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Effect of Low Linear Growth and Caregiving with Poor Psychosocial Aspects on Cognitive Development of Toddlers
Fitrah Ernawati1, Pusparini2, Hardinsyah3
1Research and Development of Health, Indonesian Ministry of Health.
Insights
Poor linear growth and inadequate psychosocial caregiving negatively impact toddler cognitive development. Early intervention for stunting and enhancing caregiving quality are crucial for optimal cognitive outcomes in young children.
Area of Science:
- Child Development
- Pediatrics
- Nutritional Science
Background:
- Cognitive development in toddlers is influenced by multiple factors.
- Linear growth and caregiving environments are critical during early childhood.
Purpose of the Study:
- To analyze the effect of linear growth and psychosocial caregiving on toddler cognitive development.
- To identify specific caregiving aspects impacting cognitive outcomes.
Main Methods:
- Longitudinal study from pregnancy to three years of age in Bogor.
- Data collected on linear growth (anthropometric measurements), nutritional status, morbidity, psychosocial caregiving aspects, and cognitive development.
- Multiple logistic regression analysis used to determine effects.
Main Results:
- Toddlers with persistent stunting showed lower cognitive development compared to those who recovered.
- Poor psychosocial caregiving was associated with significantly lower cognitive development in toddlers.
- Specific caregiving factors like stimulation, warmth, and acceptance were implicitly linked to cognitive outcomes.
Conclusions:
- Maintaining adequate linear growth is vital for cognitive development throughout early childhood.
- Positive psychosocial caregiving environments are essential for fostering cognitive development.
- Interventions should focus on improving nutritional status and the quality of psychosocial caregiving for toddlers.
Abstract:
The purpose of this study was to analyze effect of linear growth and psychosocial aspects of caregiving on cognitive development of toddlers. Methods: Longitudinal studies were carried out from pregnancy to three years old children in Bogor. The collected data included body height, nutritional status based on height by age index, morbidity, aspects of caregiving, and cognitive development of three years old children. Linear growth data is obtained from anthropometric measurements of height at birth, age six months, and twelve months measured using a length measuring instrument body with a precision level of 0.10 cm. Caregiving of psychosocial aspect divided by some characteristics, such as learning stimulation, language stimulation, academic stimulation, modelling, warmth and acceptance, caregiving variation, punishment & acceptance and physical environment. Cognitive development measurement was divided into two categories, namely delay and appropriate to age. Multiple logistic regression was applied to analyze the effects. Toddlers who were born stunted and continued to be stunted until they were three years old had lower cognitive development than stunted newborns that were able to achieve normal height at three years old. In addition, children who experience caregiving with poor psychosocial aspects had lower cognitive development than those with good caregiving. This study highlighted the importance efforts to improve nutritional status of children as well as providing good care for them.
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