Exclusive Breastfeeding and Complementary Feeding Practices Are Associated with Stunting among Children Aged 6–24 Months: A Cross-Sectional Study in Sigi Regency

https://doi.org/10.33860/jbc.v8i1.4315

Authors

  • Fariz Syamsu Ma’arif Faculty of Medicine, Mulawarman University, East Kalimantan, Indonesia
  • Evi Fitriany Maternal and Child Health Department, Faculty of Medicine, Mulawarman University, East Kalimantan, Indonesia
  • Ahmad Wisnu Wardhana Pediatric Department, Faculty of Medicine, Mulawarman University, East Kalimantan, Indonesia
  • Hanis Kusumawati Rahayu Reproductive Health Department, Faculty of Medicine, Mulawarman University, East Kalimantan, Indonesia
  • Sulistiawati Sudarso Medical Education Department, Faculty of Medicine, Mulawarman University, East Kalimantan, Indonesia

Keywords:

Stunting, Exclusive Breastfeeding, Complementary Foods

Abstract

Background: Stunting is a chronic nutrition problem associated with long-term inadequate nutrient intake and suboptimal infant and young child feeding practices, including exclusive breastfeeding and complementary feeding (MP-ASI). This study assessed the association of exclusive breastfeeding and complementary feeding practices with stunting among children aged 6–24 months in the Biromaru Primary Health Center area, Sigi Regency. Methods: This analytical cross-sectional study included 89 children aged 6–24 months selected using total sampling. Data were collected through caregiver questionnaires and anthropometric measurements. Stunting was defined as length-for-age (PB/U) z-score < −2 SD based on the CDC 2020 reference. Associations were tested using the chi-square test (α=0.05), and effect sizes are presented as prevalence ratios (PR) with 95% confidence intervals (CI). Results: The prevalence of stunting was 55.1% (49/89). Stunting was significantly associated with non-exclusive breastfeeding (67.4% vs 41.9%; PR=1.61, 95% CI 1.07–2.42; p=0.016) and early initiation of complementary feeding <6 months (80.0% vs 50.0%; PR=1.60, 95% CI 1.14–2.25; p=0.033). Among complementary feeding quality indicators, inappropriate food type (PR=1.53, 95% CI 1.08–2.17; p=0.028), texture (PR=1.55, 95% CI 1.09–2.21; p=0.022), and especially feeding frequency (64.2% vs 27.3%; PR=2.35, 95% CI 1.16–4.76; p=0.003) were associated with stunting. Portion size was not significantly associated with stunting (PR=1.22, 95% CI 0.81–1.83; p=0.322). Conclusion: In this setting, stunting was associated with non-exclusive breastfeeding and suboptimal complementary feeding practices, particularly inadequate meal frequency. Nutrition programs should prioritize strengthening exclusive breastfeeding support and improving complementary feeding practices (timely initiation at 6 months, age-appropriate frequency, food type, and texture).

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References

Abdullah, I. N. M., Alfaaizin, L., & Jamal, R. S. (2024). Hubungan Pemberian MP-ASI Oleh Ibu dengan Kejadian Stunting pada Balita di Desa Bontokassi Kecamatan Galesong Selatan Kabupaten Takalar Tahun 2023. Jurnal Riset Kesehatan Terapan, 06(01), 13–23.

Damayanti, R. A., Muniroh, L., & Farapti, F. (2017). Perbedaan Tingkat Kecukupan Zat Gizi Dan Riwayat Pemberian Asi Eksklusif Pada Balita Stunting Dan Non Stunting. Media Gizi Indonesia, 11(1), 61. https://doi.org/10.20473/mgi.v11i1.61-69

Grasela, I. A., Srikandi Syahadat, D., Radiah, S., Fadhilah Sari, N., Mantao, E., Sanjaya, K., & Krisnasari, S. (2023). Faktor Yang Berhubungan Dengan Kejadian Stunting Anak Usia 0-24 Bulan Di Wilayah Kerja Puskesmas Biromaru Kabupaten Sigi. Jurnal Kesehatan Tambusai, 4(2), 2432–2441.

Kemenkes RI. (2022). Hasil Survei Status Gizi Indonesia (SSGI) 2022. Kemenkes, 1–150.

Kemenkes RI. (2023). Buku Resep Makanan Lokal.

Kemenkes RI. (2025). SSGI 2024 : Prevalensi Stunting Nasional Turun Menjadi 19,8%. Kemenkes RI. https://kemkes.go.id/id/ssgi-2024-prevalensi-stunting-nasional-turun-menjadi-198

Latifah, A. M., Purwanti, L. E., & Sukamto, F. I. (2020). Hubungan Pemberian Asi Eksklusif dengan Kejadian Stunting pada Balita 1-5 Tahun. Health Sciences Journal, 4(1), 142. https://doi.org/10.24269/hsj.v4i1.409

Louis, S. L., Mirania, A. N., & Yuniarti, E. (2022). Hubungan Pemberian ASI Eksklusif dengan Kejadian Stunting pada Anak Balita. Maternal & Neonatal Health Journal, 3(1), 7–11. https://doi.org/10.37010/mnhj.v3i1.498

Maesarah, M., Adam, D., Hatta, H., Djafar, L., & Ka’aba, I. (2021). Hubungan Pola Makan dan Riwayat ASI Ekslusif Dengan Kejadian Stunting Pada Balita di Kabupaten Gorontalo. Al GIZZAI: PUBLIC HEALTH NUTRITION JOURNAL, 1(1), 50–58. https://doi.org/10.24252/algizzai.v1i1.19082

Maharani, S. (2022). Hubungan Praktik Pemberian Mpasi terhadap Kejadian Stunting pada Baduta Usia 6-23 Bulan di Wilayah Kerja Puskesmas Bontokassi Kabupaten Takalar. 1–46.

Maryanto, S. (2020). the Correlation Between Complementary Feeding and First Complementary Feeding Time With Stunting in Children of 6-24. Researchgate.Net, 12(27), 29–39.

Nurkomala, S., Nuryanto, N., & Panunggal, B. (2018). Praktik Pemberian Mpasi (Makanan Pendamping Air Susu Ibu) Pada Anak Stunting Dan Tidak Stunting Usia 6-24 Bulan. Journal of Nutrition College, 7(2), 45. https://doi.org/10.14710/jnc.v7i2.20822

Nurmalisa, B. E. (2022). Hubungan Pengetahuan Ibu tentang Asi Eksklusif dan Pemberian MPASI dengan Kejadian Stunting pada Anak Usia 24-59 Bulan di Desa Bale Wilayah Kerja Puskesmas Wani Kecamatan Donggala. Lentora Nursing Journal, 2, 83–94. https://www.researchgate.net/publication/377122571_Relationship_between_Mother’s_Knowledge_about_Exclusive_Breastfeeding_and_Giving_MPASI_with_Stunting_Incidence_in_Children_Aged_24-59_Months_in_Bale_Village_Working_Area_of_Wani_Health_Center_Donggala

Putri, E. N. (2019). Hubungan Antara Pemberian Asi Dengan Derajat Stunting Pada Bayi Usia 6-12 Bulan Di Wilayah Kerja Puskesmas Kenjeran Surabaya. Skripsi, STIKes Hang Tuah Surabaya.

Rahayu, A., Yulidasari, F., Putri, A. O., & Anggraini, L. (2018). Stunting dan Upaya Pencegahannya. In Buku stunting dan upaya pencegahannya.

Saputra, R., Sanjaya, R. A., Maina, A. D., Ulyah, R. T., Fikriah, I., Khotimah, S., Bakhtiar, R., Sudarso, S., & Sawitri, E. (2023). Intervensi Pencegahan Stunting pada Anak di Kutai Kartanegara dan Samarinda. Kumawula: Jurnal Pengabdian Kepada Masyarakat, 6(2), 254. https://doi.org/10.24198/kumawula.v6i2.42526

Shakeela, K. (2022). Hubungan Pemberian Asi Eksklusif Dan Pola Mpasi Dengan Kejadian Stunting Pada Anak Usia 12-24 Bulan Di Pandeglang, Banten. Cerdika: Jurnal Ilmiah Indonesia, 2(11), 992–1007. https://doi.org/10.36418/cerdika.v2i11.474

Sudirman, N. A. (2022). Hubungan ASI Eksklusif dan MPASI dengan Kejadian Stunting pada Balita 6-24 Bulan.

Sudirman, N. A., Utami Murti Pratiwi, Andi Irhamnia Sakinah, & Purnamaniswaty Yunus. (2024). Hubungan ASI Eksklusif dengan Kejadian Stunting pada Balita 6-24 Bulan. Alami Journal (Alauddin Islamic Medical) Journal, 8(1), 1–7. https://doi.org/10.24252/alami.v8i1.35655

Suyadi, E. S. (2009). Kejadian KEP Balita dan Faktor yang Berhubungan di Wilayah Kelurahan Pancoran Mas Depok Tahun 2009. In Fakultas Kesehatan Masyarakat Universitas Indonesia.

UNICEF. (2021). Levels and trends in child malnutrition UNICEF / WHO / World Bank Group Joint Child Malnutrition Estimates Key findings of the 2021 edition. World Health Organization, 1–32.

Wangiyana, N. K. A. S., Karuniawaty, T. P., John, R. E., Qurani, R. M., Tengkawan, J., Septisari, A. A., & Ihyauddin, Z. (2021). The Complementary Feeding Practice And Risk Of Stunting Among Children Aged 6-12 Months In Central Lombok. Penelitian Gizi Dan Makanan (The Journal of Nutrition and Food Research), 43(2), 81–88. https://doi.org/10.22435/pgm.v43i2.4118

Wardita, Y., Suprayitno, E., & Kurniyati, E. M. (2021). Determinan Kejadian Stunting pada Balita. Journal Of Health Science (Jurnal Ilmu Kesehatan), 6(1), 7–12. https://doi.org/10.24929/jik.v6i1.1347

WHO. (2014). Global nutrition targets 2025: stuntig policy brief. 122(2), 74–76, 78. https://doi.org/10.7591/cornell/9781501758898.003.0006

Widyawati, W., Febry, F., & Destriatania, S. (2016). Analysis Complementary Feeding And Nutritional Status Among Children Aged 12-24 Months In Puskesmas Lesung Batu, Empat Lawang. Jurnal Ilmu Kesehatan Masyarakat, 7(2), 139–149. https://doi.org/10.26553/jikm.2016.7.2.139-149

Yuningsih, Y., & Perbawati, D. (2022). Hubungan Jenis Kelamin terhadap Kejadian Stunting. Jurnal MID-Z (Midwivery Zigot) Jurnal Ilmiah Kebidanan, 5(1), 48–53. https://doi.org/10.56013/jurnalmidz.v5i1.1365

Published

2026-03-31

How to Cite

Ma’arif, F. S., Fitriany, E., Wardhana, A. W., Rahayu, H. K., & Sudarso, S. (2026). Exclusive Breastfeeding and Complementary Feeding Practices Are Associated with Stunting among Children Aged 6–24 Months: A Cross-Sectional Study in Sigi Regency. Jurnal Bidan Cerdas, 8(1), 89–96. https://doi.org/10.33860/jbc.v8i1.4315

Issue

Vol. 8 No. 1 (2026)

Section

Articles

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Copyright (c) 2026 Fariz Syamsu Ma’arif, Evi Fitriany, Ahmad Wisnu Wardhana, Hanis Kusumawati Rahayu, Sulistiawati Sudarso (Author)

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