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Amelia Dinah Ariani  -  Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
Aryu Candra Kusumastuti  -  Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
Nuryanto Nuryanto  -  Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
*Rachma Purwanti  -  Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
Received: 18 Jun 2021; Published: 9 Dec 2021.

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Background: Stunting and nutrients intake are the most important environmental factors for optimizing the cognitive function of toddler and closely related to the quality of life in the future. The aim of this study is to analyze the relationship between stunting, nutrients intake, and cognitive function of toddler.

Methods: Cross sectional study design with purposive sampling technique. Total sample was 42 toddlers aged 36-60 months. Data was collected by interview, anthropometric measurements, and SQ-FFQ. Cognitive function was measured by toddlers development questionnaire reffering to Permendiknas No. 137 of 2014 about national standard for toddler. Data was analyzed by Chi Square, Fisher’s Exact, and multiple logistic regression test.

Results: 23.8% of toddlers were stunted and 21.4% were wasted. Adequate intake of toddlers include: magnesium (83.3%), protein (73.8%), and zinc (76.2%). Poor intake of toddlers was iodine (97.6%). The prevalence of poor cognitive function level was 57.1%. There were relationship between stunting (p = 0.044; OR = 10.575) and protein intake (p = 0.016; OR = 15.738) with cognitive function of toddler, which protein intake was the most dominant variable. Wasting, magnesium, and zinc intake were not associated with cognitive function of toddler.

Conclution: Stunting and protein intake were related to cognitive function of toddler. Protein intake was the most dominant variable. There was no relationship between wasting, magnesium, and zinc intake with cognitive function of toddler.

Keywords: Stunting; Protein intake; Toddler; Cognitive function

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  1. Papalia D, Olds S, R F. Human development. 9th ed. New York: Mc. Graw Hill; 2007
  2. Martin L, Fitzmaurice G, Kindlon D, Buka S. Cognitive performance in childhood and early adult illness: A prospective cohort study. J Epidemiol Community Heal. 2004;58:674–9
  3. Batty G, Mortensen E, Osler M. Childhood IQ in relation to later psychiatric disorder: Evidence from a Danish birth cohort study. Br J Psychiatry. 2005;187:180–1
  4. Hart C, Taylor M, Smith G, Whalley L, Starr J. Childhood IQ, social class, deprivation and their relationships with mortality and morbidity risk in later life: Prospective observational study linking the scottish mental survey 1932 and the midspan studies. Psychosom Med. 2003;65:877–83
  5. Maldonado E, Fernandez F, Trianes M, Wesnes K, Petrini O. Cognitive performance and morning levels of salivary cortisol and alpha-amylase in children reporting high vs low daily stress perception. Spanish J Psychol. 2008;11:3–15
  6. Whalley L, Deary I. Longitudinal cohort study of childhood IQ and survival up to age 76. BMJ. 2011;322
  7. Monks F, Knoers A, SR H. Psikologi perkembangan, pengantar dalam berbagai bagiannya. Yogyakarta: Gajah Mada University Press; 1999
  8. Benton D. The influence of children’s diet on their cognition and behavior. Eur J Nutr. 2008;47(3):25–37
  9. Chattopadhyay N, Saumitra M. Developmental outcome in children with malnutrition. J Nepal Paediatr Soc. 2016;36(2):170–7
  10. Fuglestad A, Rao R, Georgieff M. The role of nutrition in cognitive development, in nutrition and cognitive development. 2006;612–626
  11. Purwanti R, Margawati A, Widjanarko B. Maternal status, nutritional status, and psychosocial stimulation as determinant factors of cognitive development among children under five. J Psikol. 2020;19(3):251–3
  12. Solihin R, Anwar F, Sukandar D. Kaitan antara status gizi, perkembangan kognitif, dan perkembangan motorik pada anak usia prasekolah. J Nutr Food Res. 2013;6(1):62–72
  13. Kementrian Kesehatan Republik Indonesia. Situasi balita pendek (stunting) di Indonesia. Jakarta; 2018
  14. Onis M, Fransesco B. Childhood stunting: a global perspective. J Matern Child Nutr. 2016;12:12–26
  15. Levitsky D, Strupp B. Malnutrition and the brain: Under-nutrition and behavioral development in children. J Nutr. 1995;125
  16. Ningrum E, Tin U. Hubungan antara status gizi stunting dan perkembangan balita usia 12-59 bulan. Prosiding seminar nasional dan presentasi hasil-hasil penelitian pengabdian masyarakat. Purwokerto; 2017
  17. Grantham-McGregor S. Developmental potential in the first 5 years for child in developing countries. Lancet. 2007;369:60–70
  18. World Bank. Repositioning Nutrition as Central to Development, A Strategy for Large-Scale Action. Washington, DC: World Bank; 2006
  19. Grantham-McGregor S, Baker-Henningham H. Review of the evidence linking protein and energy to mental development. Public Health Nutr. 2005;8(7A):1191–201
  20. Zaini M, Lim C, Low W, Harun F. Effects of nutritional status on academic performance of Malaysian primary school children. Asia-Pac J Public Heal. 2005;17:81–7
  21. Perignon M, Fiorentino M, Kuong K, Burja K, Parker M. Stunting, poor iron status and parasite infection are significant risk factors for lower cognitive performance in Cambodian school-aged children. PLoS One. 2014;9(11)
  22. Mendez M, Adair L. Severity and timing of stunting in the first two years of life affect performance on cognitive tests in late childhood. J Nutr. 1999;125:1555–62
  23. Purwanti R. Asupan Zat Gizi dan Perkembangan Kognitif Balita di Wilayah Puskesmas Bugangan Kota Semarang. Darussalam Nutr J. 2017;1(2):1–9
  24. Bourre J. Effects of nutrients (in food) on the structure and function of the nervous system: update on dietary requirements for brain. Part 1 : micronutrients. J Nutr Health Aging. 2006;10(5):377–85
  25. Choi Y. Dietary protein content affects the profiles of extracellular amino acids in the medial preoptic area of freely moving rats. Life Sci. 2000;66(12):1105–18
  26. Slutsky I, Abumaria N, LWu, Huang C, Zhang L, Li B, et al. Enhancement of Learning and Memory by Elevating Brain Magnesium. Neuron. 2010
  27. Gibney M. Gizi kesehatan masyarakat. Jakarta: EGC; 2008
  28. Sudoyo A, Setiyohadi B, Alwi I, Simadibrata M, Setiati S. Buku ajar ilmu penyakit dalam. 5th ed. Jakarta: Interna Publishing; 2009
  29. Bourre J. Effects of nutrients (in food) on the structure and function of the nervous system: update on dietary requirements for brain. Part 2 : macronutrients. J Nutr Health Aging. 2006;10(5):386–99
  30. Sugiyono. Metode penelitian kuantitatif, kualitatif dan R&D. Bandung: Alfabeta; 2009
  31. Gibson R. Principles of Nutritional Assessment. New York: Oxford University Press; 2005
  32. Warsito O, Khomsan A, Hernawati N, Anwar F. Relationship between nutritional status, psychosocial stimulation, and cognitive development in preschool children in Indonesia. Nutition Res Pract. 2010;6(5)
  33. Dimyati J. Metodologi penelitian pendidikan dan aplikasinya pada PAUD. Bandung: Kencana; 2013
  34. Cahya T, IP L, Wahyuni S. Gambaran kejadian stunting pada balita di PAUD wilayah UPTD Puskesmas Ungaran. Universitas Ngudi Waluyo; 2019
  35. Pudjiati S, Masykouri A. Mengasah kecerdasan di usia 0-2 tTahun. Jakarta: Dirjen PAUDNI; 2011
  36. Santrock J. Psikologi pendidikan. Jakarta: Kencana; 2014
  37. Sujiono. Metode pengembangan kognitif. Jakarta: Universitas Terbuka; 2008
  38. Soetjiningsih. Tumbuh kembang anak. Jakarta: EGC; 2014. 1-63 p
  39. Khadijah. Pengembangan kognitif anak usia dini. Medan: Perdana; 2016. 40–48 p
  40. Kemendikbud. Salinan Peraturan Menteri Pendidikan Nasional Republik Indonesia Nomor 137 Tahun 2014 tentang Standar Nasional Pendidikan Anak Usia Dini. 2014
  41. Sediaoetama. Ilmu Gizi untuk Mahasiswa dan Profesi. Jakarta: Dian Rakyat; 2010
  42. Elnovriza D, Yenrina R. Hubungan status gizi dan keikutsertaan dalam layanan tumbuh kembang terhadap kemampuan kognitif anak usia 2-5 tahun di Padang. J Kesehat Masy. 2012;6(2)
  43. Dewey K. the challenge of meeting nutrient needs of infants and young children during the period of complementary feeding: An evolutionary perspective. J Nutr. 2013;143:2050–2054
  44. Victora C. Maternal and child undernutrition: consequences for adult health and human capital. Lancet. 2008;371:340–357
  45. SA Richard. Wasting is associated with stunting in early childhood. J Nutr. 2012;142:1291–1296
  46. Laires M, Monteiro C, Bicho M. Role of cellular magnesium in health and human disease. Front Biosci. 2004;9:262–76
  47. Wang C, Li Y, Wang F, Shi Y, Lee B. Correlation between iron, magnesium, potassium and zinc content in adolescent girl’s hair and their academic records. Chang Gung Med J. 2008;31
  48. Lo K, Liu Q, Madsen T, Rapp S, Chen J-C, Neuhouser M, et al. Relations of magnesium intake to cognitive impairment and dementia among participants in the Women’s Health Initiative Memory Study: a prospective cohort study. BMJ Open. 2019 Nov;9(11):e030052
  49. Khodashenas E, Ashraf M, Mehdi S, Azra I. The effect of zinc supplementation on cognitive performance in school children. Int J Pediatr. 2015; 3(6): 1033-1038
  50. Banna J, Richards R, Brown L. College students’ perceived differences between the terms real meal, meal, and snack, journal of nutrition education and behavior. Elsevier Inc. 2016; 49(3): 228–235
  51. Dewi N. Hubungan antara Asupan Protein, Zat Besi dan Zink dengan Perkembangan Anak Usia 3-5 tahun. PKU Muhammadiyah Surakarta. Tesis. 2019
  52. Black M. Zinc deficiency and child development. Am J Clin Nutr. 1998;68 (2 Suppl): 464–9
  53. Warthon-Medina M, Moran V, Stammers A, Victora C. Zinc intake, status and indices of cognitive function in adults and children: a systematic review and meta-analysis. Eur J Clin Nutr. 2015;69:649–661

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