Literature Review: Risk Factors of Stunting in Children Under Five Years Old and How to Prevent
Authors
Tazkiyah Arafah Amatullah , Sang Ayu Kompiyang IndriyaniDOI:
10.29303/jbt.v24i1b.7911Published:
2024-12-22Issue:
Vol. 24 No. 1b (2024): Special IssueKeywords:
Economic status, exclusive breastfeeding, infectious diseases, intervention, low birth weight (LBW), stunting, risk factor.Articles
Downloads
How to Cite
Downloads
Metrics
Abstract
Stunting is a health problem if a child's height is not appropriate for their age, especially in developing countries, including Indonesia. UNICEF notes that two main factors causing stunting are inadequate food intake and infection. This issue is very crucial to consider because of the implications is not only short-term but also has an impact on future excellence in human resources.. This investigation aims to identify risk factors that raise the possibility of stunting in kids younger than five, and evaluate the most effective intervention in reducing the prevalence of stunting, especially in Indonesia. Using the literature review method, this study gathered information from publications in the last 10 years through databases such as PubMed and Google Scholar. The keywords that we used were ‘Stunting, Risk Factor, Under five years’. The inclusion criteria were journals that provided information about risk factors for stunting in kids younger than five and were published in Indonesian and English. Some of the research results found were various factors that have an association with stunting including economic status, maternal education, low birth weight (LBW), exclusive breastfeeding, and a history of infectious diseases in children. Numerous investigations have demonstrated that infants born with low birth weight have twice the risk of being stunted. In addition, children from low income families and with mothers who have low education levels were also more prone to stunting. Stunting prevention can be focused on exclusive breastfeeding followed by complementary feeding after 6 months of age, improving access to sanitation and health facilities, and conducting nutrition specific and nutritionsensitive interventions.
References
Anggraeni, Z. E. Y. et al. (2020) ‘Hubungan Berat Badan Lahir, Panjang Badan Lahir, dan Jenis Kelamin dengan Kejadian Stunting’, The Indonesian Journal of Health Science, 12(1), pp. 51–56.
Bahagia Febriani, A. D. et al. (2020) ‘Risk factors and nutritional profiles associated with stunting in children’, Pediatric Gastroenterology, Hepatology and Nutrition, 23(5), pp. 457–463. doi: 10.5223/PGHN.2020.23.5.457.
Betan, Y., Hemcahayat, M. and Wetasin, K. (2018) ‘Hubungan Antara Penyakit Infeksi Dan Malnutrisi pada Anak 2-5 Tahun’, Jurnal Ners Lentera, 6(1), p. 2. Available at: http://journal.wima.ac.id/index.php/NERS/article/view/1850.
Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S., ... & Black, R. E. (2013). Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? The Lancet, 382(9890), 452-477. https://doi.org/10.1016/S0140-6736(13)60996-4
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., ... & Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427-451
Checkley, W., Buckley, G., Gilman, R. H., Assis, A. M., Guerrant, R. L., Morris, S. S., ... & The MAL-ED Network Investigators. (2008). Multi-country analysis of the effects of diarrhoea on childhood stunting. International Journal of Epidemiology, 37(4), 816-830. https://doi.org/10.1093/ije/dyn099
Desyanti, C. and Nindya, T. S. (2017) ‘Hubungan Riwayat Penyakit Diare dan Praktik Higiene dengan Kejadian Stunting pada Balita Usia 24-59 Bulan di Wilayah Kerja Puskesmas Simolawang, Surabaya’, Amerta Nutrition, 1(3), p. 243. doi: 10.20473/amnt.v1i3.6251.
Dewey, K. G., & Begum, K. (2011). Long-term consequences of stunting in early life. Maternal & Child Nutrition, 7, 5-18. https://doi.org/10.1111/j.1740-8709.2011.00349.x
Dewey, K. G. (2016) ‘Reducing stunting by improving maternal, infant and young child nutrition in regions such as South Asia: Evidence, challenges and opportunities’, Maternal and Child Nutrition, 12, pp. 27–38. doi: 10.1111/mcn.12282.
Dewi, I. A. and Adhi, K. T. (2016) ‘Pengaruh Konsumsi Protein Dan Seng Serta Riwayat Penyakit Infeksi Terhadap Kejadian Pendek Pada Anak Balita Umur 24-59 Bulan Di Wilayah Kerja Puskesmas Nusa Penida Iii’, Gizi Indonesia, 37(2), pp. 36–46. doi: 10.36457/gizindo.v37i2.161.
Dhaded, S. M. et al. (2020) ‘Preconception nutrition intervention improved birth length and reduced stunting and wasting in newborns in South Asia: The Women First Randomized Controlled Trial’, PLoS ONE, 15(1), pp. 1–15. doi: 10.1371/journal.pone.0218960.
Diah, S. et al. (2023) ‘Hubungan Pemberian ASI Eksklusif dengan Kejadian Stunting pada Balita’, jurnal kesehatn mulawarman, 5(2), pp. 191–205. doi: 10.33992/jgk.v16i2.3080.
Direktorat Pembinaan Pendidikan Keluarga (2019) ‘Modul Pendidikan Keluarga pada 1000 Hari Pertama Kehidupan (HPK)’, kemendikbud.
Fink, G., Danaei, G., & Young, M. (2022). Community-based health interventions and child malnutrition: A global assessment. Health Policy and Planning, 37(4), 436-445. https://doi.org/10.1093/heapol/czab122
Gusnedi, G. et al. (2023) ‘Risk factors associated with childhood stunting in Indonesia: A systematic review and meta-analysis’, Asia Pacific Journal of Clinical Nutrition, 32(2), pp. 184–195. doi: 10.6133/apjcn.202306_32(2).0001.
Hamzah, W., Haniarti, H. and Anggraeny, R. (2021) ‘Faktor Risiko Stunting Pada Balita’, Jurnal Surya Muda, 3(1), pp. 33–45. doi: 10.38102/jsm.v3i1.77.
Headey, D. D., Hoddinott, J., Ali, D., Tesfaye, R., & Dereje, M. (2020). The relative importance of climate, wealth, and women's empowerment in explaining child malnutrition in rural Ethiopia. Global Food Security, 26, 100420. https://doi.org/10.1016/j.gfs.2020.100420
Ismawati, V., Kurniati, F. D. and Oktavianto, E. (2021) ‘Kejadian Stunting Pada Balita Dipengaruhi Oleh Pada Ibu Hamil Prevalensi stunting di Gunung Kidul Menurut data Dinas Kesehatan Gunung’, Syifa’ MEDIKA, 11(2), pp. 126–138.
kemenkes (2020) Pedoman Pelayanan Antenatal Terpadu Edisi Kedua.
Kemenkes (2016) ‘Peraturan kesehatan Republik Indonesia’, Kemenkes, 51(August), p. 128.
Kemenkes RI (2018) ‘Buletin Stunting’, Kementerian Kesehatan RI, 301(5), pp. 1163–1178.
Kemenkes RI (2020) ‘Pedoman Pemberian Makan Bayi dan Anak (PMBA)’, Kementrian Kesehatan RI, p. xix + 129. Available at: https://www.google.co.id/books/edition/Pemberian_Makan_Bayi_dan_Anak/UcuXDwAAQBAJ?hl=id&gbpv=1&dq=tanda+bayi+cukup+asi&pg=PA15&printsec=frontcover.
Kementerian Kesehatan RI (2019) ‘Panduan Orientasi Kader Posyandu’, Direktorat Promosi Kesehatan dan Pemberdayaan Masyarakat Kementrerian Kesehatan RI, pp. 1–78.
Larasati, D. A., Nindya, T. S. and Arief, Y. S. (2018) ‘Hubungan antara Kehamilan Remaja dan Riwayat Pemberian ASI Dengan Kejadian Stunting pada Balita di Wilayah Kerja Puskesmas Pujon Kabupaten Malang’, Amerta Nutrition, 2(4), p. 392. doi: 10.20473/amnt.v2i4.2018.392-401.
Manggala, A. K. et al. (2018) ‘Faktor Risiko Stunting Pada Anak Usia 24-59 Bulan’, Pediatrica Indonesia, 58(5), pp. 205–212.
Mendes, S. K. and Nuwa, M. S. (2020) Stunting dengan Pendekatan Framework WHO, CV. Gerbang Media Aksara.
Millward, D. J. (2017) ‘Nutrition, infection and stunting: The roles of deficiencies of individual nutrients and foods, and of inflammation, as determinants of reduced linear growth of children’, Nutrition Research Reviews, 30(1), pp. 50–72. doi: 10.1017/S0954422416000238.
Nomura, K. et al. (2023) ‘Risk Factors Associated with Stunting among Children Under Five in Timor-Leste’, Annals of Global Health, 89(1), pp. 1–14. doi: 10.5334/aogh.4199.
Noor, M. S. et al. (2022) ‘Analysis of Socioeconomic, Utilization of Maternal Health Services, and Toddler’s Characteristics as Stunting Risk Factors’, Nutrients, 14(20), pp. 1–12. doi: 10.3390/nu14204373.
Prendergast & Humphrey (2014). Prendergast, A. J., & Humphrey, J. H. (2014). The stunting syndrome in developing countries. Paediatrics and International Child Health, 34(4), 250-265. https://doi.org/10.1179/2046905514Y.0000000158
Purnasari, G., Briawan, D. and Dwiriani, C. M. (2016) ‘Kepatuhan Konsumsi Suplemen Kalsium Serta Hubungannya Dengan Tingkat Kecukupan Kalsium Pada Ibu Hamil Di Kabupaten Jember’, Jurnal Kesehatan Reproduksi, 7(2), pp. 83–93. doi: 10.22435/kespro.v7i2.4968.83-93.
Rachmi, C. N. et al. (2016) ‘Stunting coexisting with overweight in 2·0-4·9-year-old Indonesian children: Prevalence, trends and associated risk factors from repeated cross-sectional surveys’, Public Health Nutrition, 19(15), pp. 2698–2707. doi: 10.1017/S1368980016000926.
Richter, L. M., Daelmans, B., Lombardi, J., Heymann, J., Lopez Boo, F., Behrman, J. R., ... & Britto, P. R. (2019). Investing in the foundation of sustainable development: Pathways to scale up for early childhood development. The Lancet, 389(10064), 103-118. https://doi.org/10.1016/S0140-6736(16)31698-1
Sampe, sr. anita, Toban, rindani claurita and Madi, onica anung (2020) ‘Hubungan Pemberian ASI Eksklusif dengan Kejadian Stunting pada Anak Balita’, ilmiah kesehatan sandi husada, 1(1), pp. 7–11. doi: 10.37010/mnhj.v3i1.498.
Saputri, R. M. and Viridula, E. Y. (2018) ‘Status Gizi Dan Riwayat Asi Ekslusif Dengan Kejadian Stunting (Nutrition Status And Extrusive Assembly With Stunting)’, Jurnal Darul Azhar, 6(1), pp. 59–68.
Sukiman, M. R. et al. (2022) ‘Faktor-Faktor Risiko Terjadinya Stunting pada Balita di Puskesmas Kassi-Kassi Kota Makassar Periode Januari 2022’, Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran, 2(9), pp. 656–667. doi: 10.33096/fmj.v2i9.121.
Sukmawati, S. et al. (2018) ‘Status Gizi Ibu Saat Hamil, Berat Badan Lahir Bayi Dengan Stunting Pada Balita’, Media Gizi Pangan, 25(1), p. 18. doi: 10.32382/mgp.v25i1.55.
Sunguya, B. F. et al. (2019) ‘Trends in prevalence and determinants of stunting in Tanzania: An analysis of Tanzania demographic health surveys (1991-2016)’, Nutrition Journal, 18(1), pp. 1–13. doi: 10.1186/s12937-019-0505-8.
UNICEF (2022). Improving Young Children’s Diets During the Complementary Feeding Period
UNWomen (2022) ‘Progress on the Sustainable Development Goals the Gender Snapshot 2022 286 years 1 in every 3 more women and girls’, United Nations.
Victora, C. G., Bahl, R., Barros, A. J., França, G. V., Horton, S., Krasevec, J., & 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
Wardani, D. S. and Mediana, D. (2024) ‘Hubungan Pola Asuh Dan Berat Badan Lahir Dengan Kejadian Stunting Pada Anak Usia 24-59 Bulan’, Jurnal Penelitian Dan Karya Ilmiah Lembaga Penelitian Universitas Trisakti, 9, pp. 20–29. doi: 10.25105/pdk.v9i1.16262.
Warsini, K. T., Hadi, H. and Nurdiati, D. S. (2016) ‘Riwayat KEK dan anemia pada ibu hamil tidak berhubungan dengan kejadian stunting pada anak usia 6-23 bulan di Kecamatan Sedayu, Bantul, Yogyakarta CED and maternal anemia did not associate with stunting in children 6-23 months in Sedayu Subdistrict, Bantu’, (44).
WHO and UNICEF (2003) ‘Global strategy for infant and young child feeding’, WHO Library, (1), pp. 1–30. Available at: https://www.who.int/nutrition/publications/infantfeeding/9241562218/en/.
WHO (2021) Levels and Trends in Child Malnutrition: Key findings of the 2021 Edition of the Joint Child Malnutrition Estimates
Wulan, M., Salma, W. O. and Sudayasa, I. P. (2023) ‘Risk Factors Of Stunting In Children Aged 12-59 Months In The Working Area Of The Langara Puskesmas District, Konawe Islands, 2022’, Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal), 12(6), pp. 356–361. doi: 10.14710/dmj.v12i6.39065.
Yulnefia and Sutia, M. (2022) ‘Hubungan Riwayat Penyakit Infeksi Dengan Kejadian Stunting Pada Balita Usia 24-36 Bulan Di Wilayah Kerja Puskesmas Tambang Kabupaten Kampar’, Jambi Medical Journal, 200, pp. 154–163.
Zaif, R. M., Wijaya, M. and Hilmanto, D. (2017) ‘Hubungan antara Riwayat Status Gizi Ibu Masa Keha milan dengan Pertumbuhan Anak Balita di Kecamatan Soreang Kabupaten Bandung’, Jurnal Sistem Kesehatan, 2(3), pp. 156–163. doi: 10.24198/jsk.v2i3.11964
License
Copyright (c) 2025 Tazkiyah Arafah Amatullah, Sang Ayu Kompiyang Indriyani

This work is licensed under a Creative Commons Attribution 4.0 International License.
Jurnal Biologi Tropis is licensed under a Creative Commons Attribution 4.0 International License.
The copyright of the received article shall be assigned to the author as the owner of the paper. The intended copyright includes the right to publish the article in various forms (including reprints). The journal maintains the publishing rights to the published articles.
Authors are permitted to disseminate published articles by sharing the link/DOI of the article at the journal. Authors are allowed to use their articles for any legal purposes deemed necessary without written permission from the journal with an acknowledgment of initial publication to this journal.