scholarly journals Assessing preconception nutrition readiness among women of reproductive age in Bantul, Indonesia: findings from baseline data analysis of a cluster randomized trial

2021 ◽  
Vol 8 (2) ◽  
pp. 68
Author(s):  
Yhona Paratmanitya ◽  
Siti Helmyati ◽  
Detty S Nurdiati ◽  
Emma C Lewis ◽  
Hamam Hadi
Keyword(s):  
Body Mass Index ◽  
Folic Acid ◽  
Dietary Intake ◽  
Randomized Trial ◽  
Body Mass ◽  
Iron Status ◽  
Cluster Randomized Trial ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cluster Randomized

<p><strong>ABSTRAK </strong></p><p><strong>Latar Belakang:</strong> Pemenuhan gizi pada masa prakonsepsi merupakan hal yang penting untuk memastikan kehamilan yang sehat, namun banyak wanita di negara-negara berkembang yang belum menyadari pentingnya hal tersebut. Informasi tentang kesiapan gizi prakonsepsi pada wanita usia subur, khususnya di negara berkembang, masih terbatas.</p><p><strong>Tujuan</strong>: Untuk mengetahui kesiapan gizi prakonsepsi pada calon pengantin wanita di Indonesia</p><p><strong>Metode:</strong> Penelitian ini merupakan bagian dari studi cluster randomized trial untuk meningkatkan status besi ibu hamil di Kabupaten Bantul, Yogyakarta, yang melibatkan 173 calon pengantin wanita. Data antropometri, asupan makan, dan pengetahuan tentang gizi prakonsepsi dikumpulkan oleh enumerator yang terlatih, yaitu mahasiswa di Fakultas Kesehatan, Universitas Alma Ata, dengan melakukan kunjungan ke rumah responden. Data kadar Hemoglobin (Hb) diperoleh melalui kuesioner. Kesiapan gizi prakonsepsi diukur menggunakan 10 indikator, yang meliput: (1) Indeks Massa Tubuh (IMT); (2) Lingkar Lengan Atas (LILA); (3) kadar Hb; (4) asupan energi; (5) asupan protein; (6) asupan kalsium; (7) asupan zat besi; (8) asupan folat; (9) pengetahuan tentang gizi prakonsepsi; dan (10) konsumsi suplemen zat besi dan/atau asam folat. Skor kesiapan akan berkisar antara 0-10.</p><p><strong>Hasil:</strong> Tidak ada satupun responden yang dapat memenuhi seluruh indikator kesiapan gizi prakonsepsi. Sebanyak 26% responden dapat memenuhi 2 indikator, dan median skor-nya adalah 3 (2.0-4.0). Kadar Hb, IMT, dan LILA merupakan 3 indikator terbanyak yang dapat dipenuhi, sementara asupan kalsium, zat besi, dan folat merupakan 3 indikator yang paling sedikit dapat dipenuhi oleh responden.</p><p><strong>Kesimpulan:</strong> Peningkatan kesadaran akan pentingnya mempersiapkan gizi prakonsepsi pada calon ibu merupakan hal yang sangat diperlukan. Program intervensi gizi kedepannya sebaiknya sudah dimulai sejak masa prakonsepsi, bukan hanya fokus pada kehamilan.</p><p><strong> KATA KUNCI:</strong> Indeks Massa Tubuh; asupan makan; prakonsepsi; wanita usia subur</p><p> </p><p><strong>ABSTRACT</strong></p><p><strong>Background:</strong> Proper nutrition during preconception is essential to ensuring a healthy pregnancy, however, women in developing countries may not be aware of its importance. Information is limited regarding nutrition readiness prior to conception among women of reproductive age in these settings.</p><p><strong>Objectives:</strong> To examine nutrition readiness prior to conception among premarital women living in Indonesia.</p><p><strong>Methods</strong>: This study was part of a cluster randomized trial which aimed to improve the iron status of pregnant women in Bantul District, Yogyakarta, Indonesia. A total of 173 premarital women were included in the study. Data were collected on anthropometry, dietary intake, and knowledge about preconception nutrition by trained nutrition students of the University of Alma Ata, and taking place in the participant’s home. Hemoglobin level data were obtained based on answers to a questionnaire. Preconception nutrition readiness for pregnancy was determined based on 10 indicators, including: (1) body mass index (BMI); (2) mid-upper arm circumference (MUAC); (3) hemoglobin (Hb) level; average daily intakes for (4) energy, (5) protein, (6) calcium, (7) iron, and (8) folic acid; (9) level of knowledge about preconception nutrition; and (10) folic acid and/or iron supplement consumption. Preconception nutrition readiness scores ranged from 0-10.</p><p><strong>Results:</strong> No study participants met all 10 indicators for preconception nutrition readiness. One-quarter (26.0%) of participants could only meet 2 indicators, and the median score was 3.0 (2.0-4.0). Hb level, BMI, and MUAC were the 3 indicators met most by participants, while iron, folic acid, and calcium intake were the least met indicators.</p><p><strong>Conclusion:</strong> Raising awareness about preconception nutritional preparation among women of reproductive age is urgent. Future nutrition intervention programs should target the preconception period.</p><p><strong> KEYWORDS:</strong> Body mass index; dietary intake; preconception; women of reproductive age.</p>

scholarly journals Clinical Decision Support to Promote Safe Prescribing to Women of Reproductive Age: A Cluster-Randomized Trial

2012 ◽  
Vol 27 (7) ◽  
pp. 831-838 ◽  
Author(s):  
Eleanor Bimla Schwarz ◽  
Sara M. Parisi ◽  
Steven M. Handler ◽  
Gideon Koren ◽  
Elan D. Cohen ◽  
...  
Keyword(s):  
Decision Support ◽  
Randomized Trial ◽  
Clinical Decision Support ◽  
Cluster Randomized Trial ◽  
Clinical Decision ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cluster Randomized

Government-Industry Partnership in Weekly Iron-Folic Acid Supplementation for Women of Reproductive Age in the Philippines: Impact on Iron Status

2005 ◽  
Vol 63 (12) ◽  
pp. 116-125 ◽  
Author(s):  
Imelda Angeles-Agdeppa ◽  
Lourdes S. Paulino ◽  
Adelisa C. Ramos ◽  
Unita Marie Etorma ◽  
Tommaso Cavalli-Sforza ◽  
...  
Keyword(s):  
Folic Acid ◽  
Iron Status ◽  
Folic Acid Supplementation ◽  
The Philippines ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Acid Supplementation ◽  
Iron Folic Acid Supplementation ◽  
Iron Folic Acid

scholarly journals Demographic, lifestyle, and reproductive determinants of serum anti-Müllerian hormone levels in adult women of reproductive age in Ilorin, North-Central Nigeria

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Oyinkansola Islamiyat Lawal ◽  
Jameelu-deen Omokunmi Yusuff
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Cycle Length ◽  
Univariate Analysis ◽  
Multivariable Analysis ◽  
Negative Relationship ◽  
Reproductive Age ◽  
Enzyme Linked Immunosorbent Assay ◽  
Adult Women ◽  
Women Of Reproductive Age

Abstract Background Anti-Müllerian hormone is a dimeric glycoprotein produced by the granulosa cells of preantral and small antral follicles of the ovaries. It is a reliable biomarker of ovarian reserve, ageing, and response in the management of women with infertility. However, there are few studies on the determinants of serum anti-Müllerian hormone in Nigerian women. This study aimed to investigate determinants of serum anti-Müllerian hormone among adult women of reproductive age. The study was a hospital-based cross-sectional study involving 161 women of reproductive age attending the gynaecology clinic and immunisation clinic of a Nigerian tertiary hospital. Baseline characteristics were collected using a semi-structured questionnaire. Serum anti-Müllerian hormone was quantified using enzyme-linked immunosorbent assay. Results In univariate analysis, age (B = − 0.035, P = 0.000), parity (B = − 0.080, P = 0.001), and infertility duration (B = − 0.050, P = 0.011) had a negative relationship with serum anti-Müllerian hormone, while ethnicity (B = 0.180, P = 0.040), body mass index (B = 0.015, P = 0.010), and cycle length (B = 0.042, P = 0.000) had a positive relationship with serum anti-Müllerian hormone. In multivariable analysis, all relationships except infertility duration persisted. Conclusion We found that age, ethnicity, parity, infertility duration, body mass index, and cycle length were associated with serum anti-Müllerian hormone. A large prospective population-based study is required to better understand factors that are associated with serum anti-Müllerian hormone in an ethnically diverse country like Nigeria.

scholarly journals Pattern of Body Mass Index and Common Health Problems in Women of Reproductive Age Group in a Private Clinic in Kathmandu

2017 ◽  
Vol 56 (207) ◽  
pp. 352-356 ◽  
Author(s):  
Saraswati M Padhye
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Mass ◽  
Health Problems ◽  
Overweight And Obesity ◽  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Reproductive Age Group ◽  
Genitourinary Infection

Introduction: High Body Mass Index is one of the risk factors for many chronic diseases and adverse health outcomes. It is associated with an increased risk of coronary heart disease, ischemic stroke, high blood pressure and type 2 diabetes mellitus. It also have many adverse effect on reproductive health of the women like sub fertility, polycystic ovarian disease, menstrual abnormality etc. The purpose of this study is to find Basal Metabolic Rate and the diseases pattern of reproductive age woman in Nepal. Methods: This is a descriptive study of women of reproductive age (15 to 49 years) attending a private gynaecology clinic in Kathmandu Valley from October 2016 to June 2017. Six hundred and eight women of current reproductive age group participated in this study. Women’s particulars and complaints were noted down. Detailed history was taken. Height, weight and blood pressure were recorded and general examination was done. BMI was calculated as BMI is weight in kilogram divided by height in meter square, and it was interpreted as per WHO guidelines. Results: Out of the total 608 participants, 243 (40%) were overweight, 96 (15.8%) were obese. Regarding the common health problems, 154 (25.3%) have sub fertility and 199 (32%) had genitourinary infection. Similarly, 90 (14.8%) had menstrual problems. Conclusions: Prevalence of overweight and obesity has risen significantly comparing to the study done decade ago in same setting. Similarly, sub fertility rate has also risen whereas the prevalence of genitourinary infections has decreased. Keywords: BMI; genitourinary infection; Nepal-reproductive age women; sub fertility.

scholarly journals Normal uterine size in women of reproductive age in northern Islamic Republic of Iran

2004 ◽  
Vol 10 (3) ◽  
pp. 437-441
Author(s):  
S. Esmaelzadeh ◽  
N. Rezaei ◽  
M. Hajiahmadi
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Reproductive Age ◽  
Islamic Republic ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Nulliparous Women ◽  
Multiparous Women ◽  
Islamic Republic Of Iran ◽  
Ultrasonographic Assessment

Todetermine the efficacy of ultrasonographic assessment of uterus size in women of reproductive age, we conducted a cross-sectional analytic study of 231 women aged 15-45 years in Babol, northern Islamic Republic of Iran. Mean uterus size was 86.6 mm x 49.6 mm x 40.6 mm overall, 72.8 mm x 42.8 mm x 32.4 mm for nulliparous women and 90.8 mm x 51.7 mm x 43.0 mm for multiparous women. Mean age was 31.7 +/- 9.6 years and mean body mass index [BMI] was 24.7 +/- 4.0 kg/m2. Uterus size was significantly associated with parity and age; but not with BMI. Our findings show a greater mean uterus size than reported by others. Ultrasonographic measurement of uterus size is valuable for predicting pathologies associated with abnormal uterine size

Features of metabolic and hormonal abnormalities in women with metabolic syndrome at the stage pregrada

2017 ◽  
pp. 57-61
Author(s):  
O.A. Dyndar ◽  
Keyword(s):  
Metabolic Syndrome ◽  
Body Mass Index ◽  
Body Mass ◽  
Reproductive System ◽  
The Body ◽  
Reproductive Age ◽  
High Density Lipoproteins ◽  
Women Of Reproductive Age ◽  
Female Population ◽  
Number Of Components

The problem of obesity and metabolic syndrome among the female population of Ukraine is extremely important, given the current trend toward increasing age of realization of reproductive function,. The prevalence of metabolic syndrome among women of reproductive age is 6–35%, fertility problems are found in 30-35% of women. The objective: to study the characteristics of metabolic disorders and hormonal condition of the reproductive system in women with obesity and the metabolic syndrome on pregravidarity stage depending on the body mass index and severity of metabolic syndrome. Patients and methods. We examined a total of 124 women with obesity and metabolic syndrome that appealed on pregravidar stage and 53 women who had no history of somatic and gynecological pathology. Antropometric studies, determination of blood pressure, examination of carbohydrate and lipid metabolism, evaluation of the endocrine status of the reproductive system, ultrasound examination of small pelvis organs were done. Results. In women of reproductive age, we observed increase of total cholesterol, triglycerides, low-density lipoproteins and decrease high-density lipoproteins, with a predominance of IIb and IV types of dyslipidemia. Insulin resistance was diagnosed in 28.3% of women And 47.4% – II and in 69.7% with III degree of obesity. Metabolic syndrome was diagnosed in 79.2% of patients with obesity of I, in 94.7% – II 100% III. The number of components of metabolic syndrome correlate directly proportional to the severity of obesity. The index of fertility with III degree of obesity increased to 2.7, hypoestrogenia marked with And hyperestrogenia from 50.7% of women in II and III degree of obesity, progesterona failure identified at 66.9%, hyperandrogenism in 58.8%, reduced sex-binding globulin in 83.0% of the observations. Conclusion. Pathological changes of the hormonal status of the female reproductive system on prepregnansy stage is directly proportional to depend on the body mass index number of components of metabolic syndrome and dysmetabolic disorders. Key words: obesity, metabolic syndrome, pregnancy planning.

Effects of dietary factors on iron status and body mass index in students

2021 ◽  
Vol 71 (9) ◽  
pp. 2135-2138
Author(s):  
Niaz Hussain Jamali ◽  
Zulfiqar Ali Laghari ◽  
Anwar Ali Jamali ◽  
Arsalan Ahmer ◽  
Rao Irfan ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Dietary Intake ◽  
Body Mass ◽  
Serum Ferritin ◽  
Dietary Habits ◽  
Iron Status ◽  
Dietary Factors ◽  
Deficiency Anemia ◽  
Cross Sectional ◽  
Mean Values

Abstract Objective: The objective of this study was to analysing the correlation between dietary factors, including meat, milk, egg and fruit to Serum ferritin (S.f) and Haemoglobin (Hb) concentration in students. Methods: In this cross sectional study, 1686 normal volunteers were randomly selected from Government Schools during the period of September 2015 to April 2016. Data concerning dietary intake such as meat, milk, egg and fruits were taken. Baseline levels for volunteers were specified after collection of data like personal, anthropometery and dietary intake to determine Hb and S.f levels. Results: Observation of mean values such as 18.7kg/m2 for Body Mass Index (BMI), 12.2g/dl for Haemoglobin and 88.0µg/l for Serum ferritin were taken from all samples. The mean values for Hb 14.6g/dl, S.f 190.0µg/l, and BMI 21.50kg/m2 were higher for volunteers with high meat intake as compared to other dietary elements. However, dietary factors such as meat, egg and fruits showed significant association with Hb, S.f, BMI and monthly income, however milk consumption has non significant association with haemoglobin at P<0.01 level. Conclusion: Iron status in blood is significantly affected by dietary intake such as meat, milk, fruits and eggs. However, dietary habits in population are highly affected by other socioeconomic factors such as lifestyle and income. Although dietary intake on daily basis, enhanced the Hb and Serum ferritin levels, but meat takers showed higher values than other food components so it is recommended that meat should be taken more for the management of Iron Deficiency Anemia (IDA). Continuous...

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