Hubungan antara kalori total, protein, rasio protein Kalori pada makanan pendamping ASI dan pola pemberian susu dengan stunting pada anak usia 6-24 bulan di Kenjeran, Surabaya, Indonesia

Introduction: Breast milk hasn’t enough to meet children requirement at the age of >6 months. Prevalence of stunting increase in this period. Complementary food (CF) plays an important role in this period. Calorie and protein of CF determine children growth. The purposes of this study were to prove the relationships of CF (total calories, protein, protein:calorie ratio) and milk feeding pattern with stunting in children aged 6-24 months in Kenjeran, Surabaya. Method: This study was a cross-sectional study. Children aged 6-24 months (May 1, 2018 to May 31, 2018) who were attendingPosyandu at Kenjeran District (Surabaya) were included in this study,using total sampling. Result: There were 45 children included in this study (median age15.13 (6.4-23.67) months), 17 (37.8%) children aged 6-12 months and 28 (62.2%) children aged 13-24 months. There were 25 (55.6%) male. Stunting was present in 18 (40%) children. The average of CF calories in stunting group was 37% of requirement and in no stunting group was 36% of requirement. Calorie, protein, and protein:calorie ratio of CF had no relationship with stunting [exp(B)=0.031(95% CI=0.000 to 1503), p=0.528; exp(B)=4.451(95% CI=0.254 to 78.034), p=0.307; (exp(B)=1.030 (95% CI=0.861 to 1.232), p=0.745, respectively]. Milk feeding pattern (breast milk), age group 13-24 months and family income < IDR 3,500,000 had relationship with stunting [exp(B)=176.730 (95% CI=2.46 to 15270), p=0.023; exp(B)=51.278 (95% CI=1.752 to 1501), p=0.022; exp(B)=127.713 (95% CI=1.455 to 11210), p=0.034, respectively]. Conclusion: Calories, protein, protein:calorie ratio of CF has no relationship with stunting, while milk feeding pattern (breast milk) has a relationship with stunting.