scholarly journals Pengetahuan, sikap, perilaku, dan asupan gizi berdasarkan status hidrasi ibu hamil

2020 ◽  
Vol 17 (2) ◽  
pp. 87
Author(s):  
Erry Yudhya Mulyani ◽  
Idrus Jus'at ◽  
Dudung Angkasa ◽  
Dwikani Oklita Anggiruling ◽  
Enrico Stanin

Maternal nutritional knowledge, attitude, behavior, and intake based on hydration statusBackground: Based on past studies, 49% of pregnant women had low knowledge of nutrition and hydration. Nutritional knowledge, attitudes, and behavior are positively correlated to nutritional intake, malnutrition and dehydration may disturb maternal health and pregnancy outcome.Objectives: To analyze maternal nutritional knowledge, attitudes, behavior, and nutritional intake based on the hydration status.Methods: This cross-sectional study was conducted at Puskesmas Kebon Jeruk District, West Jakarta using a purposive sampling method. Subjects were 50 pregnant women who came to check their pregnancies. Subject’s characteristics, nutritional knowledge, attitudes, and behavior are collected with a questionnaire, nutritional intake with 1x24 hours recall. Hemoglobin (Hb) level is determined with Haemometer, urine specific gravity with Urinometer, and urine color with PURI card.Results: Subjects had an average age of 29.0±5.7 years, gestational age 21.3±11.3 weeks, weight 62.7±9 kg, height 158.1±4.1 cm, upper arm circumference 32.4±29.5 cm, Hb level 12.2±0.9 g/dL, urine color score 4±0.9, and urine specific gravity 1016±5.4. Based on urine specific gravity, 56% of the pregnant women were euhydrated and 44% were dehydrated. Based on the hydration status there were no differences in knowledge, attitudes, behavior, and macronutrient intake (p≥0.05), except for the fluid intake (p<0.05).Conclusions: Although the knowledge, attitudes, and nutritional behavior of pregnant women were not poor, optimization of the fluid consumption to 3L/day, and diversified food consumption is needed. Further research on external factors that can affect the nutritional status and hydration of pregnant women is recommended.

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
D A Nasrallah ◽  
H S Ez-elarab ◽  
M F Allam ◽  
E A Sultan

Abstract Background Good maternal nutrition during pregnancy is important to ensure health for the mother and the fetus. This study aimed to establish optimal health of Egyptian mothers and their babies through proper nutrition, by assessing nutritional knowledge and behavior among a group of Egyptian pregnant women in addition to identifying the factors influencing their nutritional knowledge and behavior. Methods This descriptive cross sectional study included 300 pregnant women attending the antenatal care clinics in 6th of October University private hospital and EL-Hussary primary health care unit. The data was collected through a modified nutritional survey that was translated from Spanish to Arabic and revised by language experts for clarity. Results Almost all of the women attending the private hospital were university educated while about half of the women attending the PHC unit were graduated from technical education (skills diploma). In general, the level of knowledge about food requirements of both groups was satisfactory good; however, neither of them fulfilled the WHO recommendations of food intake during pregnancy or the optimum number of meals per day. The mean of random blood glucose was higher among the women attending the PHC unit; the BMI, mid arm circumference and subcutaneous fat were higher among the same group as well. In regard to fulfilling the WHO recommended servings per day, only starch and fat items were fulfilled by both groups, whereas the other three items (vegetables, fruits and dairy products) were merely included in the diets of both groups. Conclusion Women with higher education showed an active lifestyle with a lower BMI but showed no relation to the choice of a good and healthy diet. These findings could give an insight to the policy makers in order to update nutritional care programs for pregnant women addressing all aspects of sociodemographic differences among women.


2009 ◽  
Vol 44 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Kristin L. Osterberg ◽  
Craig A. Horswill ◽  
Lindsay B. Baker

Abstract Context: Urine specific gravity (USG) has been used to estimate hydration status in athletes on the field, with increasing levels of hypohydration indicated by higher USG measurements (eg, greater than 1.020). Whether initial hydration status based on a urine measure is related to subsequent drinking response during exercise or athletic competition is unclear. Objective: To determine the relationship between pregame USG and the volume of fluid consumed by players in a professional basketball game. Design: Cross-sectional study. Setting: Basketball players were monitored during Summer League competition. Patients or Other Participants: Players (n  =  29) from 5 teams of the National Basketball Association agreed to participate. Main Outcome Measure(s): Pregame USG was measured for each player on 2 occasions. Athletes were given ad libitum access to fluid during each game and were unaware of the purpose of the study. Volume of fluid intake was measured for each player. To assess sweat loss, athletes were weighed in shorts before and after each game. Results: Sweat loss ranged from 1.0 to 4.6 L, with a mean sweat loss of 2.2 ± 0.8 L. Fluid intake ranged from 0.1 to 2.9 L, with a mean fluid intake of 1.0 ± 0.6 L. Pregame USG was greater than 1.020 in 52% of the urine samples collected and was not correlated with fluid volume consumed during either of the games (r  =  0.15, P  =  .48, and r  =  0.15, P  =  .52, respectively). Conclusions: Approximately half of the players began the games in a hypohydrated state, as indicated by USG. Fluid intake during the game did not compensate for poor hydration status before competition. Furthermore, sweat losses in these players during games were substantial (greater than 2 L in approximately 20 minutes of playing time). Therefore, both pregame and during-game hydration strategies, such as beverage availability and player education, should be emphasized.


2021 ◽  
Vol 5 (1) ◽  
pp. 88
Author(s):  
Dwi Lisa Nur'aini ◽  
Ardesy Melizah Kurniati ◽  
Moretta Damayanti ◽  
Syarif Husin ◽  
Joko Marwoto

Background: Adequate fluid consumption and hydration status of students become a special concern because being dehydrated by just 1%-2% can impair cognitive performance. The objectives of this study were to assess the daily fluid consumption, and analyze the correlation of fluid consumption and other associated factors with hydration status of medical students in Universitas Sriwijaya.Methods: A total of 93 medical students in Universitas Sriwijaya were recruited to complete a 7-day cross-sectional study. Subjects were asked to complete a self-administered 7-day-24-hours fluid record and provide first morning urine sample on the last day. Gender information was collected. Physical activity was evaluated by self-administered long version of IPAQ. Body mass index was calculated using body weight and body height measurement. Urine specific gravity was determined by urinometer. The 7-day-24-hours fluid record and 1-day-24-hours urine specific gravity were calculated and analyzed.Results: Majority of the subjects were well hydrated, while 10.8% were slightly dehydrated, 6.5% were moderately dehydrated and 9.7% were severely dehydrated. The average of daily fluid consumption was 1789.28 (989.3-2930) mL. Coefficient correlation of fluid consumption from beverages with urine specific gravity was -0.651 (p=0.00) by Pearson correlation test. The hydration status showed no association with gender, physical activity and body mass index.Conclusions: Most subjects in this study were well hydrated. A strong association was found between fluid consumption and hydration status. It was feasible to use daily fluid consumption from beverages to predict hydration status.


2008 ◽  
Vol 3 (3) ◽  
pp. 262-278 ◽  
Author(s):  
Nora R. Decher ◽  
Douglas J. Casa ◽  
Susan W. Yeargin ◽  
Matthew S. Ganio ◽  
Michelle L. Levreault ◽  
...  

Purpose:To assess the hydration status and level of hydration knowledge of youths at summer sports camps.Methods:Sixty-seven active youths, 57 males (mean ± SD, 12 ± 2 y, 136 ± 16 cm, 50.6 ± 21.1 kg) and 10 females (13 ± 2 y, 153 ± 8 cm, 45.2 ± 9.0 kg) participated in 4 d of sports camp. Hydration status was assessed before the first practice (AM) and after the second practice (PM). Participants completed suriveys assessing hydration knowledge (HAQ) and hydration habits on day 3 and a self-assessment (EQ#1).Results:Mean AM urine specific gravity (USG) and urine osmolality (Uosm) scores ranged from minimal to significant dehydration across 4 d, even when temperatures were mild. Correlations between hydration indices and EQ#1, ranging from 0.11 to −0.51, were statistically significant (P < .05), indicating that subjects recognized when they were doing a good or bad job hydrating. HAQ did not correlate strongly with hydration indices suggesting other impediments to hydration. Thirst correlated negatively with EQ#1 (from −0.29 to −0.60).Conclusion:Hydration at summer sports camp is a concern and special efforts need to be made to help youths develop hydration strategies.


2021 ◽  
Vol 10 (2) ◽  
pp. 120-129
Author(s):  
Ruth Gracia Dau Vanes Parapat ◽  
Vitria Melani ◽  
Yulia Wahyuni ◽  
Rachmanida Nuzrina ◽  
Laras Sitoayu

Background: Generation Y (Millennial) and generation Z (IGeneration) are proven to be the two generations that dominate the use of information communication technology today. Living in a rapidly developing technology era and abundant information should make them have nutritional knowledge, attitudes and behavior towards a good visual balanced nutrition. However, Riskesdas 2018 shows an increase in the prevalence of obesity in adults by 21.8%. This high prevalence is said to be an indicator of low knowledge about balanced nutrition even though the two generations live in an era of abundant information.Objectives: Analyzing differences in nutritional knowledge, attitudes and behavior regarding visual balanced nutrition between generation Y and generation Z.Methods: This research is an observational analytic study with cross sectional design. Selection of research subjects with total sampling. A sample of 40 respondents was obtained from generation Y and 40 respondents from generation Z. Using the independent t-test statistical test to determine differences in nutritional knowledge, attitudes and behaviors regarding balanced nutrition visuals (balanced nutrition cone and my plate) in generation Y and generation Z.Results: There are differences in nutritional knowledge in generation Y and generation Z (p = 0.0001), there are differences in attitudes about visual balanced nutrition in generation and generation Z (p = 0.0001), and there are differences in nutritional behavior towards visual balanced nutrition of generation Y and generation Z (p = 0.029). From the above values, it can be said that the value of sampling bias on nutritional knowledge and attitudes is smaller than behavior.Conclusion: The three results show that there are differences in nutritional knowledge, attitudes and behavior between these two generations.


2021 ◽  
pp. 194173812110384
Author(s):  
Yasuki Sekiguchi ◽  
Courteney L. Benjamin ◽  
Cody R. Butler ◽  
Margaret C. Morrissey ◽  
Erica M. Filep ◽  
...  

Background: A Venn diagram consisting of percentage body mass loss, urine color, and thirst perception (weight, urine, thirst [WUT]) has been suggested as a practical method to assess hydration status. However, no study to date has examined relationships between WUT and urine hydration indices. Thus, the purpose of this study was to investigate relationships between urine specific gravity, urine osmolality, and the WUT criteria. Hypothesis: Urine specific gravity and urine osmolality indicate hypohydration when the WUT criteria demonstrate hypohydration (≥2 markers). Study Design: Laboratory cohort study. Level of Evidence: Level 3. Methods: A total of 22 women (mean ± SD; age, 20 ± 1 years; mass, 65.4 ± 12.6 kg) and 21 men (age, 21 ± 1 years; body mass, 78.7 ± 14.6 kg) participated in this study. First morning body mass, urine color, urine specific gravity, urine osmolality, and thirst level were collected for 10 consecutive days in a free-living situation. Body mass loss >1%, urine color >5, and thirst level ≥5 were used as the dehydration thresholds. The number of markers that indicated dehydration levels were counted and categorized into either 3, 2, 1, or 0 WUT markers that indicated dehydration. One-way analysis of variance with Tukey pairwise comparisons was used to assess the differences in urine specific gravity and urine osmolality between the different number of WUT markers. Results: Urine specific gravity in 3 WUT markers (mean ± SD [effect size], 1.021 ± 0.007 [0.57]; P = 0.025) and 2 WUT markers (1.019 ± 0.010 [0.31]; P = 0.026) was significantly higher than 1 WUT marker (1.016 ± 0.009). Urine mosmolality in 2 WUT markers (705 ± 253 mOsmol [0.43]; P = 0.018) was significantly higher than 1 WUT (597 ± 253 mOsmol). Meeting at least 2 WUT markers resulted in sensitivities of 0.652 (2 WUT criteria met) and 0.933 (3 WUT criteria met) to detect urine osmolality >700 mOsmol. Conclusion: These results suggest that when 3 WUT markers are met, urine specific gravity and urine osmolality were greater than euhydration cutoff points. The WUT criterion is a useful tool to use in field settings to assess hydration status when first morning urine sample was used. Clinical Relevance: Athletes, coaches, sports scientists, and medical professionals can use WUT criteria to monitor dehydration with reduced cost and time.


2020 ◽  
Vol 4 (1-3) ◽  
pp. 43
Author(s):  
Ardesy Melizah Kurniati ◽  
Moretta Damayanti ◽  
Nur Mahmudah

Background: Adequate fluid consumption and hydration status of students become a special concern because being dehydrated by just 1%-2% can impair cognitive performance. The objectives of this study were to assess the daily fluid consumption, and analyze the correlation of fluid consumption and other associated factors with hydration status of medical students in Universitas Sriwijaya.Methods: A total of 93 medical students in Universitas Sriwijaya were recruited to complete a 7-day cross-sectional study. Subjects were asked to complete a self-administered 7-day-24-hours fluid record and provide first morning urine sample on the last day. Gender information was collected. Physical activity was evaluated by self-administered long version of IPAQ. Body mass index was calculated using body weight and body height measurement. Urine specific gravity was determined by urinometer. The 7-day-24-hours fluid record and 1-day-24-hours urine specific gravity were calculated and analyzed.Results: Majority of the subjects were well hydrated, while 10.8% were slightly hydrated, 6.5% were moderately hydrated and 9.7% were severely dehydrated. The average of daily fluid consumption was 1789.28 (989.3-2930) mL. Coefficient correlation of fluid consumption from beverages with urine specific gravity was -0.651 (p=0.00) by Pearson correlation test. The hydration status showed no association with gender, physical activity and body mass index.Conclusions: Most subjects in this study were well hydrated. A strong association was found between fluid consumption and hydration status. It was feasible to use daily fluid consumption from beverages to predict hydration status.


BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e047328
Author(s):  
Ginova Nainggolan ◽  
Dewi Soemarko ◽  
Parlindungan Siregar ◽  
Aida Lydia Sutranto ◽  
Saptawati Bardosono ◽  
...  

ObjectivesGlobally, there are increasing cases of chronic kidney disease of unknown origin among heat-exposed workers. We aimed to see the kidney damages of indoor heat-exposed workers and whether urine specific gravity can predict any kidney damages.DesignA cross-sectional study.SettingA shoe-making factory in West Java, Indonesia.Participants119 subjects were included. Minimum total sample size was 62. Subjects were indoor heat-exposed workers who were exposed to occupational wet-bulb globe temperature (WBGT) of 28°C–30°C for 8 hours daily with 1 hour break, 5 days a week. The inclusion criterion was healthy subjects according to the result from annual medical check-up in 2019. The exclusion criteria were subjects who were taking vitamins and/or supplements that might cause disturbance in urine specific gravity and/or hydration status, pregnant and fasting.Primary and secondary outcome measuresArea under the curve (AUC), sensitivity and specificity of urine specific gravity for the detection of urinary nephrin and urinary kidney injury molecule-1 (KIM-1) were analysed. Estimated glomerular filtration rate (eGFR) and quantitative albuminuria were also measured.ResultsWBGT in the work area of the subject was 28°C–30°C. There were 15 (12.6%) subjects who had eGFR <90 mL/min, but ≥60 mL/min. High serum vasopressin levels were found in 79 subjects with a mean of 6.54 (95% CI 5.94 to 7.14) ng/mL. Most subjects had nephrinuria (87.4%) with preserved renal function (87.4%). Several subjects had elevated urinary KIM-1 (10.9%) and albuminuria (7.6%). AUC of urine specific gravity for increased urinary nephrin was 81.7% (95% CI 68.8% to 94.6%) and statistically significant (p<0.001). Cut-off value of ≥1.018 for urine specific gravity has sensitivity of 71.2% and specificity of 80% for detecting elevation of urinary nephrin levels.ConclusionUrine specific gravity with a cut-off value of ≥1.018 could be used to detect nephrinuria among heat-exposed workers.


2021 ◽  
Vol 4 (1) ◽  
pp. 15-22
Author(s):  
Wa Ode Sri Wati Lestari ◽  
Syafruddin Syarif ◽  
Healthy Hidayanty ◽  
Aminuddin Aminuddin ◽  
Sri Ramadany

Pregnant women are a very vulnerable group to nutritional problems. The lack of knowledge, attitude, and behavior towards nutrition is the main cause of KEK (chronic energy deficiency) in pregnant women. The purpose of this study was to design an android-based application based on a needs analysis to improve nutritional knowledge and attitudes of pregnant women about KEK. The research method was qualitative research, while the design used a combined method between Research and Development (R&D) and Pre-Experiment methods with one group pre-test and post-test designs. The results of the data analysis showed that the knowledge, attitudes, and behavior of pregnant women increased by 72%, 78%, and 39%, respectively. The p-value of the McNemar test results for the variables of knowledge, attitude, and behavior was 0.000 <? (0.05), indicating there were differences in the knowledge, attitude, and behavior of pregnant women before and after using the application (p <?). It was concluded that nutrition education with Android-based application media influenced the knowledge, attitudes, and behavior of pregnant women, that is, to increase the knowledge, attitudes, and behavior of pregnant women about KEK in Meo – Meo Public Health center, Baubau City.


2017 ◽  
Vol 6 (4) ◽  
pp. 37-45 ◽  
Author(s):  
Cesare Altavilla ◽  
Maria Soledad Prats Moya ◽  
Pablo Caballero Pérez

Little data exists regarding nutritional knowledge and hydration in adolescent swimmers. The aim of this study was to assess the level of nutrition and hydration knowledge and to describe the fluid balance in adolescent swimmers during training. A study was carried out with a cross-sectional descriptive part and a longitudinal part with repeated measurements over five swimming sessions. Eighty-six adolescent swimmers completed a questionnaire to assess their sport nutrition and hydration knowledge. Fluid balance and urine hydration markers were studied during training. Swimmers showed a limited nutrition knowledge (33.26 % ± SD 12.59) and meagre hydration knowledge (28.61 % ± SD 28.59). Females showed lower scores than male swimmers in nutrition and hydration knowledge. Based on urine specific gravity, swimmers started the training close to the euhydrated threshold (1.019 g/mL ± SD 0.008). Although urine specific gravity and urine colour were reduced after the training, there were minimal changes in body mass (-0.12 Kg ± SD 0.31). Sweat loss (2.67 g/min ± SD 3.23) and the net changes in the fluid balance (-0.22 % ± SD 0.59) were low. The poor knowledge in nutrition and hydration encountered in the swimmers can justify the development of a strategy to incorporate nutritional education programmes for this group. Body water deficit from swimming activity seems to be easily replaced with the water intake to maintain hydration. After the training, the urine of swimmers was diluted regardless of their water intake. Dilution of urine did not reflect real hydration state in swimming.


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