar 2013. Jakarta, Kementerian Kesehatan Republik Indonesia [Ministry of Health, Republic of Indonesia].
WHO., 1997. WHO global database on child growth and malnutrition. World Health Organization, Geneva.
WHO., 2009. WHO anthroplus for personal computers manual: Software for assessing growth and development of the world's children and adolescents. World Health Organization, Geneva.
WHO., 2007. Growth reference 5-19 years. World Health Organization, Geneva, Switzerland.
Popkin, B.M., M.K. Richards and C.A. Montiero, 1996. Stunting is associated with overweight in children of four nations that are undergoing the nutrition transition. J. Nutr., 126: 3009-3016.
Bove, M.I., 2012. Stunting, overweight and child development impairment go hand in hand as key problems of early infancy: Uruguayan case. Ph.D. Thesis, University of Granada, Granada.
Jinabhai, C.C., M. Taylor and K.R. Sullivan, 2003. Implications of the prevalence of stunting, overweight and obesity amongst South African primary school children: A possible nutritional transition? Eur. J. Clin. Nutr., 57: 358-365.
Sawaya, A.L. and S. Roberts, 2003. Stunting and future risk of obesity: Principal physiological mechanisms. Cad. Saude Publica, 19: S21-S28.
Li, Y., N.M. Wedick, J. Lai, Y. He and X. Hu et al., 2011. Lack of dietary diversity and dyslipidaemia among stunted overweight children: The 2002 China National Nutrition and Health Survey. Public Health Nutr., 14: 896-903.
Grillo, L.P., A.F.A. Siqueira, A.C. Silva, P.A. Martins, I.T.N. Verreschi and A.L. Sawaya, 2005. Lower resting metabolic rate and higher velocity of weight gain in a prospective study of stunted vs nonstunted girls living in the shantytowns of Sao Paulo, Brazil. Eur. J. Clin. Nutr., 59: 835-842.
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