Exclusive Breastfeeding, Nutritional Status, and Diarrhea Incidence among Toddlers
Menyusui Eksklusif, Status Gizi, dan Insidensi Diare pada Balita
- Authors
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Raudhatul Rayhannatil Jannah
Program Studi Profesi Kebidanan, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Sidoarjo, Indonesia -
Yanik Purwanti
Program Studi Profesi Kebidanan, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Sidoarjo, Indonesia -
Rafhani Rosyidah
rogram Studi Profesi Kebidanan, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Sidoarjo, Indonesia -
Hesty Widowaty
Program Studi Profesi Kebidanan, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Sidoarjo, Indonesia
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- Keywords:
- Exclusive Breastfeeding, Nutritional Status, Diarrhea, Toddlers, Sidoarjo
- Abstract
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Background : In Sidoarjo Regency, cases increased annually, with 65,813 cases recorded in 2021. Exclusive breastfeeding and adequate nutrition are crucial protective factors.
Knowledge Gap: Previous studies identified various risk factors, yet limited evidence exists on their combined association in local community settings.
Aim: This study examined the relationship between exclusive breastfeeding history and nutritional status with diarrhea incidence among toddlers in the Candi Sidoarjo Health Center area.
Methods: A cross-sectional study was conducted on 45 mothers with toddlers aged 6–59 months using random sampling. Data were collected via questionnaires and anthropometric measurements, analyzed with chi-square tests.
Results: Among toddlers, 60% received exclusive breastfeeding and 68.9% had normal nutritional status. Diarrhea incidence in the past three months was 55.6%. Chi-square analysis showed significant associations between exclusive breastfeeding (p=0.014) and nutritional status (p=0.037) with diarrhea occurrence.
Novelty: The findings highlight how breastfeeding practices and nutritional adequacy collectively reduce diarrhea risk in community-level settings.
Implications: Strengthening maternal awareness and nutrition interventions may lower diarrhea incidence and improve child health outcomes in similar populations.Highlights:
- Exclusive breastfeeding reduces diarrhea in toddlers
- Nutritional status significantly linked to diarrhea incidence
- Community-based evidence from Sidoarjo
Keywords: Exclusive Breastfeeding, Nutritional Status, Diarrhea, Toddlers, Sidoarjo
- References
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[1] L. Khulafa’ur Rosidah and S. Harsiwi, “Hubungan Status Gizi Dengan Perkembangan Balita Usia 1-3 Tahun (Di Posyandu Jaan Desa Jaan Kecamatan Gondang Kabupaten Nganjuk),” J. Kebidanan, vol. 6, no. 1, pp. 24–37, 2019, doi: 10.35890/jkdh.v6i1.48.
[2] N. Oktavianisya, Z. Yasin, and S. Aliftitah, “Kejadian Diare pada Balita dan Faktor Risikonya,” J. Ilm. STIKES Yars. Mataram, vol. 13, no. 2, pp. 66–75, 2023, doi: 10.57267/jisym.v13i2.264.
[3] Kementerian Kesehatan RI, “Pencegahan dan Pengendalian Penyakit Menular,” Kementeri. Kesehat. Republik Indones., vol. 3, no. July, pp. 1–119, 2022. [Online]. Available: http://download.garuda.kemdikbud.go.id/article.php?article=2652619&val=24585&title=Klasifikasi
Pneumonia Menggunakan Metode Support Vector Machine
[4] R. A. Firdausi, I. Thohari, F. Kriswandana, and M. Marlik, “Sanitasi Dasar Rumah Dan Perilaku Buang Air Besar Terhadap Kejadian Diare Pada Masyarakat Pesisir (Studi di Desa Gisik Cemandi Kabupaten Sidoarjo Tahun 2023),” Ruwa Jurai J. Kesehat. Lingkung., vol. 17, no. 2, p. 72, 2023, doi: 10.26630/rj.v17i2.4004.
[5] Dinkes Sidoarjo, Profil Kesehatan Kabupaten Sidoarjo tahun 2022, no. DC20240116125520.Profil-Kesehatan-2022. 2022.
[6] F. The, M. Hasan, and S. D. Saputra, “Edukasi Pentingnya Pemberian ASI Eksklusif pada Bayi di Puskesmas Gambesi,” J. Surya Masy., vol. 5, no. 2, p. 208, 2023, doi: 10.26714/jsm.5.2.2023.208-213.
[7] Dinkes Sidoarjo, Profil Kesehatan Sidoarjo 2021. 2022.
[8] E. J. Simatupang et al., “Hubungan Asi Eksklusif Dengan Kejadian Diare Pada Batita Di Kabupaten Tangerang,” PREPOTIF J. Kesehat. Masy., vol. 6, no. 2, pp. 1730–1737, 2022, doi: 10.31004/prepotif.v6i2.4602.
[9] A. Wulansari, S. Ramadhani, F. Rahmawati, Z. Zafira, and F. S. Dewi, “Gerakan ‘ATIKA’ Makanan Ibu Hamil di Puskesmas Tungkal II Kabupaten Tanjung Jabung Barat,” J. Abdimas Kesehat., vol. 4, no. 3, p. 341, 2022, doi: 10.36565/jak.v4i3.181.
[10] A. V. Ursalina, I. Indriati, and R. Maulina, “Hubungan pemberian ASI eksklusif terhadap kejadian diare akut pada bayi usia 6-9 bulan di Desa Gunungrejo Kabupaten Singosari,” J. Nurs. Pract. Educ., vol. 4, no. 2, pp. 333–338, 2024, doi: 10.34305/jnpe.v4i2.1114.
[11] F. Zakiya, I. T. Wijayanti, and Y. Irnawati, “Status Gizi Serta Hubungannya Dengan Kejadian Diare Pada Anak,” Public Heal. Saf. Int. J., vol. 2, no. 01, pp. 66–74, 2022, doi: 10.55642/phasij.v2i01.145.
[12] C. N. Puhi, A. N. Sudirman, and R. Febriyona, “Studi Literatur: Hubungan Status Gizi dengan Kejadian Diare pada Balita 0-5 Tahun,” J. Nurse, vol. 6, no. 1, pp. 39–50, 2023.
[13] Y. Zulfiana, I. Setyawati, D. S. R. Ariendha, and H. Hardaniyati, “Pemberian Edukasi Kesehatan Tentang Pencegahan Diare Pada Balita,” J. LENTERA, vol. 3, no. 1, pp. 1–7, 2023, doi: 10.57267/lentera.v3i1.214.
[14] D. Anggraini and O. Kumala, “Diare Pada Anak,” Sci. J., vol. 1, no. 4, pp. 309–317, 2022, doi: 10.56260/sciena.v1i4.60.
[15] L. G. Cyntithia, “Hubungan Riwayat Penyakit Diare Dengan Kejadian Stunting Pada Balita,” J. Med. Hutama, vol. 3, no. 1, pp. 1723–1727, 2021. [Online]. Available: http://jurnalmedikahutama.com
[16] M. D. Kharisma, E. Kusdiyah, and R. Suzan, “Hubungan Tingkat Pengetahuan Ibu terhadap Kejadian Diare pada Balita di Puskesmas Putri Ayu Kota Jambi Tahun 2022,” Joms, vol. 3, pp. 104–112, 2023.
[17] W. Ernawati, R. Dhamayanti, and P. M. F. Widiastini, “Hubungan Tingkat Pendidikan dan Pekerjaan Ibu dengan Kejadian Diare Pada Balita,” J. Kesehat. Terap., vol. 10, no. 2, pp. 145–152, 2024, doi: 10.54816/jk.v10i2.762.
[18] A. Dzulkifli et al., “The Relationship Between the Age of Toddlers, the Provision of Formula Milk, and Residence Location with the Occurrence of Diarrhoea: An Analysis of DHS Data,” Amerta Nutr., vol. 8, no. 4, pp. 574–581, 2024, doi: 10.20473/amnt.v8i4.2024.574-581.
[19] W. A. S. Pagisi, L. Kadir, and S. N. Tarigan, “Faktor Risiko Kejadian Diare pada Balita: Studi Observasional di Puskesmas Momunu, Kabupaten Buol,” Heal. Inf. J. Penelit., vol. 15, no. 2, pp. 1–15, 2023.
[20] M. Purwati, “Hubungan Pemberian ASI Eksklusif Dengan Kejadian Diare Pada Balita,” vol. 6, no. 2, pp. 157–167, 2024.
[21] D. Eunike and S. M. D. Nataprawira, “Hubungan pemberian ASI ekslusif terhadap kejadian diare pada bayi usia 0-12 bulan di RS PKU Muhammadiyah Karanganyar Jawa Tengah,” Tarumanagara Med. J., vol. 3, no. 2, pp. 282–290, 2021, doi: 10.24912/tmj.v4i1.13719.
[22] Mardiana, E. Kristiana, and E. Yuliastuti, “Hubungan Riwayat Pemberian ASI Ekslusif Terhadap Kejadian Diare Pada Anak Usia 7-24 Bulan di Wilayah Kerja UPT Puskesmas Tanjung Selayar Tahun 2024,” vol. 1, no. 8, pp. 1517–1524, 2025.
[23] E. Jamiatun, S. Fatmawati, F. I. Kesehatan, and R. Diare, “Hubungan Riwayat Pemberian Asi Eklusif Dengan Riwayat Kejadian Diare Pada Bayi Usia 6-12 Bulan,” Mandira Cendikia, pp. 251–262, 2023.
[24] N. Khofifah, Y. Yuniarti, and A. Rizani, “Hubungan Status Gizi Dengan Kejadian Diare Pada Balita Di Puskesmas Martapura 1 Kabupaten Banjar,” J. Skala Kesehat., vol. 14, no. 2, pp. 111–118, 2023, doi: 10.31964/jsk.v14i2.399.
[25] M. Oktariana, R. Hariyanti, R. Riya, and S. Sulastri, “Hubungan Status Gizi dan Status Imunisasi dengan Kejadian Diare pada Balita di Puskesmas Putri Ayu Kota Jambi,” J. Ilm. Ners Indones., vol. 4, no. 2, pp. 198–206, 2023, doi: 10.22437/jini.v4i2.27518.
[26] T. Kusyanti, S. Syahda, and F. Handayani, “The Relationship between Nutritional Status and the Number of Dysmenorrhea on Childbearing-age Women,” Nexus Pendidik. Kedokt. dan Kesehat., vol. 1, no. 1, 2022. [Online]. Available: http://jurnal.fk.uns.ac.id/index.php/Nexus-Pendidikan-Kedokteran/article/view/576
[27] P. Sasmito, D. Setyosunu, I. Sadullah, R. M. Natsir, and A. Sutriyawan, “Riwayat status gizi, pemberian ASI eksklusif dan kejadian diare pada balita,” Holistik J. Kesehat., vol. 17, no. 5, pp. 431–438, 2023, doi: 10.33024/hjk.v17i5.12409.
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