<![CDATA[Background: Stunting remains a public health challenge that impacts growth, cognitive development, health, and long-term productivity. The prevalence of stunting in Indonesia in 2023 reached 21.6%, exceeding the national target of 14%. The World Health Organization (WHO), the United Nations Children’s Fund (UNICEF), and national policies recommend nutrition interventions based on local foods. Tempeh extract, a protein-rich local food product, becomes a nutritional alternative for stunted toddlers. This study evaluated the effectiveness of tempeh extract supplementation in promoting growth among stunted toddlers. Objectives: To analyze the effect of tempeh juice supplementation on body weight, height, and body mass index (BMI) among stunted toddlers aged 13–59 months in Bantarujeg Subdistrict, Majalengka Regency. Methods: This quasi-experimental study used a pre-test and post-test control group design. A total of 144 stunted toddlers were selected using total sampling and divided into an intervention group (n=72) and a control group (n=72). The intervention group received 250 ml of tempeh extract daily (equivalent to 50 g of tempeh) for two months. Data were analyzed using SPSS with an independent t-test. Results: Tempeh extract had a significant effect on increases in body weight (p-value<0.001; r=0.797), height (p-value<0.001; r=0.998), and Body Mass Index (BMI) (p-value<0.001; r=0.919) in the intervention group. The control group experienced weight gain, but the change in BMI was not significant (p-value=0.164; r=0.505). Conclusions: Tempeh extract supplementation effectively improves growth indicators in stunted toddlers and has potential as a local food-based nutrition intervention.]]>
