The Effect of Childhood Nutritional Status Changes with Pre-Diabetes And Diabetes Risk among Adolescents: A Retrospective Cohort Study
DOI:
https://doi.org/10.59188/eduvest.v4i5.1204Keywords:
Stunting, Wasting, Pre-Diabetes, Diabetes, AdolescentsAbstract
The first 1000 days of life and before the age of five years is a critical period of nutritional opportunity and vulnerabilitya. Only few have studies that trace individuals from childhood to adolescence examined the influence of childhood undernutrition on diabetes risk. This research was a retrospective cohort study using secondary data from IFLS (Indonesian Family Life Survey) involving 373 adolescents at IFLS-5 (2014) that folllowed at IFLS-3 (2000) and at IFLS-2 (1997). The effect of childhood undernutrition on the risk of pre-diabetes and diabetes in adolescents was analyzed using multinomial logistic regression. The results of this study showed that the prevalence of pre-diabetes was 12.6% and diabetes was 15.0%. The risk factor for pre-diabetes is frequent consumption of fast food (aOR=4.38). Meanwhile, recovering from stunting was a protective factor in adolescents (aOR=0.05). Risk factors for diabetes were stunting (aOR=2.71), deteriorated nutritional status during childhood (aOR=3.85), experienced wasting during childhood (aOR=3.55), and frequent fast food consumption (aOR=3.11). Meanwhile, vegetable consumption was a protective factor of diabetes (aOR=0.37). In conclusion, this study showed that childhood undernutrition on the risk of diabetes. Improvement point is through nutrition programs in childhood and adolescence.
References
Akseer N, Mehta S, Wigle J, Chera R, Brickman ZJ, Sorichetti B, Vandermorris A. 2020. Non-communicable diseases among adolescents : current status , determinants , interventions and policies. BMJ Open. 20:1–20. doi:https://doi.org/10.1186/s12889-020-09988-5.
Asghari G, Yuzbashian E, Mirmiran P, Mahmoodi B. 2015. Fast Food Intake Increases the Incidence of Metabolic Syndrome in Children and Adolescents : Tehran Lipid and Glucose Study. PLoS One. 10(10):1–11. doi:10.1371/journal.pone.0139641.
Awuchi CG, Echeta CK, Igwe VS. 2020. Diabetes and the Nutrition and Diets for Its Prevention and Treatment : A Systematic Review and Dietetic Perspective Diabetes and the Nutrition and Diets for Its Prevention and Treatment : A Systematic Review and Dietetic Perspective. Am Assoc forScience Technol. 6(1).
Bartz S, Mody A, Hornik C, Bain J, Muehlbauer M, Kiyimba T, Kiboneka E, Stevens R, Bartlett J, Peter JVS, et al. 2014. Severe Acute Malnutrition in Childhood : Hormonal and Metabolic Status at Presentation , Response to Treatment , and Predictors of Mortality. J Clin Endocrinol Metab. 99(6):2128–2137. doi:10.1210/jc.2013-4018.
Dabhi KN, Gohil N V, Tanveer N, Hussein S, Pingili S, Makkena K, Jaramillo AP, Awosusi BL, Ayyub J, Nath TS. 2023. Assessing the Link Between Statins and Insulin Intolerance : A Systematic Review. Cureus. 15(7). doi:10.7759/cureus.42029.
Daniel RA, Id PH, Prasad M, Kant S. 2020. Prevalence of hypertension among adolescents ( 10-19 years ) in India : A systematic review and meta-analysis of cross- sectional studies. PLoS One. 15(10):1–21. doi:10.1371/journal.pone.0239929.
DeBoe MD, Lima AAM, Orí RB, Scharf RJ, Moore SR, Luna MA, Guerrant RL. 2014. Early childhood growth failure and the developmental origins of adult disease. Nutr Re. 70(11):1–7. doi:10.1111/j.1753-4887.2012.00543.x.Early.
Hawkes CP, Grimberg A, Health C. 2017. Insulin-Like Growth Factor-I is a Marker for the Nutritional State. Pediatr Endocrinol Rev. 13(2):499–511.
Health Research and Development Agency W. 2007. Global School - Based Student Health Survey ( Gshs ) Indonesia Table of Contents. Jakarta.
Health Research and Development Agency W. 2015. Global School-based Student Health Survey Results: 2015. Jakarta.
Hill-Briggs F, Adler NE, Berkowitz SA, Chin MH, Gary-Webb TL, Navas-Acien A, Thornton PL, Haire-Joshu D. 2021. Social determinants of health and diabetes: A scientific review. Diabetes Care. 44(1):258–279. doi:10.2337/dci20-0053.
Hovestadt I, Kiess W, Lewien C, Willenberg A, Poulain T, Meigen C, Körner A, Vogel M. 2022. HbA1c percentiles and the association between BMI, age, gender, puberty, and HbA1c levels in healthy German children and adolescents. Pediatr Diabetes. 23(2):194–202. doi:10.1111/pedi.13297.
International Diabetes Federation. 2022. Annual Report 2022. USA: International Diabetes Federation.
Isanaka S, Hitchings MDT, Grais RF. 2019. Linear growth faltering and the role of weight attainment : Prospective analysis of young children recovering from severe wasting in Niger. Matern Child Nutr., siap terbit.
Kemenkes RI. 2014. Studi Diet Total 2014. Jakarta: Kemenkes RI.
Kemenkes RI. 2021. Buku Saku Hasil Studi Gizi Indonesia (SSGI) 2021. Jakarta: Kemenkes RI.
Kementerian PPN/ Bappenas. 2018. Pedoman Pelaksanaan Intervensi Penurunan Stunting Terintegrasi di Kabupaten/Kota. Rencana Aksi Nas dalam Rangka Penurunan Stunting Rembuk Stunting. November:1–51. https://www.bappenas.go.id.
Kemeterian Kesehatan RI. 2013. Laporan Nasional Riskesdas Tahun 2013 dalam Angka. Jakarta: Kemenkes RI.
Martins PA, Sawaya AL. 2006. Evidence for impaired insulin production and higher sensitivity in stunted children living in slums. Br J Nutr. 95:996–1001. doi:10.1079/BJN20061754.
Pulungan AB. 2018. Type 2 diabetes mellitus in children and adolescent : an Indonesian perspective. Ann Pediatr Endocrinol Metab. 23:119–125. doi:https://doi.org/10.6065/apem.2018.23.3.119.
Roth DE, Krishna A, Leung M, Shi J, Bassani DG, Barros AJD, Bill F, Foundation MG. 2015. Articles Early childhood linear growth faltering in low-income and middle-income countries as a whole-population condition : analysis of 179 Demographic and Health Surveys from 64 countries ( 1993 – 2015 ). Lancet Glob Heal. 5(12):e1249–e1257. doi:10.1016/S2214-109X(17)30418-7.
Sarwono SW. 2016. Psikologi Remaja. Edisi revi. Depok: Rajawali Pers.
UNICEF. 2017. The Adolescent Brain: A second window of opportunity. Florence: United Nations Children’s Fund (UNICEF). www.unicef-irc.org.
World Health Organization. 2020. Noncommunicable diseases: progress monitor 2020. Geneva: World Health Organization
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