Acceso usuarios
Iseu Siti Aisyah, Ali Khomsan, Ikeu Tanziha, Hadi Riyadi
Background: Risk factors that directly influence the incidence of stunting are the level of macronutrient and micronutrient intake. Micronutrient deficiencies cause about 1.1 millionof the 3.1 million annual child deaths. This condition leads tohidden hunger, a condition of insufficient intake of micronutrients (especially iron, zinc, and iodine deficiencies). This studyaimed to analyze hidden hunger in stunted and non-stunting toddlers with a multivariate model.
Methods: A comparative cross-sectional study. A total of 71 toddlers were taken as respondents for the stunting groupand 71 toddlers for the non-stunting group. The study used data collection was 2 x 24-hour food recall, FFQ, and blood serum collection to check zinc deficiency, iodine, hemoglobin,and urine tests. For data analysis, multivariate logistic regression and then bivariate analysis were used. The regression method used is “backward”. Data was considered statistically significant with a p-value of <0.05.
Results: Toddlers with stunting were much more likely to have inadequate iron (92.95%) and zinc intake (91.54%) compared to the non-stunting group (78.87% and 77.46% respectively). A significantly higher proportion of the stunting group (40.84%) had anemia compared to the non-stunting group (5.63%). Unlike iron, zinc, and anemia, there wasn’t astatistically significant relationship between iodine deficiency(p = 0.459) or hidden hunger (p = 0.058) and stunting. Theresults of the multivariate analysis suggest that iron intake,anemia status, and zinc deficiency are all important risk fac tors for stunting in toddlers. The anemia status variable wasthe most dominant cause of stunting because it had the high-est OR value of 41.733.
Conclusion: Toddlers with stunting are significantly more likely to have inadequate iron and zinc intake and suffer from anemia compared to non-stunted toddlers, with anemia being the most dominant risk factor for stunting, evidenced by the highest OR value of 41.733.
