Association of household food security with toddler stunting in the Sleman Regency Indonesia

Susetyowati ., Ika Ratna Palupi, Annisa Ristya Rahmanti


Background: Stunting prevalence in Indonesia toddlers has increased (37.2%) in 5 years and became risk factor of obesity and metabolic disease in adulthood. Identification of risk factors by looking at household food security as the cause of stunting can provide information to the appropriate interventions. This research aims to know association between households food security with stunting in toddlers.

Methods: This is observational study with retrospective cohort design. Anthropometry parameter and household food security data is used to assess the subject. The sample used is families who have toddlers from study Health Demographic Surveillance System (HDSS) in Sleman Regency which totaled 150 toddlers of households.

Results: There is no association between food expenditure proportion with stunting (p=0.089), between energy consumption level with stunting (p=0.876) and between households food security with stunting (p=0.357).

Conclusions: Food security based on the food expenditure proportion and energy consumption level is not associated with stunting in toddlers in Sleman Regency.


Food security, Food expenditure, Energy consumption, Stunting, Toddlers

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Suryana A. Capita Selekta of Evolution Food Security Policy in Indonesia. Yogyakarta: Faculty of Economics and Business Publisher, Universitas Gadjah Mada; 2003.

United Nations Children’s Fund (UNICEF). The state of the Worlds’ children. UK: Oxford University Press; 1998.

Meshram II, Balakhrisna N, Arlappa N, Rao KM, Laxmaiah A, Brahmam GNV. Prevalence of under nutrition, its determinants, and seasonal variation among tribal preschool children of odisha state, India. Asia Pac J Public Health. 2014;26(5):470-80.

Ministry of Health of Indonesia. Basic Health Research in Yogyakarta. Publishing Institutions and Development Agency; 2013.

Musthaq MU, Gull K, Shahid, Siddiqui. Prevalence and socio-demographic correlates of stunting and thinness among Pakistan primary school chidren. BMC Public Health. 2011;11:790.

Gorstein J, Sullivan K, Yip R, de Onís M, Trowbridge F, Fajans P, et al. Issues in the assessment of nutritional status using anthropometry. Bull World Health Organ. 1994;72(2):273-83.

Martorell R, Horta BL, Adair LS, Stein AD, Richter L, Fall CH, et al. Weight gain in the first two years of life is an important predictor of schooling outcomes in pooled analyses from five birth cohort from low and middle income countries. J Nutr. 2010;140(2):348-54.

Fernald LCH, Gertler PJ, Neufeld LM. Role of cash in conditional cash transfer programmes for child health, growth, and development: an analysis of Mexico’s Oportunidades. Lancet. 2013;371(8):28-37.

Deshmukh PR, Sinha N, Dongre AR. Social determinants of stunting in rural area of Wardha, Central India. Med J Armed Forces India. 2013;69(3):213-7.

Ferreira HS, Florencio TMMT, Vieira EF, Assuncao ML. Stunting is associated with wasting in children from the semiarid region of Alagoas, Brazil. Nutritional Res. 2008;28:364-7.

Zottarelli LK, Sunil TS, Rajaram S. Influence of parental and socioeconomic factors on stunting in children under 5-years in Egypt. Eastern Mediterranean Health J. 2007;13(6):1330-42.

Rahayu LS. Associated of Height of Parents with Changes of Stunting Status from 6-12 months to 3-4-years. Thesis. Department of Health Science, Faculty of Medicine, Universitas Gadjah Mada, Indonesia, 2011.

Ruel MT, Habicht JP, Rasmussen KM, Martorell R. Screening for nutrition interventions: the risk or the differential-benefit approach? Am J Clin Nutr. 1996;63(5):671-7.

Adair L, Popkin BM, VanDerslice J, Akin J, Guilkey D, Black R, et al. Growth dynamics during the first two years of life: a prospective study in the Philippines. Eur J Clin Nutr. 1993;47(1):42-51.

Sichieri R, Taddei JA, Everhart JE. Influence of parental height and socio-demographics factors on adolescent height in Brazil. J Adolescent Health. 2000;26:414-9.

Adi AC, DR Andrias. Toddler of Poor Household in Food Insecurity Priority Region in Indonesia are Greater Risk of Nutrition Disorders. Child Poverty and Social Protection Conference, 2013.

Hackett M, Melgar-Quinonez H, Alvarez, MC. Household food insecurity associated with stunting and underweight among preschool children in Antioquia, Colombia. Rev Panam Salud Publica. 2009;25(6):506-10.

Masrin. Association of Household Food Security with Stunting of under 2-years old (2-23 months) in Bantul Regency, Indonesia. Thesis. Department of Public Health, Universitas Gadjah Mada, Indonesia, 2012.

Ali NI, Jalil R, Wan MWM, Wan NWS, Mohd ZS, Abdullah MR. Association between household food insecurity and nutritional outcomes among children in northeastern of Peninsular Malaysia. Nutr Res Pract. 2014;8(3):304–11.

Susetyowati, Palupi IR, Rahmanti AR. Association of Household Food Security and Demographic Factors with Stunting of Toddler in the Sleman Regency. Final Report Post-Doctoral Research, Department of Nutrition and Health, Universitas Gadjah Mada, Indonesia, 2015.

Engle P, Menon P, Haddad l. Care and nutrition: concepts and measurement. World Dev. 1999;27(8):1309–37.

Mutisya M, Ngianga K, Moses WN, Caroline WK. Household food (in) security and nutritional status of urban poor children aged 6 to 23 months in Kenya. BMC Public Health. 2015;15:1052.

Sudiman H. 2008. Stunting: Patology change or adaptation of long term socio-economics change. Media Litbang Kesehatan. 2008;18(1):33-42.

Ajao KO, Ojofeitimi EO, Adebayo AA, Fatusi AO, Afolabi OT. Influence of family size, household food security status, and child care practices on the nutritional status of under-five children in ile-ife, Nigeria. Afr J Reprod Health. 2010;14(4):1-23.

Alfiasari, Martianto D, Dharmawan AH. Food security, caring pattern, and nutritional status of toddler in poor household. Media Gizi Keluarga 2008;32(1):8-20.