Determinants of wasting in infants in South Sulawesi Province, Indonesia 10.55131/jphd/2025/230216

Main Article Content

Syarfaini Syarfaini
Syamsul Alam
Rezki Nurfatmi

Abstract

In children, wasting can lead to impaired growth, Inhibited muscular growth, weakened immune systems, and heightened vulnerability to illnesses, including flu, cough, diarrhea, and serious infections. This study aimed to determine the factors that contribute to the incidence of wasting in infants aged 0-59 months. This type of research used a cross-sectional design, observational analytical methods, and quantitative analysis. Proportional random sampling was used for sampling. Questionnaires, interview sheets, and multifunctional devices with 0.1 cm precision length and height measurements were employed for data collection. In this study, logistic regression and chi-square tests were performed. The findings of the study suggest a connection between 0-59 month-old infants' calorie, carbohydrates, protein, and fat intake, and household income and wasting. With a p-value of 0.033 (p <0.05) and an OR value of 0.309, the logistic regression test findings showed that protein consumption was the most significant subvariable for wasting. This indicates that infants who consume insufficient amounts of protein have a 0.309-fold higher risk of experiencing wasting. In conclusion, infants’ nutritional health between the ages of 0-59 months is significantly influenced by their protein intake. This study implies that programs aimed at increasing protein intake can reduce the incidence of wasting.

Article Details

How to Cite
1.
Syarfaini S, Syamsul Alam, Rezki Nurfatmi. Determinants of wasting in infants in South Sulawesi Province, Indonesia: 10.55131/jphd/2025/230216. J Public Hlth Dev [internet]. 2025 Apr. 30 [cited 2026 Feb. 9];23(2):222-36. available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/273691
Section
Original Articles
Author Biographies

Syarfaini Syarfaini, Department of Public Health, Faculty of Medicine and Health Sciences, University of Alauddin Makassar, Makassar, South Sulawesi, Indonesia

Department of Public Health, Faculty of Medicine and Health Sciences, University of Alauddin Makassar, Makassar, South Sulawesi, Indonesia

Syamsul Alam, Department of Public Health, Faculty of Medicine and Health Sciences, University of Alauddin Makassar, Makassar, South Sulawesi, Indonesia

Department of Public Health, Faculty of Medicine and Health Sciences, University of Alauddin Makassar, Makassar, South Sulawesi, Indonesia

Rezki Nurfatmi, Department of Public Health, Faculty of Medicine and Health Sciences, University of Alauddin Makassar, Makassar, South Sulawesi, Indonesia

Department of Public Health, Faculty of Medicine and Health Sciences, University of Alauddin Makassar, Makassar, South Sulawesi, Indonesia

References

Dipasquale V, Cucinotta U, Romano C. Acute malnutrition in children: Pathophysiology, clinical effects and treatment. Nutrients. 2020;12(8):1–9.

De Sanctis V, Soliman A, Alaaraj N, Ahmed S, Alyafei F, Hamed N. Early and Long-term Consequences of Nutritional Stunting: From Childhood to Adulthood. Acta Biomed. 2021;92(1):1–11.

UNICEF/WHO/Wrold bank Group. Levels and trends in child malnutrition. 2023 Editi. Reuter N, editor. Joint Child Malnutrition Estimates. WHO Library Cataloguing-in-Publication Data; 2023. 1–32 p.

Beyene SD. The impact of food insecurity on health outcomes: empirical evidence from sub-Saharan African countries. BMC Public Health. 2023;23(1):1–22.

Morales F, Montserrat-de la Paz S, Leon MJ, Rivero-Pino F. Effects of Malnutrition on the Immune System and Infection and the Role of Nutritional Strategies Regarding Improvements in Children’s Health Status: A Literature Review. Nutrients. 2023;16(1):1–16.

Nounkeu CD, Dharod JM. Integrated Approach in Addressing Undernutrition in Developing Countries: A Scoping Review of Integrated Water Access, Sanitation, and Hygiene (WASH) + Nutrition Interventions. Curr Dev Nutr. 2021; 5(7):1–12.

Thurstans S, Sessions N, Dolan C, Sadler K, Cichon B, Isanaka S, et al. The relationship between wasting and stunting in young children: A systematic review. Matern Child Nutr. 2022;18(1):1–25.

Galler JR, Bringas-Vega ML, Tang Q, Rabinowitz AG, Musa KI, Chai WJ, et al. Neurodevelopmental effects of childhood malnutrition: A neuroimaging perspective. Neuroimage. 2021;231(5):1–9.

de Onis M, Borghi E, Arimond M, Webb P, Croft T, Saha K, et al. Prevalence thresholds for wasting, overweight and stunting in children under 5 years. Public Health Nutr. 2019;22(1):175–9.

Maniragaba VN, Atuhaire LK, Rutayisire PC. Undernutrition among the children below five years of age in Uganda: a spatial analysis approach. BMC Public Health. 2023; 23(1):1–17.

Chekol YT, Arefaynie M, Kassa AA, Alene TD, Ngusie HS. Determinants of wasting among children aged 6–59 months in North-East Ethiopia: a community-based case-control study. BMJ Open. 2022;12(8):1–9.

Bhutta ZA, Akseer N, Keats EC, Vaivada T, Baker S, Horton SE, et al. How countries can reduce child stunting at scale: lessons from exemplar countries. Am J Clin Nutr. 2020;112(Supplement):894S-904S.

Akbar H, Oruh S, Kamaruddin SA, Agustang A. Exploring the food taboo among fisherman families in Bulukumba District, South Sulawesi Province, Indonesia. Public Health of Indonesia. 2022;8(3):75–81.

Nangi MG, Oruh S, Agustang A, Lestari SA, Yanti F. A Systematic Literature Review: Dietary and Cultural Shifts and Child Nutrition Status in Fishing Families. Formosa Journal of Science and Technology. 2024;3(1):131–44.

del-Cuerpo I, Jerez-Mayorga D, Chirosa-Ríos LJ, Morenas-Aguilar MD, Mariscal-Arcas M, López-Moro A, et al. Males Have a Higher Energy Expenditure than Females during Squat Training. Nutrients. 2023; 15(15):1–13.

Ratsavong K, van Elsacker T, Doungvichit D, Siengsounthone L, Kounnavong S, Essink D. Are dietary intake and nutritional status influenced by gender? The pattern of dietary intake in Lao PDR: a developing country. Nutr J. 2020; 19(1):31–16.

Laksono AD, Wulandari RD, Amaliah N, Wisnuwardani RW. Stunting among children under two years in Indonesia: Does maternal education matter? PLoS One. 2022; 17(7):1–11.

Hengist A, Davies RG, Rogers PJ, Brunstrom JM, van Loon LJC, Walhin JP, et al. Restricting sugar or carbohydrate intake does not impact physical activity level or energy intake over 24 h despite changes in substrate use: a randomised crossover study in healthy men and women. Eur J Nutr. 2022;62(11):921–40.

Wang D, Xiao H, Lyu X, Chen H, Wei F. Lipid oxidation in food science and nutritional health: A comprehensive review. Oil Crop Science. 2023;8(1):35–44.

Fonseca DC, Sala P, de Azevedo Muner Ferreira B, Reis J, Torrinhas RS, Bendavid I, et al. Body weight control and energy expenditure. Clin Nutr Exp. 2018;20(8):55–9.

Toma TM, Andargie KT, Alula RA, Kebede BM, Gujo MM. Factors associated with wasting and stunting among children aged 06–59 months in South Ari District, Southern Ethiopia: a community-based cross-sectional study. BMC Nutr. 2023; 9(1):1–16.

Cunha-Rodrigues M, Rosário R, Duarte A, Silva MJ, Augusto C, Rodrigues M, et al. Neurodevelopment and Dietary Intake in Toddlers—A Cross-Sectional Study from the Healthy Children 2021 Project. Nutrients. 2023;15(24):1–15.

Mahfouz EM, Sameh Mohammed E, Alkilany SF, Abdel Rahman TA. The relationship between dietary intake and stunting among pre-school children in Upper Egypt. Public Health Nutr. 2022;25(8):2179–87.

Costa-Pinto R, Gantner D. Macronutrients, minerals, vitamins and energy. Anaesthesia & Intensive Care Medicine. 2020;21(3):157–61.

Clemente-Suárez VJ, Mielgo-Ayuso J, Martín-Rodríguez A, Ramos-Campo DJ, Redondo-Flórez L, Tornero-Aguilera JF. The Burden of Carbohydrates in Health and Disease. Nutrients. 2022;14(18):1–28.

Elisanti AD, Jayanti RD, Amareta DI, Ardianto ET, Wikurendra EA. Macronutrient intake in stunted and non-stunted toddlers in Jember, Indonesia. J Public Health Res. 2023;12(3):1–6.

Saavedra JM, Prentice AM. Nutrition in school-age children: a rationale for revisiting priorities. Nutr Rev. 2023;81(7):823–43.

Kittisakmontri K, Lanigan J, Wells JCK, Manowong S, Kaewarree S, Fewtrell M. Quantity and Source of Protein during Complementary Feeding and Infant Growth: Evidence from a Population Facing Double Burden of Malnutrition. Nutrients. 2022;14(19):1–18.

Mantha OL, Polakof S, Huneau JF, Mariotti F, Poupin N, Zalko D, et al. Early changes in tissue amino acid metabolism and nutrient routing in rats fed a high-fat diet: evidence from natural isotope abundances of nitrogen and carbon in tissue proteins. British Journal of Nutrition. 2018;119(9):981–91.

Antonio J, Candow DG, Forbes SC, Ormsbee MJ, Saracino PG, Roberts J. Effects of Dietary Protein on Body Composition in Exercising Individuals. Nutrients. 2020;12(6):1–11.

Appiah CA, Mensah FO, Hayford FEA, Awuuh VA, Kpewou DE. Predictors of undernutrition and anemia among children aged 6–24 months in a low-resourced setting of Ghana: a baseline survey. J Health Res. 2020;35(1):27–37.

Amirrah IN, Lokanathan Y, Zulkiflee I, Wee MFMR, Motta A, Fauzi MB. A Comprehensive Review on Collagen Type I Development of Biomaterials for Tissue Engineering: From Biosynthesis to Bioscaffold. Biomedicines. 2022;10(9):1–44.

Egalini F, Guardamagna O, Gaggero G, Varaldo E, Giannone B, Beccuti G, et al. The Effects of Omega 3 and Omega 6 Fatty Acids on Glucose Metabolism: An Updated Review. Nutrients. 2023;15(12):1–14.

Most J, Redman LM. Impact of calorie restriction on energy metabolism in humans. Exp Gerontol. 2020;133(1):1–6.

Umallawala T, Puwar T, Pandya A, Bhavsar P, Saha S, Patil MS. Sociocultural Determinants of Nutritional Status Among Children Under Five Years of Age: An Ethnographic Study From Gujarat. Cureus. 2022;14(7):1–10.