Background: Wasting is a condition of acute undernutrition where a toddler's weight is not appropriate for their height, or the z-score is below -2SD. This study aims to analyze the determinants of wasting among children aged 12–59 months in the working area of Kayu Gadang Public Health Center in 2025.
Methods: This research uses a mixed methods approach, which is a combination of quantitative and qualitative methods. The quantitative method applies a cross-sectional approach, while the qualitative method uses a case study approach. The strategy used is the Convergent Parallel Design, in which both quantitative and qualitative data are collected and analyzed simultaneously (in parallel). The sampling technique applied is proportional random sampling, with a total of 104 samples. Data analysis in this study includes multivariate analysis using the Backward LR test.
Results: The results show that energy intake (p-value 0.001), protein intake (p-value 0.001), carbohydrate intake (p-value 0.003), fat intake (p-value 0.005), infectious disease (p-value 0.647), mother's knowledge (p-value 0.001), completeness of immunization (p-value 0.004), and environmental sanitation (p-value 0.001) are statistically significantly associated with wasting among children aged 12–59 months. Family income (p-value 0.647), mother's education (p-value 0.070), and exclusive breastfeeding history (p-value 0.211) are not statistically significantly associated with wasting in this age group. Multivariate analysis showed that the most dominant factor associated with wasting was protein intake.
Conclusion: There is a significant relationship between macronutrient intake (energy, protein, carbohydrates, fat), infectious diseases, maternal knowledge, completeness of immunization, and environmental sanitation with the incidence of wasting. The most dominant factor is protein intake.
- 1. Headey DD, Ruel MT. Economic shocks predict increases in child wasting prevalence. Nat Commun. 2022;13(1):1-9. doi:10.1038/s41467-022-29755-x
- 2. Nur Aisya Aurellia. Determinan Kejadian Wasting pada Balita. 2021;2021:167-178.
- 3. UNICEF. Nutrition for every child: UNICEF nutrition strategy 2020–2030. UNICEF Nutr Sect Program Div. Published online 2020:1-98. www.unicef.org%0ANote
- 4. Kementrian Kesehatan. Survey Kesehatan Indonesia.; 2023.
- 5. Atasasih H, Paramita IS, Rahayu D, Oktariani F. Gizi Darurat Bencana.; 2024. doi:10.36590/penerbit.salnesia.7
- 6. Harding KL, Aguayo VM, Webb P. Factors associated with wasting among children under five years old in South Asia : Implications for action. Published online 2018:1-17.
- 7. Li Z, Kim R, Vollmer S, Subramanian S V. Factors Associated with Child Stunting, Wasting, and Underweight in 35 Low- And Middle-Income Countries. JAMA Netw Open. 2020;3(4):1-18. doi:10.1001/jamanetworkopen.2020.3386
- 8. Nurfatmi R, Alam S, Jayadi YI, Zat A, Makro G. Hubungan Asupan Zat Gizi Makro Terhadap Kejadian Wasting pada. 2022;6(2).
- 9. Prawesti K, Sarjana P, Kebidanan T, Kebidanan J, Kesehatan P, Kesehatan K. Faktor-Faktor Yang Mempengaruhi Wasting Pada Balita Usia 6-59 Bulan Di Wilayah Kerja Faktor-Faktor Yang Mempengaruhi Wasting Pada Balita Usia 6-59 Bulan Di Wilayah Kerja. Published online 2018.
- 10. Menon P, Bamezai A, Subandoro A, Ayoya MA, Aguayo V. Age-appropriate infant and young child feeding practices are associated with child nutrition in India: Insights from nationally representative data. Matern Child Nutr. 2015;11(1):73-87. doi:10.1111/mcn.12036
- 11. Sari Y, Hajrah WO. Analisis Kejadian Wasting pada Balita Usia 6-59 Bulan. 2020;2(3):154-162. doi:10.33860/jbc.v2i3.110
- 12. Soedarsono AM, Sumarmi S. Faktor yang Mempengaruhi Kejadian Wasting pada Balita di Wilayah Kerja Puskesmas Simomulyo Surabaya. Media Gizi Kesmas. 2021;10(2):237. doi:10.20473/mgk.v10i2.2021.237-245
- 13. Sugiatmi S, Herlinah L, Rudiatin E, Wredatami P. Analisis Faktor Risiko Malnutrisi pada Balita Daerah Pesisir Jakarta Tahun 2022. J Kedokt dan Kesehat. 2023;19(1):65. doi:10.24853/jkk.19.1.65-73
- 14. Fitri SA, Jhonifer R, Tushodia OV, Salwah, Rahayu Putri I, Fitriami E. Analisis asupan gizi anak usia dini di Paud Sejahtera Bersama Kota Padang. 2025;6:60-69. doi:10.37373/bemas.v6i1.1515
- 15. Yesvi Zulfiana, Nurul Fatmawati, Yopi Suryatim Pratiwi. Hubungan Asupan Protein dengan Kejadian Wasting pada Balita. Prof Heal J. 2023;5(2):467-475. doi:10.54832/phj.v5i2.598
- 16. Rochmawati, Marlenywati, Waliyo E. Gizi Kurus ( Wasting ) Pada Balita Di Wilayah Kerja Puskesmas Kota Pontianak. Vokasi Kesehat. 2016;II(2):132-138. https://ejournal.poltekkes-pontianak.ac.id/index.php/JVK/article/view/68/60
- 17. Ferlina H, Nurhayati A, Patriasih R. Asupan Energi Pada Anak Wasting Di Desa Mandalasari Kabupaten Garut. Media Pendidikan, Gizi, dan Kuliner. 2020;9(1):23-31. doi:10.17509/boga.v9i1.23914
- 18. Intiyati A, Dwi R, Putri Y, et al. ACCESS Hubungan ASI Eksklusif , Makanan Pendamping ASI , Penyakit Infeksi dengan Kejadian Wasting pada Balita : Cross-Sectional Study Correlation between Exclusive Breastfeeding , Complementary Feeding , Infectious Disease with Wasting among Toddlers : a . 2024;8(2):1-8. doi:10.20473/amnt.v8i2SP.2024.1-8
- 19. Nova M, Rini AM. Hubungan Tingkat Pengetahuan Ibu, Pola Asuh, Asupan Giziterhadap Status Gizi (BB/TB) Pada Balita 24-59 Bulan Di Wilayah Kerja Puskesmas Anak Air Kota Padang. Ensiklopedia J. 2024;6(2):312-319. http://jurnal.ensiklopediaku.org
- 20. Diniyyah SR, Nindya TS. Asupan Energi, Protein dan Lemak dengan Kejadian Gizi Kurang pada Balita Usia 24-59 Bulan di Desa Suci, Gresik. Amerta Nutr. 2017;1(4):341. doi:10.20473/amnt.v1i4.7139
- 21. Adani V, Rahayuning Pangestuti D, Rahfiludin Mz. Hubungan Asupan Makanan (Karbohidrat, Protein dan Lemak) dengan Status Gizi Bayi dan Balita (Studi pada Taman Penitipan Anak Lusendra Kota Semarang Tahun 2016). J Kesehat Masy. 2016;4(3):261-271. http://ejournal-s1.undip.ac.id/index.php/jkm
- 22. Rahayu RM, Pamungkasari EP, Wekadigunawan C. The Biopsychosocial Determinants of Stunting and Wasting in Children Aged 12-48 Months. J Matern Child Heal. 2018;03(02):105-118. doi:10.26911/thejmch.2018.03.02.03
- 23. Oktavia S, Apriyanti F, Lasepa W. Faktor-Faktor yang Berhubungan dengan Kejadian Wasting pada BalitaUsia 12-59 Bulan di Kelurahan Laksamana Wilayah Kerja PuskesmasDumai Kota Tahun 2023. Inovative J Soc Sci Res. 2023;3:11026-11036.
- 24. Badan Pusat Statistik. Kabupaten Pesisir Selatan dalam angka 2024. Pesisir Selatan Dalam Angka. 2024;44:518 hal.
- 25. Afifah L. Hubungan Pendapatan , Tingkat Asupan Energi dan Karbohidrat dengan Status Gizi Balita Usia 2-5 Tahun di Daerah Kantong Kemiskinan The Correlation of Income , Level of Energy and Carbohydrate Intake with Nutritional Status of Toddlers Aged 2-5 Years in Poo. Published online 2019:183-188. doi:10.2473/amnt.v3i3.2019.183-188
- 26. Gantini T, Hendrawan H, Barkah MR. Hubungan Pendapatan Keluarga dengan Status Gizi Balita di Desa Bojong Kecamatan Pameungpeuk Kabupaten Garut. AGRITEKH (Jurnal Agribisnis dan Teknol Pangan). 2024;4(2):99-107. doi:10.32627/agritekh.v4i2.888
- 27. Dinas Sosial pemberdayaan Perempuan dan perlindungan anak Title. Profil Gend Kabupaten Pesisir Selatan 2023. 2023;16(2):39-55.
- 28. Fayola D, Reni Z, Anisa J, Iswandi D. Hubungan Tingkat Pendidikan Akhir Ibu Terhadap Status Gizi Balita (Bb/Tb). J Penelit Perawat Prof. 2025;7(5474):1333-1336.
- 29. Syafyanti S, Hasniyati R, Rukmana SA, Yuniarti E, Andrafikar A. Pola Asuh Makan, Pengetahuan Ibu dan Status Ekonomi Orang Tua pada Balita dengan Status Gizi Bermasalah di Pusat dan Pinggir Kota. J Sehat Mandiri. 2023;18(2):311-320. doi:10.33761/jsm.v19i1.1284
- 30. Aristi TA, Wilda TRIO. Vol. 7 No. 1 Edisi 2 Oktober 2024 http://jurnal.ensiklopediaku.org Ensiklopedia Of Journal. 2024;7(1):214-220.
- 31. Sari EN. Faktor-Faktor yang Mempengaruhi Kejadian Wasting pada Balita Umur 1-5 Tahun. J Kesehat Poltekkes Kemenkes RI Pangkalpinang. 2013;10(1):75-82. doi:10.32922/jkp.v10i1.433
- 32. Kementerian Kesehatan. Survey Status Gizi Indonesia.; 2022.
- 33. Aldana-parra F, Vega GO, Fewtrell M. Associations between maternal BMI , breastfeeding practices and infant anthropometric status in Colombia ; secondary analysis of ENSIN 2010. Published online 2020:1-15.
- 34. Id DN, Id MA, Motbainor A. Effect of exclusive breastfeeding cessation time on childhood morbidity and adverse nutritional outcomes in Ethiopia : Analysis of the demographic and health surveys. Published online 2019:1-12.
- 35. Muntia C, Simamora D, Wati DK, Ratnasari D, Hasanah M, Nababan T. Hubungan Inisiasi Menyusui Dini dan ASI Eksklusif dengan Kejadian Wasting 6-24 Bulan di Wilayah Kerja UPTD Puskesmas Langsa Kota The Relationship Between Early Breastfeeding Initiation and Exclusive Breastfeeding with the Incidence of Wasting 6-24 Months . Published online 2025:158-164.
- 36. Kementrian Kesehatan. Profil Kesehatan.; 2024.
- 37. Filia Alia Rahma, Miftahul Munir, Lilia Faridatul Fauziah. Hubungan Pemberian ASI Eksklusif, Kelengkapan Imunisasi Dasar dan Penyakit Infeksi pada Balita Usia 1-5 Tahun dengan Kejadian Wasting Di Kabupaten Tuban. INSOLOGI J Sains dan Teknol. 2024;3(2):215-225. doi:10.55123/insologi.v3i2.3437
- 38. Attika Firli Insani. Hubungan Riwayat Imunisasi, Riwayat Penyakit Infeksi Dan Riwayat Asi Eksklusif Dengan Kejadian Wasting Pada Balita Usia 24-35 Bulan Di Wilayah Kerja Puskesmas Pegambiran Kota Padang Tahun 2023. JAKIA J Kesehat Ibu dan Anak. 2025;1(1):22-34. doi:10.62527/jakia.1.1.44
- 39. Khan DSA, Das JK, Zareen S, Lassi ZS. Nutritional Status and Dietary Intake of School-Age Children and Early Adolescents : Systematic Review in a Developing Country and Lessons for the Global Perspective. 2022;8(February). doi:10.3389/fnut.2021.739447
- 40. Timur NT, Betan Y, Hemchayat M, Wetasin K. Unnes Journal of Public Health Factors Influencing Malnutrition of Children Aged 24-60 Months Old in Flores. 2022;11(17):46-57.
Copyright (c) 2025 INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright Rights & Permissions Guide
Reproducing Published Material from other Publishers
It is absolutely essential that authors obtain permission to reproduce any published material (figures, schemes, tables or any extract of a text) which does not fall into the public domain, or for which they do not hold the copyright. Permission should be requested by the authors from the copyright holder (usually the Publisher, please refer to the imprint of the individual publications to identify the copyright holder).
Permission is required for:
- Your own works published by other Publishers and for which you did not retain copyright.
- Substantial extracts from anyones’ works or a series of works.
- Use of Tables, Graphs, Charts, Schemes and Artworks if they are unaltered or slightly modified.
- Photographs for which you do not hold copyright.
Permission is not required for:
- Reconstruction of your own table with data already published elsewhere. Please notice that in this case you must cite the source of the data in the form of either “Data from…” or “Adapted from…”.
- Reasonably short quotes are considered fair use and therefore do not require permission.
- Graphs, Charts, Schemes and Artworks that are completely redrawn by the authors and significantly changed beyond recognition do not require permission.
Obtaining Permission
In order to avoid unnecessary delays in the publication process, you should start obtaining permissions as early as possible. If in any doubt about the copyright, apply for permission. JNH cannot publish material from other publications without permission.
The copyright holder may give you instructions on the form of acknowledgement to be followed; otherwise follow the style: “Reproduced with permission from [author], [book/journal title]; published by [publisher], [year].’ at the end of the caption of the Table, Figure or Scheme.
Every mansucript should be accompanied by "Copyright Transfer Agreement" prior to the article publication
Similar Articles
- Dedi Krismiadi, Apriyanti, Hasniah Dina, The Factors Related To The Event Baby Blues In Postpartum Mothers: Postpartum Mothers , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 5 No. 2 (2023): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Sari Arie Lestari B., Islaeli Islaeli, Nawawi Nawawi, The Effect of Formula Modisco Supplementation on Weight Gain in Malnourished Toddlers In the Kendari City Health Center: Malnourished Toddlers , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 5 No. 2 (2023): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Arif Hussen Jamie, PREVALENCE AND DETERMINANT FACTORS OF NEONATAL SEPSIS AMONG NEONATES ADMITTED AT HIWOT-FANA SPECIALIZED REFERRAL HOSPITAL, HARAR, ETHIOPIA, 2020: Neonatal Sepsis , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 3 No. 2 (2021): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Islaeli Islaeli, Anisa Purnama Sari, FACTORS RELATED TO THE EVENT OF SIBLING RIVALRY IN CHILDREN 1-5 YEARS OLD IN LABIBIA SUB-DISTRICT OF MANDONGA DISTRICT IN KENDARI CITY: Sibling Rivalry , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 2 No. 2 (2020): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Yanti Susanti, Timbul Supodo, Sunarsih Sunarsih, THE EFFECT OF ONE HOUSE ONE LARVAE OBSERVER MOVEMENT ON THE EXISTENCE OF MOSQUITO LARVAE IN WATUBANGGA SUBDISTRICT: HOUSE AND LARVAE OBSERVER , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 3 No. 2 (2021): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Sartini Risky, Azis Harun, Anry Hariadhin Depu, A STUDY ABOUT THE HEALTH REFERENCE INFORMATION SYSTEM IN THE CASE OF NON SPECIALISTICS IN KENDARI CITY PRIMARY HEALTH CARE: INFORMATION SYSTEM , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 3 No. 1 (2021): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Noviati Noviati, Sitti Marya Ulva, THE RELATIONSHIPS BETWEEN THE PROVIDING OF SELF-PROTECTIVE EQUIPMENTAND OCCUPATIONAL STRESS EVENTS OF HEALTH OFFICERS IN THE HANDLING OF COVID-19 IN KANDAI HEALTH CENTER: SELF-PROTECTIVE EQUIPMENT AND OCCUPATIONAL STRESS , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 3 No. 2 (2021): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Septiadi Rasyid, La Ode Saafi, Erwin Azizi Jayadipraja, THE RELATIONSHIP OF KNOWLEDGE AND SUPPORT OF HEALTH WORKERS WITH THE ACHIEVEMENT OF LATRINE USING IN TIRAWUTA SUB-DISTRICT, EAST KOLAKA DISTRICT: ACHIEVEMENT OF LATRINE , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 3 No. 2 (2021): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Novia Sarmiati, Erwin Azizi Jaya Dipraja, La Banudi, THE EFFECT OF GIVING CUCUMBER (Cucumis sativus) TO DECREASE HEMOGLOBIN TROMBOSITE AND IMPROVEMEN IN PRE-ECLAMMED PATIENTS AT DEWI SARTIKA HOSPITAL: Cucumber to decrease hemoglobin , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 3 No. 1 (2021): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- La Djabo Buton, Fitri Rachmillah Fadmi, THE RISK OF KNOWLEDGE, SMOKING AND PATIENT'S CONTACT ON TUBERCULOSIS DISEASE IN PUUWATU HEALTH CENTRE IN KENDARI CITY: THE RISKS OF TUBERCULOSIS DISEASE , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 2 No. 1 (2020): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
You may also start an advanced similarity search for this article.
Most read articles by the same author(s)
- Aurora Andari Amelia, Azrimaidaliza, Deni Elnovriza, THE EFFECT OF MOBILE APPLICATION-BASED NUTRITION EDUCATION ON DIABETES KNOWLEDGE AND BLOOD GLUCOSE LEVELS IN PATIENTS WITH TYPE II DIABETES MELLITUS IN THE WORKING AREA OF BELIMBING PUBLIC HEALTH CENTER : MOBILE APPLICATION-BASED NUTRITION EDUCATION , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 7 No. 2 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Shintia Perdana, Helmizar , Azrimaidaliza, THE THE EFFECT OF MANJUJAI-BASED PSYCHOSOCIAL STIMULATION EDUCATION USING ANIMATED VIDEO ON THE KNOWLEDGE AND ATTITUDE OF MOTHERS WITH CHILDREN AGED 6–24 MONTHS : PSYCHOSOCIAL STIMULATION EDUCATION , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 7 No. 2 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Elsa Widyavihusna, Idral Purnakarya, Azrimaidaliza, DETERMINANTS OF IRON AND FOLIC ACID SUPPLEMENTATION ADHERENCE AND ITS IMPACT ON ANEMIA AMONG PREGNANT WOMEN: A SYSTEMATIC LITERATURE REVIEW : ANEMIA AMONG PREGNANT WOMEN , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 8 No. 1 (2026): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT





