Factors associated with preconception nutritional readiness in prospective brides in Bantul District, Indonesia

Fina Dewi Sundari -  Graduate School of Public Health, Faculty of Health Sciences, University of Alma Ata, Yogyakarta, Indonesia
Yhona Paratmanitya* -  Department of Nutrition, Faculty of Health Sciences, University of Alma Ata, Yogyakarta, Indonesia
Effatul Afifah -  Graduate School of Public Health, Faculty of Health Sciences, University of Alma Ata, Yogyakarta, Indonesia

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Nutritional support was required at a higher concentration in the preconception period than in the earlier period. However, awareness about preconception nutrition remains low. Sociodemographic factors are thought to be related to preconception nutritional readiness. Objective, to identify the factors that influence preconception nutritional readiness in prospective brides. Method, this cross-sectional study was conducted from August to December 2023 and involved 111 prospective brides in Bantul Regency. Data collected included socio-demographic data and preconception nutritional readiness, measured by 10 indicators, including nutritional status, hemoglobin (Hb) level, nutrients intake, preconception nutrition knowledge, and iron and/or folate supplement consumption. Hemoglobin level were determined by Hb examination at the Community Health Center, whereas dietary and supplement intake were measured using a semi-quantitative food frequency questionnaire (SQ-FFQ). Data were analyzed using the chi-square test with statistical significance set at p-value <0,05. Results, the majority of subjects could only fulfill the five indicators of preconception nutrition readiness. Knowledge, calcium and folate intake were the lowest 3 indicators that could be met (<40%). There was no significant relationship between socio-demographic factors, educational history, and preconception nutritional readiness (p>0,05).  In conclusion, socio-demographic factors, and education had no association with preconception nutritional readiness in prospective brides.

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Keywords : Dietary intake, knowledge, preconception, nutritional status, women of reproductive age

  1. Al-Hakmani, F. M., Al-Fadhil, F. A., Al-Balushi, L. H., Al-Harthy, N. A., Al-Bahri, Z. A., Al-Rawahi, N. A., Al-Dhanki, M. S., Masoud, I., Afifi, N., Al-Alawi, A., Padmakumar, H., & Kurup, P. J. (2016). The effect of obesity on pregnancy and its outcome in the population of Oman, Seeb Province. Oman Medical Journal, 31(1), 12–17. https://doi.org/10.5001/omj.2016.03
  2. Anggraeny, O., & Ariestiningsih, A. D. (2017). Gizi prakonsepsi, kehamilan, dan menyusui. UB Press. https://www.google.co.id/books/edition/Gizi_Prakonsepsi_Kehamilan_dan_Menyusui/68hTDwAAQBAJ?hl=id&gbpv=1&dq=Kebutuhan+gizi+prakonsepsi&printsec=frontcover
  3. Ballestín, S. S., Campos, M. I. G., Ballestín, J. B., & Bartolomé, M. J. L. (2021). Is supplementation with micronutrients still necessary during pregnancy? A review. Nutrients, 13(9), 1–30. https://doi.org/10.3390/nu13093134
  4. Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., Onis, M. de, Ezzati, M., McGregor, S. G., Katz, J., Martorell, R., & Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. https://doi.org/10.1016/S0140-6736(13)60937-X
  5. Cesare, M. Di, Ghosh, S., Osendarp, S., & Mozaffarian, D. (2021). A world free from malnutrition: an assessment of progress towards the global nutrition targets. In 2021 Global Nutrition Report. https://globalnutritionreport.org/reports/2021-global-nutrition-report/
  6. Dean, S. V, Lassi, Z. S., Imam, A. M., & Bhutta, Z. A. (2014). Preconception care: nutritional risks and interventions. Reproductive Health, 11(Suppl 3), S3. https://doi.org/10.1186/1742-4755-11-S3-S3
  7. Dewi, L. C., & Sudarti, S. (2017). Faktor faktor yang berhubungan dengan tingkat pengetahuan ibu tentang obesitas pada balita di Posyandu Temupoh 1 wilayah kerja Puskesmas Tegalrejo Yogyakarta tahun 2017. Jurnal Medika Respati, 12(4), 39–50. https://doi.org/10.35842/mr.v12i4.96
  8. Dhaded, S. M., Hambidge, K. M., Ali, S. A., Somannavar, M., Saleem, S., Pasha, O., Khan, U., Herekar, V., Vernekar, S., Yogesh Kumar, S., Westcott, J. E., Thorsten, V. R., Sridhar, A., Das, A., McClure, E., Derman, R. J., Goldenberg, R. L., Koso-Thomas, M., Goudar, S. S., & Krebs, N. F. (2020). Preconception nutrition intervention improved birth length and reduced stunting and wasting in newborns in South Asia: the women first randomized controlled trial. PLoS ONE, 15(1), 1–15. https://doi.org/10.1371/journal.pone.0218960
  9. Hanifah, L., & Fauziah, A. N. (2019). Hubungan antara pendidikan dan penghasilan dengan pengetahuan wanita usia subur tentang Iva tes. Jurnal Kebidanan Indonesia, 10(1), 114–125. https://doi.org/10.36419/jkebin.v10i1.250
  10. Hasanah, U., Afifah, E., & Nurwanti, E. (2017). Dietary magnesium intake and risk of hypertension among adult outpatients. Jurnal Gizi Dan Dietetik Indonesia, 5(3), 119–126. https://doi.org/10.21927/ijnd.2017.5(3).119-126
  11. Hidayati, D. U., Yulastini, F., & Fajriani, E. (2022). Pengaruh edukasi 1000 hari pertama kehidupan (HPK) terhadap pengetahuan dan sikap wanita usia subur (WUS). Journal of Holistic Nursing and Health Science, 5(2), 169–177. https://doi.org/10.14710/hnhs.5.2.2022.25-33
  12. Januarti, A., Qurniasih, N., Kristianingsih, A., & Kusumawardani, P. (2020). Pengaruh penyuluhan kesehatan reproduksi terhadap pengetahuan calon pengantin. Jurnal Maternitas Aisyah, 1(3), 182–188. http://digilib.unisayogya.ac.id/id/eprint/2703
  13. Kementrian Kesehatan R.I. (2019). Laporan nasional riset kesehatan dasar 2018. Kementrian Kesehatan R.I.
  14. Lassi, Z. S., Kedzior, S. G. E., Das, J. K., & Bhutta, Z. A. (2019). Effects of preconception care and periconception interventions on maternal nutritional status and birth outcomes in low- and middle-income countries: a systematic review. Nutrients, 15(1–2), 1–9. https://doi.org/10.1002/cl2.1007
  15. Lestari, E., Shaluhiyah, Z., & Adi, M. S. (2023). Intervensi pencegahan stunting pada masa prakonsepsi: literature review. The Indonesian Journal of Health Promotion, 6(2), 214–221. https://doi.org/10.56338/mppki.v6i2.2994
  16. Mao, Y. Y., Yang, L., Li, M., Liu, J., Zhu, Q. X., He, Y., & Zhou, W. J. (2020). Periconceptional folic acid supplementation and the risk of spontaneous abortion among women who prepared to conceive: impact of supplementation initiation timing. Nutrients, 12(8), 1–11. https://doi.org/10.3390/nu12082264
  17. Martorell, R., & Zongrone, A. (2012). Intergenerational influences on child growth and undernutrition. Paediatric Perinatal Epidemiology Journal, 26(1), 302–314. https://doi.org/10.1111/j.1365-3016.2012.01298.x
  18. Melchor, I., Burgos, J., Del Campo, A., Aiartzaguena, A., Gutiérrez, J., & Melchor, J. C. (2019). Effect of maternal obesity on pregnancy outcomes in women delivering singleton babies: a historical cohort study. Journal of Perinatal Medicine, 47(6), 625–630. https://doi.org/10.1515/jpm-2019-0103
  19. Nasriyah, & Ediyono, S. (2023). Dampak kurangnya nutrisi pada ibu hamil terhadap risiko stunting pada bayi yang dilahirkan. Jurnal Ilmu Keperawatan Dan Kebidanan, 14(1), 161–170. https://doi.org/26751/jikk.v14i1.1627
  20. Paratmanitya, Y., Helmyati, S., Nurdiati, D. S., Lewis, E. C., & Hadi, H. (2020). Assessing preconception nutrition readiness among women of reproductive age in Bantul, Indonesia: findings from baseline data analysis of a cluster randomized trial. Jurnal Gizi Dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), 8(2), 68–79. https://doi.org/10.21927/ijnd.2020.8(2).68-79
  21. Patata, N. P., Haniarti, H., & Usman, U. (2021). Pengaruh pemberian edukasi gizi terhadap pengetahuan dan sikap calon pengantin dalam pencegahan stunting di KUA Kabupaten Tana Toraja. Jurnal Sains Dan Kesehatan, 3(2), 458–463. https://doi.org/10.25026/jsk.v3i3.429
  22. Ramakrishnan, U. (2020). Impact of nutrition on the next generation: the INCAP longitudinal study. Food and Nutrition Bulletin, 41(1), 50–58. https://doi.org/10.1177/0379572120915422
  23. Saleh, A., Syahrul, S., Hadju, V., Andriani, I., & Restika, I. (2021). Role of maternal in preventing stunting: a systematic review. Gaceta Sanitaria, 35, S576–S582. https://doi.org/10.1016/j.gaceta.2021.10.087
  24. Santosa, A., Arif, E. N., & Ghoni, D. A. (2022). Effect of maternal and child factors on stunting: partial least squares structural equation modeling. Clinical and Experimental Pediatrics, 65(2), 90–97. https://doi.org/10.3345/cep.2021.00094
  25. Shapu, R. C., Ismail, S., Ahmad, N., Lim, P. Y., & Njodi, I. A. (2020). Systematic review: effect of health education intervention on improving knowledge, attitudes and practices of adolescents on malnutrition. Nutrients, 12(8), 1–19. https://doi.org/10.3390/nu12082426
  26. Stephenson, J., Heslehurst, N., Hall, J., Schoenaker, D. A. J. M., Hutchinson, J., Cade, J. E., Poston, L., Barrett, G., Crozier, S. R., Barker, M., Kumaran, K., Yajnik, C. S., Baird, J., & Mishra, G. D. (2018). Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health. The Lancet, 391(10132), 1830–1841. https://doi.org/10.1016/S0140-6736(18)30311-8
  27. Susilowati, S., & Kuspriyanto, K. (2016). Gizi dalam daur kehidupan (A. Suzana (ed.)). PT Refika Aditama.
  28. Vasundhara, D., Hemalatha, R., Sharma, S., Ramalaxmi, B. A., Bhaskar, V., Babu, J. J., Kankipati Vijaya, R. K., & Mamidi, R. S. (2020). Maternal MUAC and fetal outcome in an Indian tertiary care hospital: a prospective observational study. Maternal and Child Nutrition, 16(2), 1–8. https://doi.org/10.1111/mcn.12902
  29. Wisdayanti, Nurhapsa, & Fitriani Umar. (2022). Faktor-faktor yang mempengaruhi kejadian kurang energi kronik pada wanita usia subur di Kecamatan Maiwa Kabupaten Enrekang. Jurnal Ilmiah Manusia Dan Kesehatan, 5(1), 475–486. https://doi.org/10.31850/makes.v5i1.724
  30. World Health Organization. (2013). Meeting to develop a global consensus on preconception care to reduce maternal and childhood mortality and morbidity. https://www.who.int/publications/i/item/9789241505000
  31. Yani, M., Azhari, A., Al Rahmad, A. H., Bastian, F., Ilzana, T. M., Rahmi, C. R., Andriaty, S. N., Chanda, A., & Salsabila, S. (2023). The relationship between menarche and nutritional status in Junior High School students in Aceh Besar. A study from 30 years of armed conflict area, Aceh, Indonesia. AcTion: Aceh Nutrition Journal, 8(4), 635–641. https://doi.org/10.30867/action.v8i4.1310
  32. Zhang, Q., Lu, X. M., Zhang, M., Yang, C. Y., Lv, S. Y., Li, S. F., Zhong, C. Y., & Geng, S. S. (2021). Adverse effects of iron deficiency anemia on pregnancy outcome and offspring development and intervention of three iron supplements. Scientific Reports, 11(1), 1–11. https://doi.org/10.1038/s41598-020-79971-y

Open Access Copyright (c) 2024 Fina Dewi Sundari, Yhona Paratmanitya, Effatul Afifah
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AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
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