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International Journal of Occupational and Environmental Medicine

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Pesticide exposure and stunting among children in agricultural areas

(Article) (Open Access)

, , , , ,

Department of Public Health Nutrition, Faculty of Public Health, Diponegoro University, Semarang, Indonesia Department of Nutrition, Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Department of Internal Medicine, Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Abstract

Background: The prevalence of growth disorders among school-aged children in Indonesia is high (30.7%).

Pesticides have been massively used in Indonesian agricultural areas . Objective: To determine if exposure to pesticides is associated with stunting among children in agricultural areas . Methods: This case-control study included 160 children (48 cases and 112 controls) aged 8–12 years. Exposure to pesticides was measured based on the history of the exposure since perinatal period, infancy, and childhood of the participants. Stunting was determined as a height for age z-score (HAZ) < -2 SD. Other variables measured were levels of thyroid stimulating hormone (TSH), insulin-like growth factor-1 (IGF-1), hemoglobin, zinc, albumin, nutrient adequacy level (energy and protein), and history of infection, low-birth weight (LBW), and mother's height. Results: There were no significant difference between the cases and controls in terms of in the baseline characteristics, except for the median IGF-1 level; it was significantly (p<0.001) lower in the cases (66.73 ng/mL) than the controls (112.57 ng/mL). High level of

pesticide exposure (p=0.029) and low IGF-1 levels (p<0.001) were signiﬁcantly associated with stunting . After adjusting for confounding variables, these variables were found to be independent risk factors for stunting in

children (aOR 3.90, 95% CI 1.15 to 13.26; and aOR 8.35, 95% CI 3.65 to 19.14, respectively). Conclusion: Pesticide exposure could be a risk factor for the occurrence of growth disorders in children living in agricultural areas . Necessary actions should be taken to protect children living in agricultural areas from exposure to pesticides. © 2019, NIOC Health Organization. All rights reserved.

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Author keywords

Agriculture Child Growth disorders Pesticides

Indexed keywords

EMTREE drug terms: agricultural chemical albumin hemoglobin pesticide somatomedin C thyrotropin zinc pesticide

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Open Access International Journal of Occupational and Environmental Medicine

Volume 10, Issue 1, 2019, Pages 17-29

Kartini, A.^a Subagio, H.W.^b Hadisaputro, S.^c Kartasurya, M.I.^a Suhartono, S.^d  Budiyono, B.^d 

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Malnutrition | Child | Malnutrition SAM

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(2020) International Journal of Occupational and Environmental Medicine

(2020) Environmental Science and Pollution Research

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The relationship between pesticide exposure and umbilical serum igf-1 levels and low-birth weight: A case-control study in brebes, indonesia

Widyawati, S.A. Suhartono, S.

Mexitalia, M.

Pesticide residues in tomato and tomato products marketed in Majmaah province, KSA, and their impact on human health Abd-Elhaleem, Z.A.

Association of prenatal pesticide exposures with adverse pregnancy outcomes and stunting in rural Bangladesh Jaacks, L.M. Diao, N. Calafat, A.M.

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References (65)

EMTREE medical terms:

agricultural land agricultural pest albumin blood level Article blood sampling caloric intake case control study child controlled study environmental exposure

exposure female ﬂame photometry growth disorder health education health promotion hemoglobin blood level human Indonesia low birth weight major clinical study male multicenter study pesticide exposure physical activity prevalence receiver operating characteristic risk factor school child

sensitivity and speciﬁcity stunting thyrotropin blood level Youden index zinc blood level agriculture chemically induced pregnancy

MeSH: Agriculture Case-Control Studies Child Female Growth Disorders Humans Male Pesticides Pregnancy Prevalence Risk Factors

Chemicals and CAS Registry Numbers:

hemoglobin, 9008-02-0; somatomedin C, 67763-96-6; thyrotropin, 9002-71-5; zinc, 7440-66-6, 14378-32-6;

Pesticides

Device tradename:

AA 6401F, Shimadzu, KX 21, Sysmex, Quantikine, R and D Systems, Seca 213

Manufacturers:

Device manufacturer:

R and D Systems;

Shimadzu;

Sysmex

Funding details

Funding text

The authors are grateful to the Directorate of Research and Community Services, Directorate General of Research and Development, Ministry of Research, Technology, and Higher Education of the Republic of Indonesia for providing funding of doctoral research. We also would like to thank the principals and teachers in fours Elementary Schools in Brebes District, Indonesia for their support to this study; and we are grateful for the support of all subjects.

Gibson, R.

(2005) Principles of Nutritional Assessment. . 2nd ed. New York, Oxford University Press, Inc

ISSN: 20086520 Source Type: Journal Original language: English

DOI: 10.15171/IJOEM.2019.1428 PubMed ID:

Document Type: Article

Publisher: NIOC Health Organization 30685774

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Dr. Herman Autrup, Professor, Department of Environmental Medicine, University of Aarhus, Denmark Dr. Mahdi Balali-Mood, Professor of Medicine and Clinical Toxicology, Iran, Islamic Republic of

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Women living in the vicinity of high voltage power lines are at risk of developing infertility. (see the Article)

Pesticide Exposure and Stunting among Children in Agricultural Areas

Apoina Kartini, Hertanto W Subagio, Suharyo Hadisaputro, Martha I Kartasurya, Suhartono Suhartono, Budiyono Budiyono

Abstract

Background: The prevalence of growth disorders among school-aged children in Indonesia is high (30.7%). Pesticides have been massively used in Indonesian agricultural areas.

Objective: To determine if exposure to pesticides is associated with stunting among children in agricultural areas.

Methods: This case-control study included 160 children (48 cases and 112 controls) aged 8–12 years. Exposure to pesticides was measured based on the history of the exposure since perinatal period, infancy, and childhood of the participants. Stunting was determined as a height for age z-score (HAZ) < ‑2 SD. Other variables measured were levels of thyroid stimulating hormone (TSH), insulin-like growth factor-1 (IGF-1), hemoglobin, zinc, albumin, nutrient adequacy level (energy and protein), and history of infection, low-birth weight (LBW), and mother's height.

Results: There were no significant difference between the cases and controls in terms of in the baseline

characteristics, except for the median IGF-1 level; it was significantly (p<0.001) lower in the cases (66.73 ng/mL) than the controls (112.57 ng/mL). High level of pesticide exposure (p=0.029) and low IGF-1 levels (p<0.001) were significantly associated with stunting. After adjusting for confounding variables, these variables were found to be independent risk factors for stunting in children (aOR 3.90, 95% CI 1.15 to 13.26; and aOR 8.35, 95% CI 3.65 to 19.14, respectively).

Conclusion: Pesticide exposure could be a risk factor for the occurrence of growth disorders in children living in agricultural areas. Necessary actions should be taken to protect children living in agricultural areas from exposure to pesticides.

Keywords

Pesticides; Growth disorders; Child; Agriculture

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International Journal of Occupational and Environmental Medicine

Scopus coverage years: from 2010 to 2019 Publisher: NIOC Health Organization ISSN: 2008-6520 E-ISSN: 2008-6814

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