Risiko maternal terkait gizi dan hubungannya dengan pertambahan berat badan selama hamil
DOI:
https://doi.org/10.25170/djm.v23i1.5409Keywords:
asupan energi, asupan protein, pertambahan berat badan kehamilan, status giziAbstract
Pendahuluan: Pertambahan berat badan selama kehamilan yang ideal diharapkan dapat mendukung persalinan yang aman. Status gizi ibu prakehamilan menjadi acuan dalam menentukan pertambahan berat badan yang ideal di setiap trimester kehamilan. Asupan gizi yang adekuat, terutama asupan energi dan protein, diharapkan dapat memenuhi kebutuhan ini. Status gizi prakehamilan dan asupan gizi yang tidak mencukupi merupakan risiko maternal yang harus dipantau. Penelitian ini memiliki tujuan utama untuk menganalisis hubungan antara status gizi ibu prakehamilan dan asupan energi-protein dengan pertambahan berat badan pada ibu hamil di Kecamatan Gandus.
Metode: Penelitian ini memiliki desain cross-sectional menggunakan data primer. Ibu hamil trimester 2 dan 3 dengan kehamilan janin tunggal yang menghadiri kegiatan skrining kesehatan di Balai Kecamatan Gandus Palembang, memiliki data berat badan sebelum hamil, dan bersedia berpatisipasi direkrut sebagai responden penelitian. Responden menjalani pengukuran antropometri dan wawancara asupan energi-protein 1 bulan terakhir menggunakan formulir SQ-FFQ. Data dianalisis menggunakan Chi-Square (alternatif Fisher/Kolmogorov-Smirnov).
Hasil: Sebanyak enam puluh ibu hamil berpartisipasi, sebagian besar berada pada rentang usia reproduktif, masa kehamilan trimester 3, dan beraktivitas sebagai ibu rumah tangga. Status gizi sebelum hamil sebagain besar berada pada berat badan lebih/obes dan tidak ditemukan status gizi kurang. Pertambahan berat badan ibu sebagian besar tidak memenuhi rekomendasi, demikian pula dengan asupan energi-protein. Terdapat hubungan bermakna antara status gizi prakehamilan dan pertambahan berat badan selama hamil (p=0,014). Tidak terdapat hubungan antara asupan energi maupun protein dengan pertambahan berat badan selama hamil.
Simpulan: Status gizi prakehamilan berhubungan dengan pertambahan berat badan selama hamil, sebaliknya asupan energi-protein tidak berhubungan.
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References
Diana S, Wahyuni CU, Prasetyo B. Maternal complications and risk factors for mortality. J Public Health Res. 2020 Jul 3;9(2):jphr.2020.1842.
Goławski K, Giermaziak W, Ciebiera M, Wojtyła C. Excessive gestational weight gain and pregnancy outcomes. J Clin Med. 2023 Apr 29;12(9).
Perumal N, Wang D, Darling AM, Liu E, Wang M, Ahmed T, et al. Suboptimal gestational weight gain and neonatal outcomes in low and middle income countries: individual participant data meta-analysis. BMJ. 2023 Sep 21;e072249.
Gilmore LA, Redman LM. Weight gain in pregnancy and application of the 2009 IOM guidelines: toward a uniform approach. Obesity (Silver Spring). 2015 Mar;23(3):507-11.
Most J, Dervis S, Haman F, Adamo KB, Redman LM. Energy Intake Requirements in Pregnancy. Nutrients. 2019 Aug 6;11(8):1812.
Institute of Medicine (US) and National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines; Rasmussen KM, Yaktine AL, editors. Weight gain during pregnancy: Reexamining the guidelines. Washington (DC): National Academies Press (US); 2009. B, Supplementary Information on Nutritional Intake.
Iglesias-Vázquez L, Suliburska J, Kocyłowski R, Bakinowska E, Arija V. Nutrient intake among pregnant women in Spain and Poland: A comparative analysis. Nutrients. 2023 Jul 20;15(14):3225.
Murphy MM, Higgins KA, Bi X, Barraj LM. Adequacy and sources of protein intake among pregnant women in the United States, NHANES 2003–2012. Nutrients [Internet]. 2021 Mar 1 [cited 2024 Jan 18];13(3):1–13.
Zhou M, Peng X, Yi H, Tang S, You H. Determinants of excessive gestational weight gain: a systematic review and meta-analysis. Archives of Public Health. 2022 Dec 3;80(1):129.
Goldstein RF, Abell SK, Ranasinha S, Misso M, Boyle JA, Black MH, et al. Association of gestational weight gain with maternal and infant outcomes: A systematic review and meta-analysis. JAMA. 2017 Jun 6;317(21):2207–25.
Godoy AC, do Nascimento SL, Surita FG. A systematic review and meta-analysis of gestational weight gain recommendations and related out-comes in Brazil. Clinics. 2015 Nov;70(11):758–64.
Aji AS, Yusrawati Y, Malik SG, Lipoeto NI. Pre-pregnancy maternal nutritional status and physical activity levels during pregnancy associated with birth size outcomes in Minangkabau women, Indonesia. Curr Dev Nutr. 2020 May 29;4(Suppl 2):931. doi: 10.1093/cdn/nzaa054_003.
Gebregziabher D, Berhe H, Kassa M, Berhanie E. Level of physical activity and associated factors during pregnancy among women who gave birth in Public Zonal Hospitals of Tigray. BMC Res Notes. 2019 Dec 23;12(1):454.
Szubert M, Ilowiecka M, Wilczynski J, Bilinski P, Wojtyla C. Health-related behaviors of pregnant women residing in urban and rural areas in Poland. Int J Environ Res Public Health [Internet]. 2020 Jun 2 [cited 2024 Apr 30];17(12):1–12.
Hamann V, Deruelle P, Enaux C, Deguen S, Kihal-Talantikite W. Physical activity and gestational weight gain: a systematic review of observational studies. BMC Public Health. 2022 Oct 21;22(1):1951.
Birsner ML, Gyamfi-Bannerman C. Physical activity and exercise during pregnancy and the postpartum period: ACOG Committee Opinion, Number 804. Obstet Gynecol. 2020 Apr;135(4):e178-e188.
Cilar Budler L, Budler M. Physical activity during pregnancy: a systematic review for the assessment of current evidence with future recommendations. BMC Sports Sci Med Rehabil. 2022 Jul 16;14(1):133.
Tran NT, Nguyen LT, Berde Y, Low YL, Tey SL, Huynh DTT. Maternal nutritional adequacy and gestational weight gain and their associations with birth outcomes among Vietnamese women. BMC Pregnancy Childbirth. 2019 Dec 4;19(1).
Agustina R, Rianda D, Lasepa W, Birahmatika FS, Stajic V, Mufida R. Nutrient intakes of pregnant and lactating women in Indonesia and Malaysia: Systematic review and meta-analysis. Front Nutr. 2023;10:1030343.
van Zundert S, van der Padt S, Willemsen S, Rousian M, Mirzaian M, van Schaik R, et al. Periconceptional maternal protein intake from animal and plant sources and the impact on early and late prenatal growth and birthweight: The Rotterdam periconceptional cohort. Nutrients. 2022 Dec 1;14(24).
Yang J, Chang Q, Tian X, Zhang B, Zeng L, Yan H, et al. Dietary protein intake during pregnancy and birth weight among Chinese pregnant women with low intake of protein. Nutr Metab (Lond). 2022 Dec 1;19(1).
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