Prevalensi dan Faktor yang Berhubungan dengan Terjadinya Beban Gizi Ganda pada Keluarga di Indonesia

Nur Fitri Widya Astuti, Emy Huriyati, Susetyowati Susetyowati

Abstract

Urbanization and economic rapid developments in the developing countries cause a nutrition transition. They affect the household dual burden of malnutrition in which there is overnutrition and undernutrition occuring at the same time in a household. This study proposed to calculate the prevalence of household dual burden malnutrition and find its determinants. This cross-sectional study use the Indonesian Family Life Survey (IFLS) 2014 data with total of 6468 families were enrolled as the sample of the study. The household dual burden malnutrition indicator is represented by mother and children’s nutritional status. Descriptive analysis and chi-square test were used in this study. The study found that the prevalence of household dual burden malnutrition in Indonesia is 8.27% in which the Borneo and Eastern Indoesia region has the higest prevalence. Maternal age (p = 0.001), maternal education (p = 0.022), number of children (p = 0.001), and number of household members (p = 0.001) were having significant correlation (p<0.05) with the household dual burden malnutrition in Indonesia. Further study by using longitudinal design is needed to find the predictors of it so the government can formulate an effective and efficient intervenion to prevent adverse effects of household dual burden malnutrition to the community.

References

1. Colleen M. Doak, Maiza Campos Ponce, Marieke Vossenaar & Noel W. Solomons. The Stunted Child with an Overweight Mother as a Growing Public Health Concern in Resource-Poor Environments: a Case Study from Guatemala. Annals of Human Biology. 2016;43(2):122-130.
2. Rachmi, C. N., Li, M., & Baur, L. A. The Double Burden of Malnutrition in Association of South East Asian Nations (ASEAN) Countries: a Comprehensive Review of the Literature. Asia Pacific Journal of Clinical Nutrition. 2018;27(4):736-755.

3. Fongar, A., Gödecke, T., & Qaim, M. Various Forms of Double Burden of Malnutrition Problems Exist in Rural Kenya. BMC Public Health. 2019;19(1):1-9.

4. World Health Organization. The Double Burden of Nutrition: Policy Brief. [Diakses pada tanggal 6 Maret 2020].

5. Mahmudiono, T., Nindya, T. S., Andrias, D. R., Megatsari, H., & Rosenkranz, R. R. Household Food Insecurity as a Predictor of Stunted Children and Overweight/Obese Mothers (SCOWT) in urban Indonesia. Nutrients. 2018;10(5): 535.

6. Vaezghasemi, M., Ohman, A., Eriksson, M., Hakimi, M., Weinehall, L., Kusnanto, H. & Ng, N. The Effect of Gender and Social Capital on the Dual Burden of Malnutrition: a Multilevel Study in Indonesia. PLoS One. 2014;9(8):1-10.

7. El Kishawi, R. R., Soo, K. L., Abed, Y. A., & Muda, W. A. M. W. Prevalence and Associated Factors for Dual Form of Malnutrition in Mother-Child Pairs at the Same Household in the Gaza Strip-Palestine. PloS one. 2016;11(3):1-14.

8. Sekiyama, M., Jiang, H. W., Gunawan, B., Dewanti, L., Honda, R., Shimizu-Furusawa, H., Abdoellah, O. S. & Watanabe, C. Double Burden of Malnutrition in Rural West Java: Household-Level Analysis for Father-Child and Mother-Child Pairs and the Association with Dietary Intake. Nutrients. 2015;7(10):8376-8391.

9. Haddad, L., Cameron, L. & Barnett, I. The Double Burden of Malnutrition in SE Asia and the Pacific: Priorities, Policies and Politics. Health Policy Plan. 2015;30(9): 1193-1206.

10. Nugent, R., Levin, C., Hale, J., & Hutchinson, B. Economic Effects of the Double Burden of Malnutrition. The Lancet. 2019;1-9

11. Schott, W., Aurino, E., Penny, M. E., & Behrman, J. R. The Double Burden of Malnutrition among Youth: Trajectories and Inequalities in Four Emerging Economies. Economics & Human Biology. 2019;34:80-91.

12. Tzioumis, E. & Adair, L. S. Childhood Dual Burden of Under-and Overnutrition in Low-and Middle-Income Countries: a Critical Review. Food and Nutrition Bulletin. 2014;35(2):230-243.

13. Mazumdar, S. Determinants of Inequality in Child Malnutrition in India. Asian Population Studies. 2010;6(3):307–333.

14. Hanandita, W. & Tampubolon, G. The Double Burden of Malnutrition in Indonesia: Social Determinants and Geographical Variations. SSM-Population Health. 2015:116-125.

15. Alaofè, H., & Asaolu, I. Maternal and Child Nutrition Status in Rural Communities of Kalalé District, Benin: the Relationship and Risk Factors. Food and Nutrition Bulletin. 2019;40(1):56-70.

16. De Silva, I., & Sumarto, S. Child Malnutrition in Indonesia: Can Education, Sanitation and Healthcare Augment the Role of Income?. Journal of International Development. 2018;30(5):837-864.

17. Kusumawati, E., Rahardjo, S. & Sari, H. P. Model Pengendalian Faktor Risiko Stunting pada Anak Bawah Tiga Tahun. Kesmas: Jurnal Kesehatan Masyarakat Nasional. 2015;9(3):249-256.

18. Torlesse, H., Cronin, A. A., Sebayang, S. K. & Nandy, R. Determinants of Stunting in Indonesian Children: Evidence from a Cross-Sectional Survey Indicate a Prominent Role for the Water, Sanitation and Hygiene Sector in Stunting Reduction. BMC Public Health. 2016;1(16):1-11.

19. Sekretariat Jendral Kementerian Kesehatan RI. Pedoman Umum Program Indonesia Sehat dengan Pendekatan Keluarga. Jakarta: Kementerian Kesehatan RI; 2016.

20. J. Strauss, F. Witoelar, and B. Sikoki. The Fifh Wave of the Indonesia Family Life Survey (IFLS5): Overview and Field Report. [Volume 1]. RAND Corporation; 2016.

21. Kosaka, S. & Umezaki, M. a Systematic Review of the Prevalence and Predictors of the Double Burden of Malnutrition Within Households. The British Journal of Nutrition. 2017;117(8):1118-1127.

22. WHO, E. C. Appropriate Body-Mass Index for Asian Populations and its Implications for Policy and Intervention Strategies. The Lancet (London, England). 2004;363(9403): 157-163.

23. World Health Organization. The WHO Child Growth Standards. 2006. [Diakses pada tanggal 20 November 2016].

24. World Health Organization. WHO Reference. Growth reference data for 5–19 years. 2007. [Diakses pada tanggal 20 November 2016].

25. Setyaningsih, Aryanti. Hubungan antara Status Sosial Ekonomi, Motif Pemilihan Makanan, dan Kualitas Diet dengan Kejadian Beban Gizi Ganda Malnutrisi di Rumah Tangga (The Double Burden of Malnutrition in Household) di Kecamatan Peduringan Kota Semarang. [Thesis]. Yogyakarta: Universitas Gadjah Mada; 2016.

26. Hauqe, S. E., Sakisaka, K., & Rahman, M. Examining the Relationship Between Socioeconomic Status and the Double Burden of Maternal over and Child Under-Nutrition in Bangladesh. European Journal of Clinical Nutrition. 2019;73(4):531-540.

27. Oddo, V. M., Rah, J. H., Semba, R. D., Sun, K., Akhter, N., Sari, M., de Pee, S., Moench-Pfanner, R., Bloem, M. & Kraemer, K. Predictors of Maternal and Child Double Burden of Malnutrition in Rural Indonesia and Bangladesh. The American Journal of Clinical Nutrition. 2012;95(4): 951-958.

28. Fahim, S. M., Das, S., Gazi, M. A., Alam, M. A., Mahfuz, M., & Ahmed, T. Evidence of Gut Enteropathy and Factors Associated with Under Nutrition among Slum-Dwelling Adults in Bangladesh. The American Journal of Clinical Nutrition. 2020;111:657-666.

29. Barth‐Jaeggi, T., Zandberg, L., Bahruddinov, M., Kiefer, S., Rahmarulloev, S., & Wyss, K. Nutritional Status of Tajik Children and Women: Transition Towards a Double Burden of Malnutrition. Maternal & Child Nutrition. 2019;16(2):1-11.

30. Mastorci, F., Vassalle, C., Chatzianagnostou, K., Marabotti, C., Siddiqui, K., Eba, A. O., Mhamed,A.A.S., Bandopadhyay, A., Nazzaro, M.S., Passera, M., & Pingitore, A. Undernutrition and Overnutrition Burden for Diseases in Developing Countries: The Role of Oxidative Stress Biomarkers to Assess Disease Risk and Interventional Strategies. Antioxidant. 2017;6(41):1-10.

31. Nithya, D. J., & Bhavani, R. V. Dietary Diversity and its Relationship with Nutritional Status among Adolescents and Adults in Rural India. Journal of Biosocial Science. 2018;50(3):397-413.

32. Ghose, B., Yaya, S., & Tang, S. Anemia Status in Relation to Body Mass Index among Women of Childbearing Age in Bangladesh. Asia Pacific Journal of Public Health. 2016;28(7):611-619.

33. Sassi, S., Abassi, M. M., Traissac, P., Gharbia, H. B., Gartner, A., Delpeuch, F., & El Ati, J. Intra-Household Double Burden of Malnutrition in a North African Nutrition Transition Context: Magnitude and Associated Factors of Child Anaemia with Mother Excess Adiposity. Public Health Nutrition. 2019;22(1):44-54.

34. Huayanay-Espinoza, C. A., Quispe, R., Poterico, J. A., Carrillo-Larco, R. M., Bazo-Alvarez, J. C., & Miranda, J. J. Peer Reviewed: Parity and Overweight/Obesity in Peruvian Women. Preventing Chronic Disease. 2017;14(102):1-12.

35. Ghaderian, S. B., Yazdanpanah, L., Shahbazian, H., Sattari, A. R., Latifi, S. M., & Sarvandian, S. Prevalence and Correlated Factors for Obesity, Overweight and Central Obesity in South West of Iran. Iranian Journal of Public Health. 2019:48(7):1354-1361.

36. Alaofè, H., & Asaolu, I. Maternal and Child Nutrition Status in Rural Communities of Kalalé District, Benin: the Relationship and Risk Factors. Food and Nutrition Bulletin. 2019:40(1):56-70.

37. Roemling, C. & Qaim, M. Dual Burden Households and Intra-Household Nutritional Inequality in Indonesia. Economics and Human Biology. 2013;11(4):563-573.

38. Sekiyama, M., Jiang, H. W., Gunawan, B., Dewanti, L., Honda, R., Shimizu-Furusawa, H., Abdoellah, O. S. & Watanabe, C. Double Burden of Malnutrition in Rural West Java: Household-Level Analysis for Father-Child and Mother-Child Pairs and the Association with Dietary Intake. Nutrients. 2015;7(10):8376-9831.

39. Alonso, E. B., Cockx, L., & Swinnen, J. Culture and Food Security. Global Food Security. 2018;17:113-127.

40. Mahmudiono, T., Nindya, T. S., Andrias, D. R., Megatsari, H., & Rosenkranz, R. R. Household Food Insecurity as a Predictor of Stunted Children and Overweight/Obese Mothers (SCOWT) in urban Indonesia. Nutrients. 2018;10(533):1-16.

41. Leroy, J. L., Habicht, J.-P., de Cossío, T. G. & Ruel, M. T. Maternal Education Mitigates the Negative Effects of Higher Income on the Double Burden of Child Stunting and Maternal Overweight in Rural Mexico. The Journal of Nutrition. 2014;144(5):765-770.

42. Dang, Archana; Meenakshi, J. V. The Nutrition Transition and the Intra-Household Double Burden of Malnutrition in India, ADBI Working Paper, No. 725, Asian Development Bank Institute (ADBI). Tokyo; 2017. [Diakses pada tanggal 9 Maret 2020].

43. Lee J, Houser RF, Must A, et al. Socioeconomic Disparities and the Familial Coexistence of Child Stunting and Maternal Overweight in Guatemala. Economics and Human Biology. 2012;10(3):232–241.

44. Wong, C. Y., Zalilah, M. S., Chua, E. Y., Norhasmah, S., Chin, Y. S. & Siti Nur'Asyura, A. Double-Burden of Malnutrition among the Indigenous Peoples (Orang Asli) of Peninsular Malaysia. BMC Public Health. 2015;1(15):1-9.

45. ShinsugiC, Gunasekara D, Gunawardena NK, Subasinghe W, Miyoshi M, Kaneko S, Takimoto, H. Double Burden of Maternal and Child Malnutrition and Socioeconomic Status in Urban Sri Lanka. PLoS One. 2019;14(10):1-13.

46. Jayalakshmi, R., & Kannan, S. The Double Burden of Malnutrition: an Assessment of ‘Stunted Child and Overweight/Obese Mother (SCOWT) Pairs’ in Kerala Households. Journal of Public Health Policy. 2019;40(3):342-350.

47. Rachmawati, S., Machmud, P. B., & Hatma, R. D. Hubungan Praktik Kesehatan pada Awal Kehidupan dengan Kejadian Stunting pada Balita. Media Kesehatan Masyarakat Indonesia. 2019;15(2):120-127.

48. Higgins‐Steele, A., Mustaphi, P., Varkey, S., Ludin, H., Safi, N., & Bhutta, Z. A. Stop Stunting: Situation and Way Forward to Improve Maternal, Child and Adolescent Nutrition in Afghanistan. Maternal & Child Nutrition. 2016;12(S1):237-241.

49. Kalakheti, B., Panthee, K., & Jain, K. C.. Risk Factors of Diarrhea in Children Under Five Years in Urban Slums: An Epidemiological Study. Journal of Lumbini Medical College. 2017;4(2):94-98.

50. Masibo, P. K., Humwa, F., & Macharia, T. N. The Double Burden of Overnutrition and Undernutrition in Mother-Child Dyads in Kenya: Demographic and Health Survey Data, 2014. Journal of Nutritional Science. 2020;9(5):1-12.

51. Anik, A. I., Rahman, M. M., Rahman, M. M., Tareque, M. I., Khan, M. N., & Alam, M. M. (2019). Double Burden of Malnutrition at Household Level: a Comparative Study among Bangladesh, Nepal, Pakistan, and Myanmar. PloS one. 2019;14(8):1-16

Authors

Nur Fitri Widya Astuti
widyaastuti.nf@unej.ac.id (Primary Contact)
Emy Huriyati
Susetyowati Susetyowati
Astuti, N. F. W., Huriyati, E., & Susetyowati, S. (2020). Prevalensi dan Faktor yang Berhubungan dengan Terjadinya Beban Gizi Ganda pada Keluarga di Indonesia. Media Kesehatan Masyarakat Indonesia, 16(1), 100-115. Retrieved from https://journal.unhas.ac.id/index.php/mkmi/article/view/9064

Article Details