Dietary Intake and Nutritional Status of Javanese Women in Rice Producing Areas: a Comparison between Lactating and Non-lactating Women

Fahmi, Ilmia; Purwestri, Ratna Chrismiari; Lauvai, Judith; Barati, Ziba; Bell, Whelma; Wirawan, Nia Novita

doi:10.21776/ub.ijhn.2021.008.02.5

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…This habit may lead the lactating women in this region to have low dietary quality and diversity, low protein consumption as well as low consumption of fruits and vegetables. This trend is also observed among European and Urban Chinese lactating women ( 23 , 24 ). This trend of dietary pattern may affect the nutrient adequacy of pregnant and lactating women and will further influence maternal and child nutrition and health outcomes.…”

Section: Introductionsupporting

confidence: 56%

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

et al. 2023

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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.

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Section: Introductionsupporting

confidence: 56%

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

et al. 2023

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“…A study in Bogor Indonesia showed that the lactating mothers' nutritional status was lower than the pre-pregnant women's nutritional status (37). Another study in Indonesia also showed that the nutritional status of lactating women was lower compared to the women who were not lactating (38). Fikawati et al's study in Java Island, Indonesia, also showed that the energy consumption of lactating women was low (39).…”

Section: Discussionmentioning

confidence: 99%

Determinants of length for age Z scores among children aged 6–23 months in Central Java, Indonesia: a path analysis

et al. 2023

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IntroductionLength for Age Z (LAZ) score determinants are complex and vary among different areas, but it is important for designing effective and efficient strategies to decrease stunting prevalence among children under 2 years. This study aimed to investigate the determinants of LAZ scores among children under 2 years in Central Java, Indonesia.MethodsThis study was conducted on the 2021 Indonesian Nutritional Status Study (INSS) dataset, which was a cross-sectional survey. Data on 3,430 children aged 6–23 months from Central Java province were derived from the 2021 INSS data. After missing data elimination, 3,238 subjects were included in the analysis. Determinant factors included direct and indirect factors. Direct factors were the mother's age, birth weight Z score (BWZ), birth length Z score (BLZ), exclusively breastfed history, dietary diversity scores (DDS), empty calorie drink consumption, unhealthy snacks consumption, and infections. Indirect factors were early initiation of breastfeeding (EIBF) and posyandu (integrated health post) utilization. Underlying factors were socioeconomic status (SES) and the mother's education. Bivariate analyses and multiple linear regressions were conducted. A path analysis with a hypothesized model based on the UNICEF conceptual framework was also performed.ResultsStunting, wasting and underweight proportions among the subjects were 19.1%, 7.6% and 12.3%, respectively. The mean LAZ scores were −0.95 ± 1.22; the mother's age was 29.7 ± 5.95 years; BWZ was −0.47 ± 0.97; BLZ was −0.55 ± 1.05; and DDS was 4.45 ± 1.51. The infection proportion among the subjects was 28%. BWZ and BLZ were positively correlated to LAZ scores, with r = 0.267 (p < 0.01) and r = 0.260 (p < 0.01), respectively. The mother's age was negatively correlated to LAZ scores with r = −0.041 (p < 0.05). Maternal education was positively correlated to SES but had no direct effect on LAZ scores. LAZ score determinants of BLZ (p < 0.001) and SES (p < 0.001) showed positive direct associations with LAZ scores, but the mother's age (p = 0.039), exclusively breastfed history (p < 0.001), and empty calorie drinks consumption (p < 0.001) had negative associations with LAZ scores.ConclusionTo prevent stunting among children aged 6–23 months in Central Java, Indonesia, intervention programs to increase the nutritional status of women at child-bearing age and nutrition education on child feeding practices should be conducted more efficiently and effectively.

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A simulation of increasing rice price toward the disparity of income distribution: An evidence from Indonesia

Fitrawaty

Hermawan

Yusuf

et al. 2023

Heliyon

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Dietary Intake and Nutritional Status of Javanese Women in Rice Producing Areas: a Comparison between Lactating and Non-lactating Women

Cited by 4 publications

References 9 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

Determinants of length for age Z scores among children aged 6–23 months in Central Java, Indonesia: a path analysis

A simulation of increasing rice price toward the disparity of income distribution: An evidence from Indonesia

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