Socioeconomic Status in Relation to Stunting and Motor Skill Development of Toddlers in Urban and Rural Areas

Syifa F Syihab(1), Mesa Rahmi Stephani(2), Isti Kumalasari(3), Adang Suherman(4),


(1) Universitas Pendidikan Indonesia
(2) Universitas Pendidikan Indonesia
(3) Universitas Pendidikan Indonesia
(4) Universitas Pendidikan Indonesia

Abstract

The development of child motor skills is closely related to nutritional status. Stunted children generally experience delays in motor development. The objective was to determine the relationship between stunting, socioeconomic status, and children’s motor skill development. This research was conducted in 2018 using a cross-sectional method. Respondents were 80 children aged 48-60 months in urban and rural areas of West Java. The researcher used a simple random technique data collection on anthropometric, socioeconomic, and motor skills development. Then it was analyzed using chi-square and Fisher exact methods. The researcher used a simple random technique data collection on anthropometric, socioeconomic, and motor skills development. Then it was analyzed using chi-square and Fisher exact methods. We found that stunting prevalence in rural areas was higher than in urban areas. As much as 30 % of children in rural areas and only 12.5 % of children in urban areas were categorized as stunted. There is no significant association between stunting with the family’s socioeconomic status and motor skill development. The weight for the age variable showed a significant association with stunting. Children who are malnourished have a stunting risk of 10.9 times greater than normal children (OR 10.9 p < 0.001).

Keywords

children; motor skill development; socioeconomic status; stunting

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References

Aggarwal, O.B., 2005. A New Instrument (Scale) for Measuring the Socioeconomic Status of A Family: A Preliminary Study. Indian Journal of Community Medicine, 4.

Bhagowalia, P., Chen, S.E., & Masters, W.A., 2011. Effects and Determinants of Mild Underweight Among Preschool Children Across Countries and Over Time. Economics & Human Biology, 9(2011), pp.66-77.

Black, R.E., Allen, L.H., Bhutta, Z.A., Caulfield, L.E., Onis, M.D., Ezzati, M., Mathers, C., Rivera, J., 2008. Maternal and Child Undernutrition: Global and Regional Exposures and Health Consequences. Lancet, 731(9608), pp.243-260.

Black, R.E., Victora, C.G., Walker, S.P., Bhutta, Z.A., Christian, P., Onis, M.D., Ezzati, M., McGregor, S.G., Katz, J., Martorell, R., & Uauy, R., 2013. Maternal and Child Undernutrition and Overweight in Low-income and Middle-income Countries. Lancet, 382(9890), pp.427-451.

Bloem, M.W., Pee, S.D., Hop, L.T., Khan, N.C., Laillou, A., Minarto., Pfanner, R.M., Soekarjo, D., Soekirman., Solon, J.A., Theary, C., & Wasantwisut, E., 2013. Key Strategies to Further Reduce Stunting in Southeast Asia: Lessons from the ASEAN Countries Workshop. Food and Nutrition Bulletin, 34(2), pp.8-16.

Budiastutik, I., & Nugraheni, S.A., 2018. Determinants of Stunting in Indonesia: A Review Article. International Journal of Healthcare Research, 2(1), pp.43-49.

Chowdury, S.D., Chakraborty, T., & Ghosh, T., 2008. Prevalence of Undernutrition in Santal Children of Puruliya District, West Bengal. Indian Pediatrics, 45(1), pp.43-46.

de Poel, E.V., O’Donnell, O., & Doorslaer, E.V., 2007. Are Urban Children Really Healthier? Evidence from 47 Developing Countries. Social Science & Medicine, 65(2007), pp.1986–2003.

Feinstein, L., & Duckworth, K., 2006. Development in The Early Years: Its Importance for School Performance and Adult Outcomes. London: Centre for Research on the Wider Benefits of Learning Institute of Education.

Gillespie, S., & Hadad, L., 2003. The Double Burden of Malnutrition in Asia: Causes, Consequences, and Solutions. New Delhi, India: Sage Publication.

Harding, K.L., Aguayo, V.M., & Webb, P., 2018. Factors Associated with Wasting Among Children Under Five Years Old in South Asia: Implications for action. PLOS ONE, 13(7), pp.1-17.

Julia, M., Weissenbruch, M.V., Waal, H. D.V., & Surjono, A., 2004. Influence of Socioeconomic Status on the Prevalence of Stunted Growth and Obesity in Prepubertal Indonesian Children. Food and Nutrition Bulletin, 25(4), pp.354-360.

Kakebeeke, T.H., Lanzi, S., Zysset, A.E., Arhab, A., Burgy, N.M., Stuelb, K., Leeger-Aschmann, C.S., Schmutz, E.A., Meyer, A.H., Kriemler, S., Munsch, S., Jenni, O.G., & Puder, J.J., 2017. Association between Body Composition and Motor Performance in Preschool Children. Obesity Facts, 10(5), pp.420-431.

Laukkanen, A., Havu, M., Saakslahti, A., & Taija, F., 2014. Relationship between Habitual Physical Activity and Gross Motor Skills is Multifaceted in 5- to 8-year-old Children. Scandinavian Journal of Medicine & Science in Sports, 24(2), pp.102-110.

Liu, L., Oza, S., Hogan, D., Perin, J., Rudan, I., Lawn, J. E., Cousens, S., Mathers, C., & Black, R.E., 2015. Global, Regional, and National Causes of Child Mortality in 2000-13, with Projections to Inform Post-2015 Priorities: An Updated Systematic Analysis. Lancet, 385(9966), pp.430-440.

Myatt, M., Khara, T., Schoenbuchner, S., Pietzsch, S., Dolan, C., Lelijveld, N., & Briend, A., 2018. Children who are Both Wasted and Stunted are Also Underweight and Have a High Risk of Death: A Descriptive Epidemiology of Multiple Anthropometric Deficit. Archives of Public Health, 76(28), pp.1-11.

Mzumara, B., Bwembya, P., Halwiindi, H., Mugode, R., & Banda, J., 2018. Factors Associated with Stunting Among Children Below Five Years of Age in Zambia: Evidence from the 2014 Zambia Demographic and Health Survey. BMC Nutrition, 4(51), pp.1-8.

Nyuyen, P.H., DiGirolamo, A.M., Casanova, I.G., Young, M., Kim, N., Martorell, R., & Ramakrishnan, U., 2017. Influences of Early Child Nutritional Status and Home Learning Environment on Child Development in Vietnam. Maternal and Child Nutrition, 14(1), pp.1-11.

Olofin, I., McDonald, C.M., Ezzati, M., Flaxman, S., Black, R.E., Fawzie, W.W., Caulfield, L.E., & Danaei, G., 2013. Associations of Suboptimal Growth with All-cause and Cause-specific Mortality in Children Under Five Years: A Pooled Analysis of Ten Prospective Studies. Plos One, 8(5), pp.1-10.

Pacheco, C.D., Picauly, I., & Sinaga, M., 2017. Health, Food Consumption, Social Economy, and Stunting Incidency in Timor Leste. KEMAS: Jurnal Kesehatan Masyarakat, 13(2), pp.261-269.

Partap, U., Young, E.H., Allotey, P., Sandhu, M.S., & Reidpath, D.D., 2019. Characterization and Correlates of Stunting Among Malaysian Children and Adolescents Aged 6–19 Years. Global Health, Epidemiology and Genomics, 4(4), pp.1-11.

Pasricha, S.R., & Biggs, B.A., 2010. Undernutrition Among Children in South and South-East Asia. J. Paediatr. Child Health, 46(9), pp.497–503.

Priya, B.S.E., 2011. Effects and Determinants of Mild Underweight Among Preschool Children Across Countries and Over Time. Economics & Human Biology, 9(1), pp.66-77.

Pusdatin., 2018. Situasi Balita Pendek (Stunting) di Indonesia, Buletin Jendela Data dan Informasi Kesehatan. ISSN 2088-270 X. Jakarta: Kementrian Kesehatan Republik Indonesia.

Putri, W., Stephani, M.R., & Sumarno, G., 2020. Early Childhood Motor Development and Body Mass Index: A Demography Study of Children Aged 4-5 Years in Rural Area. Jurnal Pendidikan Jasmani dan Olahraga, 5(1), pp.1-5.

Reyes, H., Cuevas, R.P., Sandoval, A., Castillo, R., Santos, J.I., Doubova, S.V., & Gutierrez, G., 2004. The Family as a Determinant of Stunting in Children Living in Conditions of Extreme Poverty: A Case-control Study. BMC Public Health, 4(57), pp.1-10.

Sari, M., Pee, S.D., Bloem, M.W., Sun, K., Thorne-Lyman, A.L., Moench-Pfanner, R., Akhter, N., Kraemer, K., & Semba, R.D., 2009. Higher Household Expenditure on Animal-source and Nongrain Foods Lowers the Risk of Stunting Among Children 0–59 Months Old in Indonesia: Implications of Rising Food Prices. The Journal of Nutrition, 140(1), pp.195-200.

Schwarzenberg, S.J., Georgieff, M.K., & AAP Committee On Nutrition., 2018. Advocacy for Improving Nutrition in the First 1000 Days to Support Childhood Development and Adult Health. Pediatrics, 141(2), pp.1-10.

Semba, R.D., Pee, S.D., Sun, K., Sari, M., Akhter, N., & Bloem, M.W., 2008. Effect of Parental Education on Risk of Child Stunting in Indonesia and Bangladesh: A Cross-Sectional Study. Lancet, 371(7), pp.322-328.

Simbolon, D., Suryani, D., & Yorita, E., 2019. Prediction Model and Scoring System in Prevention and Control of Stunting Problems in Under Five-Year-Olds in Indonesia. Jurnal Kesehatan Masyarakat, 15(2), pp.160-170.

Squires, J., & Bricker, D., 2009. Ages & Stages Questionnaires: A Parent-Completed Child Monitoring System. Baltimore: Paul H. Brookes Publishing.

Srinivasan, C.S., Zanello, G., & Shankar, B., 2013. Rural-urban Disparities in Child Nutrition in Bangladesh and Nepal. BMC Public Health, 13(581) pp.1-15.

Taguri, A.E., Betilmal, I., Mahmud, S.M., Ahmed, A.M., Goulet, O., Pilar, G., & Hercberg, S., 2009. Risk Factors for Stunting Among Under-Fives in Libya. Public Health Nutr, 12(8), pp.1141-1149.

UNICEF., 2018. Levels and Trends in Child Malnutrition: Key Findings of the 2018. Geneva: World Health Organization Press.

Venetsanou, F., & Kambas, A., 2009. Environmental Factors Affecting Preschooler’s Motor Development. Early Childhood Education Journal, 37(4), pp.319-327.

Victora, C.G., Adair, L., Fall, C., Hallal, P.C., Martorell, R., Richter, L., & Sachdev, H.S., 2008. Maternal and Child Undernutrition: Consequences for Adult Health and Human Capital. Lancet, 371(9609), pp.340-357.

WHO., 2006. WHO Child Growth Standards: Length/height-for-age, Weight-for-age, Weight-for-length, Weight-for-height, and Body Mass Index-for-age: Methods and Development. Geneva: World Health Organization Press.

WHO., 2014. Global Nutrition Targets 2025: Stunting Policy Brief. Geneva: World Health Organization Press.

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