The Relationship between Infectious Diseases and Stunting among Toddlers in Indonesia

Made A. L. Suratri, Endang Indriasih, Tati S. Warouw, Vebby A. Edwin, Aris Yulianto, Debri R. Faizal, Ngurah M. S. Deva, Anni Yulianti, Telly P. Agus, Noer E. Pracoyo, Raharni Raharni

Abstract


Background: Chronic malnutrition can cause children to be underweight for their age, leading to stunting. This study aimed to examine the association between infectious diseases and stunting in toddlers. Materials and Methods: A cross‑sectional study was conducted across Indonesia in 2021, involving 90,897 toddlers. Data were obtained through maternal interviews and anthropometric measurements. Bivariate and multivariate analyses were used. Results: Results showed that toddler age, gender, place of residence, and parental education and occupation were significantly associated with stunting, p < 0.001 (OR = 1.1–3.6). Infectious diseases, including Acute Respiratory Infections (ARIs), diarrhea, pneumonia, and worm infections, were also significantly associated with stunting, p < 0.05 (OR = 1.1–1.5). Conclusions: Infectious diseases, including ARIs, diarrhea, pneumonia, and worm infections, are significantly associated with stunting. These findings highlight the importance of preventing and managing infections to reduce stunting in Indonesian toddlers.

 


Keywords


Indonesia, infectious diseases, malnutrition, stunting, toddlers

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References


Bima A. Analysis of how to overcome the problem of stunting in Indonesia. Public Med News (Berit Kedokt Masy) 2019;35:1.

United Nations Statistics Division (UNSD). Demographic Yearbook 2023. 74th issue, 74th edition. Department of Economic and Social Affairs (DESA). United Nations New York; 2024. Available from: https://unstats.un.org/unsd/demographic-social/ products/dyb/dybsets/2023.pdf. [Last accessed on 2025 Apr 08].

WHO. Global Nutrition Targets 2025: Stunting Policy Brief. Available from: https://iris.who.int/handle/10665/149019. [Last accessed on 2025 May 02].

Kasmita K, Tasrif N, Santi TD. Stunting in toddlers (6 60 months): Parenting, mothers’ education, infectious diseases, and breastfeeding. J Public Health 2023;18:564 70.

Akbar RR, Kartika W, Khairunnisa M. The effect of stunting on child growth and development. Scientific Journal 2023;2:153 60.

World Health Organization (WHO). World Health Statistics 2016. Monitoring Health for SDGs. Geneva, Switzerland: WHO Press; 2016. p. 84 5.

National Development Agency RI. Appendix Presidential Regulation No. 18 of 2020 Concerning “The National Medium Term Development Plan for 2020 2024”. Jakarta, 2019.

National Institute of Health Research and Development (NIHRD). Ministry of Health RI. The National Report of Basic Health Research 2018. Jakarta, 2019.

National Institute of Health Development Policy, Ministry of Health. Pocket Book the Results of the Indonesian Nutritional Status Study, National, Provincial, and District/Cities Levels in 2021; 2021.

Martony O. Stunting in Indonesia: Challenges and solutions in the modern era. J Telenurs (JOTING) 2023;5:1734 45.

Heinze G, Wallisch C, Dunkler D. Variable selection: A review and recommendations for the practicing statistician. Biom J 2018;60:431 49.

Wulandari RD, Laksono AD, Kusrini I, Tahangnacca M. The targets for stunting prevention policies in Papua, Indonesia: What mothers’ characteristics matter? Nutrients 2022;14:549.

Gebru KF, Haileselassie WM, Temesgen AH, Seid AO, Mulugeta BA. Determinants of stunting among under five children in Ethiopia: A multilevel mixed effects analysis of 2016 Ethiopian demographic and health survey data. BMC Pediatr 2019;19:176.

Prasetyo YB, Syafi’i, DM. Determinants of stunting in children under five: A systematic review. J Nutr Dietet Indonesia 2024;12:413 25.

Ma X, Yang X, Yin H, Wang Y, Tian Y, Long C, et al. Stunting among kindergarten children in China in the context of COVID 19: A cross sectional study. Front Pediatr 2022;10:913722.

Wicaksono F, Harsanti T. Determinants of stunted children in Indonesia: A multilevel analysis at the individual, household, and community levels. Kesmas: Natl Public Health J 2020;15:48.

Aini EN, Nuhraheni SA, Pradigdo SF. Factors influencing stunting in toddlers aged 24 59 months at the Cepu Community Health Center, Blora Regency. J Public Health 2018;6:454 61.

Habimana S, Biracyaza E. Risk factors of stunting among children under 5 years of age in the eastern and western provinces of Rwanda: Analysis of Rwanda Demographic and Health Survey 2014/2015. Pediatr Heal Med Ther 2019;10:115 30.

Nshimyiryo A, Hedt Gauthier B, Mutaganzwa C, Kirk CM, Beck K, Ndayisaba A, et al. Risk factors for stunting among children under five years: A cross sectional population based study in Rwanda using the 2015 Demographic and Health Survey. BMC Public Health 2019;19:195.

Sumartini E. Literature study: History o infections and stunting in toddlers. Mahardika Health J 2022;9:55 62.

Karlsson O, Kim R, Moloney GM, Subramanian SV. Patterns in child stunting by age: A cross sectional study of 94 low and middle income countries. Matern Child Nutr 2023;19:e13537.

Ramdani ZS, Darma S, Badruddin K, Rauf S, Idrus F. History of infectious diseases with the incidence of stunting in children of toddlers at Mamajang Public Health Centre and Cendrawasih Public Health Centre, Makassar. Jurnal EduHealth 2025;16:537 44. Available from: https://ejournal.seaninstitute.or.id/index.php/healt/ article/view/6440. [Last accessed on 2025 Apr 08].


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