DOI: https://doi.org/10.14710/jpki.17.2.72-78

Systematic Review: Protective Factors from the Risks of Stunting in Breastfeeding Period

*Riris Diana Rachmayanti orcid scopus publons  -  Division of Health Promotion and Behavioral Sciences, Faculty of Public Health, Universitas Airlangga, Indonesia
Zulfa Kevaladandra  -  Master of Public Health, Faculty of Public Health, Universitas Indonesia, Indonesia
Faisal Ibnu  -  Institute of Health Science Bina Sehat PPNI Mojokerto, Indonesia
Nur Khamidah  -  Department of Public Health Science, Faculty of Medicine, Universitas Wijaya Kusuma Surabaya, Indonesia
Open Access Copyright (c) 2022 Jurnal Promosi Kesehatan Indonesia under http://creativecommons.org/licenses/by-sa/4.0.

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Abstract

Background: Stunting is a chronic nutrition condition marked by improper growth of body height compared to one’s age. One of the factors that affect stunting is exclusive breastfeeding as breast milk contains macronutrients, micronutrients, and bioactive substances to support the growth and development of children under five and act as an anti-infection. Non-optimal breastfeeding causes children to have inadequate nutrition intake and body immunity, which may result in malnutrition and stunting. This study aims to identify the effects of exclusive breastfeeding on the incidence of stunting in children under five.

Method: A systematic review was conducted using eight indexed articles with keywords of "Stunting", "ASI Eksklusif" (t/n: Exclusive Breastfeeding), "Gizi Ibu dan Anak (t/n: Nutrition of Mothers and Children)", "Stunting pada Balita (t/n: Stunting in Children Under 5)", "Exclusive Breastfeeding", "Nutritional Status and Exclusive Breastfeeding", and PICOT. Articles published within the last seven years (2014-2020) were selected. The articles should address health education to mothers with children aged < 5 years old without a control group, and should show a relation between exclusive breastfeeding and the incidence of stunting. Besides, they should be analytical and observational research written in English and Indonesian.  

Results: Eight articles selected overall showed that exclusive breastfeeding was significantly related to the incidence of stunting in children under five. Exclusive breastfeeding is protection against stunting as breast milk contains nutritions that can increase body immunity, prevent infection, and nutritional substances for optimal growth and protection from the risks of chronic diseases. Exclusive breastfeeding is one of the significant factors that affects stunting in children under five.

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Keywords: exclusive breastfeeding;stunting;children under 5

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Section: Research Article
Language : ID
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  1. UNICEF. Nutrition: Tackling the “double burden” of malnutrition in Indonesia. 2018
  2. UNICEF. Child Nutrition. 2019. Available online at https://data.unicef.org/topic/nutrition/child-nutrition/
  3. SJMJ SAS, Toban RC, Madi MA. Hubungan Pemberian ASI Eksklusif Dengan Kejadian Stunting Pada Balita. J Ilm Kesehat Sandi Husada. 2020;11(1):448–55
  4. WHO. Global nutrition targets 2025: stunting policy brief (WHO/NMH/NHD/14.3). WHO. Geneva; 2014
  5. Kementerian Kesehatan RI. Profil Kesehatan Indonesia Tahun 2019. Jakarta: Kementerian Kesehatan RI; 2019
  6. Kemenkes RI. Buletin Stunting. Kementeri Kesehat RI. 2018;301(5):1163–78
  7. Tim Nasional Perencanaan Penanggulangan Kemiskinan. 100 Kabupaten/Kota Prioritas untuk Intervensi Anak Kerdil (Stunting). 2017:148–62
  8. Cynthia C, Bikin Suryawan IW, Widiasa AAM. Hubungan ASI eksklusif dengan Kejadian Stunting pada Anak Usia 12-59 bulan di RSUD Wangaya Kota Denpasar. J Kedokt Meditek. 2019 Sep;25(1 SE-Artikel Penelitian):29–35
  9. Damayanti S, Susilowati E. Literature Review : Mengkaji Faktor-Faktor Yang Literature Review : Assessing Factors Related To Stunting. 2021;7
  10. Muldiasman M, Kusharisupeni K, Laksminingsih E, Besral B. Can early initiation of breastfeeding prevent stunting in 6–59 months old children? J Heal Res. 2018;32(5):334–41
  11. Kementerian Sekretariat RI. Peraturan Pemerintah Republik Indonesia Nomor 33 Tahun 2012 Tentang Pemberian ASI Eksklusif. Indonesia; 2012
  12. Wijaya FA. ASI Eksklusif : Nutrisi Ideal untuk Bayi 0-6 Bulan. Contin Med Educ. 2019;46(4):296–300
  13. Ganeshkumar P, Gopalakrishnan S. Systematic reviews and meta-analysis: Understanding the best evidence in primary healthcare. J Fam Med Prim Care. 2013;2(1):9
  14. Clarke J. What is a systematic review. Evid Based Nurs. 2011;14(3):64
  15. Louisa A. Langi RACT. Hubungan Pemberian Asi Terhadap Kejadian Stunting Pada Balita Usia 2-5 Tahun Di Puskesmas Manggar Baru, Balikpapan Periode Juli-Agustus 2019. Pro-Life. 2020;7
  16. Indrawati S. Kejadian Stunting Pada Anak Usia 2-3 Tahun di Desa Karangrejek Wonosari Gununung Kidul. 2016;
  17. Bustami B, Ampera M. 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 Maced J Med Sci. 2020;8(E):657–63
  18. Dewi DP. Status Stunting Kaitannya Dengan Pemberian Asi Eksklusif pada Balita di Kabupaten Gunung Kidul. J Med Respatiespati. 2015;10(4):60–6
  19. Fikadu T, Assegid S, Dube L. Factors associated with stunting among children of age 24 to 59 months in Meskan district, Factors associated with stunting among children of age 24 to 59 months in Meskan district, Gurage Zone, South Ethiopia: a case-control of age 24 to 59 months in Mes. BMC Public Health. 2014;14:1–7
  20. Lestari ED, Hasanah F, Nugroho NA. Correlation between non-exclusive breastfeeding and low birth weight to stunting in children. Paediatr Indones. 2018;58(3):123–7
  21. Sulistianingsih A, Sari R. ASI eksklusif dan berat lahir berpengaruh terhadap stunting pada balita 2-5 tahun di Kabupaten Pesawaran. J Gizi Klin Indones. 2018;15(2):45
  22. Glanny Anindya I, Salimo H, Lanti Y, Dewi R. The Association between Exclusive Breastfeeding, Maternal Nutritional Status, Maternal Zinc Intake, and Stunting in Infants Aged 6 Months. J Matern Child Heal. 2020;5(1):35–48
  23. Biks GA, Berhane Y, Worku A, Gete YK. Exclusive breastfeeding is the strongest predictor of infant survival in Northwest Ethiopia: A longitudinal study. J Heal Popul Nutr. 2015;34(1):7–12
  24. Widaryanti R, Luthfiyati Y. Reduce the Stunting With the Infant and Young Child Feeding Practice (Iycf) in Yogyakarta, Indonesia. In: Proceeding International Conference. 2019. p. 531–6
  25. Zaragoza-Cortes J, Trejo-Osti LE, Ocampo-Torres M, Maldonado-Vargas L, Ortiz-Gress AA. Poor breastfeeding, complementary feeding, and dietary diversity in children and their relationship with stunting in rural communities. Nutr Hosp. 2018;35(2):271–8
  26. Syeda B, Agho K, Wilson L, Maheshwari GK, Raza MQ. Relationship between breastfeeding duration and undernutrition conditions among children aged 0–3 Years in Pakistan. Int J Pediatr Adolesc Med [Internet]. 2021;8(1):10–7. Available from: https://doi.org/10.1016/j.ijpam.2020.01.006
  27. Rocha HAL, Correia LL, Leite ÁJM, Rocha SGMO, Machado MMT, Campos JS, et al. Undernutrition and short duration of breastfeeding association with child development in Ceará, Semi-Arid Region of Brazil: a population-based study. J Pediatr (Rio J). 2021;000(xxx):3–9
  28. Maulina C, Rachmayanti RD. Risk Factors for Stunting under Two-Year-Old Children in Surabaya. J Promosi Kesehat Indones. 2021;16(1):1–6
  29. Rocha HAL, Correia LL, Leite ÁJM, Rocha SGMO, Machado MMT, Campos JS, et al. Risk factors for stunting among children in Banggai Regency, Indonesia. J Pediatr (Rio J) [Internet]. 2021;8(1):149–52. Available from: https://doi.org/10.1016/j.enfcli.2019.10.058
  30. Arlinda S, Riviwanto M. Determinant Factors Of Stunting In West Pasaman District , West Sumatera Indonesia. 2022;14(1)
  31. Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. 2018; Available from: https://doi.org/10.1111/mcn.12617

Last update:

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Last update: 2025-09-08 16:16:52

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