Diana Rian, Khomsan Ali, Anwar Faisal, Christianti Dyan Fajar, Kusuma Rendra, Rachmayanti Riris Diana
Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Campus C Mulyorejo, Surabaya, East Java 60115, Indonesia.
Department of Community Nutrition, Faculty of Human Ecology, IPB University, Bogor, Indonesia.
J Nutr Metab. 2019 Sep 30;2019:2647230. doi: 10.1155/2019/2647230. eCollection 2019.
Dietary diversity and quantity are important for pregnant women, particularly anemic pregnant women. This study aimed to analyze the association between dietary quantity and diversity among anemic pregnant women. This cross-sectional study was conducted in 2017 at Madura Island, Indonesia, and involved 152 anemic pregnant women. Hemoglobin concentration was analyzed by the cyanmethemoglobin method. Dietary quantity was measured by the 2 × 24 h recall. Dietary diversity was determined by Minimum Dietary Diversity for Women of Reproductive Age (MDD-W). Spearman's rank association was performed to analyze the association between dietary diversity and quantity. The median of hemoglobin concentration was 10.1 g/dL, and 57.2% pregnant women had mild anemia. Most of the pregnant women had low adequacy levels of energy and macro- and micronutrients (except for iron). More than half (57.9%) of anemic pregnant women had reached minimum dietary diversity. Family size (=0.048) and gestational age (=0.004) had negative associations with dietary diversity. Dietary diversity had positive associations with energy (=0.029), protein (=0.003), vitamin A (=0.001), vitamin C (=0.004), and zinc (=0.015) adequacy levels. Dietary diversity had no significant association with calcium (=0.078) and iron adequacy level (=0.206). High prevalence of mild and moderate anemia was found among pregnant women in their third trimester. Anemic pregnant women already consumed food with minimum dietary diversity but did not meet dietary quantity. Increasing dietary quantity is a priority for anemic pregnant women.
饮食多样性和摄入量对孕妇,尤其是贫血孕妇很重要。本研究旨在分析贫血孕妇的饮食摄入量与多样性之间的关联。这项横断面研究于2017年在印度尼西亚马都拉岛进行,涉及152名贫血孕妇。采用氰化高铁血红蛋白法分析血红蛋白浓度。通过2×24小时回顾法测量饮食摄入量。饮食多样性由育龄妇女最低饮食多样性(MDD-W)确定。采用Spearman等级关联分析饮食多样性与摄入量之间的关联。血红蛋白浓度中位数为10.1g/dL,57.2%的孕妇患有轻度贫血。大多数孕妇能量、常量和微量营养素(铁除外)的充足水平较低。超过一半(57.9%)的贫血孕妇达到了最低饮食多样性。家庭规模(=0.048)和孕周(=0.004)与饮食多样性呈负相关。饮食多样性与能量(=0.029)、蛋白质(=0.003)、维生素A(=0.001)、维生素C(=0.004)和锌(=0.015)的充足水平呈正相关。饮食多样性与钙(=0.078)和铁充足水平(=0.206)无显著关联。在孕晚期孕妇中发现轻度和中度贫血的患病率较高。贫血孕妇已摄入具有最低饮食多样性的食物,但未达到饮食摄入量要求。增加饮食摄入量是贫血孕妇的首要任务。