The Vitamin D Intake, Probiotic Intake, and Infection Incidence and Nutritional Status in Children Aged 24–59 Months
DOI:
https://doi.org/10.36590/kepo.v6i2.1356Keywords:
infection, intake probiotics, stuntingAbstract
Stunting remains a major nutritional problem among children in Indonesia. The 2022 SSGI reported a stunting prevalence of 21,6% nationally, 20,8% in Central Java Province, and 28,9% in Temanggung Regency. Vitamin D plays a role in bone growth and immune regulation, probiotics support gut microbiota balance and nutrient absorption, and infection incidence may affect nutritional status. This study aimed to examine the relationship between vitamin D intake, probiotic intake, and infection incidence with nutritional status (height-for-age) among children aged 24–59 months in Temanggung Regency. An analytical survey with a cross-sectional design was conducted in March 2024. The population consisted of all under-five children in Temanggung Regency, with 55 subjects selected through purposive sampling. Data were collected through direct height measurements and interviews using questionnaires, including 24-hour dietary recall, infection history, and supplement consumption. The results showed no significant association between vitamin D intake, probiotic intake, or infection incidence and height-for-age (p-value > 0,05). This may be influenced by recall bias and the lack of assessment of infection duration and frequency. Further studies should explore other risk factors contributing to stunting in Temanggung Regency.
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Al-Zohily, B., Al-Menhali, A., Gariballa, S., Haq, A., Shah, I., 2020. Epimers of Vitamin D: A Review. International Journal of Moleculer Sciences 21(2), 1–16. https://doi.org/10.3390/ijms21020470
Arbie, F.Y., Labatjo, R., 2019. Examining The Nutrition Levels and Stunting Problem in Indonesian Children. Aceh Nutrition Journal 4(2), 89-98. https://doi.org/10.30867/action.v4i2.126
Crowe, F.L., Mughal, M.Z., Maroof, Z., Berry, J., Kaleem, M., Abburu, S., Walraven, G., Masher, M.I., Chandramohan, D., Manaseki-Holland, S., 2021. Vitamin D for Growth and Rickets in Stunted Children: A Randomized Trial. Pediatrics 147(1), 1-9. https://doi.org/10.1542/PEDS.2020-0815
Dahiya, D., Nigam, P.S., 2022. Probiotics, Prebiotics, Synbiotics, and Fermented Foods as Potential Biotics in Nutrition Improving Health via Microbiome-Gut-Brain Axis. Fermentation 8. https://doi.org/10.3390/fermentation8070303
Dhaded, S.M., Hambidge, K.M., Ali, S.A., Somannavar, M., Saleem, S., Pasha, O., Khan, U., Herekar, V., Vernekar, S., Yogesh Kumar, S., Westcott, J.E., Thorsten, V.R., Sridhar, A., Das, A., McClure, E., Derman, R.J., Goldenberg, R.L., Koso-Thomas, M., Goudar, S.S., Krebs, N.F., 2020. Preconception Nutrition Intervention Improved Birth Length and Reduced Stunting and Wasting in Newborns in South Asia: The Women First Randomized Controlled Trial. PLoS ONE 15, 1–15. https://doi.org/10.1371/journal.pone.0218960
Ekholuenetale, M., Barrow, A., Ekholuenetale, C.E., Tudeme, G., 2020. Impact of Stunting on Early Childhood Cognitive Development in Benin: Evidence from Demographic and Health Survey. Egyptian Pediatric Association Gazette 68(31), 1-11. https://doi.org/10.1186/s43054-020-00043-x
Febriani, A.D.B., Daud, D., Rauf, S., Nawing, H.D., Ganda, I.J., Salekede, S.B., Angriani, H., Maddeppungeng, M., Juliaty, A., Alasiry, E., Artaty, R.D., Lawang, S.A., Ridha, N.R., Laompo, A., Rahimi, R., Aras, J., Sarmila, B., 2020. Risk Factors and Nutritional Profiles Associated with Stunting in Children. Pediatric Gastroenterology Hepatology and Nutrition 23(5), 457–463. https://doi.org/10.5223/PGHN.2020.23.5.457
Galdeano, C.M., Cazorla, S.I., Dumit, J.M.L., Vélez, E., Perdigón, G., 2019. Beneficial Effects of Probiotic Consumption on The Immune System. Annals of Nutrition and Metabolism 74(2), 115–124. https://doi.org/10.1159/000496426
Ismawati, R., Soeyonoa, R.D., Romadhoni, I.F., Dwijayanti, I., 2020. Nutrition Intake and Causative Factor of Stunting Among Children Aged Under-5 Years in Lamongan City. Enfermeria Clinica 30(4), 71–74. https://doi.org/10.1016/j.enfcli.2019.10.043
Jayusman, D.D.K., Aritonang, E.Y., Lubis, Z., 2021. Comparison of Calcium and Iron Intake of Stunting and Non-Stunting Toddlers in Langkat Regency. International Journal of Research and Review 8(1), 501-508. https://www.ijrrjournal.com/IJRR_Vol.8_Issue.1_Jan2021/IJRR055.pdf
Lusiani, V.H., Anggraeni, A.D., 2021. Hubungan Frekuensi dan Durasi Penyakit Infeksi dengan Kejadian Stunting di Wilayah Kerja Puskesmas Kebasen Kabupaten Banyumas. Journal of Nursing Practice and Education 2(1), 1–13. https://doi.org/10.34305/jnpe.v2i1.374
Mahudeh, M., Rohmah, N., Adriani, S.W., 2022. Correlation Between History of Infectious Disease with Stunting in Toddler. Journal of Nursing Science Update 10(2), 193–200. https://doi.org/10.21776/ub.jik.2022.010.02.15
Mokhtar, R.R., Holick, M.F., Sempértegui, F., Griffiths, J.K., Estrella, B., Moore, L.L., Fox, M.P., Hamer, D.H., 2018. Vitamin D Status is Associated with Underweight and Stunting in Children Aged 6-36 Months Residing in The Ecuadorian Andes. Public Health Nutrition 21(11), 1974–1985. https://doi.org/10.1017/S1368980017002816
Mulyaningsih, T., Mohanty, I., Widyaningsih, V., Gebremedhin, T.A., Miranti, R., Wiyono, V.H., 2021. Beyond Personal Factors: Multilevel Determinants of Childhood Stunting in Indonesia. Plos One 19, 1–19. https://doi.org/10.1371/journal.pone.0260265
Nurhayati, E., Paramashanti, B.A., Astiti, D., Aji, A.S., 2020. Dietary Diversity, Vitamin D Intake and Childhood Stunting: A Case-Control Study in Bantul, Indonesia. Malaysian Journal of Nutrition 26(2), 273-287. https://doi.org/10.31246/mjn-2020-0021
Prasetyo, A., Davidson, S.M., Sanubari, T.P.E., 2023. Correlation between Individual Dietary Diversity and Children 2-5 Years Old Nutrition Status in Batur Village, Getasan Regency, Semarang District. Amerta Nutrition 7(3), 343–349. https://doi.org/10.20473/amnt.v7i3.2023.343-349
Raw, P., 2012. Composition of Foods Raw, Processed, Prepared USDA National Nutrient Database for Standard Reference, Release 25. Jurnal Agricultural and Food Information 13(4), 358–359. https://doi.org/10.1080/10496505.2012.718990
