User

The Effect of Exclusive Breastfeeding on Wasting in Children Under Five: A Meta-Analysis Study

Amallia Wijiwinarsih, Tri Nugraha Susilawati, Bhisma Murti

Abstract

Background: Wasting is a form of malnutrition that has become a serious global health problem for the past few decades. Global prevalence of wasting is reported to reach 52 million or 7.7% of the under-fives. Global coverage of exclusive breastfeeding was still as low as 40%. The purpose of this study was to due a meta-analysis on the effect of exclusive breastfeeding on wasting in children under five.

Subjects and Method: This was a meta-analysis study conducted from PubMed, SCOPUS, DOAJ, BASE, EBSCO, Emerald, ProQuest, ScienceDirect, ResearchGate, and Google Scholar databases. This study sought a systematic review with observational study design and multivariate-adjusted odds ratio (AOR) analysis. Wasting was defined as weight for height (WHZ) Z score <-2. The data were analyzed by RevMan 5 meta-analysis program with a fixed effect and random effect analysis model.

Results: There were 13 articles included in this study. Based on 3 study design, exclusive breastfeeding could prevent the risk of wasting in children under five with each meta-analysis result from a cross-sectional study 0.42 times (OR = 0.42; 95% CI = 0.28 to 0.62; p <0.001), case-control studies 0.38 times (OR = 0.38; 95% CI = 0.27 to 0.54; p <0.001), and cohort studies 0.75 times (OR = 0.75; 95% CI = 0.55 to 1.04; p = 0.08). There was no publication bias in the results of the cross-sectional and case-control study meta-analysis, but there was in the results of the meta-analysis of the cohort study.

Conclusion: Exclusive breastfeeding can prevent wasting in children under five.

Keywords: exclusive breastfeeding, wasting, observational study

CorrespondenceAmallia Wijiwinarsih.Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir, Sutami 36A, Surakarta, Central Java 57126.Email:  amalliawijiwinarsih@gmail.com. Mobile: 0857261706.

Journal of Maternal and Child Health (2019), 4(2): 87-96
https://doi.org/10.26911/thejmch.2019.04.02.04

Full Text:

PDF

References

Abebe Z, Anlay DZ, Biadgo B, Kebede A, Melku T, Enawgaw B, Melku M (2017). High Prevalence of Undernutrition among Children in Gondar Town, Northwest Ethiopia: A Community Based cross-sectional Study. International journal of pediatrics. Doi: 10.1155/2017/5367070.

Aguayo VM, Badgaiyan N, Dzed L (2017). Determinants of child wasting in Bhutan. Insights from nationally representative data. Public Health Nutrition, 20(2): 315–324. DOI: 10.1017/S1368980016002111.

AsfawM, Wondaferash M, Taha M, Dube L (2015). Prevalence of undernutrition and associated factors among children aged between six to fifty-nine months in Bule Hora district, South Ethiopia. BMC public health. BioMed Central. 15: 41. Doi: 10.1186/s1288901513709.

BentleyA, Das S, Alcock G, More NS, PantvaidyaS, Osrin D (2015). Malnutrition and infant and young child feeding in informal settlements in Mumbai, India: findings from a census.Food Science and Nutrition. 3(3): 257–271. Doi: 10.1002/fsn3.214.

BlackRE, Allen LH, Bhutta ZA, Caulfield LE, Onis MD, Ezzati M (2008). Maternal and child undernutrition: global and regional exposures and health consequences.Lancet (London, England). Elsevier: 243–60. DOI: 10.1016/S01406736(07)61690.

Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, Onis MD (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet (London, England). Elsevier: 427-451. Doi: 10.1016/S01406736(13)60937X.

Briend A, Khara, T, Dolan, C (2015). Wasting and stunting similarities and differences: Policy and programmatic implications: 36(1). Doi: 10.1177/15648265150361S103.

FekaduY, Mesfin A, Haile D (2015). Factors associated with nutritional status of infants and young children in Somali Region, Ethiopia: a cross-sectional study. BMC Public Health. BMC Public Health. 15(1): 846. Doi: 10.1186/s128890121907.

GautamS, Ruchal S, Acharya D, Khadka, Gautam V, Sigh JK (2017) Effect of Maternal Sociodemographic Factors and Child Feeding Practice on Wasting Among Under Five Years Children in Slum Area of Rupandehi District in Nepal.JNMA; the journal of the Nepal Medical Association. 56(206): 256–261. Available at: http://www.ncbi.nlm.nih.gov/pubmed/28746325 (Accessed: 24 May 2018).

Tariku B, Mulugenta A, Tsadik M, Azene G (2016). Nearly half of preschool children are stunted in Dembia district. Northwest Ethiopia: a community-based cross-sectional study. Archives of public health Archives belges de sante publique. BioMed Central: 13. DOI: 10.1186/s136900160126z.

UNICEF (2018).Makan Bayi dan Anak Muda. Available at: https://data.unicef.org/topic/nutrition/infantandyoungchildfeeding/# (Accessed: 19 May 2018).

United nations (2018) Least Developed Countries (LDCs)Economic Analysis and amp; Policy Division. Available at: https://www.un.org/development/desa/dpad/leastdevelopedcountrycategory.html (Accessed: 5 December 2018).

WHO (2018) WHOJoint child malnutrition estimatesLevels and trends (2018 edition). WHO. World Health Organization. Available at: https://www.who.int/nutgrowthdb/estimates2017/en/ (Accessed: 4 December 2018).

WHO (2018) Malnutrition. Available at: http://www.who.int/en/newsroom/factsheets/detail/malnutrition (Accessed: 5 June 2018).

Woreda A, Demissie DB, Belachew T (2016). Predictors of Acute Malnutrition Among 6-23 Months Children. Journal of Health, Medicine and Nursing: 119–129.

Refbacks

  • There are currently no refbacks.