Assessment of the nutrient intake and micronutrient status in the first trimester of pregnant women in Jakarta
Background: Maternal nutrition before and during pregnancy is important for a healthy pregnancy outcome. According to National Basic Health Research (Riskesdas) 2013, 24.2% of pregnant women are at risk of chronic malnutrition and 37.1% of them suffer from anemia. The aim of this study was to obtain information about the nutrient intake and serum micronutrient status in the first trimester of pregnant women in Jakarta.
Methods: A descriptive study was conducted towards 234 pregnant women with gestational age no more than 14 weeks. The nutrient intake data was obtained from the conversion of frequency food questionnaire (FFQ) which was semi quantitative data using a Nutrisurvey application. The maternal serum was examined to obtain data about nutrient level.
Results: The mean of daily maternal energy intake was 1,256.1 kcal. Most subjects had nutrient intake below the recommendations of Institute of Medicine (IOM) and recommended dietary allowances (RDA), i.e. energy (88.9%), protein (80.8%), iron (85%), folic acid (74.8%), calcium (90.6%), and zinc (94.9%). However, they showed a high intake level of vitamin A (70.5%). Most subjects had deficiency in vitamin A (69.7%), vitamin D (99.6%), and zinc (81.2). No correlation was found between the maternal nutrient intake and nutritional status.
Conclusion: Most of the first-trimester-pregnant-women in Jakarta had low maternal energy and nutrient intake, except for vitamin A, as well as low serum vitamin A, vitamin D, and zinc level.
www.who.int [Internet]. Nutrition counselling during pregnancy. [Update 2016; Cited 2016 Oct] Available from: http://www.who.int/elena/bbc/nutrition_counselling_pregnancy/en/
Haider BA, Bhutta ZA. Multiple-micronutrient supplementation for women during pregnancy. Cochrane Database Syst Rev. 2012;11(CD004905):1–127. https://doi.org/10.1002/14651858.CD004905.pub3
Brenseke B, Praater MR, Bahamonde J, Gutierrez JC. Current thoughts on maternal nutrition and fetal programming of the metabolic syndrome. J Pregnancy. 2013;2013(368461):1–13. https://doi.org/10.1155/2013/368461
Black RE, Alderman H, Bhutta ZA, Gillespie S, Haddad L, et al. Maternal and child nutrition: building momentum for impact. The Lancet. 2013;382(9890):372–5. https://doi.org/10.1016/S0140-6736(13)60988-5
Blumfield ML, Hure AJ, Macdonald-Wicks L, Smith R, Collins CE. Systematic review and meta-analysis of energy and macronutrient intakes during pregnancy in developed countries. Nutr Rev. 2012;70(6):322–36. https://doi.org/10.1111/j.1753-4887.2012.00481.x
Blumfield ML, Hure AJ, Macdonald-Wicks L, Smith R, Collins CE. A systematic review and meta-analysis of micronutrient intakes during pregnancy in developed countries. Nutr Rev. 2013;71(2):118–32. https://doi.org/10.1111/nure.12003
Stevens GA, Finucane MM, De-Regil LM, Paciorek CJ, Flaxman SR, Branca F, et al. Global, regional, and national trends in total and severe anaemia in children and pregnant and non-pregnant women for 1995–2011: a systematic analysis of population-representative data. Lancet Glob Health. 2013;1(1):e16–25. https://doi.org/10.1016/S2214-109X(13)70001-9
www.depkes.go.id [Internet]. Riset Kesehatan Dasar (Riskesdas) 2013. [Update 2013; Cited 2016 Oct]. Jakarta: Kementerian Kesehatan; 2013. PageAvailable from: http://www.depkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.pdf.… Indonesian.
www.gizi.depkes.go.id [Internet]. Peraturan Menteri Kesehatan Republik Indonesia Nomor 75 tahun 2013 tentang Angka Kecukupan Gizi yang dianjurkan bagi bangsa Indonesia. Jakarta: Kementerian Kesehatan; 2013. Available from: www.gizi.depkes.go.id>PMK75-2013.
www.nationalacademies.org. Weight gain during pregnancy-Reexamining the guidelines. Washington DC: The National Academic Press. 2009.
www.fao.org [Internet]. Global and regional food consumption patterns and trends. In: Diet, Nutrition, and the Prevention of Chronic Diseases. [Update 20013; Cited 2016 Oct]. Available from: Page http://www.fao.org/docrep/005/ac911e/ac911e05.htm
Popkin BM, Adair LS, Ng SW. Now and then: the global nutrition transition: the pandemic of obesity in developing countries. Nutr Rev. 2012;70(1):3–21. https://doi.org/10.1111/j.1753-4887.2011.00456.x
www.unicef.org [Internet]. Micronutrients. [uUpdate Dec 2015; Cited 2016 Oct Oct] 15. Available from: http://www.unicef.org/nutrition/index_iodine.html
Streppel MT, de Vries JHM, Meijboom S, Beekman M, de Creaen AJM, Slagboom PE, et al. Relative validity of the food frequency questionnaire used to assess dietary intake in the Leiden Longevity Study. Nutrition J. 2013;12:75. https://doi.org/10.1186/1475-2891-12-75
Isihara J, Yamamoto S, Iso H, Inoue M, Tsugane S. Validity of a self-administered food frequency questionnaire (FFQ) and its generalizability to the estimation of dietary folate intake in Japan. Nutrition J. 2005;4:26. https://doi.org/10.1186/1475-2891-4-26
www.kfindonesia.org [Internet]. Makanan yang dapat difortifikasi. [Update 2011; Cited 2016 Oct] Available from: http://kfindonesia.org/beta/index.php?pgid=11&contentid=13&lang=ind
www.who.int [Internet]. Guidelines on food fortification with micronutrients. France: World Health Organization. [update 2006; cited 2016 Oct]. Page Available from: http://apps.who.int/iris/bitstream/10665/43412/1/9241594012_eng.pdf?ua=1
West KP Jr. Extent of vitamin A deficiency among preschool children and women of reproductive age. J Nutr. 2002;132(9 Suppl):2857–66.
Masood SH, Iqbal MP. Prevalence of vitamin D deficiency in south asia. Pak J Med Sci. 2008;24(6):891–7.
Edwards MH, Cole ZA, Harvey NC, Cooper C. The global epidemiology of vitamin D status. J Aging Res Clin Prac. 2014;3(3):148–58.
Nimitphong H, Holick MF. Vitamin D status and sun exposure in Southeast Asia. Dermatoendocrinol. 2013;5(1):34–7. https://doi.org/10.4161/derm.24054
Scholl TO. Maternal iron status: relation to fetal growth, length, of gestation and the neonate's iron endowment. Nutr Rev. 2011;69(Suppl1):523–9. https://doi.org/10.1111/j.1753-4887.2011.00429.x
Hemamalini J. Anemia in relation to body mass index and waist circumference among Andhra Pradesh Women. J Obes Weight Loss Ther. 2011;3(173):1–3. doi: 10.1186/1475-2891-12-10
Shastri N, Paunikar VM, Baig MNH. Association of obesity with total leukocyte count in patients of metabolic syndrome. Int J Biol Med Res. 2012;3(1):1399–401. DOI:10.1016/j.dsx.2014.09.002
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