The Relationship between exclusive breastfeeding history and nutritional status of toddlers on the incidence of stunting in toddlers

Elvi Destariyani, Rialike Burhan, Lusi Andriani, Ade Zayu Cempaka Sari, Rega Yunike Utami

Abstract


Background: Stunting is a chronic nutritional problem that impacts the physical growth, cognitive development, and health of children in the future. In 2023, Indonesia still had a high rate of stunting at 21.5%, which is higher than the national goal of 14%. In Bengkulu Province, the prevalence of stunting reached 20.2%, while in North Bengkulu Regency it was 8.7%. One of the areas with a high stunting rate is the Kemumu Health Center, where stunting cases were recorded in 120 toddlers (10.56%) in 2024. Factors that affect the incidence of stunting include the history of exclusive breastfeeding and the nutritional status of toddlers.    

Objectives: To determine the relationship between exclusive breastfeeding history and nutritional status of toddlers with stunting incidence.

Methods: This type of study is a retrospective case-control design. This research was conducted in July 2025. The population of this study is all toddlers whose data were recorded in the register of the Kemu Health Center’s integrated health post (Posyandu). The sample used was 238 toddlers (119 stunted, 119 not stunted) with a simple random sampling technique. The data were analyzed using chi-square.

Results: There was a correlation between exclusive breastfeeding history (p=0,000; OR=8,066) and Nutritional Status of Toddlers (p=0,008) with the incidence of stunting. Toddlers who do not get exclusive breastfeeding are eight times more likely to experience stunting.

Conclusions: There is a relationship between the history of exclusive breastfeeding and the nutritional status of toddlers with the incidence of stunting in toddlers aged 6-59 months at the Kemu Health Center. It is recommended that to solve the stunting problem, it is essential to provide nutritional information corresponding to the specific needs of toddlers.


Keywords


exclusive breastfeeding; nutritional status; stunting

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References


Kementerian Kesehatan. Mengenal Stunting dan Gizi Buruk. Penyebab, Gejala, Dan Mencegah [Internet]. 2018. Available from: https://promkes.kemkes.go.id/?p=8486

United Nations Children’s; World Health Organization; World Bank. Level and trend in child malnutrition. World Health Organization. 2023;4.

Kementrian Kesehatan. Profil Kesehatan. 2023. 100 p.

Dinas Kesehatan Bengkulu. Laporan Semester 2 Dinas Kesehatan Bengkulu Utara. 2024.

Khosman Ali, Firdausi Alya, Dewi Puspita, Akbar AA. Intervensi Stunting. Bogor: IPB Press; 2023.

World Health Organization (WHO). Infant and young child feeding [Internet]. 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding

Salamah M, Noflidaputri R. Faktor–Faktor Yang Mempengaruhi Kejadian Stunting Di Wilayah Kerja Puskesmas Surian. Journal of Health Educational Science And Technology. 2021;4(1):43–56. https://doi.org/10.25139/htc.v%vi%i.308

Pramulya I, Wijayanti F, Saparwati M. Hubungan Pemberian ASI Eksklusif Ddengan Kejadian Stunting Pada Balita Usia 24-60 Bulan. Jurnal Kesehatan Kusuma Husada. 2020;7(1):8–13. https://doi.org/10.34035/jk.v12i1.545

Namangboling AD. Status Gizi Anak. Yogyakarta: CV Budi Utama; 2023.

Yuningsih. Hubungan Status Gizi dengan Stunting pada Balita. Oksitosin : Jurnal Ilmiah Kebidanan. 2022;9(2):102–9. https://doi.org/10.35316/oksitosin.v9i2.1845

Qolbi PA, Munawaroh M, Jayatmi I. Hubungan Status Gizi Pola Makan dan Peran Keluarga terhadap. Jurnal Ilmiah Kebidanan Indonesia (Indonesian Midwifery Scientific Journal). 2020;vol 10. No 04 167–75. https://doi.org/10.33221/jiki.v10i04.817

Samsuddin., Agusanty SFestilia, Desmawati., Kurniatin LF, Bahriyah Fitriyani, Wati I, et al. Stunting. Jawa Tengah: CV. Eureka Media Aksara; 2023.

Kementerian Kesehatan Republik Indonesia. Direktorat Promosi Kesehatan Dan Pemberdayaan Masyarakat Kementrian Kesehatan RI. 2019. Pencegahan Stunting Pada Anak.

Lushinta L, Rezki Puspitaningsih, Suryani H, Nurachma E, Jasmawati. Hubungan riwayat pemberian ASI eksklusif dengan kejadian stunting pada balita usia 24 – 60 bulan di Puskesmas Sungai Kapih. SAGO: Gizi dan Kesehatan. 2024;5 (2) 446-:446–55. http://dx.doi.org/10.30867/gikes.v5i3B.2069

Hadi H, Fatimatasari F, Irwanti W, Kusuma C, Alfiana RD, Ischaq Nabil Asshiddiqi M, et al. Exclusive breastfeeding protects young children from stunting in a low‐income population: A study from eastern indonesia. Nutrients. 2021;13(12):1–14. https://doi.org/10.3390/nu13124264

Novayanti LH, Armini NW, Mauliku J. Hubungan Pemberian ASI Eksklusif dengan Kejadian Stunting pada Balita Umur 12-59 Bulan di Puskesmas Banjar I Tahun 2021. Jurnal Ilmiah Kesehatan. 2021;9(2):132–9. https://doi.org/10.33992/jik.v9i2.1413

Ningsih DA. Kajian Determinan yang Berhubungan dengan Status Gizi Kurang pada Balita. Jurnal Ilmu Gizi Indonesia (JIGZI). 2022;3(1):28–34. https://doi.org/10.57084/jigzi.v3i1.885

Masluhiya S, Soares IF. Korelasi Status Gizi Dengan Kejadian Stunting Pada Balita. Care : Jurnal Ilmiah Ilmu Kesehatan. 2023;11(1):196–207. https://doi.org/10.33366/jc.v11i1.4463

Emilia Esi, Akbar S, Pratiwi C, Melayoga L. The Relationship between Nutritional Knowledge and History of Exclusive Breastfeeding with the Incidence of Stunting in Toddlers. Amerta Nutrition Supplementary Edition Special 3rd Amerta Nutrition Conference 2023. 2023. Vol. 7 No. 2SP.199-204. https://doi.org/10.20473/amnt.v7i2SP.2023.199-204

Sri Olfi Madiko, Rosmin Ilham, Dewi Mojdo. Hubungan Status Gizi Balita Dengan Kejadian ‎Stunting Di Wilayah Kerja Puskesmas Kota Timur. Jurnal Ilmu Kedokteran dan Kesehatan Indonesia. 2023;3(1):155–64. https://doi.org/10.55606/jikki.v3i1.1201




DOI: http://dx.doi.org/10.21927/jnki.2025.13(4).611-622

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