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
- 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)
- Hendrayati, Adriyani Adam, Fauziah, Amino Acid Profile of Polymeric Formula Based on Local Food for Stunting Prevention , Poltekita: Jurnal Ilmu Kesehatan: Vol. 18 No. 1 (2024)
- Freny Ravika Mbaloto, Estelle Lilian Mua, Robi Adikari Sekeon, Alfrida Semuel Ra'bung, Effectiveness of Growth and Development Screening and Stimulation Methods among Toddlers in Central Sulawesi, Indonesia: a Quasi-Experimental Study , Poltekita: Jurnal Ilmu Kesehatan: Vol. 19 No. 3 (2025)
- Wijianto Wijianto, Rugaya Said, Nitro Galenso, Status Gizi Ibu Hamil dan Kepatuhan Minum Multifle Micronutrien Di 10 Desa Lokus Stunting Di Kabupaten Banggai , Poltekita: Jurnal Ilmu Kesehatan: Vol. 16 No. 1 (2022): May
- Darma Ariany, Adhyanti Adhyanti, Yayuk Eka Cahyani, Fahmi Hafid, Rosa Dwi Wahyuni, Dachruddin Ngatimin, Quality and Pattern of Breakfast Through the GEMPITA PROGRAM at Palu City, Central Sulawesi , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 3 (2023): November
- Hasni, Sova Evie, Nurmiaty, Enggar, Alfrida Semuel Ra'bung, Saman, Dwi Yogyo Suswinarto, Azwar, The Relationship Between Cigarette Smoke Exposure, Nutritional Status, and Preschool Children's Development , Poltekita: Jurnal Ilmu Kesehatan: Vol. 19 No. 1 (2025)
- Siska Nurul Abidah, Hinda Novianti, Pengaruh Edukasi Stimulasi Tumbuh Kembang terhadap Kemampuan Deteksi Dini Tumbuh Kembang Anak Usia 0-5 Tahun oleh Orangtua: The Influence of Education Stimulation of Growth and Development Towards the Early Detection Ability of Growing in Children Age 0-5 Years by Parents , Poltekita: Jurnal Ilmu Kesehatan: Vol. 14 No. 2 (2020): October
- Eliska Eliska, Sajaratud Dur, Effect of Avocado Seed Flour Nugget on Organoleptic Tests , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 4 (2024): February
- Rumita Ena Sari, Rizalia Wardiah, Putri Inrian Tari, Performance of Invention Toddler Pneumonia Cases in Public Health Centers Municipality Jambi , Poltekita: Jurnal Ilmu Kesehatan: Vol. 16 No. 2 (2022): August
- Putu Candriasih, Sri Restu Tempali, Wijianto Wijianto, Taslim Taslim, Character Formation of Nutrition Aware Adolescents in an Effort to Prevent Triple Burden in Students of the Civil Integrated Model High School in Palu City , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 2 (2023): August
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)



