Meta-Analysis: Relationship of History of Acute Respiratory Infections and Low Birth Weight with Stunting in Toddlers

Alfi Yasmina,Harapan Parlindungan Ringoringo,Meitria Syahadatina Noor,Kharis Faridan,Syamsul Arifin

doi:10.20527/jbk.v7i2.10948

Alfi Yasmina, Harapan Parlindungan Ringoringo + Show 3 more

Open Access

https://doi.org/10.20527/jbk.v7i2.10948

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Abstract

Basic Health Research (2018) and National Socio-Economic Survey (2019) showed a high incidence of stunting in Indonesia. History of acute respiratory infection (ARI) and low birth weight (LBW) were studied as factors associated with stunting in under-five children. The research’s objective was to analyze the association between the history of ARI and LBW with the incidence of stunting in under-five children. This study was a meta-analysis. Literature searching was conducted in reputed and accredited journals in PubMed and Google Scholar, published between 2016-2020, analytic observational study design, contained OR/PR/RR with 95% confidence interval, written in English or Indonesian, and available in full-text. The meta-analysis was conducted with RevMan 5.4 application. We included 14 studies. Results showed there was a significant association between history of ARI and the incidence of stunting in under-five children, with pooled OR = 2.48 (95%CI = 1.82-3.40, p < 0.00001, I2 = 0%, p for heterogeneity = 0.66). This study showed there was a significant association between LBW and incidence of stunting, with pooled OR = 2.15 (95% CI = 1.58-2.93, p < 0.00001, I2 = 61%, p for heterogeneity = 0.005). The conclusions were there were significant associations between the history of ARI and LBW with the incidence of stunting in under-five children.

Highlights

Stunting is a health problem associated with a disturbance in the growth of children which is characterized by a child's height less than -2 SD
The results of a study conducted by Himawati (2020) on children aged under 5 years in Sampang showed a significant relationship between acute respiratory infections (ARI) and stunting (OR = 3.115, p = 0.029)[5]
The results of a study conducted by Fitri (2018) at the Lima Puluh Pekanbaru Health Center prove that there is a relationship between low birth weight (LBW) and the incidence of stunting (p = 0.000)[9]

Summary

INTRODUCTION

Stunting is a health problem associated with a disturbance in the growth of children which is characterized by a child's height less than -2 SD (standard deviation). The results of a study conducted by Himawati (2020) on children aged under 5 years in Sampang showed a significant relationship between acute respiratory infections (ARI) and stunting (OR = 3.115, p = 0.029)[5]. This is in line with research conducted by Natalia and Evitasari (2020) which showed that there was a relationship between a history of ARI disease and the incidence of stunting (OR = 7.07, p = 0.008)[6]. The fixedeffects model will be used if the research has small heterogeneity, and the random-effects model will be used if there is the heterogeneity, based on.[2]

RESULT

Findings

CONCLUSION