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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Kesehatan Lingkungan indonesia JURNAL PROMOSI KESEHATAN INDONESIA JURNAL SISTEM INFORMASI BISNIS Jurnal Kesehatan Masyarakat Jurnal Kesehatan Masyarakat Jurnal Ilmu Kesehatan Masyarakat Jurnal Populasi JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Jurnal Ilmiah Mahasiswa Public Health of Indonesia HIGEIA (Journal of Public Health Research and Development) Journal of Health Education Jurnal Penelitian Pendidikan IPA (JPPIPA) JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Media Ilmu Kesehatan Journal of Public Health for Tropical and Coastal Region Journal of Maternal and Child Health Krea-TIF: Jurnal Teknik Informatika Amerta Nutrition Jurnal Penelitian dan Pengabdian Kepada Masyarakat UNSIQ Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Care : Jurnal Ilmiah Ilmu Kesehatan Public Health Perspective Journal South East Asia Nursing Research Journal of Electronics, Electromedical Engineering, and Medical Informatics J-Kesmas: Jurnal Kesehatan Masyarakat (Indonesian Journal of Public Health) PREPOTIF : Jurnal Kesehatan Masyarakat Medica Arteriana (Med-Art) KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Science Midwifery Indonesian Journal of Global Health research G-Couns: Jurnal Bimbingan dan Konseling International Journal of Midwifery Research Journal of Social Research Jurnal Indonesia Sosial Teknologi DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Eduvest - Journal of Universal Studies IIJSE Jurnal Bidan Cerdas Berkala Ilmiah Kedokteran dan Kesehatan Masyarakat JHE (Journal of Health Education)
Farid Agushybana
Medical Record and Health Information Department, Polytechnic Health Ministry of Semarang
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Journal : Jurnal Bidan Cerdas

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Heavy Metal Content in Breast Milk and Contributing Environmental and Maternal Factors: A Systematic Review Aisyiah, Aisyiah; Rahfiludin, Mohammad Zen; Agushybana, Farid; Sutiningsih, Dwi
Jurnal Bidan Cerdas Vol. 7 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i2.4042

Abstract

Background: Breast milk is an important source of nutrition for the growth and development of infants. It is highly susceptible to the accumulation of lipophilic compounds such as heavy metals. Breast milk can become a route through which infants are exposed to toxic substances like heavy metals. This study aimed to identify variations of trace elements and their associated factors contributing to the existence of trace elements in breast milk. Methods: This research employed a systematic literature review methodology utilizing PubMed, Scopus, and Science Direct databases. The search strategy followed specific English keywords to align with the PRISMA Extension for Systematic Reviews guidelines. Data synthesis involved a narrative approach, summarizing the main findings and interventions outlined in the chosen studies. The included articles consisted of full-text primary research published between 2013 and 2023. To mitigate potential language bias, only publications in English were considered for inclusion. Results: Our systematic review, comprising nine articles, revealed the presence of toxic metals including lead (Pb), cadmium (Cd), aluminum (Al), copper (Cu), chromium (Cr), mercury (Hg), and arsenic in human milk. Associated factors contributing to this presence include food intake (such as seafood, fruit, and canned fruit), water and canned drink consumption, smoking and exposure to smoke, regional location, and medical conditions. Conclusion: Heavy metals, including lead, cadmium, aluminum, copper, chromium, mercury, and arsenic are present in breast milk, influenced by factors like diet, water consumption, smoking, regional zones, and medical conditions. These findings underscore the urgent need for public health policies to monitor environmental exposure in lactating mothers and to develop dietary guidelines minimizing toxic exposure.
Co-Authors - Anggorowati Achadi Nugraheni, Sri Adillah Nurazizah Aidina, Shafira Raudya Aisyiah, Aisyiah Amalia, Sani Khoirul Amni Zarkasyi Rahman, Amni Zarkasyi Anandalia Athaya Zahra Angelia, Ninuk Antono Suryoputro Apoina Kartini Ardiningsih, Eka Setya Aris Puji Widodo Asih, Suci Astuti, Eka Kristia Ayu Atidipta, Santi Atik Mawarni Auryn, Shania Ayun Sriatmi Ayuningtyas, Nadiah Ratmanasari Azhari , Novi Julia Bagoes Widjanarko Cahya Tri Purnami Cahya Tri Purnami Cahya Tri Purnami, Cahya Cahyanti, Anisa Nur Damayanti, Wida Ayulia Daru Lestantyo Dewi, Adinda Cipta Dharminto Dharminto Diana Tri Hastuti Djalal Er Riyanto Dwi Sutiningsih Ekowati, Ekowati Endang Fatmawati Fatiha Tasyakurrisma, Adisa Fauzirra Dhiya Azhar, Aghitsa Handayani, Novia Handayani, Sri Hasrianti, Hasrianti Hendrawati, Menik Henry Setyawan Susanto Henry Setyawan Susanto Heri Purnama, Heri Hidayat, Dian Indriani Imawan, Satria Aji Indira, Zahrasita Nur Islakhiyah, Islakhiyah Iswati, Indah Juhanida Lestari, Pratiwi Kertasurya, Martha Irene Kusworo Adi Layrine Immanuke Zalsabila Lia Kurniasari Luluk Andani Maharani, Ferdiana Martini Martini Mateus Sakundarno Adi, Mateus Sakundarno Mohammad Zen Rahfiludin Muhammad Harli Mursid Raharjo Mustikasari, Linda Ayu Mutiara Pradipta Nur'aini Naintina Lisnawati Nikie Astorina Yunita Dewanti Nisa , Rofifatun Nisa, Rofifatun Nisrina Ocktalifa Chumair Nofa Martina Ariani, Nofa Martina Nur Setiawati Dewi Nurhasmadiar Nandini Nuridzin, Dion Zein Oktavia Beni Kujariningrum Panengah, Novy Sandhyana Papilaya, Rivaldo Oryon Prasetyono, Thifal Zakiyyah Prastiwi, Nining Pratiwi, Setyo Endah Prihati, Eko R. Djoko Nugroho, R. Djoko Rahayu, Tiwuk Puji Rahfiluddin, Mohammad Zen Ratmanasari, Nadiah Ayuningtyas Riani, Risky Ika Rikhly Faradisy Mursyida Rona, Elfa Rosyida, Lintang Mela Rovica Probowati S.Pd. M Kes I Ketut Sudiana . Salma Salma Saraswati, Rizki Septia Sari, Kiki Puspita Saskia Biyakto Putri, Saskia Biyakto Septo Pawelas Arso Setyani, Ajeng Fitri Shaluhiya, Zahro Siramaneerat, Issara Siti Helmyati Solichati, Solichati Sri Achadi Nugraheni Sri Winarni Sudarwati Nababan Sugeri, Rauf Azhar Sutopo Patria Jati Syamsulhuda BM Sylviana Girsang, Elizabeth Taufik Muhtarom Tungga Dewi, Christin Hiyana Widjanarko, Bagus Wijaya, M. Indra Hadi Winarni , Sri Winarni Winarsih, Sharah Aulia Zahra, Anandalia Athaya Zahroh Shaluhiyah