Maternal Age Correlates with Stunting in Children: Systematics Review
DOI:
https://doi.org/10.26911/thejmch.2022.07.04.11Abstract
Background: Teenage mother should be ready for the consequences to come. It is important to get prepared both mentally and economically. A teenage mother and her offspring are at risk of malnutrition and stunting. This study aims to analyze the correlation between maternal age and the incidence of stunting based on published articles.
Subjects and Method: A systematic review was conducted to find the correlation between maternal age and the incidence of stunting. The research was conducted by seeking into the database by using PubMed, Ebsco, Google Scholar, and SpringerLink. The keywords used were "risk factor" OR “determinant” AND “stunting” AND "young maternal age" OR "adolescent mother*" OR "teen mother*" OR "adolescent pregnancy" OR "teen pregnancy" AND "logistic regression" OR “multivariate”. The obtained articles underwent screening and conformity assessment. Articles that met the criteria were subsequently extracted.
Results: 1,048 articles were discovered from PubMed, Ebsco, Google Scholar and SpringerLink databases and 9 of them were included in the review. The articles were from Turkey, Tanzania, Pakistan, Ghana, Uganda, Burundi, 2 articles were from Ethiopia, and 1 article covered Brazil, Guatemala, India, Philippines, and South Africa. The prevalence of stunting in each region from the obtained articles showed a variation from 13.8% - 79.5%. It discovered the correlation between maternal age during pregnancy and incidence of stunting that pregnant women under the age of 20 were at greater risk for stunting compared to women aged ≥ 20 years (OR 1.37 – 7.56). Women at a younger age were at greater risk of having stunting children.
Conclusion: The correlation between maternal age during pregnancy and stunting indicates that the younger the mothers, the higher the risk for stunting. The risk for stunting will decrease with the increasing maternal age at the time of delivery.
Keywords: adolescence, stunting, teenage mothers, maternal age
Correspondence: Fardhiasih Dwi Astuti. Jl. Prof. DR. Soepomo Sh, Warungboto, Umbulharjo, Yogyakarta, Special Region of Yogyakarta. Email: Fardhiasih.dwiastuti@ikm.uad.ac.id.
References
Akpinar CV, Teneler AA (2022). Adolescent motherhood and negative birth outcomes, stunting and social determinants: secondary analysis of turkish na-tional data 2018. 1–13. http://dx.doi.org/10.21203/rs.3.rs-1410546/v1
Berhe K, Seid O, Gebremariam Y, Berhe A, Etsay N (2019). Risk factors of stunting (chronic undernutrition) of children aged 6 to 24 months in Mekelle City, Tigray Region, North Ethiopia: An unmatched case-control study. PLoS ONE, 14(6), 1–11. https://doi.org/10.1371/journal.pone.0217736
Branson N, Ardington C, Leibbrandt M (2015). Health outcomes for children born to teen mothers in Cape Town, South Africa. Economic Development and Cultural Change, 63(3), 589–616. https://doi.org/10.1086/679737
Danaei G, Andrews KG, Sudfeld CR, Fink G, McCoy DC, Peet E, Sania A, et al. (2016). Risk factors for childhood stunting in 137 developing countries: a comparative risk assessment analysis at global, regional, and country levels. In PLoS Medicine. 13(11). https://doi.org/10.1371/journal.pmed.1002164
Degarege D, Degarege A, Animut A (2015). Undernutrition and associated risk factors among school age children in Addis Ababa, Ethiopia Global health. BMC Public Health, 15(1), 1–9. https://doi.org/10.1186/s1288901517145
Ekholuenetale M, Barrow A, Ekholuenetale CE, Tudeme G (2020). Impact of stunting on early childhood cognitive development in Benin: evidence from Demographic and Health Survey. Gaz Egypt Pediatr Assoc. 68(1). https://doi.org/10.1186/s4305402000043x
Fall CHD, Sachdev HS, Osmond C, Restrepo-Mendez MC, Victora C, Martorell R, Stein AD, et al. (2015). Association between maternal age at childbirth and child and adult outcomes in the offspring: A prospective study in five low-income and middle-income countries (COHORTS collaboration). The Lancet Global Health, 3(7), e366–e377. https://doi.org/10.1016/S2214109X(15)000388
Finlay JE, Özaltin E, Canning D (2011). The association of maternal age with infant mortality, child anthropometric failure, diarrhoea and anaemia for first births: Evidence from 55 low- and middle-income countries. BMJ Open, 1(2). https://doi.org/10.1136/bmjopen2011000226
Gatica-Domínguez G, Victora C, Barros AJD (2019). Ethnic inequalities and trends in stunting prevalence among Guatemalan children: an analysis using national health surveys 1995-2014. Int J Equity Health, 18(1), 110. https://doi.org/10.1186/s1293901910160
Gonfa AA (2013). Determinat factors of child malnuration in ambo town oromia region (the case of ambo town). 1(109100773). Indhria Ganhd National Open University.
Hoffman DJ, Sawaya AL, Verreschi I, Tucker KL, Roberts SB (2000). Why are nutritionally stunted children at increased risk of obesity? Studies of metabolic rate and fat oxidation in shantytown children from Sao Paulo, Brazil. Am J Clin Nutr, 72(3), 702–707. https://doi.org/10.1093/ajcn/72.3.702
Le Roux K, Christodoulou J, Stansert-Katzen L, Dippenaar E, Laurenzi C, Le Roux IM, Tomlinson M, Rotheram-Borus MJ (2019). A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months. BMC Pregnancy Childbirth, 19(1), 1–8. https://doi.org/10.1186/s1288401821648
Mtongwa RH, Festo C, Elisaria E (2021). A comparative analysis of determinants of low birth weight and stunting among under five children of adolescent and non-adolescent mothers using 2015/16 Tanzania Demographic and Health Survey (TDHS). BMC Nutr, 7(1), 1–10. https://doi.org/10.1186/s40795021004686
Nguyen PH, Scott S, Khuong LQ, Pramanik P, Ahmed A, Rashid SF, Afsana K, Menon P (2021). Adolescent birth and child undernutrition: an analysis of demographic and health surveys in Bangladesh, 1996–2017. Ann. N. Y. Acad. Sci, 1500(1), 69–81. https://doi.org/10.1111/nyas.14608
Soliman A, De Sanctis V, Alaaraj N, Ahmed, S, Alyafei F, Hamed N, Soliman N (2021). Early and long-term consequences of nutritional stunting: From childhood to adulthood. Acta Biomed, 92(1), 1–12. https://doi.org/10.23750/abm.v92i1.11346
Tariq J, Sajjad A, Zakar R, Zakar MZ, Fischer F (2018). Factors associated with undernutrition in children under the age of two years: Secondary data analysis based on the Pakistan demographic and health survey 2012–2013. Nutrients, 10(6), 1–20. https://doi.org/10.3390/nu10060676
UNICEF/ WHO/ WORLD BANK (2021). Levels and trends in child malnutrition UNICEF/ WHO/ World Bank Group Joint Child Malnutrition Estimates Key findings of the 2021 edition. World Health Organization, 1–32. https://www.who.int/publications/i/item/9789240025257
Wells JCK, Marphatia AA, Cortina‐Borja M, Manandhar DS, Reid AM, Saville NM (2022). Associations of maternal age at marriage and pregnancy with infant undernutrition: Evidence from first-time mothers in rural lowland Nepal. Am J Phys Anthropol, January, 557–573. https://doi.org/10.1002/ajpa.24-560
Wemakor A, Garti H, Azongo T, Garti H, Atosona A (2018). Young maternal age is a risk factor for child undernutrition in Tamale Metropolis, Ghana. BMC Res. Notes, 11(1), 1–5. https://doi.org/10.1186/s1310401839807
World Health Organization (2020). Levels and trends in child malnutrition: Key findings of the 2020 Edition of the Joint Child Malnutrition Estimates. Geneva: WHO, 24(2), 1–16.
Yang YY, Kaddu G, Ngendahimana D, Barkoukis H, Freedman D, Lubaale YAM, Mupere E, Bakaki PM (2018). Trends and determinants of stunting among under-5s: Evidence from the 1995, 2001, 2006 and 2011 Uganda Demographic and Health Surveys. Public Health Nutr, 21(16), 2915–2928. https://doi.org/10.1017/S1368980018001982
Yiga P (2021). Child growth and determinant factors a case study of burundi (Issue June 2016). Universiteit Gent.
Yu SH, Mason J, Crum J, Cappa C, Hotchkiss DR (2016). Differential effects of young maternal age on child growth. Glob Health Act, 9(1), 1–13. https://doi.org/10.3402/gha.v9.31171
