Understanding the pubertal, psychosocial, and cognitive developmental trajectories of stunted and non-stunted adolescents: protocol of a multi-site Indonesian cohort study
BackgroundThe prevalence of stunting among Indonesian children aged 5–12 years decreased from 30.7% in 2013 to 23.6% in 2018 but has remained among the highest rates worldwide. Furthermore, Indonesian children were shorter than the standard reported by the World Health Organization and experienced o...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-04-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2024.1296128/full |
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| author | Bernie Endyarni Medise Madarina Julia Yoga Devaera Mei Neni Sitaresmi Asmarinah Nur Aisiyah Widjaja Royke Tony Kalalo Frida Soesanti Dewi Friska Wani Riselia Sirait Peter Azzopardi Peter Azzopardi Peter Azzopardi Susan Sawyer Susan Sawyer Susan Sawyer |
| author_facet | Bernie Endyarni Medise Madarina Julia Yoga Devaera Mei Neni Sitaresmi Asmarinah Nur Aisiyah Widjaja Royke Tony Kalalo Frida Soesanti Dewi Friska Wani Riselia Sirait Peter Azzopardi Peter Azzopardi Peter Azzopardi Susan Sawyer Susan Sawyer Susan Sawyer |
| author_sort | Bernie Endyarni Medise |
| collection | DOAJ |
| description | BackgroundThe prevalence of stunting among Indonesian children aged 5–12 years decreased from 30.7% in 2013 to 23.6% in 2018 but has remained among the highest rates worldwide. Furthermore, Indonesian children were shorter than the standard reported by the World Health Organization and experienced obesity. The Indonesian government has created many programs to reduce stunting in children under the age of 5 years. An early preventive strategy is necessary because stunting can manifest within the initial 1,000 days of life, including during pregnancy. Therefore, a newer perspective, such as that achieved by addressing stunting in adolescents, has been deemed useful, given that adolescents are in their pubertal stage and are undergoing lifestyle changes. This cohort study was designed to measure these factors comprehensively in stunted and non-stunted children as they pass through adolescence.MethodsFor the prospective cohort, 560 individuals will be recruited from DKI Jakarta, DI Yogyakarta, and East Java. The participants will be categorized into stunted and non-stunted groups, then undergo annual examinations in which key objectives, such as weight, height, and body mass index ,will be assessed for the growth profile; waist circumference, middle-upper arm circumference, hand-grip strength, body fat percentage, and food intake will be evaluated in a nutritional assessment; psychosocial and mental issues will be evaluated according to behavioral problems, symptoms of depression, quality of life, sleep patterns, anxiety disorders, and parenting style through the use of specific questionnaires; and pubertal stage will be assessed using a self-report questionnaire. Some cross-sectional data, such as cognitive performance, hair zinc levels, vitamin D levels, bone mineral density, and bone age, will also be included. All the outcomes will be analyzed in accordance with the variable types.DiscussionThis study provides a thorough dataset of Indonesian adolescents encompassing several elements, such as growth, nutrition, psychosocial wellbeing, mental health, and pubertal development, for both stunted and non-stunted individuals. The data acquired from this study can be used to formulate policies to prevent stunting through targeted interventions for adolescents. Finally, a better understanding of adolescent health could lead to improved strategies to decrease the number of stunted individuals in the next Indonesian generation. |
| first_indexed | 2024-04-24T08:58:40Z |
| format | Article |
| id | doaj.art-77d35394c00f440898f4786302392d83 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-24T08:58:40Z |
| publishDate | 2024-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-77d35394c00f440898f4786302392d832024-04-16T05:01:07ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602024-04-011210.3389/fped.2024.12961281296128Understanding the pubertal, psychosocial, and cognitive developmental trajectories of stunted and non-stunted adolescents: protocol of a multi-site Indonesian cohort studyBernie Endyarni Medise0Madarina Julia1Yoga Devaera2Mei Neni Sitaresmi3 Asmarinah4Nur Aisiyah Widjaja5Royke Tony Kalalo6Frida Soesanti7Dewi Friska8Wani Riselia Sirait9Peter Azzopardi10Peter Azzopardi11Peter Azzopardi12Susan Sawyer13Susan Sawyer14Susan Sawyer15Department of Child Health, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaDepartment of Child Health, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, IndonesiaDepartment of Child Health, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaDepartment of Child Health, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, IndonesiaDepartment of Medical Biology, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaDepartment of Child Health, Faculty of Medicine, Airlangga University, Surabaya, East Java, IndonesiaDepartment of Psychiatry, Faculty of Medicine, Airlangga University, Surabaya, East Java, IndonesiaDepartment of Child Health, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaDepartment of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaFaculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaCentre for Adolescent Health, Royal Children's Hospital, Melbourne, VIC, AustraliaMurdoch's Children Research Institute, Melbourne, VIC, Australia0Department of Paediatrics, The University of Melbourne, Melbourne, VIC, AustraliaCentre for Adolescent Health, Royal Children's Hospital, Melbourne, VIC, AustraliaMurdoch's Children Research Institute, Melbourne, VIC, Australia0Department of Paediatrics, The University of Melbourne, Melbourne, VIC, AustraliaBackgroundThe prevalence of stunting among Indonesian children aged 5–12 years decreased from 30.7% in 2013 to 23.6% in 2018 but has remained among the highest rates worldwide. Furthermore, Indonesian children were shorter than the standard reported by the World Health Organization and experienced obesity. The Indonesian government has created many programs to reduce stunting in children under the age of 5 years. An early preventive strategy is necessary because stunting can manifest within the initial 1,000 days of life, including during pregnancy. Therefore, a newer perspective, such as that achieved by addressing stunting in adolescents, has been deemed useful, given that adolescents are in their pubertal stage and are undergoing lifestyle changes. This cohort study was designed to measure these factors comprehensively in stunted and non-stunted children as they pass through adolescence.MethodsFor the prospective cohort, 560 individuals will be recruited from DKI Jakarta, DI Yogyakarta, and East Java. The participants will be categorized into stunted and non-stunted groups, then undergo annual examinations in which key objectives, such as weight, height, and body mass index ,will be assessed for the growth profile; waist circumference, middle-upper arm circumference, hand-grip strength, body fat percentage, and food intake will be evaluated in a nutritional assessment; psychosocial and mental issues will be evaluated according to behavioral problems, symptoms of depression, quality of life, sleep patterns, anxiety disorders, and parenting style through the use of specific questionnaires; and pubertal stage will be assessed using a self-report questionnaire. Some cross-sectional data, such as cognitive performance, hair zinc levels, vitamin D levels, bone mineral density, and bone age, will also be included. All the outcomes will be analyzed in accordance with the variable types.DiscussionThis study provides a thorough dataset of Indonesian adolescents encompassing several elements, such as growth, nutrition, psychosocial wellbeing, mental health, and pubertal development, for both stunted and non-stunted individuals. The data acquired from this study can be used to formulate policies to prevent stunting through targeted interventions for adolescents. Finally, a better understanding of adolescent health could lead to improved strategies to decrease the number of stunted individuals in the next Indonesian generation.https://www.frontiersin.org/articles/10.3389/fped.2024.1296128/fulladolescentbehaviordevelopmentgrowthmental healthnutrition |
| spellingShingle | Bernie Endyarni Medise Madarina Julia Yoga Devaera Mei Neni Sitaresmi Asmarinah Nur Aisiyah Widjaja Royke Tony Kalalo Frida Soesanti Dewi Friska Wani Riselia Sirait Peter Azzopardi Peter Azzopardi Peter Azzopardi Susan Sawyer Susan Sawyer Susan Sawyer Understanding the pubertal, psychosocial, and cognitive developmental trajectories of stunted and non-stunted adolescents: protocol of a multi-site Indonesian cohort study Frontiers in Pediatrics adolescent behavior development growth mental health nutrition |
| title | Understanding the pubertal, psychosocial, and cognitive developmental trajectories of stunted and non-stunted adolescents: protocol of a multi-site Indonesian cohort study |
| title_full | Understanding the pubertal, psychosocial, and cognitive developmental trajectories of stunted and non-stunted adolescents: protocol of a multi-site Indonesian cohort study |
| title_fullStr | Understanding the pubertal, psychosocial, and cognitive developmental trajectories of stunted and non-stunted adolescents: protocol of a multi-site Indonesian cohort study |
| title_full_unstemmed | Understanding the pubertal, psychosocial, and cognitive developmental trajectories of stunted and non-stunted adolescents: protocol of a multi-site Indonesian cohort study |
| title_short | Understanding the pubertal, psychosocial, and cognitive developmental trajectories of stunted and non-stunted adolescents: protocol of a multi-site Indonesian cohort study |
| title_sort | understanding the pubertal psychosocial and cognitive developmental trajectories of stunted and non stunted adolescents protocol of a multi site indonesian cohort study |
| topic | adolescent behavior development growth mental health nutrition |
| url | https://www.frontiersin.org/articles/10.3389/fped.2024.1296128/full |
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