{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T21:42:25Z","timestamp":1793396545996,"version":"4.5.0"},"reference-count":23,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T00:00:00Z","timestamp":1626220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006378","name":"Universitas Indonesia","doi-asserted-by":"publisher","award":["NKB-3049\/UN2.R3.1\/HKP05.00\/2019)"],"award-info":[{"award-number":["NKB-3049\/UN2.R3.1\/HKP05.00\/2019)"]}],"id":[{"id":"10.13039\/501100006378","id-type":"DOI","asserted-by":"publisher"}]},{"name":"indonesian ministry of education and culture through southeast asian ministers of education organization regional centre for food and nutrition","award":["056A\/RECFON-SK\/III\/2017"],"award-info":[{"award-number":["056A\/RECFON-SK\/III\/2017"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Childhood stunting remains the most challenging consequence of undernutrition because it is associated with suboptimal brain development and the subsequent increased risk of metabolic diseases and decreased earnings in adult life. The Sambas District in Indonesia has a high prevalence of stunting (28.4%), followed by underweight (25.5.%) and wasting (14.4%) among children, as well chronic energy deficiency (27%) and anemia (62%) among pregnant women. The present study sought to determine significant factors in childhood stunting with a focus on maternal and child nutrition and prenatal and postnatal determinants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective, repeat, cross-sectional study investigated factors associated with stunting among 559 infants age 0\u201311 months in Sambas District, Indonesia. Anthropometric measurements were performed by trained enumerators. Data from a 2016 survey of pregnant women and a 2017 survey on mothers and their children were used for postnatal data collection to quantify the prevalence of stunting at age 0\u201311 months. Using 20 potential predictors of stunting categorized by household characteristics, maternal characteristics, antenatal care services, and child characteristics, logistic regression analysis was conducted to assess the adjusted association between stunting and these factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 559 children analyzed, 20.8% were stunted. In the model with low birth weight (LBW) as predictor for stunting, the odds of stunting increased significantly among children who weighed &lt;2.500 g at birth; children who had diarrhea in the past 2 weeks and children who had incomplete basic immunization coverage as infants age 9\u201311 months. In model without LBW, the odds of stunting increased significantly among children who had preterm at birth, short maternal stature and children who had incomplete basic immunization coverage for 9\u201311 months infants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Postnatal factors\u2014preterm birth, low birth weight, diarrhea and complete basic immunization coverage\u2014were associated with infant stunting in Sambas District, Indonesia. The prenatal factors such as short maternal stature were significant in the multivariate model. Policy makers, especially in the government, should recommend measures focused on those prenatal and postnatal factors to prevent stunting in children and to avoid the sequelae of childhood stunting in adult life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0254662","type":"journal-article","created":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T13:39:24Z","timestamp":1626269964000},"page":"e0254662","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":46,"title":["Prenatal and postnatal determinants of stunting at age 0\u201311 months: A cross-sectional study in Indonesia"],"prefix":"10.1371","volume":"16","author":[{"given":"Arindah Nur","family":"Sartika","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meirina","family":"Khoirunnisa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0811-9981","authenticated-orcid":true,"given":"Eflita","family":"Meiyetriani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evi","family":"Ermayani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Indriya Laras","family":"Pramesthi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1224-0776","authenticated-orcid":true,"given":"Aziz Jati","family":"Nur Ananda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2021,7,14]]},"reference":[{"issue":"s3","key":"pone.0254662.ref001","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1111\/j.1740-8709.2011.00349.x","article-title":"Long-term consequences of stunting in early life","volume":"7","author":"KG Dewey","year":"2011","journal-title":"Matern Child Nutr"},{"key":"pone.0254662.ref002","unstructured":"WHO. World Health Organization. WHO Global Nutrition Targets 2025: Stunting Policy Brief.; 2014. WHO\/NMH\/NHD\/14.4"},{"issue":"5","key":"pone.0254662.ref003","doi-asserted-by":"crossref","first-page":"e01","DOI":"10.1371\/journal.pone.0154756","article-title":"Stunting, underweight and Overweight in Children Aged 2.0\u20134.9 Years in indonesia: Prevalence Trends and Associated risk Factors","volume":"11","author":"CN Rachmi","year":"2016","journal-title":"PLoS One"},{"key":"pone.0254662.ref004","unstructured":"Health M of. National Basic Health Survey of Indonesia (Riset Kesehatan Dasar).; 2013."},{"key":"pone.0254662.ref005","unstructured":"SEAMEO RECFON. Study on Nutritional Status and Its Associated Factors among Children under 2 Years Old and Pregnant Women in Sambas District, West Kalimantan 2016.; 2016."},{"issue":"10","key":"pone.0254662.ref006","doi-asserted-by":"crossref","first-page":"e1002408","DOI":"10.1371\/journal.pmed.1002408","article-title":"Childhood stunting in relation to the pre- and postnatal environment during the first 2 years of life: The MAL-ED longitudinal birth cohort study","volume":"14","author":"Investigators M-EN","year":"2017","journal-title":"PLoS Med"},{"key":"pone.0254662.ref007","volume":"Vol 88","author":"L Vesel","year":"2010","journal-title":"Use of New World Health Organization Child Growth Standards to Assess How Infant Malnutrition Relates to Breastfeeding and Mortality"},{"issue":"15","key":"pone.0254662.ref008","doi-asserted-by":"crossref","first-page":"1507","DOI":"10.1001\/jama.2010.450","article-title":"Association of maternal stature with offspring mortality, underweight, and stunting in low- to middle-income countries","volume":"303","author":"E Ozaltin","year":"2010","journal-title":"JAMA"},{"key":"pone.0254662.ref009","article-title":"Nutrition Landscape Information System (NLIS) country profile indicators: interpretation guide","author":"Organization WH","year":"2010","journal-title":"Nutr Landsc Inf Syst Ctry profile Indic Interpret Guid"},{"key":"pone.0254662.ref010","first-page":"906","article-title":"Food and nutrition security in families with children under five years old in the city of Campina Grande, Para\u00edba","volume":"18","author":"DF Pedraza","year":"2015","journal-title":"Rev Bras Epidemiol"},{"issue":"11","key":"pone.0254662.ref011","doi-asserted-by":"crossref","first-page":"e1001121","DOI":"10.1371\/journal.pmed.1001121","article-title":"Post-neonatal mortality, morbidity, and developmental outcome after ultrasound-dated preterm birth in rural Malawi: a community-based cohort study","volume":"8","author":"M Gladstone","year":"2011","journal-title":"PLoS Med"},{"issue":"6","key":"pone.0254662.ref012","doi-asserted-by":"crossref","first-page":"e0157814","DOI":"10.1371\/journal.pone.0157814","article-title":"Association of Low-Birth Weight with Malnutrition in Children under Five Years in Bangladesh: Do Mother\u2019s Education, Socio-Economic Status, and Birth Interval Matter?","volume":"11","author":"MS Rahman","year":"2016","journal-title":"PLoS One"},{"issue":"1","key":"pone.0254662.ref013","doi-asserted-by":"crossref","first-page":"e87486","DOI":"10.1371\/journal.pone.0087486","article-title":"Association of maternal and child nutritional status in Brazil: a population based cross-sectional study","volume":"9","author":"MS Felisbino-Mendes","year":"2014","journal-title":"PLoS One"},{"issue":"8","key":"pone.0254662.ref014","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1016\/S1701-2163(16)35337-3","article-title":"Maternal Height and the Risk of Preterm Birth and Low Birth Weight: A Systematic Review and Meta-Analyses","volume":"34","author":"Z Han","year":"2012","journal-title":"J Obstet Gynaecol Canada"},{"key":"pone.0254662.ref015","unstructured":"WHO. World Health Organization & UNICEF. LOW BIRTHWEIGHT COUNTRY, REGIONAL AND GLOBAL ESTIMATES.; 2004. https:\/\/www.unicef.org\/publications\/files\/low_birthweight_from_EY.pdf"},{"key":"pone.0254662.ref016","unstructured":"Liz Comrie-Thomson, Jess Davis, Andre Renzaho MT. Addressing Child Undernutrition: Evidence Review.; 2014."},{"issue":"1","key":"pone.0254662.ref017","doi-asserted-by":"crossref","first-page":"328S","DOI":"10.1093\/jn\/133.1.328S","article-title":"Diarrhea and Malnutrition","volume":"133","author":"KH Brown","year":"2003","journal-title":"J Nutr"},{"key":"pone.0254662.ref018","unstructured":"Bui HV. The most common causes of and risk factors of diarrhea among children less than five years of age admitted to Dong Anh Hospital, Hanoi, Northern Vietnam. Published online 2006. https:\/\/www.duo.uio.no\/handle\/10852\/30133"},{"key":"pone.0254662.ref019","volume":"Vol 34","author":"H Piechulek","year":"2003","journal-title":"Diarrhea and ARI in Rural Areas of Bangladesh"},{"issue":"4","key":"pone.0254662.ref020","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1093\/pubmed\/fds032","article-title":"The effect of a vaccination program on child anthropometry: evidence from India\u2019s Universal Immunization Program","volume":"34","author":"TD Anekwe","year":"2012","journal-title":"J Public Health (Bangkok)"},{"issue":"6","key":"pone.0254662.ref021","doi-asserted-by":"crossref","first-page":"1415","DOI":"10.1093\/jn\/135.6.1415","article-title":"Differential improvement among countries in child stunting is associated with long-term development and specific interventions","volume":"135","author":"A Milman","year":"2005","journal-title":"J Nutr"},{"issue":"2","key":"pone.0254662.ref022","doi-asserted-by":"crossref","first-page":"e0193631","DOI":"10.1371\/journal.pone.0193631","article-title":"Correction: Vaccination and nutritional status of children in Karawari, East Sepik Province, Papua New Guinea","volume":"13","author":"Staff TPONE","year":"2018","journal-title":"PLoS One"},{"issue":"11","key":"pone.0254662.ref023","doi-asserted-by":"crossref","first-page":"e0187796","DOI":"10.1371\/journal.pone.0187796","article-title":"Vaccination and nutritional status of children in Karawari, East Sepik Province, Papua New Guinea","volume":"12","author":"L Samiak","year":"2017","journal-title":"PLoS One"}],"updated-by":[{"DOI":"10.1371\/journal.pone.0315015","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T00:00:00Z","timestamp":1733097600000}}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0254662","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T08:17:30Z","timestamp":1730449050000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0254662"}},"subtitle":[],"editor":[{"given":"Calistus","family":"Wilunda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2021,7,14]]},"references-count":23,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021,7,14]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0254662","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,14]]}}}