TY - JOUR
T1 - Are stunted young Indonesian children more likely to be overweight, thin, or have high blood pressure in adolescence?
AU - Rachmi, Cut Novianti
AU - Agho, Kingsley Emwinyore
AU - Li, Mu
AU - Baur, Louise Alison
PY - 2017
Y1 - 2017
N2 - 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.
AB - 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.
KW - Indonesia
KW - children
KW - obesity
KW - overweight children
UR - http://handle.westernsydney.edu.au:8081/1959.7/uws:39629
U2 - 10.1007/s00038-016-0905-x
DO - 10.1007/s00038-016-0905-x
M3 - Article
SN - 1661-8564
SN - 1661-8556
VL - 62
SP - 153
EP - 162
JO - International Journal of Public Health
JF - International Journal of Public Health
IS - 1
ER -