Meta Analysis: Effects of Prelacteal Feeding and Vitamin A Supplementary Intake on Stunting in Children Aged 6-59 Months
DOI:
https://doi.org/10.26911/thejmch.2023.08.04.11Abstract
Background: Stunting describes the condition of failure to thrive in children under five years old (toddlers) due to chronic malnutrition and recurrent infections, especially in the first 1,000 days of life as a golden period with proper nutrition. This study aimed to examine the effect of prelacteal feeding and vitamin A on the incidence of stunting in children aged 6-59 months using a meta-analysis.
Subjects and Method: The meta-analysis was carried out using the PRISMA flowchart and the PICO model. Population: children aged 6-59 months. Intervention: giving prelacteal feeding and vitamin A. Comparison: not giving prelacteal feeding and vitamin A. Outcome: stunting. The online databases used are Google Scholar, ProQuest and Elsevier with the keywords “Stunting” AND “Prelacteal feeding” AND “Vitamin A” AND “Children Aged 6–59 Months” AND “Multivariate” AND “Cross Sectional”. There were 15 cross-sectional studies published in 2013-2023 that met the inclusion criteria. Analysis was performed with RevMan 5.3.
Results: A meta-analysis of 15 articles with a cross-sectional study design from different countries, namely Ethiopia, Uganda, Somalia, Indonesia and Sudan in children aged 6-59 months with a total sample of 94,212 research subjects. The results of the meta-analysis showed that there was an effect of not being given prelacteal feeding on the reduced risk of stunting in children aged 6-59 months. Children who were not given prelacteal feeding had 0.57 times the risk of stunting compared to those who were given prelacteal feeding (aOR= 0.57; 95% CI= 0.38 to 0.84; p= 0.005), Children who were not given vitamin A had a risk of being stunted 1.19 times compared to children who were given vitamin A (aOR= 1.19; 95% CI= 1.00 to 1.41; p= 0.050).
Conclusion: Children who are not given prelacteal feeding and children who are given vitamin A reduce the risk of stunting in children aged 6-59 months.
Keywords: prelacteal feeding, vitamin A, stunting, children aged 6-59 months.
Correspondence:Aulia Alifariani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: aulia.alifariani26@gmail.com. Mobile: +6282236887887.
References
Abebe Z, Anlay DZ, Biadgo B, Kebede A, Melku KT,Enawgaw B, Melku M (2017). High prevalence of undernutrition among children in gondar town, Northwest Ethio- pia: a community-based cross-sectional study. Int. J. Pediatr. 1
Akalu HK (2018). Under-nutrition and associated factors among children aged 6-59 months in Bahir Dar City Administration, Northwest Ethiopia. JCR. 11(2): 430
Deeks JJ, Hinggins JP, Altman DG (2021). Analysing data and undertaking meta-analysis. Cochrane Training. https://trainingcochrane.org/handbook/current/chapter-10. Accessed in January 2023.
Fikadu T, Assegid S, Dube L (2009). Factors associated with stunting among children of age 24 to 59 months in Meskan District, Gurage Zone, South Ethiopia. BMC Public Health. 9(4): 1
Feleke S, Egata G, Mesfin F, Yilak G, Molla A (2021). Undernutrition and associated factors in orphan children aged 6-59 months in Gambella Southwest, Ethiopia: A community-based cross-sectional study. BMJ Open. 11(7): 1
Hadi H, Stoltzfus RJ, Moulton LH, Dibley MJ, West KP (1999). Respiratory infections reduce the growth response to vitamin A supplementation in a randomized controlled trial. Int. J. Epidemiol. 28(5): 874
Hitachi M, Honda S, Kaneko S, Kamiya Y (2019). Correlates of exclusive breas- tfeeding practices in rural and urban Niger: A community-based crosssectional study. Int. Breastfeed. J. 14(1): 32. https://doi.org/10.1186/s13006-019-0226-9.
JBI (2017). Checklist for analytical cross-sectional studies. Joana Briggs Institute. https://jbi.global/critical-appraisal-tools. Accessed in March 2023.
Kemenkes RI (2022). Survei status gizi indonesia (SSGI) (Indonesian Nutritional Status Survey (SSGI)). Jakarta: Kementerian Kesehatan Republik Indonesia.
Ssentongo P, Ba DM, Ssentongo AE, Fronterre C, Whalen A, Yang Y, Ericson JE, et al. (2020). Association of vitamin A deficiency with early childhood stunting in Uganda: A populationbased cross-section l study. PLoS ONE. 15(5): 1
Simanjuntak BY, Haya M, Suryani D, Ahmad CA (2018). Early inititation of breastfeeding and vitamin A supplemen- tation with nutritional status of children Aged 6-59 months. Kesmas. 12(3): 107
Sedgh G, Herrera MG, Nestel P, Amin AE, Fawzi WW (2000). Dietary vitamin A intake and nondietary factors are associated with reversal of stunting in children. J. Nutr. J Nutr. 130(10): 2520
UNICEF (2021a). Child malnutrition. https: //www.who.int/news/item/06-05-2021-the-uni cef-who-wb-joint-child-malnutrit ion-estimates-group-released-new-data-for-2021. Accessed in January 2023.
UNICEF (2021b). Early childhood nutrition. http://www.unicef.org/nutrition/earlychildh ood-nutrition. Accessed in January 2023.
Wahida YBN (2019). Darurat stunting dengan melibatkan keluarga (Stunting emergency by involving the family). Sulawesi Selatan: Yayasan Ahmar Cendekia Indonesia.
WFP (2018). Food and nutrition handbook. 68/70: 158
