Relationship between Exclusive Breastfeeding, Complementary Foods and Infectious Diseases with the Incidence of Wasting in Toddlers: Cross-Sectional Study
Abstract:
Wasting is a condition of acute
malnutrition measured by the Weight to Length (BB/PB) or Height (BB/TB) index
with a z-score value <-2SD according to growth standards. The increase in
wasting prevalence in Malang Regency in 2024 reached 8.5%. This study aims to
assess the relationship between exclusive breastfeeding, Complementary Foods,
infectious diseases, and the incidence of wasting in toddlers. Method: The
study used a cross-sectional design with an analytical approach. The sample
consisted of 120 toddlers selected through simple random sampling, with
analysis using the Spearman correlation test. The results of the study showed
that exclusive breastfeeding had a significant relationship with wasting
(p-value = 0.018). There was a significant relationship between the provision
of providing complementary feeding and wasting (p-value <0.000). A
significant relationship was also found between wasting and energy intake
(p-value <0.000). Infectious diseases had a significant relationship with
wasting (p-value <0.000). Exclusive breastfeeding reduces the prevalence of
wasting in toddlers. Provision of appropriate complementary feeding is
significantly associated with decreased wasting prevalence. Strategic efforts
include improving exclusive breastfeeding practices, the quality of
complementary feeding, and the prevention of infectious diseases.
References:
[1].
Hasnita, E., Mariyana, R.,
Febrina, W., Sari, N. W., Harnaldo, B., Yuniliza., 2022, Analyzing Factors
Affecting Stunting, Wasting, and Underweight in Toddlers in Padang Pariaman
Regency. J Hunan Univ Nat Sci., 49(12):89–95.
[2].
Benaseera., Mustaheena, H.,
Lobo, M. R., Arhana, P. R., 2021, Malnutrition Influencing Factors In
Under-Five Children : A Descriptive Tertiary Care Hospital-Based Study, India. International
Journal Documentation & Research Institute., 7(9):440–6.
[3].
Beluska-Turkan, K.,
Korczak, R., Hartell, B., Moskal, K., Maukonen, J., Alexander, D. E., et al.,
2019, Nutritional gaps and supplementation in the first 1000 days. Nutrients.,
1(12):1–50.
[4].
Karavida, V., Tympa, E.,
Charissi, A., 2019, The Role of Nutrients in Child’s Brain Development. J
Educ Hum Dev., 8(2).
[5].
Organization W. H., 2021,
Malnutrition. Geneva: World Health Organization., https://www.who.int/data/nutrition/nlis/info/malnutrition-in-children.
[6].
Hanes, V., Ifayanti, H., 2023,
Science Midwifery The correlation between exclusive breastfeeding and wasting
in toddlers in the working area of Gisting Public Health Center, Tanggamus
Regency. Sci Midwifery., 11(3):2721-9453.
[7].
Indonesian Ministry of
Health., 2020, PMK RI No. 2 of 2020 Concerning Children's Anthropometric
Standards. Ministry of Health of the Republic of Indonesia.
[8].
Prasetyo, A., Davidson, S.
M., Sanubari, T. P. E., 2023, Correlation between Individual Dietary Diversity
and Children 2-5 Years Old Nutrition Status in Batur Village, Getasan Regency,
Semarang District. Amerta Nutr., 7(3):343–9.
[9].
Sari, N. M. W., Wangi, M.
P., Ayuningtyas, H., Himawati, A., Handayani, S., Sakinah, F. N., et al., 2023,
The Effectiveness of Positive Deviance Hearth (Pos Gizi) to Improve
Malnourished Children in Urban Surabaya, Indonesia. Amerta Nutr.,
7(3):449–58.
[10]. Arumsari, R. W., Priyantini, S., Wahyuningsih, H., 2023, Effect
of Education on Complementary Feeding Using a Modification Method on the Growth
of Infants Aged 6-7 Months: An Experimental Study at Integrated Health Centers
(Posyandu) in Karangtengah, Demak Regency. Amerta Nutr., 7(4):589–95.
[11]. UNICEF/WHO/WORLD BANK., 2021, Levels and trends in child
malnutrition UNICEF / WHO / World Bank Group Joint Child Malnutrition Estimates
Key findings of the 2021 edition. In World Heal., p. 1–32.
[12]. Ministry of Health of the Republic of Indonesia., 2018, Basic
Health Research Results 2018.
[13]. Purwadi, H. N., Nurrika, D., Wulandari, M., Novrinda, H.,
Febriyanti, H., 2023, Determinants of Wasted Among Age 6-59 Months: The
Indonesia Family Life Survey 2014. Amerta Nutr., 7(1SP):17–24.
[14]. Muliyati, H., Mbali, M., Bando, H., Utami, RP., Mananta, O.,
2021, Analysis of wasting incident factors in toddlers aged 12-59 months at the
Bulili Health Center, Palu City: Cross-sectional study. AcTion Aceh Nutr J.,
6(2):111.
[15]. Kumalasari, E. P., Nursanti, D. P., Fajriah, A. S., 2023, The
Relationship Of Giving Mpasi To Babies Under 6 Months And The Incident Of
Constipation And Diarrhea In Krajan Hamlet, Kalisat Village, Rembang District
Pasuruan District. J Qual Public Heal., 7(1):79–86.
[16]. Pinatitj, T. H., Malonda, N. S. H., Amisi, M., 2019, Relationship
Between Duration Of Breastfeeding And Nutritional Status Of Toddlers Aged 24-59
Months In The Work Area Of Paceda Community Health Center, Bitung City. J
Kesehat Masy Univ Sam Ratulangi., 8(1).
[17]. Marantika, M., Mala., Sarwianti., 2021, The Feeding Pattern
Related to Stunting in Toddlers Age 24-59 Months. International Conference
on Health and Medical Sciences., 34(1):242–5.
[18]. Halimah, S., Aristi, T. A., Wilda, TRIO., 2024, The
Relationship Between Exclusive Breastfeeding And Mother's Knowledge With The
Incidence Of Wasting. Science
Midwifery., 7(1):214–20.
[19]. Torizellia, C., Prihandini, Y. A., Setia, L., Primanadini, A.,
2023, Analysis of Macro Nutrient Intake in Toddlers at The Risk of Wasting
(Case Study of Picky Eater in Toddlers in The Working Area Puskesmas Rawat Inap
Cempaka). J Berk Kesehat., 9(2):113.
[20]. Azrimaidaliza, A., Rahmi, H., Prativa, N., 2020, Food Intake,
Infectious Diseases and Its Association with Wasting Status among Children, a
Community-Based Cross-Sectional Study. European Union Digital Library.,
3 (1);2–7.
[21]. Widyawardani, N., Bustamam, N., Ayu, A. C., Hardini, N., Octo,
P. P., Nuraini Y. K., et al., 2024, Analysis of macronutrient and micronutrient
intake with the incidence of stunting and wasting in toddlers 0-59 months of
age at public health center Bojong, Bogor regency. World Nutr J.,
7(i2):78–89.
[22]. Dewi, N. K., Kusumasari, H. A. R., Andarini, S., Indrawan, I.
W. A., 2023, Nutritional Factors Affecting Stunting Among Toddlers. Amerta
Nutr., 7(1SP):25–9.
[23]. Dwi, R., Nuril, M., Riska, N., Hakim, I., Hidayah, F., 2022, The
Relationship Of Infectional Diseases To The Nutritional Status Of Toddlers
During The Covid- 19 Pandemic. Midwifery and Nursing Research., 4(2).
[24]. Purba, I. G., Sunarsih, E., Trisnainy, I., 2020, The
Relationship Between Personal Hygiene, Environmental Sanitation, and the
Nutritional Status of Toddlers Age 12–59 Months in the Settlements Wetlands. International
Conference of Public Health., 25(Sicph 2019):7–11.
[25]. Khairunnas, K., Muliadi, T., Arnisa, R., Silvia Putri, E., 2022,
Impact of Environmental Sanitation and Infection Disease As a Determining
Wasting Aged 0-59 Months in Aceh Barat District. Morfai J., 2(1):43–50.
[26]. Azrimaidaliza., Syarif, L., Resmiati., 2022, The Relationship
between Income, Infectious Diseases and Dietary Patterns on the Incidence of
Malnutrition in Toddlers. Amerta Nutr., 6(1SP):259–65.
[27]. Ummah, W., 2017, Analysis of Immunization Implementation
Management by Health Centers in Relation to the Achievement of Universal Child
Immunization (UCI) at Arjowinangun Health Center, Malang City. Universitas
Jember., 1–106 p.
[28]. Ummah, W., Putri, S. I., 2020, The Relationship between Clean
and Healthy Living Behavior (PHBS) in Households and the Incidence of Diarrhea
in Toddlers at Palaan Ngajum Polindes. J Bidan Komunitas., 3(1):9.
Available from: https://ejournal.helvetia.ac.id/index.php/jbk/article/view/4530
[29]. Intiyati, A., Putri, R. D. Y., Edi, I. S., Taufiqurrahman, T.,
Soesanti, I., Pengge, N. M., et al., 2024, Correlation between Exclusive
Breastfeeding, Complementary Feeding, Infectious Disease with Wasting among
Toddlers: a Cross-Sectional Study. Amerta Nutr., 8(2SP):1–8.
[30]. Wiji, R. N., Lisvirose, L., Harianti, R., Asriyanty, M., 2023, Nutrition Knowledge, Caring Capacity, and Pregnancy Spacing to Toddler’s Nutritional Status at Posyandu Lancang Kuning, Tuah Karya, Pekanbaru, Riau. Amerta Nutr., 7(3):384–9.
