Associations between diet quality, blood pressure, and glucose levels among pregnant women in the Asian megacity of Jakarta

Siregar, Deviana Ayushinta Sani; Rianda, Davrina; Irwinda, Rima; Utami, Annisa Dwi; Hanifa, Hanifa; Shankar, Anuraj H.; Agustina, Rina

doi:10.1371/journal.pone.0242150

Cited by 6 publications

(9 citation statements)

References 45 publications

(59 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although dietary sources of vitamin D were not commonly and adequately consumed and vitamin D-fortified foods were limited in low-middle income countries, abundant sunlight in Indonesia and Malaysia should allow direct sun exposure to the skin and become a potential source of the vitamin D to meet its requirement. However, vitamin D insufficiency and deficiency were widespread, not only among pregnant women ( 9 , 20 , 21 ), but also across population from newborns ( 103 ), children ( 104 ), adolescents ( 105 , 106 ), adults ( 22 ), and elderly ( 107 ) in these countries. Countries in Asia, the Middle East, and Africa were frequently reported to have a high prevalence of vitamin D deficiencies.…”

Section: Discussionmentioning

confidence: 99%

“…Dietary supplements consumption was not a common practice among pregnant and lactating women in Indonesia and Malaysia ( 9 , 19 , 20 ), unless it was given by the health workers. A recent large survey among Malaysian adults found only 28.1% of women were more likely to consume the vitamin/mineral supplements ( 101 ).…”

Section: Discussionmentioning

confidence: 99%

“…A balanced diet with appropriate nutrient intake is recommended during pregnancy and lactation. However, previous studies highlighted that poor diet quality was predominant among healthy ( 19 ) and pregnant women in Indonesia ( 20 ). A similar dietary pattern among indigenous ( 21 ) and pregnant women ( 22 ) in Malaysia was also reported.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Nutrient intakes of pregnant and lactating women in Indonesia and Malaysia: Systematic review and meta-analysis

et al. 2023

Self Cite

View full text Add to dashboard Cite

IntroductionOptimizing dietary intake during pregnancy and lactation is crucial to the growth and development of children and their lifelong health. We performed a systematic review and meta-analysis to describe the nutrient intakes of pregnant and lactating women in Indonesia and Malaysia, countries that are experiencing rapid nutrition transition in Southeast Asia.MethodsWe screened 2,258 studies published between January 1980 and March 2021. The nutrient intakes of pregnant and lactating women were quantitatively analyzed to calculate the percentage of adequacy using national recommended daily allowances or nutrient intakes (RDA/RNI) and estimated average requirements (EAR) for micronutrients. Standardized mean differences (SMD) between dietary intake and RDA/RNI were determined for selected nutrients.ResultsFifty-three studies were included and showed that energy and macronutrient intakes among pregnant and lactating women in both countries were below the RDA/RNI. In addition, most studies reported that women failed to meet the EAR for vitamin D (<70% EAR), vitamin E (<50% EAR), and water-soluble vitamins (<80% EAR) except for vitamin C and A among Malaysians. Moreover, calcium, potassium, and iron intakes of pregnant women were <60% EAR in Indonesia and <80% EAR in Malaysia. Phosphorus intake among pregnant women in both countries and sodium intake among Malaysian pregnant women exceeded 100% EAR. Indonesian lactating women had <60% EAR for calcium and potassium intakes, while Malaysian women had more than 100% EAR. For 21 studies reporting overall protein intakes, the standard mean difference (SMD) was −2.26 (95% CI; −2.98, −1.54) below the RDA/RNI for pregnant women and −0.67 SMD (95% CI −15.7, −11.5) for lactating women. When the four studies from Malaysia were analyzed separately, protein intakes of pregnant women were above the RNI. Moreover, low intakes of vitamin D, vitamin C, calcium, and iron, but sufficient intakes in vitamin A, zinc, and phosphorus were observed in pregnant women in both countries.ConclusionDietary intakes of energy, macronutrients, and micronutrients (vitamin D, vitamin E, water-soluble vitamins, calcium, and iron) of pregnant and lactating women in Indonesia and Malaysia were below the recommendations. Important heterogeneities were observed even between these two countries for specific essential nutrient intakes. Innovative research and targeted programs to address specific deficiencies should be prioritized.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021252204, identifier: CRD42021252204.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Nutrient intakes of pregnant and lactating women in Indonesia and Malaysia: Systematic review and meta-analysis

et al. 2023

Self Cite

View full text Add to dashboard Cite

show abstract

“…Secondly, we used CPG instead of VPG (the gold standard) for the screening examination. However, CPG has been proven to be acceptable for diabetes screening in pregnancy areas with limited resources [ 13 ] and was used in a similar study in Jakarta, Indonesia [ 30 ]. Thirdly, due to the small number of TDP cases detected in our study population, this study could have been underpowered to measure a precise rate of DR and nephropathy in pregnant women with TDP.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of diabetes in pregnancy and microvascular complications in native Indonesian women: The Jogjakarta diabetic retinopathy initiatives in pregnancy (Jog-DRIP)

et al. 2022

View full text Add to dashboard Cite

Objectives To report the prevalence of total diabetes in pregnancy (TDP) and diabetes-related microvascular complications among Indonesian pregnant women. Methods We conducted a community-based cross-sectional study with multi-stage, cluster random sampling to select the participating community health centers (CHC) in Jogjakarta, Indonesia between July 2018-November 2019. All pregnant women in any trimester of pregnancy within the designated CHC catchment area were recruited. Capillary fasting blood glucose (FBG) and blood glucose (BG) at 1-hour (1-h), and 2-hour (2-h) post oral glucose tolerance test (OGTT) were measured. TDP was defined as the presence of pre-existing diabetes or diabetes in pregnancy (FBG ≥7.0 mmol/L, or 2-h OGTT ≥11.1 mmol/L, or random BG ≥11.1 mmol/L with diabetes symptoms). Disc and macula-centered retinal photographs were captured to assess diabetic retinopathy (DR). Blood pressure, HbA1c and serum creatinine levels were also measured. Results A total of 631/664 (95%) eligible pregnant women were included. The median age was 29 (IQR 26–34) years. The prevalence of TDP was 1.1% (95%CI 0.5, 2.3). It was more common in women with chronic hypertension (p = 0.028) and a family history of diabetes (p = 0.015). Among the TDP group, 71% had a high HbA1c, but no DR nor nephropathy were observed. Conclusions Although a very low prevalence of TDP and no diabetes-related microvascular complications were documented in this population, there is still a need for a screening program for diabetes in pregnancy. Once diabetes has been identified, appropriate management can then be provided to prevent adverse outcomes.

show abstract

“…Gestational diabetes mellitus (GDM) is characterized by insufficient insulin secretion and impaired glucose intolerance during pregnancy (1). It has been estimated that over the past 20 years the worldwide prevalence of GDM has been up to 14% of pregnancies, though estimates may vary among regions depending on diagnostic criteria (2). GDM has been associated with adverse pregnancy outcomes among pregnant women including dystocia, macrosomia, neonatal hypoglycemia, and birth injuries (3).…”

Section: Introductionmentioning

confidence: 99%

Mechanismbased role of the intestinal microbiota in gestational diabetes mellitus: A systematic review and meta-analysis

Yan

Guo²,

Ji³

et al. 2023

Front. Immunol.

View full text Add to dashboard Cite

BackgroundMetabolic disorders caused by intestinal microbial dysregulation are considered to be important causes of gestational diabetes mellitus (GDM). Increasing evidence suggests that the diversity and composition of gut microbes are altered in disease states, yet the critical microbes and mechanisms of disease regulation remain unidentified.MethodsPubMed® (National Library of Medicine, Bethesda, MD, USA), Embase® (Elsevier, Amsterdam, the Netherlands), the Web of Science™ (Clarivate™, Philadelphia, PA, USA), and the Cochrane Library databases were searched to identify articles published between 7 July 2012 and 7 July 2022 reporting on case–control and controlled studies that analyzed differences in enterobacteria between patients with GDM and healthy individuals. Information on the relative abundance of enterobacteria was collected for comparative diversity comparison, and enterobacterial differences were analyzed using random effects to calculate standardized mean differences at a p-value of 5%.ResultsA total of 22 studies were included in this review, involving a total of 965 GDM patients and 1,508 healthy control participants. Alpha diversity did not differ between the participant groups, but beta diversity was significantly different. Firmicutes, Bacteroidetes, Actinobacteria, and Proteobacteria were the dominant bacteria, but there was no significant difference between the two groups. Qualitative analysis showed differences between the groups in the Firmicutes/Bacteroidetes ratio, Blautia, and Collinsella, but these differences were not statistically different.ConclusionEnterobacterial profiles were significantly different between the GDM and non-GDM populations. Alpha diversity in patients with GDM is similar to that in healthy people, but beta diversity is significantly different. Firmicutes/Bacteroidetes ratios were significantly increased in GDM, and this, as well as changes in the abundance of species of Blautia and Collinsella, may be responsible for changes in microbiota diversity. Although the results of our meta-analysis are encouraging, more well-conducted studies are needed to clarify the role of the gut microbiome in GDM. The systematic review was registered with PROSPERO (https://www.crd.york.ac.uk/prospero/) as CRD42022357391.

show abstract

Associations between diet quality, blood pressure, and glucose levels among pregnant women in the Asian megacity of Jakarta

Cited by 6 publications

References 45 publications

Nutrient intakes of pregnant and lactating women in Indonesia and Malaysia: Systematic review and meta-analysis

Nutrient intakes of pregnant and lactating women in Indonesia and Malaysia: Systematic review and meta-analysis

Prevalence of diabetes in pregnancy and microvascular complications in native Indonesian women: The Jogjakarta diabetic retinopathy initiatives in pregnancy (Jog-DRIP)

Mechanismbased role of the intestinal microbiota in gestational diabetes mellitus: A systematic review and meta-analysis

Contact Info

Product

Resources

About