Description of Macronutrient Intake and Infectious Diseases Among Stunted Children in the Working Area of Kamal Health Center, Bangkalan Regency

Authors

  • Ashalya Eka Poltekkes Kemenkes Surabaya
  • Inne Soesanti
  • Juliana Christyaningsih
  • Taufiqurrahman Taufiqurrahman Politeknik Kesehatan Kemenkes Surabaya

DOI:

https://doi.org/10.36568/jone.v3i2.214

Keywords:

Stunting, Macronutrients, Infectious, ISPA, Diarrhea

Abstract

Background: Stunting in toddlers is primarily caused by inadequate macronutrient intake and repeated infections. This study aims to describe the intake of macronutrients and the history of infectious diseases among stunted toddlers in the working area of Kamal Health Center, Bangkalan Regency.

Methods: A descriptive cross-sectional study was conducted involving 25 stunted toddlers. Stunting status was assessed using height-for-age z-scores. Data on macronutrient intake (energy, protein, fat, carbohydrates) and history of acute respiratory infections (ARI) and diarrhea were collected through structured interviews with caregivers. The data were analyzed using frequency and percentage distributions.

Results: Most subjects were girls (52%) and aged 24–36 months (36%). Energy intake deficits were found in 72% of toddlers, protein in 84%, fat in 76%, and carbohydrates in 68%. All respondents had experienced at least one ARI episode, and 56% had a history of diarrhea. Many children with infections also had light to moderate macronutrient deficits.

Conclusion: Chronic deficits in energy and protein, combined with frequent infections, exacerbate the risk of stunting. Integrated nutrition and infection control interventions—especially for children aged 24–36 months—are essential. Strong policy support and improved parental education are needed to implement effective stunting reduction programs at the community level.

References

. Ashilah A, Najmah N, Fahrizal F, Trisnawarman T, Rahayu S, Zahara R. Pemetaan Stunting, Wasting, dan Obesitas Berdasarkan Kondisi Geografis di Kota Palembang. J Epidemiol Kesehat Indones. 2023;7(2):99.

Dwimawati E. Gambaran Status Gizi Berdasarkan Antropometri Pada Mahasiswa Fakultas Ilmu Kesehatan Masyarakat Universitas Ibn Khaldun Bogor. Promotor. 2020;3(1):50–5.

Fatmaningrum W, Nadhiroh SR, Raikhani A, Utomo B, Masluchah L, Patmawati. Analisis Situasi Upaya Percepatan Penurunan Stunting Dengan Pendekatan Keluarga Berisiko Stunting. Media Gizi Indones. 2022;17(1SP):139–44.

Vani AT, Triansyah I, Dewi NP, Abdullah D, Annisa M. Edukasi dan Pelatihan Penilaian Status Gizi Pada Remaja di SMP Yari Kota Padang. Nusant Hasana J. 2023;2(8):290–300.

Kemenkes RI. Rencana Aksi Kegiatan Tahun 2022-2024. 2019;(29).

Sjafari A, Nugroho KS, Arenawati A. Analisis Peningkatan Indeks Pembangunan Bidang Kesehatan di Provinsi Banten. JIPAGS (Journal Indones Public Adm Gov Stud. 2020;4(1):684–95.

Global Nutrition Report. 2018 Global Nutrition Report About the Global Nutrition Report. Shining a Light To Spur Action Nutr [Internet]. 2018;(November):12. Available from: https://globalnutritionreport.org/reports/global-nutrition-report-2018/

Nugrahayu Widyawardani, Nurfitri Bustamam, Citra Ayu Aprilia, Niniek Hardini, Panji Octo Prasetio, Kevina Nuraini Yusuf MFRH, Rafi Umar Raihan. Analysis of Macronutrient and Micronutrient Intake With The Incidence of Stunting and Wasting in Toddlers 0-59 Months of Age at Public Health Center Bojong, Bogor Regency, Indonesia. World Nutr J. 2024;7(2):78–90.

Kurniawati V. Resiko Stunting Terhadap Kejadian Penyakit Infeksi Diare Pada Balita. 2023;5(1).

Negari PP, Wardani DK, Hargono A. Pengaruh Riwayat Pemberian ASI Eksklusif dan Penyakit Infeksi (ISPA dan Diare) dengan Kejadian Stunting Pada Balita. PREPOTIF J Kesehat Masy. 2025;9(April):1975–84.

Fikawati S, Syafiq A, Veratamala A. Gizi Anak dan Remaja. Jakarta: Rajawali Press; 2017. 348 p.

Dinkes B. Statistik Sektoral Kabupaten Bangkalan. 2020;1–90.

Addawiah R, Hasanah O, Deli H. Gambaran Kejadian Stunting dan Wasting Pada Bayi dan Balita di Tenayan Raya Pekanbaru. J Nutr Coll [Internet]. 2020 Nov 19;9(4):228–34. Available from: https://ejournal3.undip.ac.id/index.php/jnc/article/view/28482

Alfioni W, Siahaan G. Gambaran Asupan Energi dan Protein dengan Kejadian Stunting Pada Anak Baduta (Bawah Dua Tahun). Nutrient. 2021;1(1):42–52.

Ernawati F. Gambaran Konsumsi Protein Nabati dan Hewani Pada Anak Balita Stunting dan Gizi Kurang di Indonesia. Penelit Gizi dan Makanan. 2016;39(2):95–102.

Zogara AU, Pantaleon MG, Loaloka MS, Sine JGL. Perbedaan Asupan Zat Gizi Saat Sarapan Pada Siswa Sekolah Dasar Stunting dan Tidak Stunting di Kota Kupang. J Nutr Coll [Internet]. 2020 Jun 4;9(2):114–20. Available from: https://ejournal3.undip.ac.id/index.php/jnc/article/view/27384

‘Aliah Istiqomah, Kristin Masmur S, Ribby Aurellia Amali, Sulis Tiawati. Peran Gizi Terhadap Pertumbuhan dan Perkembangan Balita. Antigen J Kesehat Masy dan Ilmu Gizi. 2024;2(2):67–74.

Rikandi M, Nurhaida N. Kejadian Infeksi Saluran Pernapasan Akut (ISPA) dan Stunting pada Anak Usia 0-59 Bulan di Posyandu X. Jik J Ilmu Kesehat. 2023;7(2):452.

Cyntithia LG. Hubungan Riwayat Penyakit Diare Dengan Kejadian Stunting Pada Balita. J Med Hutama [Internet]. 2021;3(1):1723–7. Available from: http://jurnalmedikahutama.com

Aisyah IS, Yunianto AE. Hubungan Asupan Energi dan Asupan Protein dengan Kejadian Stunting Pada Balita (24-59 Bulan) di Kelurahan Karanganyar Kecamatan Kawalu Kota Tasikmalaya. J Kesehat Komunitas Indones [Internet]. 2021 Sep 6;17(1). Available from: https://jurnal.unsil.ac.id/index.php/jkki/article/view/3603

Sandi, Pratama B, Angraini DI, Nisa K. Literatur Review : Penyebab Langsung (Immediate Cause) yang Mempengaruhi Kejadian Stunting pada Anak Immediate Cause Affects Stunting in Children. Jiksh [Internet]. 2019;10(2):299–303. Available from: https://akper-sandikarsa.e-journal.id/JIKSH

Sholikhah A, Dewi RK. Peranan Protein Hewani dalam Mencegah Stunting pada Anak Balita. JRST (Jurnal Ris Sains dan Teknol. 2022;6(1):95.

Purba DH, Kushargina R, Ningsih WIF, Lusiana SA, Rasmaniar TL, Triatmaja NT, et al. Kesehatan dan Gizi Untuk Anak. Angewandte Chemie International Edition, 6(11), 951–952. 2021. 5–24 p.

Rossa DG, Abimetan FO, Kurnia E. Literature Review: Analisis Kesehatan Gizi Balita Di Indonesia Literaturereview: Nutritional Health Analysis of Toddlers in Indonesia. JARSI J Adm RS Indones. 2022;1(1):1–6.

Suryana, Ira Kusumawati, Pujiani, Dyah Widodo, Rita Irma Rina Doriana Pasaribu, Niken Bayu Argaheni Rasmaniar, Hasmar Fajriana DR, Suci Nanda Resti Tarigan, Eka Airlangga YK. Kesehatan Gizi Anak Usia Dini. Penerbit Yayasan Kita Menulis; 2022.

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Published

2025-06-19

How to Cite

Eka, A., Inne Soesanti, Juliana Christyaningsih, & Taufiqurrahman, T. (2025). Description of Macronutrient Intake and Infectious Diseases Among Stunted Children in the Working Area of Kamal Health Center, Bangkalan Regency. Journal of Nutrition Explorations, 3(2), 98–110. https://doi.org/10.36568/jone.v3i2.214

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