Determinan Potensi Risiko Stunting: Sistematis Literatur Review

  • Sugeng Wiyono Poltekkes Jakarta II
  • Arif Sumantri UIN Syarif Hidayatullah Jakarta
Keywords: Faktor risiko, pendek, potensi stunting

Abstract

Stunting is a significant health issue affecting the world today, particularly in developing countries. The Southeast Asian region accounts for more than a quarter of all stunted children worldwide. In addition to impacting child development, mortality, and morbidity will also affect the economy and productivity of countries in the future.  This scoping review aims to systematically map the research conducted in this area and identify existing knowledge gaps related to risk factors for stunting. The scoping review was conducted using three PubMed databases, the keywords used were "Children", "Risk Factor", and "Potential Stunting". Inclusion criteria were as follows: (1) studies with a population of children under five years of age, (2) studies that addressed risk factors for stunting, (3) studies of all types, and (4) articles published in English. Of the 200 articles, 98 met the inclusion criteria.  This review categorised risk factors associated with stunting in children under five years of age into the Food cluster, Physical and social cluster, Health Services, and Housing. Underlying factors included food provisioning practices and access to health services and care. The underlying factors causing stunting are environmental, household health, and socioeconomic factors. This scoping review identified risk factors for childhood stunting, including child attributes, parental traits, the amount of food consumed by the child, child health, eating habits, access to health services, household and environmental health, and socioeconomic status. These factors are interrelated and influence each other. Therefore, paying attention to these factors is necessary to reduce the risk of stunting.

References

LAKIP-Ditjen-P2P-Semester-I-Tahun-2023.pdf [Internet]. [cited 2024 Dec 3]. Available from: https://p2p.kemkes.go.id/wp-content/uploads/2023/08/Final-LAKIP-Ditjen-P2P-Semester-I-Tahun-2023.pdf

Pemerintah Percepat Pembangunan Kesehatan Nasional Sampai Ujung Negeri | Kementerian Koordinator Bidang Pembangunan Manusia dan Kebudayaan [Internet]. [cited 2024 Dec 3]. Available from: https://www.kemenkopmk.go.id/pemerintah-percepat-pembangunan-kesehatan-nasional-sampai-ujung-negeri.

BKPK H. Transformasi Kesehatan Sukseskan Tujuan Pembangunan Kualitas Hidup Masyarakat [Internet]. Badan Kebijakan Pembangunan Kesehatan | BKPK Kemenkes. 2022 [cited 2024 Dec 3]. Available from: https://www.badankebijakan.kemkes.go.id/transformasi-kesehatan-sukseskan-tujuan-pembangunan-kualitas-hidup-masyarakat/

Maulana G. detiknews. [cited 2024 Nov 5]. Prabowo-Gibran Punya Asta Cita, Ini Isi Lengkapnya. Available from: https://news.detik.com/pemilu/d-7001431/prabowo-gibran-punya-asta-cita-ini-isi-lengkapnya

GOAL 2 [Internet]. SDGs Indonesia. [cited 2024 Nov 5]. Available from: https://sdgs.bappenas.go.id/17-goals/goal-2/

Sudarta IM. Studi Literatur: Pengaruh Asupan Energi Protein Dan Riwayat Asi Eksklusif Terhadap Stunting. J Kesehat Manarang. 2021;7(Khusus):12–22.

Suyanto S, Wahyuni S, Zulharman Z, Restila R, Irfansya R, Aprillianty EN, et al. Understanding stunting risk factors in Kampar Regency: Insights from mothers with stunted children (qualitative study). SAGE Open Med. 2024;12(1).

Soesanti I, Saptandari P, Adiningsih S, Qomaruddin MB. The Practice of Complementary Feeding among Stunted Children under the Age of Two. Infect Dis Rep. 2020 July 7;12(11):8723.

Kesehatan BKP. Survei Kesehatan Indonesia (SKI). Vol. 01, Kementerian Kesehatan RI. 2023.

Fatemi MJ, Fararouei M, Moravej H, Dianatinasab M. Stunting and its associated factors among 6-7-year-old children in southern Iran: A nested case-control study. Public Health Nutr. 2019;22(1):55–62.

Haile B, Headey D. Growth in milk consumption and reductions in child stunting: Historical evidence from cross-country panel data. Food Policy. 2023;118(September 2022).

Izwardy D. Strategi mengamankan 1000 hari pertama kehidupan. 2015.

Hijriyati M. TANGGUNG JAWAB ORANG TUA UNTUK MEMPERSIAPKAN GENERASI TANGGUH DALAM PERSPEKTIF AL-QUR’AN ANALISIS SEMANTIK TERHADAP Q.S. AL-NISA’: 9. El-Islam. 2019;1(1):120–43.

Fauzi M. Pengalaman mengelola program gizi masyarakat. Jakarta; 2023.

Radjulaeni NAA, Masriadi M, Ahri RA. … Penurunan Stunting Menurut Perpres No 72 Tahun 2021 di Kabupaten Banggai Laut, Sulawesi Tengah, Indonesia: Accelerated Implementation of Stunting …. J Aafiyah Health …. 2024;

Minarto. Pengalaman dalam Pengelolaan Program gizi di Indonesia. Jakarta; 2023.

Mutiara ES, Manalu L, Klise RE, Aginta S, Aini F, Rusmalawaty R. Analisis Pemberian Tablet Tambah Darah pada Ibu Hamil di Puskesmas: Studi Literature Review. Media Kesehat Masy Indones. 2023;22(2):125–35.

Kesehatan BKP. Survei Kesehatan Indonesia (SKI) 2023. Vol. 01. Jakarta: Kementerian Kesehatan R.I; 2023. 1–68 p.

Pengantar K. Indeks Pembangunan Kesehatan Masyarakat 1.

Martorell R, young, F M. Patterns of Stunting and Wasting: Potential Explanatory Factors. 2007;

Achadi EL. Periode Kritis 1000 HPK dan Dampak Jangka Panjang Terhadap Kesehatan dan Fisiknya. FKM Univ Indones. 2014;(November).

Hidayat TS, Fuada N. Relationship between environmental sanitation, morbidity and nutritional status of under-five children in indonesia. Penelit Gizi Dan Makanan. 2011;34(2):104–13.

Basyariyah Q, Diyanah KC, Pawitra AS. Hubungan Ketersediaan Sanitasi Dasar terhadap Status Gizi Baduta di Desa Pelem, Bojonegoro. J Kesehat Lingkung Indones. 2022;21(1):18–26.

Cumming O, Cairncross S. Can water, sanitation and hygiene help eliminate stunting? Current evidence and policy implications. Matern Child Nutr. 2016;12:91–105.

Prasetya LKB. Tantangan Menuju Prevalensi Stunting 14%: Mengapa Penurunan Prevalensi Stunting Dalam 2 Tahun Terakhir (Tahun 2021 Dan 2022) Sangat Kecil Di Indonesia? J Kel Berencana. 2024;

Pemerintah Optimis Target Penurunan Stunting 14 Persen Tercapai di 2024 | Kementerian Koordinator Bidang Pembangunan Manusia dan Kebudayaan.

Dermawan AM, Setiyadi NA. Factors Associated with Stunting in Toddlers Aged 0-59 Months in Bonomerto. Contag Sci Period J Public Health Coast Health. 2023;5(4):1416.

Kementerian K. penyebab stunting [Internet]. [cited 2025 Jan 5]. Available from: https://www.google.com/search?q=penyebab+stunting+menurut+kemenkes&pQARtzM&vssid=mosaic

Andayani LS, Harahap J, Amelia R, Lubis NDA, Sari DK, Rohmawati L, et al. A premarital services education model of preventing stunting among prospective newlyweds from North Sumatera, Indonesia. Afr J Reprod Health. 2024;28(9):108–21.

Khonje MG, Qaim M. Animal-sourced foods improve child nutrition in Africa. Proc Natl Acad Sci U S A. 2024;121(50).

Thompson AL, Onyango M, Sakala P, Manda J, Berhane E, Selvaggio MP, et al. Are boys more vulnerable to stunting? Examining risk factors, differential sensitivity, and measurement issues in Zambian infants and young children. BMC Public Health. 2024;24(1):3338.

Beressa G, Biratu A, Lencha B, Sahiledengle B, Zenbaba D, Bekele D, et al. Association between dietary diversity, nutritional status, and academic performance of school-age children in Southeast Ethiopia using structural equation modelling. J Health Popul Nutr. 2024;43(1):188.

Mikulic N, Khouw I, Ng SA, Rojroongwasinkul N, Vongvimetee N, Tran NT, et al. Dairy Consumption at Breakfast among Southeast Asian Children: Associations with Nutrient Intake from the South East Asian Nutrition Surveys II (SEANUTS II). Nutrients. 2024;16(19).

Emrie AA, Tesfa G, Ayalew Y, Kebie AB, Terefe TF, Mewahegn AA, et al. Determinants of stunting among adolescent girls in schools of Digo Tsion Town, Northwest Ethiopia: Unmatched case control study. PloS One. 2024;19(10).

Laksono AD, Izza N, Trisnani T, Paramita A, Sholikhah HH, Andarwati P, et al. Determination of appropriate policy targets to reduce the prevalence of stunting in children under five years of age in urban-poor communities in Indonesia: a secondary data analysis of the 2022 Indonesian national nutritional status survey. BMJ Open. 2024;14(9).

Tshiambara P, Hoffman M, Legodi H, Balakrishna Y, Feucht U. Dietary intake and growth of HIV exposed and unexposed 6-12 months old infants in South Africa. Matern Child Nutr. 2025;21(1).

Longwill O. Domestic Double Burden of Malnutrition in Manisa, Turkey: A Cross-Sectional Study in Two Primary Care Health Centers. Cureus. 2024;16(10).

Lubis A, Riyadi H, Khomsan A, Rimbawan R, Shagti I. Effects of Formula-100 therapeutic milk and Bregas Nutriroll ready-to-use therapeutic food on Indonesian children with severe acute malnutrition: A randomized controlled trial study. Narra J. 2024;4(2).

Yasin Z, Nawawi A, Wibowo A, Nadhiroh SR, Devy SR. Effects of Moringa oleifera on increasing breast milk in breastfeeding mothers with stunting toddlers in rural Batang-Batang District, Indonesia. Afr J Reprod Health. 2024;28(10):34–34.

Chipanha LT, Katalambula L. Feeding Behaviour and Nutritional Status among Children Aged 6 to 23 Months Old in Bahi District in Tanzania. East Afr Health Res J. 2024;8(2):180–7.

Quinteros-Reyes C, Seferidi P, Guzman-Abello L, Millett C, Bernabé-Ortiz A, Ballard E. Mapping food system drivers of the double burden of malnutrition using community-based system dynamics: a case study in Peru. BMC Glob Public Health. 2024;2(1):15.

Vanduangden J, Ittiwut R, Ittiwut C, Phewplung T, Sanpavat A, Sintusek P, et al. Molecular profiles and long-term outcomes of Thai children with hepatic glycogen storage disease in Thailand. World J Clin Pediatr. 2024;13(4):100493.

Fahmida U, Pramesthi IL, Kusuma S, Sudibya ARP, Rahmawati R, Suciyanti D, et al. Problem nutrients in diet of under-five children and district food security status: Linear programming analyses of 37 stunting priority districts in Indonesia. PloS One. 2024;19(12).

Piper JD, Mazhanga C, Mwapaura M, Mapako G, Mapurisa I, Mashedze T, et al. School-age growth and development following infant feeding and/or water, sanitation, and hygiene interventions in rural Zimbabwe: long-term follow-up of a cluster-randomised trial. EClinicalMedicine. 2024;78(Query date: 2024-12-29 11:03:17):102946.

Rahardiantoro S, Juhanda ARN, Kurnia A, Aswi A, Sartono B, Handayani D, et al. Spatio-temporal modeling to identify factors associated with stunting in Indonesia using a Modified Generalized Lasso. Spat Spatio-Temporal Epidemiol. 2024;51(Query date: 2024-12-29 11:03:17):100694.

Barbosa BB, Brito GCD, Mendes LL, Adriano LS, Carvalho AM de, Carioca AAF. Temporal trend in markers of nutritional status and food consumption of non-village indigenous people in Brazil. Int J Equity Health. 2024;23(1):216.

Yigezu M, Oumer A, Damtew B, Birhanu D, Workie SG, Hamza A, et al. The dual burden of malnutrition and its associated factors among mother-child pairs at the household level in Ethiopia: An urgent public health issue demanding sector-wide collaboration. PloS One. 2024;19(11).

Shibeshi AH, Asfaw ZG. The influence of minimum dietary diversity on undernutrition among children aged 6-23 months in Ethiopia: a multilevel mixed-effect analysis based on 2019 Ethiopian mini demographic and health survey. Front Public Health. 2024;12(Query date: 2024-12-29 11:03:17):1436683.

Tan PY, Som SV, Nguyen SD, Tran DT, Tran NT, Tran VK, et al. The Role of Complementary Feeding Practices in Addressing the Double Burden of Malnutrition among Children Aged 6-23 Months: Insight from the Vietnamese General Nutrition Survey 2020. Nutrients. 2024;16(19).

Bobo E, Bikila H, Mekonen WM, Fite MB, Ayana GE, Etafa W. Undernutrition and associated factors among adolescent girls in Diga District, East Wollega Zone, Ethiopia. PloS One. 2024;19(10).

Meskele DK, Abiso TL, Belete TB, Koyira MM, Dake SK. Undernutrition and associated factors among school-age children in Wolaita Zone, South Ethiopia: a comparative cross-sectional study. Front Nutr. 2024;11(Query date: 2024-12-29 11:03:17):1400276.

Yigezu M, Zenebe T, Deresse T, Mekonnen H, Woldamanuel T, Hailu M, et al. Undernutrition and its determinants among children aged 6-59 months in Southern Ethiopia. Sci Rep. 2024;14(1):22426.

Khan I, Ullah S, Ayesha, Khan M, Shafiq F, Syed A, et al. Understanding the Crisis: Prevalence and Key Determinants of Stunting in Children Aged 2 to 5 Years in an Afghan Refugee Camp in Kohat. Cureus. 2024;16(9).

Utumatwishima JN, Mogren I, Elfving K, Umubyeyi A, Mansourian A, Krantz G. Women’s exposure to intimate partner violence and its association with child stunting: findings from a population-based study in rural Rwanda. Glob Health Action. 2024;17(1):2414527.

Abuye C, Abbott D, Berhanu L, Bailes A, Holtzman R. An evaluation of interventions within a Growth Through Nutrition project aimed at enhancing optimal nutrition and water, sanitation and hygiene (WASH) and nutrition practices among nutritionally most vulnerable households (MVHHs) in Ethiopia. PloS One. 2024;19(10).

Ali R, Zinab B, Megersa BS, Yilma D, Girma T, Abdissa A, et al. Association between birth length, linear growth velocities, and primary school achievement at age 10 years: evidence from the Ethiopian iABC birth cohort. BMC Public Health. 2024;24(1):3417.

Filteau S, Simms V, Chisenga M, Kahari C, Dzavakwa N, Namukonda C, et al. Associations of linear growth with body composition of perinatally HIV-infected African adolescents. Br J Nutr. 2024;(Query date: 2024-12-29 11:03:17):1–9.

Gough EK, Edens TJ, Carr L, Robertson RC, Mutasa K, Ntozini R, et al. Bifidobacterium longum and microbiome maturation modify a nutrient intervention for stunting in Zimbabwean infants. EBioMedicine. 2024;108(Query date: 2024-12-29 11:03:17):105362.

Chowdhury ZT, Hurley KM, Shaikh S, Mehra S, Ali H, Shamim AA, et al. Caregiver Feeding Behaviours and Child Dietary Diversity and Growth in Rural Bangladesh. Matern Child Nutr. 2024;(Query date: 2024-12-29 11:03:17).

Matee N, Ageru TA, Mangi E, Nguyen HT, Walugembe F. Caregivers’ perceptions of factors influencing undernutrition among under five in Ubungo, Dar es Salaam, Tanzania. BMC Pediatr. 2024;24(1):808.

Aswi A, Rahardiantoro S, Kurnia A, Sartono B, Handayani D, Nurwan N, et al. Childhood stunting in Indonesia: assessing the performance of Bayesian spatial conditional autoregressive models. Geospatial Health. 2024;19(2).

Nasuuna EM, Tomlinson LA, Kalyesubula R, Castelnuovo B, Nanyeenya N, Chikwari CD, et al. Comorbidities associated with chronic kidney disease among young people living with HIV in Uganda. A nested case control study. MedRxiv Prepr Serv Health Sci. 2024;(Query date: 2024-12-29 11:03:17).

Madewell ZJ, Keita AM, Das PMG, Mehta A, Akelo V, Oluoch OB, et al. Contribution of malnutrition to infant and child deaths in Sub-Saharan Africa and South Asia. BMJ Glob Health. 2024;9(12).

Meher C, Zaluchu F. Cultural Influences of Early Food Introduction on Exclusive Breastfeeding Rates in the Nias Islands, Indonesia. J Multidiscip Healthc. 2024;17(Query date: 2024-12-29 11:03:17):5653–63.

Dolui M, Sarkar S. Decomposing social groups differential in stunting among children under five in India using nationally representative sample data. Sci Rep. 2024;14(1):27260.

Das S, Shukla AK, Galhotra A. Determinants of malnutrition among adolescent females of age 15-19 years in an urban slum of Raipur city. J Fam Med Prim Care. 2024;13(11):5231–9.

Noviana U, Devy SR, Indriani D, Yasin Z. Determining factors affecting mother’s behaviour in stunting prevention in rural Madura, Indonesia. Afr J Reprod Health. 2024;28(10):100–10.

Ayele A, Edin A, Dingeta T, Gudeta R, Beka J, Shore H. Developmental delay and associated factors among HIV-infected under-five children in public health facilities, Southern Ethiopia. Sci Rep. 2024;14(1):30763.

Lukwa AT, Chiwire P, Akinsolu FT, Okova D, Hongoro C. Double burden of malnutrition among women and children in Zimbabwe: a pooled logistic regression and Oaxaca-Blinder decomposition analysis. Front Public Health. 2024;12(Query date: 2024-12-29 11:03:17):1451898.

Dadras O, Stanikzai MH, Jafari M, Tawfiq E. Early childhood development and its associated factors among children aged 36-59 months in Afghanistan: evidence from the national survey 2022-2023. BMC Pediatr. 2024;24(1):734.

Rodrigues ESM, Costa EM, Sousa FS de, Araújo FBP, Lopes MBS, Thomaz EBAF. Effect of the COVID-19 pandemic on malnutrition in socially vulnerable children in Brazil. Cienc Saude Coletiva. 2024;29(10).

Juran L, Wilcox E, Albritton M, Smith JA, Harris JD, Cohen A, et al. Effectiveness of the upscaled use of a silver-ceramic (silver ionization) technology to disinfect drinking water in tanks at schools in rural India. J Water Health. 2024;22(11):2233–45.

Maru Y, Mesfin F, Laillou A, Noor R, Adhikari SR, Zelalem M, et al. Estimating the minimal cost of delivering nutrition-specific and nutrition-sensitive interventions in Ethiopia. Matern Child Nutr. 2024;(Query date: 2024-12-29 11:03:17).

Pandey S, Rahut DB, Araki T. Ethnicity/caste and child anthropometric outcomes in India using the National Family Heath Survey 2015-16 and 2019-21. PloS One. 2024;19(12).

Al-Hatemi N, Al-Nawd E, Alosoufe L, Alhebshi H, Alhroub N, Alkhawaldeh A, et al. Exploring risk factors for undernutrition in children aged under five years in Yemen. Nurs Child Young People. 2024;(Query date: 2024-12-29 11:03:17).

Nurhaeni N, Huda MH, Chodidjah S, Agustini N, Waluyanti FT, Nadi HIK, et al. Exploring the strategies and components of interventions to build adolescent awareness about stunting prevention in West Java: A qualitative study. PloS One. 2024;19(12).

Jacobson KB, Röltgen K, Lam B, Nayebare P, Kakuru A, Kizza J, et al. Gestational SARS-CoV-2 Infection in a Ugandan Birth Cohort: High Incidence, Mild Maternal Disease, and Evidence of Association with Transient Infant Stunting. Am J Trop Med Hyg. 2024;111(5):1107–17.

Almahmoud E, Alkazemi DUZ, Al-Qabandi W. Growth Stunting and Nutritional Deficiencies among Children and Adolescents with Celiac Disease in Kuwait: A Case-Control Study. Child Basel Switz. 2024;11(9).

Mphangwe W, Nolan A, Vallières F, Finn M. How do gender norms contribute to stunting in Ntchisi District, Malawi? a qualitative study. PloS One. 2024;19(10).

Annisa A, Santoso S, Zuhriyah L, Handayani D. Human milk oligosaccharide associated with the firmicutes-to-bacteroidetes ratio among stunted infants in Malang, Indonesia. Bratisl Lek Listy. 2024;125(10):605–11.

Lwanga C, Aber P, Tickell KD, Ngari MM, Mukisa J, Atuhairwe M, et al. Impact of HIV exposure without infection on hospital course and mortality among young children in sub-Saharan Africa: a multi-site cohort study. BMC Med. 2024;22(1):573.

Das U, Rout NR. Impact of normal vs. caesarean deliveries on child nutritional status and mortality in India: insights from NFHS-5 data. BMC Pediatr. 2024;24(1):781.

Sufri S, Iskandar I, Nurhasanah N, Bakri S, Jannah M, Rajuddin R, et al. Implementation outcomes of convergence action policy to accelerate stunting reduction in Pidie district, Aceh province, Indonesia: a qualitative study. BMJ Open. 2024;14(11).

Das SK, Khan MA. Longitudinal analysis of growth and nutritional disparities across socio-demographics from early childhood to adolescence: Findings from the Indian cohort of the Young Lives Survey. Trop Med Int Health TM IH. 2024;29(11):951–63.

Escher NA, Carrillo-Larco RM, Parnham JC, Curi-Quinto K, Ghosh-Jerath S, Millett C, et al. Longitudinal transitions of the double burden of overweight and stunting from childhood to early adulthood in India, Peru, and Vietnam. Int J Epidemiol. 2024;53(6).

Huo J, Huang Y, Sun J, Huang J, Dong J, Sun Y, et al. Malnutrition in infants aged 6-23 months in China’s poorest rural counties from 2016 to 2021: cross sectional study. BMJ. 2024;387(Query date: 2024-12-29 11:03:17).

Habimana J de D, Korukire N, Jewett S, Matsiko E, Umugwaneza M, Rugema L, et al. Maternal factors promoting normal linear growth of children from impoverished Rwandan households: a cross-sectional study. BMC Public Health. 2024;24(1):2755.

Khura B, Ahmed KY, Mohanty P, Kumar CP, Thapa S. Minimum dietary diversity is associated with lower risk of childhood underweight: Evidence from the 2019/2021 National Family Health Survey of India. Nutr Res N Y N. 2024;130(Query date: 2024-12-29 11:03:17):11–21.

Rich K, Engelbrecht L, Wills G, Mphaphuli E. Mitigating the Impact of Intergenerational Risk Factors on Stunting: Insights From Seven of the Most Food Insecure Districts in South Africa. Matern Child Nutr. 2024;(Query date: 2024-12-29 11:03:17).

Gaston RT, Ramroop S, Habyarimana F. Modelling the interrelationships between potential risk factors and childhood Co-morbidity of Malaria, Anaemia, and stunting in children less than five years in Burundi. Heliyon. 2024;10(19).

Wiliyanarti PF, Choliq I, Hasanah U, Lin SY. Mother’s Experiences in Caring for Children with Stunting in Rural Indonesia. J Transcult Nurs Off J Transcult Nurs Soc. 2024;(Query date: 2024-12-29 11:03:17):2147483647.

Begashaw GB, Zewotir T, Fenta HM. Multistate Markov chain modeling for child undernutrition transitions in Ethiopia: a longitudinal data analysis, 2002-2016. BMC Med Res Methodol. 2024;24(1):283.

Rajendran G, Ramasubramani P, Rajaa S, Kanagalingam S, Karunakar P. Nutritional assessment of under-three years children availing Anganwadi services from rural areas of Puducherry, India. J Paediatr Child Health. 2024;60(11):724–9.

Karim R, Kundu RN, Hossain S, Bharati S, Bharati P, Hossain G. Nutritional status of tribal and non-tribal school-going children in rural Bangladesh: A comparative study. BMC Public Health. 2024;24(1):2975.

Glass DJ, Kinge M, Njuguna I, McGrath CJ, Lawley K, Moraa H, et al. Poorer longitudinal growth among HIV exposed compared to unexposed infants in Kenya. J Acquir Immune Defic Syndr 1999. 2024;(Query date: 2024-12-29 11:03:17).

Khan J, Mohanty SK. Poverty induced inequality in nutrition among children born during 2010-2021 in India. PloS One. 2024;19(11).

Islam MM, Kibria NMSJ, Kumar S, Roy DC, Karim MR. Prediction of undernutrition and identification of its influencing predictors among under-five children in Bangladesh using explainable machine learning algorithms. PloS One. 2024;19(12).

Locks LM, Chembe M, Bilima-Mulenga T, Lauer JM, Sizakawe D, Henderson S, et al. Predictors of Stunting and Pathway Analysis for Linear Growth among Children Aged Two to Three Years after a Trial of Small-Quantity Lipid-Based Nutrient Supplements and Home-Installed Growth Charts in Three Districts in Zambia. J Nutr. 2024;(Query date: 2024-12-29 11:03:17).

Guja H, Belgiu M, Baye K, Stein A. Prevalence and determinants of stunting and anaemia in children aged 6-23 months: A multilevel analysis from rural Ethiopia. Matern Child Nutr. 2025;21(1).

Alema NO, Ikoona EN, Toure MA, Eleeza O, Njenga A, Matovu JB, et al. Prevalence and factors associated with undernutrition among 15-49-year-old women in Sierra Leone: A secondary data analysis of Sierra Leone Demographic Health Survey of 2019. PloS One. 2024;19(11).

Essilfie G, Kofinti RE, Asmah EE. Reducing stunting and underweight through mother’s birth spacing: evidence from Ghana. BMC Pregnancy Childbirth. 2024;24(1):624.

Mensah PA, Sawyerr RT, Christian AK. Sibling gender dynamics and childhood stunting in Ghana. BMC Nutr. 2024;10(1):157.

Saidu SF, Danielson RA. Social determinants of health associated with increased prevalence of childhood malnutrition in Africa. Front Nutr. 2024;11(Query date: 2024-12-29 11:03:17):1456089.

Kitaw TA, Abate BB, Tilahun BD, Azmeraw M, Ayele M, Lake ES, et al. Spatial variation, 20-year trends, and determinants of the double burden of wasting and stunting among under-five children in Ethiopia: a geo-spatial and multivariate decomposition analysis (2000-2019). Sci Rep. 2024;14(1):29539.

Erika KA, Fadilah N, Latif AI, Hasbiah N, Juliaty A, Achmad H, et al. Stunting Super App as an Effort Toward Stunting Management in Indonesia: Delphi and Pilot Study. JMIR Hum Factors. 2024;11(Query date: 2024-12-29 11:03:17).

Onah MN, Khan GN, Kureishy S, Bourdaire J, Pee S de, Garzon C, et al. The cost-effectiveness of a cash-based transfer, specialised nutritious food, and social and behaviour change communication intervention package to prevent undernutrition among children 6-23 months in Pakistan: A cluster randomised controlled trial. J Glob Health. 2024;14(Query date: 2024-12-29 11:03:17):4186.

Makhoul Z, Ndonji M, Long JM, Moore C, Lunda E, Mwandileya W, et al. The nutritional and feeding status of children living in selected residential child care facilities in Zambia: implications for programs and policies. Front Public Health. 2024;12(Query date: 2024-12-29 11:03:17):1331907.

Hidayah I, Suryahadi A, Palmisano F, Jong JCK de. The role of parental child marriage in children’s food security and nutritional status: a prospective cohort study in Indonesia. Front Public Health. 2024;12(Query date: 2024-12-29 11:03:17):1469483.

Ejike CE, Uwadoka N, Igwe-Ogbonna N. Things seen and unseen: 1. Stunting and overweight/obesity are predominant malnutrition burdens of urban poor Nigerian adolescents. Ann Glob Health. 2024;90(1):64.

Haile YT, Legisso TZ. Trends and determinants of child stunting in Ethiopia: a longitudinal analysis of sociodemographic factors and regional disparities. BMC Public Health. 2024;24(1):3391.

Azzahra I, Listyaningsih U, Mulyani RRWP. Unveiling the dynamics of stunting: a qualitative exploration of parenting patterns and toddlers aged 6-59 months in Bejiharjo, Indonesia. Child Health Nurs Res. 2024;30(4):266–76.

Wanjohi MN, Kimani-Murage EW, Asiki G, Holdsworth M, Pradeilles R, Langat N, et al. Adolescents’ dietary patterns, their drivers and association with double burden of malnutrition in adolescents: a cross-sectional study in Kenya’s urban slums. J Health Popul Nutr. 2024;43(1):181.

Kazemian SV, Hosseinzadeh E, Khodashenas MR, Dadgarmoghaddam M, Tabesh H. Anthropometric indices growth references (length, Weight and Head Circumferences) of children aged 0-24 months in North-East of Iran by GAMLSS. BMC Pediatr. 2024;24(1):649.

Ratnayani, Hegar B, Sunardi D, Fadilah F, Gunardi H, Fahmida U, et al. Association of Gut Microbiota Composition with Stunting Incidence in Children under Five in Jakarta Slums. Nutrients. 2024;16(20).

Petscavage K, Mutua MK, Wagner AL, Treleaven E. Associations between extreme weather events and child undernutrition: evidence from sub-Saharan Africa, 2010-2019. J Epidemiol Community Health. 2024;(Query date: 2024-12-29 11:03:17).

Khan MMA, Billah MA, Fatima K, Islam MM, Sarker BK, Khanam SJ, et al. Child undernutrition and its association with household environmental conditions in Bangladesh. Public Health Nutr. 2024;(Query date: 2024-12-29 11:03:17):1–31.

Ogwel B, Mzazi VH, Awuor AO, Okonji C, Anyango RO, Oreso C, et al. Predictive modelling of linear growth faltering among pediatric patients with Diarrhea in Rural Western Kenya: an explainable machine learning approach. BMC Med Inform Decis Mak. 2024;24(1):368.

Elmighrabi NF, Fleming CAK, Agho KE. Trends in the Prevalence and Factors Associated with Undernutrition in Tunisian Children Aged 0-23 Months. Nutrients. 2024;16(22).

Putri LD, Agustin H, Bakti I, Suminar JR. Addressing Health Illiteracy and Stunting in Culture-Shocked Indigenous Populations: A Case Study of Outer Baduy in Indonesia. Int J Environ Res Public Health. 2024;21(9).

Budiailmiawan L, Aryati A, Kadir NA, Yusuf LI, Partakusuma LG, Markus L, et al. Anaemia Profile and Inflammation Markers in Stunted Children Under Two Years in Indonesia. Child Basel Switz. 2024;11(11).

Bashar SJ, Islam MR, Nuzhat S, Amin R, Rahman MM, Pavlinac PB, et al. Antibiotic use prior to attending a large diarrheal disease hospital among preschool children suffering from bloody or non-bloody diarrhea: A cross-sectional study conducted in Bangladesh. PloS One. 2024;19(11).

Sartika AN, Khoirunnisa M, Meiyetriani E, Ermayani E, Pramesthi IL, Nur Ananda AJ. Prenatal and postnatal determinants of stunting at age 0–11 months: A cross-sectional study in Indonesia. Wilunda C, editor. PLOS ONE. 2021 July 14;16(7):e0254662.

Bahwere P, Judge DS, Spencer P, Chiwile F, Mutunga M. Examining the burden and relationship between stunting and wasting among Timor-Leste under five rural children. PloS One. 2024;19(10).

Mulol H, Nel S, Wenhold FAM, Feucht UD. Exploring Infant Size and Body Composition at 18 Months: An Ambidirectional Peri-Urban South African Cohort Study. Matern Child Nutr. 2024;(Query date: 2024-12-29 11:03:17).

Wambua M, Kariuki SM, Abdullahi H, Abdullahi OA, Ngari MM. Wasting coexisting with underweight and stunting among children aged 6‒59 months hospitalised in Garissa County Referral Hospital, Kenya. Matern Child Nutr. 2025;21(1).

Tessalonica A. W V. Pengaruh Konsumsi Masyarakat Indonesia terhadap Ketahanan Pangan Nasional. Politek Stat STIS.

Arlius A, Sudargo T, Subejo S. Hubungan Ketahanan Pangan Keluarga Dengan Status Gizi Balita (Studi Di Desa Palasari Dan Puskesmas Kecamatan Legok, Kabupaten Tangerang). J Ketahanan Nas. 2017 Dec 7;23(3):359.

Pujiati S. Analisis Ketersediaan, Keterjangkauan Dan Pemanfaatan Pangan Dalam Mendukung Tercapainya Ketahanan Pangan Masyarakat Di Provinsi Jawa Tengah. J Sos Ekon Pertan. 2020;16(2).

Kholidah LN, Pangestuti DR, Lisnawati N, Asna AF. Pengaruh Aksesibilitas Bahan Pangan Terhadap Praktik Pemilihan Makanan Keluarga Selama Masa Pandemi. Amerta Nutr. 2023 Dec 31;7(2SP):238–46.

Maliati N. Stunting dan Kebijakan Pangan dan Gizi di Indonesia. J Transparansi Publik JTP. 2023;3(1):33–42.

Fitrianti H. Analisis Pemahaman Orang Tua Dalam Pemahaman Gizi Seimbang Pada Anak. J Phys Outdoor Educ. 2022;4(2):222–34.

Ilham A. Kesadaran Orang Tua tentang Pentingnya Gizi Seimbang untuk Anak Usia 2-4 Tahun. J Tumbuh Kembang Kaji Teori Dan Pembelajaran PAUD. 2024;11(2):30–42.

Holifah R, Adhyanti, Hafid F. Pola Asuh Pemberian Makan dan Tingkat Pendidikan Pengasuh Baduta Stunting di Wilayah Kerja Puskesmas Tete Sulawesi Tengah: Feeding Parenting Pattern and Education Level of Stunting Baby-Careers in The Working Area of Tete’s Public Health Centre, Central Sulawesi. J Diskurs Ilm Kesehat. 2023 Mar 6;1(1):35–47.

Alamsyah D. Faktor Risiko Lingkungan Gizi Kurang Dan Gizi Buruk Pada Balita 12-59 Bulan. J Penelit Dan Pengemb Borneo Akcaya. 2015;02(1).

Yuliastuti LPS. Hubungan Pendidikan Dan Pekerjaan Ibu Dengan Status Gizi Anak Pra Sekolah DI TK Sari Asih Sumbawa Besar. J Innov Res Knowl. 2024;4(2).

Anita Y. Manfaat Promotif Dan Preventif BPJS Sebagai Pemenuhan Hak Kesehatan Bagi Siswa Sekolah Dasar. J Inov Pendidik Dan Pembelajaran Sekol Dasar. J Inov Pendidik DAN PEMBELAJARAN Sekol DASAR [Internet]. 2018;2(1). Available from: http://e-journal.unp.ac.id/index.php/jippsd

Janah M. Hubungan ASI Ibu, Penyakit Infeksi dan Akses Pelayahan Kesahatan Dengan kejadian Stunting Pada Balita. J Promot Prev. 2024;7(5):1063–9.

Nisa SK. Sanitasi Penyediaan Air Bersih dengan Kejadian Stunting pada Balita. JPPKMI. 2021;2(1):17–25.

Olo A, Mediani HS, Rakhmawati W. Hubungan Faktor Air dan Sanitasi dengan Kejadian Stunting pada Balita di Indonesia. J Obsesi J Pendidik Anak Usia Dini. 2020 Oct 6;5(2):1113–26.

Pradana VN. Personal Higiene, Ketersediaan Air, dan Sanitasi Lingkungan dengan Kejadian Stunting pada Balita Usia 6–59 Bulan di Wilayah Kerja Puskesmas Singorojo I, Kabupaten Kendal. Amerta Nutr. 2023;7(3):421–6.

Published
2025-12-27