Praktik Pemberian Makan Sebagai Bottleneck Kejadian Stunting Pada Baduta: Analisis Epidemiologi Cross-Sectional Di Lombok Timur
DOI:
https://doi.org/10.37824/jkqh.v14i1.2026.1225Keywords:
Asupan Makan, Baduta, Epidemiologi Gizi, Praktik Pemberian Makan, StuntingAbstract
Stunting merupakan indikator masalah gizi kronis yang menggambarkan penyimpangan pertumbuhan linier pada periode 1000 Hari Pertama Kehidupan (HPK). Meskipun berbagai upaya perbaikan gizi telah digalakkan, disparitas prevalensi antarwilayah, terutama di daerah perdesaan, masih menjadi tantangan kesehatan masyarakat. Penelitian ini bertujuan untuk menganalisis hubungan asupan makan dan komponen pola asuh terhadap kejadian stunting pada anak bawah dua tahun (baduta). Desain observasional analitik dengan pendekatan cross-sectional diterapkan berdasarkan panduan pelaporan STROBE. Sampel penelitian berjumlah 76 pasangan pengasuh utama dan baduta di Desa Setungkep Lingsar, Kecamatan Keruak, yang diambil menggunakan teknik total sampling. Data dikumpulkan melalui kuesioner terstruktur dan dianalisis menggunakan uji Chi-Square serta uji alternatif Fisher's Exact (alpha = 0,05). Hasil penelitian mendeteksi 27% baduta mengalami stunting. Ditemukan hubungan yang bermakna antara ketepatan asupan makan (p=0,001) dan praktik pemberian makan (p=0,001) dengan kejadian stunting. Sebaliknya, indikator stimulasi psikososial (p=0,872), praktik kebersihan (p=0,201), dan pemanfaatan pelayanan kesehatan (p=0,931) tidak menunjukkan korelasi statistik yang bermakna pada populasi ini. Kualitas asupan gizi dan perilaku interaksi dalam pemberian makan merupakan faktor penyumbat utama atau bottleneck terhadap risiko gagal tumbuh. Program intervensi gizi di tingkat fasilitas pelayanan kesehatan primer perlu difokuskan pada peningkatan literasi ibu terkait manajemen Makanan Pendamping ASI (MP-ASI) yang adaptif.
References
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4), e12617. https://doi.org/10.1111/mcn.12617
Bourke, C. D., Berkley, J. A., & Prendergast, A. J. (2016). Immune Dysfunction as a Cause and Consequence of Malnutrition. Trends in Immunology, 37(6), 386–398. https://doi.org/10.1016/j.it.2016.04.003
de Onis, M., & Branca, F. (2016). Childhood stunting: A global perspective. Maternal & Child Nutrition, 12(S1), 12–26. https://doi.org/10.1111/mcn.12231
Headey, D., & Ruel, M. (2023). Food inflation and child undernutrition in low and middle income countries. Nature Communications, 14(1), 5761. https://doi.org/10.1038/s41467-023-41543-9
Kemenkes RI. (2025). Survei Status Gizi Indonesia (SSGI) 2024. Kementerian Kesehatan RI. https://www.badankebijakan.kemkes.go.id/survei-status-gizi-indonesia-ssgi-2024/
Kocagozoglu, S. G., Sengelen, M., & Yalcin, S. S. (2024). Evaluation of Complementary Feeding Indicators Among Children Aged 6–23 Months According to the Health Literacy Status of Their Mothers. Nutrients, 16(20), 3537. https://doi.org/10.3390/nu16203537
Laborde, D., Herforth, A., Headey, D., & de Pee, S. (2021). COVID-19 pandemic leads to greater depth of unaffordability of healthy and nutrient-adequate diets in low- and middle-income countries. Nature Food, 2(7), 473–475. https://doi.org/10.1038/s43016-021-00323-8
McArthur, B. A., Volkova, V., Tomopoulos, S., & Madigan, S. (2022). Global Prevalence of Meeting Screen Time Guidelines Among Children 5 Years and Younger: A Systematic Review and Meta-analysis. JAMA Pediatrics, 176(4), 373–383. https://doi.org/10.1001/jamapediatrics.2021.6386
Muharani, F., Febriany, S. E., Rahmawati, S. D., Yamin, I. S., Mahwati, Y., & Wisastra, D. P. (2026). Rapid Response to Underweight: Effectiveness of a Short-Term Community-Based Intensive Nutritional Intervention. Jurnal Epidemiologi Kesehatan Komunitas, 11(1), 30–37. https://doi.org/10.14710/jekk.v11i1.30548
Nshimyiryo, A., Hedt-Gauthier, B., Mutaganzwa, C., Kirk, C. M., Beck, K., Ndayisaba, A., Mubiligi, J., Kateera, F., & El-Khatib, Z. (2019). Risk factors for stunting among children under five years: A cross-sectional population-based study in Rwanda using the 2015 Demographic and Health Survey. BMC Public Health, 19(1), 175. https://doi.org/10.1186/s12889-019-6504-z
Parikh, P., Semba, R., Manary, M., Swaminathan, S., Udomkesmalee, E., Bos, R., Poh, B. K., Rojroongwasinkul, N., Geurts, J., Sekartini, R., & Nga, T. T. (2022). Animal source foods, rich in essential amino acids, are important for linear growth and development of young children in low- and middle-income countries. Maternal & Child Nutrition, 18(1), e13264. https://doi.org/10.1111/mcn.13264
Puspita, V. S., & Yanti, T. S. (2022). Penerapan Analisis Regresi Spasial untuk Menentukan Faktor-Faktor Penyebab Stunting di Nusa Tenggara Barat Tahun 2021. Bandung Conference Series: Statistics, 2(2), 245–253. https://doi.org/10.29313/bcss.v2i2.3917
Rachmi, C. N., Agho, K. E., Li, M., & Baur, L. A. (2016). Stunting, Underweight and Overweight in Children Aged 2.0–4.9 Years in Indonesia: Prevalence Trends and Associated Risk Factors. PLOS ONE, 11(5), e0154756. https://doi.org/10.1371/journal.pone.0154756
Tamara, M. D., Ruhyat, E., Tusrini, W., Effendi, J., Fidzikri, N. B. T., Yamin, I. S., & Rahmawati, S. D. (2026). Effectiveness of Audiovisual Nutrition Education via YouTube on Balanced Nutrition Knowledge and Attitudes Among Indonesian Adolescents: A Quasi-Experimental Study. KESANS : International Journal of Health and Science, 5(4), 660–667. https://doi.org/10.54543/kesans.v5i4.543
Trijsburg, L., Talsma, E. F., de Vries, J. H. M., Kennedy, G., Kuijsten, A., & Brouwer, I. D. (2019). Diet quality indices for research in low- and middle-income countries: A systematic review. Nutrition Reviews, 77(8), 515–540. https://doi.org/10.1093/nutrit/nuz017
Vaivada, T., Akseer, N., Akseer, S., Somaskandan, A., Stefopulos, M., & Bhutta, Z. A. (2020). Stunting in childhood: An overview of global burden, trends, determinants, and drivers of decline. The American Journal of Clinical Nutrition, 112, 777S-791S. https://doi.org/10.1093/ajcn/nqaa159
Victora, C. G., Christian, P., Vidaletti, L. P., Gatica-Domínguez, G., Menon, P., & Black, R. E. (2021). Revisiting maternal and child undernutrition in low-income and middle-income countries: Variable progress towards an unfinished agenda. The Lancet, 397(10282), 1388–1399. https://doi.org/10.1016/S0140-6736(21)00394-9
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2014). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies. International Journal of Surgery, 12(12), 1495–1499. https://doi.org/10.1016/j.ijsu.2014.07.013
Wardani, Z., Sukandar, D., Baliwati, Y. F., & Riyadi, H. (2021). SEBUAH ALTERNATIF: INDEKS STUNTING SEBAGAI EVALUASI KEBIJAKAN INTERVENSI BALITA STUNTING DI INDONESIA. GIZI INDONESIA, 44(1), 21–30. https://doi.org/10.36457/gizindo.v44i1.535
Yamin, I. S., Fidzikri, N. B. T., Effendi, J., Tamara, M. D., & Rahmawati, S. D. (2026). Analysis of Maternal Knowledge and Complementary Feeding Patterns as Risk Factors for Stunting in Children Aged 6-24 Months. KESANS : International Journal of Health and Science, 5(4), 620–627. https://doi.org/10.54543/kesans.v5i4.540
Yamin, I. S., & Rahmawati, S. D. (2026). Epidemiological Study of Wasting Among Children Under Five in Coastal Areas: An Analysis of Food Security and Dietary Quality. JURNAL KESEHATAN TROPIS INDONESIA, 4(1), 1–8. https://doi.org/10.63265/jkti.v4i1.175
Yamin, I. S., Rahmawati, S. D., & Furqan, B. R. N. (2026). The Differential Effect of Community-Based Supplementary Feeding on Wasting and Stunting: Epidemiological Evidence from an Endemic Region in West Nusa Tenggara. JURNAL KESEHATAN TROPIS INDONESIA, 4(1), 9–17. https://doi.org/10.63265/jkti.v4i1.178
Yamin, I. S., Sulistiawati, F., & Hardianti, M. (2025). The Relationship Between Gadget Usage Habits, Parenting Stayles And Eating Patterns Of Children Aged 4-7 Years With The Nutritional Status. PROFESSIONAL HEALTH JOURNAL, 6(2), 492–498. https://doi.org/10.54832/phj.v6i2.889
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Imam Syahputra Yamin, Nanda Berliana Tania Fidzikri, Julham Effendi, Firda Ro’in

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

