The Relationship Between Nutrition Knowledge and Feeding Style with Nutritional Status in Early Childhood Education Institutions
DOI:
https://doi.org/10.64146/xn7mq741Keywords:
Feeding style, nutrition knowledge, stunting, coastal areas, preschool childrenAbstract
Nutritional problems among children in coastal areas reflect the complexity of unique socio-ecological challenges, in which mothers' theoretical understanding is often not translated into appropriate parenting practices. This study aims to comprehensively analyze the relationships between mothers' nutritional knowledge and feeding styles and the nutritional status of preschool-aged children, and to identify the most influential determinants in coastal communities. This analytical observational study employed a cross-sectional design and included 107 pairs of mothers and children aged 3-6 years in the coastal area of Bai Island, Bengkulu City. Subjects were selected using multistage random sampling. Research instruments included the Nutrition Knowledge Questionnaire (NKQ), Caregiver's Feeding Styles Questionnaire (CFSQ), and standardized anthropometric measurements. Data were analyzed using the Chi-Square test and Multiple Logistic Regression to predict risk. The results showed that the prevalence of stunting in the study location was 31.8%. Multivariate analysis revealed that although nutrition knowledge was correlated with nutritional status, feeding style was a much stronger predictor. Mothers with authoritarian caregiving styles increased the risk of stunting by 5.19 times (95% CI: 1.90–14.17), while uninvolved styles increased the risk by 7.27 times (95% CI: 1.77–29.85) compared to authoritative styles. Conclusion: There is a significant gap between cognition and practice, in which parenting interaction patterns (e.g., feeding practices) have a greater impact on nutritional status than mere nutritional knowledge.
References
Abeshu, M. A., Lelisa, A., & Geleta, B. (2021). Complementary feeding: Review of recommendations, feeding practices, and adequacy of homemade complementary food preparations in developing countries. Nutrition and Dietary Supplements, 13, 1–10. https://doi.org/10.2147/NDS.S295747
Aprilia, D. D., Jumiyati, J., & Sari, A. P. (2021). Effect of Nutritional Counseling Lealef Media on Knowledge, Sodium, Potasium Intake in Patients Hypertension. Sanitas Jurnal Teknologi Dan Seni Kesehatan. https://doi.org/10.36525/sanitas.2021.6
Béné, C., Oosterveer, P., Lamotte, L., Brouwer, I. D., de Haan, S., Prager, S. D., & Khoury, C. K. (2019a). When food systems meet sustainability–Current narratives and implications for actions. World Development, 113, 116–130. https://doi.org/10.1016/j.worlddev.2018.08.011
Black, M. M., Pérez-Escamilla, R., & Fernandez Rao, S. (2021). Integrating nutrition and child development interventions: scientific basis, evidence of impact, and implementation considerations. Advances in Nutrition, 6(6), 852–859. https://doi.org/10.3945/an.115.010348
Brug, J., van der Ploeg, H. P., & Loyen, A. (2020). Determinants of diet and physical activity: Knowledge and motivation are necessary but not sufficient. European Journal of Public Health, 30(5), 833–834. https://doi.org/10.1093/eurpub/ckaa122
Contento, I. R. (2021). Nutrition education: Linking research, theory, and practice (4th ed.). Jones & Bartlett Learning.
Eka Daryati, M., & Sadiana, M. (2025). The Influence of Cooking Activities on the Introduction of Healthy Food for Early Childhood Education. HealthSmart: Jurnal Kesehatan Masyarakat, 1(1), 14–26. https://doi.org/10.64146/1js56e90
Fadilla, A., & Mahmudiono, T. (2022). The effectiveness of nutrition education based on the health belief model on maternal knowledge and child nutritional status: A systematic review. Open Access Macedonian Journal of Medical Sciences, 10(F), 1–7. https://doi.org/10.3889/oamjms.2022.8731
Fadillah, & Suryadi, D. (2025). The Relationship Between Parenting Patterns and Balanced Nutritional Intake with Nutritional Status of Young Children. HealthSmart: Jurnal Kesehatan asyarakat, 1(1), 52–65. https://doi.org/10.64146/7g6t1b06
Hughes, S. O., Frankel, L. A., Beltran, A., Hodges, E., Hoerr, S., Lumeng, J., & Kremers, S. (2021). Food parenting measurement issues: Working group consensus report. Childhood Obesity, 17(1), 3–11. https://doi.org/10.1089/chi.2020.0138
Misnadiarly, M., & Soekatri, M. (2023). Parenting style and its association with nutritional status among preschool children in urban Indonesia. Journal of Public Health Research, 12(1), 227990362211507. https://doi.org/10.1177/22799036221150721
Nurdin, A. E., Wibowo, H., & Setyawan, A. (2023). Livelihood vulnerability of fishing communities in coastal East Java: Implications for nutrition security. Marine Policy, 147, 105389. https://doi.org/10.1016/j.marpol.2022.105389
Nurdin, N., & Anhusadar, L. (2020). Evaluasi pelaksanaan standar proses di satuan pendidikan anak usia dini. Jurnal Obsesi Jurnal Pendidikan Anak Usia Dini, 4(2), 982. https://doi.org/10.31004/obsesi.v4i2.485
Peters, J., Parletta, N., Campbell, K., & Lynch, J. (2021). Parental influences on the diets of 2‐ to 5‐year‐old children: Systematic review of qualitative research. Journal of Early Childhood Research, 19(3), 257–272. https://doi.org/10.1177/1476718X20981292
Peters, J., Parletta, N., Lynch, J., & Campbell, K. (2021). A comparison of parental views of their preschool children’s ‘healthy’ versus ‘unhealthy’ diets: A qualitative study. Appetite, 156, 104986. https://doi.org/10.1016/j.appet.2020.104986
Prado, E. L., & Dewey, K. G. (2021). Nutrition and brain development in early life. Nutrition Reviews, 72(4), 267–284. https://doi.org/10.1111/nure.12102
Purwaningsih, Y., Santoso, A., & Mahmudiono, T. (2022). Household food insecurity and child nutritional status in a fishing community in Indonesia. Journal of Public Health Research, 11(1), 227990362210812. https://doi.org/10.1177/22799036221081235
Saltzman, J. A., Balantekin, K. N., Bost, K. K., & Fiese, B. H. (2022). Associations between food insecurity and parental feeding behaviors during the COVID-19 pandemic. Appetite, 169, 105868. https://doi.org/10.1016/j.appet.2021.105868
Saltzman, J. A., Balantekin, K. N., Musaad, S., Bost, K. K., & Fiese, B. H. (2022). Household chaos and early childhood feeding styles: A cross-sectional study. Journal of the Academy of Nutrition and Dietetics, 122(3), 541–549. https://doi.org/10.1016/j.jand.2021.07.011
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