Hubungan Antara Status Gizi dan Stunting pada Usia 0-4 Tahun di Puskesmas Petir Kabupaten Serang Tahun 2023

  • Adhika Afriadi Prodi Pendidikan Dokter, Fakultas Kedokteran, Universitas Islam Bandung, Indonesia
  • Dicky Santosa Prodi Pendidikan Dokter, Fakultas Kedokteran, Universitas Islam Bandung, Indonesia
  • Lisa Adhia Garina Prodi Pendidikan Dokter, Fakultas Kedokteran, Universitas Islam Bandung, Indonesia
Keywords: Stunting, Kurang Gizi, Status Gizi


Abstract. Stunting is a disruption in children's growth and development that often occurs in the world until 2025, including Indonesia. The incidence of stunting is influenced by many factors, especially the nutritional status of children. The aim of this study was to analyze the relationship between nutritional status and stunting at ages 0–4 years. This research is an analytical observational study with a cross sectional approach. Research samples that met the research criteria were taken using purposive sampling totaling 269. Statistical analysis used SPSS version 29.0 with the bivariate Chi square test. Most of the stunted children were male, 153 children (56,9%), 173 children aged 0-24 months (66,5%), normal nutritional status 181 children (67,3%), and stunting stratification was short (stunting) 185 children (68,8%). There is a relationship between nutritional status and the incidence of stunting (p= 0,024). Nutritional status and stunting have a significant relationship, with the largest distribution of both stunted and severely stunted occurring in the normal nutrition group and more frequently occurring in men compared to women. Monitoring body weight and length or height is important to do regularly to detect malnutrition and risk of stunting.

Abstrak. Stunting menjadi gangguan tumbuh kembang anak yang banyak terjadi didunia hingga tahun 2025, termasuk Indonesia. Kejadian stunting dipengaruhi oleh banyak faktor terutama adalah status gizi pada anak. Tujuan penelitian ini untuk menganalisis hubungan antara status gizi dengan stunting pada usia 0–4 tahun. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross sectional. Sampel penelitian yang memenuhi kriteria penelitian diambil menggunakan purposive sampling berjumlah 269. Analisis statistik menggunakan SPSS versi 29.0 dengan uji bivariat Chi square. Sebagian besar anak stunting berjenis kelamin laki-laki sebanyak 153 anak (56,9%), usia 0-24 bulan 173 anak (66,5%), status gizi normal 181 anak (67,3%), dan stratifikasi stunting adalah pendek ( stunting) 185 anak (68,8%). Terdapat hubungan antara status gizi dengan kejadian stunting (p = 0,024). Status gizi dan stunting mempunyai hubungan yang signifikan, dengan distribusi terbesar baik stunting maupun stunting berat terjadi pada kelompok gizi normal dan banyak terjadi pada jenis kelamin laki-laki dibandingkan dengan perempuan. Pemantauan berat badan dan panjang atau tinggi badan penting dilakukan secara rutin untuk mendeteksi malnutrisi dan risiko stunting.


World Health Organization. Stunting in a nutshell (online series) 2015 (downloaded 30 December 2022). Available from:

Health Center K, Noor S, Triana Y, Haniyah S. Relationship of exclusive breastfeeding, complementary feeding and nutritional intake with stunting in Children. 2020.

World Health Organization. Global Nutrition Targets 2025 stunting policy brief. Geneva: World Health Organization; 2015.

Ministry of Health of the Republic of Indonesia. Basic health research 2018. Jakarta: Ministry of Health of the Republic of Indonesia; 2018.

ACC/SCN & IFPRI. 4th Report the world nutrition situation nutrition throughout the Life Cycle. Geneva: ACC/SCN; 2018.

Wahyuni C. Complete guide to the growth and development of children aged 0-5 years. Kediri: Strada Press; 2018.

Corkins MR, Daniels SR, Ferranti SD, Golden NH, Kim JH, Magge SN, et al. Nutrition in children and adolescents. Med Clin N Am. 2016;100(1):1217–35.

Directorate General of Health Services. Factors causing stunting in toddlers (online series) 2022 (downloaded 30 December 2022). Available from:

Homan GJ. Failure to Thrive A practical guide (serial daraing) 2016 (downloaded 5 January 2023). Available at:

Kebede D, Merkeb Y, Worku E, Aragaw H. Prevalence of undernutrition and potential risk factors among children under 5 years of age in Amhara Region, Ethiopia: evidence from 2016 Ethiopian Demographic and Health Survey. J Nutr Science. 2021;10(22):1–8.

Baidho F, Wahyuningsih, Suchihati F, Pratama YY. Hubungan tinggi badan ibu dengan kejadian stunting pada balita usia 0–59 bulan di Desa Argodadi Sedayu Bantul. JKKI. 2021;17(1):275–82.

Ikatan Dokter Anak Indonesia. Pentingnya Memantau Pertumbuhan Anak (serial daring) 2016 (diunduh 7 Februari 2023). Tersedia dari:

Thompson AL. Greater male vulnerability to stunting evaluating sex differences in growth, pathways and biocultural mechanisms. Ann Hum Biology. 2022;48(6):1–10.

Akombi BJ, Agho KE, Hall JJ, Merom D, Burt TA, Renzaho AMN. Stunting and severe stunting among children under-5 years in Nigeria a multilevel analysis. BMC Pedtr. 2017;17(1):1–16.

Tiwari R, Ausman LM, Agho KE. Determinants of stunting and severe stunting among under-fives: evidence from the 2011 Nepal Demographic and Health Survey. BMC Pedtr. 2014;14(1):265–73.

Paramashanti BA, Hadi H, Gunawan IMA. Pemberian ASI eksklusif tidak berhubungan dengan stunting pada anak usia 6–23 bulan di Indonesia. JGDI. 2015;3(3):162–74.

Kementerian Republik Indonesia. Buku saku hasil studi status gizi Indonesia (SSGI) tahun 2022. Kemenkes RI (serial daring) 2022 (diunduh 07 Februari 2023). Tersedia dari:

Thurstans S, Sessions N, Dolan C, Sadler K, Cichon B, Isanaka S, dkk. The relationship between wasting and stunting in young children a systematic review. Matern Child Nutr. 2022;18(1):1–25.

Saaka M, Galaa SZ. Relationships between wasting and stunting and their concurrent occurrence in Ghanaian preschool children. J Nutr Met. 2016;13(4):16–32.

Ali A. Current status of malnutrition and stunting in Pakistani children: What needs to be done. J Am Colle Nutr. 2020;19(1):1–7.

Trisilawati R, Syahputri RB. Determinan stunting di Indonesia literature review. Klaten: Cohesin; 2021.

Beal T, Tumilowiz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Matern Child Nutr. 2018;14(1):1–10.

Pham BM, Silas VD, Okely AD, Pomat W. Measuring wasting and stunting prevalence among children under 5 years of age and associated risk factors in Papua New Guinea new evidence from the comprehensive health and epidemiological surveillance system. Front Nutr. 2021;6(2):1–9.

Zhang Y, Huang X, Yang Y, Liou L. Yang C, Wang A, dkk. Double burden of malnutrition among children under 5 in poor areas of China. Plose One. 2018;13(9):1

Okubo T, Janmohamed A, Topathai C, Blankenship JL. Risk factors modifying the double burden of malnutrition of young children in Thailand. Matern Child Nutr. 2020;16(2):1–9.

Wells JC, Sawaya AL, Wibaek R, Mwangome M, Poullas MS, Yajnik CS. The double burden of malnutrition aetiological pathways and consequences for health. The Lancet. 2019;19(5):1–15.

Febriyanti A, Sugiartini A. Determinan pemberian ASI eksklusif pada ibu menyusui di Puskesmas I Denpasar Barat. Jurnal Kebidanan. 2021;10(1):23–34.

Enggar, Tumani YK, Rosiyana NM. Pengaruh iklan susu dan penghasilan keluarga terhadap pemberian ASI eksklusif. JVM. 2022;12(1):1–7.

Symington EA, Diet M, Gericke GJ, Diet M, Nel JH, Labadarios D, dkk. The relationship between stunting and overweight among children from South Africa secondary analysis of the National Food Consumption Survey Fortification Baseline I. SAMJA. 2016;106(1):65–9.

Bamisaye OB, Adepoju OT. Association between stunting and obesity among under-five children in urban and rural areas of Oyo State Nigeria. 2018;24(1):25–34.

Karczewski J, Sledzinka E, Baturo A, Jonczyck I, Maleszko A, Samborski P, dkk. Obesity and inflamation. Eur Cyto Netw. 2019;29(1):83–94.

Muhammad HFL. Obesity as the sequel of childhood stunting gherlin and GHSR gene polymorphism explained. Acta Med Indones. 2018;50(2):1–13.

Garenne M, Myatt M, Khara T, Dolan C, Briend A. Concurrent wasting and stunting among under-five children in Niakhar Senegal. Matern Child Nutr. 2019;15(2):1–8.

Saaka M, Galaa SZ. Relationships between wasting and stunting and their concurrent occurrence in Ghanaian preschool children. J Nutr Met. 2016;13(4):16–32.

Thurstans S, Sessions N, Dolan C, Sadler K, Cichon B, Isanaka S, dkk. The relationship between wasting and stunting in young children a systematic review. Matern Child Nutr. 2022;18(1):1–25.

Soliman A, De Sanctis A, Alaaraj N, Ahmed S, Alyafei F, Hamed N, dkk. Early and long-term consequences of nutritional stunting: from childhood to adulthood. Ad Medicine. 2021 Feb;92(1):2-7.

Grace E, Thaxton, Peter C, Melby, Mark J, Manary, Geoffrey A, dkk. New insights into the pathogenesis and treatment of malnutrition. Gastroenterol Clin North Am. 2019 Dec 1; 47(4):2-5.

N. E. Putri, M. Y. Andarini, and S. Achmad, “Gambaran Status Gizi pada Balita di Puskesmas Karang Harja Bekasi Tahun 2019,” Jurnal Riset Kedokteran, vol. 1, no. 1, pp. 14–18, Jul. 2021, doi: 10.29313/jrk.v1i1.108.