Evidence map›Paper›PMID 34959815›Full record

ArticleNutrients2021

Exclusive Breastfeeding Protects Young Children from Stunting in a Low-Income Population: A Study from Eastern Indonesia.

Hamam Hadi, Fatimatasari Fatimatasari, Winda Irwanti, Chahya Kusuma, Ratih Devi Alfiana, M Ischaq Nabil Asshiddiqi, Sigit Nugroho, Emma Clare Lewis, Joel Gittelsohn

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
10.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 citations in OpenAlex.

  1. Pooled it
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  15. Mixed Methods Studies on Breastfeeding: A Scoping Review.Healthcare (Basel, Switzerland) · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Hamam HadiAlma Ata Graduate School of Public Health, the University of Alma Ata, Yogyakarta 55183, Indonesia.ORCID 0000-0002-1945-2539
Fatimatasari FatimatasariDepartment of Midwifery, Faculty of Health Sciences, the University of Alma Ata, Yogyakarta 55183, Indonesia.ORCID 0000-0003-4028-4100
Winda IrwantiDepartment of Nutrition, Faculty of Health Sciences, The University of Alma Ata, Yogyakarta 55183, Indonesia.
Chahya KusumaAlma Ata Graduate School of Public Health, the University of Alma Ata, Yogyakarta 55183, Indonesia.
Ratih Devi AlfianaDepartment of Midwifery, Faculty of Health Sciences, the University of Alma Ata, Yogyakarta 55183, Indonesia.
M Ischaq Nabil AsshiddiqiDepartment of Nursing, Faculty of Health Sciences, the University of Alma Ata, Yogyakarta 55183, Indonesia.ORCID 0000-0002-7208-5918
Sigit NugrohoAlma Ata Graduate School of Public Health, the University of Alma Ata, Yogyakarta 55183, Indonesia.
Emma Clare LewisCenter for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA.
Joel GittelsohnCenter for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA.ORCID 0000-0003-2761-3280
Universitas Teknologi Yogyakarta · IDJohns Hopkins University · US

Funding

the Ministry of Education and Culture, Research and Technology and Higher Education, the Republic of Indonesia No:2817/E4.1/KK.04.05/2021
6 · The paper itself

Abstract

The prevalence of stunting in young Indonesian children is the highest among countries belonging to the Association of Southeast Asian Nations (ASEAN). Breastfed children are reported to grow better than non-breastfed. The present study examined the protective effect of exclusive breastfeeding against stunting in children under two years old (CU2) and its interaction with monthly household expenditure. Secondary analyses were conducted based on a 2012 cross-sectional study including 408 children aged 6-24 months and their caregivers from 14 villages in rural Eastern Indonesia. Data on breastfeeding history, childcare, and household expenditures were collected using structured questionnaires. Focus Group Discussions (FGDs) were conducted in each village (n = 14). Nearly two-thirds (61%) of caregivers who identified as the biological mother exclusively breastfed their child at 6 months. Exclusively-breastfed CU2 from poorer households were 20% less likely to be stunted than their non-exclusively-breastfed peers. Further, exclusively-breastfed CU2 from wealthier households were 50% less likely to be stunted than non-exclusively-breastfed CU2 from poorer households. FGDs revealed that some mothers were unaware of the importance of recommended breastfeeding practices. Exclusive breastfeeding may protect low-income children against stunting. Health promotion to improve caregiver motivation to exclusively breastfeed is critical in the present setting and beyond.

Indexed as

Breast FeedingChild, PreschoolCross-Sectional StudiesFamily CharacteristicsFemaleFocus GroupsGrowth DisordersHealth ExpendituresHumansIndonesiaInfantMalePovertyPrevalenceRural Populationchildrenexclusive breastfeedingIndonesialow-incomestunting

Identifiers

PMID34959815
PMCPMC8706015
OpenAlexW3216692191

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.