The Association Between Calcium (Ca) Intake and Severity of Stunting Among Children Aged 6–24 Months in Working Area of Bagu Primary Health Care Center, Central Lombok Regency
DOI:
10.29303/jbt.v26i4.13273Published:
2026-09-30Downloads
Abstract
Stunting remains a major chronic nutritional problem and public health concern, particularly among children under two years of age. Calcium is an essential micronutrient involved in bone formation and mineralization that supports linear growth. This study aimed to determine the association between calcium intake and stunting severity among children aged 6–24 months. An analytical observational study with a cross-sectional design was conducted among 43 children recruited using total sampling. Calcium intake was assessed using a 1×24-hour food recall and analyzed using NutriSurvey. Stunting severity was determined based on length/height-for-age (LAZ/HAZ) according to World Health Organization growth standards. The association between calcium intake and stunting severity was analyzed using the Chi-square test with the Exact (Monte Carlo) approach. Most participants were aged 12–24 months (88.4%), with 67.4% classified as stunted and 32.6% as severely stunted. Most children had deficient calcium intake (95.3%), while 72.1% obtained calcium primarily from animal-based food sources. No significant association was found between calcium intake and stunting severity (p = 0.544). In conclusion, calcium intake was not significantly associated with stunting severity among children aged 6–24 months in the working area of Bagu Primary Health Care Center, Central Lombok Regency.
Keywords:
Calcium intake Children aged 6–24 months Nutritional status Severity of stuntingReferences
Amran, R., Nurwiyeni, N., Pratama, R. R., & Wahyuni, S. (2025). Stunting sebagai ancaman kualitas sumber daya manusia: Perspektif gizi, lingkungan, dan sosial. Scientific Journal, 4(4), 233–240. https://doi.org/10.56260/sciena.v4i4.234
Ahmad, A., Madanijah, S., Dwiriani, C. M., & Kolopaking, R. (2018). Complementary feeding practices and nutritional status of children 6–23 months old: Formative study in Aceh, Indonesia. Nutrition Research and Practice, 12(6), 512–520. https://doi.org/10.4162/nrp.2018.12.6.512
Aini, N., Pratiwi, A. R., Dewi, A. P., & Wati, D. A. (2022). Hubungan asupan kalsium dan indeks massa tubuh dengan kepadatan tulang pada wanita usia subur. Jurnal Kesehatan, 13(2), 236–243. https://doi.org/10.26630/jk.v13i2.3071
Christina, C., Gunawan, G., Sultanea, R., Lestari, D., Azizah, U., Haniifah, H., Yulatifah, T., Fatimah, R., Muzaki, A., Munir, M., & Farhan, M. (2022). Pola asuh orangtua dan kurangnya gizi anak penyebab stunting di Desa Karangduwur, Kalikajar, Wonosobo. Jurnal Pengabdian Masyarakat Madani, 2(2), 188–195. https://doi.org/10.51805/jpmm.v2i2.88
Fristiwi, P., Nugraheni, S. A., & Kartini, A. (2023). The effectiveness of stunting prevention programs in Indonesia: A systematic review. Jurnal Penelitian Pendidikan IPA, 9(12), 1262–1273. https://doi.org/10.29303/jppipa.v9i12.5850
Gusnedi, G., Nindrea, R. D., Purnakarya, I., Umar, H. B., Andrafikar, A., Syafrawati, S., Asrawati, A., Susilowati, A., Novianti, N., Masrul, M., & Lipoeto, N. I. (2023). Risk factors associated with childhood stunting in Indonesia: A systematic review and meta-analysis. Asia Pacific Journal of Clinical Nutrition, 32(2), 184–195. https://doi.org/10.6133/apjcn.202306_32(2).0001
Hasan, S., Naseer, S., Zamzam, M., Mohilldean, H., Van Wagoner, C., Hasan, A., Saleh, E. S., Uhley, V., & Kamel-ElSayed, S. (2024). Nutrient and hormonal effects on long bone growth in healthy and obese children: A literature review. Children, 11(7), 817. https://doi.org/10.3390/children11070817
Jania, I. S., Syagata, A. S., Noviani, N. E., & Ramdhani, F. (2025). Asupan kalsium berhubungan dengan kejadian stunting di wilayah kerja Minggir Yogyakarta. Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat LPPM Universitas ’Aisyiyah Yogyakarta, 3, 1299–1307.
Kementerian Kesehatan Republik Indonesia. (2022). Buku saku hasil studi status gizi Indonesia (SSGI) tahun 2022. Kementerian Kesehatan Republik Indonesia..
Mahyuddin, M., Witradharma, T. W., & Risdianto, E. (2023). Potensi ikan bleberan (Thryssa sp.) sebagai sumber zat gizi balita tengkes. Jurnal Pengolahan Hasil Perikanan Indonesia, 26(3), 392–399. https://doi.org/10.17844/jphpi.v26i3.44005.
Natara, A. I., Siswati, T., & Sitasari, A. (2023). Asupan zat gizi makro dan mikro dengan kejadian stunting pada balita usia 12–59 bulan di wilayah kerja Puskesmas Radamata. Journal of Nutrition College, 12(3), 192–197. https://doi.org/10.14710/jnc.v12i3.34499.
Sulung, N., Rahmadani, P., & Efriza, E. (2023). Kasus stunting ditinjau dari pola asuh dan status ekonomi tahun 2012–tahun 2022. Jurnal Pembangunan Nagari, 8(2), 141–158. https://doi.org/10.30559/jpn.v8i2.415
Nurhalizah, N., Salama, N., & Hajeni, H. (2023). Pola Asuh Orang Tua dengan Kejadian Stunting pada Anak Usia Dini. Jurnal Pendidikan Anak, 9(1), 86–95.
Oktavia, E., Editia, Y. V., & Primadani, M. (2024). Faktor-faktor yang mempengaruhi kejadian stunting pada balita di Indonesia tahun 2024. Jurnal Ventilator, 2(1), 158–168. https://doi.org/10.59680/ventilator.v2i1.988
Rofiqoh, N., Aini, N., & Rahmawati, D. (2023). Hubungan Pola Asuh, Pengetahuan Ibu, dan Status Gizi dengan Kejadian Stunting pada Balita. SIMFISIS: Jurnal Kebidanan Indonesia.
Shertukde, S. P., Cahoon, D. S., Prado, B., Cara, K. C., & Chung, M. (2022). Calcium intake and metabolism in infants and young children: a systematic review of balance studies for supporting the development of calcium requirements. Advances in Nutrition, 13(5), 1529-1553. https://doi.org/10.1093/advances/nmac003
Cormick, G., & Belizán, J. M. (2019). Calcium intake and health. Nutrients, 11(7), 1606. https://doi.org/10.3390/nu11071606
Wati, R. W. (2021). Hubungan riwayat BBLR, asupan protein, kalsium, dan seng dengan kejadian stunting pada balita. Nutrizione: Nutrition Research and Development Journal, 1(2), 1–12. https://doi.org/10.15294/nutrizione.v1i2.50071
Ernawati, F., et al. (2023). Micronutrients and nutrition status of school-aged children in Indonesia. Journal of Nutrition and Metabolism, 2023, 4610038. https://doi.org/10.1155/2023/4610038
Jufri, N., Marliyati, S. A., Anwar, F., & Ekayanti, I. (2023). Nutrition adequacy level and stunting in children aged 48–59 months in the coastal area of Kendari City, Indonesia. Jurnal Gizi dan Pangan, 18(Supplement 1), 8–10.
World Health Organization. (2025). Global nutrition targets 2030: Stunting brief. WHO.
Fithria, F., Ruwiah, R., Jumakil, J., Saito, R., & Sato, M. (2026). Nutritional intake and breastfeeding practices as determinants of growth and motor development among children aged 6–24 months in rural Indonesia. Retos, 78, 565–574. https://doi.org/10.47197/retos.v78.118835
Prabandari, A. A. S. M., Sirait, J. C., Wijanadi, M. C., & Harimawan, A. I. W. (2024). Micronutrients intake as risk factor of stunting in toddlers aged 6–24 months in Kintamani District, Bali. World Nutrition Journal, 8(S1). https://doi.org/10.25220/WNJ.V08.S1.0028
Muleya, M., Bailey, E. F., & Bailey, E. H. (2024). A comparison of the bioaccessible calcium supplies of various plant-based products relative to bovine milk. Food Research International, 175, 113795. https://doi.org/10.1016/j.foodres.2023.113795
Weaver, C. M., Wastney, M., Fletcher, A., & Lividini, K. (2024). An algorithm to assess calcium bioavailability from foods. The Journal of Nutrition, 154(3), 921–927. https://doi.org/10.1016/j.tjnut.2023.12.005
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