Narra X
Vol. 4 No. 2 (2026): August 2026 (In Press)

Culture-based breast milk and infant gut microbiota profiles among stunted infants: A case-control study from Indonesia

Aslinar Aslinar (Doctoral Program in Medical Science, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia)
Herlina Dimiati (Department of Pediatrics, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia)
Nur Indrawati (Department of Nutrition, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Sofia Sofia (Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia)



Article Info

Publish Date
07 Jul 2026

Abstract

Stunting remains a major public health problem in Indonesia. Early-life microbiota may contribute to infant growth through their roles in microbial colonization, immune maturation, intestinal function, and nutrient utilization, but evidence from high-stunting settings in Indonesia remains limited. The aim of this study was to compare culture-based breast milk and infant fecal microbiota profiles between stunted and normal infants in Aceh, Indonesia, and to examine their associations with maternal, postnatal, environmental, and socioeconomic factors. A total of 54 breastfed infants aged 6–11 months were included, consisting of 27 stunted and 27 normal infants matched by age and sex. Breast milk and fecal samples were analyzed using culture-based microbiological methods for bacterial identification and colony-forming unit counts. In breast milk, Streptococcus sp. and Staphylococcus sp. were the predominant bacteria, with higher detection frequencies among mothers of stunted infants. In fecal samples, Escherichia coli was the most frequently detected bacterium in both groups, while Staphylococcus aureus and Clostridium innocuum were significantly more common among stunted infants. Breast milk bacterial colony counts were significantly higher in the stunted group, whereas fecal colony counts were numerically higher but not statistically significant. Poor household sanitation was more frequent among stunted infants. Exploratory analyses among stunted infants showed that maternal height was associated with Anaerococcus prevotii, while maternal education was associated with selected fecal bacteria, including Salmonella choleraesuis, Proteus mirabilis, and Eggerthella lenta. These findings suggest culture-detectable differences in breast milk and infant fecal microbiota between stunted and normal infants. Given the small sample size, confirmation using longitudinal and sequencing-based studies is warranted.

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Journal Info

Abbrev

main

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Chemistry Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Physics Public Health

Description

Narra X is a multidisciplinary journal, published three times in a year (April, August, and December). The journal aims to act as a platform for rapid scientific communication while upholding the highest integrity. Articles are published in a form of Original articles, Short Report, Case Reports, ...