Intellegence
is affected by 2 factors, internal (genetics) and external (nutrition intake,
infection, toxin, stimulation, environmental) factors. Sufficient nutrition is
very important during pregnancy. Birth weight and exclusive breastfeeding
affect brain growth and development. Malnutrition during infancy results in
stunting and impaired cognitive function in children. Lack of stimulation may
affect intelligence.
Objective:
The objective of the
study was to find out the relationship among birth weight, exclusive
breastfeeding, nutrition status and cognitive stimulation and intelligence.
Method:
We conducted an
analytic observational study with cross sectional design, at kindergarten in Prambanan Subdistrict . Subjects were recruited
based on a cluster random sampling technique. There were 50 children and
mothers met the inclusion criteria of mothers who knew the child's background
(birth weight, breastfeeding practices) and were willing to be included in this
study. Intelligence was assessed using Stanford Binet test. Data were analyzed
with chi square and logistic regression tests.
Results:
The study showed that
76% of children had normal intelligence and 24% of children had abnormal
intelligence. Based on multivariable analysis, low cognitive stimulation was a
risk factor of getting low IQ score (OR=15.6; CI 95%=1.725–141.272), whereas
birth weight (OR=1.1; CI 95%=0.126–9.751), exclusive breastfeeding (OR=4.9; CI
95%=0.494–49.054) and nutrition status did not relate to intelligence.
Conclusion:
There was significant
relationship between cognitive stimulation and intelligence, whereas birth
weight, exclusive breastfeeding and nutrition status did not significantly
relate with intelligence.
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