MATERNAL RISK FACTORS ASSOCIATED WITH STUNTING AMONG UNDER-FIVE CHILDREN IN SOUTHEAST ASIA: A LITERATURE REVIEW

Anita Dewi Anggraini; Diyas Windarena; Dwi Ardani Rochmaniah

doi:10.30591/siklus.v15i1.8732

MATERNAL RISK FACTORS ASSOCIATED WITH STUNTING AMONG UNDER-FIVE CHILDREN IN SOUTHEAST ASIA: A LITERATURE REVIEW

Anita Dewi Anggraini, Diyas Windarena, Dwi Ardani Rochmaniah

Abstract

Stunting remains a major global health challenge, with a worldwide prevalence of 21.9% among children under five. The Southeast Asian region contributes more than one-quarter of all stunting cases globally. This condition affects not only the growth and development of children but also increases morbidity and mortality rates, which in turn influence national productivity and economic outcomes in the future. Maternal risk factors play a critical role, contributing more than 50% to a child’s growth. This study aims to identify maternal risk factors associated with stunting in Southeast Asia. Data were retrieved from PubMed, Springer, and ProQuest using the keywords “children,” “stunting,” “maternal risk factors,” and “Southeast Asia.” Of the 768 articles identified, only 10 met the inclusion criteria. Most studies were conducted in Indonesia, followed by the Philippines, Myanmar, Cambodia, and Vietnam. Maternal factors associated with stunting include infections during pregnancy, nutritional status, maternal height, educational level, hygiene practices, supplement intake during pregnancy, maternal age, employment status, MUAC, dietary diversity during pregnancy, and maternal stress.

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References

Vaivada T, Akseer N, Akseer S, Somaskandan A, Stefopulos M, Bhutta Za. Stunting In Childhood: An Overview Of Global Burden, Trends, Determinants, And Drivers Of Decline. American Journal Of Clinical Nutrition 2020;112:777s-791s. Https://Doi.Org/10.1093/Ajcn/Nqaa159.

Unicef. Joint Child Malnutrition Estimates (Jme) 2021. Https://Data.Unicef.Org/Resources/Jme-Report-2023/ (Accessed May 3, 2025).

Unicef. Joint Child Malnutrition Estimates (Jme) . Unicef 2023. Https://Data.Unicef.Org/Resources/Jme-Report-2023/ (Accessed May 3, 2025).

Vaivada T, Akseer N, Akseer S, Somaskandan A, Stefopulos M, Bhutta Za. Stunting In Childhood: An Overview Of Global Burden, Trends, Determinants, And Drivers Of Decline. Am J Clin Nutr 2020;112:777s. Https://Doi.Org/10.1093/Ajcn/Nqaa159.

Suryana Ea, Azis M. The Potential Of Economic Loss Due To Stunting In Indonesia. Jurnal Ekonomi Kesehatan Indonesia 2023;8:6. Https://Doi.Org/10.7454/Eki.V8i1.6796.

Ulep Vgt, Uy J, Casas Ld. What Explains The Large Disparity In Child Stunting In The Philippines? A Decomposition Analysis. Public Health Nutr 2021;25:2995. Https://Doi.Org/10.1017/S136898002100416x.

Stephen G, Mgongo M, Hussein Hashim T, Katanga J, Stray-Pedersen B, Msuya Se. Anaemia In Pregnancy: Prevalence, Risk Factors, And Adverse Perinatal Outcomes In Northern Tanzania. Anemia 2018;2018. Https://Doi.Org/10.1155/2018/1846280,.

Young Mf, Nguyen Ph, Casanova Ig, Addo Oy, Tran Lm, Nguyen S, Et Al. Role Of Maternal Preconception Nutrition On Offspring Growth And Risk Of Stunting Across The First 1000 Days In Vietnam: A Prospective Cohort Study. Plos One 2018;13. Https://Doi.Org/10.1371/Journal.Pone.0203201,.

Sartika An, Khoirunnisa M, Meiyetriani E, Ermayani E, Pramesthi Il, Nur Ananda Aj. Prenatal And Postnatal Determinants Of Stunting At Age 0–11 Months: A Cross-Sectional Study In Indonesia. Plos One 2021;16:E0254662. Https://Doi.Org/10.1371/Journal.Pone.0254662.

Maulina R, Qomaruddin Mb, Prasetyo B, Indawati R. Maternal Complications During Pregnancy And Risk Factors For Stunting. Iran J Nurs Midwifery Res 2024;29:309. Https://Doi.Org/10.4103/Ijnmr.Ijnmr_358_22.

Adams Waldorf Km, Mcadams Rm. Influence Of Infection During Pregnancy On Fetal Development. Reproduction 2013;146. Https://Doi.Org/10.1530/Rep-13-0232,.

Kondracki Aj, Li W, Bursac Z, Mokhtari M, Reddick B, Barkin Jl. Interaction Effects Of Maternal Sexually Transmitted Infections With Prenatal Care Utilization Status On Preterm Birth And Low Birthweight: U.S. National Data. J Clin Med 2022;11. Https://Doi.Org/10.3390/Jcm11175184,.

Villar J, Ariff S, Gunier Rb, Thiruvengadam R, Rauch S, Kholin A, Et Al. Maternal And Neonatal Morbidity And Mortality Among Pregnant Women With And Without Covid-19 Infection: The Intercovid Multinational Cohort Study. Jama Pediatr 2021;175:817–26. Https://Doi.Org/10.1001/Jamapediatrics.2021.1050,.

Howell Ea. Reducing Disparities In Severe Maternal Morbidity And Mortality. Clin Obstet Gynecol 2018;61:387–99. Https://Doi.Org/10.1097/Grf.0000000000000349,.

Sahiddin M, Ishak H, Arsin Aa, Pramestiyani M. Impact Of Early-Life Malaria Exposure On Childhood Stunting: A Case-Control Study In High Endemic Malaria Area, Papua, Indonesia. Narra J 2024;4:E1451. Https://Doi.Org/10.52225/Narra.V4i3.1451.

Steketee Rw. Pregnancy, Nutrition And Parasitic Diseases. J Nutr 2003;133:1661s-1667s. Https://Doi.Org/10.1093/Jn/133.5.1661s.

Beal T, Le Dt, Trinh Th, Burra Dd, Huynh T, Duong Tt, Et Al. Child Stunting Is Associated With Child, Maternal, And Environmental Factors In Vietnam. Matern Child Nutr 2019;15:E12826. Https://Doi.Org/10.1111/Mcn.12826.

Novianti S, Huriyati E, Padmawati Rs. Safe Drinking Water, Sanitation And Mother’s Hygiene Practice As Stunting Risk Factors: A Case Control Study In A Rural Area Of Ciawi Sub-District, Tasikmalaya District, West Java, Indonesia. Ethiop J Health Sci 2023;33:935. Https://Doi.Org/10.4314/Ejhs.V33i6.3.

Kpewou De, Poirot E, Berger J, Som Sv, Laillou A, Belayneh Sn, Et Al. Maternal Mid‐Upper Arm Circumference During Pregnancy And Linear Growth Among Cambodian Infants During The First Months Of Life. Matern Child Nutr 2020;16:E12951. Https://Doi.Org/10.1111/Mcn.12951.

Susiloretni Ka, Smith Er, Suparmi, Marsum, Agustina R, Shankar Ah. The Psychological Distress Of Parents Is Associated With Reduced Linear Growth Of Children: Evidence From A Nationwide Population Survey. Plos One 2021;16:E0246725. Https://Doi.Org/10.1371/Journal.Pone.0246725.

Santosa A, Arif En, Ghoni Da. Effect Of Maternal And Child Factors On Stunting: Partial Least Squares Structural Equation Modeling. Clin Exp Pediatr 2021;65:90. Https://Doi.Org/10.3345/Cep.2021.00094.

Blankenship Jl, Cashin J, Nguyen Tt, Ip H. Childhood Stunting And Wasting In Myanmar: Key Drivers And Implications For Policies And Programmes. Matern Child Nutr 2020;16:E12710. Https://Doi.Org/10.1111/Mcn.12710.

Kusumajaya Aan, Mubasyiroh R, Sudikno S, Nainggolan O, Nursanyoto H, Sutiari Nk, Et Al. Sociodemographic And Healthcare Factors Associated With Stunting In Children Aged 6–59 Months In The Urban Area Of Bali Province, Indonesia 2018. Nutrients 2023;15. Https://Doi.Org/10.3390/Nu15020389,.

Kang H, Kreuels B, Adjei O, Krumkamp R, May J, Small Ds. The Causal Effect Of Malaria On Stunting: A Mendelian Randomization And Matching Approach. Int J Epidemiol 2013;42:1390–8. Https://Doi.Org/10.1093/Ije/Dyt116,.

Wilson Al, Bradley J, Kandeh B, Salami K, D’alessandro U, Pinder M, Et Al. Is Chronic Malnutrition Associated With An Increase In Malaria Incidence? A Cohort Study In Children Aged Under 5 Years In Rural Gambia. Parasit Vectors 2018;11. Https://Doi.Org/10.1186/S13071-018-3026-Y,.

Black Re, Victora Cg, Walker Sp, Bhutta Za, Christian P, De Onis M, Et Al. Maternal And Child Undernutrition And Overweight In Low-Income And Middle-Income Countries. The Lancet 2013;382:427–51. Https://Doi.Org/10.1016/S0140-6736(13)60937-X.

Lise Brantsæter A, Olafsdottir Annas, Forsum E, Olsen Sjurdurf, Thorsdottir I. Does Milk And Dairy Consumption During Pregnancy Influence Fetal Growth And Infant Birthweight? A Systematic Literature Review. Food Nutr Res 2012;56:20050. Https://Doi.Org/10.3402/Fnr.V56i0.20050.

Bari A, Sultana N, Mehreen S, Sadaqat N, Imran I, Javed R. Patterns Of Maternal Nutritional Status Based On Mid Upper Arm Circumference. Pak J Med Sci 2020;36. Https://Doi.Org/10.12669/Pjms.36.3.1331,.

Fung Tc, Olson Ca, Hsiao Ey. Interactions Between The Microbiota, Immune And Nervous Systems In Health And Disease. Nat Neurosci 2017;20:145–55. Https://Doi.Org/10.1038/Nn.4476,.

Field T, Diego M, Hernandez-Reif M. Prenatal Depression Effects On The Fetus And Newborn: A Review. Infant Behav Dev 2006;29:445–55. Https://Doi.Org/10.1016/J.Infbeh.2006.03.003.

Surkan Pj, Ettinger Ak, Hock Rs, Ahmed S, Strobino Dm, Minkovitz Cs. Early Maternal Depressive Symptoms And Child Growth Trajectories: A Longitudinal Analysis Of A Nationally Representative Us Birth Cohort. Bmc Pediatr 2014;14. Https://Doi.Org/10.1186/1471-2431-14-185,.

Woldesenbet B, Tolcha A, Tsegaye B. Water, Hygiene And Sanitation Practices Are Associated With Stunting Among Children Of Age 24-59 Months In Lemo District, South Ethiopia, In 2021: Community Based Cross Sectional Study. Bmc Nutr 2023;9. Https://Doi.Org/10.1186/S40795-023-00677-1,.

Aryastami Nk, Shankar N, Kusumawardani B, Besral Ab, Jahari Ae, Achadi E. Low Birth Weight Was The Most Dominant Predictor Associated With Stunting Among Children Aged 12 2017.

Baschieri A, Machiyama K, Floyd S, Dube A, Molesworth A, Chihana M, Et Al. Unintended Childbearing And Child Growth In Northern Malawi. Matern Child Health J 2017;21:467–74. Https://Doi.Org/10.1007/S10995-016-2124-8.

DOI: https://doi.org/10.30591/siklus.v15i1.8732