Effect of Feeding Counseling and Massage Therapy on HAZ and WAZ Scores in Stunted Toddlers

https://doi.org/10.33860/jbc.v7i2.4220

Authors

  • Qomariyah Department of Midwifery, Universitas Telogorejo Semarang, Central Java, Indonesia
  • Desi Soraya Departement of Midwifery, Universitas Telogorejo Semarang, Central Java, Indonesia
  • Ellyzabeth Sukmawati Departement of Midwifery, Universitas Telogorejo Semarang, Central Java, Indonesia

Keywords:

Feeding Rules, Toddlers, Nutritional Status

Abstract

Background: Stunting remains a major nutritional problem influenced by inadequate feeding practices during early childhood. This study examined the effect of feeding counseling and massage therapy for feeding difficulties on the nutritional status of stunted toddlers. Methods: A quasi-experimental design with a non-equivalent control group was conducted among 40 stunted toddlers aged 24–59 months in Semarang City. The intervention group received feeding counseling and massage therapy for three months, while the control group received standard care. Nutritional status was assessed using Weight-for-Age Z-score (WAZ) and Height-for-Age Z-score (HAZ). Results: The intervention led to a significant improvement in HAZ scores (p < 0.001), indicating a positive trend in linear growth, while WAZ scores showed no significant change. Conclussion: These results suggest that feeding counseling combined with massage therapy for feeding difficulties may support linear growth among stunted toddlers. However, the small sample size and short intervention period limit the generalizability of these findings.

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References

Amrita, N. N. W. A., Utami, N. W. A., & Adhi, K. T. (2022). Determinants of late adolescent nutritional status in Indonesia: a nation-wide cross-sectional survey. Nutrition and Food Science, 52(5). https://doi.org/10.1108/NFS-07-2021-0235

Devi, A. (2022). Perbedaan Risiko Kejadian Stunting Berdasarkan Umur Dan Jenis Kelamin. Jurnal Kebidanan, 11(2).

Dewi, E. K., Umijati, S., & Aditiawarman. (2020). Correlation the components of health belief model and the intensity of blood tablets consumption in pre-conception mother. Indian Journal of Public Health Research and Development, 11(3).

Dhefiana, T., Reni Suhelmi, & Hansen. (2023). Hubungan Penerapan Perilaku Hidup Bersih Dan Sehat (PHBS) Orang Tua Dengan Kejadian Stunting Di Kelurahan Air Hitam Kota Samarinda. Sanitasi: Jurnal Kesehatan Lingkungan, 16(1). https://doi.org/10.29238/sanitasi.v16i1.1484

E., J., & E., E. (2020). Determinants of Stunting in Children Aged 12-59 Months. Nurse Media Journal of Nursing, 10(1), 36–45.

Eka Oktavia, Yulia Vanda Editia, & Mahardika Primadani. (2024). Faktor- Faktor Yang Mempengaruhi Kejadian Stunting Pada Balita Di Indonesia Tahun 2024. Jurnal Ventilator, 2(1). https://doi.org/10.59680/ventilator.v2i1.988

Kemenkes. (2024). Tiga Upaya KEMENKES Turunkan Stunting di Indonesia. Kementerian Kesehatan Republik Indonesia, 4–5.

Laksono, A. D., Wulandari, R. D., Amaliah, N., & Wisnuwardani, R. W. (2022). Stunting among children under two years in Indonesia: Does maternal education matter? PLoS ONE, 17(7 July). https://doi.org/10.1371/journal.pone.0271509

Lee, W. S., Jalaludin, M. Y., Khoh, K. M., Kok, J. L., Nadarajaw, T., Soosai, A. P., Mukhtar, F., Fadzil, Y. J., Anuar Zaini, A., Mohd-Taib, S. H., Rosly, R. M., Khoo, A. J., & Cheang, H. K. (2022). Prevalence of undernutrition and associated factors in young children in Malaysia: A nationwide survey. Frontiers in Pediatrics, 10. https://doi.org/10.3389/fped.2022.913850

Masrin, Paratmanitya, Y., Aprilia, V., Al Faiqoh, R. B., Suyatno, Kartini, A., Eka Islamiah, W., Rahayu Nadhiroh, S., Budi Permana Putri, E., Apris Christiwan, C., & Kris Prafena, P. (2022). Hubungan ketahanan pangan dengan kejadian stunting pada balita dari keluarga nelayan. Media Gizi Indonesia, 6(3), 2356–3346.

Montenegro, C. R., Gomez, G., Hincapie, O., Dvoretskiy, S., DeWitt, T., Gracia, D., & Misas, J. D. (2022). The pediatric global burden of stunting: Focus on Latin America. In Lifestyle Medicine (Vol. 3, Issue 3). https://doi.org/10.1002/lim2.67

Nimah, S. M., & Sukendra, D. M. (2023). Hubungan Antara Pengetahuan, Sikap, Dan Praktik Ibu Dalam Pemberian Makanan Pendamping Asi (Mpasi) Pada Anak Usia 6-24 Bulan Dengan Kejadian Stunting Di Wilayah Kerja Puskesmas Singgahan, Kabupaten Tuban. Jurnal Kesehatan Masyarakat, 11(2), 160–167. https://doi.org/10.14710/jkm.v11i2.37707

Nisa Dewi Mustika Khoirun, & Sukesi Tri Wahyuni. (2022). Hubungan Antara Kesehatan Lingkungan Dengan KejadianStunting Di Wilayah Puskesmas Kalasan Kabupaten Sleman. Jurnal Kesehatan Lingkungan Indonesia.

Pasaribu, R. D., Marthony, O., Supriyantini, S., & Iswarawanti, D. N. (2022). Improvement of Students and Snack Vendors Behavior After Received Health Promotion Program from UKS’s Cadres. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 10(2). https://doi.org/10.14710/jgi.10.2.189-199

Risnanto, R., Atmaja, A. D., & Indrastuti, A. (2023). Hubungan Pemberian Asi Eksklusif Dengan Kejadian Stunting Pada Balita. Juru Rawat. Jurnal Update Keperawatan, 3(1), 6–11. https://doi.org/10.31983/juk.v3i1.10214

Saeedullah, A., Khan, M. S., Andrews, S. C., Iqbal, K., Ul-Haq, Z., Qadir, S. A., Khan, H., Iddrisu, I., & Shahzad, M. (2021). Nutritional status of adolescent afghan refugees living in Peshawar, Pakistan. Nutrients, 13(9). https://doi.org/10.3390/nu13093072

SSGI. (2021). Studi Status Gizi Indonesia 2021. Kementerian Kesehatan Republik Indonesia Badan Penelitian Dan Pengembangan Kesehatan Riset Kesehatan Nasional Studi Status Gizi Indonesia 2021 Kuesioner Individu.

Sugiyono. (2020). Metode Penelitian Kualitatif. Bandung : Alfabeta.

Syafrawati, S., Lipoeto, N. I., Masrul, M., Novianti, N., Gusnedi, G., Susilowati, A., Nurdin, A., Purnakarya, I., Andrafikar, A., & Umar, H. B. (2023). Factors driving and inhibiting stunting reduction acceleration programs at district level: A qualitative study in West Sumatra. PLoS ONE, 18(3 MARCH). https://doi.org/10.1371/journal.pone.0283739

Tahangnacca, M., Amiruddin, R., Ansariadi, & Syam, A. (2020). Model of stunting determinants: A systematic review. Enfermeria Clinica, 30, 241–245. https://doi.org/10.1016/j.enfcli.2019.10.076

Thurstans, S., Sessions, N., Dolan, C., Sadler, K., Cichon, B., Isanaka, S., Roberfroid, D., Stobaugh, H., Webb, P., & Khara, T. (2022). The relationship between wasting and stunting in young children: A systematic review. In Maternal and Child Nutrition (Vol. 18, Issue 1). https://doi.org/10.1111/mcn.13246

Tiwari, I., Acharya, K., Paudel, Y. R., Sapkota, B. P., & Kafle, R. B. (2020). Planning of births and childhood undernutrition in Nepal: evidence from a 2016 national survey. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-09915-8

Ummah, M. S. (2021). Hubungan Umur Ibu Saat Melahirkan dengan Kejadian Stunting pada Balita Usia 24-59 Bulan di Wilayah Kerja Puskesmas Bangkalan (Studi di Wilayah Kerja Puskesmas Bangkalan). Sustainability (Switzerland), 11(1), 1–14.

Winda, S. A., Fauzan, S., & Fitriangga, A. (2017). Tinggi Badan Ibu Terhadap Kejadian Stunting Pada Balita: Literature Review. Universitas Nusantara PGRI Kediri, 01(01), 1–7.

Yani, D. I., Rahayuwati, L., Sari, C. W. M., Komariah, M., & Fauziah, S. R. (2023). Family Household Characteristics and Stunting: An Update Scoping Review. Nutrients, 15(1). https://doi.org/10.3390/nu15010233

Zhang, Y., Wu, H., Zong, X., & Li, H. (2021). Survey on the influential factors of stunting among children under seven years of age in nine cities of China. Zhonghua Er Ke Za Zhi / Chinese Journal of Pediatrics, 59(9). https://doi.org/10.3760/cma.j.cn112140-20210225-00157

Published

2025-09-30

How to Cite

Qomariyah, Q., Soraya, D., & Sukmawati, E. (2025). Effect of Feeding Counseling and Massage Therapy on HAZ and WAZ Scores in Stunted Toddlers. Jurnal Bidan Cerdas, 7(2), 350–359. https://doi.org/10.33860/jbc.v7i2.4220

Issue

Vol. 7 No. 2 (2025)

Section

Articles

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Copyright (c) 2025 Qomariyah, Desi Soraya, Ellyzabeth Sukmawati (Author)

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