The role of stimulation, affection, and parenting patterns in stunting among children aged 24-59 months

Yulianti Wulan Sari -  Postgraduate School of Community Nutrition, Faculty of Human Ecology, IPB University, Indonesia
Ali Khomsan* -  Departement of Community Nutrition, Faculty of Human Ecology, IPB University, Indonesia
Katrin Roosita -  Departement of Community Nutrition, Faculty of Human Ecology, IPB University, Indonesia
DOI : 10.30867/action.v10i1.2289

Supp. File(s): common.other

Stunting remains a chronic nutritional issue in Indonesia. The prevalence of stunting has decreased from 30,8% in 2018 to 21,5% in 2023; this rate is still above the WHO threshold of less than 20%. Proper stimulation, affection, and parenting patterns influenced optimal growth in terms of height and weight. This study aimed to analyze the association between stimulation, affection, and parenting practices in stunting among children aged 24–59 months. This case-control study was conducted from March to April 2024 at the Made Health Center, Surabaya City, which consists of 50 toddlers, both stunting and non-stunting, selected using purposive sampling. Stimulation patterns were measured using the Home Observation of Measurement and Environment Inventory (HOME), affection patterns using the Child Adult Relational Experimental (CARE), parenting patterns using the parenting feeding style questionnaire, and nutritional status using anthropometric measurements. Data analysis was performed using the chi-squared test. The results showed that the stimulation patterns were significantly correlated with stunting (p=0,000; OR= 5,90). Affection patterns were also significantly correlated with stunting (P =0,000; OR=13,75). Parenting patterns were significantly correlated with stunting (P =0,000; OR=26,35). In conclusion, stimulation, affection, and parenting patterns were significantly correlated with stunting among children aged 24-59 months.

Supplement Files

Keywords : Affection, nutritional status, parenting, stimulation

  1. Adriani, M., & Wijatm, B. (2014). Gizi & Kesehatan Balita: Peranan Mikro Zinc. Kencana.
  2. Al Rahmad, A. H., Iskandar, I., & Hafid, F. (2024). Development of Nutrant Application Based on Android Platform for Individual Nutrition Assessment. Jurnal Info Kesehatan, 22(3), 609–619. https://doi.org/10.31965/infokes.Vol22.Iss3.1634
  3. Astuti, Y., Paek, S. C., Meemon, N., & Marohabutr, T. (2024). Analysis of traditional feeding practices and stunting among children aged 6 to 59 months in Karanganyar District, Central Java Province, Indonesia. BMC Pediatrics, 24(1), 29. https://doi.org/10.1186/s12887-023-04486-0
  4. Black, M. M., & Drennen, C. R. (2014). Nutritional and Growth Issues Related to Child Neglect. Pediatric Annals, 43(11). https://doi.org/10.3928/00904481-20141022-10
  5. Burchinal, M. (2018). Social and Cultural Influences on Child-Rearing Practices and Child Development. Child Development Perspectives, 12(1), 3–9. https://doi.org/10.1111/cdep.12260
  6. Dian Novitasari. (2013). Hubungan Stimulasi Psikososial di Rumah dan Proses Pembelajaran dengan Kecerdasan Majemuk Anak Taman Kanak-Kanak di Kecamatan Pamulang Kota Tangerang Selatan. IPB University.
  7. Dinkes Kota Surabaya. (2019). Profil Kesehatan Kota Surabaya 2019. https://dinkes.surabaya.go.id/portalv2/dokumen/Profil%20Kesehatan%20Kota%20Surabaya%202019.pdf
  8. Douglas, S., Darlington, G., Davison, K., Beaton, J., & Haines, J. (2024). Food parenting and Children’s eating behaviour: Exploring the role of coparenting. Appetite, 198, 107367. https://doi.org/10.1016/j.appet.2024.107367
  9. Hughes, S. O., & Power, T. G. (2021). Feeding Styles and Child Eating Behaviors: A Multi-Method Approach (pp. 95–114). https://doi.org/10.1007/978-3-030-56458-2_5
  10. Hughes, S. O., Power, T. G., Orlet Fisher, J., Mueller, S., & Nicklas, T. A. (2005). Revisiting a neglected construct: parenting styles in a child-feeding context. Appetite, 44(1), 83–92. https://doi.org/10.1016/j.appet.2004.08.007
  11. Jackson, M. I., & Short, S. E. (2018). Gender Differences in Biological Function in Young Adulthood: An Intragenerational Perspective. RSF: The Russell Sage Foundation Journal of the Social Sciences, 4(4), 98–119. https://doi.org/10.7758/RSF.2018.4.4.06
  12. Jansen, P. W. (2020). Early Childhood Feeding Practices and Child Weight Status: A Meta-Analysis of Prospective Cohort Studies. Obesity Reviews, 22(11). https://doi.org/10.1111/obr.13069
  13. Jeong, J., McCoy, D. C., Yousafzai, A. K., Salhi, C., & Fink, G. (2016). Paternal Stimulation and Early Child Development in Low- and Middle-Income Countries. Pediatrics, 138(4). https://doi.org/10.1542/peds.2016-1357
  14. Kania, I., Ardiyanti, H., Tarigan, H., Karmila, M., Rismayanti, E., Supriliyani, N. W., & Nenometa, M. R. (2023). The Influence of Parenting Style on the Effectiveness of the Stunting Rate Reduction Program. In Journal of Chemical Health Risks www.jchr.org JCHR (Issue 5). www.jchr.org
  15. Kemenkes. (2024). Laporan Tematik: Survei Kesehatan Indonesia Tahun 2023. https://www.badankebijakan.kemkes.go.id/laporan-tematik-ski/
  16. Kementrian Dalam Negeri. (2024). Sebaran Stunting Berdasarkan Provinsi 2024 Ditjen Bina Pembangunan Daerah - Kementrian Dalam Negeri. Https://Aksi.Bangda.Kemendagri.Go.Id/Emonev/DashPrev/Index/6.
  17. Khomsan, A., Dewi, P., Fitriyah, H., Sari, Y. W., & Lestari, D. T. (2024). Gizi & Kecerdasan (1st ed.). IPB Press.
  18. Kidder, K., & King, A. R. (2022). Perception of Parental Love as a Predictor of Children’s Life Satisfaction. Jurnal Ilmu Perilaku, 6(1), 1. https://doi.org/10.25077/jip.6.1.1-21.2022
  19. Mahmood, L., Flores-Barrantes, P., Moreno, L. A., Manios, Y., & Gonzalez-Gil, E. M. (2021). The Influence of Parental Dietary Behaviors and Practices on Children’s Eating Habits. Nutrients, 13(4), 1138. https://doi.org/10.3390/nu13041138
  20. Meral, B. F., Wehmeyer, M. L., Palmer, S. B., Ruh, A. B., & Yilmaz, E. (2023). Parenting Styles and Practices in Enhancing Self-Determination of Children With Intellectual and Developmental Disabilities. American Journal on Intellectual and Developmental Disabilities, 128(4), 282–301. https://doi.org/10.1352/1944-7558-128.4.282
  21. Meutia, I. F., & Yulianti, D. (2019). Stunting Intervension Strategy Based on Community Empowerment. Jurnal Kesehatan Masyarakat, 15(2), 187–195. https://doi.org/10.15294/kemas.v15i2.19049
  22. Miko, A., & Al-Rahmad, A. H. (2017). Hubungan berat dan tinggi badan orang tua dengan status gizi balita di Kabupaten Aceh Besar. Gizi Indonesia, 40(1), 21. https://doi.org/10.36457/gizindo.v40i1.222
  23. Mountain, G., Cahill, J., & Thorpe, H. (2017). Sensitivity and attachment interventions in early childhood: A systematic review and meta-analysis. Infant Behavior and Development, 46, 14–32. https://doi.org/10.1016/j.infbeh.2016.10.006
  24. Nita, F. A., Ernawati, E., Sari, F., Kristiarini, J. J., & Purnamasari, I. (2023). The influence of parenting on the incidence of stunting in toddlers aged 1-3 year. Jurnal Ilmiah Kesehatan Sandi Husada, 12(2), 399–405. https://doi.org/10.35816/jiskh.v12i2.1107
  25. Nugrahmi, M. A., & Haninda Nusantri Rusdi, P. (2020). Pola Asah dan Asuh Berhubungan dengan Kejadian Stunting di Puskesmas Air Bangis, Pasaman Barat. MIKIA: Mimbar Ilmiah Kesehatan Ibu Dan Anak (Maternal and Neonatal Health Journal), 22–29. https://doi.org/10.36696/mikia.v4i2.15
  26. Nurmalasari, A. (2011). Kajian Riwayat Perkembangan Anak, Sensitivitas dan Kelekatan Ibu Terhadap Anak Usia 3-5 Tahun di Kampung Adat Urug Kabupaten Bogor. IPB University.
  27. Pekel-Uludağlı, N. (2024). The role of the father involvement in child development: the relationships with maternal, paternal, and child characteristics. Current Psychology, 43(5), 4085–4097. https://doi.org/10.1007/s12144-023-04649-3
  28. Pilarz, A. R., & Awkward-Rich, L. (2023). Mothers’ Work Schedules and Children’s Time with Parents. Journal of Family and Economic Issues. https://doi.org/10.1007/s10834-023-09894-z
  29. Pinquart, M., & Ebeling, M. (2020). Parental Educational Expectations and Academic Achievement in Children and Adolescents—a Meta-analysis. Educational Psychology Review, 32(2), 463–480. https://doi.org/10.1007/s10648-019-09506-z
  30. Sari, A. S., & Hartoyo, H. (2016). Pengaruh Pola Asuh Orang Tua Terhadap Status Gizi Anak di Indonesia. Jurnal Gizi Dan Pangan, 11(2), 109–116.
  31. Siramaneerat, I., Astutik, E., Agushybana, F., Bhumkittipich, P., & Lamprom, W. (2024). Examining determinants of stunting in Urban and Rural Indonesian: a multilevel analysis using the population-based Indonesian family life survey (IFLS). BMC Public Health, 24(1), 1371. https://doi.org/10.1186/s12889-024-18824-z
  32. Stanley Lameshow, David W. Hosmer Jr., Janelle Klar, & Stephen K. Lwanga. (1997). Besar sampel dalam penelitian kesehatan. Gajahmada University Press.
  33. Ulfah, E., Rahayuningsih, S. E., Herman, H., Susiarno, H., Gurnida, D. A., Gamayani, U., Sukandar, H., Studi, P., Kebidanan, M., Ilmu, D., Anak, K., Orthopaedi, D., Traumatologi, D., Obstetri Dan Ginekologi, D., Neurologi, D., & Epidemiologi, D. (2018). Asuhan Nutrisi dan Stimulasi dengan Status Pertumbuhan dan Perkembangan Balita Usia 12-36 Bulan. Global Medical and Health Communication, 6(1), 12–20. https://doi.org/10.29313/gmhc.v6i1.2323
  34. Vinci, A., Bachtiar, A., & Parahita, I. (2022). Efektivitas Edukasi Mengenai Pencegahan Stunting Kepada Kader: Systematic Literature Review. Jurnal Endurance, 7, 66–73. https://doi.org/10.22216/endurance.v7i1.822
  35. Wijeakumar, S., Forbes, S. H., Magnotta, V. A., Deoni, S., Jackson, K., Singh, V. P., Tiwari, M., Kumar, A., & Spencer, J. P. (2023). Stunting in infancy is associated with atypical activation of working memory and attention networks. Nature Human Behaviour, 7(12), 2199–2211. https://doi.org/10.1038/s41562-023-01725-3
  36. Yang, Y., Shi, L., Jin, X., & Tong, S. (2023). Association of perinatal factors with suspected developmental delay in urban children aged 1–36 months - a large-scale cross-sectional study in China. BMC Pediatrics, 23(1), 11. https://doi.org/10.1186/s12887-022-03819-9
  37. Yogman, M., Garfield, C. F., Bauer, N. S., Gambon, T. B., Lavin, A., Lemmon, K. M., Mattson, G., Rafferty, J. R., & Wissow, L. S. (2016). Fathers’ Roles in the Care and Development of Their Children: The Role of Pediatricians. Pediatrics, 138(1). https://doi.org/10.1542/peds.2016-1128
  38. Yorke, F. R., Wahab, S., & Turkson, D. (2023). Maternal education and child malnutrition: evidence from selected West African countries. SN Social Sciences, 3(12), 200. https://doi.org/10.1007/s43545-023-00792-7
  39. Yoshida, S., & Funato, H. (2021). Physical contact in parent-infant relationship and its effect on fostering a feeling of safety. IScience, 24(7), 102721. https://doi.org/10.1016/j.isci.2021.102721

Open Access Copyright (c) 2025 Yulianti Wulan Sari, Ali Khomsan, Katrin Roosita
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