The relationship between stunting and breastfeeding cessation in toddlers

Authors

  • Agnes Septrya Simanjuntak Universitas Prima, Indonesia
  • Irza Haicha Pratama Universitas Prima, Indonesia
  • Partogi Hasiholan Simanullang Universitas Prima, Indonesia

DOI:

https://doi.org/10.35335/midwifery.v13i4.2086

Keywords:

Breastfeeding, Breastfeeding Cessation, Stunting, Toddlers

Abstract

This study aimed to analyze the relationship between breastfeeding cessation and the incidence of stunting in toddlers in Medan City. A total of 124 toddlers participated, with 50% experiencing stunting. Descriptive analysis showed that most mothers stopped breastfeeding between 0–6 months (50.81%), while the majority of toddlers (89.52%) consumed formula milk until 54–60 months. The Kolmogorov-Smirnov normality test indicated non-normal data distribution (p = 0.000), leading to the use of Spearman’s rank correlation. Results revealed a significant moderate positive correlation between breastfeeding cessation age and stunting incidence (r = 0.432; p = 0.000), indicating that earlier cessation of breastfeeding increases the risk of stunting. These findings align with previous research emphasizing the critical role of breastfeeding in stunting prevention. Although formula milk consumption was common, it did not significantly influence stunting alone. Therefore, stunting prevention efforts should prioritize exclusive breastfeeding for six months and continued breastfeeding up to two years, alongside improved complementary feeding, environmental sanitation, and maternal nutrition. A multisectoral approach is essential to effectively reduce stunting prevalence and improve toddler health in Medan City.

Downloads

Download data is not yet available.

References

Agus Hendra Al Rahmad, I. F. (2023). Modul: Penilaian Status Gizi dan Pertumbuhan Balita STANDAR BARU ANTROPOMETRI WHO-2006 Multicentre Growth Reference Study (MGRS) (Edisi Pert). Jurusan Gizi Politeknik Kesehatan Kemenkes Aceh.

Andreas. (2024). Penilaian Status Gizi Anak, Cara Mengukur hingga Membaca Hasilnya. Hellosehat. https://hellosehat.com/parenting/anak-6-sampai-9-tahun/gizi-anak/status-gizi-anak/

Anjani, D. M., Nurhayati, S., & Immawati. (2024). Penerapan Pendidikan Kesehatan Terhadap Pengetahuan IbuTentang Stunting Pada Balita Di Wilayah Kerja Uptd PuskesmasRawat Inap Banjarsari Metro Utara. Jurnal Cendikia Muda, 4(1), 62–69.

Anna Uswatun Qoyyimah, Lilik Hartati, S. A. F. (2020). Hubungan Kejadian Stunting Dengan Perkembangan Anak Usia 24-59 Bulan Di Desa Wangen Polanharjo, Klaten. INVOLUSI: Jurnal Ilmu Kebidanan, 12(1), 66–79. https://doi.org/10.61902/involusi.v11i1.173

Arumsari, D. R., Sukma, F., & Istiananingsih, Y. (2023). Kesehatan Mental Perinatal Dan Luaran Menyusui. Nermid : Jurnal Keperawatan Dan Kebidanan, 6(1), 96–113. https://nersmid.unmerbaya.ac.id/index.php/nersmid/article/view/142

Aurima, J., Susaldi, S., Agustina, N., Masturoh, A., Rahmawati, R., & Tresiana Monika Madhe, M. (2021). Faktor-Faktor yang Berhubungan dengan Kejadian Stunting pada Balita di Indonesia. Open Access Jakarta Journal of Health Sciences, 1(2), 43–48. https://doi.org/10.53801/oajjhs.v1i3.23

Daracantika, A., Ainin, & Besral. (2021). Systematic Literature Review : Pengaruh Negatif Stunting terhadap Perkembangan Kognitif Anak Systematic Literature Review : The Negative Effect of Stunting on Children ’ s Cognitive Development Berdasarkan data Riset Kesehatan Dasar tidak optimalnya kemam. Bikfokes, 1(2), 124–135. https://doi.org/10.7454/bikfokes.v1i2.1012

Demsa Simbolon, N. P. (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

Efriani, R., & Astuti, D. A. (2020). Hubungan umur dan pekerjaan ibu menyusui dengan pemberian ASI eksklusif. Jurnal Kebidanan, 9(2), 153. https://doi.org/10.26714/jk.9.2.2020.153-162

Farida Wahyu Ningtyias, Sulistiyani, Leersia Yusi R., N. R. (2020). Gizi Dalam Daur Kehidupan. UPT Percetakan & Penerbitan Universitas Jember.

Firyal Faris Naufal, Hafifah Rahmi Indita, L. M. (2023). Hubungan Pengetahuan Ibu dan Dukungan Keluarga dengan Pemberian ASI Eksklusif. Amerta Nurition, 7(3), 442–448. https://doi.org/10.20473/amnt.v7i3.2023.442-448

Herlianty, H., Setyawati, A., Lontaan, A., Limbong, T., Aris, I., & Putri, S. Z. (2023). Faktor Determinan Mempengaruhi Kejadian Stunting Pada Balita Usia 6- 59 Bulan. Judul Edukasi Ilmiah Kesehatan, 1(2), 73–79.

Huang, Y., Liu, Y., Yu, X. Y., & Zeng, T. Y. (2022). The rates and factors of perceived insufficient milk supply: A systematic review. Maternal and Child Nutrition, 18(1), 1–13. https://doi.org/10.1111/mcn.13255

Izdihar, H., Cahyani, A. S. D., & Muniroh, L. (2023). Hubungan Riwayat ASI Eksklusif, Riwayat Pemberian MP-ASI, dan Pendidikan Ibu dengan Stunting pada Anak 12-36 Bulan di Puskesmas Sidotopo Surabaya. Media Gizi Kesmas, 12(1), 338–343. https://doi.org/10.20473/mgk.v12i1.2023.338-343

Jezua, E. M., Silitonga, H. T. H., & Rambung, E. (2021). ASI Ekslusif, Status Imunisasi, dan Kejadian Stunting di Indonesia : Studi Literatur. Prominentia Medical Journal, 2(1), 17–26. https://doi.org/10.37715/pmj.v2i1.2259

Kebede, T., Woldemichael, K., Jarso, H., & Bekele, B. B. (2020). Exclusive breastfeeding cessation and associated factors among employed mothers in Dukem town , Central Ethiopia. International Breastfeeding Journal, 9, 1–10.

Kebo, S. S., Husada, D. H., & Lestari, P. L. (2021). Factors Affecting Exclusive Breastfeeding in Infant At the Public Health Center of Ile Bura. Indonesian Midwifery and Health Sciences Journal, 5(3), 288–298. https://doi.org/10.20473/imhsj.v5i3.2021.288-298

Lestari, P. P., & Aulia, F. (2024). Risk Factor For Early Breastfeeding Cessation. INVOLUSI: Jurnal Ilmu Kebidanan, 14(1), 10–15. https://doi.org/10.61902/involusi.v14i1.757

Lestiarini, S., & Sulistyorini, Y. (2020). Perilaku Ibu pada Pemberian Makanan Pendamping ASI (MPASI) di Kelurahan Pegirian. Jurnal PROMKES, 8(1), 1. https://doi.org/10.20473/jpk.v8.i1.2020.1-11

Maharani, A. F. R. (2022). TAFSIR TARBAWI: Konsep Ulul dalam Al-Qur’an (Al-Bab, Nuha, Azmi, Abshar). OSF Preprint, 1–8.

Muharyani, Widita, P. (2022). Tantangan Yang Dihadapi Ibu Menyusui Dalam Pemenuhan Hak Anak: ASI Eksklusif. Jurnal Keperawatan, 14(September), 893–906.

Nidia Suriani, Risnita, M. S. J. (2023). Konsep Populasi dan Sampling Serta Pemilihan Partisipan Ditinjau Dari Penelitian Ilmiah Pendidikan. IHSAN: Jurnal Pendidikan Islam, 1(2), 24–36.

Nirmalasari, N. O. (2020). Stunting Pada Anak : Penyebab dan Faktor Risiko Stunting di Indonesia. Qawwam: Journal For Gender Mainstreming, 14(1), 19–28. https://doi.org/10.20414/Qawwam.v14i1.2372

Organization, W. H. (2020, August 3). Layanan dan program yang secara aman mempromosikan praktik menyusui selama pandemi harus diprioritaskan agar kesehatan anak dan ibu terlindungi. World Health Organization. https://www.who.int/indonesia/id/news/detail/03-08-2020-world-breastfeeding-week-unicef-and-who-call-on-the-government-and-employers-to-support-breastfeeding-mothers-in-indonesia-during-covid-19

Pratiwi, A., Utomo, M. T., Etika, R., Handayani, K. D., & Angelika, D. (2023). The Relationship Between Enteral and Parenteral Nutrition on Body Weight, Incidence of NEC, Sepsis and Length of Care for Preterm Infant in Dr. Soetomo General Hospital Surabaya. Pharmacognosy Journal, 15(1), 86–89. https://doi.org/10.5530/pj.2023.15.12

Downloads

Published

2025-10-03

How to Cite

Simanjuntak, A. S., Pratama, I. H. . and Simanullang, P. H. . (2025) “The relationship between stunting and breastfeeding cessation in toddlers”, Science Midwifery, 13(4), pp. 1025–1035. doi: 10.35335/midwifery.v13i4.2086.