Determinants of Catch-up Growth in Early Childhood: A Longitudinal Study

Avliya Quratul Marjan1,2, Ratu Ayu Dewi Sartika2, Endang Laksminingsih2

  • 1Nutrition Study Program, Faculty of Health Sciences, Universitas Pembangunan Nasional Veteran Jakarta, Indonesia.

Acta Medica Philippina
|August 2, 2026
PubMed

Insights

Catch-up growth in early childhood is crucial for preventing stunting. Male sex and maternal nutritional status significantly influence a child's ability to achieve catch-up growth after early life malnutrition.

Area of Science:

  • Pediatrics
  • Public Health
  • Nutrition Science

Background:

  • Early childhood growth failure, particularly in the first 1000 days, significantly impacts long-term health.
  • Stunting, measured by height for age z-score (HAZ), is a key indicator of nutritional problems and impaired linear growth.
  • Catch-up growth is essential for mitigating the adverse effects of early malnutrition and improving linear growth trajectories.

Purpose of the Study:

  • To identify factors influencing catch-up growth in early childhood.
  • To analyze the relationship between various child, parent, and household factors and catch-up growth based on HAZ.
  • To provide insights for interventions aimed at improving child growth outcomes.

Main Methods:

  • A three-year cohort study utilizing secondary data from the Indonesian Family Life Survey (IFLS).
  • Inclusion of 537 children aged 0-23 months at baseline (1997), with follow-up data at 3-5 years old (2000).
  • Statistical analyses included Chi-squared tests for bivariate analysis and multinomial logistic regression for multivariate analysis to determine influential factors.

Main Results:

  • Bivariate analysis indicated significant associations between catch-up growth and normal birth weight, normal head circumference, normal maternal nutritional status, and maternal height.
  • Multivariate analysis revealed that male sex (p=0.003) and maternal nutritional status (p=0.011) were the most significant determinants of catch-up growth.
  • Stunting with catch-up growth was more prevalent in males, and poor maternal nutrition was linked to stunting and failed catch-up growth.

Conclusions:

  • Regular monitoring of child growth and development is vital, especially for identifying stunting and facilitating catch-up growth.
  • Interventions targeting maternal nutritional status are crucial for preventing stunting and promoting catch-up growth in early childhood.
  • Factors such as sex, maternal nutritional status, head circumference, breastfeeding, maternal height, and gestational age influence different growth trajectories, including late stunting and failure to catch up.
Abstract

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