Fluid Intake of Pregnant and Breastfeeding Women in Indonesia: A Cross-Sectional Survey with a Seven-Day Fluid Specific Record

Bardosono, Saptawati; Prasmusinto, Damar; Hadiati, Diah Rumekti; Purwaka, Bangun Trapsila; Morin, Clémentine; Pohan, Rizki; Sunardi, Diana; Chandra, Dian Novita; Guelinckx, Isabelle

doi:10.3390/nu8110651

Cited by 26 publications

(30 citation statements)

References 25 publications

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“…Though the fluid intake data collected in this study are declarative, they are consistent with surveys that have shown that pregnant and breastfeeding women across the world do not meet the daily AWI [4,16] . The overall positive reactions of women in our study, in regards to the simplicity and utility of Tool 2, suggest that a UC scale-based tool could be utilized by healthcare professionals to help pregnant and breastfeeding women selfassess their hydration.…”

Section: Discussionsupporting

confidence: 79%

“…In one study conducted with 308 pregnant or breastfeeding women in Mexico, 41% of pregnant women and 54% of breastfeeding women failed to meet national intake guidelines [4] . An Indonesian survey reported nearly identical results among 595 pregnant or breastfeeding women: 42% of pregnant women and 54% of breastfeeding women consumed less than the AI of water from fluids, established by the Indonesian Ministry of Health [5] . Finally, a recent observational study that followed a sample of American women, from the first trimester of pregnancy into early breastfeeding, reported mean total fluid intake levels of 2.3 and 2.1 L·day -1 , respectively, which indicated that the women did not increase their water intake at all during the early weeks of breastfeeding [6].…”

mentioning

confidence: 98%

“…Moreover, in children, the use of the UC scale has been shown to improve hydration status in young athletes [15] , suggesting that awareness plays a role in improving drinking behaviors. Given that many pregnant and breastfeeding women appear to fall short of AWI [4,16] , developing a tool based on the UC scale, specifically designed for this population, may encourage increased water consumption.…”

mentioning

confidence: 99%

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Assessing a Tool for Self-Monitoring Hydration Using Urine Color in Pregnant and Breastfeeding Women: A Cross-Sectional, Online Survey

Rigaud

Corçao²,

Perrier³

et al. 2017

Ann Nutr Metab

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Background: Pregnant and breastfeeding women experience great changes in their total body water content and water dynamics. To support the accretion of total body water during pregnancy and compensate for the water lost through breast milk during breastfeeding, increased adequate intakes (AI) for total water have been established by various health authorities. Despite this widespread advice, several studies suggest that pregnant and breastfeeding women do not meet the AI for total water, suggesting the need to raise women's awareness on the importance of adequate water intake, particularly during pregnancy and breastfeeding, as well as to provide them with a simple means of monitoring their hydration on a day-to-day basis. A urine color (UC) scale recently has been validated for hydration monitoring in pregnant and breastfeeding women. Summary: We sought to develop a version of a tool based on the UC scale, using only images or illustrations, which could be understood by users of various nationalities and spoken languages. Pregnant and breastfeeding women (n = 1,275) from Brazil, Mexico, and Poland were shown 3 versions of the tool. Understanding, appreciation, simplicity and intent to use were evaluated using a questionnaire consisting of 26 items. Key Messages: Among the 3 versions tested, one tool emerged as the most highly understood (88% spontaneous understanding) and was highly appreciated by users (mean [SD]: 8.40 [2.20] out of 10). There were no differences between countries. Furthermore, 83% reported being very likely to use the tool daily. These results suggest that a simple tool based on the UC scale will help pregnant and breastfeeding women meet the AI for total water.

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Section: Discussionsupporting

confidence: 79%

mentioning

confidence: 98%

mentioning

confidence: 99%

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Assessing a Tool for Self-Monitoring Hydration Using Urine Color in Pregnant and Breastfeeding Women: A Cross-Sectional, Online Survey

Rigaud

Corçao²,

Perrier³

et al. 2017

Ann Nutr Metab

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“…The study was approved on December 23, 2013, by the Ethics Committee of the Faculty of Medicine Universitas Indonesia (number 783/H2.F1/ ETIK/2012). Full protocol details with the inclusion and exclusion criteria have been described elsewhere [7] . Additionally, this survey followed the same sampling method, protocol and method for fluid assessment as those performed in the Liq.In 7 surveys [8,9] .…”

Section: Methodsmentioning

confidence: 99%

Pregnant and Breastfeeding Women: Drinking for Two?

Bardosono¹,

Morin²,

Guelinckx³

et al. 2017

Ann Nutr Metab

Self Cite

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The primary aim of this cross-sectional survey was to assess the total fluid intake (TFI; sum of drinking water and all other fluids) and the intake of water and all other types of beverages in a sample of pregnant and breastfeeding women representative of Java-Island, Indonesia. Therefore, 299 pregnant and 296 breastfeeding women completed a 7-day fluid-specific record. A secondary aim was to estimate the total water intake (TWI; sum of water from fluids and food moisture), and one 24-h recall was performed to determine water intake from food moisture. The median TFI of pregnant and breastfeeding women were 2,250 (1,800-2,800) and 2,360 (1,954-2,968) mL/day, respectively. The largest contributor to TFI was water (72 and 77% for pregnant/breastfeeding women, respectively). Pregnant women to the extent of 42% and 54% of breastfeeding women did not reach the adequate intake (AI) of water from fluids. In pregnant and breastfeeding women, the median water intake from foods was 592 and 613 mL/day, representing 21 and 20% of TWI. Concluding that a high proportion of the pregnant and breastfeeding subjects did not reach the AI of water from fluid, it seems important to put in place actions such as providing education materials and ensuring access to safe water. Moreover, future surveys should dedicate attention to the assessment of fluid intake and hydration status among pregnant and breastfeeding women in other countries.

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“…24 In addition, higher water intake rates were observed in pregnant and lactating women compared to control women, as weight gain during pregnancy and milk output during lactation require more water physiologically, contributing to prenatal exposure and impacting fetal development. 19,25 Subsequently, humans are potentially exposed to EDCs daily, and there are possible health risks associated with drinking water intake.…”

Section: Human Exposure To Edcs In Drinking Watermentioning

confidence: 99%

Occurrence and public-perceived risk of endocrine disrupting compounds in drinking water

Wee

Aris

2019

npj Clean Water

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Access to safe water is a crucial factor in determining environmental sustainability, public health, and economic prosperity. Endocrine disrupting compounds (EDCs) are an environmental contaminant of growing concern, which undermine the safety of drinking water. The potential health issues of EDCs are not fully understood yet due to there being relatively scarce research on their exposure and associated risks via drinking water consumption. Because of ineffective drinking water supply systems and unknown risk perceptions of EDCs in drinking water, the role of perceived risks in ensuring access to safe drinking water remains unknown, contributing to the occurrence of such potential risks in the global water system. Integrating preventive measures with a multibarrier approach to safe drinking water is highly challenging because of the relatively low public awareness and political responsibility, as well as the nature and characteristics of EDCs themselves. In addition to reviewing the occurrence and publicperceived risks of EDCs in drinking water, this article focuses on building bases of knowledge and awareness for a better understanding of drinking water quality issues relative to the hazards surrounding EDCs from the perspectives of human exposure and health risk. A conceptual model illustrates the factors that potentially influence risk perception on drinking water quality in regard to not only EDCs but also other issues. Ensuring safe access to drinking water requires interventions that incorporate risk communication and governance, providing insights into political, economic, social, and environmental changes.

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Fluid Intake of Pregnant and Breastfeeding Women in Indonesia: A Cross-Sectional Survey with a Seven-Day Fluid Specific Record

Cited by 26 publications

References 25 publications

Assessing a Tool for Self-Monitoring Hydration Using Urine Color in Pregnant and Breastfeeding Women: A Cross-Sectional, Online Survey

Assessing a Tool for Self-Monitoring Hydration Using Urine Color in Pregnant and Breastfeeding Women: A Cross-Sectional, Online Survey

Pregnant and Breastfeeding Women: Drinking for Two?

Occurrence and public-perceived risk of endocrine disrupting compounds in drinking water

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