Correlation of Parental Feeding Practices with the Incidence of Stunting among Children under 12–59 Months of Age in Samigaluh Kulonprogo [Accepted]
Abstract
Background: Stunting represents a severe global health burden, affecting over 50% of children under five worldwide. In Indonesia, it remains a pressing national health concern. According to the 2022 Indonesian Nutrition Status Survey, Yogyakarta Province reported a stunting prevalence of 16.4%, with Kulonprogo Regency contributing 15.8% of cases. The first 1000 days of life constitute a critical window for nutritional intervention, wherein parental feeding practices significantly influence childhood growth trajectories and nutritional outcomes. This study aimed to comprehensively analyze the correlation between distinct parental feeding practices and stunting incidence among children aged 12-59 months in Samigaluh, Kulonprogo. Methods: A cross-sectional analytical study was conducted utilizing stratified random sampling to recruit 26 respondent pairs of parents and children. Data collection incorporated a validated parental feeding practices questionnaire assessing feeding styles through structured interviews, combined with direct anthropometric measurements using standardized techniques. Statistical analysis employed chi-square tests with significance set at p<0.05. Results: The study found a high stunting prevalence of 80.8% (21/26). Democratic feeding practices were employed by 18 parents. Non-democratic practices increased the risk of stunting by 1.7 times (p = 0.014), while permissive practices doubled the risk (p = 0.0005) compared to non-permissive approaches. However, authoritarian practices showed no statistically significant association with stunting. Conclusions: Parental feeding practices exhibit a substantial correlation with stunting incidence in this community. Public health initiatives should prioritize educational interventions promoting responsive, non-permissive feeding strategies to effectively reduce stunting prevalence in this vulnerable population.
References
Barasi EM. At a Glance Ilmu Gizi. Jakarta: PT Glora Aksara Pratama; 2009.
Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, et al. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet. 2008;371(9608):243-60. Available from: https://doi.org/10.1016/S0140-6736(07)61690-0
Gustina E, Sofiana L, Ayu SM, Wardani Y, Lasari DI. Good parental feeding style reduces the risk of stunting among under-five children in Yogyakarta, Indonesia. Public Health Prev Med Arch. 2020;8(2):120-5. Available from: https://doi.org/10.53638/phpma.2020.v8.i2.p07
Ikeda N, Irie Y, Shibuya K. Determinants of reduced child stunting in Cambodia: analysis of pooled data from three demographic and health surveys. Bull World Health Organ. 2013;91(5):341-9. Available from: https://doi.org/10.2471/BLT.12.113381
Kementerian Kesehatan RI. Survei Kesehatan Indonesia (SKI) Dalam Angka. Data Akurat Kebijakan Tepat. Jakarta: Kementerian Kesehatan RI; 2023. Available from: https://www.badankebijakan.kemkes.go.id/hasil-ski-2023/
Antari LIB. Hubungan Pola Asuh Orang Tua Dengan Kejadian Stunting Pada Balita Usia 24-59 Bulan [Thesis]. Denpasar: Politeknik Kesehatan Kemenkes Denpasar; 2020. Available from: http://repository.poltekkes-denpasar.ac.id/id/eprint/4222
Mercedes de Onis M, Branca F. Childhood stunting: a global perspective. Matern Child Nutr. 2016;12 Suppl 1:12-26. Available from: https://doi.org/10.1111/mcn.12231
Musher-Eizenman D, Holub S. Comprehensive Feeding Practices Questionnaire: validation of a new measure of parental feeding practices. J Pediatr Psychol. 2007;32(8):960-72. Available from: 10.1093/jpepsy/jsm037
Notoatmodjo S. Pendidikan dan Perilaku Kesehatan. Jakarta: Rineka Cipta; 2002.
Purwani E. Pola Pemberian Makan dengan Status Gizi Anak Usia 1 sampai 3 Tahun di Kabunan Taman Pemalan [Thesis]. Semarang: Universitas Muhammadiyah Semarang; 2013. Available from: https://jurnal.unimus.ac.id/index.php/JKA/article/view/903
Putri MR. Hubungan Pola Asuh Orangtua Dengan Status Gizi Pada Balita Wilayah Kerja Puskesmas Bulang Kota Batam. J Bidan Komunitas. 2019;2(2):96-106. Available from:
33085/jbk.v2i2.4334
Sekretariat Tim Percepatan Penurunan Stunting (TPPS) Daerah Istimewa Yogyakarta. Laporan Percepatan Penurunan Stunting Semester 1 Tahun 2023. Yogyakarta: TPPS DIY; 2023. Available from: https://stunting.go.id/laporan-pelaksanaan-percepatan-penurunan-stunting-semester-pertama-tahun-2023/
Sulistyoningsih H. Gizi untuk Kesehatan Ibu dan Anak. Yogyakarta: Graha Ilmu; 2011.
UNICEF, WHO, World Bank Group. Levels and trends in child malnutrition: UNICEF/WHO/World Bank Group joint child malnutrition estimates [Internet]. 2023 [cited 2024 Nov 8]. Available from: https://www.who.int/publications/i/item/9789240073791
World Health Organization. Joint Child Malnutrition Estimates [Internet]. 2023 [cited 2024 Nov 8]. Available from: https://www.who.int/data/gho/data/themes/topics/joint-child-malnutrition-estimates-unicef-who-wb
World Health Organization. Reducing stunting in children: equity considerations for achieving the Global Nutrition Targets 2025. Geneva: World Health Organization; 2018. Available from: https://apps.who.int/iris/handle/10665/260202
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