Breast-feeding duration and children’s nutritional status at age 12-24 months

  • Susilowati Susilowati Public Health Study Program, School of Health Science, Jenderal Ahmad Yani University, Cimahi, West Java
  • Kusharisupeni Kusharisupeni Department of Public Health Nutrition, Faculty of Public Health, University of Indonesia, Depok, West Java
  • Sandra Fikawati Department of Public Health Nutrition, Faculty of Public Health, University of Indonesia, Depok, West Java
  • Kusdinar Achmad Department of Public Health Nutrition, Faculty of Public Health, University of Indonesia, Depok, West Java
Keywords: breast feeding, nutritional status, age 12-24 months

Abstract

Background Relation between breast-feeding duration and children’s nutritional status is still a controversy. Positive as well as negative relation were shown. This study aimed to support this current issue on breast feeding duration and nutritional status of children aged 12-24 months.
Objective To analyze relationship between breast-feeding duration and nutritional status of children aged 12-24 months.
Methods A cross sectional study was conducted with 246 proportional stratified random coupled samples (mothers and weaned children) with inclusion criteria: normal birth weight, full-term delivery and no physical and psychological problems. Data from children were measured using Seca® digital weight scale, wooden length board, while data from mothers were collected through 1x24 Hours Food Recall Form, and a questionnaire on mother’s knowledge.
Results The average of breast-feeding duration was 15 months. The prevalence of malnutrition was quite low (<10%), but the prevalence of stunting was high enough (20.7%) while wasting was moderately high (10.6%). Breast-feeding duration was significantly associated to children’s nutritional status (height-for-age index and weight-for-height index). The highest correlation was found in height-for-age index (r = 0.403). Regression model revealed that breast-feeding duration, exclusive breast-feeding, diarrhea, working mother, mother’s knowledge, energy intake, and protein intake were independently associated with children’s nutritional status.
Conclusions As this study found that the average of breast-feeding duration was 15 months and there was a significant association between breast-feeding duration and nutritional status (height-for-age index) of children 12-24 months old, thus these findings strengthen the recommendation of WHO to continue breast feeding up to 2 years old. [Paediatr Indones. 2010;50:56-61].

References

1. Departemen Kesehatan Republik Indonesia. Standar pemantauan pertumbuhan balita. Jakarta: Departemen Kesehatan Republik Indonesia; 2006.
2. Lemoyne RL. Infant and young child feeding [homepage on the internet]. 2008 [cited 2008 Oct 31th]. Available from: http://www.unicef.org
3. World Health Organization. Infants and young child feeding. Geneva: World Health Organization; 2003.
4. Grummer-Strawn LMLM. Does prolonged breast-feeding impair child growth? A critical review. Pediatrics. 1993;91:766-771.
5. WKNPG VIII. Angka kecukupan gizi dan acuan label gizi. Jakarta: LIPI; 2004.
6. Onyango AW, Olivier R, Esrey SA. The contribution of breast milk to toddler diets in Western Kenya. Bull WHO. 2002;80:292-299.
7. Alvarado BE, Zunzunegui MV, Delisle H, Osorno J. Growth trajectories are influenced by breast-feeding and infant health in an Afro-Colombian community. J Nutr. 2005;135:2171-2178.
8. Victoria CG, Vaughan JP, Martines JC , Barcelos LB. Is prolonged breast-feeding associated with malnutrition? Am J Clin Nutr. 1984;39:307-314.
9. Simondon KB, Simondon F, Costes, R, Delaunay V, Diallo A. Breast-feeding is associated with improved growth in length, but not weight, in rural Senegalese toddlers. Am J Clin Nutr. 2001;73:959–67.
10. Ganong WF. Buku ajar fisiologi kedokteran. Brahm UP, translator. 20th ed. Jakarta: EGC; 2003.
11. Soetjiningsih. ASI: Petunjuk untuk tenaga kesehatan. Jakarta: EGC; 1997.
12. Lawrence RA . Breast-feeding: A guide for medical profession. 4th ed. St. Louis: Mosby; 1994.
13. Almatsier S. Prinsip dasar ilmu gizi. Jakarta: Gramedia Pustaka Utama; 2004.
14. Departemen Kesehatan Republik Indonesia. Manajemen laktasi buku panduan bagi bidan dan petugas kesehatan di puskesmas. Jakarta: Departemen Kesehatan Republik Indonesia; 2005.
15. Andri H. Hubungan antara karakteristik keluarga dan beberapa faktor terkait dengan status gizi baik anak balita keluarga miskin di kabupaten Gunung Kidul dan kabupaten Sukabumi tahun 2000 (analisis data sekunder) [Thesis]. Depok: FKM UI; 2003.
16. Ansori M. Hubungan umur pertama kali pemberian makanan pendamping ASI (MP-ASI) dengan status gizi bayi umur 6—12 bulan di kecamatan Pedamaran kabupaten Ogan Komering Ilir Sumatera Selatan tahun 2001 [Thesis]. Jakarta: FKM UI; 2002.
17. Woge Y. Faktor-faktor yang berhubungan dengan status gizi anak balita di kecamatan Kelimutu kabupaten Ende Flores propinsi Nusa Tenggara Timur [Thesis]. Yogyakarta: UGM; 2007
18. Briend A, Wojtyniak B, Rowland MGM. Breast-feeding, nutritional state and child survival in rural Bangladesh. BMBMJ. 1988;296:879-882.
19. Checkley W, Epstein LD, Gilman RH, Cabrera L, Black RE . Effects of acute diarrhea on linear growth in Peruvian children. Am J Epidemiol. 2003;157: 166-175.
20. Sinantri K. Faktor determinan terhadap status gizi bayi di puskesmas Plumbon kabupaten Cirebon tahun 2003 [Minithesis]. Depok: FKM UI; 2003.
21. Setyawan Arif. Hubungan antara praktik pemberian makanan dan karakteristik lain dengan status gizi bayi usia 6-11 bulan (analisis data sekunder di kecamatan Gabuswetan dan kecamatan Sliyeg kabupaten Indramayu 1997) [Thesis]. Depok: FKM UI; 2002.
Published
2010-03-03
How to Cite
1.
Susilowati S, Kusharisupeni K, Fikawati S, Achmad K. Breast-feeding duration and children’s nutritional status at age 12-24 months. PI [Internet]. 3Mar.2010 [cited 13Nov.2024];50(1):56-1. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/157
Section
Pediatric Nutrition & Metabolic Disease
Received 2016-08-15
Accepted 2016-08-15
Published 2010-03-03