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Consumption of prebiotic sources significantly affects children’s height in a stunting locus village in Bogor Regency, Indonesia

1Department of Nutrition Science, Faculty of Health Sciences, Universitas Esa Unggul, Jakarta, DKI Jakarta, Indonesia

2Dietitian Department, Faculty of Health Sciences, Universitas Esa Unggul, Jakarta, DKI Jakarta, Indonesia

Received: 3 Jul 2025; Revised: 13 Sep 2025; Accepted: 1 Oct 2025; Available online: 30 Dec 2025; Published: 30 Dec 2025.

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Abstract

ABSTRACT

Background: 1Stunting is a condition of growth failure in children due to chronic nutrient deficiencies for a long time, especially during the first 1000 days of life. The results of the Indonesian Nutrition Status Survey (SSGI) also showed a decrease in the stunting rate from 27.7% in 2019 to 21.6% in 2023. The 2022 SSGI data recorded that 18.7% of children in Bogor Regency were still stunted. The current reduction in stunting is still far from the target of the 2020-2024 National Medium-Term Development Plan, where the number of stunted children in Indonesia is only 14%. Children are classified as stunted if the length/height z-score-for-age is <-2 SD. Stunting can occur due to poor gastrointestinal conditions. Prebiotics and probiotics play an important role in helping to maintain gastrointestinal health.

Objective: The purpose of this study was to analyze the relationship between the consumption of prebiotic and probiotic food sources and the z-score of height/length for age.

Materials and Methods: This cross-sectional study included 100 children aged 6-59 months in the stunting locus village of Bogor Regency. Height/length data were obtained using a stadiometer and infantometer. Assessment of food consumption of prebiotic and probiotic sources was conducted through interviews using the Semi Quantitative-Food Frequency Questionnaire form. Bivariate test used Pearson correlation test and multivariate test used multiple linear regression test.

Results: The data showed that 48% of children were stunted, and 52% were normal. Bivariate test showed correlations of food consumption of prebiotic sources (r =0.274, p=0.006) and probiotics (r=0.264, p=0.008) with height/length z-score. Multivariate test results showed that consumption of prebiotic sources influenced length/height z-score for age (β=0.007, 95%CI: 0.002-0.011, p=0.003).

Conclusion: Consumption of prebiotic food sources in children can improve the z-score of height-for-age.

Keywords : Consumption; height; probiotics; prebiotics; stunting

Fulltext
Keywords: Consumption; height; probiotics; prebiotics; stunting
Funding: Ministry of Research, Technology, and Higher Education of the Republic of Indonesia; Bogor Regency Health Office

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  1. UNICEF, WHO, Group WB. Levels and trends in child malnutrition: Key finding of the 2023 edition. Asia-Pacific Popul J. 2023;24(2):51–78
  2. Kementerian Sekretariat Negara RI. Strategi Nasional Percepatan Pencegahan Anak Kerdil (Stunting). 2019; Available from: https://stunting.go.id/stranas-p2k/
  3. Kemenkes RI. Hasil Survei Status Gizi Indonesia (SSGI) 2022. Kemenkes. 2022;1–150
  4. Heuven LA, Pyle S, Greyling A, Melse-Boonstra A, Eilander A. Gut Microbiota–Targeted Nutritional Interventions Improving Child Growth in Low- and Middle-Income Countries: A Systematic Review. Curr Dev Nutr [Internet]. 2021 Nov;5(11):nzab124. DOI : https://doi.org/10.1093/cdn/nzab124
  5. Simanjuntak BY, Annisa R, Saputra AI. Kajian Literatur: Berhubungankah mikrobiota saluran cerna dengan stunting pada anak balita? Amerta Nutr [Internet]. 2022 Dec 23;6(1SP):343–51. DOI : https://doi.org/10.20473/amnt.v6i1SP.2022.343-351
  6. Grace Angela Philips, Dety Mulyanti. Mikrobiota Saluran Cerna dalam Penanganan Masalah Stunting. Detect J Inov Ris Ilmu Kesehat [Internet]. 2023 Mar 29;1(2):182–96. DOI: http://dx.doi.org/10.55606/detector.v1i2.1453
  7. Cahyaningtyas FD, Wikandari PR. Review Artikel : Potensi Fruktooligosakarida Dan Inulin Bahan Pangan Lokal Sebagai Sumber Prebiotik. Unesa J Chem [Internet]. 2022 Jul 1;11(2):97–107. DOI : https://doi.org/10.26740/ujc.v11n2.p97-107
  8. You S, Ma Y, Yan B, Pei W, Wu Q, Ding C, et al. The promotion mechanism of prebiotics for probiotics: A review. Front Nutr [Internet]. 2022 Oct 5;9(2). DOI : https://doi.org/10.3389/fnut.2022.1000517
  9. Onubi OJ, Poobalan AS, Dineen B, Marais D, McNeill G. Effects of probiotics on child growth: a systematic review. J Heal Popul Nutr [Internet]. 2015 Dec 2;34(1):8. DOI : https://doi.org/10.1186/s41043-015-0010-4
  10. Waliyo E, Agusanty SF, Hariyadi D. Formula prebiotik berbasis pangan lokal dapat meningkatkan z-skor PB/U pada anak stunting. AcTion Aceh Nutr J [Internet]. 2020 Nov 13;5(2):130. DOI : http://dx.doi.org/10.30867/action.v5i2.301
  11. Davani-Davari D, Negahdaripour M, Karimzadeh I, Seifan M, Mohkam M, Masoumi S, et al. Prebiotics: Definition, Types, Sources, Mechanisms, and Clinical Applications. Foods [Internet]. 2019 Mar 9;8(3):92. DOI : https://doi.org/10.3390/foods8030092
  12. Ribeiro JA, dos Santos Pereira E, de Oliveira Raphaelli C, Radünz M, Camargo TM, da Rocha Concenço FIG, et al. Application of prebiotics in apple products and potential health benefits. J Food Sci Technol [Internet]. 2022 Apr 14;59(4):1249–62. DOI : https://doi.org/10.1007/s13197-021-05062-z
  13. Syngai GG, Gopi R, Bharali R, Dey S, Lakshmanan GMA, Ahmed G. Probiotics - the versatile functional food ingredients. J Food Sci Technol [Internet]. 2016;53(2):921–33. DOI : https://doi.org/10.1007/s13197-015-2011-0
  14. direktorat jendral bina pembangunan daerah. Data Rekapitulasi Desa dari 260 Kab/Kota sebagai Lokus Intervensi Penurunan Stunting 2021 [Internet]. Jakarta: Direktorat Jendral Bina Pembangunan Daerah; 2020. Available from: https://stunting.go.id/sdm_downloads/penyampaian-data-rekapitulasi-desa-dari-260-kab-kota-sebagai-lokus-intervensi-penurunan-stunting-2021/
  15. Wara Dyah Pita Rengga, Danu Thata Wicaksana Mfr. Suplemen Makanan Peningkat Kekebalan Tubuh, Antioksidan & Antiinflamasi Yang Menargetkan Patogenesis Covid-19 [Internet]. pertama. Wicaksana DT, editor. Tasikmalaya: Perkumpulan Rumah Cemerlang Indonesia; 2021. 161 p. Available from: https://books.google.co.id/books?id=KHxXEAAAQBAJ&newbks=1&newbks_redir=0&lpg=PP1&hl=id&pg=PA6#v=onepage&q&f=false
  16. Lee JH, Nam SH, Seo WT, Yun HD, Hong SY, Kim MK, et al. The production of surfactin during the fermentation of cheonggukjang by potential probiotic Bacillus subtilis CSY191 and the resultant growth suppression of MCF-7 human breast cancer cells. Food Chem [Internet]. 2012;131(4):1347–54. DOI : https://doi.org/10.1016/j.foodchem.2011.09.133
  17. Rahayu ES, Purwandhani SN. Suplementasi Lactobacillus acidophilus SNP-2 pada tape dan pengaruhnya pada relawan. Vol. 15, Jurnal Teknologi dan Industri Pangan. 2004. p. 129–34
  18. Harlina PW. Peran Probiotik Untuk Kesehatan. J Kesehat. 2022;7(1):1918–22
  19. Menteri Kesehatan RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 Tahun 2020 Tentang Standar Antropometri Anak [Internet]. 2020. Available from: https://peraturan.bpk.go.id/Download/144762/Permenkes Nomor 2 Tahun 2020.pdf
  20. Whisner CM, Castillo LF. Prebiotics, Bone and Mineral Metabolism. Calcif Tissue Int [Internet]. 2018 Apr 27;102(4):443–79. DOI : https://doi.org/10.1007/s00223-017-0339-3
  21. Marsellinda E, Ferilda S. Hubungan Asupan Kalsium Dan Vitamin D Pada Anak Stunting Dan Tidak Stunting Usia 12-59 Bulan Di Kabupaten Sijunjung. Medfarm J Farm dan Kesehat [Internet]. 2023 Dec 31;12(2):202–8. DOI : https://doi.org/10.48191/medfarm.v12i2.240
  22. Precup G, Pocol CB, Teleky BE, Vodnar DC. Awareness, Knowledge, and Interest about Prebiotics—A Study among Romanian Consumers. Int J Environ Res Public Health [Internet]. 2022 Jan 21;19(3):1208. DOI : https://doi.org/10.3390/ijerph19031208
  23. Heuven LAJ, Pyle S, Greyling A, Melse-Boonstra A, Eilander A. Gut Microbiota–Targeted Nutritional Interventions Improving Child Growth in Low- and Middle-Income Countries: A Systematic Review. Curr Dev Nutr [Internet]. 2021 Nov;5(11):nzab124. DOI : https://doi.org/10.1093/cdn/nzab124
  24. Lordan C, Thapa D, Ross RP, Cotter PD. Potential for enriching next-generation health-promoting gut bacteria through prebiotics and other dietary components. Gut Microbes [Internet]. 2020;11(1):1–20. DOI : https://doi.org/10.1080/19490976.2019.1613124
  25. Dinh DM, Ramadass B, Kattula D, Sarkar R, Braunstein P, Tai A, et al. Longitudinal Analysis of the Intestinal Microbiota in Persistently Stunted Young Children in South India. Parkinson J, editor. PLoS One [Internet]. 2016 May 26;11(5):e0155405. DOI : https://doi.org/10.1371/journal.pone.0155405
  26. Thursby E, Juge N. Introduction to the human gut microbiota. Biochem J. 2017;474(11):1823–36. DOI : https://doi.org/10.1042/BCJ20160510
  27. Fitri Electrika Dewi, Surawan H. Efek Konsumsi Cookies Garut ( Maranta Arundinaceae L.) Terhadap Profil Bakteri Dan Sifat Kimia Feces Balita [Internet]. Universitas Gajah Mada; 2011. DOI : https://doi.org/10.1042/BCJ20160510
  28. Touret T, Oliveira M, Semedo-Lemsaddek T. Putative probiotic lactic acid bacteria isolated from sauerkraut fermentations. Shukla P, editor. PLoS One [Internet]. 2018 Sep 7;13(9):e0203501. DOI : https://doi.org/10.1371/journal.pone.0203501
  29. Mela E, Wijonarko G, Suciani IA. Strategi Perbaikan Makanan Khas Bogor. agriTECH [Internet]. 2021 Jun 9;41(2):152. DOI : https://doi.org/10.22146/agritech.45291
  30. Maldonado Galdeano C, Cazorla SI, Lemme Dumit JM, Vélez E, Perdigón G. Beneficial Effects of Probiotic Consumption on the Immune System. Ann Nutr Metab [Internet]. 2019;74(2):115–24. DOI : https://doi.org/10.1159/000496426
  31. Ma T, Shen X, Shi X, Sakandar HA, Quan K, Li Y, et al. Targeting gut microbiota and metabolism as the major probiotic mechanism - An evidence-based review. Trends Food Sci Technol [Internet]. 2023 Aug;138:178–98. DOI : https://doi.org/10.1016/j.tifs.2023.06.013
  32. Hadiyanto ML, Wahyudi S. Probiotik sebagai Pencegahan Diare terkait Antibiotik pada Anak. Cermin Dunia Kedokt [Internet]. 2022 Apr 1;49(4):219–22. DOI : https://doi.org/10.55175/cdk.v49i4.223
  33. Amara AA, Shibl A. Role of Probiotics in health improvement, infection control and disease treatment and management. Saudi Pharm J [Internet]. 2015 Apr;23(2):107–14. DOI : https://doi.org/10.1016/j.jsps.2013.07.001
  34. Choiroh ZM, Windari EN, Proborini A. Hubungan antara Frekuensi dan Durasi Diare dengan Kejadian Stunting pada Balita Usia 24-36 Bulan di Desa Kedungrejo Kecamatan Pakis. J Issues Midwifery [Internet]. 2020 Dec 22;4(3):131–41. DOI : https://doi.org/10.21776/ub.JOIM.2020.004.03.4
  35. Dewi EK, Nindya TS. Hubungan Tingkat Kecukupan Zat Besi Dan Seng Dengan Kejadian Stunting Pada Balita 6-23 Bulan. Amerta Nutr [Internet]. 2017 Dec 27;1(4):361. DOI : https://doi.org/10.20473/amnt.v1i4.2017.361-368
  36. Sirajuddin S, Rauf S, Nursalim N. Asupan Zat Besi Berkorelasi Dengan Kejadian Stunting Balita Di Kecamatan Maros Baru. Gizi Indones [Internet]. 2020 Sep 25;43(2):109–18. DOI : http://dx.doi.org/10.36457/gizindo.v43i2.406
  37. BDA (The Association of UK Dietitians). Probiotics and gut health [Internet]. 2022. Available from: https://www.bda.uk.com/resource/probiotics.html
  38. Ji J, Jin W, Liu S, Jiao Z, Li X. Probiotics, prebiotics, and postbiotics in health and disease. MedComm [Internet]. 2023 Dec 4;4(6):1–23. DOI : https://doi.org/10.1002/mco2.420

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