Risk Factor Analysis of Household Double Burden of Malnutrition in Rural Areas of Indonesia
Afina Rachma Sulistyaning, Hesti Permata Sari, Farida

Universitas Jenderal Soedirman

Abstract

Objective: Aim to analyze risk factors of HDBM in a rural area of Central Java, Indonesia. Design: Cross-sectional study with stunting and non-stunting children aged 6-59 months alongside the mother. Setting: Direct interview and anthropometric measurement. Participants: 125 children and their mothers clustered into four groups according to the obesogenic and non-obesogenic environment, based on the mother^s nutritional status. Main Outcome Measures: Structured questionnaire involving family income, mother^s occupation, history of exclusive breastfeeding, parenting style, home sanitation, food security, and food diversity. The child^s history includes birth weight, birth length, and gestational age. Mother^s Body Mass Index (BMI). Analysis: Statistical analysis of odd ratio (OR) with a Confidence Interval of 95% to identify HDBM risk factors. Results: The prevalence of HDBM in this study was 25.6%. The risk factors associated with HDBM were child gender (OR = 2.1), maternal height (OR = 1.8), gestational age (OR = 2.3), and food security (OR = 1.8). Conclusion and Implications: The presence of HDBM in a rural area of Central Java showed the urgency of acceleration of stunting reduction, as well as prevention of adults overweight/obesity. This study provides key points as an underlying determination for local government policy to overcome HDBM effectively

Keywords: Stunting, Obesity, Double burden, Household

Topic: Nutrition and functional food