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All Journal Jurnal Kedokteran Diponegoro
Mazaya Putri Amriviana
Department of Public Health, Universitas Malikussaleh, Jl. Medan – Banda Aceh (Cot Tengku Nie), Reuleut, Kecamatan Muara Batu, Kabupaten Aceh Utara, Provinsi Aceh, Indonesia 24351
Medicine & Pharmacology

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FECAL PH AND DECODING THE HIDDEN ROLE OF GUT DYSBIOSIS FOR STUNTING AMONG TODDLERS IN INDONESIA: A SYSTEMATIC REVIEW Mazaya Putri Amriviana; Cut Khairunnisa
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 15, No 2 (2026): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v15i2.53268

Abstract

Background: Stunting in children is a persistent public health issue in Indonesia, partly linked to gut microbiota dysbiosis. This imbalance alters short-chain fatty acid (SCFA) production, affecting intestinal function and fecal pH. Fecal pH may serve as an indirect marker of microbial disturbance. Objective: To examine the association between fecal pH as an indicator of intestinal dysbiosis and stunting incidence among children in Indonesia. Methods: This review systematically searched Google Scholar, PubMed, and Scopus. Of 1,777 screened articles, 14 met inclusion criteria and were analyzed qualitatively. Results: Most studies reported higher fecal pH and microbial imbalance in stunted children. Common findings included elevated Firmicutes/Bacteroidetes ratios, higher pathogenic species, and reduced SCFA-producing bacteria. Synbiotic interventions improved microbial composition, lowered fecal pH, and supported growth. Conclusion: Elevated fecal pH is associated with gut dysbiosis and stunting in children. Its role as a low-cost biomarker could support early screening and targeted stunting prevention strategies in resource-limited settings.
Co-Authors Cut Khairunnisa