Pola makan dan anemia ibu dengan kejadian BBLR: analisis data Indonesian Family Life Survey (IFLS 5)

https://doi.org/10.22146/ijcn.34961

Siti Maria Ulva(1*), Mohammad Hakimi(2), Istiti Kandarina(3)

(1) Departeman Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Departeman Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Departeman Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Dietary pattern and anemia with the occurrence of LBW babies: Indonesian Life Family Survey (IFLS 5)

Background: Nutritional problems occur throughout the human life cycle. Maternal, infant, and neonatal mortality rates are critical national growth indicators. The most common cause of death in neonates is babies with low birth weight (LBW).

Objective: This study examines the association between diet, anemia, and the incidence of LBW in Indonesia using the Indonesia Family Life Survey (IFLS) wave 5.

Methods: This observational study used IFLS 5 secondary data. The study population is women of reproductive age (15-49 years), married, had their last child born alive, and their weight weighed. The independent variables were diet and anemia, while the dependent was LBW. Effect modifiers were age, parity, education, employment, pregnancy complications, consumption of iron tablets, and residence.

Results: The total number of respondents was 2,368, with an LBW incidence of 8.7%. The percentage of non-diverse diets is 72.3%, more than diverse diets. There was a significant relationship between diverse dietary patterns and LBW. A less varied diet provides a 1.32 more substantial risk of giving birth to an LBW baby compared to mothers with a diverse diet. However, there was no relationship between anemia and LBW. Further analysis showed two food groups significantly associated with LBW: nuts and meat and fish.

Conclusions: A diverse diet lowers the risk of LBW but is not significantly related. Efforts are needed to improve community nutrition through a varied and balanced diet. Social factors related to LBW are mothers' education and employment.


Keywords


anemia; diet; IFLS 5; LBW; women of reproductive age

Full Text:

PDF


References

  1. WHS. World Health Statistics. New York: Geneva; 2013.
  2. Kementerian Kesehatan RI. Pedoman gizi seimbang. Jakarta: Kemenkes RI; 2014.
  3. Kementerian Kesehatan RI. Pusat data dan informasi (infodatin), situasi gizi di Indonesia. Jakarta: Kemenkes RI; 2016.
  4. Kementerian Kesehatan RI. Riset Kesehatan Dasar tahun 2013. Jakarta: Kemenkes RI; 2014.
  5. UNICEF. Low birthweight, country, regional and global estimates. New York, USA: UNICEF; 2004.
  6. Nnam NM. Improving maternal nutrition for better pregnancy outcomes. Proc Nutr Soc. 2015;74(4):454-9. doi: 10.1017/S0029665115002396
  7. Barros FC, Barros AJD, Villar J, Matijasevich A, Domingues MR, Victora CG. How many low birthweight babies in low- and middle- income countries are preterm? Rev. Saúde Pública. 2011;45(3). doi: 10.1590/S0034-89102011005000019
  8. WHA and WHO. Global nutrition targets 2025: low birth weight policy brief. [series online] 2012 [cited 29 Juni 2018]. Available from: URL: https://media.tghn.org/articles/WHO_NMH_NHD_14.5_eng.pdf
  9. Pramono MS, Paramita A. Pola kejadian dan determinanbayi dengan berat badan lahir rendah (BBLR) di Indonesia tahun 2013. Buletin Penelitian Sistem Kesehatan. 2015;18(1).
  10. Belfort MB, Ehrenkranz RA. Neurodevelopmental outcomes and nutritional strategies in very low birth weight infants. Semin Fetal Neonatal Med. 2017;22(1):42-8. doi: 10.1016/j.siny.2016.09.001
  11. Badan Kependudukan dan Keluarga Berencana Nasional. Survei Demografi dan Kesehatan Indonesia. Jakarta: Badan Pusat Statistik; 2013.
  12. Yan J. Maternal pre-pregnancy BMI, gestational weight gain, and infant birth weight: A within-family analysis in the United States. Econ Hum Biol. 2015 Jul;18:1-12. doi: 10.1016/j.ehb.2015.03.002
  13. Li CY, Sung FC. Socio-economic inequalities in low-birth weight, full-term babies from singleton pregnancies in Taiwan. Public Health. 2008;122(3):243-50. doi: 10.1016/j.puhe.2007.05.011
  14. Rosha BC, Putri IS, Amaliah N. Analisis determinan berat bayi lahir rendah (BBLR) pada anak usia 0-59 bulan di Nusa Tenggara Timur, Kalimantan Tengah, dan Papua. Jurnal Ekologi Kesehatan. 2012;11(2):123-5.
  15. Litbangkes Kemenkes RI. Survei konsumsi makanan individu Indonesia 2014 studi diet total. Jakarta: Litbangkes Kemenkes RI; 2014.
  16. Harti LB, Kusumastuty I, Hariadi I. Hubungan status gizi dan pola makan terhadap penambahan berat badan ibu hamil. Indonesian Journal of Human Nutrition. 2016;3(1):23-34. doi: 10.21776/ub.ijhn.2016.003.Suplemen.6
  17. Abubakari A, Jahn A. Maternal dietary patterns and practices and birth weight in Northern Ghana. PLoS One. 2016;11(9):e0162285. doi: 10.1371/journal.pone.0162285
  18. Food and Agriculture Organization of the United Nations. Guidelines for measuring household and individual dietary diversity. [serial online] 2010 [cited 29 Juni 2018]. Available from: URL: https://www.fao.org/4/i1983e/i1983e00.pdf
  19. FAO and FHI 360. Minimum dietary diversity for women: a guide to measurement. [serial online] 2016 [cited 29 Juni 2018]. Available from: URL: https://openknowledge.fao.org/server/api/core/bitstreams/088f944b-d268-4e04-b57d-027a3b6a56eb/content
  20. Qureshi Z, Khan R. Diet intake trends among pregnant women in rural area of Rawalpindi, Pakistan. J Ayub Med Coll Abbottabad. 2015;27(3):684-8.
  21. Tebbani F, Oulamara H, Agli A. Maternal nutrition and birth weight: role of vitamins and trace elements. Journal of Fertilization: In Vitro - IVF-Worldwide, Reproductive Medicine, Genetics & Stem Cell Biology. 2017;5(1):1-5.
  22. Kiboi W, Kimiywe J, Chege P. Determinants of dietary diversity among pregnant women in Laikipia County, Kenya: a cross-sectional study. BMC Nutrition. 2017;3(1):12. doi: 10.1186/s40795-017-0126-6
  23. Zerfu TA, Umeta M, Baye K. Dietary diversity during pregnancy is associated with reduced risk of maternal anemia, preterm delivery, and low birth weight in a prospective cohort study in rural Ethiopia. Am J Clin Nutr. 2016;103(6):1482-8. doi: 10.3945/ajcn.115.116798
  24. Osman SM, Saaka M, Siassi F, Qorbani M, Yavari P, Sotoudeh G, et al. A comparison of pregnancy outcomes in Ghanaian women with varying dietary diversity: a prospective cohort study protocol. BMJ Open. 2016;6(9):e011498. doi: 10.1136/bmjopen-2016-011498
  25. Zulyniak MA, de Souza RJ, Shaikh M, Desai D, Lefebvre DL, NutriGen Alliance investigators, et al. Does the impact of a plant-based diet during pregnancy on birth weight differ by ethnicity? a dietary pattern analysis from a prospective Canadian birth cohort alliance. BMJ Open. 2017;7(11):e017753. doi: 10.1136/bmjopen-2017-017753
  26. Akbari Z, Mansourian M, Kelishadi R. Relationship of the intake of different food groups by pregnant mothers with the birth weight and gestational age: need for public and individual educational programs. J Educ Health Promot. 2015;4:23. doi: 10.4103/2277-9531.154109
  27. Setiawan A, Lipoeto NI, Izzah AZ. Hubungan kadar hemoglobin ibu hamil trimester III dengan berat bayi lahir di Kota Pariaman. Jurnal Kesehatan Andalas. 2013;2(1):34-7.
  28. Pereira PP, Da Mata FA, Figueiredo AC, de Andrade KR, Pereira MG. Maternal active smoking during pregnancy and low birth weight in the Americas: a systematic review and meta-analysis. Nicotine Tob Res. 2017;19(5):497-505. doi: 10.1093/ntr/ntw228
  29. Olsen SJ, Vetsaphong P, Vonglokham P, Mirza S, Khanthamaly V, Xeuatvongsa A, et al. A retrospective review of birth outcomes at the Mother and Child Health Hospital in Lao People's Democratic Republic, 2004-2013. BMC Pregnancy Childbirth. 2016;16(1):379. doi: 10.1186/s12884-016-1168-5
  30. Dahlui M, Azahar N, Oche OM, Aziz NA. Risk factors for low birth weight in Nigeria: evidence from the 2013 Nigeria Demographic and Health Survey. Glob Health Action. 2016;9:28822. doi: 10.3402/gha.v9.28822
  31. Hoffmann JF, Nunes MA, Schmidt MI, Olinto MT, Melere C, Camey S, et al. Dietary patterns during pregnancy and the association with sociodemographic characteristics among women attending general practices in southern Brazil: the ECCAGe Study. Cad Saude Publica. 2013;29(5):970-80. Erratum in: Cad Saude Publica. 2014;30(4):899.
  32. Kumar M, Swarnkar K, Vagha J. Clinical profile of low birth babies in NICU: a rural tertiary care hospital based study. International Journal Of Contemporary Pediatrics. 2018;5(1):239-44. doi: 10.18203/2349-3291.ijcp20175592



DOI: https://doi.org/10.22146/ijcn.34961

Article Metrics

Abstract views : 672 | views : 1155

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2022 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free web stats View My Stats