World Health Organization reported 56 million babies, 34 million babies are not exclusively breastfed. Previous studies have shown 80% of them came from developing countries. The achievement of exclusive breastfeeding in Indonesia based on Indonesia Health Profile (2017) is 55.7% and decreased 54.0% in 2018. West Sumatera reached exclusive breastfeeding target 66.7% in 2017, but lower than Indonesia average target 80%. Babies are not exclusively breastfed are susceptible to morbidity and mortality. Exclusive breastfeeding has a role in preventing LBW, stunting, and reducing the risk of obesity and chronic disease. The lack of mother’s knowledge associated with the practice of exclusive breastfeeding Aims, to determine the knowledge in RW 10 Pampangan Nan XX Village. The assessment of knowledge about exclusive breastfeeding and overview of its implementation. The metode of this event was intervention an education exclusive brestfeeding for 14 pregnant women in RW 10, pampangan XX. Respondent was gave education on Whatsapp and Youtube. Data collection was got by questioners and interviews. The data was processed analyzed, after that was defined priority problems and made action of plans. Result, 78.6% of mothers knew about exclusive breastfeeding but only 43% implemented it. The causes of problem were incorrect about knowledge and techniques breastfeeding. The results of this study were submitted to the puskesmas and stakeholderfor advocacy. Hope that health promotif concerning axclusive breastfedding will increase, through of online and creative medias, by the same token will be escaleting sectoral collaboration as support.
<p><sup> </sup></p><p align="center"><strong>ABSTRAK</strong></p><p><strong><em>Latar Belakang: </em></strong><em>Permasalahan gizi dalam kehamilan berupa defisiensi makronutrien, mikronutrien, dan anemia. </em><em>Kejadian anemia defisiensi besi pada ibu hamil di Indonesia berdasarkan data WHO tahun 2019 dan Riskesdas 2018 adalah 44,2% dan 48,9%. Persentase kasus anemia pada ibu hamil di Sumatera Barat dan Kota Padang tahun 2019 adalah 18,10% dan 11,2% dengan </em><em>penyebab antara lain</em><em> defisiensi makronutrien dan mikronutrien dan pola konsumsi. Defisiensi besi dapat diidentifikasi dengan pemeriksaan kadar ferritin. </em></p><p><strong><em>Tujuan: </em></strong><em>P</em><em>enelitian </em><em>ini bertujuan </em><em>mengetahui </em><em>hubungan</em><em> asupan protein, </em><em>asupan </em><em>zink, dan </em><em> </em><em>vitamin A dengan kadar ferritin ibu hamil trimester III</em><em>.</em></p><p><strong><em>Metode: </em></strong><em>Penelitian analitik cross sectional ini dilaksanakan di Puskesmas Lubuk Kilangan dan Laboratorium Biomedik Universitas Andalas pada November 2021-Juli 2022. Subjek penelitian sebanyak 64 orang ibu hamil trimester III dan teknik sampling menggunakan total sampling. Asupan protein, zink, dan vitamin A diperoleh melalui wawancara menggunakan kuesioner SQ-FFQ</em> <em>dan k</em><em>adar ferritin diperiksa dengan metode ELISA. Uji normalitas data mengunakan Kolmogorov Smirnov sementara analisis bivariat dan multivariat menggunakan uji korelasi Pearson dan regresi linear (p<0,05). </em></p><p><strong><em>Hasil: </em></strong><em>R</em><em>erata asupan protein</em><em> adalah </em><em>92</em><em>.</em><em>56 gr</em><em>, asupan </em><em>zink</em><em> 7.35</em><em> mg</em><em>, </em><em>vitamin A</em><em> </em><em>824,98 µgRE</em><em> dan </em><em>kadar ferritin</em><em> </em><em>16,267 µg/L</em><em>. A</em><em>supan protein (p=0,001</em><em>; </em><em>r= 0,7</em><em>14</em><em>), zink (p=0,001</em><em>; </em><em>r=0,428) dan vitamin A (p=0,001</em><em>; </em><em>r=0,531) </em><em>memiliki hubungan bermakna</em><em> dengan kadar ferritin. </em><em>Hasil u</em><em>ji regresi linear menunjukkan asupan protein </em><em>merupakan</em><em> </em><em>factor yang paling </em><em>ber</em><em>hubungan</em><em> dengan kadar ferritin (p= 0,001</em><em>; </em><em>β=0,598).<strong></strong></em></p><p><strong><em>Kesimpulan: </em></strong><em>Penelitian ini menyimpulkan terdapat hubungan bermakna antara asupan protein, zink, dan vitamin A dengan kadar ferritin ibu hamil trimester III. Pada kelas ibu hamil perlu diberikan edukasi gizi mengenai jenis dan peran gizi dalam mencegah anemia dan defisiensi besi </em><strong></strong></p><p> </p><p><strong>KATA KUNCI</strong><strong><em>: </em></strong><em>a</em><em>supan protein; <em> ferritin; kehamilan; </em>vitamin A; <em>zink;</em> </em><em></em></p><p> </p><p><strong> </strong></p><p align="center"><strong>ABSTRACT</strong></p><p><strong><em>Background: </em></strong><em>Macronutrient and micronutrient deficiencies, as well as anemia, are nutritional issues during pregnancy. According to WHO in 2019 and Basic Health Research in 2018, 44.20% and 48.90% of pregnant women in Indonesia were anemic. In 2019 there were 18.10% and 11.20% respectively of pregnant women who were anemic in West Sumatra Province and Padang City. Macro and micronutrient deficiencies as well as poor eating habits were the main causes of anemia in pregnancy. A trustworthy sign to detect iron deficiency anemia was the ferritin level.</em></p><p><strong><em>Objectives: </em></strong><em>This research aimed to determine the association between protein, zinc, and vitamin A consumption with ferritin level in third trimester of pregnancy.</em></p><p><strong><em>Methods: </em></strong><em>This analytical cross-sectional research was held in Lubuk Kilangan Health Center and the Biomedical Laboratory of Andalas University on November 2021-July 2022. The subject were 64 third trimester pregnant women. Protein, zinc, and vitamin A consumption were obtained by the SQ-FFQ questionnaire and the ferritin levels were examined by ELISA method. Normality test used Kolmogorov Smirnov. The bivariate and multivariate analysis used Pearson correlation and linear regression (p <0,05).</em></p><p><strong><em>Results: </em></strong><em>The mean level of protein, zinc, and vitamin A consumption were 92.56 g, 7.35 mg and 824.98 µgRE and ferritin level 16.26 µg/L. Protein (p=0.001; r=0.771), zinc (p=0.001; r=0.428) and vitamin A consumption (p=0.001; r=0.531) were significantly associated with ferritin levels. The linear regression test revealed protein consumption was the most associated factor with ferritin levels (p = 0.001; β= 0.598).</em></p><p><strong><em>Conclusions: </em></strong><em>There was a significant association of protein, zinc, and vitamin A consumption with ferritin levels in third trimester of pregnancy. </em><em>N</em><em>utritional education about the types and roles of nutrients </em><em>should be given to p</em><em>regnant women </em><em>i</em><em>n the antenatal class </em><em>to </em><em>prevent anemia and iron deficiency.</em></p><p><em> </em></p><p><strong>KEYWORD</strong><strong><em>: </em></strong><em><em>ferritin; </em></em><em>p</em><em>rotein; pregnancy; <em>vitamin A consumption; </em><em>zinc</em></em><em></em></p><script type="text/javascript" src="chrome-extension://lopnbnfpjmgpbppclhclehhgafnifija/aiscripts/t.js"></script><script type="text/javascript" src="chrome-extension://lopnbnfpjmgpbppclhclehhgafnifija/aiscripts/script-main.js"></script><script type="text/javascript" src="chrome-extension://lopnbnfpjmgpbppclhclehhgafnifija/aiscripts/t.js"></script><script type="text/javascript" src="chrome-extension://lopnbnfpjmgpbppclhclehhgafnifija/aiscripts/script-main.js"></script>
The deficiency of micronutrients and anemia are nutritional problems in pregnancy. WHO in 2019 and Riskesdas in 2018 reported that anemic pregnant women in Indonesia were 44.2% and 48.9%. Public Health Service also reported there was an increased prevalence of this problem in West Sumatra and Padang City in 2019 which was 18.1% and 11.2%. Micronutrient deficiency affected the hemoglobin (Hb) level, which is one of the indicators marking anemia in pregnancy. The objective was to determine the correlation between zinc and folic acid with hemoglobin levels in the third trimester of pregnancy. This analytical cross-sectional research was held in the Health Center and laboratory of Lubuk Kilangan on May-July 2022. The population and samples were 64 third-trimester pregnant women with total sampling. Intake data were collected through interviews using the Food Frequency Questionnaire (FFQ). Hemoglobin levels were examined by a hematology analyzer. Pearson correlation was used to identify the correlation of the variables (P< 0.05) . The mean levels of zinc and folic acid intake and hemoglobin levels were 7.35 mg, 215.56 mcg, and 11.08 g/dL. There was a positive correlation between zinc (p=0,015) and folic acid (p=0.004) with hemoglobin levels in the third trimester of pregnancy.
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