The Effect of Tuina Massage in Improving Diet in Underweight Children Under Five in 2024
DOI:
10.29303/jppipa.v11i10.12319Published:
2025-10-25Downloads
Abstract
Underweight among children under five remains a major nutritional problem that affects physical growth and cognitive development. One of the non-pharmacological approaches to improve appetite and digestion is Tuina massage, a traditional Chinese therapy that stimulates specific meridian points related to the digestive system. However, empirical evidence on its effectiveness in improving dietary patterns among underweight children is still limited. This study aimed to determine the effect of Tuina massage on improving eating patterns among underweight children under five years old in 2024. This research employed a pre-experimental design with a one-group pretest–posttest approach conducted from October to December 2024 across seven health centers in Banten Province, including Cisimeut Health Center, Azzahra Maja Primary Clinic, Pasar Baru Health Center, Tambak Menteng Hospital, Cipanas Inpatient Health Center, and two private midwife clinics (PMB Desy Sri Latipah and PMB Iis Parhati). The Wilcoxon signed-rank test was used to analyze pretest and posttest differences in dietary patterns. Statistical analysis showed a significant improvement in dietary patterns after Tuina massage intervention (p < 0.05) across all study sites. Tuina massage effectively enhances eating behavior among underweight children and may serve as a complementary, non-pharmacological therapy for improving nutritional intake in early childhood.
Keywords:
Dietary pattern Toddlers Tuina massage UnderweightReferences
Aboagye, R. G., Seidu, A.-A., Ahinkorah, B. O., Arthur-Holmes, F., Cadri, A., Dadzie, L. K., Hagan, J. E., Eyawo, O., & Yaya, S. (2021). Dietary Diversity and Undernutrition in Children Aged 6–23 Months in Sub-Saharan Africa. Nutrients, 13(10), 3431. https://doi.org/10.3390/nu13103431
Ahmad, M., Auliya, F., Tinggi, S., Kesehatan, I., & Husada, B. (2023). Pengaruh Pemberian Pijat Tuina Terhadap Nafsu Makan dan Berat Badan pada Balita (Literature Review). JKBH (Jurnal Kesehatan Bogor Husada), 3(1), 59–65. https://doi.org/10.51849/j-bikes.v5i1.120
Akombi, B., Agho, K., Hall, J., Wali, N., Renzaho, A., & Merom, D. (2017). Stunting, Wasting and Underweight in Sub-Saharan Africa: A Systematic Review. International Journal of Environmental Research and Public Health, 14(8), 863. https://doi.org/10.3390/ijerph14080863
Ariani, A. P. (2017). Ilmu gizi. Yogyakarta: Nuha Medika.
Asih, Y., & Mugiati, M. (2018). Pijat Tuna Efektif dalam Mengatasi Kesulitan Makan pada Anak Balita. Jurnal Ilmiah Keperawatan Sai Betik, 14(1), 98. https://doi.org/10.26630/jkep.v14i1.1015
Faizah, N., Arlym, L. T., & Rukmaini, R. (2023). Pengaruh Terapi Pijat terhadap Kenaikan Berat Badan Balita di PMB Bidan Lena Rangkapan Jaya Kota Depok Tahun 2023. Jurnal Sehat Mandiri, 18(1), 23–32. https://doi.org/10.33761/jsm.v18i1.911
Gigola, F., Carletti, V., Coletta, R., Certini, M., Del Riccio, M., Bortolotti, C., & Morabito, A. (2022). Treatment of Food Aversion and Eating Problems in Children with Short Bowel Syndrome: A Systematic Review. Children, 9(10), 1582. https://doi.org/10.3390/children9101582
Hidayanti, A. N. (2023). Pengaruh Pijat Tuina Terhadap Peningkatan Nafsu Makan Pada Balita Di Wilayah Kerja Puskesmas Kapuan Kapubaten Blora. The Shine Cahaya Dunia Ners, 8(01), 50. https://doi.org/10.35720/tscners.v8i01.411
Istiqomah, A., & Nuraini, A. (2018). Balita Di Posyandu Kaswari Dusun Kanggotan Kidul Pleret Bantul Yogyakarta. Jurnal Ilmu Kebidanan, 5(1), 12–20.
Keller, K. L., Kling, S. M. R., Fuchs, B., Pearce, A. L., Reigh, N. A., Masterson, T., & Hickok, K. (2019). A Biopsychosocial Model of Sex Differences in Children’s Eating Behaviors. Nutrients, 11(3), 682. https://doi.org/10.3390/nu11030682
Khura, B., Ahmed, K. Y., Mohanty, P., Kumar, C. P., & Thapa, S. (2024). Minimum dietary diversity is associated with lower risk of childhood underweight: Evidence from the 2019/2021 National Family Health Survey of India. Nutrition Research, 130, 11–21. https://doi.org/10.1016/j.nutres.2024.08.003
Lestari, T. F., Handayani, E. P., & Hasnia, H. (2024). Pemberian Pijatan Tuina Untuk Meningkatkan Nafsu Makan Pada Balita Di Klinik Bersalin Angel Hiromi Bumi Sehat Papua Tahun 2023. Jurnal Pengabdian Masyarakat Bangsa, 1(11), 3183–3187. https://doi.org/10.59837/jpmba.v1i11.679
Maulida, H., & Sutrisna, E. (2024). Pengaruh Pemberian Pijat Tui Na Terhadap Peningkatan Nafsu Makan Dan Penambahan Berat Badan Balita Stunting. Health Sciences Journal, 8(1), 83–89. https://doi.org/10.24269/hsj.v8i1.2654
Ningsih, F., & Ramadhena, M. P. (2023). Pengaruh Pijat Tuina untuk Meningkatkan Berat Badan pada Balita di PMB D Kecamatan Rengasdengklok Kabupaten Karawang. MAHESA: Malahayati Health Student Journal, 3(10), 3166–3182. https://doi.org/10.33024/mahesa.v3i10.11090
Puspita, N. L. M., Yanuaringsih, G. P., & Ardela, M. P. (2021). Pengaruh Pemberian Daun Pepaya Terhadap Kelancaran Produksi Asi Pada Ibu Nifas. Jurnal Bidan Pintar, 2(1), 199–208. https://doi.org/10.30737/jubitar.v2i1.1666
Ratnaningsih, E., Riska, H., & Azmy, I. F. (2021). Efektivitas Pelatihan Pijat Tuina Terhadap Pengetahuan Ibu Balita Di Dusun Setan Desa Maguwoharjo, Kelurahan Depok, Kabupaten Sleman. Jurnal Ilmu Kebidanan Dan Kesehatan (Journal of Midwifery Science and Health), 12(2), 31–38. https://doi.org/10.52299/jks.v12i2.87
Rehena, Z. (2022). Hubungan Pendapatan Keluarga dan Pola Makan dengan Kejadian Gizi Kurang pada Anak Balita di Puskesmas Tawiri-Laha Ambon. Moluccas Health Journal, 2(3), 7–13. https://doi.org/10.54639/mhj.v2i3.637
Russell, C. G., & Russell, A. (2019). A biopsychosocial approach to processes and pathways in the development of overweight and obesity in childhood: Insights from developmental theory and research. Obesity Reviews, 20(5), 725–749. https://doi.org/10.1111/obr.12838
Setyawati, V. A. V., & Hartini, E. (2018). Buku ajar dasar ilmu gizi kesehatan masyarakat. Deepublish.
Supriadi, G. (2021). Statistik Penelitian Pendidikan. UNY Press.
Widiyanti, D. S., Fauzi, R., & Afarona, A. (2021). Penanggulangan Masalah Stunting Balita Melalui Pemberian Makanan Tambahan (PMT) Puding Kelor Di Desa Kutogirang. Jurnal Pengabdian Siliwangi, 7(2). https://doi.org/10.37058/jsppm.v7i2.3511
Wulaningsih, I., Sari, N., & Wijayanti, H. (2022). Pengaruh Pijat Tuina Terhadap Tingkat Nafsu Makan Balita Gizi Kurang. Jurnal EDUNursing, 6(1), 33–38. Retrieved from http://journal.unipdu.ac.id
License
Copyright (c) 2025 Nofa Anggraini, Cica Repita, Devi Apriliani, Dinda Amalia, Fatma Tuzakia, Lumyati, Risna Dewi, Sri Wahyuni
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Jurnal Penelitian Pendidikan IPA, agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License (CC-BY License). This license allows authors to use all articles, data sets, graphics, and appendices in data mining applications, search engines, web sites, blogs, and other platforms by providing an appropriate reference. The journal allows the author(s) to hold the copyright without restrictions and will retain publishing rights without restrictions.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Penelitian Pendidikan IPA.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
