Low Birth Weight as A Predictor of Stunting in Bojonegoro, East Java, Indonesia

Wiwik Utami, Aris Citra Wisuda, Titik Nuryanti, Siti Patonah, Ahmad Maftukhin, Novia Dwi Astuti, Agus Ari Affandi

Abstract


Birth weight is the primary indicator of a baby's health. Babies with low body weight often face challenges in physical growth, metabolic function, and cognitive and intellectual development. The purpose of this study is to determine the relationship between a history of low birth weight and stunting. This study used a correlational analytical design with a cross-sectional approach. The population included 120 pairs of mothers and children aged 2–3 years. A simple random sampling technique selected 108 pairs as the sample. Data were collected by measuring the child's height and by obtaining secondary data on birth weight. Data analysis was carried out using Chi-Square and Contingency Coefficient tests. The results showed that of 69 respondents (63.9%) who had a history of low birth weight, as many as 45 children (41.7%) were stunted. The majority of respondents were children aged 2-3 years (92.3%), female, and firstborn. A chi-square statistical test yields a P-value = 0.008 < a (0.05). This indicates a relationship between a history of low birth weight and the incidence of stunting in children aged 2–3 years, with a Contingency Coefficient rate of 0.462. The conclusion shows that there is a link between low birth weight and the incidence of stunting in children aged 2–3 years. Parents are encouraged to attend Posyandu regularly for growth monitoring and optimal nutrition. Healthcare workers should prioritize nutritional counseling during pregnancy and the first two years of life. Policymakers are recommended to strengthen prenatal screening programs targeting low birth weight as an early predictor of stunting, particularly in agricultural communities with limited healthcare access.

 

Keywords: Low Birth Weight, Stunting, Child Nutrition, Indonesia, Growth Disorders.

Full Text:

PDF

References


Aboagye, R. G., Ahinkorah, B. O., Seidu, A.-A., Frimpong, J. B., Archer, A. G., Adu, C., Hagan Jr, J. E., Amu, H., & Yaya, S. (2022). Birth weight and nutritional status of children under five in sub-Saharan Africa. Plos One, 17(6), e0269279. https://doi.org/10.1371/journal.pone.0269279

Ademas, A., Adane, M., Keleb, A., Berihun, G., & Tesfaw, G. (2021). Water, sanitation, and hygiene as a priority intervention for stunting in under-five children in northwest Ethiopia: a community-based cross-sectional study. Italian Journal of Pediatrics, 47(1), 174. https://doi.org/10.1186/s13052-021-01128-y

Agustina, R., Rianda, D., Lasepa, W., Birahmatika, F. S., Stajic, V., & Mufida, R. (2023). Nutrient intakes of pregnant and lactating women in Indonesia and Malaysia: Systematic review and meta-analysis. Frontiers in Nutrition, 10, 1030343. https://doi.org/10.3389/fnut.2023.1030343

Chanyarungrojn, P. A., Lelijveld, N., Crampin, A., Nkhwazi, L., Geis, S., Nyirenda, M., & Kerac, M. (2023). Tools for assessing child and adolescent stunting: Lookup tables, growth charts and a novel appropriate-technology “MEIRU” wallchart‐a diagnostic accuracy study. PLOS Global Public Health, 3(7), e0001592. https://doi.org/10.1371/journal.pgph.0001592

Cortez, L. H. V., Espinoza, A. C. C., Yánez, J. E. N., & Basantes, A. I. R. (2024). Nutrition in immune defence, the role of milk and its natural components, a systematic review. Salud, Ciencia y TecnologÃa, 4. https://doi.org/10.56294/saludcyt2024843

Public Health Office . (2021). Bojonegoro Regency in 2020.

Godah, M. W., Beydoun, Z., Abdul-Khalek, R. A., Safieddine, B., Khamis, A. M., & Abdulrahim, S. (2021). Maternal education and low birth weight in low-and middle-income countries: systematic review and meta-analysis. Maternal and Child Health Journal, 25(8), 1305–1315. https://doi.org/10.1007/s10995-021-03133-3

Handryastuti, S., Pusponegoro, H. D., Nurdadi, S., Chandra, A., Pramita, F. A., Soebadi, A., Widjaja, I. R., & Rafli, A. (2022). Comparison of cognitive function in children with stunting and children with undernutrition with normal stature. Journal of Nutrition and Metabolism, 2022(1), 9775727. https://doi.org/10.1155/2022/9775727

Hokken-Koelega, A. C. S., van der Steen, M., Boguszewski, M. C. S., Cianfarani, S., Dahlgren, J., Horikawa, R., Mericq, V., Rapaport, R., Alherbish, A., & Braslavsky, D. (2023). International consensus guideline on small for gestational age: etiology and management from infancy to early adulthood. Endocrine Reviews, 44(3), 539–565. https://doi.org/10.1210/endrev/bnad002

Islam, M. Z., Chowdhury, M. R. K., Kader, M., Billah, B., Islam, M. S., & Rashid, M. (2024). Determinants of low birth weight and its effect on childhood health and nutritional outcomes in Bangladesh. Journal of Health, Population and Nutrition, 43(1), 64. https://doi.org/10.1186/s41043-024-00565-9

Lassi, Z. S., Padhani, Z. A., Rabbani, A., Rind, F., Salam, R. A., & Bhutta, Z. A. (2021). Effects of nutritional interventions during pregnancy on birth, child health and development outcomes: A systematic review of evidence from low‐and middle‐income countries. Campbell Systematic Reviews, 17(2), e1150. https://doi.org/10.1002/cl2.1150

Lutfia, S., & Al Farizi, S. (2024). Maternal risk factors for low birth weight infants: A systematic review study. World J Adv Res Rev, 21(1), 1548–1554. https://doi.org/10.30574/wjarr.2024.21.1.0151

Marliany, H., Apipudin, A., & Ramdani, A. S. (2022). Factors Associated With Nutritional Status in Toddler. Jurnal Kesehatan STIKes Muhammadiyah Ciamis, 9(2), 45–55. https://doi.org/doi.org/10.52221/jurkes.v9i2.339

Marshall, N. E., Abrams, B., Barbour, L. A., Catalano, P., Christian, P., Friedman, J. E., Hay Jr, W. W., Hernandez, T. L., Krebs, N. F., & Oken, E. (2022). The importance of nutrition in pregnancy and lactation: lifelong consequences. American Journal of Obstetrics and Gynecology, 226(5), 607–632. https://doi.org/10.1016/j.ajog.2021.12.035

Mustakim, M. R. D., Irwanto, Irawan, R., Irmawati, M., & Setyoboedi, B. (2022). Impact of Stunting on Development of Children between 1-3 Years of Age. Ethiopian Journal of Health Sciences, 32(3), 569–578. https://doi.org/10.4314/ejhs.v32i3.13

Nobile, S., Di Sipio Morgia, C., & Vento, G. (2022). Perinatal origins of adult disease and opportunities for health promotion: a narrative review. Journal of Personalized Medicine, 12(2), 157. https://doi.org/10.3390/jpm12020157

Putri, T. A., Salsabilla, D. A., & Saputra, R. K. (2021). The effect of low birth weight on stunting in children under five: a meta analysis. Journal of Maternal and Child Health. https://doi.org/10.26911/thejmch.2021.06.04.11

Rahmadiani, I., Fibriana, A. I., & Azam, M. (2024). Low birth weight is related to stunting incidents: Indonesian nutrition status survey data analysis. MedRxiv, 2024–2026.

Santosa, A., Kep, S., Kep, M., Arif, E. N., Kep, S., Ghoni, D. A., & Kep, S. (2022). Effect of maternal and child factors on stunting: partial least squares structural equation modeling. Clinical and experimental pediatrics, 65(2), 90. Clin Exp Pediatr, 65(2), 90–97.

Sari, K., & Sartika, R. A. D. (2021). The effect of the physical factors of parents and children on stunting at birth among newborns in indonesia. Journal of Preventive Medicine and Public Health, 54(5), 309–316. https://doi.org/10.3961/jpmph.21.120

Sari, L. L., Hilinti, Y., Ayudiah, F., Br.Situmorang, R., & Herdianto, E. (2023). Antropometri Pengukuran Status Gizi Balita Di Ra. Makfiratul Ilmi Bengkulu Selatan. Jurnal Abdi Kesehatan Dan Kedokteran, 2(1), 1–6. https://doi.org/10.55018/jakk.v2i1.6

Soliman, A., De Sanctis, V., Alaaraj, N., Ahmed, S., Alyafei, F., Hamed, N., & Soliman, N. (2021). Early and long-term consequences of nutritional stunting: From childhood to adulthood. Acta Bio Medica: Atenei Parmensis, 92(1), e2021168. https://doi.org/10.23750/abm.v92i1.11346

Suparji, S., Nugroho, H. S. W., Rahayu, T. P., Hanifah, A. N., & Prayogi, A. S. (2024). The Importance of Optimal Nutritional Intake for The Health of Pregnant Women in Indonesia: Key Challenges and Strategic Solutions. National Journal of Community Medicine, 15(11), 993–997. https://doi.org/10.55489/njcm.151120244635

Suryawan, A., Jalaludin, M. Y., Poh, B. K., Sanusi, R., Tan, V. M. H., Geurts, J. M., & Muhardi, L. (2022). Malnutrition in early life and its neurodevelopmental and cognitive consequences: a scoping review. Nutrition Research Reviews, 35(1), 136–149. https://doi.org/10.1017/s0954422421000159

Thurstans, S., Sessions, N., Dolan, C., Sadler, K., Cichon, B., Isanaka, S., Roberfroid, D., Stobaugh, H., Webb, P., & Khara, T. (2022). The relationship between wasting and stunting in young children: A systematic review. Maternal and Child Nutrition, 18(1). https://doi.org/10.1111/mcn.13246

Vats, H., Walia, G. K., Saxena, R., Sachdeva, M. P., & Gupta, V. (2024). Association of Low Birth Weight with the Risk of Childhood Stunting in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis. Neonatology, 121(2), 244–257. https://doi.org/10.1159/000532006

Wulandari, F., Mahmudiono, T., Rifqi, M. A., Helmyati, S., Dewi, M., & Yuniar, C. T. (2022). Maternal characteristics and socio-economic factors as determinants of low birth weight in Indonesia: Analysis of 2017 Indonesian Demographic and Health Survey (IDHS). International Journal of Environmental Research and Public Health, 19(21), 13892. https://doi.org/10.3390/ijerph192113892




DOI: http://dx.doi.org/10.30829/contagion.v8i2.28196

Refbacks

  • There are currently no refbacks.


Copyright (c) 2026 Wiwik Utami

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Contagion: Scientific Periodical Journal of Public Health and Coastal Health by Program Studi Ilmu Kesehatan Masyarakat is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.