Breastfeeding, Complementary Feeding, and Other Determinants of Stunting in Children 2-5 Years of Age

Ayu Rosita Dewi1), Yulia Lanti Retno Dewi2), Bhisma Murti1)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Facuty of Medicine, Universitas SebelasMaret



Background: Chronic malnutrition and the resultant stunting are associated with increased child morbidity and mortality, reduced physical capacity, reduced economic productivity and poor school performance. The purpose of this study was to examine breast feeding, complementary feeding, and other determinants of stunting in children 2-5 years of age.

Subjects and Method: A case control study was conducted in Tulungagung, East Java, from October to November 2018. A sample of 200 children under five was selec­ted by fixed disease sampling. The dependent variable was stunting. The independent va­­riables were maternal mid-upper arm circumference (MUAC), maternal height, ex­clu­­sive breastfeeding, complementary fee­ding, birth weight, birth length, infection di­sease, and clean water supply and sanitation. Data on maternal height was measured by mi­cro­toise. The other data were collected by maternal and child health book and questionnaire. The data were analyzed a multiple logistic regression.

Results: The risk of stunting increased with maternal MUAC (b= 2.47; 95% CI= 0.33 to 2.86; p= 0.013), maternal height <150 cm (b= 3.10; 95% CI= 0.79to 3.54; p= 0.002),infec­tious disease (b= 3.28; 95% CI= 0.87to 3.47; p= 0.001),no exclusive breast­fee­ding (b= 4.78; 95% CI= 2.064.92; p<0.001),inappropriate complementary feeding (b= 2.35; 95% CI= 0.25to 2.84; p= 0.019), low birth weight (b= 3.64; 95% CI= 1.27to 4.21; p<0.001), birth length <48 cm (b= 3.10; 95% CI= 0.79to 3.52; p= 0.002),and poor clean water supply (b= 2.99; 95% CI= 0.73to 3.49; p=0.003).

Conclusion: The risk of stunting increased with maternal MUAC, maternal height <150 cm,infectious disease,no exclusive breastfeeding,inappropriate complementary fee­ding, low birth weight, birth length <48 cm,and poor clean water supply.

Keywords: stunting,exclusive breastfeeding, complementary feeding, maternal height, infec­tious disease

CorrespondenceAyu Rosita Dewi.Masters Program in Public Health, UniversitasSebelasMaret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: Mobile: +6285856852680


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