{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T23:38:11Z","timestamp":1793057891427,"version":"4.5.0"},"reference-count":59,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"unspecified","delay-in-days":84,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1368980026102365_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To synthesise and quantify the association between household food insecurity (HFI) and various forms of malnutrition that include stunting, wasting, underweight, overnutrition and anaemia among Indonesian children under 5 years of age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102365_as2\">\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A systematic review and meta-analysis was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. The study included literature search, screening, data extraction, quality assessment using Joanna Briggs Institute (JBI) tools and meta-analysis using Review Manager 5.4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102365_as3\">\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Studies conducted in Indonesia, covering urban, rural and mixed settings across multiple provinces.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102365_as4\">\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Children under 5 years of age residing in Indonesia, from households assessed for food insecurity using validated tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102365_as5\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of thirty-two studies met the inclusion criteria, of which twenty-six were eligible for meta-analysis. HFI was significantly associated with higher odds of stunting (case\u2013control: OR = 4\u00b766; 95 % CI: 3\u00b739, 6\u00b740;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0\u00b7001; cross-sectional: OR = 4\u00b761; 95 % CI: 4\u00b717, 5\u00b711;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0\u00b7001), wasting (OR = 1\u00b792; 95 % CI: 1\u00b760, 2\u00b732;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0\u00b7001), underweight (OR = 5\u00b726; 95 % CI: 2\u00b712, 13\u00b704;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0\u00b7001) and overnutrition (OR = 1\u00b766; 95 % CI: 1\u00b749, 1\u00b785;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0\u00b7001). Children in food-secure households had significantly lower odds of anaemia (OR = 0\u00b741; 95 % CI: 0\u00b730, 0\u00b758;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0\u00b7001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102365_as6\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>HFI is strongly associated with multiple forms of malnutrition among Indonesian children under 5 years of age. These findings highlight the urgent need for integrated, nutrition-sensitive strategies that address food security to improve child health and reduce malnutrition in Indonesia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1368980026102365","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T08:44:34Z","timestamp":1774514674000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["The role of household food insecurity in malnutrition among Indonesian children under 5 years of age: a systematic review and meta-analysis (2015\u20132025)"],"prefix":"10.1017","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8867-0222","authenticated-orcid":false,"given":"Rahayu","family":"Sutrisno","sequence":"first","affiliation":[{"name":"Universitas Brawijaya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irka 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