The Potential Impact of Pregestational Body Mass Index (BMI), Weight Gain During Pregnancy, and Socio-Economic Determinants on the Risk of Stunting in Kediri City and Sumenep Regency


Authors : Bramantya Aji Wicaksono; Dicky Faizal Irnandi; Onni Dwi Arianto; I Wayan Agung Indrawan; Nugrahanti Prasetyorini

Volume/Issue : Volume 8 - 2023, Issue 9 - September

Google Scholar : https://bit.ly/3TmGbDi

Scribd : https://tinyurl.com/9du4nd3p

DOI : https://doi.org/10.5281/zenodo.8398010

Abstract : Introduction: Stunting is a pathological state characterized by impaired growth and developmental processes resulting from prolonged inadequate nutrition, resulting in reduced height and cognitive impairments. East Java has been identified as a significant contribution to the prevalence of stunting in Indonesia, with Kediri City exhibiting the highest rates and Sumenep displaying the lowest rates. Stunting was attributed to multifactorial factors. Intervention endeavors targeting children experiencing stunting mostly concentrate on the cohort known as the First 1000 Days of Life, with a specific emphasis on enhancing the nutritional status of mothers.Objective: The objective of this study is to investigate the impact of pregestational BMI, mother weight gain during pregnancy, and socio-economic variables on the occurrence of stunting among infants aged 0-12 months in the City of Kediri and Sumenep Regency.Material and Methods: A case-control research was conducted to examine the impact of pregestational BMI, maternal weight gain during pregnancy, and socioeconomic factors on the likelihood of stunting in infants between the ages of 0 and 12 months. A total of 136 women, comprising both those with stunted and non-stunted infants, were evaluated in order to examine and analyze the risk variables they experienced throughout the perinatal period. The statistical study encompassed univariate, bivariate, and multivariate techniques in order to assess correlations and construct a structural model that represents the routes of effects.Results: The study found that there was a statistically significant association between maternal weight gain (odds ratio [OR] 5.82) and lower levels of maternal education (OR 2.99) and low birth weight (OR 2.31), which in turn was linked to stunting.Conclusion: Insufficient maternal weight gain during pregnancy, below the recommended guidelines set by the Institute of Medicine (IOM), together with socio- economic characteristics such as low maternal education, are likely to contribute to an increased risk of stunting among children aged 0-12 months in both Kediri City and Sumenep Regency.

Keywords : Pregestational BMI; Pregnancy Weight Gain; Socioeconomic Factor; Stunting; Low Birth Weight

Introduction: Stunting is a pathological state characterized by impaired growth and developmental processes resulting from prolonged inadequate nutrition, resulting in reduced height and cognitive impairments. East Java has been identified as a significant contribution to the prevalence of stunting in Indonesia, with Kediri City exhibiting the highest rates and Sumenep displaying the lowest rates. Stunting was attributed to multifactorial factors. Intervention endeavors targeting children experiencing stunting mostly concentrate on the cohort known as the First 1000 Days of Life, with a specific emphasis on enhancing the nutritional status of mothers.Objective: The objective of this study is to investigate the impact of pregestational BMI, mother weight gain during pregnancy, and socio-economic variables on the occurrence of stunting among infants aged 0-12 months in the City of Kediri and Sumenep Regency.Material and Methods: A case-control research was conducted to examine the impact of pregestational BMI, maternal weight gain during pregnancy, and socioeconomic factors on the likelihood of stunting in infants between the ages of 0 and 12 months. A total of 136 women, comprising both those with stunted and non-stunted infants, were evaluated in order to examine and analyze the risk variables they experienced throughout the perinatal period. The statistical study encompassed univariate, bivariate, and multivariate techniques in order to assess correlations and construct a structural model that represents the routes of effects.Results: The study found that there was a statistically significant association between maternal weight gain (odds ratio [OR] 5.82) and lower levels of maternal education (OR 2.99) and low birth weight (OR 2.31), which in turn was linked to stunting.Conclusion: Insufficient maternal weight gain during pregnancy, below the recommended guidelines set by the Institute of Medicine (IOM), together with socio- economic characteristics such as low maternal education, are likely to contribute to an increased risk of stunting among children aged 0-12 months in both Kediri City and Sumenep Regency.

Keywords : Pregestational BMI; Pregnancy Weight Gain; Socioeconomic Factor; Stunting; Low Birth Weight

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