Analysis of Environmental Factors, Children's Eating Patterns and Access to Health Services on the Incidence of Malnutrition
DOI:
https://doi.org/10.30994/sjik.v14i1.1164Keywords:
environmental factors, malnutrition, school-age child dietAbstract
Malnutrition in children is a serious and persistent health problem in many rural areas. Environmental conditions, diet, and access to health services were relevant factors. This study aims to analyze the influence of these three factors on the incidence of malnutrition among school-age children. This cross-sectional study was conducted in December 2023 on 168 school-aged children in Kurima District, Yahukimo Regency. Simple random sampling was used. Data was collected using a questionnaire and analysed using regression. Environment (p=0.003), diet (p=0.008), and access to health services (p=0.027) had a significant influence on the incidence of malnutrition in school-age children both partially and simultaneously (p=0.000). Environmental factors, diet, and access to health services were able to predict 54.5% of school-age child malnutrition variables. Health professionals should consider these factors in solving malnutrition problems.
References
Abi Khalil, H., Hawi, M., & Hoteit, M. (2022). Feeding Patterns, Mother-Child Dietary Diversity and Prevalence of Malnutrition Among Under-Five Children in Lebanon: A Cross-Sectional Study Based on Retrospective Recall. Frontiers in Nutrition, 9. https://doi.org/10.3389/fnut.2022.815000.
Agostoni, C., Baglioni, M., La Vecchia, A., Molari, G., & Berti, C. (2023). Interlinkages between Climate Change and Food Systems: The Impact on Child Malnutrition : Narrative Review. In Nutrients (Vol. 15, Issue 2). https://doi.org/10.3390/nu15020416.
Carvalho-Salemi, J., Phillips, W., Wong Vega, M., Swanson, J., Becker, P. J., & Salemi, J. L. (2023). Malnutrition among Hospitalized Children in the United States: A 2012-2019 Update of Annual Trends. Journal of the Academy of Nutrition and Dietetics, 123(1), 109–116. https://doi.org/10.1016/j.jand.2022.05.021.
Cazes, C., Phelan, K., Hubert, V., Boubacar, H., Bozama, L. I., Sakubu, G. T., Tshiala, B. K., Tusuku, T., Alitanou, R., Kouamé, A., Yao, C., Gabillard, D., Kinda, M., Daures, M., Augier, A., Anglaret, X., Shepherd, S., & Becquet, R. (2022). Simplifying and optimising the management of uncomplicated acute malnutrition in children aged 6–59 months in the Democratic Republic of the Congo (OptiMA-DRC): a non-inferiority, randomised controlled trial. The Lancet Global Health, 10(4), e510–e520. https://doi.org/10.1016/S2214-109X(22)00041-9.
da Silva, D. C. G., de Sá Barreto da Cunha, M., de Oliveira Santana, A., dos Santos Alves, A. M., & Pereira Santos, M. (2022). Malnutrition and nutritional deficiencies in children with cerebral palsy: a systematic review and meta-analysis. In Public Health (Vol. 205, pp. 192–201). https://doi.org/10.1016/j.puhe.2022.01.024.
Daniel, M. G., Mariano J., G. S., Olivia, G. A., Cesar, G. H., Bertha, J. F., Rosa Isela, O. B., Maribel, R. A., Rogelio, F. R., Marco, M. M., Stefan, R., Sylvia, S., Horacio, B., & Fidel, M. G. (2022). Prebiotic effect of fructans from Agave salmiana on probiotic lactic acid bacteria and in children as a supplement for malnutrition. Food and Function, 13(7), 4184–4193. https://doi.org/10.1039/d1fo03852d.
Diao, J., Chen, L., Wei, J., Shu, J., Li, Y., Li, J., Zhang, S., Wang, T., & Qin, J. (2022). Prevalence of Malnutrition in Children with Congenital Heart Disease: A Systematic Review and Meta-Analysis. Journal of Pediatrics, 242, 39-47.e4. https://doi.org/10.1016/j.jpeds.2021.10.065.
Engl, M., Binns, P., Trehan, I., Lelijveld, N., Angood, C., McGrath, M., Groce, N., & Kerac, M. (2022). Children living with disabilities are neglected in severe malnutrition protocols: a guideline review. Archives of Disease in Childhood, 107(7), 637–643. https://doi.org/10.1136/ARCHDISCHILD-2021-323303.
Feng, J., Gong, Z., Wang, Y., Huo, J., & Zhuo, Q. (2022). Complementary Feeding and Malnutrition among Infants and Young Children Aged 6–23 Months in Rural Areas of China. Nutrients, 14(9). https://doi.org/10.3390/nu14091807.
Katoch, O. R. (2022). Determinants of malnutrition among children: A systematic review. In Nutrition (Vol. 96). https://doi.org/10.1016/j.nut.2021.111565.
Kebede, F., Kebede, T., Negese, B., Abera, A., Fentaw, G., & Kasaw, A. (2022). Incidence and predictors of severe acute malnutrition mortality in children aged 6–59 months admitted at Pawe general hospital, Northwest Ethiopia. PLoS ONE, 17(2 February). https://doi.org/10.1371/journal.pone.0263236.
Khaliq, A., Wraith, D., Nambiar, S., & Miller, Y. (2022). A review of the prevalence, trends, and determinants of coexisting forms of malnutrition in neonates, infants, and children. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-13098-9.
Kofinti, R. E., Koomson, I., Paintsil, J. A., & Ameyaw, E. K. (2022). Reducing children’s malnutrition by increasing mothers’ health insurance coverage: A focus on stunting and underweight across 32 sub-Saharan African countries. Economic Modelling, 117. https://doi.org/10.1016/j.econmod.2022.106049.
Ministry of Health Indonesia. (2023). Profil Kesehatan Indonesia. Ministry of Health Indonesia.
Mulugeta, A., & Gebregziabher, M. (2022). Saving children from man-made acute malnutrition in Tigray, Ethiopia: a call to action. In The Lancet Global Health (Vol. 10, Issue 4, pp. e469–e470). https://doi.org/10.1016/S2214-109X(22)00023-7.
Oviedo-Solís, C. I., Monterrubio-Flores, E. A., Cediel, G., Denova-Gutiérrez, E., & Barquera, S. (2022). Trend of Ultraprocessed Product Intake Is Associated with the Double Burden of Malnutrition in Mexican Children and Adolescents. Nutrients, 14(20). https://doi.org/10.3390/nu14204347.
Rahman, A., & Hossain, M. M. (2022). Quantile regression approach to estimating prevalence and determinants of child malnutrition. Journal of Public Health (Germany), 30(2), 323–339. https://doi.org/10.1007/s10389-020-01277-0.
Seboka, B. T., Hailegebreal, S., Mamo, T. T., Yehualashet, D. E., Gilano, G., Kabthymer, R. H., Ewune, H. A., Kassa, R., Debisa, M. A., Yawo, M. N., Endashaw, H., Demeke, A. D., & Tesfa, G. A. (2022). Spatial trends and projections of chronic malnutrition among children under 5 years of age in Ethiopia from 2011 to 2019: a geographically weighted regression analysis. Journal of Health, Population and Nutrition, 41(1). https://doi.org/10.1186/s41043-022-00309-7.
Shahid, M., Ahmed, F., Ameer, W., Guo, J., Raza, S., Fatima, S., & Qureshi, M. G. (2022). Prevalence of child malnutrition and household socioeconomic deprivation: A case study of marginalized district in Punjab, Pakistan. PLoS ONE, 17(3 March). https://doi.org/10.1371/journal.pone.0263470.
Shahid, M., Cao, Y., Ahmed, F., Raza, S., Guo, J., Malik, N. I., Rauf, U., Qureshi, M. G., Saheed, R., & Maryam, R. (2022). Does Mothers’ Awareness of Health and Nutrition Matter? A Case Study of Child Malnutrition in Marginalized Rural Community of Punjab, Pakistan. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.792164.
Shahid, M., Cao, Y., Shahzad, M., Saheed, R., Rauf, U., Qureshi, M. G., Hasnat, A., Bibi, A., & Ahmed, F. (2022). Socio-Economic and Environmental Determinants of Malnutrition in under Three Children: Evidence from PDHS-2018. Children, 9(3). https://doi.org/10.3390/children9030361.
Shi, H., Yang, D., Tang, K., Hu, C., Li, L., Zhang, L., Gong, T., & Cui, Y. (2022). Explainable machine learning model for predicting the occurrence of postoperative malnutrition in children with congenital heart disease. Clinical Nutrition, 41(1), 202–210. https://doi.org/10.1016/j.clnu.2021.11.006.
Sotiraki, M., Malliou, A., Tachirai, N., Kellari, N., Grammatikopoulou, M. G., Sergentanis, T. N., & Vassilakou, T. (2022). Burden of Childhood Malnutrition: A Roadmap of Global and European Policies Promoting Healthy Nutrition for Infants and Young Children. In Children (Vol. 9, Issue 8). https://doi.org/10.3390/children9081179.
Stephenson, K., Callaghan-Gillespie, M., Maleta, K., Nkhoma, M., George, M., Park, H. G., Lee, R., Humphries-Cuff, I., Lacombe, R. J. S., Wegner, D. R., Canfield, R. L., Brenna, J. T., & Manary, M. J. (2022). Low linoleic acid foods with added DHA given to Malawian children with severe acute malnutrition improve cognition: a randomized, triple-blinded, controlled clinical trial. American Journal of Clinical Nutrition, 115(5), 1322–1333. https://doi.org/10.1093/ajcn/nqab363.
van der Merwe, E., Clance, M., & Yitbarek, E. (2022). Climate change and child malnutrition: A Nigerian perspective. Food Policy, 113. https://doi.org/10.1016/j.foodpol.2022.102281.
Vonasek, B. J., Radtke, K. K., Vaz, P., Buck, W. C., Chabala, C., McCollum, E. D., Marcy, O., Fitzgerald, E., Kondwani, A., & Garcia-Prats, A. J. (2022). Tuberculosis in children with severe acute malnutrition. In Expert Review of Respiratory Medicine (Vol. 16, Issue 3, pp. 273–284). https://doi.org/10.1080/17476348.2022.2043747.
Weagley, J. S., Zaydman, M., Venkatesh, S., Sasaki, Y., Damaraju, N., Yenkin, A., Buchser, W., Rodionov, D. A., Osterman, A., Ahmed, T., Barratt, M. J., DiAntonio, A., Milbrandt, J., & Gordon, J. I. (2022). Products of gut microbial Toll/interleukin-1 receptor domain NADase activities in gnotobiotic mice and Bangladeshi children with malnutrition. Cell Reports, 39(4). https://doi.org/10.1016/j.celrep.2022.110738.
Wen, B., Njunge, J. M., Bourdon, C., Gonzales, G. B., Gichuki, B. M., Lee, D., Wishart, D. S., Ngari, M., Chimwezi, E., Thitiri, J., Mwalekwa, L., Voskuijl, W., Berkley, J. A., & Bandsma, R. H. J. (2022). Systemic inflammation and metabolic disturbances underlie inpatient mortality among ill children with severe malnutrition. Science Advances, 8(7). https://doi.org/10.1126/sciadv.abj6779.
Zerga, A. A., Tadesse, S. E., Ayele, F. Y., & Ayele, S. Z. (2022). Impact of malnutrition on the academic performance of school children in Ethiopia: A systematic review and meta-analysis. In SAGE Open Medicine (Vol. 10). https://doi.org/10.1177/20503121221122398.
