Food consumption, culture, and living environment's impact on stunting cases: A systematic review
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Abstract
Stunting is a long-term nutritional problem in children, with many causal factors. This study aimed to review the role of food intake, culture, and living environment in Stunting cases. Narrative studies were conducted using scientific journal database sources originating from PubMed, Proquest, Science Direct, and Google Scholar. The keywords used in the search were culture, region, food intake, and stunting. The search included research published within the last five years, from 2017 to 2023. After the article was obtained, it was tabulated in an Excel table. A total of 168 articles were identified based on the search titles. Six articles focused on the impact of food Intake on stunting, and seven articles explored the relationship between living area and culture on the incidence of stunting. Factors influencing stunting, such as inadequate nutrition for pregnant women and limited access to supplements, as well as issues related to exclusive breastfeeding, were not optimally addressed. Among children, food restrictions were observed during their growth and development stages. Stunting was found to be more prevalent in rural areas compared to urban ones. In rural areas, the occurrence of stunting was linked to limited food availability and specific dietary practices within families. Conversely, in urban areas, stunting was associated with unhealthy snacking habits in children. The maternal diet during pregnancy and the dietary habits of children during their formative years exert significant influences on child development. Certain culture practices, such as lack of support for exclusive breastfeeding, and restrictions on certain foods for children, persist in some areas.
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References
Abaasa, C. N., Rukundo, G. Z., Ayesiga, S., Atukunda, S. P., Campisi, S., O’hearn, S., and Macdonald, N. (2021). Healthcare providers and caregivers’ perspectives on factors responsible for persistent malnutrition of under 5 children in Buhweju district, South Western Uganda; a phenomenological qualitative study. BMC Public Health, 21(1), 1495.
Abdulwadud, O. A., and Simpson, M. E. (2006). Interventions in the workplace to support breastfeeding for women in employment. Cochrane Database of Systematic Reviews, 10(10), CD006177.
Adeomi, A. A., Fatusi, A., and Klipstein-Grobusch, K. (2022). ‘Children eat all things here’: A qualitative study of mothers’ perceptions and cultural beliefs about underweight and overweight children and adolescents in selected communities in two Nigerian states. BMJ Open, 12(4), E059020.
Adha, A. S., Bahtiar, N. W., Ibrahim, I. A., Syarfaini, S., and Nildawati, N. (2021). Analisis hubungan pola asuh ibu dengan kejadian stunting ada balita di Kabupaten Jeneponto. Al Gizzai: Public Health Nutrition Journal, 1(2), 71–82. [in Indonesian]
Ahmed, K. Y., Agho, K. E., Page, A., Arora, A., and Ogbo, F. A. (2021). Mapping geographical differences and examining the determinants of childhood stunting in Ethiopia: A Bayesian geostatistical analysis. Nutrients, 13(6), 2104.
Ahmed, K. Y., Page, A., Arora, A., Ogbo, F. A., Agho, K. E., Diallo, T., Ezeh, O. E., Uchechukwu, O. L., Ghimire, P. R., Akombi, B. J., Ogeleka, P., Abir, T., Issaka, A. I., Rwabilimbo, A. G., Subramanee, D., Nagdev, N., and Dhami, M. (2020). Associations between infant and young child feeding practices and acute respiratory infection and diarrhoea in Ethiopia: A propensity score matching approach. PLoS ONE, 15(4), e0230978.
Alemayehu, T., Haidar, J., and Habte, D. (2009). Determinants of exclusive breastfeeding practices among mothers in Ethiopia. Ethiopian Journal of Health Development, 23(1), 12–18.
Argaw, D., Hussen Kabthymer, R., Endale, T., Wudneh, A., Daniel Meshesha, M., Tadesse Hirbu, J., Bayisa, Y., Abebe, L., Tilahun, R., Aregawi, S., Lodebo Funga, M., Wodaynew, T., Demisse, B., Cherinet Eritero, A., Getachew Assefa, D., Daganchew Zeleke, E., Mengistu, N., Temesgen Alemu, K., and Molla, W. (2022). Stunting and associated factors among primary school children in Ethiopia: School-based cross-sectional study. International Journal of Africa Nursing Sciences, 17, 100451.
Argaw, M. D., Asfaw, M. M., Ayalew, M. B., Desta, B. F., Mavundla, T. R., Gidebo, K. D., Frew, A. H., Mitiku, A. D., and Desale, A. Y. (2019). Factors associated with prelacteal feeding practices in Debre Berhan district, North Shoa, Central Ethiopia: A cross-sectional, community-based study. BMC Nutrition, 5(1), 14.
Ariyo, O., Aderibigbe, O. R., Ojo, T. J., Sturm, B., and Hensel, O. (2021). Determinants of appropriate complementary feeding practices among women with children aged 6–23 months in Iseyin, Nigeria. Scientific African, 13, e00848.
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., and Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4), e12617.
Bella, F. D., Fajar, N. A., and Misnaniarti, M. (2020). Hubungan antara pola asuh keluarga dengan kejadian balita stunting pada keluarga miskin di Palembang. Jurnal Epidemiologi Kesehatan Komunitas, 5(1), 15–22. [in Indonesian]
Bieri, F. A., Li, Y. S., Yuan, L. P., He, Y. K., Gray, D. J., Williams, G. M., and Mcmanus, D. P. (2014). School-based health education targeting intestinal worms-further support for integrated control. PLoS Neglected Tropical Diseases, 8(3), e2621.
Bloem, S., and de Pee, S. (2017). Developing approaches to achieve adequate nutrition among urban populations requires an understanding of urban development. Global Food Security, 12, 80–88.
Brauner-Otto, S., Baird, S., and Ghimire, D. (2019). Maternal employment and child health in Nepal: The importance of job type and timing across the child's first five years. Social Science & Medicine, 224, 94–105.
Bundy, D. A. P., Kremer, M., Bleakley, H., Jukes, M. C. H., and Miguel, E. (2009). Deworming and development: Asking the right questions, asking the questions right. PLoS Neglected Tropical Diseases, 3(1), e362.
Castro-Bedriñana, J., Chirinos-Peinado, D., and De La Cruz-Calderón, G. (2021). Predictive model of stunting in the Central Andean region of Peru based on socioeconomic and agri-food determinants. Public Health in Practice, 2, 100112.
Chakraborty, B., Yousefzadeh, S., Darak, S., and Haisma, H. (2020). “We struggle with the earth everyday”: Parents’ perspectives on the capabilities for healthy child growth in haor region of Bangladesh. BMC Public Health, 20(1), 140.
Chang, H. J., Huang, K. C., and Wu, C. H. (2006). Determination of sample size in using central limit theorem for Weibull distribution. International Journal of Information and Management Sciences, 17(3), 31–46.
Chew, C.-C., Lim, X.-J., Low, L.-L., Lau, K.-M., Kari, M., Shamsudin, U. K., and Rajan, P. (2022). The challenges in managing the growth of indigenous children in Perak State, Malaysia: A qualitative study. PLoS ONE, 17(3), e0265917.
Corrêa, E. M., Gallo, C. De O., Antunes, J. L. F., and Jaime, P. C. (2023). The tendency of stunting among children under five in the northern region of Brazil, according to the food and nutrition surveillance system, 2008–2017. Jornal De Pediatria, 99(2), 120–126.
Encalada-Torres, J., Abril-Ulloa, V., Wong, S., Alvarado-Romero, S., Bedoya-Ortega, M., and Encalada-Torres, L. (2022). Socioeconomic status and nutritional status as predictors of food insecurity in older adults: A case study from Southern Ecuador. International Journal of Environmental Research and Public Health, 19(9), 5469.
Ezeh, A., Oyebode, O., Satterthwaite, D., Chen, Y. F., Ndugwa, R., Sartori, J., Mberu, B., Melendez-Torres, G. J., Haregu, T., Watson, S. I., Caiaffa, W., Capon, A., and Lilford, R. J. (2017). The history, geography, and sociology of slums and the health problems of people who live in slums. The Lancet, 389(10068), 547–558.
Ferdous, F., Das, J., Ahmed, S., Malek, M. A., Das, S. K., Faruque, A. S. G., Chisti, M. J., Ma, E., and Wagatsuma, Y. (2016). Nutritional status of children <5 years of age who have a working mother: An epidemiological perspective of diarrhoeal children in urban Bangladesh. Public Health Nutrition, 19(14), 2521–2524.
Fink, G., Peet, E., Danaei, G., Andrews, K., Mccoy, D. C., Sudfeld, C. R., Smith Fawzi, M. C., Ezzati, M., and Fawzi, W. W. (2016). Schooling and wage income losses due to early-childhood growth faltering in developing countries: National, regional, and global estimates. American Journal of Clinical Nutrition, 104(1), 104–112.
Gatica-Domínguez, G., Mesenburg, M. A., Barros, A. J. D., and Victora, C. G. (2020). Ethnic inequalities in child stunting and feeding practices: Results from surveys in thirteen countries from Latin America. International Journal for Equity in Health, 19(1), 53.
Hamed, A., Hegab, A., and Roshdy, E. (2020). Prevalence and factors associated with stunting among school children in Egypt. Eastern Mediterranean Health Journal, 26(7), 787–793.
Horiuchi, Y., Kusama, K., Kanha, S., and Yoshiike, N. (2018). Urban-rural differences in nutritional status and dietary intakes of school-aged children in Cambodia. Nutrients, 11(1), 14.
Ibrahim, I. A., Alam, S., Adha, A. S., Jayadi, Y. I., and Fadlan, M. (2021). Hubungan sosial budaya dengan kejadian stunting pada balita usia 24–59 bulan di desa Bone-Bone kecamatan Baraka kabupaten Enrekang Tahun 2020. Al Gizzai: Public Health Nutrition Journal, 1(1), 16–26. [in Indonesian]
Ina, R., Lestari, B., Sutria, E., and Irwan, M. (2021). Pola pemberian makan pada balita stunting berdasarkan teori transcultural nursing. Indonesian Journal of Clinical Nutrition Physician, 4(1), 36–45. [in Indonesian]
Jemere, T., Getahun, B., Tadele, F., Kefale, B., and Walle, G. (2021). Poor sleep quality and its associated factors among pregnant women in Northern Ethiopia, 2020: A cross sectional study. PLoS ONE, 16(5), e0250985.
Jennings, J., and Hirbaye, M. B. (2008). Review of incorporation of essential nutrition actions into public health programs in Ethiopia, Food and Nutrition Technical Assistance Project. Washington, DC: USAID.
Jones, A. D., Rukobo, S., Chasekwa, B., Mutasa, K., Ntozini, R., Mbuya, M. N. N., Stoltzfus, R. J., Humphrey, J. H., and Prendergast, A. J. (2015). Acute illness is associated with suppression of the growth hormone axis in Zimbabwean infants. American Journal of Tropical Medicine and Hygiene, 92(2), 463–470.
Kamiya, Y., Nomura, M., Ogino, H., Yoshikawa, K., Siengsounthone, L., and Xangsayarath, P. (2018). Mothers’ autonomy and childhood stunting: Evidence from semi-urban communities in Lao PDR. BMC Women’s Health, 18(1), 70.
Kebede, D., Prasad, R. P. C. J., Asres, D. T., Aragaw, H., and Worku, E. (2021). Prevalence and associated factors of stunting and thinness among adolescent students in Finote Selam Town, Northwest Ethiopia. Journal of Health, Population and Nutrition, 40(1), 44.
Koshy, B., Srinivasan, M., Gopalakrishnan, S., Mohan, V. R., Scharf, R., Murray-Kolb, L., John, S., Beulah, R., Muliyil, J., and Kang, G. (2022). Are early childhood stunting and catch-up growth associated with school age cognition? —Evidence from an Indian birth cohort. PLoS ONE, 17(3), e0264010.
Kumari, A., Sharma, S., Sharma, N., Chunduri, V., Kapoor, P., Kaur, S., Goyal, A., and Garg, M. (2020). Influence of biofortified colored wheats (purple, blue, black) on physicochemical, antioxidant and sensory characteristics of chapatti (Indian flatbread). Molecules, 25(21), 5071.
Kureishy, S., Khan, G. N., Arrif, S., Ashraf, K., Cespedes, A., Habib, M. A., Hussain, I., Ullah, A., Turab, A., Ahmed, I., Zaidi, S., and Soofi, S. B. (2017). A mixed methods study to assess the effectiveness of food-based interventions to prevent stunting among children under-five years in Districts Thatta and Sujawal, Sindh Province, Pakistan: Study protocol. BMC Public Health, 17(1), 24.
Laksono, A. D., Sukoco, N. E. W., Rachmawati, T., and Wulandari, R. D. (2022). Factors related to stunting incidence in toddlers with working mothers in Indonesia. International Journal of Environmental Research and Public Health, 19(17), 10654.
Laraia, B. A., Leak, T. M., Tester, J. M., and Leung, C. W. (2017). Biobehavioral factors that shape nutrition in low-income populations: A narrative review. American Journal of Preventive Medicine, 52(2), S118–S126.
Lestari, S., Fujiati, I. I., Keumalasari, D., and Daulay, M. (2018). The prevalence and risk factors of stunting among primary school children in North Sumatera, Indonesia. IOP Conference Series: Earth and Environmental Science, 125, 012219.
Li, H., Yuan, S., Fang, H., Huang, G., Huang, Q., Wang, H., and Wang, A. (2022). Prevalence and associated factors for stunting, underweight and wasting among children under 6 years of age in rural Hunan Province, China: A community-based cross-sectional study. BMC Public Health, 22(1), 483.
Lunkenheimer, H. G., Burger, O., Akhauri, S., Chaudhuri, I., Dibbell, L., Hashmi, F. A., Johnson, T., Little, E. E., Mondal, S., Mor, N., Saldanha, N., Schooley, J., and Legare, C. H. (2021). Tradition, taste and taboo: The gastroecology of maternal perinatal diet. BMJ Nutrition, Prevention & Health, 4(2), 385–396.
Lusita, A. P., Suyatno, S., and Rahfiludin, M. Z. (2017). Perbedaan karakteristik balita stunting di pedesaan dan perkotaan tahun 2017. Jurnal Kesehtan Masyarakat, 5(4), 600–612. [in Indonesian]
Masrul, M. (2018). Characteristics of stunting children with background history of family demography and maternal reproductive in Pasaman and Pasaman Barat District, West Sumatera. Journal of Midwifery, 3(2), 146.
McCuskee, S., Garchitorena, A., Miller, A. C., Hall, L., Ouenzar, M. A., Rabeza, V. R., Ramananjato, R. H., Razanadrakato, H.-T. R., Randriamanambintsoa, M., Barry, M., and Bonds, M. H. (2018). Child malnutrition in Ifanadiana district, Madagascar: Associated factors and timing of growth faltering ahead of a health system strengthening intervention. Global Health Action, 11(1), 1452357.
Mose, A., and Abebe, H. (2021). Prelacteal feeding practice and its determinant factors among mothers having children less than 6 months of age in Bure district, Northwest Ethiopia: A community-based cross-sectional study. BMJ Open, 11(9), e046919.
Mulyaningsih, T., Mohanty, I., Widyaningsih, V., Gebremedhin, T. A., Miranti, R., and Wiyono, V. H. (2021). Beyond personal factors: Multilevel determinants of childhood stunting in Indonesia. PLoS ONE, 16(11), e0260265.
Ngwira, A. (2020). Climate and location as determinants of childhood stunting, wasting, and overweight: An application of semiparametric multivariate probit model. Nutrition, 70S, 100010.
Nurbiah, Rosidi, A., and Margawati, A. (2019). The potency of socio-economic family and cultural factor in affecting stunting of Muna ethnic in Batalaiworu, Southeast Sulawesi. IOP Conference Series: Earth and Environmental Science, 292(1), 012015.
Page, M. J., Mckenzie, J. E., Bossuyt, P., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., Mcdonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Medicina Fluminensis, 57(4), 444–465.
Putriana, A. E., Masfufah, M., and Kariani, N. K. (2020). Stunting berdasarkan budaya makan suku makassar, toraja dan bugis. Jurnal Gizi Kerja Dan Produktivitas, 1(2), 25.
Qolbiyah, F. N., Yudia, R. C. P., and Aminyoto, M. (2021). Hubungan praktik pemberian makanan dengan kejadian stunting pada balita di Puskesmas Barong Tongkok, Kabupaten Kutai Barat Relationship. Jurnal Sains Dan Kesehatan, 3(6), 853–863. [in Indonesian]
Ribeli, J., and Pfister, F. (2022). An exploration of cultural influencing factors on dietary diversity in Malagasy children aged 6–59 months. BMC Nutrition, 8(1), 21.
Ricardo, L. I. C., Gatica-Domínguez, G., Crochemore-Silva, I., Neves, P. A. R., Dos Santos Vaz, J., Barros, A. J. D., and Victora, C. G. (2021). Age patterns in overweight and wasting prevalence of under 5-year-old children from low- and middle-income countries. International Journal of Obesity, 45(11), 2419–2424.
Saleh, A., Syahrul, S., Hadju, V., Andriani, I., and Restika, I. (2021). Role of maternal in preventing stunting: A systematic review. Gaceta Sanitaria, 35, S576–S582.
Saputri, R. A., Anggraeni, D., Sujadmi, and Sopamena, N. (2020). Environmental sanitation and stunting (Study of the role of women in stunting intervention). Journal of Physics: Conference Series, 1655(1), 012083.
Scaglioni, S., De Cosmi, V., Ciappolino, V., Parazzini, F., Brambilla, P., and Agostoni, C. (2018). Factors influencing children’s eating behaviours. Nutrients, 10(6), 706.
Sewannonda, A., Medel-Herrero, A., Nankabirwa, V., and Flaherman, V. J. (2022). Experiences and attitudes related to newborn feeding in central Uganda: A qualitative study. PLoS ONE, 17(10), e0274010.
Sianipar, T. M. E., Nurhasana, R., Hanita, M., and Ayuningtyas, D. (2021). Improving human resources as local food processors to accelerate stunting prevention to realize the SDGs: Case study in Asmat, Papua. IOP Conference Series: Earth and Environmental Science, 940(1), 012095.
Sungkar, S., Ridwan, A. S., and Kusumowidagdo, G. (2017). The effect of deworming using triple-dose Albendazole on nutritional status of children in Perobatang village, Southwest Sumba, Indonesia. Journal of Parasitology Research, 2017, 5476739.
Suryani, D., Kusdalinah, K., Krisnasary, A., Simbolon, D., and Angraini, W. (2022). Determinants of feeding patterns with stunting in children in the coastal area of Bengkulu city. Open Access Macedonian Journal of Medical Sciences, 10(E), 1520–1526.
Suryani, D., Yosephin, B., Miratulhaya, Dailin, Yandrizal, Bintang Agustina, P., and Angraini, W. (2018). Policy and determinant analysis in effort to control stunting case in Bengkulu province. Indian Journal of Public Health Research and Development, 9(10), 17–22.
Sutarto, Y. N., Nurdin, S. U., and Rengganis, D. W. S. W. (2022). The influence of local culture on mothers during pregnancy on stunting incidence. Journal of Positive Psychology & Wellbeing, 6(1), 2172–2180.
Tamir, T. T., Techane, M. A., Dessie, M. T., and Atalell, K. A. (2022). Applied nutritional investigation spatial variation and determinants of stunting among children aged less than 5 y in Ethiopia: A spatial and multilevel analysis of Ethiopian demographic and health survey 2019. Nutrition, 103–104, 111786.
Tasic, H., Akseer, N., Gebreyesus, S. H., Ataullahjan, A., Brar, S., Confreda, E., Conway, K., Endris, B. S., Islam, M., Keats, E., Mohammedsanni, A., Wigle, J., and Bhutta, Z. A. (2020). Drivers of stunting reduction in Ethiopia: A country case study. The American Journal of Clinical Nutrition, 112(Supp 2), 875S–893S.
Titaley, C. R., Ariawan, I., Hapsari, D., Muasyaroh, A., and Dibley, M. J. (2019). Determinants of the stunting of children under two years old in Indonesia: A multilevel analysis of the 2013 Indonesia basic health survey. Nutrients, 11(5), 1106.
UNICEF. (2016). Regional report on nutrition security in Asean. UNICEF East Asia and Pacific–Vol 1. [Online URL: https://www.unicef.org/eap/reports/regional-report-nutrition-security-asean] accessed on august 26, 2023.
Utami, R. A., Setiawan, A., and Fitriyani, P. (2019). Identifying causal risk factors for stunting in children under five years of age in South Jakarta, Indonesia. Enfermeria Clinica, 29(2), 606–611.
Uwiringiyimana, V., Ocké, M. C., Amer, S., and Veldkamp, A. (2019). Predictors of stunting with particular focus on complementary feeding practices: A cross-sectional study in the northern province of Rwanda. Nutrition, 60, 11–18.
Vaivada, T., Akseer, N., Akseer, S., Somaskandan, A., Stefopulos, M., and Bhutta, Z. A. (2020). Stunting in childhood: An overview of global burden, trends, determinants, and drivers of decline. American Journal of Clinical Nutrition, 112(2), 777S–791S.
Walls, H., Johnston, D., Vecchione, E., Adam, A., and Parkhurst, J. (2018). The role of evidence in nutrition policymaking in Ethiopia: Institutional structures and issue framing. In Evidence Use in Health Policy Making: An International Public Policy Perspective (Parkhurst, J., Ettelt, S., and Hawkins, B., Eds.), pp. 51–73. Cham: Palgrave Macmillan.
Widyaningsih, V., Mulyaningsih, T., Rahmawati, F. N., and Adhitya, D. (2022). Determinants of socioeconomic and rural-urban disparities in stunting: Evidence from Indonesia. Rural and Remote Health, 22(1), 7082.
Wijaya, S. (2019). Indonesian food culture mapping: a starter contribution to promote Indonesian culinary tourism. Journal of Ethnic Foods, 6(1), 9.