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Journal : Journal of Epidemiology and Public Health

The Relationship Between Macronutrient Intake and Stunting Among Children Aged 1–2 Years: Quantitative and Qualitative Approaches Nesva, Intan Silvia; Sulastri, Delmi; Basyir, Vaulinne
Journal of Epidemiology and Public Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.04.04

Abstract

Background: Stunting among children aged 1–2 years remains a critical public health concern in Indonesia, particularly during the vital 1,000-day window of child development. This study aimed to analyze the relationship between macronutrient intake and stunting using a mixed-methods approach. Subjects and Method: This was a sequential explanatory mixed-methods study conducted from February 2024 to May 2025 at Community Health Center Dadok Tunggul Hitam, Padang City. The quantitative component employed a case-control design involving 66 children aged 1–2 years, divided equally into stunted (cases) and non-stunted (controls) groups. Sampling was conducted purposively for cases and by simple matching for controls. The independent variables were intake of carbohydrates, proteins, and fats; the dependent variable was stunting, defined using WHO growth standards. Macronutrient intake was assessed via a 24-hour recall. Data were analyzed using Chi-square tests to determine associations, and Odds Ratios (OR) with 95% Confidence Intervals (CI) were reported. The qualitative phase included interviews with mothers, health workers, and community volunteers, analyzed thematically using NVivo 12. Results: Children with inadequate carbohydrate intake were significantly more likely to be stunted (OR=3.50; 95% CI=1.27 to 9.64; p=0.015). No statistically significant associations were found for protein intake (OR=2.60; 95% CI=0.91 to 7.44; p=0.074) or fat intake (OR=2.44; 95% CI=0.89 to 6.70; p=0.082). Qualitative findings revealed barriers such as loss of appetite during illness, preference for snacks, food aversions, and limited maternal knowledge and resources, all of which contributed to inadequate macronutrient intake. Conclusion: Inadequate carbohydrate intake was significantly associated with stunting in children aged 1–2 years. Contextual factors such as eating behavior and parental feeding practices further influenced nutritional outcomes. Interventions should address both dietary intake and behavioral barriers within families.
Co-Authors Abdiana Adang Bachtiar Afdhal, Fitrah Afriani, Nita Afriwardi Afriwardi Afrizal Afrizal Alfin Rahma Fadhilah Amara Azka Shafrina Amel Yanis Amir, Aprima Yona Andani Eka Putra Ariadi, Ariadi Ariani, Peny Azrimaidaliza Basyir, Vaulinne Defrin Defrin Defrin, Defrin Desmawati Desmawati Desmawati Desmawati Dessy Arisany Dian Isti Angraini Dian Isti Angraini Dolly Irfandy Eldi Sauma Endrinaldi Erasta, Junira Eva Chundrayetti Eva Chundrayetti Evynatra Evynatra Evynatra, Evynatra Faisaelia, Rezka Nanda Fasrini, Ulya U Firdawati, Firdawati Fitrah Afdhal Fivi Melva Diana, Fivi Melva Friska Eka Fitria Hafni Bachtiar Hardisman Haryani, Sesmeri Hasmiwati Hema Malini, Hema Heriawita Heriawita, Heriawita Hermawan, Nur Sefa Arief Hudila Rifa Karmia Huvaid, Sevilla Ukhtil Ida Rahmah Burhan Ida Rahmah Burhan Ika Nur Saputri Ilmiawati Indah Gemala Inke Malahayati Iqbal Muhammad Helmi Izmi Fadhilah Nasution Jamsari Jamsari Linosefa Linosefa Lipoeto NI Masrul Mayetti Mayetti Mizawati, Afrina Mudjiran Mudjiran Mudjiran Nasrul Zubir Neherta, Meri Nesva, Intan Silvia Novita Sari Nur Indrawaty Lipoeto Nur Indrawaty Lipoeto Nursyirwan Effendi, Nursyirwan Nurul Ramadhini Nur’afifah, Fauziah Nuzulia Irawati Oktarina, Mika Puteri Fannya Putra, Abdi Setia Putri Aisyah Mirza Putri, Miftahul NS rahmatiqa, chamy Rauza Sukma Rita Rizanda Machmud Rizanda Mahmud` Rosfita Rasyid Roslaili Rasyid Roza Mulyana Rozi Sastra Purna Sari, Nur Mala Sari, Vivi Sary, Annisa Novita silvia thamrin Sri Mulyanti Susi Susanti Susi Susanti Thamrin, Silvia Ulva, Fadillah Ulya Uti Fasrini Utama, Bobby Indra Wahyuni, Yosha Putri Yulistini, Yulistini Yuniar Lestari Yusrawati Yusrawati Yusti Siana