Pengetahuan, sikap, perilaku, dan asupan gizi berdasarkan status hidrasi ibu hamil

https://doi.org/10.22146/ijcn.59101

Erry Yudhya Mulyani(1*), Idrus Jus'at(2), Dudung Angkasa(3), Dwikani Oklita Anggiruling(4), Enrico Stanin(5)

(1) Departemen Gizi, Fakultas Ilmu-ilmu Kesehatan, Universitas Esa Unggul, Jakarta
(2) Departemen Gizi, Fakultas Ilmu-ilmu Kesehatan, Universitas Esa Unggul, Jakarta
(3) Departemen Gizi, Fakultas Ilmu-ilmu Kesehatan, Universitas Esa Unggul, Jakarta
(4) Departemen Gizi, Fakultas Ilmu-ilmu Kesehatan, Universitas Esa Unggul, Jakarta
(5) Departemen Gizi, Fakultas Ilmu-ilmu Kesehatan, Universitas Esa Unggul, Jakarta
(*) Corresponding Author

Abstract


Maternal nutritional knowledge, attitude, behavior, and intake based on hydration status

Background: Based on past studies, 49% of pregnant women had low knowledge of nutrition and hydration. Nutritional knowledge, attitudes, and behavior are positively correlated to nutritional intake, malnutrition and dehydration may disturb maternal health and pregnancy outcome.

Objectives: To analyze maternal nutritional knowledge, attitudes, behavior, and nutritional intake based on the hydration status.

Methods: This cross-sectional study was conducted at Puskesmas Kebon Jeruk District, West Jakarta using a purposive sampling method. Subjects were 50 pregnant women who came to check their pregnancies. Subject’s characteristics, nutritional knowledge, attitudes, and behavior are collected with a questionnaire, nutritional intake with 1x24 hours recall. Hemoglobin (Hb) level is determined with Haemometer, urine specific gravity with Urinometer, and urine color with PURI card.

Results: Subjects had an average age of 29.0±5.7 years, gestational age 21.3±11.3 weeks, weight 62.7±9 kg, height 158.1±4.1 cm, upper arm circumference 32.4±29.5 cm, Hb level 12.2±0.9 g/dL, urine color score 4±0.9, and urine specific gravity 1016±5.4. Based on urine specific gravity, 56% of the pregnant women were euhydrated and 44% were dehydrated. Based on the hydration status there were no differences in knowledge, attitudes, behavior, and macronutrient intake (p≥0.05), except for the fluid intake (p<0.05).

Conclusions: Although the knowledge, attitudes, and nutritional behavior of pregnant women were not poor, optimization of the fluid consumption to 3L/day, and diversified food consumption is needed. Further research on external factors that can affect the nutritional status and hydration of pregnant women is recommended.


Keywords


hydration status; nutritional behavior pregnancy; nutritional intake; nutrition knowledge

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References

  1. Ferland S, O'Brien HT. Maternal dietary intake and pregnancy outcome. J Reprod Med. 2003;48(2):86-94.
  2. Hytten FE, Chamberlain G. Clinical pysiology in obstetrics. Oxford: Blackwell Scientific Publications; 1991.
  3. Lutomski J, McCarthy FP, Greene RA. Hyperemesis gravidarum: current perspectives. Int J Womens Health. 2014;6:719-25. doi: 10.2147/IJWH.S37685
  4. Shaheen NA, Alqahtani AA, Assiri H, Alkhodair R, Hussein MA. Public knowledge of dehydration and fluid intake practices: variation by participants’ characteristics. BMC Public Health. 2018;18:1346. doi: 10.1186/s12889-018-6252-5
  5. Gutiérrez-Pliego LE, Camarillo-Romero E del S, Montenegro-Morales LP, Garduño-García J de J. Dietary patterns associated with body mass index (BMI) and lifestyle in Mexican adolescents. BMC Public Health. 2016;16(1):850. doi: 10.1186/s12889-016-3527-6
  6. Siahaan GM, Widajanti L, Aruben R. Hubungan sosial ekonomi dan asupan zat gizi dengan kejadian kurang energi kronik (KEK) pada ibu hamil di wilayah Puskesmas Sei Jang Kecamatan Bukit Bestari Kota Tanjung Pinang tahun 2016. Jurnal Kesehatan Masyarakat. 2017;5(3):138-47.
  7. Zhou Y, Zhu X, Qin Y, Li Y, Zhang M, Xu Y, et al. Association between total water intake and dietary intake of pregnant and breastfeeding women in China: a cross-sectional survey. BMC Pregnancy Childbirth. 2019;172. doi: 10.1186/s12884-019-2301-z
  8. Mulyani EY, Hardinsyah, Briawan D, Santoso BI. Hydration status of pregnant women in West Jakarta. Asia Pac J Clin Nutr. 2017;26(Suppl 1):S26-30. doi: 10.6133/apjcn.062017.s14
  9. Kementerian Kesehatan RI. Hasil utama Riskesdas 2018. Jakarta; Kemenkes RI; 2018.
  10. Mulyani EY, Hardinsyah H, Briawan D, Santoso BI. The impact of dehydration in the third trimesters on pregnancy outcome-infant birth weight and length. Jurnal Gizi dan Pangan. 2018;13(3):157-64. doi: 10.25182/jgp.2018.13.3.157-164
  11. Angraini DI, Wijaya SM. The analysis of chronic energy malnutrition and iron intake withanemia in preconception women of childbearing age in Terbanggi Besar Subdistrict, District of Central Lampung. KnE Life Sciences. 2019;4(10):122-8. doi: 10.18502/kls.v4i10.3714
  12. Catalano PM. The impact of gestational diabetes and maternal obesity on the mother and her offspring. J Dev Orig Health Dis. 2010;1(4):208-15. doi: 10.1017/S2040174410000115
  13. Mulyani EY, Jus’at I, Angkasa D, Anggiruling DO. Analisis pengetahuan gizi dan hidrasi terhadap sikap dan perilaku ibu di masa kehamilan. Gizi Indon. 2019;42(2):91-100. doi: 10.36457/gizindo.v42i2.462
  14. Khomsan A. Teknik pengukuran pengetahuan gizi. Bogor: Institut Pertanian Bogor; 2000.
  15. George K, Kamath MS. Fertility and age. J Hum Reprod Sci. 2010;3(3):121-3. doi: 10.4103/0974-1208.7415.2
  16. Jung J, Rahman MM, Rahman MS, Swe KT, Islam MR, Akter S, et al. Effects of hemoglobin levels during pregnancy on adverse maternal and infant outcomes: a systematic review and meta-analysis. Ann N Y Acad Sci. 2019;1450(1):69-82. doi: 10.1111/nyas.14112
  17. Sari NA, Nindya TS. Relationship between fluid intake, nutritional status with hydration status of workers at general engineering PT PAL Indonesia. Media Gizi Indonesia. 2017;12(1):47-53. doi: 10.20473/mgi.v12i1.47-53
  18. Manz F, Wentz A. 24-h hydration status: parameters, epidemiolog and recommendations. Eur J Clin Nutr. 2003; 57(Suppl 2):S10-8. doi: 10.1038/sj.ejcn.1601896
  19. Campos R, Montenegro-Bethancourt G, Vossenaar M, Doak CM, Solomons NW. Volume, frequency, and participant in plain drinking water consumption by third and fourth-grades schoolchildren in Quetzaltenango, Guatemala. Asia Pac J Clin Nutr. 2009;18(2):164-70.
  20. Armstrong LE, Johnson EC, Munoz CX, Swokla B, Le Bellego L, Maresh CM, et al. Hydration biomarkers and dietary fluid consumption of women. J Acad Nutr Diet. 2012;112(7):1056-61. doi: 10.1016/j.jand.2012.03.036
  21. Kaya C, Gasimova R, Ekin M, Yasar L. Hyperemesis gravidarum: current approaches for the diagnosis and treatment. J Preg Child Health. 2016;3:296. doi: 10.4172/2376-127X.1000296
  22. Kusuma RD. Hubungan tingkat pengetahuan asupan cairan terhadap status hidrasi pada lansia di posyandu lansia Kelurahan Bajar Serasan Kecamatan Pontianak Timur. Jurnal Cerebellum. 2016;2(1):360-70.
  23. Contento I. Nutrition education: linking research, theory, and practice, second edition. Burlington (MA): Jones and Bartlett Learning; 2010.
  24. Tanentsapf I, Heitmann BL, Adegboye ARA. Systematic review of clinical trials on dietary interventions to prevent excessive weight gain during pregnancy among normal weight, overweight and obese women. BMC Pregnancy Childbirth. 2011;11:81. doi: 10.1186/1471-2393-11-81
  25. Morris RK, Meller CH, Tamblyn J, Malin GM, Riley RD, Khan KS, et al. Association and prediction of amniotic fluid measurements for adverse pregnancy outcome: systematic review and meta-analysis. BJOG. 2014;121(6):686-99. doi: 10.1111/1471-0528.12589
  26. Kader M, Perera, NKPP. Socio-economic and nutritional determinants of low birth weight in India. N Am J Med Sci. 2014;6(7):302-8. doi: 10.4103/1947-2714.136902
  27. Tang L, Pan X-F, Lee AH, Binns CW, Yang C-X, Sun X. Maternal lifestyle and nutritional status in relation to pregnancy and infant health outcomes in Western China: protocol for a prospective cohort study. BMJ Open 2017;7(6):e014874. doi: 10.1136/ bmjopen-2016-014874
  28. The Institute International Medicine (IOM). Dietary reference intakes for water, potassium, sodium, chloride, and sulfate. [series online] 2004 [cited 2019 November 15]. Available from: URL: https://www.nap.edu/read/10925/chapter/1
  29. Sari AE, Hardinsyah, Ikeu T. Effect of water intake on sprague-dawley rat off spring’s linear growth. Pak J Nutr. 2015;14(7):436-9. doi: 10.3923/pjn.2015.436.439
  30. Sawka MN, Cheuvront SN, Kenefick RW. Hypohydration and human performance: impact of environment and physiological mechanisms. Sports Med. 2015;45(Suppl 1):S51-60. doi: 10.1007/s40279-015-0395-7



DOI: https://doi.org/10.22146/ijcn.59101

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