No between-group differences in alpha and beta diversity were observed between stunted and non-stunted children, though exploratory analysis identified several differentially abundant taxa, and breastfeeding significantly shaped microbiota profiles.
Key Findings
Results
No statistically significant differences in alpha or beta diversity were observed between stunted and non-stunted children aged 18-23 months.
Study conducted among 150 matched pairs of stunted and non-stunted children in East Lombok, Indonesia
Children were between 18-23 months old
Microbiome data generated by sequencing the V4 hypervariable region of the 16S rRNA gene
Matched case-control design was used to control for confounding factors
Results
Exploratory analysis identified several bacterial taxa with differential proportional abundance between stunted and non-stunted children.
Agathobacter, Coprococcus, Dorea, Hominimerdicola, Lawsonibacter, and Ruminococcoides were more proportionally abundant among non-stunted children
Peptostreptococcus was more proportionally abundant among stunted children
These findings were described as exploratory and not the result of primary hypothesis testing
The authors did not describe these differences as statistically definitive associations
Results
There was no association found between food group consumption and the abundance of the differentially identified bacterial taxa.
Dietary data were collected by trained enumerators
Food group consumption was examined in relation to the taxa identified as differentially abundant
No significant associations were detected between specific food groups and microbiota composition
The authors suggest that diet modelling approaches capturing combined contributions of food groups may be needed in future research
Results
Breastfeeding significantly shaped microbiota profiles in children aged 18-23 months.
Breastfeeding status was identified as a significant factor influencing gut microbiota composition
This effect was observed in children in the complementary feeding age range of 18-23 months
The finding suggests breastfeeding remains a major determinant of microbiota even during the complementary feeding period
Authors recommend that future research on complementary feeding and microbiota should account for breastfeeding status
Discussion
The authors recommend longitudinal study designs and diet modelling approaches for future research on the diet-microbiome-growth axis.
Current cross-sectional case-control design limits causal inference
Diet modelling was proposed to capture 'the combined contributions of food groups and dietary components'
Longitudinal designs were recommended alongside diet modelling approaches
The study was conducted in East Lombok, Indonesia, a setting with high stunting prevalence
What This Means
This research studied whether the gut bacteria (microbiome) of stunted young children in Indonesia differ from those of non-stunted children of the same age, and whether what children eat influences those bacterial differences. The study matched 150 stunted children aged 18-23 months with 150 non-stunted children and analyzed their gut bacteria using genetic sequencing. Overall, the researchers found no significant difference in the general diversity of gut bacteria between stunted and non-stunted children. However, a more detailed exploratory look found that certain specific types of bacteria appeared in different proportions between the two groups, with some bacteria being more common in non-stunted children and one type more common in stunted children.
Despite finding these bacterial differences, the study found no link between what food groups the children were eating and the presence of those particular bacteria. Notably, whether a child was still breastfeeding had a strong influence on the overall makeup of their gut microbiome. This suggests that in children this age, breastfeeding may be a more dominant factor shaping gut bacteria than the types of solid foods they consume.
This research suggests that studying the relationship between diet and gut bacteria in young children is complex, and simple measures of food group intake may not be enough to detect meaningful patterns. The authors point out that future studies would benefit from more sophisticated dietary analysis methods and from following children over time rather than taking a single snapshot, in order to better understand how diet, gut bacteria, and child growth are connected.
Htet M, Nurfadilah M, Ramsteijn A, Angelin T, Ameline A, Momo Kadia B, et al.. (2026). Exploring the diet-microbiome-growth axis among under-2-year-old children: a case-control study in East Lombok, Indonesia.. Philosophical transactions of the Royal Society of London. Series B, Biological sciences. https://doi.org/10.1098/rstb.2025.0045