National Institute of Health Research and Development, Indonesian Ministry of Health
Abstract
Linear growth retardation (stunting) is still prevalent in developing countries. On the other hand, the prevalence of overweight and obesity also increases. The result of the situation is double burden of child nutrition status, both stunted and obese/overweight at time same. The objective of the study is to assess the prevalence of children under two years of age who are stunted and overweight at the same time and its associated factors in Indonesia. The study used secondary data from the National Basic Health Research in 2010. The samples were 2116 under two year of age from all provinces in Indonesia. Anthropometry indices were generated using 2005 WHO standards for children. A child that categorized as stunted and overweight were those with a length-for-age z-score <-2 SD and a weight-for-length z-score >2SD from the median of the reference standard adjusted for the relevant sex and age group. Logistic regression and sample weighting factors were performed for the data analysis. The result wasthe prevalence of stunting with concurrent overweight 19.8 percent. Factors that significantly associated with stunting overweight were fat intake and maternal education. Low fat intake was associated with stunting and overweight (OR 0.52, 95% CI 0.29-0.94). Mother with no schooling is also associated with stunting and overweight of their children (OR 3.24, 95% CI 1.35-7.78). This analysis emphasizes that there had been double burden of child nutrition among children in Indonesia.However, eventhough low fat intake was one of the factors associated with stunting and overweight among under two children, restriction of fat intake in first year of life is not recommended