The Corellation between Stunting, Wasting, and Children's Cognitive Ability: Indonesia Family Life Survey 2000 – 2014

Safitri Tia Tampy, H. Nugroho, Rahmi Syuadzah
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Abstract

ABSTRACT Background: Nowadays, lack of children nutritional status fulfillment is still a problem experienced by developing countries, including Indonesia. The most nutritional problems among children in Indonesia are stunting and wasting. Stunting and wasting are indicators of growth disorders including cognitive impairment. This study aimed to analyzed the correlation between stunting, wasting, and children’s cognitive ability using Indonesia family Life Survey 2000-2014. Subjects and Method: This was a cross sectional study conducted using secondary data analysis of the 3rd, 4th, and 5th Indonesian Family Life Survey (IFLS). The study took place in June-July 2020. The study subjects were children aged 7-14 years amounting to 4781 children. The dependent variable was cognitive ability. The independent variables were stunting and wasting. The data obtained from IFLS was cleansed using STATA 15 and analyzed using multilevel logistic regression using SPSS 16.1. Results: The prevalence of stunting among children were 35.5%, wasting were 10.6%, and cognitive abilities below the average were 41.1%. Children who were not stunted were 1.33 times more likely to have cognitive abilities that matched or were above the average age of children (OR= 1.33; 95% CI= 1.18 to 1.50; p< 0.001). Children who did not experience wasting had 1.20 times the likelihood of having cognitive abilities that matched or were above the average age of children (OR= 1.33; 95% CI= 1.00 to 1.45; p< 0.001). Conclusion: Stunting and wasting are associate with children’s cognitive ability. Keywords: stunting, wasting, children’s cognitive ability, Indonesian family life survey Correspondence: Safitri Tia Tampy. Department of Child Health Science, Pediatric Research Center, Dr. Moewardi Hospital, Surakarta, Central Java. DOI: https://doi.org/10.26911/the7thicph.03.19
发育迟缓、消瘦与儿童认知能力的相关性:2000 - 2014年印度尼西亚家庭生活调查
摘要背景:目前,儿童营养状况缺乏仍然是包括印度尼西亚在内的发展中国家所面临的一个问题。印度尼西亚儿童中最严重的营养问题是发育迟缓和消瘦。发育迟缓和消瘦是包括认知障碍在内的生长障碍的指标。本研究旨在利用2000-2014年印度尼西亚家庭生活调查,分析发育迟缓、消瘦与儿童认知能力的相关性。研究对象和方法:本研究采用第三、第四和第五次印度尼西亚家庭生活调查(IFLS)的二次数据分析进行横断面研究。该研究于2020年6月至7月进行。研究对象为7-14岁的儿童,共4781名。因变量为认知能力。自变量是发育不良和消瘦。从IFLS中获得的数据使用STATA 15进行清洗,并使用SPSS 16.1进行多水平逻辑回归分析。结果:儿童发育迟缓患病率为35.5%,消瘦患病率为10.6%,认知能力低于平均水平的患病率为41.1%。未发育不良的儿童的认知能力达到或超过儿童平均年龄的可能性是正常儿童的1.33倍(or = 1.33;95% CI= 1.18 ~ 1.50;p < 0.001)。没有经历过消瘦的儿童,其认知能力达到或高于儿童平均年龄的可能性是其他儿童的1.20倍(or = 1.33;95% CI= 1.00 ~ 1.45;p < 0.001)。结论:发育迟缓和消瘦与儿童认知能力有关。关键词:发育迟缓,消瘦,儿童认知能力,印尼家庭生活调查中爪哇苏拉卡塔Moewardi医生医院儿科研究中心儿童健康科学部。DOI: https://doi.org/10.26911/the7thicph.03.19
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