RELATIONSHIP BETWEEN EXCLUSIVE BREASTFEEDING AND INFANT WEIGHT GAIN AT AGE 0-6 MONTHS
Abstract
The growth of infant body weight from 0 to 6 months of age is a key indicator for assessing nutritional adequacy and overall health in early life. Exclusive breastfeeding, as recommended by the World Health Organization (WHO), is believed to fully meet infants' nutritional needs and provide immunological protection. This study aims to determine the relationship between exclusive breastfeeding and infant weight gain at the Posyandu in Danau Usung Village. The study used a correlational analytic design with a cross-sectional approach, involving 50 infants selected through purposive sampling. Data were collected through interviews, observations, and weight measurements. The results showed that among the 30 infants who received exclusive breastfeeding, 93.3% had normal body weight, while in the group of infants who did not receive exclusive breastfeeding, only 75% had normal body weight. Statistical analysis yielded a p-value of 0.013 (p < 0.05), indicating a significant relationship between exclusive breastfeeding and infant weight gain.These findings affirm the important role of exclusive breastfeeding in supporting optimal nutritional status and growth in infants. In addition to providing complete nutrition, breast milk also protects infants from infections and digestive disorders, contributing to weight gain consistent with the WHO growth curve. The results of this study are expected to serve as a foundation for enhancing maternal education regarding the importance of exclusive breastfeeding during the first six months of a baby’s life.
References
Abidah, S. N., & Novianti, H. (2020). Effect of Exclusive Breastfeeding on Growth and Development of Infants Aged 0-24 Months. Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions, 56–62. https://doi.org/10.26911/the7thicph-FP.03.12
Ahmed, S. O. M., Hamid, H. I. A., Jothi Shanmugam, A., Tia, M. M. G., & Alnassry, S. M. A. (2023). Impact of Exclusive Breastfeeding on Physical Growth. Clinical Nutrition Open Science, 49, 101–106. https://doi.org/10.1016/j.nutos.2023.04.008
Ahmed, S. O. M., Hamid, H. I. A., Shanmugam, A. J., Tia, M. M. G., & Alnassry, S. M. A. (2023). Impact of Exclusive Breastfeeding on Physical Growth. Clinical Nutrition Open Science, 49, 101–106.
Anggraeni, S., & Benge, D. (2022). Analysis of Exclusive Breastfeeding with Baby Weight Aged 1-6 Months. Journal for Quality in Women’s Health, 5(1), 42–51.
Arsulfa, A., Aswita, A., Naningsi, H., Heyrani, H., & Fitriyanti, F. (2024). Infant Growth Pattern Aged 0-6 Months in Low Birth Weight Babies with Normal Birth Weight Babies in Kendari City. International Journal of Current Science Research and Review. https://doi.org/10.47191/ijcsrr/v7-i12-23
Artikasari, L., Nurti, T., Priyanti, N., Susilawati, E., & Herinawati, H. (2021). Complementary Feeding or Infants Aged 0-6 Months and The Related Factors. Jurnal Kesehatan Komunitas. https://doi.org/10.25311/keskom.vol7.iss2.930
Astriana, W., & Afriani, B. (2022). Weight Gain in Babies Aged 0-6 Months Reviewed from Breastfeeding. Jurnal’Aisyiyah Medika, 7(2).
Ayisi, R., & Wakoli, A. (2014). Exclusive Breastfeeding Practice: Its Implication on Nutrition Status, Growth and Morbidity Pattern among Infants Aged 0-6 Months. 3, 254–258. https://consensus.app/papers/exclusive-breastfeeding-practice-its-implication-on-ayisi-wakoli/90e79369f3ee57dba46eafcbc08422ad/
Azad, M. B., Vehling, L., Chan, D., Klopp, A., Nickel, N. C., McGavock, J. M., Becker, A. B., Mandhane, P. J., Turvey, S. E., Moraes, T. J., Taylor, M. S., Lefebvre, D. L., Sears, M. R., & Subbarao, P. (2018). Infant Feeding and Weight Gain: Separating Breast Milk From Breastfeeding and Formula From Food. Pediatrics, 142(4). https://doi.org/10.1542/peds.2018-1092
Azad, M., Vehling, L., Chan, D., Klopp, A., Nickel, N., McGavock, J., Becker, A., Mandhane, P., Turvey, S., Moraes, T., Taylor, M., Lefebvre, D., Sears, M., & Subbarao, P. (2018). Infant Feeding and Weight Gain: Separating Breast Milk From Breastfeeding and Formula From Food. Pediatrics, 142. https://doi.org/10.1542/peds.2018-1092
Becker, G. E., Smith, H. A., & Cooney, F. (2016). Methods of Milk Expression for Lactating Women. Cochrane Database of Systematic Reviews, 2016(9). https://doi.org/10.1002/14651858.CD006170.pub5
Camacho-Morales, A., Caba, M., García-Juárez, M., Caba-Flores, M., Viveros-Contreras, R., & Martínez-Valenzuela, C. (2021). Breastfeeding Contributes to Physiological Immune Programming in the Newborn. Frontiers in Pediatrics, 9. https://doi.org/10.3389/fped.2021.744104
Da Costa Vaz Pereira, L., Laksono, B., & Sutingsih, D. (2023). Factors Related to Exclusive Breastfeeding with Nutritional Status Aged 7-23 Months: in the Working Area of Maubara Health Center Liquisa Municipallity Timor Leste. E3S Web of Conferences. https://doi.org/10.1051/e3sconf/202344805015
Gayatri, M. (2021). Exclusive Breastfeeding Practice in Indonesia: A Population-Based Study. Korean Journal of Family Medicine, 42, 395–402. https://doi.org/10.4082/kjfm.20.0131
Giugliani, E. (2019). Growth in Exclusively Breastfed Infants. Jornal de Pediatria, 95 Suppl 1, 79–84. https://doi.org/10.1016/j.jped.2018.11.007
Gunnarsdottir, I., Schack-Nielsen, L., Michaelsen, K. F., Sørensen, T. I. A., & Thorsdottir, I. (2010). Infant Weight Gain, Duration of Exclusive Breast-Feeding and Childhood BMI–Two Similar Follow-Up Cohorts. Public Health Nutrition, 13(2), 201–207.
Idris, H., & Astari, D. W. (2023). The Practice of Exclusive Breastfeeding by Region in Indonesia. Public Health, 217, 181–189. https://doi.org/10.1016/j.puhe.2023.02.002
Kamudoni, P., Maleta, K., Shi, Z., & Holmboe-Ottesen, G. (2014). Exclusive Breastfeeding Duration during the First 6 Months of Life is Positively Associated with Length-for-Age among Infants 6–12 Months Old, in Mangochi District, Malawi. European Journal of Clinical Nutrition, 69, 96–101. https://doi.org/10.1038/ejcn.2014.148
Khotimah, K., Satillah, S. A., Fitriani, V., Miranti, M., Maulida, M., Hasmalena, H., Pagarwati, L. D. A., & Zulaiha, D. (2024). Analysis of the Benefits of Exclusive Breastfeeding for Breastfeeding Mothers and Child Development. PAUDIA: Jurnal Penelitian Dalam Bidang Pendidikan Anak Usia Dini, 254–266.
Kramer, M. S., Guo, T., Platt, R. W., Sevkovskaya, Z., Dzikovich, I., Collet, J.-P., Shapiro, S., Chalmers, B., Hodnett, E., Vanilovich, I., Mezen, I., Ducruet, T., Shishko, G., & Bogdanovich, N. (2003). Infant Growth and Health Outcomes Associated with 3 Compared with 6 Mo of Exclusive breastfeeding. The American Journal of Clinical Nutrition, 78(2), 291–295. https://doi.org/10.1093/ajcn/78.2.291
Kramer, M. S., Guo, T., Platt, R. W., Shapiro, S., Collet, J.-P., Chalmers, B., Hodnett, E., Sevkovskaya, Z., Dzikovich, I., & Vanilovich, I. (2002). Breastfeeding and Infant Growth: Biology or Bias? Pediatrics, 110(2), 343–347. https://doi.org/10.1542/peds.110.2.343
Larnkjær, A., Larsson, M., Wells, J., Christensen, S., Lewis, J., Mølgaard, C., & Michaelsen, K. (2025). Infants with Excessive Weight Gain while Exclusively Breastfeeding: Follow-Up at 36 Months. Breastfeeding Medicine : The Official Journal of the Academy of Breastfeeding Medicine. https://doi.org/10.1089/bfm.2024.0387
Lyons, K., Ryan, C., Dempsey, E., Ross, R., & Stanton, C. (2020). Breast Milk, a Source of Beneficial Microbes and Associated Benefits for Infant Health. Nutrients, 12. https://doi.org/10.3390/nu12041039
Marques, R., Lopez, F., & Braga, J. (2004). Growth of Exclusively Breastfed Infants in the First 6 Months of Life. Jornal de Pediatria, 80 2, 99–105. https://doi.org/10.2223/jped.1147
Maulida, M. (2022). Family Health Task on Stunting Prevention Efforts in Kayee Lee Village, Ingin Jaya District in 2022. Getsempena Health Science Journal, 1(2), 17–24.
Mexitalia, M., Pardede, B. K., Utari, A., & Mexitalia, M. (2021). Insulin-Like Growth Factor-1 and Growth in Infants 0-6 Months of Age. Paediatrica Indonesiana, 61, 89–93. https://doi.org/10.14238/PI61.2.2021.89-93
Resvick, H., Foster, A., Hartman, B., DaSilva, O., Coughlin, K., & Madill, J. (2024). Breastfeeding Supports Growth in Small for Gestational Age Infants: A Systematic Review and Meta‐Analysis. Acta Paediatrica (Oslo, Norway : 1992), 114, 258–271. https://doi.org/10.1111/apa.17490
Resvick, H., Foster, A., Hartman, B., DaSilva, O., Coughlin, K., & Madill, J. (2025). Breastfeeding Supports Growth in Small for Gestational Age Infants: A Systematic Review and Meta‐Analysis. Acta Paediatrica, 114(2), 258–271. https://doi.org/10.1111/apa.17490
Riza, N. (2022). Relationship between Breastfeeding Frequency and Smoothness of Breast Milk Production in Postpartum Mothers in Kayee Lee Village, Ingin Jaya District, Aceh Besar Regency. Getsempena Health Science Journal, 1(2), 9–16.
Sehhatie, F., Mirghafourvand, M., & Havizari, S. (2020). Effect of Prenatal Counseling on Exclusive Breastfeeding Frequency and Infant Weight Gain in Mothers with Previous Unsuccessful Breastfeeding: a Randomized Controlled Clinical Trial. The Journal of Maternal-Fetal & Neonatal Medicine, 33, 3571–3578. https://doi.org/10.1080/14767058.2019.1579191
Shofiya, D., Sumarmi, S., & Ahmed, F. (2020). Nutritional Status, Family Income and Early Breastfeeding Initiation as Determinants to Successful Exclusive Breastfeeding. Journal of Public Health Research, 9. https://doi.org/10.4081/jphr.2020.1814
WHO. (2021). Exclusive Breastfeeding for Optimal Growth, Development and Health of Infants. World Health Organization. https://www.who.int/tools/elena/interventions/exclusive-breastfeeding
Yang, W.-C., Lauria, M. E., Fogel, A., Ferguson, K., & Smith, E. R. (2022). Duration of Exclusive Breastfeeding for Preterm or Low Birth Weight Infants: A Systematic Review and Meta-analysis. Pediatrics, 150(Supplement 1). https://doi.org/10.1542/peds.2022-057092H
Yeung, H., Leff, M., & Rhee, K. (2017). Effect of Exclusive Breastfeeding Among Overweight and Obese Mothers on Infant Weight-for-Length Percentile at 1 Year. Breastfeeding Medicine : The Official Journal of the Academy of Breastfeeding Medicine, 12, 39–47. https://doi.org/10.1089/bfm.2016.0071

11.jpg)











