Minimum dietary diversity and the concurrence of stunting and overweight among infants and young children in Yogyakarta, Indonesia

Paramashanti, Bunga Astria and Paratmanitya, Yhona and Kusumaningtyas, Ignasia Ika and Khasana, Tri Mei and Yugistyowati, Anafrin and Siswati, Tri (2024) Minimum dietary diversity and the concurrence of stunting and overweight among infants and young children in Yogyakarta, Indonesia. Nutrition and Food Science, 54 (1). pp. 120-130. ISSN 00346659

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Abstract

Purpose: This study aims to examine the association between minimum dietary diversity (MDD) and the concurrence of stunting and overweight (CSO) among children aged 6–23 months. Design/methodology/approach: A cross-sectional study was conducted in Sedayu Subdistrict, Bantul District, Daerah Istimewa Yogyakarta. The authors assessed the concurrence of stunting (height-for-age Z-score below −2 standard deviations SD) and overweight/obesity (Body mass index BMI-for-age Z-score above +2 SD) among a total of 189 children aged 6–23 months as the primary outcome. The authors defined MDD as consuming at least four out of seven food groups using a single 24-h recall. The authors also included other covariates, including sociodemographic characteristics, exclusive breastfeeding history and complementary feeding practices. To identify the factors associated with CSO, this study conducted multiple logistic regression across the study variables using STATA 16.1. Findings: In the adjusted model, children who met the MDD criterion were associated with a reduced risk of CSO (adjusted odds ratios OR: 0.14; 95%confidence interval CI: 0.03–2.43). Compared to boys, girls were more likely to experience CSO (adjusted OR: 5.23; 95%CI: 1.02–26.9). Middle economic status was a protective factor for CSO (adjusted OR: 0.10; 95%CI: 0.01–0.98). This study did not find a significant relationship between CSO and the child’s age, low birth weight, exclusive breastfeeding, energy intake, protein intake, parental education and parental occupation. Practical implications: This study suggests future programs and policies that promote dietary diversity to reduce the risk of CSO. Originality/value: This study reveals the association between MDD and the coexistence of stunting and overweight. © 2023, Emerald Publishing Limited.

Item Type: Article
Additional Information: Cited by: 2
Uncontrolled Keywords: Children, Double burden, Minimum dietary diversity, Overweight, Stunting
Subjects: R Medicine > RP Public Health and Nutrition
Divisions: Faculty of Medicine, Public Health and Nursing > Public Health and Nutrition
Depositing User: Ngesti Gandini
Date Deposited: 05 Jun 2025 02:29
Last Modified: 05 Jun 2025 02:29
URI: https://ir.lib.ugm.ac.id/id/eprint/18826

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