The Relationship Between Maternal History Of Chronic Energy Deficiency (CED) And Stunting Incidence In Toddlers Aged 6 To 24 Months In Bagu Community Health Center, Central Lombok Regency
DOI:
https://doi.org/10.55227/ijhet.v5i3.1168Keywords:
History of CED, Maternal Nutritional Status, Stunting, ToddlersAbstract
Stunting is a manifestation of chronic undernutrition characterized by impaired linear growth and disrupted developmental outcomes in early childhood. Maternal chronic energy deficiency during pregnancy is widely recognized as an important prenatal risk factor, yet the occurrence of stunting is multifactorial, with postnatal socioeconomic and environmental determinants also contributing substantially. This study aimed to analyze the association between maternal history of chronic energy deficiency during pregnancy and the severity of stunting among children aged 6 to 24 months in the working area of Bagu Primary Health Center. This study employed an analytical observational design with a cross-sectional approach. A total of 43 children aged 6 to 24 months were included as respondents, selected using a total sampling technique due to the limited population size. Maternal history of chronic energy deficiency was determined based on a mid upper arm circumference of less than 23.5 centimeters recorded in the maternal and child health handbook, while child nutritional status was assessed using the height for age index. Statistical analysis was conducted using the Fisher's Exact Test. All study subjects exhibited impaired growth, with 68.2 percent classified as stunted and 32.8 percent as severely stunted. The majority of mothers (79.1 percent) had normal nutritional status during pregnancy, while 20.9 percent had a history of chronic energy deficiency, and most households (88.4 percent) had income below the regional minimum wage. The statistical test demonstrated no significant association, with a p-value of 1.000. Maternal history of chronic energy deficiency during pregnancy was not significantly associated with the severity of stunting in this population, indicating that maternal nutritional status alone may not adequately explain the occurrence of stunting and that broader socioeconomic and postnatal environmental determinants may exert a more dominant influence.
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