Household Food Security, Nutritional Intake, and Nutritional Status of Pregnant Women in the Central Tapanuli Regency
DOI:
https://doi.org/10.3889/oamjms.2021.7749Keywords:
Food security, Nutrient intake, Nutritional status, Pregnant womenAbstract
BACKGROUND: Malnutrition that occurs during pregnancy can result in inadequate household food security so that it will affect the baby to be born.
AIM: This study aims to determine household food security, nutrient intake, and nutritional status of pregnant women in the Central Tapanuli Regency.
METHODS: This research is part of the DRPM research with the title of improving the nutrition of pregnant women and the success of breastfeeding immediately after birth through strengthening household food security in the Central Tapanuli Regency. The stages of this research are to identify the level of household food security and nutrient intake as well as the nutritional status of pregnant women. The study was conducted using observation and interviews as well as measuring LILA, examination of Hb levels, and iodine levels in the urine of 131 pregnant women purposively in eight districts of the Central Tapanuli.
RESULTS: The household food security of status that is food insecure is 18.3%. The nutritional status of pregnant women with anemia was 58.7% and those with SEZ were 19.1% fiber with the low levels of iodine in the urine as much as 63.9%. Adequate intake of energy nutrients is 42% and sufficient protein is 38.9%. There was a significant relationship between food security status and energy intake (p = 0.000; OR = 53.9) and protein intake (p = 0.004; OR = 4.1).
CONCLUSIONS: There is a significant relationship between household food security status with energy and protein intake of pregnant women. Increased consumption of foods containing animal protein is recommended for pregnant women related to household food insecurity.Downloads
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References
Rosso P. Nutrition and Metabolism in Pregnancy, Mother, and Fetus. New York: Oxford University Press; 1990. p. 324.
World Health Organization. Promoting Optimal Fetal Development: Report of a Technical Consultation Nutrition. Geneva, Switzerland: World Health Organization; 2003.
Badan Perencananaan Pembangunan Nasional (Bappenas). Kerangka Kebijakan Gerakan Sadar Gizi Dalam Rangka Seribu Hari Pertama Kehidupan (1000 HPK). Jakarta: Badan Perencananaan Pembangunan Nasional; 2012.
World Health Organization. WHO Recommendations on Antenatal Care for A Positive Pregnancy Experience. Geneva: World Health Organization Press; 2016. p. 14-40.
Ravishankar KA. Influence of mothers’ chronic energy deficiency on the nutritional status of preschool children in empowered action group states in India. Int J Nutr Pharmacol Neurol Dis. 2012;2(3):198-209. DOI: https://doi.org/10.4103/2231-0738.99471
Iddowu OS, IbiYemi OO, Wasiu AA, Olayinka CS. Maternal and child under-nutrition in rural and urban communities of Lagos state, Nigeria: The relationship and risk factors. BMC Res Notes. 2013;6:286. https://doi.org/10.1186/1756-0500-6-286 PMid:23880121 DOI: https://doi.org/10.1186/1756-0500-6-286
Yunita HS, Rahayuning PD, Apoina K. Anemia dan kek pada ibu hamil sebagai faktor risiko kejadian bayi berat lahir rendah (BBLR) (studi di wilayah kerja puskesmas Juwana Kabupaten pati). J Kesehat Masy. 2019;7(1):322-9. DOI: https://doi.org/10.25157/jmph.v1i2.3029
Pibriyanti K, SS D, Pemayun TG. Hubungan status iodium ibu hamil trimester III dengan status iodium dan nilai antropometri bayi baru lahir di daerah GAKI. J Gizi Indones. 2017;5(2):75-81. https://doi.org/10.14710/jgi.5.2.75-81 DOI: https://doi.org/10.14710/jgi.5.2.75-81
Badan Ketahanan Pangan. Indeks Ketahanan Pangan. Jakarta: Badan Ketahanan Pangan; 2018.
Badan Ketahanan Pangan. Indeks Ketahanan Pangan Indonesia 2019. Badan Ketahanan Pangan Kementrian Pertanian. Jakarta: Badan Ketahanan Pangan; 2019. Available from: http://www.bkp.pertanian.go.id/storage/app/media/Bahan2020/IKP2019FINAL.pdf
Dinas Ketahanan Pangan dan Peternakan. Peta Ketahanan dan Kerentanan Pangan (Food Security and Vulnerability Atlas) Provinsi Sumatera Utara Tahun 2020. Medan: Dinas Ketahanan Pangan dan Peternakan; 2020.
Nunnery DL, Labban JD, Dharod JM. Interrelationship between food security status, home availability of variety of fruits and vegetables and their dietary intake among low-income pregnant women. 2017;21(4):807-15. https://doi.org/10.1017/S1368980017003032 PMid:29125093 DOI: https://doi.org/10.1017/S1368980017003032
Suryanty M, Reswita R. Analisis konsumsi pangan berbasis protein hewani di kabupaten lebong: Pendekatan model aids (almost ideal demand system). J AGRISEP. 2016;15(1):101-10. DOI: https://doi.org/10.31186/jagrisep.15.1.101-110
Segaye D, Tamiru D, Belachew T. Factors associated with dietary practice and nutritional status of pregnant women in rural communities of illu aba bor zone, Southwest. Nutr Diet Suppl. 2020;12:103-12. DOI: https://doi.org/10.2147/NDS.S257610
Kusuma R, Khomsan A, Kustiyah L. Konsumsi ikan pada ibu hamil dan kaitannya dengan outcome kelahiran. Media Kesehat Masy Indones. 2017;13(4):295. DOI: https://doi.org/10.30597/mkmi.v13i4.3153
Hjertholm KG, Holmboe-Ottesen G, Iversen PO, Mdala I, Munthali A, Maleta K, et al. Seasonality in associations between dietary diversity scores and nutrient adequacy ratios among pregnant women in rural Malawi-a cross-sectional study. Food Nutr Res. 2019;63(2712):1-8. https://doi.org/10.29219/fnr.v63.2712 PMid:30837821 DOI: https://doi.org/10.29219/fnr.v63.2712
Saaka M, Oladele J, Larbi A, Hoeschle ZI. Household food insecurity, coping strategies, and nutritional status of pregnant women in rural areas of Northern Ghana. Food Sci Nutr. 2017;5(6):1154-62. https://doi.org/10.1002/fsn3.506 PMid:29188043 DOI: https://doi.org/10.1002/fsn3.506
Binte N, Id A, Tahsina T, Hoque DE. Association of food security and other socio- economic factors with dietary diversity and nutritional statuses of children aged 6-59 months in rural Bangladesh. PLoS One. 2019;14(8):e0221929. https://doi.org/10.1371/journal.pone.0221929 PMid:31465509 DOI: https://doi.org/10.1371/journal.pone.0221929
Pratiwi R, Widari D. Hubungan konsumsi sumber pangan enhancer dan inhibitor zat besi dengan kejadian anemia pada ibu hamil. Amerta Nutr. 2018;2(3):283. DOI: https://doi.org/10.20473/amnt.v2i3.2018.283-291
Suryanarayana R, Santhuram A, Chandrappa M, Shivajirao P, Rangappa S. Prevalence of anemia among pregnant women in rural population of Kolar district. Int J Med Sci Public Health. 2016;5(3):454. DOI: https://doi.org/10.5455/ijmsph.2016.2307201575
Berhe B, Mardu F, Legese H, Gebrewahd A, Gebremariam G, Tesfay K, et al. Prevalence of anemia and associated factors among pregnant women in Adigrat General Hospital, Tigrai, northern Ethiopia, 2018. BMC Res Notes. 2019;12(1):1-6. https://doi.org/10.1186/s13104-019-4347-4 PMid:31151463 DOI: https://doi.org/10.1186/s13104-019-4347-4
Diana R, Khomsan A, Anwar F, Christianti DF, Kusuma R, Rachmayanti RD. Dietary quantity and diversity among anemic pregnant women in Madura Island, Indonesia. J Nutr Metab. 2019;2019:2647230. DOI: https://doi.org/10.1155/2019/2647230
Gosh S, Spielman K, Kershaw M, Ayele K, Kidane Y, Zillmer K, et al. Factors associated with mid-upper arm circumference as a measure of nutritional status in pregnant Ethiopian women : Implications for programming in the first 1000 days. PLoS One. 2019;26:1-15. https://doi.org/10.1371/journal.pone.0214358 PMid:30913234 DOI: https://doi.org/10.1371/journal.pone.0214358
World Health Organization. Assessment of Iodine Deficiency Disorders and Monitoring Their Elimination, a Guide for Program Managers. 3rd ed. Genewa: World Health Organization; 2007.
Mulyantoro DK. Perlukah wanita hamil mendapat suplementasi iodium? Media Gizi Mikro Indones. 2017;8(2):137-50.
Mulyantoro DK, Hakimi M, Basuki E. Hubungan kadar iodium dalam garam beriodium di rumah tangga dengan kecukupan iodium berdasarkan nilai ekskresi iodium urin (EIU) pada wanita usia Subur. Media Gizi Mikro Indones. 2013;5(1):41-52.
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Copyright (c) 2021 Etti Sudaryati, Fikarwin Zuska, Herta Masthalina (Author)
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