The efficacy of combined nutrition education and nutritional supplementation on nutritional status of prospective brides to prevent stunting in newborns

Authors

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20223537

Keywords:

Education, Nutrition supplementation, Nutritional status, Prospective bride, Stunting

Abstract

Background: Optimal growth and development of children is an indicator of the quality of human resources. Stunting is a condition of linear growth retardation which is the result of a long-term lack of nutrients. The stunting problem prevention program is prioritized in the first 1000 days of and the bride and groom who will later become pregnant and give birth to offspring. The purpose of this study was to determine the effect of a combination of nutritional education and nutritional supplementation on changes in the nutritional status of the prospective bride and groom to prevent stunting in newborns.

Methods: The design was quasi-experimental with a pre-post intervention in Sumbawa Regency, West Nusa Tenggara in June 2020 to October 2021. Sample size: 126 of prospective brides aged 20-30 years who were divided into 3 groups. Data analysis used Paired t-test, Wilcoxon, ANOVA and Kruskal Wallis.

Results: Mean BMI after intervention: 22.08±3.12 kg/m2. The intervention reduced the underweight category from 31 (24.6%) to 19 (15.1%). The average weight gain of pregnant women after the intervention was 63.08±7.02 kg. Statistical test there was a difference between groups (p = 0.000). The effect of intervention on infant anthropometry was 13 (11.21%) body length <48 cm and 11 (9.48%) LBW and 10 (8.62%) abnormal head circumference.

Conclusions: The intervention can change the parameters of the nutritional status of the subject and there is a relationship between weight gain during pregnancy and infant anthropometry (p=0.000).

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Author Biographies

Ni Gusti Ayu K. Dewi Pramoni, Department of Nutrition, Faculty of Human Ecology Bogor Agricultural University, West Java Province Indonesia Sumbawa District Health Office, West Nusa Tenggara Province, Indonesia

Post Graduate student at Department of Community Nutrition, IPB University, Bogor, Indonesia

Ikeu Tanziha, Department of Nutrition, Faculty of Human Ecology Bogor Agricultural University, West Java Province Indonesia

Professor at Departemen of Community Nutrition, Faculty of Human Ecology, IPB University, Bogor, Indonesia

Dodik Briawan, Department of Nutrition, Faculty of Human Ecology Bogor Agricultural University, West Java Province Indonesia

Professor at Departemen of Community Nutrition, Faculty of Human Ecology, IPB University, Bogor, Indonesia

Ali Khomsan, Department of Nutrition, Faculty of Human Ecology Bogor Agricultural University, West Java Province Indonesia

Professor at Departemen of Community Nutrition, Faculty of Human Ecology, IPB University, Bogor, Indonesia

References

Paratmanitya Y, Hadi H, Susetyowati S. Citra tubuh, asupan makan, dan status gizi wanita usia subur pranikah. J Gizi Klin Indones. 2012;8(3):126.

Senbanjo IO, Olayiwola IO, Afolabi WA, Senbanjo OC. Maternal and child under-nutrition in rural and urban communities of Lagos state, Nigeria: The relationship and risk factors. BMC Res Notes. 2013;6(1):1.

Kathryn G. Dewey, Khadijah B. Long-term consequences of stunting in early life. Matern Child Nutr. 2011;7(3):5-18.

Branca F. Nutrition and health in women, children, and adolescent girls. BMJ. 2015;351(1):27-31.

Salimar AI. Pre-pregnancy maternal nutritional status as a predictor of birth weight and length in the bogor central district, bogor city. Penel Gizi Makan. 2014;37(2):119-28.

Schmidt MK, Muslimatun S, West CE, Schultink W, Gross R, Hautvast JGAJ. Nutritional Status and linear growth of indonesian infants in west java are determined more by prenatal environment than by postnatal factors. J Nutr. 2002;132:2202-7.

Gernand AD, Schulze KJ, Stewart CP, West KP, Christian P. Micronutrient deficiencies in pregnancy worldwide: health effects and prevention. Nat Rev Endocrinol. 2016;12(5):274-89.

Mousa A, Naqash A, Lim S. Macronutrient and micronutrient intake during pregnancy: An overview of recent evidence. Nutrients. 2019;11(2):23-9.

Kemenkes RI. Profil Kesehatan Indonesia 2017. Available at: https://kemkes.go.id/view/ 19070400001/profil-kesehatan-indonesia-tahun-2018.html. Accessed on 20 November 2021.

Bhutta ZA, Salam RA, Das JK. Meeting the challenges of micronutrient malnutrition in the developing world. Br Med Bull. 2013;106(1):7-17.

World Health Statistics. Available at: https://apps.who.int/iris/handle/10665/44844. Accessed on 20 November 2021.

Aguayo VM, Paintal K, Singh G. The Adolescent Girls’ Anaemia Control Programme: A decade of programming experience to break the inter-generational cycle of malnutrition in India. Public Health Nutr. 2013;16(9):1667-76.

Berti C, Gaffey MF, Bhutta ZA, Cetin I. Multiple-micronutrient supplementation: Evidence from large-scale prenatal programmes on coverage, compliance and impact. Matern Child Nutr. 2018;14(11):1-11.

Dean S V., Lassi ZS, Imam AM, Bhutta ZA. Preconception care: Closing the gap in the continuum of care to accelerate improvements in maternal, newborn and child health. Reprod Health. 2014;11(3):S1.

Sanghvi TG, Harvey PWJ, Wainwright E. Maternal iron-folic acid supplementation programs: Evidence of impact and implementation. Food Nutr Bull. 2010;31(2):100-7.

Bhutta ZA, Imdad A, Ramakrishnan U, Martorell R. Is it time to replace iron folate supplements in pregnancy with multiple micronutrients? Paediatr Perinat Epidemiol. 2012;26(1):27-35.

Fall CHD, Fisher DJ, Osmond C. Multiple micronutrient supplementation during pregnancy in low-income countries: A meta-analysis of effects on birth size and length of gestation. Food Nutr Bull. 2009;30(4):408-12.

West KP, Shamim AA, Mehra S. Effect of Maternal multiple micronutrient vs iron-folic acid supplementation on infant mortality and adverse birth outcomes in rural Bangladesh: The JiVitA-3 randomized trial. J Am Med Assoc. 2014;312(24):2649-58.

Kemenkes RI. Pedoman Pencegahan Dan Penanggulangan Anemia Pada Remaja Putri Dan Wanita Usia Subur (WUS). Available at: https://promkes.kemkes.go.id. Accessed on 20 November 2021.

Prabandari Y, Hanim D, AR RC, Indarto D. Hubungan kurang energi kronik dan anemia pada ibu hamil dengan status gizi bayi usia 6-12 bulan di Kabupaten Boyolali. Penelit Gizi dan Makanan. 2016;39(1):1-8.

Ramli, Agho KE, Inder KJ, Bowe SJ, Jacobs J, Dibley MJ. Prevalence and risk factors for stunting and severe stunting among under-fives in North Maluku province of Indonesia. BMC Pediatr. 2009;9:64.

Black RE, Allen LH, Bhutta ZA, et al. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet. 2008;371(9608):243-60.

Bhutta Z, Rizvi A, Raza F, Zaidi S. A Comparative evaluation of multiple micronutrient and iron – folic acid supplementation during pregnancy in pakistan : impact on pregnancy multiple micronutrient supplementation during pregnancy in developing country. Food Nutr Bull. 2009;30(4):496-505.

Pojda JA, Laura Kelley. Low birthweight : a report based on the international low birthweight symposium and workshop held on 14-17 June 1999 at the International centre for diarrhoeal disease research in Dhaka, Bangladesh. United Nations. International Low Birthweight Symposium. 2000.

Okubo H, Miyake Y, Sasaki S, Tanaka K, Murakami K. Maternal dietary patterns in pregnancy and fetal growth in Japan : the Osaka Maternal and Child Health Study. Br J Nutr. 2012;107:1526-33.

Yongky Y, Hardinsyah H, Gulardi G, Marhamah M. Status gizi awal kehamilan Dan pertambahan berat iadan Ibu hamil kaitannya dengan bblr. J Gizi dan Pangan. 2009;4(1):8.

Shiddiq A, Lipoeto NI, Yusrawati Y. Hubungan pertambahan berat badan ibu hamil terhadap berat bayi lahir di Kota Pariaman. J Kesehat Andalas. 2015;4(2):472-7.

Fitri Ruchayati. Hubungan kadar hemoglobin dan lingkar lengan atas ibu halmahera kota semarang. J Kesehat Masy. 2012;1:578-85.

Nobre RG, Azevedo DV de, Paulo Cesar de Almeida NMGS de A and FE de LF, Feitosa. Weight-Gain Velocity in Newborn Infants Managed with the Kangaroo Method and Associated Variables. Matern Child Health J. 2017;21(1):23-8.

Kesumawati D, Hidayah N. Determinant of stunting in children aged 24-59 months in the kasreman community health center. J Vocat Nurs. 2020;1(2):1-9.

Putri TA, Salsabilla DA, Saputra RK. The effect of low birth weight on stunting in children under five: a meta analysis. J Matern Child Heal. 2022;6(4):496-506.

Fall CHD, Yajnik CS, Rao S, Davies A a, Brown N, Farrant HJW. Micronutrients and Fetal Growth. J Nutr. 2003;133(4):1747S.

Allen LH. Multiple micronutrients in pregnancy and lactation: An overview. Am J Clin Nutr. 2005;81(5):1206-12.

Sumarmi S, Wirjatmadi B, Kuntoro, Thaha AR, Soekirman. Preconception multimicronutrient intervention in prospective brides to prevent neonatal-stunting in Probolinggo Regency, East Java. Gizi Mikro Indones. 2018;3:47-55.

Shi H, Enriquez A, Moreau J. NAD Deficiency, congenital malformations and niacin Supplementation. J Med. 2017;377(6):544-52.

Swamilaksita PD. The efficacy of nutritional supplementation in pregnant women on pregnancy outcomes. Media Gizi Mikro Indones. 2016;8(1):27-42.

Sumarmi S, Wirjatmadi B, Kuntoro, Thaha AR, Soekirman. Intervensi multimikronutrien masa prakonsepsi pada calon pengantin untuk mencegah neonatal-stunting di Kabupaten Probolinggo, Jawa Timur. Gizi Mikro Indones. 2018;3:47-55.

Smith ER, Shankar AH, Wu LSF, et al. Modifiers of the effect of maternal multiple micronutrient supplementation on stillbirth, birth outcomes, and infant mortality: a meta-analysis of individual patient data from 17 randomised trials in low-income and middle-income countries. Lancet Glob Heal. 2017;5(11):e1090-100.

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Published

2022-12-29

How to Cite

Pramoni, N. G. A. K. D., Tanziha, I., Briawan, D., & Khomsan, A. (2022). The efficacy of combined nutrition education and nutritional supplementation on nutritional status of prospective brides to prevent stunting in newborns. International Journal Of Community Medicine And Public Health, 10(1), 134–141. https://doi.org/10.18203/2394-6040.ijcmph20223537

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Original Research Articles