Determinants of Underweight Among Children Aged 6-23 Months in Central Sulawesi Province (SSGI Analysis 2022)
DOI:
https://doi.org/10.22437/jkmj.v9i1.41831Keywords:
Central Sulawesi, Determinant Factors, UnderweightAbstract
Underweight in children, defined as failure to achieve a normal weight for age, poses a significant risk of stunting if not properly addressed. This study investigates the determinants of underweight among children aged 6–23 months in Central Sulawesi Province through quantitative analysis of secondary data from the 2022 SSGI. The research employed a cross-sectional design with a sample size of 1,991 children, analyzing the data through chi-square tests and logistic regression. Multivariate analysis identified several significant factors: low birth weight (low birth weight (LBW)) (p=0.000; OR 2.304; 95% CI 1.620–3.277), exclusive breastfeeding (p=0.023; OR 1.507; 95% CI 1.057–2.149), frequency of complementary feeding (CF) (p=0.043; OR 0.775; 95% CI 0.606–0.992), age at introduction of CF (p=0.043; OR 0.708; 95% CI 0.507–0.989), acute respiratory infections (ARI) (p=0.005; OR 1.429; 95% CI 1.117–1.828), and diarrhea (p=0.045; OR 1.368; 95% CI 1,007–1,859). The study concludes that low birth weight (low birth weight (LBW)) is the primary risk factor for underweight in this population. Recommendations include further research into the quantity and diversity of complementary foods, the frequency of CF, and maternal health factors during pregnancy.
Downloads
References
1. Rahayu, A., Rahman, F., Marlinae, L., Husaini, SN, M., Yulidasari, F., Rosadi, D. and Laily N. Nutrition Textbook for the First 1000 Days of Life [Internet]. Yogyakarta: CV Mine; 2018. Available from: https://kesmas.ulm.ac.id/id/wp-content/uploads/2019/02/BUKU-AJAR-1000-HARI-PERTAMA-KEHIDUPAN.pdf.
2. Ministry of Health of the Republic of Indonesia. Regulation of the Minister of Health Number 2 of 2020 concerning Children's Anthropometric Standards. Jakarta: Ministry of Health of the Republic of Indonesia; 2020.
3. World Health Organization. Malnutrition in Children [Internet]. Available from: https://www.who.int/data/nutrition/nlis/info/malnutrition-in-children
4. Ministry of Health of the Republic of Indonesia. Pocket Book of Results of the Indonesian Nutritional Status Survey (SSGI) 2022. Jakarta: Health Development Policy Agency; 2022.
5. TNP2PK. 100 Priority Districts/Cities for Stunting Intervention. Jakarta: TNP2PK SETWAPRES RI; 2017.
6. Schwarzenberg SJ, Georgieff MK. Advocacy for improving nutrition in the first 1000 days to support childhood development and adult health. Pediatrics. 2018;141(2).
7. Wijayanti, T., Setyaningsih, A. and Wahyuningsih W. Maternal Nutrition Status and Its Relation with Low Birth Weight: A Meta Analysis Study. J Epidemiol Public Heal. 2021;6(4):438–49.
8. Li, H., Yuan, S., Fang, H., Huang, G., Huang, Q., Wang, H. and Wang A. Prevalence and associated factors for stunting, underweight and wasting among children under 6 years of age in rural Hunan Province, China: a community-based cross-sectional study. BMC Public Health. 2022;22(1):1–12.
9. Nabila, S., Aprianti, A. and Yanti R. The Relationship between Nutrition Knowledge and Family Income with the Incidence of Underweight Toddlers Aged 12-36 Months. J Food and Nutrition Research. 2021;1–10.
10. World Health Organization. Breastfeeding [Internet]. 2023. Available from: https://www.who.int/health-topics/breastfeeding
11. Agustina, SA and Rahmadhena M. Analysis of Determinants of Toddler Nutritional Problems. J Health. 2020;11(1):008–14.
12. Iqbal M, Suharmanto S. Relationship of Exclusive Breastfeeding with Nutritional Status of Toddlers. Jk Unila. 2020;4(2):97–101.
13. Lestiarini S, Sulistyorini Y. Mother's Behavior in Providing Complementary Foods for Breast Milk (MPASI) in Pegirian Village. J PROMKES. 2020;8(1):1.
14. Mirania AN, Louis SL. The Relationship between Providing Complementary Foods (MP-ASI) and Nutritional Status in Children Aged 6-24 Months. Journal of Science, Citra Delima Health College, Bangka Belitung. 2021;5(1):45–52.
15. Walters, CN, Rakotomanana, H., Komakech, JJ and Stoecker B. Maternal determinants of optimal breastfeeding and complementary feeding and their association with child undernutrition in Malawi (2015–2016). BMC Public Health. 2019;19:1–12.
16. Kamila LN, Hidayanti L, Atmadja T. Food diversity with malnutrition in children aged 6-23 months. Nutr Sci J [Internet]. 2022;I(1):1–7. Available from: https://jurnal.unsil.ac.id/index.php/nsj/article/view/5704%0Ahttps://jurnal.unsil.ac.id/index.php/nsj/article/download/5704/2337
17. Utami NH, Mubasyiroh R. Food Diversity and Its Relationship with Toddler Nutritional Status: Analysis of the Individual Food Consumption Survey (Skmi). Gizi Indones. 2020;43(1):37.
18. Perdana, HM, Darmawansyih, D. and Faradilla A. Overview of Risk Factors for Malnutrition in Toddlers in Tamalanrea District, Makassar City in 2019. UMI Med J. 2020;5(1):50–6.
19. Cono E. Relationship between History of Infectious Diseases and Nutritional Status in Toddlers Aged 12-59 Months at Oepoi Health Center, Kupang City. CHMK Heal J. 2021;5(1):236–41.
20. Central Sulawesi Health Office. Central Sulawesi Provincial Health Profile 2022. Palu: Central Sulawesi Provincial Health Office; 2022.
21. Acquah, E., Darteh, EKM, Amu, H. and Adjei DK. Predictors of Underweight in Children Under-Five Years in Ghana. Ghana Med J. 2019;53(1):71.
22. Jabeen, C., Mushtaq, MH and Umbreen G. Risk factors of severe pneumonia among children: A hospital based case control study in Lahore, Pakistan. Prof Med J. 2021;28(10):1470–6.
23. Mulambya, NL, Nanzaluka, FH, Sinyangwe, NN and Makasa M. Trends and factors associated with acute respiratory infections among under five children in Zambia: evidence from Zambia´s demographic and health surveys (1996-2014). Pan Afr Med J. 2020;36(1).
24. Firmansyah M, Noris M, Asri AM Darmin, Tutu CG, Darmin. Determinants of Birth Weight on the Prevalence of Underweight in Toddlers Aged 12-59 Months in Karampi Village, Langgudu District, Bima Regency. 2024;5(2):2720–6.
25. Misi Nurfitria A, Sri Raharjo S, Prasetya H. Correlation between Low Birthweight and Underweight in Children Under Five: A Meta-Analysis. J Matern Child Heal. 2022;7(6):642–52.
26. C AK, Basel PL, Singh S. Low birth weight and its associated risk factors: Health facility-based case-control study. PLoS One [Internet]. 2020;15(6):1–10. Available from: http://dx.doi.org/10.1371/journal.pone.0234907
27. Aboagye RG, Ahinkorah BO, Seidu AA, Frimpong JB, Archer AG, Adu C, et al. Birth weight and nutritional status of children under five in sub-Saharan Africa. PLoS One [Internet]. 2022;17(6 June):1–19. Available from: http://dx.doi.org/10.1371/journal.pone.0269279
28. Novianti I, Mardianti D, Muchtar AS. Breastfeeding and LOW BIRTH WEIGHT (LBW) are related to the incidence of stunting in toddlers aged 12-36 months. J Obstetrics Malahayati. 2020;6(3):329–34.
29. Umboh ASJ, Kapantow NH, Musa EC. The Relationship between Exclusive Breastfeeding and Nutritional Status of Toddlers Aged 36-59 Months at Girian Weru Health Center, Bitung. JPAI J Peremp and Anak Indones. 2023;4(2):89–99.
30. Wahyuni RK, Syuryadi N, Ernalia Y. The Relationship between Exclusive Breastfeeding and Infant Nutritional Status in Tanjung Mulya Village, Mukomuko. In: National Seminar on Food Security. 2023. p. 85–92.
31. Mirania, AN and Louis S. The Relationship between Providing Complementary Breast Milk (MP-ASI) and Nutritional Status in Children Aged 6-24 Months. Citra Delima Sci J Citra Int Inst. 2021;5(1):45–52.
32. Dewi SP, Fayasari A. Complementary Foods, Food Security, and Nutritional Status of Toddlers in Bekasi. Nutr J Nutrition, Food and Appl. 2020;4(2):105–16.
33. Ministry of Health of the Republic of Indonesia. Regulation of the Minister of Health Number 14 of 2014 Concerning Balanced Nutrition Guidelines. Ministry of Health of the Republic of Indonesia, 41 2014.
34. Mulyani R, Sutrio, Sumardilah DS. The practice of providing complementary feeding to toddlers aged 6-24 months of wasting and stunting in the work area of Kemalo Abung Health Center, North Lampung Regency. J Ilm Obs. 2023;15(4).
35. Hardiningsih, Anggarini S, Yunita FA, Yuneta AEN, Kartikasari MND, Rospitasari. Relationship between Complementary Food Provision Patterns and Body Weight of Infants Aged 6-12 Months in Wonorejo Village, Karanganyar Regency. Placentum J Health Science and Appl. 2020;8(1):48–66.
36. Sumiaty, M WN. Initial Age of Giving complementary feeding with Weight for Age (W/U) in Children aged 12-24 Months. Int Conf Halal Food Heal Nutr. 2022;32–5.
37. Kopa MTAI, Togubu DM, Syahruddin AN. The Relationship between MPASI Provision Patterns and the Nutritional Status of Children Aged 6-24 Months in Pangkep Regency. Al Gizzai Public Heal Nutr J. 2021;1(2):103–10.
38. Nor TFNTK, Wee BS, Aung MMT, Mohamad M, Ahmad A, Taha CSC, et al. Factors Associated With Malnutrition in Children Under 2 Years Old in Terengganu, Malaysia.pdf. SAGE Journals. 2024;14(2).
39. Dentasari RD, Hidayat EM, Indriatie, Setyorini D. Nutritional Status with the Incidence of Acute Respiratory Infection in Toddlers at Kalirungkut Public Health Center Surabaya. 1 st Int Conf Nurs Public Heal 1 st Int Conf Nurs Public Heal Sci. 2021;52–6.
40. Moshi cypriana C, Sebastian PJ, Mushumbusi DG, Azizi KA, Meghji WP, Kitunda ME, et al. Determinants of Underweight among Children Aged 0-23 Months in Tanzania. Food Sci Nutr. 2022;10(4):1167–74.
41. Indriati R, Aminingsih S. Relationship between History of ARI and Diarrhea with Nutritional Status in Children Aged 1-5 Years. KOSALA J Health Sciences. 2020;8(1):25–33.
42. Sambo J, Cassocera M, Chissaque A, Bauhofer AFL, Roucher C, Chilaule J, et al. Characterizing Undernourished Children Under-Five Years Old with Diarrhea in Mozambique: A Hospital Based Cross-Sectional Study, 2015-2019. Nutrients. 2022;14(6).
43. Kirolos A, Blacow RM, Parajuli A, Welton NJ, Khanna A, Allen SJ, et al. The impact of childhood malnutrition on mortality from pneumonia: A systematic review and network meta-analysis. BMJ Glob Heal. 2021;6(11):1–8.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Firlia Ayu Arini, Nabilla Zalfa Azahra, Dian Luthfiana Sufyan (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
Proposed Creative Commons Copyright Notices
1. Proposed Policy for Journals That Offer Open Access
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
Proposed Policy for Journals That Offer Delayed Open Access
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication, with the work [SPECIFY PERIOD OF TIME] after publication simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).


p-ISSN :
e-ISSN : 

