Association of Infant and Young Child Feeding (IYCF) Practices and History of Infectious Diseases with Nutritional Status Based on Weight-for-Height Indicators Among Children Aged 24–59 Months in the Wates Community Health Center Working Area, Central Lampung Regency, 2026
Keywords:
Children; Wasting; Infant and young child feeding; Infectious diseases; Weight-for-height.Abstract
Wasting is an acute nutritional problem that significantly increases the risk of childhood morbidity and mortality. Given that suboptimal Infant and Young Child Feeding (IYCF) practices and infectious diseases are major contributing factors, this study aimed to evaluate their specific associations with the nutritional status of children aged 24–59 months. A case-control study was conducted in the Wates Community Health Center Working Area, Central Lampung Regency, in 2026, involving 62 children (31 wasted cases and 31 non-wasted controls). Nutritional status was assessed using weight-for-height indicators, while variables were collected through structured interviews and anthropometric measurements. Data analysis utilized the chi-square test and Odds Ratios (OR). The results demonstrated a striking disparity: 100% of the wasted children experienced inappropriate IYCF practices, whereas 87.1% of the non-wasted children received appropriate feeding. Statistical analysis revealed that appropriate IYCF practices acted as a substantial protective factor against wasting (p = 0.0001; OR = 0.114). Similarly, a history of infectious diseases was highly prevalent in the case group (87.1%), whereas the absence of infection in the control group (83.9%) was significantly protective (p = 0.0001; OR = 0.028). In conclusion, inappropriate IYCF practices and recurrent infections synergistically drive acute malnutrition. These findings highlight the urgent need for targeted nutritional interventions, particularly during the 6-month complementary feeding transition, coupled with contextual environmental infection control.
References
R. E. Black et al., “Maternal and child undernutrition and overweight in low-income and middle-income countries,” Lancet, vol. 382, no. 9890, pp. 427–451, Aug. 2013, doi: 10.1016/S0140-6736(13)60937-X.
I. Olofin et al., “Associations of Suboptimal Growth with All-Cause and Cause-Specific Mortality in Children under Five Years: A Pooled Analysis of Ten Prospective Studies,” PLoS One, vol. 8, no. 5, p. e64636, May 2013, doi: 10.1371/journal.pone.0064636.
C. G. Victora et al., “Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect,” Lancet, vol. 387, no. 10017, pp. 475–490, Jan. 2016, doi: 10.1016/S0140-6736(15)01024-7.
P. Katona and J. Katona‐Apte, “The Interaction between Nutrition and Infection,” Clin. Infect. Dis., vol. 46, no. 10, pp. 1582–1588, May 2008, doi: 10.1086/587658.
N. T. T. Nhung et al., “Short-term association between ambient air pollution and pneumonia in children: A systematic review and meta-analysis of time-series and case-crossover studies,” Environ. Pollut., vol. 230, pp. 1000–1008, Nov. 2017, doi: 10.1016/j.envpol.2017.07.063.
WHO, UNICEF, and W. Bank, “Levels and trends in child malnutrition: UNICEF/WHO/World Bank Group joint child malnutrition estimates: key findings of the 2023 edition,” World Health Organization, pp. 1–23, 2023. [Online]. Available: https://www.who.int/publications/i/item/9789240073791
C. G. Victora, P. Christian, L. P. Vidaletti, G. Gatica-Domínguez, P. Menon, and R. E. Black, “Revisiting maternal and child undernutrition in low-income and middle-income countries: variable progress towards an unfinished agenda,” Lancet, vol. 397, no. 10282, pp. 1388–1399, Apr. 2021, doi: 10.1016/S0140-6736(21)00394-9.
J. L. Walson and J. A. Berkley, “The impact of malnutrition on childhood infections,” Curr. Opin. Infect. Dis., vol. 31, no. 3, pp. 231–236, Jun. 2018, doi: 10.1097/QCO.0000000000000448.
S. Akech, S. Collins, M. Kerac, and J. A. Berkley, “Severe Acute Malnutrition in Childhood,” in Principles of Medicine in Africa, Cambridge University Press, 2025, pp. 124–136. doi: 10.1017/9781009052733.011.
J. Zhuang et al., “The association between fine particulate matter and acute lower respiratory infections in Yancheng City, China,” Environ. Sci. Pollut. Res., vol. 28, no. 43, pp. 61723–61731, Nov. 2021, doi: 10.1007/s11356-021-15102-y.
T. Tasnim, M. H. Islam, A. A. M. Kurshed, S. Islam, S. Sultana, and K. M. R. Karim, “Evaluation of infant and young child feeding practices in low-income areas of Dhaka, Bangladesh: insights from a cross-sectional study using the 2021 WHO/UNICEF guideline,” BMJ Open, vol. 15, no. 3, p. e093064, Mar. 2025, doi: 10.1136/bmjopen-2024-093064.
R. A. Heidkamp et al., “Mobilising evidence, data, and resources to achieve global maternal and child undernutrition targets and the Sustainable Development Goals: an agenda for action,” Lancet, vol. 397, no. 10282, pp. 1400–1418, Apr. 2021, doi: 10.1016/S0140-6736(21)00568-7.
G. Gatica-Domínguez, P. A. R. Neves, A. J. D. Barros, and C. G. Victora, “Complementary Feeding Practices in 80 Low- and Middle-Income Countries: Prevalence of and Socioeconomic Inequalities in Dietary Diversity, Meal Frequency, and Dietary Adequacy,” J. Nutr., vol. 151, no. 7, pp. 1956–1964, Jul. 2021, doi: 10.1093/jn/nxab088.
A. R. Sherris et al., “Associations between ambient fine particulate matter and child respiratory infection: The role of particulate matter source composition in Dhaka, Bangladesh,” Environ. Pollut., vol. 290, p. 118073, Dec. 2021, doi: 10.1016/j.envpol.2021.118073.
A. Briend and J. A. Berkley, “Long term health status of children recovering from severe acute malnutrition,” Lancet Glob. Heal., vol. 4, no. 9, pp. e590–e591, Sep. 2016, doi: 10.1016/S2214-109X(16)30152-8.
E. C. Keats et al., “Effective interventions to address maternal and child malnutrition: an update of the evidence,” Lancet Child Adolesc. Heal., vol. 5, no. 5, pp. 367–384, May 2021, doi: 10.1016/S2352-4642(20)30274-1.
