PERAN TINGGI BADAN IBU DAN PEMBERIAN ASI EKSKLUSIF TERHADAP KEJADIAN STUNTING BALITA

Authors

  • Yasmin Faradila Mahawan Fakultas Kedokteran, Universitas Muhammadiyah Surakarta
  • Nining Lestari Departemen Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Muhammadiyah Surakarta
  • Restu Triwulandani Tolibin Departemen Ilmu Klinik, Fakultas Kedokteran, Universitas Muhammadiyah Surakarta
  • Tri Agustina Departemen Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Muhammadiyah Surakarta

DOI:

https://doi.org/10.31004/prepotif.v9i3.51906

Keywords:

tinggi badan ibu, ASI eksklusif, stunting, balita

Abstract

Stunting, sebagai bentuk malnutrisi kronis, masih merupakan persoalan kesehatan masyarakat yang penting di Indonesia, dengan implikasi serius terhadap perkembangan fisik, kognitif, dan produktivitas individu di masa mendatang. Faktor maternal seperti tinggi badan ibu serta pemberian ASI eksklusif memegang peranan penting pada penentuan status pertumbuhan anak. Penelitian ini memiliki tujuan menelaah bagaimana tinggi badan ibu serta praktik ASI eksklusif berperan pada munculnya stunting anak balita pada wilayah Puskesmas Gatak, Kabupaten Sukoharjo. Penelitian ini menerapkan pendekatan kuantitatif dengan design cross-sectional, melibatkan 72 ibu yang memiliki anak usia 6-59 bulan, dipilih melalui teknik consecutive non probability random sampling. Pengumpulan data melalui wawancara serta pengukuran antropometri, diikuti analisis menerapkan uji Chi-Square serta regresi logistik ganda. Temuan memperlihatkan hubungan antara tinggi badan ibu pada kejadian stunting (p < 0,001; OR = 22,081; 95% Cl = 3,946-123,636) serta antara pemberian ASI eksklusif dengan stunting (p < 0,001; OR = 42,887; 95% Cl = 5,708-322,426). Analisis multivariat mengungkapkan bahwa tinggi badan ibu memberi oengaruh signifikan pada stunting (p < 0,001; OR = 22,081; 95% CI = 3,530-138,132), sementara pemberian ASI eksklusif menjadi faktor dominan (p < 0,001; OR = 42,887; 95% CI = 4,389-419,092). Kedua variabel berkontribusi sebesar 59,7% (Nagelkerke R² = 0,597) pada kejadian stunting. Upaya intervensi, seperti peningkatan nutrisi maternal dan promosi ASI eksklusif perlu diperkuat sejak masa kehamilan hingga awal kehidupan anak untuk mencegah stunting.

References

Abdillah, S. (2022). The Effect of Maternal and Child Factors on Stunting in Children Under Five Years in Rural Indonesia. KnE Life Sciences. https://doi.org/10.18502/kls.v7i2.10382

Amelia, D., Setiaji, B., Jarkawi, Primadewi, K., Habibah, U., Peny, T., Rajagukguk, K., Nugraha, D., Safitri, W., Wahab, A., Larisu, Z., & Dharta, F. (2022). Metode Penelitian Kuantitatif (Ariawan, Ed.). https://penerbitzaini.com/

Badan Kebijakan Pembangunan Kesehatan. (2025). SSGI 2024 Survei Status Gizi Indonesia Dalam Angka.

Badan Pusat Statistik. (2024, June 3). Data Stunting Balita Kabupaten Sukoharjo Berdasarkan e-PPGBM Jiwa 2023.

Bhutta, Z. A., Islam, M., Gaffey, M. F., Victora, C. G., Menon, P., Katz, J., Horton, S. E., Yearwood, J., & Black, R. E. (2025). What works for reducing stunting in low-income and middle-income countries? Cumulative learnings from the Global Stunting Exemplars Project. American Journal of Clinical Nutrition, 121, S113–S128. https://doi.org/10.1016/j.ajcnut.2025.03.004

Bustami, B., & Ampera, M. (2020). The identification of modeling causes of stunting children aged 2–5 years in Aceh province, Indonesia (Data analysis of nutritional status monitoring 2015). Open Access Macedonian Journal of Medical Sciences, 8(E), 657–663. https://doi.org/10.3889/oamjms.2020.4659

Christian, P., Smith, E. R., Lee, S. E., Vargas, A. J., Bremer, A. A., & Raiten, D. J. (2021). The need to study human milk as a biological system. American Journal of Clinical Nutrition, 113(5), 1063–1072. https://doi.org/10.1093/ajcn/nqab075

Danubrata, S., & Er, E. (2025). Relationship Between Maternal Height with Children Under Two Years Old Stunting Occurrence. MAHESA : Malahayati Health Student Journal, 5(6), 2328–2336. https://doi.org/10.33024/mahesa.v5i6.17944

Dassie, G. A., Chala Fantaye, T., Charkos, T. G., Sento Erba, M., & Balcha Tolosa, F. (2024). Factors influencing concurrent wasting, stunting, and underweight among children under five who suffered from severe acute malnutrition in low- and middle-income countries: a systematic review. In Frontiers in Nutrition (Vol. 11). Frontiers Media SA. https://doi.org/10.3389/fnut.2024.1452963

Dib, S., Fair, F. J., McCann, L. J., Nicholls, A., Kalea, A. Z., Soltani, H., & Fewtrell, M. (2023). Effects of Exclusive Breastfeeding Promotion Interventions on Child Outcomes: A Systematic Review and Meta-Analysis. Annals of Nutrition and Metabolism, 80(2), 57–73. https://doi.org/10.1159/000535564

Djaiman, S. P. H., Rizkianti, A., Rachmalina, R., Achjar, K. A. H., Lestari, A. S., & Ruspawan, I. M. (2025). Contextual Risk Factors of Stunting and Severe Stunting among Indonesian Children under 2 Years: Based on Cross-sectional Data from Basic Health Research. Indian Journal of Public Health, 69(1), 50–56. https://doi.org/10.4103/ijph.ijph_1276_23

Hadi, H., Fatimatasari, F., Irwanti, W., Kusuma, C., Alfiana, R. D., Ischaq Nabil Asshiddiqi, M., Nugroho, S., Lewis, E. C., & Gittelsohn, J. (2021). Exclusive breastfeeding protects young children from stunting in a low‐income population: A study from eastern indonesia. Nutrients, 13(12). https://doi.org/10.3390/nu13124264

Kamphof, H. D., Posthuma, S., Gordijn, S. J., & Ganzevoort, W. (2022). Fetal Growth Restriction: Mechanisms, Epidemiology, and Management. In Maternal-Fetal Medicine (Vol. 4, Issue 3, pp. 186–196). Wolters Kluwer Health. https://doi.org/10.1097/FM9.0000000000000161

Karlsson, O., Kim, R., Bogin, B., & Subramanian, S. V. (2022). Maternal Height-standardized Prevalence of Stunting in 67 Low-and Middle-income Countries. Journal of Epidemiology, 32(7), 337–344. https://doi.org/10.2188/jea.JE20200537

Kementerian Kesehatan Republik Indonesia. (2022). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/1928/2022 tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Stunting.

Kumala Putri, D. S., Sari, K., Utami, N. H., & Djaiman, S. P. H. (2024). Influence of maternal and neonatal continuum of care on the risk of intergenerational cycle of stunting: a cross-sectional study. BMJ Open, 14(4). https://doi.org/10.1136/bmjopen-2023-081774

Kusumahati, G. S., & Novera Herdiani. (2023). The Relationship of Exclusive Breastfeeding to Stunting in Toddlers in Jambangan District, Surabaya, Indonesia. Community Medicine and Education Journal, 4(1), 274–277. https://doi.org/10.37275/cmej.v4i1.305

Mulyani, A. T., Khairinisa, M. A., Khatib, A., & Chaerunisaa, A. Y. (2025). Understanding Stunting: Impact, Causes, and Strategy to Accelerate Stunting Reduction—A Narrative Review. In Nutrients (Vol. 17, Issue 9). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/nu17091493

Nasution, A. N., Basyir, V., Mariko, R., Syah, N. A., Jurnalis, Y. D., & Karmia, H. R. (2023). Relationship Of Maternal Nutrition Status And Mother’s Height Of Stunting Events In Tolls At Puskesmas Pagambiran. Scientific Periodical of Public Health and Coastal Health, 5(1), 102–112.

Putra Pratama, R. S., Dasuki, M. S., Agustina, T., & Soekiswati, S. (2022). ASI Eksklusif Sebagai Faktor Protektif Terhadap Kejadian Stunting Pada Balita 24-59 Bulan. Jurnal Ilmiah Kesehatan Sandi Husada, 11(1), 262–270. https://doi.org/10.35816/jiskh.v11i1.748

Rahmawati, V. E., Azizah, N., & Annuchasari, H. (2024). The Behavior of Exclusive Breastfeeding and Complementary Feeding (MP-ASI) as Causes of Stunting in Toddlers in Jombang: A Case Study. AMHJ, 4(2), 44–53. http://journal.ahmareduc.or.id/index.php/

Retno Wardani, H. (2024). Risk Factors for Stunting among Children in Indonesia: A Systematic Review. Health and Technology Journal (HTechJ), 2(6), 578–589. https://doi.org/10.53713/htechj.v2i6.296

Saran, R., Kasar, J., Jha, M., Sahu, J. K., Babu, S. S., & Mutreja, A. (2025). Building blocks of life: improving nutrition and health outcomes through fortification and breastfeeding in the first 1000 days of a child’s life. Frontiers in Nutrition, 12. https://doi.org/10.3389/fnut.2025.1517247

Sari, G. M. (2021). Early Stunting Detection Education as an Effort to Increase Mother’s Knowledge about Stunting Prevention. Folia Medica Indonesiana, 57(1), 70. https://doi.org/10.20473/fmi.v57i1.23388

Sari, K., & Sartika, R. A. D. (2021). The effect of the physical factors of parents and children on stunting at birth among newborns in indonesia. Journal of Preventive Medicine and Public Health, 54(5), 309–316. https://doi.org/10.3961/jpmph.21.120

Smilowitz, J. T., Allen, L. H., Dallas, D. C., McManaman, J., Raiten, D. J., Rozga, M., Sela, D. A., Seppo, A., Williams, J. E., Young, B. E., & McGuire, M. K. (2023). Ecologies, synergies, and biological systems shaping human milk composition—a report from “Breastmilk Ecology: Genesis of Infant Nutrition (BEGIN)” Working Group 2. American Journal of Clinical Nutrition, 117, S28–S42. https://doi.org/10.1016/j.ajcnut.2022.11.027

Susyani, S., Febry, F., Margarhety, I., Sadiq, A., Sartono, S., Sari, I. P., & Ni’mah, T. (2022). Maternal Risk Factor on Incidence of Stunting in South Sumatera. Open Access Macedonian Journal of Medical Sciences, 10(E), 1599–1604. https://doi.org/10.3889/oamjms.2022.10761

Szyller, H., Antosz, K., Batko, J., Mytych, A., Dziedziak, M., Wrześniewska, M., Braksator, J., & Pytrus, T. (2024). Bioactive Components of Human Milk and Their Impact on Child’s Health and Development, Literature Review. In Nutrients (Vol. 16, Issue 10). https://doi.org/10.3390/nu16101487

World Health Organization. (2024). World Health Statistics 2024: Monitoring health for the SDGs, Sustainable Development Goals.

World Health Organization. (2025). World Health Statistic 2025: Monitoring health for the SDGs, Sustainable Development Goals.

Wu, H., Ma, C., Yang, L., & Xi, B. (2021). Association of Parental Height With Offspring Stunting in 14 Low- and Middle-Income Countries. Frontiers in Nutrition, 8. https://doi.org/10.3389/fnut.2021.650976

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Published

2025-12-26

How to Cite

Mahawan, Y. F., Lestari, N., Tolibin, R. T., & Agustina, T. (2025). PERAN TINGGI BADAN IBU DAN PEMBERIAN ASI EKSKLUSIF TERHADAP KEJADIAN STUNTING BALITA. PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 9(3), 9004–9013. https://doi.org/10.31004/prepotif.v9i3.51906