Exclusive Breastfeeding And Acute Diarrhea In Children: A Cross-Sectional Study

Leni Lukman, I Wayan Bikin Suryawan

Abstract


Introduction : Breastmilk is known to contain molecules such as oligosaccharides, sIgA and lactoferrin which hold vital importance in immune system. These molecules specifically functioned to protect the body from pathogens including those causing diarrhea. The objective of this study is to define the relationship between exclusive breastfeeding and acute diarrhea incidence frequency in children as primary outcome and age of first acute diarrhea occurrence in children as secondary outcome.

Methods: This is an analytic observational cross-sectional study which included 35 children aged 6-24 months who were admitted to Kaswari Ward Wangaya General Hospital Denpasar between 01 June 2018 to 16 August 2018. Samples were obtained through consecutive sampling method and analyzed data were presented in both tables and narrative.

Results: From 35 samples included in this study, 13 were exclusively breastfed (37,1%) and 22 were non-exclusively breastfed (62,9%). Sample characteristics including gender, number of siblings, nutritional status, residence, source of water, age of mother, parent’s occupation and education were comparable between two groups. Total samples who were exclusively breastfed and experience less diarrhea is 13 (p = 0,031; PR = 1,47 CI 95% 1,10-1,95). Total samples who were exclusively breastfed and first age of experiencing diarrhea over 12 months old is 11 (p = 0,002 ; PR = 3,10 CI 95% 1,47-6,27). 

Conclusion: There is statistically significant relationship between exclusive breastfeeding and acute diarrhea incidence frequency and age of first acute diarrhea occurrence in children aged 6-24 months in Kaswari Ward Wangaya General Hospital.

Keywords


breastfeeding, acute diarrhea, children



DOI: http://dx.doi.org/10.19166/med.v7i4.2383

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References


Yusuf S. Profil Diare di Ruang Rawat Inap Anak. Sari Pediatr [Internet]. 2011;13(4):265–70. Available from: https://saripediatri.org/index.php/sari-pediatri/article/download/424/356

Christy MY. Factors Associated with Diarrheal Dehydration in Toddlers at Kalijudan Health Center Work Area. J Berk Epidemiol. 2014;2(3):297–308.

Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia. Profil Kesehatan Provinsi Bali. 2016. 1-220 p.

Kementerian Kesehatan RI. Profil Kesehatan Indonesia 2017. Profil Kesehat Indones 2017. 2018;100.

Dinas Kesehatan Provinsi Bali. Profil Kesehatan Provinsi Bali [Internet]. 2016. Available from: http://www.depkes.go.id/resources/download/profil/PROFIL_KES_PROVINSI_2012/17_Profil_Kes.Prov.Bali_2012.pdf

Kemenkes RI. Situasi diare di Indonesia. J Bul jendela data Inf Kesehat. 2011;2:1–44.

Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, et al. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet. 2008;371(9608):243–60.

Suwandi RS. Air Susu Ibu Eksklusif: Kegunaan Bagi Bayi dan Ibu. Ebers Papyrus. 2009;15(1): 5 –7.

Fahriani R, Rohsiswatmo R, Hendarto A. Faktor yang Memengaruhi Pemberian ASI Eksklusif pada Bayi Cukup Bulan yang Dilakukan Inisiasi Menyusu Dini (IMD). Sari Pediatr. 2014;15(6):394–402.

PATH. Breastfeeding and Diarrhea. Seattle; 2013.

Bener A, Ehlayel MS, Abdulrahman HM. Exclusive breast feeding and prevention of diarrheal diseases: a study in Qatar. Rev Bras Saúde Matern Infant [Internet]. 2011;11(1):83–7. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292011000100009&lng=en&tlng=en

Sudiyanto H, Ariyanto FW, Mujiadi, Nalinda R. Pengaruh Pemberian ASI Eksklusif Terhadap Kejadian Diare Akut pada Bayi Usia 0-6 Bulan di RSU Al-Islam H.M Mawardi Sidoarjo [Internet]. 2017. Available from: http://elib.pdii.lipi.go.id/katalog/detailkatalog/q4008o4110m4194t4134k4194/

z3804d3798c3834y3792n3846r3846

Rizky GH, Budiharto I, Sukarni. Hubungan Pemberian Air Susu Ibu (ASI) dengan Kejadian Diare pada Bayi 0-6 Bulan di Puskesmas Kampung Dalam Pontianak Timur. Vol. 39. 2010.

Rahmadhani EP, Lubis G, Edison. Hubungan Pemberian ASI Eksklusif dengan Angka Kejadian Diare Akut pada Bayi Usia 0-1 Tahun di Puskesmas Kuranji Kota Padang. J Kesehat Andalas. 2013;2(2):62 – 6.

Rohmah H, Hafsah T, Rakhmilla LE. Role of Exclusive Breastfeeding in Preventing Diarrhea. Althea Med J [Internet]. 2015;2(1):78–81. Available from: http://journal.fk.unpad.ac.id/index.php/amj/article

/view/436

Begum MUH, Absar MN. Diarrhea in Breastfed versus Formulafed Baby : A Hospital Based Study in 150 Children. 2016;34(1):1–5.

Lamberti LM, Fischer Walker CL, Noiman A, Victora C, Black RE. Breastfeeding and the risk for diarrhea morbidity and mortality. BMC Public Health [Internet]. 2011;11(SUPPL. 3):S15. Available from: http://www.biomedcentral.com/1471-2458/11/S3/S15


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