1. Stunting as a Synonym of Social Disadvantage and Poor Parental Education
- Author
-
Andrea V. Ch. Safira, Regina Maya Manubulu, Michael Hermanussen, Sugi Deny Pranoto Soegianto, Christiane Scheffler, Tjahyo Suryanto, Debora Natalia Ndaparoka, Yohannes Dian Indrajati, Rani Rahmani, Giovanni Kathlix Immanuel Matulessy, Queen Sugih Ariyani, Maria Natalia Puteri, Taolin Fransiskus, Aman B Pulungan, Madarina Julia, Maria Kurniati Ester Payong, Samuel Yan Touw, Alexandro Valent Homalessy, Sevany Isabella Angi, and Reynardo Kurnia Hadiyanto Purba
- Subjects
Social background ,economic ,political and emotional factors on growth ,Health, Toxicology and Mutagenesis ,Physical fitness ,lcsh:Medicine ,Nutritional Status ,030209 endocrinology & metabolism ,Article ,03 medical and health sciences ,0302 clinical medicine ,Parental education ,medicine ,Prevalence ,Humans ,030212 general & internal medicine ,Child growth ,Child ,Growth Disorders ,business.industry ,lcsh:R ,Malnutrition ,Public Health, Environmental and Occupational Health ,stunting ,social ,Anthropometry ,medicine.disease ,Disadvantaged ,Cross-Sectional Studies ,Indonesia ,Social disadvantage ,business ,Demography - Abstract
Socially, economically, politically and emotionally (SEPE) disadvantaged children are shorter than children from affluent background. In view of previous work on the lack of association between nutrition and child growth, we performed a study in urban schoolchildren. We measured 723 children (5.83 to 13.83 years), Kupang, Indonesia, three schools with different social background. We investigated anthropometric data, clinical signs of malnutrition, physical fitness, parental education, and household equipment. Subjective self-confidence was assessed by the MacArthur test. The prevalence of stunting was between 8.5% and 46.8%. Clinical signs of under- or malnutrition were absent even in the most underprivileged children. There was no delay in tooth eruption. Underprivileged children are physically fitter than the wealthy. The correlation between height and state of nutrition (BMI_SDS, skinfold_SDS, MUAC_SDS) ranged between r = 0.69 (p <, 0.01) and r = 0.43 (p <, 0.01) in private school children, and between r = 0.07 (ns) and r = 0.32 (p <, 0.01) in the underprivileged children. Maternal education interacted with height in affluent (r = 0.20, p <, 0.01) and in underprivileged children (r = 0.20, p <, 0.01). The shortness of SEPE disadvantaged children was not associated with anthropometric and clinical signs of malnutrition, nor with delay in physical development. Stunting is a complex phenomenon and may be considered a synonym of social disadvantage and poor parental education.
- Published
- 2021