Asupan Zat Gizi Dan Kadar Hemoglobin Wanita Prakonsepsi Di Kabupaten Semarang

Authors

  • Fillah Fithra Dieny Department of Nutrition Science, Faculty of Medecine, Universitas Diponegoro
  • Annisa Khaira Maadi Program Studi Ilmu Gizi Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro
  • Hartanti Sandi Wijayanti Program Studi Ilmu Gizi Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro
  • A.Fahmy Arif Tsani Program Studi Ilmu Gizi Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro
  • Choirun Nissa Program Studi Ilmu Gizi Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

DOI:

https://doi.org/10.21776/ub.ijhn.2019.006.02.2

Keywords:

Key words, nutrients intake, hemoglobin, preconception women

Abstract

Abstrak

Wanita prakonsepsi yang mengalami anemia berisiko mengalami berbagai masalah saat kehamilan. Salah satu faktor risiko anemia yaitu asupan zat gizi yang tidak adekuat. Penelitian ini bertujuan untuk menganalisis faktor asupan zat gizi yang berpengaruh terhadap kadar Hb wanita prakonsepsi. Penelitian ini menggunakan desain  cross-sectional dengan 70 subjek pengantin wanita di KUA Kecamatan Sumowono dan Pringapus, berusia 16-35 tahun, dipilih dengan metode consecutive sampling. Data yang diambil yaitu berat badan, tinggi badan, asupan makan, dan kadar hemoglobin. Data asupan makan diperoleh menggunakan Semi Quantitative Food Frequency Questionnaire (SQ-FFQ). Data kadar Hb diukur menggunakan metode Cyanmethemoglobin. Analisis data menggunakan uji regresi linear sederhana dan regresi linear ganda. Hasil penelitian menunjukkan bahwa prevalensi anemia dan status gizi kurang sebanyak 11,4% dan 15,7%. Asupan energi, protein, vitamin B2, seng, besi dan asam folat tergolong kurang. Asupan energi (p=0,004), protein (p=0,007), zat besi (p=0,009), dan status gizi (p=0,055) merupakan faktor yang mempengaruhi kadar Hb. Faktor yang paling berpengaruh terhadap kadar Hb adalah asupan energi dan status gizi. Kesimpulannya adalah kadar Hb pada wanita prakonsepsi dipengaruhi oleh asupan energi, protein, zat besi dan status gizi. Namun, faktor yang paling berpengaruh adalah asupan energi dan status gizi.

Kata kunci: asupan zat gizi, hemoglobin, wanita prakonsepsi

 

Abstract

 

Preconception women who have anemia are at risk of suffering problems during pregnancy. One of risk factors for anemia is inadequate nutrient intake. This study was aimed to analyze the factors of nutrient intakes that affect the level of Hb in preconception women. This study was conducted by using cross-sectional design study that consisted of 70 brides registered at Office of Religious Affairs in Sumowono and Pringapus Subdistricts, aged 16-35 years selected by consecutive sampling method. Weight, height, food intake, and hemoglobin level were measured. Food intake was obtained by using Semi Quantitative Food Frequency Questionnaire (SQ-FFQ). Hb level was measured by Cyanmethemoglobin method. Simple linear regression and multiple linear regression test were used to analyze the data. The result showed that the prevalence of anemia was 11,4% and prevalence of undernutrition status was 15,7%. Energy intake (p=0,004), protein intake (p=0,007), iron intake (p=0,009), nutritional status (p=0,055) were factors that affected Hb level. The most significant  factors of Hb level were energy intake and nutritional status. The conclussion is Hb level in preconception women was affected by energy, protein, iron intake and nutritional status. However, the most significant factors with Hb level were energy intake and nutritional status.

Keywords: nutrients intake, hemoglobin, preconception women

Author Biography

Fillah Fithra Dieny, Department of Nutrition Science, Faculty of Medecine, Universitas Diponegoro

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References

  • DAFTAR RUJUKAN
  • Denny A, Stanner S. Preconception Health:The Role of Nutrition. Clincal Focus Nutr. 2008:52–4.
  • Greaves L, Poole N. Preconception care Call for national guidelines. Canadian Family Physician. 2013;59(1):1037-39.
  • Van Driel LMJW, Zwolle LJH, de Vries JHM, Boxmeer JC, Lindemans J, Steegers EAP, et al. The preconception nutritional status of women undergoing fertility treatment: Use of a one-year post-delivery assessment. e-SPEN. 2010;5(6):284–91.
  • Badan Penelitian dan Pengembangan Kesehatan. Riset Kesehatan Dasar (RISKESDAS) 2013. 2013;1–384.
  • Ma Q, Zhang S, Liu J, Wang Q, Shen H, Zhang Y, et al. Study on the prevalence of severe anemia among non-pregnant women of reproductive age in rural China: A large population-based cross-sectional study. Nutrients. 2017;9(12):1-15.
  • Handayani TR. Determinan Kejadian Anemia Defisiensi Zat Besi Pada ibu Hamil Di Puskesmas Nagaswidak Palembang Tahun 2017. 2017;5(2):345–356.
  • Suhartati S, Rahmawaty L, Mulia SS, Mulia AS. Hubungan Anemia pada Ibu Hamil dengan Kejadian BBLR Di Wilayah Kerja Puskesmas Tanta Kabupaten Tabalong Tahun 2016. Dinamika Kesehatan. 2017;8(1):45–54.
  • Brown JE. Nutrition through the Life Cycle. Fourth Edition. Fluoride. USA: Wadsworth; 2011. 51-70.
  • Mantika, A.I., Mulyati T. Hubungan Asupan Energi, Protein, Zat Besi Dan Aktivitas Fisik Dengan Kadar Hemoglobin Tenaga Kerja Wanita Di Pabrik Pengolahan Rambut Pt. Won Jin Indonesia. Journal of Nutrition Collage. 2014;3(4):848-854.
  • Wieringa F, Marjoleine D. Nutritional Anemia in Developing Countries. Nutripass. 2010. 151-170.
  • Kathleen L, Escott-Stum S. Krause’s, Food and Nutrition Therapy. Saunders Elsevier. Canada: Elsevier Ltd; 2008. 114-120 p.
  • Safwan A, Asar F. Association between Hemoglobin status with Vitamin C Intake. Adv Obes Weight Manag Control. 2017;6(1):1–4.
  • Paul L, Selhub J. Interaction between excess folate and low vitamin B12 status. Molecular Aspects of Medicine. 2017;53:43–7.
  • Balarajan Y, Ozaltin E, Shankar A, Subramanian S. Anaemia in low-income and middle-income countries. Lancet . 2011;37:2123–35.
  • Dinas Kesehatan Kabupaten Semarang. Profil Kesehatan Kabupaten Semarang. 2016. 12-17
  • Jayanti KD, N HB, Wibowo A. Faktor Yang Mempengaruhi Kematian Ibu (Studi Kasus Di Kota Surabaya). Jurnal Wiyata. 2016;3(1):46–53.
  • Hardinsyah, Supariasa IDN. Ilmu Gizi Teori dan Aplikasi. Jakarta: Penerbit Buku Kedokteran EGC; 2016. 131.
  • McLean E, Cogswell M, Egli I, Wojdyla D, de Benoist B. Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993-2005. Public Health Nutrition. 2009;12(4):444–54.
  • Kusharto CM, Supariasa IDN. Survey Konsumsi Gizi. Yogyakarta: Graha Ilmu; 2014. 59.
  • Sugiyono. Statistik untuk Penelitian. 7th edition. Nuryanto A, editor. Bandung: ALFABETA; 2005. 243-254 p.
  • Widiastuti S, Dieny FF. Faktor determinan produktivitas kerja pada pekerja wanita. Jurnal Gizi Indonesia. 2016;4(1):28–37.
  • Sumarmi S, Puspitasari N, Handajani R, Wirjatmadi B. Underweight as a risk factor for iron depletion and iron-deficient erythropoiesis among young women in rural areas of East Java, Indonesia. Mal J Nutr . 2016;22(2):219–232.
  • Wu G, Fanzo J, Miller DD, Pingali P, Post M, Steiner JL, et al. Production and supply of high-quality food protein for human consumption: Sustainability, challenges, and innovations. Ann. N. Y. Acad. Sci. 2014;1321(1):1–19.
  • Wallace LJ, Summerlee AJS, Dewey CE, Hak C, Ann Hall NP, Charles C V. Women’s nutrient intakes and food-related knowledge in rural Kandal province, Cambodia. Asia Pac J Clin Nutr. 2014;23(2):263–271.
  • Steluti J, Martini LA, Peters BSE, Marchioni DML. Folate, vitamin B6 and vitamin B12 in adolescence: serum concentrations, prevalence of inadequate intakes and sources in food. J Pediatr (Rio J). 2011;87(1):43–9.
  • Murray R, Graner D, Rodwell V. Biokimia Harper. 27th Edition. Jakarta: EGC; 2009. 44-51.
  • Ayu D. Pengaruh suplementasi glisin terhadap kadar serum transferrin receptor (STFR) dan kadar hemoglobin (Hb). Jurnal Gizi Indonesia. 2015;4(1):22–27.
  • Thomson CA, Stanaway JD, Neuhouser ML, Snetselaar LG, Stefanick ML, Arendell L, et al. Nutrient Intake and Anemia Risk in the Women’s Health Initiative Observational Study. J Am Diet Assoc. 2011;111(4):532–541.
  • Hardinsyah, Supariasa ID nyoman. Ilmu Gizi, Teori & Aplikasi. Jakarta: EGC, Penerbit Buku Kedokteran; 2016. 87-88 .
  • Percy L, Mansour D, Fraser I. Iron deficiency and iron deficiency anaemia in women. Best Practice & Research Clinical Obstetrics and Gynaecology. 2017;40:55–67.
  • Perdana WY, Jacobus DJ. Hepcidin dan Anemia Defisiensi Besi. Cdk-235. 2015;42(12):919–926.
  • Gardiner PM, Nelson L, Shellhaas CS, Dunlop AL, Long R, Andrist S, et al. The clinical content of preconception care: nutrition and dietary supplements. American Journal of Obstetrics & Gynecology. 2008;199(6):345–356.
  • Asthalina H, Laraeni Y, Putri Y, Jurusan D, Poltekkes G, Mataram K, et al. Pola Konsumsi (Faktor Inhibitor Dan Enhancer Fe) Terhadap Status Anemia Remaja Putri. Kemas. 2015;11(1):80–86.
  • Safwan A, Ahsan F. Association between Hemoglobin status with Vitamin C Intake. Ads Obes Weight Manag Control. 2017;6(1). 1-4.
  • Michelazzo FB, Oliveira JM, Stefanello J, Luzia LA, Rondó PHC. The influence of vitamin A supplementation on iron status. Nutrients. 2013;5(11):4399–4413.
  • Sahana ON, Sumarmi S. Hubungan Asupan Mikronutrien Dengan Kadar Hemoglobin Pada Wanita Usia Subur (WUS). Media Gizi Indonesia. 2014;10(2):184–191.
  • S.Gibson R. Principle of Nutritional Assessment. 2th Editio. New York: Oxford University Press.Inc; 2005.446 p
  • Scoot J. Nutritional anemia: B-vitamins. Germany: Sight And Life Press; 2007. 111.
  • Cendani C, Murbawani EA. Asupan Mikronutrien, Kadar Hemoglobin dan Kesegaran Jasmani Remaja Putri. Media Medika Indonesia. 2011;45(1):25–33.
  • Metz Jack. A High Prevalence of Biochemical Evidence of Vitamin B12 or Folate Deficiency Does Not Translate Into a Comparable Prevalence of Anemia. Food and Nutrition Bulletin. 2008;29(2):75-85.
  • Bel-Serrat S, Stammers AL, Warthon-Medina M, Moran VH, Iglesia-Altaba I, Hermoso M, et al. Factors that affect zinc bioavailability and losses in adult and elderly populations. Nutrition Reviews. 2014;72(5):334–352.
  • Triyonate EM, Kartini A. Faktor Determinan Anemia Pada Wanita Dewasa Usia 23-35 Tahun. J Nutr Coll. 2015;4(3):259–63.
  • Murray R, W.Rodwell V. Biokimia Harper. 27th Ed. Jakarta: Penerbit Buku Kedokteran; 2009.
  • Dewi RC. Pengaruh Suplementasi Tablet Tambah Darah (TTD), Seng, dan Vitamin A Terhadap Kadar Hemoglobin Ibu Hamil. MKM. 2008;03(01):12–19.
  • S.Gropper S, L.Groff J. Advanced Nutrition and Human Metabolism. 5 ed. USA: Wadsworth Cengage Learning; 2009. 429-469.
  • A.G. Ronnerberg, M.B. Goldman, D. Chen, I.W. Aitken, W.C. Willett, J. Shellhub. Preconception folate and vitamin B6 status and clinical spontaneous abortion in Chinese women. The American College of Obstetricians and Gynecologist. 2002;100(1):107–113.
  • S.Gibson R. Principles of Nutritional Assessment. 2nd Edition. New York: Oxford University Press.Inc; 2005. 479.
  • Warner RP, Dole MG, Warder J, Suskind RM. The Anemia of Malnutrition. The Malnourished Child. 1990;19(5):61–72.
  • Qin Y, Melse-Boonstra A, Pan X, Yuan B, Dai Y, Zhao J, et al. Anemia in relation to body mass index and waist circumference among chinese women. Nutrition Journal. 2013;12(10):1-3.
  • Cepeda-Lopez AC, Osendarp SJM, Melse-Boonstra A, Aeberli I, Gonzalez-Salazar F, Feskens E, et al. Sharply higher rates of iron deficiency in obese Mexican women and children are predicted by obesity-related inflammation rather than by differences in dietary iron intake. Am J Clin Nutr. 2011;93(5):975-983.
  • Stankowiak-Kulpa H, Kargulewicz A, Styszynski A, Swora-Cwynar E, Grzymislawski M. Iron status in obese women. Annals of Agricultural and Environmental Medicine. 2017;24(4):587–591.
  • Cheng HL, Bryant CE, Rooney KB, Steinbeck KS, Griffin HJ, Petocz P, et al. Iron, Hepcidin and Inflammatory Status of Young Healthy Overweight and Obese Women in Australia. Plos One. 2013;8(7):1–6.
  • Paratmanitya Y, Hadi H. Citra tubuh , asupan makan , dan status gizi wanita usia subur pranikah. Jurnal Gizi Klinik Indonesia. 2012;8(3):126–134.

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Published

2019-12-31

How to Cite

1.
Dieny FF, Maadi AK, Wijayanti HS, Tsani AA, Nissa C. Asupan Zat Gizi Dan Kadar Hemoglobin Wanita Prakonsepsi Di Kabupaten Semarang. IJHN [Internet]. 2019 Dec. 31 [cited 2024 Apr. 24];6(2):70-83. Available from: https://ijhn.ub.ac.id/index.php/ijhn/article/view/324

Issue

Vol. 6 No. 2 (2019)

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