Are stunted young Indonesian children more likely to be overweight, thin, or have high blood pressure in adolescence?

Cut Novianti Rachmi; Kingsley Emwinyore Agho; Mu Li; Louise Alison Baur

doi:10.1007/s00038-016-0905-x

Are stunted young Indonesian children more likely to be overweight, thin, or have high blood pressure in adolescence?

Int J Public Health. 2017 Jan;62(1):153-162. doi: 10.1007/s00038-016-0905-x. Epub 2016 Oct 4.

Authors

Cut Novianti Rachmi¹, Kingsley Emwinyore Agho², Mu Li³, Louise Alison Baur^{4

3}

Affiliations

¹ Discipline of Child and Adolescent Health, The Children's Hospital at Westmead (University of Sydney Clinical School), Sydney, Australia. Crac8243@uni.sydney.edu.au.
² School of Science and Health, Western Sydney University, Sydney, Australia.
³ Sydney School of Public Health, The University of Sydney, Sydney, Australia.
⁴ Discipline of Child and Adolescent Health, The Children's Hospital at Westmead (University of Sydney Clinical School), Sydney, Australia.

PMID: 27704160
DOI: 10.1007/s00038-016-0905-x

Abstract

Objectives: To determine whether stunted young children are at greater risk of (1) overweight/obesity or thinness, and (2) high blood pressure (HBP) in adolescence.

Methods: A secondary data analysis using the Indonesian Family Life Survey waves 1 (1993) to 4 (2007). We generated a 14-year follow-up cohort (1993-2007) and two 7-year cohorts (1993-2000 and 2000-2007) of children aged 2.0-4.9 years. Stunting (HAZ < -2), thinness (BMIZ < -2), and overweight/obesity (BMIZ > +1) were determined based upon the WHO Child Growth Standards. HBP (>90th percentile) was interpreted using the 4th Report on the Diagnosis of HBP in Children and Adolescents.

Results: 765, 1083, and 1589 children were included in the 14-year cohort, and the two 7-year cohort analyses, respectively. In the 7-year cohorts, early life stunting was inversely associated with overweight/obesity (prevalence ratio 0.32 and 0.38, respectively; P < 0.05), but no significant association was found with the 14-year cohort. There was no significant association between childhood stunting and thinness at adolescence or in the odds/likelihood of having high systolic or diastolic blood pressure.

Conclusions: We found no association between early life stunting and overweight/obesity, thinness and HBP in adolescence.

Keywords: Children; Cohorts; Double burden; Indonesia; Overweight/obesity; Stunting.

MeSH terms

Adolescent
Body Height
Body Mass Index
Body Weight
Child, Preschool
Cohort Studies
Family Characteristics
Growth Disorders / epidemiology*
Humans
Hypertension*
Indonesia / epidemiology
Longitudinal Studies
Nutritional Status
Obesity / epidemiology*
Population Surveillance
Prevalence
Thinness*
Young Adult