Early Nutrition and Stunting: Why are Exclusive Breastfeeding and Complementary Feeding Essential for Optimal Growth?

Authors

  • Yuliawati Yuliawati Midwifery Study Program, Poltekkes Kemenkes Tanjung Karang, Metro, Indonesia
  • Sri Lestariningsih Midwifery Study Program, Poltekkes Kemenkes Tanjung Karang, Metro, Indonesia
  • Yetti Anggraini Midwifery Study Program, Poltekkes Kemenkes Tanjung Karang, Metro, Indonesia
  • Rofana Aghniya Midwifery Study Program, Poltekkes Kemenkes Tanjung Karang, Metro, Indonesia
  • Non Rachmani Yustiza Midwifery Study Program, Poltekkes Kemenkes Tanjung Karang, Metro, Indonesia

DOI:

https://doi.org/10.26630/jk.v16i1.4951

Keywords:

Child health, Complementary feeding, Toddler nutrition

Abstract

This study investigates the relationship between exclusive breastfeeding, appropriate complementary feeding, and the incidence of stunting in toddlers. The objective is to identify how these nutritional practices impact child growth and development. A cross-sectional analysis was conducted involving 135 toddlers at Puskesmas Yosomulyo, utilizing a combination of interviews and questionnaires to gather data on feeding practices and health outcomes. The findings reveal that toddlers who received exclusive breastfeeding and appropriate complementary foods exhibited significantly lower rates of stunting compared to those who did not. Specifically, 33% of toddlers who were not exclusively breastfed experienced stunting, while only 19 toddlers who received appropriate complementary food were stunted. The results underscore the critical role of proper nutrition in early childhood development and highlight the need for enhanced educational programs for parents regarding feeding practices. In conclusion, promoting exclusive breastfeeding and appropriate complementary feeding is essential for reducing stunting rates and improving overall child health

References

Azriani, D., Masita, Qinthara, N. S., Yulita, I. N., Agustian, D., Zuhairini, Y., & Dhamayanti, M. (2024). Risk Factors Associated With Stunting Incidence in Under-Five Children In Southeast Asia: A Scoping Review. Journal of Health, Population, and Nutrition, 43(1), 174. https://doi.org/10.1186/s41043-024-00656-7

Bafila, P., Tiwari, K., Bisla, G., Yadav, V., & Negi, P. (2024, January). Nutritional and compositional aspects of complementary feeding. AIP Conference Proceedings (Vol. 2978, No. 1). AIP Publishing.

Christian, P., Shaikh, S., Shamim, A. A., Mehra, S., Wu, L., Mitra, M., Ali, H., Merrill, R. D., Choudhury, N., Parveen, M., Fuli, R. D., Hossain, M. I., Islam, M. M., Klemm, R., Schulze, K., Labrique, A., de Pee, S., Ahmed, T., & West Jr, K. P. (2015). Effect of Fortified Complementary Food Supplementation on Child Growth in Rural Bangladesh: A Cluster-Randomized Trial. International Journal of Epidemiology, 44(6), 1862–1876. https://doi.org/10.1093/ije/dyv155

Demirel Ozbek, Y., Celik, I., & Sahin Bilgin, A. (2025). Factors Affecting Behaviors During Complementary Feeding in Infants and Children Aged 6–24 Months. PloS One, 20(1), e0314694. https://doi.org/10.1371/journal.pone.0314694

Ekholuenetale, M., Barrow, A., Ekholuenetale, C. E., & Tudeme, G. (2020). Impact of Stunting on Early Childhood Cognitive Development in Benin: Evidence From Demographic and Health Survey. Egyptian Pediatric Association Gazette, 68(1). https://doi.org/10.1186/s43054-020-00043-x

El-Asheer, O. M., Darwish, M. M., Abdullah, A. M., & Mohamad, H. A. (2021). Complementary Feeding Pattern and Its Impact on Growth and Development of Under 2-Years Infants in Upper Egypt. Egyptian Pediatric Association Gazette, 69(17), 1–6. https://doi.org/10.1186/s43054-021-00061-3

Fauzi, N. A. F. A., Idris, I. B., Isa, Z. M., & Razib, N. F. M. (2025). Environmental Factors Contributing to Stunting among Under Six Years Old Children: A Scoping Review. International Journal of Public Health Research, 15(1), 2058–2066. https://spaj.ukm.my/ijphr/index.php/ijphr/article/view/426

Gelman, R., Whelan, J., Spiteri, S., Duric, D., Oakhill, W., Cassar, S., & Love, P. (2023). Adoption, Implementation, and Sustainability of Early Childhood Feeding, Nutrition and Active Play Interventions in Real-World Settings: A Systematic Review. International Journal of Behavioral Nutrition and Physical Activity, 20(1), 32. https://doi.org/10.1186/s12966-023-01433-1

Georgieff, M. K. (2023). Early Life Nutrition and Brain Development: Breakthroughs, Challenges and New Horizons. Proceedings of the Nutrition Society, 82(2), 104–112. https://doi.org/DOI: 10.1017/S0029665122002774

Grathima, E. F., Yunitasari, E., & Indarwati, R. (2024). The Impact of Complementary Food Interventions on Adolescence Stunting Prevention_ A Systematic Review. Indonesian Journal of Community Health Nursing, 9(2), 62–66. https://doi.org/10.20473/ijchn.v8i2.47246

Hadi, H., Fatimatasari, F., Irwanti, W., Kusuma, C., Alfiana, R. D., Asshiddiqi, M. I. N., 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

Health Office of Metro City. (2022). Profil Kesehatan Kota Metro Tahun 2021. Metro: Dinas Kesehatan Kota Metro.

Health Office of Lampung Province. (2022). Profil Kesehatan Provinsi Lampung Tahun 2022. Pemerintah Provinsi Lampung.

Horta, B. L., & Victora, C. G. (2013). Long-Term Effects of Breastfeeding. Geneva: World Health Organization, 74. https://iris.who.int/handle/10665/79198

Marni, M., Soares, D., Wahyudi, T., Irfan, M., & Nurul, S. (2022). Analysis Stunting Prevention and Intervention: A Literatur Review. Proceedings of the International Conference on Nursing and Health Sciences (Vol. 3, Issue 1, pp. 27–36). https://doi.org/10.37287/picnhs.v3i1.1110

Ministry of Health Republic Indonesia. (2018). Hasil Riset Kesehatan Dasar Tahun 2018. Kementerian Kesehatan RI Badan Penelitian Dan Pengembangan Kesehatan, 53(9), 1–220.

Ministry of Health Republic Indonesia. (2021). Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, dan Kabupaten/Kota Tahun 2021. Kementerian Kesehatan Republik Indonesia.

Ministry of Health Republic Indonesia. (2023). Buku Saku : Hasil Survei Status Gizi Indonesia (SSGI) 2022. Kementerian Kesehatan Republik Indonesia. Kementerian Kesehatan RI.

Motee, A., & Jeewon, R. (2014). Importance of Exclusive Breastfeeding and Complementary Feeding among Infants. Curr Res Nutr Food Sci, 2(2). https://dx.doi.org/10.12944/CRNFSJ.2.2.02

Ndagijimana, A., Elfving, K., Umubyeyi, A., & Lind, T. (2025). Identification of Amendable Risk Factors for Childhood Stunting at Individual, Household and Community Levels in Northern Province, Rwanda – A Cross-Sectional Population-Based Study. BMC Public Health, 25(1087). https://doi.org/10.1186/s12889-025-22329-8

Nuradhiani, A. (2020). Pemberian ASI Eksklusif dan Makanan Pendamping ASI (MP-ASI) pada Kejadian Stunting di Negara Berkembang Exclusive breastfeeding and complementary feeding for stunting in developing countries. J. Gizi Kerja Dan Produktivitas, 2020(1), 23–28.

Onyango, A. W., Borghi, E., de Onis, M., Casanovas, M. del C., & Garza, C. (2014). Complementary Feeding and Attained Linear Growth Among 6–23-Month-Old Children. Public Health Nutrition, 17(9), 1975–1983. https://doi.org/10.1017/S1368980013002401

Permatasari, R. P., Simbolon, D., & Yunita, Y. (2024). Pencegahan Stunting melalui Pemberian ASI Eksklusif di Indonesia: Pendekatan Meta-Analisis. Amerta Nutrition, 8(1SP), 105–112. https://doi.org/10.20473/amnt.v8i1sp.2024.105-112

Ren, H., Zhou, Y., & Liu, J. (2025). Nutrition in Early Life and Its Impact Through the Life Course. Nutrients (Vol. 17, Issue 4, p. 632). MDPI. https://doi.org/https://doi.org/10.3390/nu17040632

Setiawan, A., Rahmadiyah, D. C., & Rekawati, E. (2024). Effectiveness of Family Nutrition Education on the Incidence of Stunting: Systematic Review. Indonesian Journal of Global Health Research, 6(3), 1231–1242.

Sianti, R. N., Kartasurya, M. I., & Kartini, A. (2024). Can Exclusive Breastfeeding Prevent Stunting in Lower Middle-Income Countries (Lmic)?: A Systematic Review. International Journal of Integrative Sciences, 3(1), 37–58. https://doi.org/10.55927/ijis.v3i1.7417

Tanaka, T. H. (2017). Dietary Tradition, Nutritional Theories and Science. Mathews J Nutr Diet, 2(1), 8–10.

UNICEF. (2023). Mothers Need More Support Amid Decline in Indonesia’s Breastfeeding Rates. UNICEF and WHO appeal for better workplace provisions during World Breastfeeding Week. UNICEF. https://www.unicef.org/indonesia/nutrition/press-releases/mothers-need-more-support-amid-decline-indonesias-breastfeeding-rates

Victora, C. G., Bahl, R., Barros, A. J. D., França, G. V. A., Horton, S., Krasevec, J., Murch, S., Sankar, M. J., Walker, N., & Rollins, N. C. (2016). Breastfeeding in the 21st Century: Epidemiology, Mechanisms, and Lifelong Effect. The Lancet, 387(10017), 475–490. https://doi.org/10.1016/S0140-6736(15)01024-7

WHO. (2016). Childhood Stunting: Context, Causes and Consequences. World Health Organization. https://www.who.int/publications/m/item/childhood-stunting-context-causes-and-consequences-framework?form=MG0AV3

WHO. (2018). Reducing Stunting in Children: Equity Considerations for Achieving the Global Nutrition Targets 2025. World Health Organization. https://iris.who.int/bitstream/handle/10665/260202/9789241513647-eng.pdf?sequence=1&form=MG0AV3

WHO. (2023). Exclusive Breastfeeding for Optimal Growth, Development and Health of Infants. World Health Organization. https://www.who.int/tools/elena/interventions/exclusive-breastfeeding?form=MG0AV3

WHO. (2024). World Breastfeeding Week, UNICEF and WHO Call for Equal Access to Breastfeeding Support. https://www.who.int/news/item/31-07-2024-on-world-breastfeeding-week--unicef-and-who-call-for-equal-access-to-breastfeeding-support

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Published

30-04-2025