The Effects of Early Initiation of Breastfeeding and Exclusive Breastfeeding on Stunting among Children Under Five: A Systematic Review
DOI:
https://doi.org/10.58222/juvokes.v4i1.1388Kata Kunci:
Early Initiation Of Breastfeeding, Exclusive Breastfeeding, Stunting, Children, Systematic ReviewAbstrak
This systematic review aims to synthesize and critically appraise the evidence on the association between early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) with the incidence of stunting in children under five years of age. A comprehensive search was conducted through Semantic Scholar and related databases up to April 2024. Selection, data extraction, and methodological quality assessment followed PRISMA guidelines and were conducted independently by two reviewers. Results were synthesized narratively due to heterogeneity of included studies. Of 1,500 articles identified, 1,050 were screened after removal of duplicates. After screening titles and abstracts, 80 full-text articles were assessed, and 40 studies were included in the synthesis. Most studies showed a significant protective effect of both EIBF and EBF against stunting, with odds ratios for stunting in non-EBF children ranging from 4.08 to 21.0. Delayed EIBF increased the risk of stunting with some studies reporting odds ratios up to 9.14. Meta-analyses confirmed this protective association with pooled adjusted odds ratios for EBF around 0.73. Early initiation and exclusive breastfeeding for the first six months are proven, low-cost, and scalable interventions for reducing stunting risk in children under five.
Referensi
Ahmad, A., & Ahmad, A. (2022). Determinan Faktor Stunting Pada Anak Balita di Darul Imarah Aceh Besar, Indonesia. Jurnal Riset Gizi, 10(1). Crossref. https://doi.org/10.31983/jrg.v10i1.8077
Ahmad., Hariani, Petrus, & Sugiarti. (2022). The Effect of Exclusive Breastfeeding and Supplementary Foods On The Event of Stunting In Children Under Five Years In Kendari City. International Journal of Scientific and Research Publications, 12(8), 144–150. Crossref. https://doi.org/10.29322/ijsrp.12.08.2022.p12817
Damanik, R. K., Silitonga, E., Sidabukk, I. R. R., & Perdana, P. D. (2022). HUBUNGAN Pemberian Asi Ekslusif Dengan Kejadian Stunting Pada Balita Di Desa Perlis Wilayah Kerja Puskesmas Tangkahan Durian Kabupaten Langkat. Jurnal Keperawatan Suaka Insan (JKSI), 7(2), 150–156. Crossref. https://doi.org/10.51143/jksi.v7i2.350
Hartono, R., Yuridesi Nurani Putri, Sunarto, Sirajuddin, Amir, A., Muhammad Ikhtiar, & Horax, R. (2024). Incidence of Stunting: Early and Exclusive Breastfeeding in Two-Year-Old Children. Window of Health : Jurnal Kesehatan, 256–263. Crossref. https://doi.org/10.33096/woh.v7i2.1322
Health Polytechnics, C. J., Ministry of Health Surakarta, Health Polytechnics, C. J., Ministry of Health Surakarta, & Health Polytechnics, C. J., Ministry of Health Surakarta. (2021). Effect of Exclusive Breastfeeding on Stunting in Children Under Five at Pedan Health Center, Klaten, Central Java, Indonesia. Developing a Global Pandemic Exit Strategy and Framework for Global Health Security. https://doi.org/10.26911/ab.maternal.icph.08.2021.42
Izzah, R., Ahmad, A., Junita, D., & Rafiqi Arifin, S. (2022). Exclusive breastfeeding and low birth weight as risk factors of stunting in under-five children: A case-control study in Darul Imarah Sub-District, Aceh Besar, Indonesia. JAND: Journal of Applied Nutrition and Dietetic, 1(1), 34–42. Crossref. https://doi.org/10.30867/jand.v1i1.30
Lestari, E. D., Hasanah, F., & Nugroho, N. A. (2018). Correlation between non-exclusive breastfeeding and low birth weight to stunting in children. Paediatrica Indonesiana, 58(3), 123–127. Crossref. https://doi.org/10.14238/pi58.3.2018.123-7
Mardani, R. A. D., Wu, W., Nhi, V. T., & Huang, H. (2022). Association of breastfeeding with undernutrition among children under 5 years of age in developing countries: A systematic review and meta‐analysis. Journal of Nursing Scholarship, 54(6), 692–703. Crossref. https://doi.org/10.1111/jnu.12799
Nurfatimah, N., Ramadhan, K., Entoh, C., Longgupa, L. W., & Hafid, F. (2021). Continuity of Midwifery Care Implementation to Reduce Stunting. Open Access Macedonian Journal of Medical Sciences, 9(E), 1512–1516. Crossref. https://doi.org/10.3889/oamjms.2021.7062
Nurlita sari, E., Dewanti, L., & Fatmaningrum, W. (2022). Risk Factor Of Exlusive Breastfeeding And Infective Diseases On Stunting Incindance. Indonesian Midwifery and Health Sciences Journal, 6(4), 410–422. Crossref. https://doi.org/10.20473/imhsj.v6i4.2022.410-422
Pratama, F. I., Mayulu, N., & Kawengian, S. (2019). Hubungan Air Susu Ibu (ASI) Eksklusif dengan Kejadian Stunting pada Baduta di Kota Manado. https://doi.org/10.35790/EBM.7.2.2019.26873
Putri, T. A., Dewi, Y. L. R., & Murti, B. (2020). Meta-Analysis the Effects of Non Exclusive Breastfeeding and Inappropriate Complementary Feeding on Stunting in Children Under Five. Journal of Maternal and Child Health. https://doi.org/10.26911/THEJMCH.2020.05.05.06
Rambu, S. H., & Ilyas, A. S. (2024). Hubungan ASI eksklusif dengan kejadian stunting pada balita 6-24 bulan pada tiga kecamatan kasus tertinggi stunting di Kabupaten Jeneponto, Sulawesi Selatan. EcoVision: Journal of Environmental Solutions, 1(2), 77–89. Crossref. https://doi.org/10.61511/evojes.v1i2.2024.1103
Roza, N. (2023). Stunting Management with Exclusive Breastfeeding, Early Breastfeeding Initiation Toddlers at Sei Panas Community Health Center. International Journal of Multidisciplinary Approach Research and Science, 1(03), 503–511. Crossref. https://doi.org/10.59653/ijmars.v1i03.260
Saputri, L. T. A., & Ermi, N. (2024). The Relationship Of Early Breastfeeding Initiation And Exclusive ASI On The Incident Of Stunting Toddler Ages (6-59 Months) In Ogan Ilir District. JKM (Jurnal Kebidanan Malahayati), 10(1), 142–149. Crossref. https://doi.org/10.33024/jkm.v10i1.13283
Septiannoor Khaira, D., Widyaningsih, V., & Qadrijati, I. (2022). A MatchedCase-Control: Effect of Early Initiation of Breast Feeding, Exclusive Breastfeeding, and Infectious Diseases on Stunting Incidence during the Covid-19 Pandemic in Balangan Regency. BIO Web of Conferences, 54, 00003. Crossref. https://doi.org/10.1051/bioconf/20225400003
Septina, R., Asmawati, T., Susilowati, L., & Nasution, K. W. (2023). Impact Of Exclusive Breast Milk And Birth Weight On Incident Stunting Of Children Aged 12-24 Months. Jurnal Kebidanan Malahayati, 9(3), 391–395. Crossref. https://doi.org/10.33024/jkm.v9i3.10144
Sundari, R., & Puspowati, M. S. S. D. (2018). Hubungan Berat Badan Lahir Rendah (BBLR) dan Perilaku Pemberian Asi Eksklusif dengan Kejadian Stunting Baduta di Puskesmas Sangkrah Kota Surakarta.
Suryani, L. (2021). Hubungan Pemberian Asi Ekslusif Dengan Kejadian Stunting Pada Balita Di Wilayah Kerja Puskesmas Limapuluh Kota Pekanbaru. Jurnal Midwifery Update (MU), 3(2), 126–131. Crossref. https://doi.org/10.32807/jmu.v3i2.120
Wahyuningsih, E., Hartati, L., & Puspasari, A. (2021). Pemberian Asi Eksklusif Tidak Berpengaruh Terhadap Kejadian Stunting Pada Usia 7-24 Bulan Di Desa Kalikebo Trucuk Klaten. Involusi: Jurnal Ilmu Kebidanan, 11(2), 59–64. Crossref. https://doi.org/10.61902/involusi.v11i2.245
Widaryanti, R., & Luthfiyati, Y. (2019). Reduce The Stunting With The Infant And Young Child Feeding Practice (Iycf) In Yogyakarta, Indonesia.
Yadika, A. D. N. (2019). Hubungan Riwayat Pemberian Asi Eksklusif Dengan Kejadian Stunting Pada Balita (Usia 24-59 Bulan) Di Wilayah Kerja Puskesmas Way Urang Kabupaten Lampung Selatan.
_1.png)
