The relationship between early complementary feeding with the incidence of diarrhea in infants aged 0-6 months at Evi pratama clinic.
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Page: 1830-1841
Abstract
Background: The global coverage of exclusive breastfeeding remains low (44%). The situation in Indonesia, particularly in North Sumatra, is concerning, where 68.4% of children under two years receive complementary feeding (CF) too early. This practice may increase the risk of diarrhea due to the immaturity of the infant’s gastrointestinal tract. Preliminary findings at Evi Primary Clinic showed that 17 out of 20 infants under six months experienced diarrhea, along with evidence of early CF practices. Objective: This study aimed to analyze the association between early complementary feeding and the incidence of diarrhea among infants aged 0–6 months at Evi Primary Clinic. Methods: An observational analytic study with a cross-sectional design was conducted. A total sampling technique was applied to 35 mothers with infants aged 0–6 months. Data were collected using questionnaires and analyzed using the Chi-Square test. Results: A total of 19 infants (54.3%) received early complementary feeding, and 18 infants (51.4%) experienced diarrhea. Bivariate analysis revealed that 15 out of 19 infants (42.8%) who received early complementary feeding suffered from diarrhea. The statistical test showed a p-value of 0.001 (α<0.05). Conclusion: There is a statistically significant association between early complementary feeding and the incidence of diarrhea among infants aged 0–6 months at Evi Primary Clinic. Therefore, education on the appropriate timing of complementary feeding is essential to prevent diarrhea in infants.
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References
Gunardi H. Optimalisasi 1000 Hari Pertama Kehidupan: Nutrisi, Kasih Sayang, Stimulasi, dan Imunisasi Merupakan Langkah Awal Mewujudkan Generasi Penerus yang Unggul. EJournal Kedokt Indones 2021:1. DOI: https://doi.org/10.23886/ejki.9.2.1
Khotimah K, Satillah SA, Fitriani V, Miranti M, Maulida M, Hasmalena H, et al. Analisis manfaat pemberian ASI eksklusif bagi ibu menyusui dan perkembangan anak. PAUDIA J Penelit Dalam Bid Pendidik Anak Usia Dini 2024:254–66. DOI: https://doi.org/10.26877/paudia.v13i2.505
Artikasari L, Nurti T, Priyanti N, Susilawati E, Herinawati H. Complementary Feeding or Infants Aged 0-6 Months and The Related Factors: Complementary Foods for Breastfeeding . J Kesehat Komunitas (Journal Community Heal 2021;7:176–81. https://doi.org/10.25311/keskom.Vol7.Iss2.930. DOI: https://doi.org/10.25311/keskom.Vol7.Iss2.930
Septiani W. The Association Between Complementary Feeding of Breast Milk and Health of Infants 0-11 M0nths in Puskesmas Bangko Rokan Hilir. J Kesehat Komunitas 2014;2:148–53. DOI: https://doi.org/10.25311/keskom.Vol2.Iss4.63
Hidayanti L-, Maywati S-. Program Kemitraan Masyarakat: Pmt Penyuluhan Pangan Lokal Di Desa Sukarame Kecamatan Sukarame Kabupaten Tasikamalaya Jawa Barat. War LPM 2019;21:31–9. https://doi.org/10.23917/warta.v21i2.7048. DOI: https://doi.org/10.23917/warta.v21i2.7048
Boateng M. Knowledge, attitude and practice of exclusive breastfeeding among mothers in Techiman, Ghana 2018.
Qanit I, Bangsawan CC. Pemberian Makanan Pendamping ASI Dini Meningkatkan Resiko Obesitas pada Anak. J Penelit Perawat Prof 2020;2:91–8. https://doi.org/10.37287/jppp.v2i1.46. DOI: https://doi.org/10.37287/jppp.v2i1.46
Kemenkes, RI. Health Statistics (Health Information System). 2020. https://doi.org/10.5005/jp/books/11257_5. DOI: https://doi.org/10.5005/jp/books/11257_5
Kementerian Kesehatan RI. Hasil Survei Status Gizi Indonesia (SSGI) 2022. Kemenkes 2022:1–150.
Farikha S, Hilmi IL, Salman S. Riview : Pentingnya Penyuluhan Kesehatan Untuk Meningkatkan Pengetahuan Ibu Terkait Imunisasi Pada Anak Anak. J Pharm Sci 2023;6:249–55. https://doi.org/10.36490/journal-jps.com.v6i1.17. DOI: https://doi.org/10.36490/journal-jps.com.v6i1.17
Rippey PLF, Aravena F, Nyonator JP. Health Impacts of Early Complementary Food Introduction Between Formula‐fed and Breastfed Infants. J Pediatr Gastroenterol Nutr 2020;70:375–80. DOI: https://doi.org/10.1097/MPG.0000000000002581
Alim N, Mien M, Harun AA. Hubungan Pengetahuan tentang Makanan Pendamping Air Susu Ibu Dini pada Bayi 0-6 bulan terhadap Resiko Gangguan Sistem Pencernaan di Wilayah Kerja Puskesmas Batalaiworu Kabupaten Muna. J Ilm Karya Kesehat 2021;1:71–6.
Tatar NKSS, Parwati NWM, Darmayanti PAR. Studi Deskriptif: Faktor Faktor yang Terkait dengan Pemberian MP-ASI Dini pada Bayi di UPTD Puskesmas III Dinas Kesehatan Kecamatan Denpasar Utara. J. Formil (Forum Ilmiah) Kesmas Respati, vol. 9, 2024, p. 97–109. DOI: https://doi.org/10.35842/formil.v9i2.545
Beyene SG, Melku AT. Prevalence of diarrhea and associated factors among under five years children in Harena Buluk Woreda Oromia region, south East Ethiopia, 2018. J Public Heal Int 2018;1:9–26. DOI: https://doi.org/10.14302/issn.2641-4538.jphi-18-2470
Plate RP, Herdayati M. Analisis spasial kejadian diare pada balita di Provinsi Sumatera Utara tahun 2020. Media Publ Promosi Kesehat Indones 2023;6:1384–92. DOI: https://doi.org/10.56338/mppki.v6i9.3577
cut diana mutia, SKM MK. Dinas Kesehatan Sumatera Utara Gelar Pertemuan Evaluasi Lintas Sektor Kesehatan Ibu dan Anak Termasuk Masalah Gizi. Dinas Kesehat Provinsi Sumatera Utara 2024.
Lubis RR, Dalimunthe SY, Sihaloho E, Simamor MK, Sinulingga YF. Hubungan Pemberian (Mp Asi) Pada Bayi Usia 0-6 Bulan Dengan Kejadian Diare Di Bpm Tina Siregar, Desa Sidomulyo, Kecamatan Biru-Biru, Kabupaten Deli Serdang Tahun 2021. J Pionir 2021;7. https://doi.org/https://doi.org/10.36294/pionir.v7i2.2883.
Sugiyono. Metodologi Penelitian Kuantitatif Kualitatif dan R&D. Bandung: Alfabeta; 2019.
D’Auria E, Borsani B, Pendezza E, Bosetti A, Paradiso L, Zuccotti G V, et al. Complementary Feeding: Pitfalls for Health Outcomes. Int J Environ Res Public Health 2020;17. https://doi.org/10.3390/ijerph17217931. DOI: https://doi.org/10.3390/ijerph17217931
Gusman Arsyad SST, Silfia NN, Keb SSTM, Faina S. Pemberian Makanan Pendamping Air Susu Ibu (MPASI)(Tinjauan Melalui Emotional Demonstration, Pengetahuan dan Sikap Ibu). Penerbit Adab; 2021.
Aina Q. Faktor Yang Mempengaruhi Pemberian Makanan Pendamping Asi (Mp-Asi) Dini Pada Bayi Usia 0-6 Bulan. Infokes 2019;9:211–20. DOI: https://doi.org/10.33221/jiki.v9i02.198
Prawati DD, Haqi DN. Faktor yang mempengaruhi kejadian diare di Tambak Sari, Kota Surabaya. J Promkes 2019;7:34. DOI: https://doi.org/10.20473/jpk.V7.I1.2019.34-45
Ghai OP. Ghai essential pediatrics. Mehta Publishers; 2001.
Jayanti MRA, Santi MY, Djanah N. Exclusive Breastfeeding and Complementary Feeding Histories in Stunting Among Children Aged 24–59 Months at Posyandu Sirsak. Kesmas Indones 2025;17:203–13.
Chiang K V. Timing of introduction of complementary foods—United States, 2016–2018. MMWR Morb Mortal Wkly Rep 2020;69. DOI: https://doi.org/10.15585/mmwr.mm6947a4
Hasriani S, Asnuddin A, Pratiwi WR, Qardhawijayanti S, Lisnayanti B. Pengaruh Pemberian Mp-ASI Berbasis Kearifan Lokal terhadap Kenaikan Berat Badan Bayi. J Lang Heal 2024;5. https://doi.org/10.37287/jlh.v5i3.5005.
Fitriany J, Saputri AI. Anemia defisiensi besi. AVERROUS J Kedokt Dan Kesehat Malikussaleh 2018;4:1–14. DOI: https://doi.org/10.29103/averrous.v4i2.1033
Rohmah MK. Keseimbangan Nutrisi Dan Anemia Defisiensi Besi 2023. https://doi.org/10.55981/brin.906.c800. DOI: https://doi.org/10.55981/brin.906.c800
Mentari WD. Pemanfaatan Pangan Lokal untuk Menu MP-ASI Bergizi. Penerbit NEM; 2025.
Suaib F, Mustamin H, Rowa SS, SiT S, Nurcahyani ID, Gz S. Mp-Asi Berbahan Dasar Pangan Lokal Untuk Tumbuh Kembang Anak. Cendekia Publisher; 2024.
Ferreira R de MM, Santos DC dos, Vilela LBF, Oliveira TL de, Egea MB. Early introduction of complementary foods in infants under six months: a case study from Rio Verde, Brazil. Food Sci Technol 2022;42:e55522. DOI: https://doi.org/10.1590/fst.55522
Rahman T, Iszakiyah N, Amir F. Analisis Korelasi Pemberian Makanan Pendamping ASI (MPASI) dengan Kejadian Diare Pada Bayi Usia 0-6 Bulan. Wiraraja Med J Kesehat 2022;12:27–33. DOI: https://doi.org/10.24929/fik.v12i1.1902
Hatta H. Hubungan Riwayat Pemberian ASI Eksklusif terhadap Kejadian Diare pada Balita di Puskesmas Limboto Kabupaten Gorontalo. J Dunia Gizi 2020;3:59–66. DOI: https://doi.org/10.33085/jdg.v3i1.4656
Dewinta MCN, Meldi PA, Ayu SM, Jatmika SED, Kodriati N, Sukarelawan MI. Associations of Early Complementary Feeding, Maternal Hygiene, and Home Sanitation With Diarrhea Among Infants 0-6 Months. J Kesehat Reproduksi 2024;15:156–72. https://doi.org/10.58185/jkr.v15i2.259. DOI: https://doi.org/10.58185/jkr.v15i2.259
Kolling GL, Wu M, Guerrant RL. Enteric Pathogens Through Life Stages. Front Cell Infect Microbiol 2012;2. https://doi.org/10.3389/fcimb.2012.00114. DOI: https://doi.org/10.3389/fcimb.2012.00114
Sangild PT. Gut Responses to Enteral Nutrition in Preterm Infants and Animals. Exp Biol Med 2006;231:1695–711. https://doi.org/10.1177/153537020623101106. DOI: https://doi.org/10.1177/153537020623101106
Dimopoulou A, Dimopoulou K, Dimopoulou D, Iakomidis E, Tsekoura E, Zavras N. Breast Milk: A Modulator of the Immature Immune System in the Management of Necrotising Enterocolitis in Preterm Neonates. Hell J Surg 2025;94:142–50. https://doi.org/10.59869/24038. DOI: https://doi.org/10.59869/24038
Liu Y, Ma J, Zhu B, Liu F, Qin S, Lv N, et al. A Health-Promoting Role of Exclusive Breastfeeding on Infants Through Restoring Delivery Mode-Induced Gut Microbiota Perturbations. Front Microbiol 2023;14. https://doi.org/10.3389/fmicb.2023.1163269. DOI: https://doi.org/10.3389/fmicb.2023.1163269
Bering SB. Human Milk Oligosaccharides to Prevent Gut Dysfunction and Necrotizing Enterocolitis in Preterm Neonates. Nutrients 2018;10:1461. https://doi.org/10.3390/nu10101461. DOI: https://doi.org/10.3390/nu10101461