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The Association of Children’s Blood Lead Levels and Prevalence of Stunting in Tin Mining Area in Indonesia Cover

The Association of Children’s Blood Lead Levels and Prevalence of Stunting in Tin Mining Area in Indonesia

Open Access
|Aug 2023

Figures & Tables

Table 1

Summary distribution of children’s characteristics and nutrient intake (N = 193).

VARIABLEMEAN (±SD)95% CI
Blood Lead Levels (µg/dL)5.5 (± 2.6)5.1, 5.9
HAZ–1.0 (±1.2)–1.2, –0.9
Child’s age (years)6.9 (±1.4)6.7, 7.1
Child’s birth weight3,090.7 (± 469.2)3024.5, 3156.9
Mother’s age at birth (years)29.4 (± 26.2)25.7, 33.1
Energy intake (%RDA)77.5 (± 28.5)73.5, 81.5
Protein intake(%RDA)48.6 (± 21.3)45.6, 51.6
Zinc intake (%RDA)100.5 (± 69.0)90.8, 110.3
Calcium intake (%RDA)33.4 (± 40.3)27.7, 39.1
Vitamin A intake (%RDA)81.6 (± 127.1)63.6, 99.5
Vitamin C intake (%RDA)39.3 (± 52.9)31.9, 46.8
Vitamin D intake (%RDA)60.1 (± 56.6)52.2, 68.1
Phosphorus intake (%RDA)140.9 (± 66.6)130.6, 150.3
Magnesium Intake (%RDA)128.2 (± 64.3)119.1, 137.2
Table 2

Categorical distribution of the children’s characteristics (N = 193).

VARIABLEN (%)
Stunting
    Not stunted148 (76.7)
    Stunted45 (23.3)
Blood Lead Levels
    Normal (BLL < 5 µg/dL)82 (42.5)
    Elevated (BLL > 5 µg/dL)111 (57.5)
Gender of child
    Girls122 (63.2)
    Boys71 (36.8)
Child’s Age
    >5 years174 (90.2)
    <5 years19 (9.8)
Childhood Diarrheal
    No chronic diarrheal history188 (97.4)
    Chronic diarrheal history5 (2.6)
Mother’s Education
    Completed high school or higher94 (48.7)
    Completed secondary school or less99 (51.3)
Mother’s age at birth
    Adult mother (20–34 years)144 (69.4)
    Young or advanced mother (< 20 years or > 35 years)49 (30.6)
Child’s environment
    No environmental tobacco smoke79 (40.9)
    Environmental tobacco smoke114 (59.1)
Residence
    Urban143 (74.1)
    Rural50 (25.9)
Table 3

Categorical distribution of children’s nutrient intakes (N = 193).

VARIABLEN (%)
Energy Intake
    Adequate (>80% RDA)74 (38.3)
    Inadequate (<80% RDA)119 (61.7)
Protein intake
    Adequate (>80% RDA)166 (86.0)
    Inadequate (<80% RDA)27 (14.0)
Zinc Intake
    Adequate (>80% RDA)107 (55.4)
    Inadequate (<80% RDA)86 (44.6)
Vitamin A Intake
    Adequate (>80% RDA)60 (31.1)
    Inadequate (<80% RDA)133 (68.9)
Vitamin C Intake
    Adequate (>80% RDA)29 (15.0)
    Inadequate (<80% RDA)164 (85.0)
Vitamin D Intake
    Adequate (>80% RDA)62 (32.1)
    Inadequate (<80% RDA)131 (67.9)
Calcium Intake
    Adequate (>80% RDA)17 (8.8)
    Inadequate (<80% RDA)176 (91.2)
Phosphorus Intake
    Adequate (>80% RDA)163 (84.5)
    Inadequate (<80% RDA)30 (15.5)
Magnesium Intake
    Adequate (>80% RDA)145 (75.1)
    Inadequate (<80% RDA)48 (24.9)
Table 4

Association of Children’s Demographic Characteristics and Stunting Categories.

VARIABLENOT STUNTED, N (%)STUNTED, N (%)P-VALUE
Blood Lead Levels
    Normal (BLL < 5 µg/dL)78 (52.7)4 (8.9)
    Elevated (BLL > 5 µg/dL)70 (47.3)41 (91.1)<0.001
Gender of child
    Girls94 (63.5)28 (62.2)
    Boys54 (36.5)17 (37.8)1.00
Child’s Age
    >5 years134 (90.5)40 (88.9)
    <5 years14 (9.5)5 (11.1)0.78
Child’s birth weight
    Normal birth weight139 (93.9)42 (93.3)
    Low birth weight9 (6.1)3 (6.7)1.00
Childhood diarrheal
    No chronic diarrheal history142 (98.0)43 (95.6)
    History of chronic diarrheal3 (2.0)2 (4.4)0.33
Mother’s Education
    Completed high school or higher77 (52.0)17 (37.8)
    Completed secondary school or less71 (48.0)28 (62.2)0.13
Mother’s age at birth
    Adult mother (20–34 years)113 (76.3)31 (68.9)
    Young or advanced mother (< 20 years or > 35 years)35 (23.7)14 (31.1)0.42
Child’s environment
    No environmental tobacco smoke63 (42.6)16 (35.6)
    Environmental tobacco smoke85 (57.4)29 (64.4)0.51
Residence
    Urban117 (79.0)26 (57.8)
    Rural31 (21.0)19 (42.2)0.008
Table 5

Association of Children’s Nutrient Intake (based on RDA) and Stunting Categories.

VARIABLENOT STUNTED, N (%)STUNTED, N (%)P-VALUE
Energy Intake
    Adequate (>80% RDA)61 (41.2)13 (28.9)
    Inadequate (<80% RDA)87 (58.8)32 (71.1)0.19
Protein intake
    Adequate (>80% RDA)131 (88.5)35 (77.8)
    Inadequate (<80% RDA)17 (11.5)10 (22.2)0.12
Zinc Intake
    Adequate (>80% RDA)88 (59.5)19 (42.2)
    Inadequate (<80% RDA)60 (40.5)26 (57.8)0.06
Vitamin A Intake
    Adequate (>80% RDA)56 (37.8)4 (8.9)
    Inadequate (<80% RDA)92 (62.2)41 (91.1)<0.001
Vitamin C Intake
    Adequate (>80% RDA)23 (15.5)6 (13.3)
    Inadequate (<80% RDA)125 (84.5)39 (86.7)0.90
Vitamin D Intake
    Adequate (>80% RDA)50 (33.8)12 (26.7)
    Inadequate (<80% RDA)98 (66.2)33 (73.3)0.48
Calcium Intake
    Adequate (>80% RDA)16 (10.8)1 (2.2)
    Inadequate (<80% RDA)132 (89.2)44 (97.8)0.13
Phosphorus Intake
    Adequate (>80% RDA)130 (87.8)33 (73.3)
    Inadequate (<80% RDA)18 (12.2)12 (26.7)0.03
Magnesium Intake
    Adequate (>80% RDA)12 (75.7)33 (73.3)
    Inadequate (<80% RDA)36 (24.3)12 (26.7)0.90
Table 6

Association between stunting and elevated BLL and Other Predictors.

VARIABLECRUDE OR95% CIP-VALUEADJUSTED OR95% CIP-VALUE
Blood Lead Levels
    Elevated (BLL > 5 µg/dL)11.43.9–33.5<0.0019.83.1–30.7<0.001
Mother’s Education
    Completed junior secondary school or less1.80.9–3.50.101.00.4–2.20.96
Residence
    Rural2.81.4–5.60.0053.71.6–8.90.003
Energy Intake
    <80% RDA1.70.8–3.60.142.20.8–5.70.12
Protein intake
    <80% RDA2.20.9–5.30.070.80.2–2.90.71
Zinc Intake
    <80% RDA2.01.0–3.90.040.60.2–1.70.39
Vitamin A Intake
    <80% RDA6.22.1–18.40.0015.41.4–20.30.01
Calcium Intake
    <80% RDA2.61.2–6.00.021.30.1–15.00.83
Phosphorus Intake
    <80% RDA2.61.2–6.00.021.80.5–6.00.37
DOI: https://doi.org/10.5334/aogh.4119 | Journal eISSN: 2214-9996
Language: English
Submitted on: Mar 17, 2023
Accepted on: Jul 22, 2023
Published on: Aug 28, 2023
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Rismarini Zarmawi, Budi Haryanto, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.