Influence of the First Thousand Days of Life on Stunting Incidence

Introduction: The golden period is the first 1000 days of a child's life. Stunting is one of the consequences of long-term malnutrition occurring in the first two years of a child's life. Stunting is widely known as a condition of failure in a child's growth so that the child becomes...

Full description

Saved in:
Bibliographic Details
Main Authors: Linda Meliati, Sudarmi Sudarmi, St Halimatusyaadiah
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2025-06-01
Series:Journal of Holistic Nursing and Midwifery
Subjects:
Online Access:http://hnmj.gums.ac.ir/article-1-2091-en.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849236036580802560
author Linda Meliati
Sudarmi Sudarmi
St Halimatusyaadiah
author_facet Linda Meliati
Sudarmi Sudarmi
St Halimatusyaadiah
author_sort Linda Meliati
collection DOAJ
description Introduction: The golden period is the first 1000 days of a child's life. Stunting is one of the consequences of long-term malnutrition occurring in the first two years of a child's life. Stunting is widely known as a condition of failure in a child's growth so that the child becomes short or shorter than average for his age and experiences delays in cognitive development. Objective: This study aimed to analyze the effect of the first 1000 days of life (1000 HPK) as a risk factor for stunting in West Nusa Tenggara Province, Indonesia, in 2018. Materials and Methods:  This study was an analytical observational study with a cross-sectional design that was conducted from March to July 2022. The study population included all toddlers aged 0-59 months, as recorded in the 2018 Riskesdas survey in West Nusa Tenggara Province, Indonesia. A total sample of 1119 toddlers met the inclusion criteria. The data used were secondary data obtained from the Data and Information Agency for Health Development Policy, Ministry of the Republic of Indonesia (datin.bkppk@kkemkes.go.id). The collected data were sorted out using descriptive statistical analysis (frequency distribution) and analyzed by bivariate analysis with the Chi-square test. Moreover, we used multivariate analysis using the logistic regression test.   Results: Most toddlers aged 0–59 months did not experience stunting (72.7%). The mothers data were as follows: majority of mothers were too young ≥ 20 years (66.7%) or too old ≤ 35 years (99.2%), with pregnancy interval ≥ 2 years (71.6%), and number of living children ≤ 2 (71.1%), antenatal care (99.7%), hemoglobin examination (87%), and consumed ≥ 90 iron tablets (62.4%). Also, 50.8% of mothers did not breastfeed their children. The variables of pregnancy interval (P = 0.047), number of living children (P = 0.039), and breastfeeding (P = 0.0001) affected stunting. At the same time, the mother's age (too young or too old), antenatal care, provision of iron tablets, and hemoglobin examination had no effect. The dominant factor influencing stunting is breastfeeding (odds ratio = 2.063; 95% CI, 1.590 – 2.740; P = 0.0001). Conclusion: Breastfeeding is the most dominant variable affecting the incidence of stunting.
format Article
id doaj-art-ea78db6ad124480a90ccde7c4d29a025
institution Kabale University
issn 2588-3712
language English
publishDate 2025-06-01
publisher Guilan University of Medical Sciences
record_format Article
series Journal of Holistic Nursing and Midwifery
spelling doaj-art-ea78db6ad124480a90ccde7c4d29a0252025-08-20T04:02:28ZengGuilan University of Medical SciencesJournal of Holistic Nursing and Midwifery2588-37122025-06-01353161167Influence of the First Thousand Days of Life on Stunting IncidenceLinda Meliati0Sudarmi Sudarmi1St Halimatusyaadiah2 Associate Professor, Department of Midwifery, Politeknik Kesehatan of the Ministry of Health of Mataram, Mataram City, Indonesia Assistant Professor, Department of Midwifery, Politeknik Kesehatan of the Ministry of Health of Mataram, Mataram City, Indonesia Assistant Professor, Department of Midwifery, Politeknik Kesehatan of the Ministry of Health of Mataram, Mataram City, Indonesia Introduction: The golden period is the first 1000 days of a child's life. Stunting is one of the consequences of long-term malnutrition occurring in the first two years of a child's life. Stunting is widely known as a condition of failure in a child's growth so that the child becomes short or shorter than average for his age and experiences delays in cognitive development. Objective: This study aimed to analyze the effect of the first 1000 days of life (1000 HPK) as a risk factor for stunting in West Nusa Tenggara Province, Indonesia, in 2018. Materials and Methods:  This study was an analytical observational study with a cross-sectional design that was conducted from March to July 2022. The study population included all toddlers aged 0-59 months, as recorded in the 2018 Riskesdas survey in West Nusa Tenggara Province, Indonesia. A total sample of 1119 toddlers met the inclusion criteria. The data used were secondary data obtained from the Data and Information Agency for Health Development Policy, Ministry of the Republic of Indonesia (datin.bkppk@kkemkes.go.id). The collected data were sorted out using descriptive statistical analysis (frequency distribution) and analyzed by bivariate analysis with the Chi-square test. Moreover, we used multivariate analysis using the logistic regression test.   Results: Most toddlers aged 0–59 months did not experience stunting (72.7%). The mothers data were as follows: majority of mothers were too young ≥ 20 years (66.7%) or too old ≤ 35 years (99.2%), with pregnancy interval ≥ 2 years (71.6%), and number of living children ≤ 2 (71.1%), antenatal care (99.7%), hemoglobin examination (87%), and consumed ≥ 90 iron tablets (62.4%). Also, 50.8% of mothers did not breastfeed their children. The variables of pregnancy interval (P = 0.047), number of living children (P = 0.039), and breastfeeding (P = 0.0001) affected stunting. At the same time, the mother's age (too young or too old), antenatal care, provision of iron tablets, and hemoglobin examination had no effect. The dominant factor influencing stunting is breastfeeding (odds ratio = 2.063; 95% CI, 1.590 – 2.740; P = 0.0001). Conclusion: Breastfeeding is the most dominant variable affecting the incidence of stunting.http://hnmj.gums.ac.ir/article-1-2091-en.pdfstuntingbreastfeedingtoddler
spellingShingle Linda Meliati
Sudarmi Sudarmi
St Halimatusyaadiah
Influence of the First Thousand Days of Life on Stunting Incidence
Journal of Holistic Nursing and Midwifery
stunting
breastfeeding
toddler
title Influence of the First Thousand Days of Life on Stunting Incidence
title_full Influence of the First Thousand Days of Life on Stunting Incidence
title_fullStr Influence of the First Thousand Days of Life on Stunting Incidence
title_full_unstemmed Influence of the First Thousand Days of Life on Stunting Incidence
title_short Influence of the First Thousand Days of Life on Stunting Incidence
title_sort influence of the first thousand days of life on stunting incidence
topic stunting
breastfeeding
toddler
url http://hnmj.gums.ac.ir/article-1-2091-en.pdf
work_keys_str_mv AT lindameliati influenceofthefirstthousanddaysoflifeonstuntingincidence
AT sudarmisudarmi influenceofthefirstthousanddaysoflifeonstuntingincidence
AT sthalimatusyaadiah influenceofthefirstthousanddaysoflifeonstuntingincidence