Asupan zat gizi makro dan kenaikan berat badan selama hamil terhadap luaran kehamilan

https://doi.org/10.22146/ijcn.39163

Imelda Fitri(1*), Rizki Natia Wiji(2)

(1) Departemen Kebidanan, Fakultas Kedokteran dan Ilmu Kesehatan Universitas Abdurrab
(2) Diploma IV Kebidanan STIKes Al-Insyirah Pekanbaru
(*) Corresponding Author

Abstract


Background: Based on neonatal nursing installation data at Arifin Achmad Regional Hospital in Riau Province, newborns with low birth weight have always been the highest cases.

Objective: This study aimed to examine the effect of macronutrient status (carbohydrate, protein, fat) and gestational weight gain on pregnancy outcomes.

Method: The design used in this study was case-control. The study sample was 74 respondents, the case group was 37 mothers with babies born with low birth weight and the control group was 37 mothers with babies born with normal birth weight. Macronutrient intake was collected with a food frequency questionnaire (FFQ). Data were analyzed by using the Chi-Square test (p<0,05).

Results: Intake of low carbohydrate has 3 times risk for low birth weight (OR=3.46; 95%CI:1.25-9.47), intake of low fat has 5 times risk for low birth weight (OR=5.11; 95%CI:1.88-13.93), and intake of low protein has a 12 times risk for low birth weight (OR=12.21; 95%CI:3,97-37,94). A gestational weight gain is not following the IOM recommendations increased the risk of giving birth to a low weight baby (OR=3,96; 95%CI:1,49-10,53).

Conclusion: Pregnant women with a low intake of carbohydrates, proteins, fats, and weight gain are not following the recommended increased the risk of giving birth to a low weight baby.


Keywords


low birth; macronutrient; pregnancy maternal; pregnancy outcome

Full Text:

PDF


References

  1. Badan Kependudukan dan Keluarga Berencana Nasional, Badan Pusat Statistik, Kementerian Kesehatan RI, dan ICF International. Survei Demografi Kesehatan Indonesia (SDKI). Jakarta: BKKBN, BPS, Kementerian Kesehatan, dan ICF International; 2013.
  2. Badan Penelitian dan Pengembangan. Riset Kesehatan Dasar (Riskesdas) tahun 2013. Jakarta: Kesehatan Kementerian RI; 2013.
  3. RSUD Arifin Achmad Provinsi Riau. Laporan tahunan RSUD Arifin Achmad Provinsi Riau. Riau: RSUD Arifin Achmad Provinsi Riau; 2017.
  4. Chairunita. Model penduga berat bayi lahir berdasarkan pengukuran lingkar pinggang ibu hamil [Tesis]. Bogor: Pasca Sarjana Institut Pertanian Bogor; 2006.
  5. Boer JMA, van Bakel AM, Hoogervorst E, Luijten M, de Vries A. (2009). Effects of maternal diet during pregnancy on birth weight of the infant. National Institute for Public Health and the Environment, Report 350020009/2009. [series online] 2009 [cited 5 Januari 2018]. Available online: URL: https://www.rivm.nl/bibliotheek/rapporten/350020009.pdf
  6. Aritonang, Evawany. Kebutuhan gizi ibu hamil, Bogor: IPB Press; 2010.
  7. Institute of Medicine (IOM) and National Research Council (NRC) Committee to Reexamine IOM Pregnancy Weight Guidelines. Rasmussen KM, Yaktine AL, editor. Weight gain during pregnancy: reexamining the guidelines. [series online] 2009 [cited 5 Januari 2018]. Available online: https://www.ncbi.nlm.nih.gov/books/NBK32813/
  8. Anies I, Triwinarto A, Salimar, Raswanti I. Pengaruh status gizi ibu selama kehamilan dan menyusui terhadap keberhasilan pemberian air susu ibu. Penelitian Gizi dan Makanan 2003;26(2):10-19.
  9. Lemeshow S, Hosmer DW, Klar J, Lwanga SK. Besar sampel dalam penelitian kesehatan. Yogyakarta: Gadjah Mada University Press; 1997.
  10. Widyakarya Nasional Pangan dan Gizi (WNPG). Pemantapan ketahanan pangan dan perbaikan gizi berbasis kemandirian dan kearifan lokal. Jakarta: Lembaga Ilmu Pengetahuan Indonesia (LIPI); 2012.
  11. Sirajuddin D. Survei konsumsi pangan. Jakarta: EGC; 2014.
  12. Ritchie LD, King JC. Nutrient recommendations and dietary guidelines for pregnant women. In: Lammi-Keefe CJ, Couch SC, Philipson EH (editor). Handbook of nutrition and pregnancy. Totowa, NJ: Humana Press; 2008.
  13. Fikawati S. Gizi ibu dan bayi. Jakarta: Rajawali Pers; 2015.
  14. Kurniasih D, Hilmansyah H, Astuti MP, Imam S. Sehat dan bugar berkat gizi seimbang. Jakarta: Gramedia; 2010.
  15. Metgud CS, Naik VA, Mallapur MD. Factors affecting birth weight of a newborn – a community based study in Rural Karnataka, India. PLos One 2012;7(7):e40040. doi: 10.1371/journal.pone.0040040.
  16. Tyagi S, Toteja DS, Bhatia N. Maternal nutritional status and its relation with birth weight. Int J Health Sci Res 2017;7(8):422-33.
  17. Syari M, Serudji J, Mariati U. Peran asupan zat gizi makronutrien ibu hamil terhadap berat badan lahir bayi di Kota Padang. Jurnal Kesehatan Andalas 2015;4(3):729-36.
  18. Worthington R, Williams S. Nutrition throughout the life cycle. USA: Mc Graw Hill; 2000.
  19. Mardones F, Urrutia MT, Villarroel L, Rioseco A, Castillo O, Rojas I, et al. Effects of a dairy product fortified with multiple micronutrients and omega-3 fatty acids on birth weight and gestation duration in pregnant Chilean women. Public Health Nutr. 2008;11(1):30-40. doi: 10.1017/S1368980007000110
  20. Georgieff MK. Nutrition and the developing brain: nutrient priorities and measurement. Am J Clin Nutr 2007;85(2):614-20S.
  21. Huffman SL, Harika RK, Eilander A, Osendarp SJM. Essential fats: how do they affect growth and development of infants and young children in developing countries ? a literature review. Matern Child Nutr. 2011;7 Suppl 3:44-65. doi: 10.1111/j.1740-8709.2011.00356.x.
  22. Supriasa D. Penilaian status gizi. Jakarta: EGC; 2013.
  23. Muthayya S. Maternal nutrition & low birth weight - what is really important ? Indian J Med Res. 2009;130(5):600-8.
  24. Aprilianti D, Purba JSR. Hubungan pengetahuan, sikap, asupan energi dan protein terhadap risiko kurang energi kronik (KEK) pada wanita usia subur di Desa Hibun Kabupaten Sanggau. Pontianak Nutrition Journal 2018;1(1):36-9.
  25. Rukmana SC, Kartasurya MI. Hubungan asupan gizi dan status gizi ibu hamil trimester III dengan berat badan lahir bayi di wilayah kerja Puskesmas Suruh Kabupaten Semarang. Journal of Nutrition College 2014;3(1):192-9.
  26. Retni, Margawati A, Widjanarko B. Pengaruh status gizi & asupan gizi ibu terhadap berat bayi ahir rendah pada kehamilan usia remaja. Jurnal Gizi Indonesia 2016;5(1):14–19. doi: 10.14710/jgi.5.1.14-19
  27. Rayburn WF. Obstetrics and gynecology. Chalik (Alih bahasa). Jakarta: Widya Medika; 2001.
  28. Zhao R, Xu L, Wu ML, Huang SH, Cao XJ. (2018). Maternal pre-pregnancy body mass index, gestational weight gain influence birth weight. Women Birth. 2018;31(1):e20-e25. doi: 10.1016/j.wombi.2017.06.003.
  29. Haugen M, Brantsæter AL, Winkvist A, Lissner L, Alexander J, Meltzer HM, et al. Associations of pre-pregnancy body mass index and gestational weight gain with pregnancy outcome and postpartum weight retention: a prospective observational cohort study. BMC Pregnancy Childbirth. 2014;14:201. doi: 10.1186/1471-2393-14-201.
  30. Abrams B, Altman SL, Pickett KE. Pregnancy weight gain: still controversial. Am J Clin Nutr. 2000;71(5 Suppl):1233S-41S. doi: 10.1093/ajcn/71.5.1233s.
  31. National Research Council and Institute of Medicine. Influence of pregnancy weight on maternal and child health. Workshop Report. Comite on The Impact of Pregnancy Weight on Maternal and Child Health. Washington DC: The National Academic Press; 2007.
  32. Yongky, Hardinsyah, Gulardi, Marhamah. Status gizi awal kehamilan dan pertambahan berat badan ibu hamil kaitannya dengan BBLR. Jurnal Gizi dan Pangan 2009;4(1):8-12. doi: 10.25182/jgp.2009.4.1.8-12
  33. Saputri R, Lestari LA, Susilo J. Pola konsumsi pangan dan tingkat ketahanan pangan rumah tangga di Kabupaten Kampar Provinsi Riau. Jurnal Gizi Klinik Indonesia 2016;12(3):123-130. doi: 10.22146/ijcn.23110
  34. Prihananto V, Sulaeman A, Riyadi H, Palupi NHS. Pengaruh pemberian makanan tambahan terhadap konsumsi energi dan protein ibu hamil. Jurnal Gizi dan Pangan 2007;2(1):16-21. doi: 10.25182/jgp.2007.2.1.16-21
  35. Utami NW, Majid TH, Herawati DMD. Pemberian minuman formula kacang merah, kacang tanah, dan kacang kedelai terhadap satus gizi ibu hamil kurang energi kronis (KEK). Jurnal Gizi Klinik Indonesia 2017;14(1):1-9. doi: 10.22146/ijcn.22424



DOI: https://doi.org/10.22146/ijcn.39163

Article Metrics

Abstract views : 8003 | views : 7831

Refbacks

  • There are currently no refbacks.




Copyright (c) 2018 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