Paparan Logam Plumbum (Pb) sebagai Pemicu Stunting pada Balita: Literature Review
Abstract
Stunting masih menjadi permasalahan kesehatan pada balita di seluruh dunia, terutama pada negar-negara berpenghasilan rendah. Faktor pemicu stunting di setiap negara masih terjadi kesengjanhan data dari factor gizi maupun factor sanitasi lingkungan. Namun ada kajian lanjut dari kontribusi paparan lingkungan beracun termasuk timbal dikaitkan dengan defisit nutria dan berujung stunting pada balita. Tinjauan literatur mengidentifikasi paparan logam berat terutama plumbum (Pb) sebagai factor stunting pada balita. Pencarian literatur dilakukan pada database elektronik PumMed, ProQuest, Google Scholar dengan kata kunci “(Stunt* or Growth), (Plumbum or Pb or Lead). Kriteria inklusi adalah Stunting or Growth and paparan Plumbum or Lead or Pb, Fulltext, diterbitkan 2016-2021, tipe artikel Randomized Controlled Trial and Clinical Trial. Kriteria eksklusi adalah Stunting yang disebabkan oleh asupan Gizi, artikel dalam bentuk Books and Documents, Meta-Analysis, Review dan Systematic Review.. Hasil kajian pustaka menunjukkan paparan logam berat berupa Pb pada balita yang bersumber dari lingkungan berdampak pada stunting pada balita karena sifat dari logam berat yang menghambat proses penyerapan nutrisi dari makanan dan berbanding lulus dengan penurunan skor Kognitif pada anak
How to Cite
Views / Downloads
Files
License
Authors who publish with Poltekita : Jurnal Ilmu Kesehatan 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 License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- 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 this journal.
- 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.

This work is licensed under a Creative Commons Attribution-ShareAlike 2.0 Generic License.
Poltekita : Jurnal Ilmu Kesehatan is licensed under a Creative Commons Attribution-Share Alike 4.0 International License
You are free to:
- Share, copy and redistribute the material in any medium or format
- Adapt, remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
References
Sm, G., Ba, B. & Nj, M. Nutritional interventions for preventing stunting in children (birth to 59 months) living in urban slums in low- and middle-income countries (LMIC) (Review). Cochrane Database Syst. Rev. 6, (2019).
Goudet, S. M., Griffiths, P. L., Bogin, B. A. & Madise, N. J. Nutritional interventions for preventing stunting in children (0 to 5 years) living in urban slums in low and middle‐income countries (LMIC). Cochrane Database Syst. Rev. 2015, (2015).
Goudet, S. M., Bogin, B. A., Madise, N. J. & Griffiths, P. L. Nutritional interventions for preventing stunting in children (birth to 59 months) living in urban slums in low‐and middle‐income countries (LMIC). Cochrane Database Syst. Rev. (2019).
Tumilowicz, A., Beal, T. & Neufeld, L. M. A review of child stunting determinants in Indonesia. Matern. Child Nutr. 14, e12617 (2018).
Torlesse, H., Cronin, A. A., Sebayang, S. K. & Nandy, R. Determinants of stunting in Indonesian children : evidence from a cross-sectional survey indicate a prominent role for the water , sanitation and hygiene sector in stunting reduction. BMC Public Health 1–11 (2016). doi:10.1186/s12889-016-3339-8
Moody, E. C. et al. Environmental exposure to metal mixtures and linear growth in healthy Ugandan children. PLoS One 15, 1–13 (2020).
Wasserman, G. A., Liu, X., Factor-litvak, P., Gardner, J. M. & Graziano, J. H. Developmental Impacts of Heavy Metals and Undernutrition. Basic Clin. Pharmacol. Toxicol. 102, 212–217 (2008).
Gleason, K. M. et al. Stunting and lead : using causal mediation analysis to better understand how environmental lead exposure affects cognitive outcomes in children. J. Neurodev. Disord. 12, 1–10 (2020).
Gleason, K. M. et al. Stunting is associated with blood lead concentration among Bangladeshi children aged 2-3 years. Environ. Heal. 15, 1–9 (2016).
Kponee-shovein, K. Z. et al. Neurotoxicology Estimating the causal e ff ect of prenatal lead exposure on prepulse inhibition de fi cits in children and adolescents. Neurotoxicology 78, 116–126 (2020).
Chiodo, L. M., Jacobson, S. W. & Jacobson, J. L. Neurodevelopmental effects of postnatal lead exposure at very low levels. Neurotoxicol. Teratol. 26, 359–371 (2004).
Bellinger, D. C. Very low lead exposures and children ’ s neurodevelopment. Curr. Opin. Pediatr. 20, 172–177 (2008).
Raihan, M. J. et al. Examining the relationship between blood lead level and stunting , wasting and underweight- A cross-sectional study of children under 2 years-of-age in a Bangladeshi slum. PLoS One 13, e0197856 (2018).
Anticona, C. & Sebastian, M. S. Anemia and malnutrition in indigenous children and adolescents of the Peruvian Amazon in a context of lead exposure: a cross-sectional study. Glob. Health Action 7, 22888 (2014).
Hee, J. et al. Lead and mercury levels in repeatedly collected urine samples of young children : A longitudinal biomonitoring study. Environ. Res. 189, 109901 (2020).
Schulz, K. F., Altman, D. G. & Moher, D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomized trials. Ann. Intern. Med. 152, 726–732 (2010).
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G. & Group, P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 6, e1000097 (2009).
Luyckx, V. A. et al. Effect of fetal and child health on kidney development and long-term risk of hypertension and kidney disease. Lancet 382, 273–283 (2013).
Prendergast, A. J. & Humphrey, J. H. The stunting syndrome in developing countries. Paediatr. Int. Child Health 34, 250–265 (2014).
Guerrant, R. L., DeBoer, M. D., Moore, S. R., Scharf, R. J. & Lima, A. A. M. The impoverished gut—a triple burden of diarrhoea, stunting and chronic disease. Nat. Rev. Gastroenterol. Hepatol. 10, 220–229 (2013).
Crookston, B. T. et al. Original Article Impact of early and concurrent stunting on cognition. Matern. Child Nutr. 7, 397–409 (2011).
Klotz, K. & Göen, T. Human Biomonitoring of Lead Exposure. Met. Ions Life Sci. 17, (2017).
Rocha, A. & Trujillo, K. A. Neurotoxicology Neurotoxicity of low-level lead exposure : History , mechanisms of action , and behavioral effects in humans and preclinical models. Neurotoxicology 73, 58–80 (2019).
Kumar, A., Kumar, A. & Chaturvedi, A. K. Lead Toxicity : Health Hazards , Influence on Food Chain , and Sustainable Remediation Approaches. Int. J. Environ. Res. Public Health 17, (2020).
Rahman, T. et al. Factors associated with stunting and wasting in children under 2 years in Bangladesh. Heliyon 6, e04849 (2020).
Verma, P. & Prasad, J. B. Stunting, wasting and underweight as indicators of under-nutrition in under five children from developing Countries: A systematic review. Diabetes Metab. Syndr. Clin. Res. Rev. 102243 (2021).
Khayan, K., Husodo, A. H., Astuti, I., Sudarmadji, S. & Djohan, T. S. Rainwater as a Source of Drinking Water : Health Impacts and Rainwater Treatment. J. Environ. Public Health 2019, 1–10 (2019).
Wardoyo, K. K. A. Plumbum ( Pb ) in Rainwater in West Kalimantan : Impact of Plumbum ( Pb ) in Community Blood. Nat. Environ. Pollut. Technol. 18, 1423–1427 (2019)
Similar Articles
Similar Articles
- Dewi Modjo, Wiwi Susanti Piola, Rini Wahyuni Mohamad, Development of a Mother and Toddler Class Model Based on Local Wisdom As an Innovation for Stunting Prevention in Limboto District, Gorontalo Regency: a quasi-experimental study , Poltekita: Jurnal Ilmu Kesehatan: Vol. 19 No. 3 (2025)
- Silviatul Amalia, Ismarwati Ismarwati, Association Between Low Birth Weight and Stunting Incidence: Scoping Review , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 2 (2023): August
- I Putu Suiraoka, Hertog Nursanyoto, Ita Fritalia, Development of Stunting Prevention Education Videos through Balanced Nutrition Arrangements for Adolescents , Poltekita: Jurnal Ilmu Kesehatan: Vol. 18 No. 2 (2024)
- Murniwati Bagia, Onny Setiani, Mursid Rahardjo, Dampak Paparan Merkuri Terhadap Gangguan Kesehatan Penambang Emas Skala Kecil: Systematic Review , Poltekita: Jurnal Ilmu Kesehatan: Vol. 16 No. 3 (2022): November
- Sudirman Sudirman, Rosnawati Rosnawati, Nur Afni, Ahmad Yani, Muhammad Syukran, Implementation of Accelerated Stunting Reduction at the Biromaru Public Health Center, Sigi Regency , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 3 (2023): November
- Syarifah Miftahul El Jannah, Rosmida M Marbun, Arni Widyastuti, Correlation Between Personality, Locus of Control, and Knowledge About Stunting with Mother's Responsibility Behavior Considering Toddlers at Posyandu , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 3 (2023): November
- Henrick Sampeanggin, Yulianus Gandeng, Heru Supriyatno, Provision of Peanuts as Additional Food in Stunting Prevention for Pregnant Women During the COVID-19 Pandemic: A Systematic Review , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 4 (2024): February
- I Putu Suiraoka, Hertog Nursanyoto, I Made Suarjana, Ni Made Ayu Suastiti, Analysis Factor Dominance and Contribution Program Performance against Stunting Incidents in Bali Province: SSGI Data Analysis , Poltekita: Jurnal Ilmu Kesehatan: Vol. 18 No. 1 (2024)
- Aliyah Rosalina, Tonny Cortis Maigoda, Emy Yuliantini, The Relationship Among Exclusive Breastfeeding, Complementary Feeding (MP-ASI), and Infectious Diseases in Children Aged 7 to 24 Months , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 2 (2023): August
- Ade Devriany, Enardi Ori Pertami, Purba Ratih Puspita Kusumadewi, Wardani Zenderi, Sumarto, Lestarida Nainggolan, Monia Agni Wiyatami, Tempeh-Anchovy Sausage as a Snack Source of Calcium to Reduce Stunting , Poltekita: Jurnal Ilmu Kesehatan: Vol. 18 No. 4 (2024)
You may also start an advanced similarity search for this article.
Most read articles by the same author(s)
- Adita Puspitasari Swastya Putri, Mateus Sakundarno Adi, Suhartono, Nurjazuli, Egy Sunanda Putra, Analysis of Risk Factors for Anemia among Adolescent Girls in Semarang City, Central Java, Indonesia , Poltekita: Jurnal Ilmu Kesehatan: Vol. 19 No. 3 (2025)
- Andi Daramusseng, Sulistiyani, Suhartono, Yusniar Hanani Darundiati, A Review of Di-(2-ethylhexyl) Phthalate (DEHP) Exposure and Metabolic Syndrome in Adults , Poltekita: Jurnal Ilmu Kesehatan: Vol. 19 No. 2 (2025)



