Toddler Massage as a Supplementary Intervention in Overcoming Stunting in Children: Research from Stunting Locus Area in Gorontalo City

Fatmah Zakaria, Sri Mulyaningsih, Dwi Nur Octaviani Katili, Rizky Nikmathulhusna Ali, Mohamad Rodi Isa, Herbawati Herbawati

Abstract


Stunting defined as impaired linear growth resulting in a child’s height falling below the age-appropriate standard, remains a pressing global health concern due to its long-term implications on development and increased risk of mortality. In Gorontalo Province, Indonesia, the prevalence of stunting exceeds the national target of 23.8%, with North Gorontalo Regency reporting the highest rate at 29.3%. This study aimed to examine the effect of toddler massage on weight gain among stunted children. A quasi-experimental design with a pretest-posttest control group approach was employed, involving 32 stunted toddlers selected through purposive sampling. Participants were equally allocated into an intervention group (n=16), which received toddler massage based on standard operating procedures, and a control group (n=16), which did not receive the intervention. Body weight was measured using digital scales. The results of the paired t-test revealed a statistically significant weight gain in the intervention group (p = 0.00), whereas no significant difference was observed in the control group (p = 0.164). The findings indicate that toddler massage may contribute to weight improvement in stunted children and could be considered a supportive non-pharmacological intervention in stunting management programs.

Keywords


Stunting; Toddler massage; Weight gain; Child growth

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References


Agarwal, K. N., Gupta, A., Pushkarna, R., Bhargava, S. K., Faridi, M. M., & Prabhu, M. K. (2000). Effects of massage & use of oil on growth, blood flow & sleep pattern in infants. The Indian Journal of Medical Research, 112, 212–217.

Aurelia, Y. (2024). 1000 HPK Kunci Cegah Stunting. https://ayosehat.kemkes.go.id/1000-hpk-kunci-cegah-stunting

Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4), e12617. https://doi.org/10.1111/mcn.12617

Chen, S.-C., Lin, S.-L., Wang, M., Cheung, D. S.-T., Liang, J.-G., Cheng, Z.-Y., Yuen, C. S., & Yeung, W.-F. (2024). Pediatric massage therapy in infants and children under 5 years: An umbrella review of systematic reviews. Heliyon, 10(16), e35993. https://doi.org/10.1016/j.heliyon.2024.e35993

Choi, H., Kim, S.-J., Oh, J., Lee, M.-N., Kim, S., & Kang, K.-A. (2016). The effects of massage therapy on physical growth and gastrointestinal function in premature infants: A pilot study. Journal of Child Health Care: For Professionals Working with Children in the Hospital and Community, 20(3), 394–404. https://doi.org/10.1177/1367493515598647

Dewey, K. G., & Begum, K. (2011). Long-term consequences of stunting in early life: Long-term consequences of stunting. Maternal & Child Nutrition, 7, 5–18. https://doi.org/10.1111/j.1740-8709.2011.00349.x

Erçelik, Z. E., & Y?lmaz, H. B. (2023). Effectiveness of infant massage on babies growth, mother-baby attachment and mothers’ self-confidence: A randomized controlled trial. Infant Behavior and Development, 73, 101897. https://doi.org/10.1016/j.infbeh.2023.101897

Field, T., Hernandez-Reif, M., Diego, M., Schanberg, S., & Kuhn, C. (2005). Cortisol decreases and serotonin and dopamine increase following massage therapy. The International Journal of Neuroscience, 115(10), 1397–1413. https://doi.org/10.1080/00207450590956459

Frosch, C. A., Schoppe-Sullivan, S. J., & O’Banion, D. D. (2019). Parenting and Child Development: A Relational Health Perspective. American Journal of Lifestyle Medicine, 15(1), 45–59. https://doi.org/10.1177/1559827619849028

Gürol, A., & Polat, S. (2012). The Effects of Baby Massage on Attachment between Mother and their Infants. Asian Nursing Research, 6(1), 35–41. https://doi.org/10.1016/j.anr.2012.02.006

Jethava, V., Kadish, J., Kakonge, L., & Wiseman-Hakes, C. (2022). Early Attachment and the Development of Social Communication: A Neuropsychological Approach. Frontiers in Psychiatry, 13, 838950. https://doi.org/10.3389/fpsyt.2022.838950

Junita, E., Sepduwiana, H., Fahmi, Y. B., Andriana, A., & Herawati, R. (2022). THE IMPACT OF BABY MASSAGE ON BABY WEIGHT GAIN IN THE VILLAGE OF REMBAH HILIR. Jambura Journal of Health Sciences and Research, 4(3), Article 3. https://doi.org/10.35971/jjhsr.v4i3.12836

Kementerian Kesehatan. (2023). Cegah Stunting, Kemenkes Fokuskan Pada 11 Program Intervensi. https://www.badankebijakan.kemkes.go.id/cegah-stunting-kemenkes-fokuskan-pada-11-program-intervensi/

Kementerian Kesehatan. (2024). Survei Status Gizi Indonesia 2024 Dalam Angka. Kementerian Kesehatan.

Lestari, K. P., Nurbadlina, F. R., Wagiyo, W., & Jauhar, M. (2021). The effectiveness of baby massage in increasing infant’s body weight. Journal of Public Health Research, 10(s1), jphr.2021.2332. https://doi.org/10.4081/jphr.2021.2332

Lu, L.-C., Lan, S.-H., Hsieh, Y.-P., Lin, L.-Y., Chen, J.-C., & Lan, S.-J. (2020). Massage therapy for weight gain in preterm neonates: A systematic review and meta-analysis of randomized controlled trials. Complementary Therapies in Clinical Practice, 39, 101168. https://doi.org/10.1016/j.ctcp.2020.101168

McGovern, M. E., Krishna, A., Aguayo, V. M., & Subramanian, S. V. (2017). A review of the evidence linking child stunting to economic outcomes. International Journal of Epidemiology, 46(4), 1171–1191. https://doi.org/10.1093/ije/dyx017

Pham, B. N., Silas, V. D., Okely, A. D., & Pomat, W. (2021). Measuring Wasting and Stunting Prevalence Among Children Under 5 Years of Age and Associated Risk Factors in Papua New Guinea: New Evidence From the Comprehensive Health and Epidemiological Surveillance System. Frontiers in Nutrition, 8, 622660. https://doi.org/10.3389/fnut.2021.622660

Priyadarshi, M., Kumar, V., Balachander, B., Gupta, S., & Sankar, M. J. (2022). Effect of whole-body massage on growth and neurodevelopment in term healthy newborns: A systematic review. Journal of Global Health, 12(12005), 1–15. https://doi.org/10.7189/jogh.12.12005

Puskesmas Tolangohula. (2024). Laporan Puskesmas Tolangohula Tahun 2024 [unpublished]. Puskesmas Tolangohula.

Putra, I. G. N. E., Daly, M., & Robinson, E. (2025). Psychosocial factors and the development of childhood overweight and obesity: A UK cohort study. Pediatric Research, 1–7. https://doi.org/10.1038/s41390-025-04113-x

Soliman, A., De Sanctis, V., Alaaraj, N., Ahmed, S., Alyafei, F., Hamed, N., & Soliman, N. (2021). Early and Long-term Consequences of Nutritional Stunting: From Childhood to Adulthood. Acta Bio Medica : Atenei Parmensis, 92(1), e2021168. https://doi.org/10.23750/abm.v92i1.11346

Sukamti, S., Junengsih, J., Aticeh, A., & Sriwenda, D. (2024). Baby Massage is Useful in Stunting Prevention. Women, Midwives and Midwifery, 4(1), Article 1. https://doi.org/10.36749/wmm.4.1.1-7.2024

Taheri, P. A., Goudarzi, Z., Shariat, M., Nariman, S., & Matin, E. N. (2018). The effect of a short course of moderate pressure sunflower oil massage on the weight gain velocity and length of NICU stay in preterm infants. Infant Behavior & Development, 50, 22–27. https://doi.org/10.1016/j.infbeh.2017.11.002

Wold Health Organization. (2024). Stunting prevalence among children under 5 years of age (%) (model-based estimates). https://www.who.int/data/gho/data/indicators/indicator-details/GHO/gho-jme-stunting-prevalence




DOI: https://doi.org/10.14421/biomedich.2025.142.1099-1103

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Copyright (c) 2025 Sri Mulyaningsih, Dwi Nur Octaviani Katili, Rizky Nikmathulhusna Ali, Mohamad Rodi Isa, Herbawati Herbawati



Biology, Medicine, & Natural Product Chemistry
ISSN 2089-6514 (paper) - ISSN 2540-9328 (online)
Published by Sunan Kalijaga State Islamic University & Society for Indonesian Biodiversity.

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