Exclusive Breastfeeding Protects Young Children from Stunting in a Low-Income Population: A Study from Eastern Indonesia.

Autor:	Hadi H; Alma Ata Graduate School of Public Health, the University of Alma Ata, Yogyakarta 55183, Indonesia.; Alma Ata Center for Healthy Life and Foods (ACHEAF), the University of Alma Ata, Yogyakarta 55183, Indonesia., Fatimatasari F; Department of Midwifery, Faculty of Health Sciences, the University of Alma Ata, Yogyakarta 55183, Indonesia., Irwanti W; Department of Nutrition, Faculty of Health Sciences, The University of Alma Ata, Yogyakarta 55183, Indonesia., Kusuma C; Alma Ata Graduate School of Public Health, the University of Alma Ata, Yogyakarta 55183, Indonesia., Alfiana RD; Department of Midwifery, Faculty of Health Sciences, the University of Alma Ata, Yogyakarta 55183, Indonesia., Asshiddiqi MIN; Department of Nursing, Faculty of Health Sciences, the University of Alma Ata, Yogyakarta 55183, Indonesia., Nugroho S; Alma Ata Graduate School of Public Health, the University of Alma Ata, Yogyakarta 55183, Indonesia., Lewis EC; Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA., Gittelsohn J; Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA.
Jazyk:	angličtina
Zdroj:	Nutrients [Nutrients] 2021 Nov 26; Vol. 13 (12). Date of Electronic Publication: 2021 Nov 26.
DOI:	10.3390/nu13124264
Abstrakt:	The prevalence of stunting in young Indonesian children is the highest among countries belonging to the Association of Southeast Asian Nations (ASEAN). Breastfed children are reported to grow better than non-breastfed. The present study examined the protective effect of exclusive breastfeeding against stunting in children under two years old (CU2) and its interaction with monthly household expenditure. Secondary analyses were conducted based on a 2012 cross-sectional study including 408 children aged 6-24 months and their caregivers from 14 villages in rural Eastern Indonesia. Data on breastfeeding history, childcare, and household expenditures were collected using structured questionnaires. Focus Group Discussions (FGDs) were conducted in each village (n = 14). Nearly two-thirds (61%) of caregivers who identified as the biological mother exclusively breastfed their child at 6 months. Exclusively-breastfed CU2 from poorer households were 20% less likely to be stunted than their non-exclusively-breastfed peers. Further, exclusively-breastfed CU2 from wealthier households were 50% less likely to be stunted than non-exclusively-breastfed CU2 from poorer households. FGDs revealed that some mothers were unaware of the importance of recommended breastfeeding practices. Exclusive breastfeeding may protect low-income children against stunting. Health promotion to improve caregiver motivation to exclusively breastfeed is critical in the present setting and beyond.
Databáze:	MEDLINE
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