出生时长与幼儿发育迟缓的关系

Della Kurnia Fauziah, Nurul Pujiastuti, Fitriana Kurniasari Solikhah, Tri Nataliswati
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摘要

在印度尼西亚,发育迟缓仍然是一个持续存在的营养挑战,对儿童的生长和生存构成重大威胁,通常表现在生命的第二年。其主要原因是产前蛋白质摄入不足,导致出生长度缩短和对发育迟缓的易感性增加。本研究旨在探讨Tasikmadu村幼儿出生长度与发育迟缓之间的关系,采用回顾性队列设计,总样本量为128人。对收集到的数据进行分析得到了值得注意的结果,计算出的p值超过0.570。这一结果表明,在Tasikmadu村的研究参与者中,出生长度与发育迟缓发生率之间没有统计学上显著的相关性。相反,调查强调了出生后因素作为发育迟缓患病率的重要决定因素的重要性。这些因素包括不及时地在母乳喂养的同时引入辅食(MP-ASI)、不规律的MP-ASI喂养时间表、以碳水化合物为主的MP-ASI菜单、不稳定的母乳喂养时间以及过早停止纯母乳喂养。总之,本研究发现在Tasikmadu村,出生长度和发育迟缓之间存在明显的分离。这意味着,发育迟缓的根源主要在于产后做法,强调了解决诸如不适当的MP-ASI做法和母乳喂养模式等问题的关键作用,以有效地打击幼儿发育迟缓的流行。这些发现有助于更细致地了解在这种情况下发育迟缓的多面性,指导未来的干预措施和旨在减轻发育迟缓的公共卫生举措。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hubungan Panjang Badan Lahir dengan Kejadian Stunting Pada Balita
Stunting remains a persistent nutritional challenge in Indonesia, posing a substantial threat to child growth and survival, typically manifesting in the second year of life. Its primary antecedent is inadequate prenatal protein intake, resulting in shortened birth length and increased susceptibility to stunting. This study aimed to elucidate the relationship between birth length and stunting among toddlers within Tasikmadu Village, employing a retrospective cohort design with a total sample size of 128 individuals selected through Total Sampling. The analysis of the collected data yielded a noteworthy result, with a calculated p-value exceeding 0.570. This outcome signifies the absence of a statistically significant correlation between birth length and the incidence of stunting among the study participants in Tasikmadu Village. Instead, the investigation highlights the prominence of postnatal factors as significant determinants of stunting prevalence. These factors include the untimely introduction of complementary foods alongside breastfeeding (MP-ASI), irregular MP-ASI feeding schedules, a predominantly carbohydrate-based MP-ASI menu, erratic breastfeeding timings, and premature discontinuation of exclusive breastfeeding. In summary, this study discerns a conspicuous dissociation between birth length and stunting occurrence in Tasikmadu Village. The implication is that the roots of stunting lie predominantly in postnatal practices, emphasizing the critical role of addressing issues such as inappropriate MP-ASI practices and breastfeeding patterns to effectively combat the prevalence of stunting among toddlers. These findings contribute to a more nuanced understanding of the multifaceted nature of stunting in this context, guiding future interventions and public health initiatives aimed at its mitigation.
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