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

作者：Rachmi Cut Novianti^*; Agho Kingsley Emwinyore; Li Mu; Baur Louise Alison

来源：International Journal of Public Health, 2017, 62(1): 153-162.

DOI：10.1007/s00038-016-0905-x

• Stunting
• Overweight/obesity
• Double burden
• Cohorts
• Indonesia
• Children

To determine whether stunted young children are at greater risk of (1) overweight/obesity or thinness, and (2) high blood pressure (HBP) in adolescence.
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.
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.
We found no association between early life stunting and overweight/obesity, thinness and HBP in adolescence.

• 出版日期2017-1