Multidimensional Approach to Assess Nutrition and Lifestyle in Breastfeeding Women during the First Month of Lactation

The first month of lactation is a vulnerable nutritional period for the mother. Our aims were (1) to evaluate the nutritional status of breastfeeding women in the first month of lactation, and (2) to explore different aspects of nutrition and lifestyle through a multidimensional approach. A total of 30 healthy breastfeeding women were enrolled in this study. Dietary pattern was assessed through a 72-hour dietary recall questionnaire (days 7 and 28 postpartum) and data were compared with Dietary Recommendation Values (DRV), and through the Adherence to Healthy Food Pyramid (HFP) questionnaire (day 28). Anthropometric parameters were evaluated by bioimpedance. Using factor analysis, nutritional dimensions were extracted, and linear regression models were used to analyze the association between anthropometric parameters and dimensions. Compared to the DRV, women showed insufficient energy, water, vitamin D, and potassium intake and excessive proteins, vitamins B1, B2, B3, B6, B12, and iron intake. We observed a moderate adherence to the HFP, with women being high in the fruits, vegetables, and oil categories, and low adherence to the physical activity, dairy products, and hydration categories. The nutritional dimension, including the HFP categories of physical activity, hydration, and animal protein intake together, was negatively associated with body weight (β = −3.7 ± 1.7; p-value = 0.047). In conclusion, during the first month postpartum, breastfeeding women exhibited several nutritional imbalances and poor physical activity negatively influencing anthropometric parameters. We propose a multidimensional approach to assess the nutritional status of breastfeeding women as a tool to detect specific deficiencies, allowing for personalized counseling.

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BIRTH WEIGHT AND OVERWEIGHT IN ADOLESCENTS: THE ERICA PROJECT IN THE CITY OF RECIFE, PERNAMBUCO

Revista Paulista de Pediatria ◽

10.1590/1984-0462/2021/39/2019380 ◽

2021 ◽

Vol 39 ◽

Author(s):

Kamilla Brianni de Araújo Gomes ◽

Vanessa Sá Leal ◽

Juliana Souza Oliveira ◽

Crislaine Gonçalves da Silva Pereira ◽

Fabiana Cristina Lima da Silva Pastich Gonçalves ◽

...

Keyword(s):

Physical Activity ◽

Birth Weight ◽

Nutritional Status ◽

Abdominal Obesity ◽

Poisson Regression ◽

High Birth Weight ◽

Cardiovascular Risks ◽

Anthropometric Parameters ◽

Biological Variables ◽

Maternal Overweight

ABSTRACT Objective: To verify the association of anthropometric parameters at birth, socioeconomic and biological variables, physical activity, and parental nutritional status with overweight and abdominal obesity in adolescents. Methods: A cross-sectional study was carried out on 39 public and private schools in Recife (state of Pernambuco, Brazil). The sample consisted of 1,081 teenagers aged from 12 to 17 years. Data were collected from the Study of Cardiovascular Risks in Adolescents (ERICA). Body mass index according to age (BMI-for-age), waist circumference (WC), and waist-to-height ratio (WtHR) were considered as outcome variables, whereas the explanatory variables were birth weight, Röhrer’s Ponderal Index (RPI), biological and socioeconomic variables, physical activity, and parental nutritional status. The crude and adjusted prevalence ratios (PR) for the studied association were estimated by Poisson Regression. Results: The multivariate Poisson regression showed that the variable that remained significantly associated with overweight in adolescence was maternal overweight, PR=1.86 (95% confidence interval [95%CI] 1.09-3.17). High birth weight also remained significantly associated with abdominal obesity assessed by WC, PR=3.25 (95%CI 1.0-9.74). Conclusions: High birth weight may be a marker for abdominal obesity in adolescence; and high maternal BMI, for overweight.

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Aktivitas fisik berhubungan dengan kejadian obesitas pada anak Sekolah Dasar

Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) ◽

10.21927/ijnd.2016.4(3).123-128 ◽

2017 ◽

Vol 4 (3) ◽

pp. 123

Author(s):

M Zamzani ◽

Hamam Hadi ◽

Dewi Astiti

Keyword(s):

Physical Activity ◽

Elementary School ◽

Nutritional Status ◽

Univariate Analysis ◽

Energy Output ◽

P Value ◽

Cross Sectional ◽

Exact Test ◽

Fisher's Exact Test ◽

Fisher’S Exact Test

ABSTRACTBackgrounds: The increasing prevalence of obesity is caused by imbalance between energy input to energy output. Physical activity in children both at school and at home plays an important role in determining the nutritional status of children, including the risk of obesity. Objectives: To determine the relationship between children physical activity with obesity in Ngebel Elementary School, Tamantirto Kasihan Bantul. Methods: This study was an observational study with cross sectional design. The study population is all children grades 3, 4, and 5 Ngebel Elementary School, Tamantirto Kasihan Bantul. These samples included 96 children who met the inclusion and exclusion criteria obtained with less total sampling technique. Weight children measured using digital bathroom scales to the nearest 0.1 kg and height was measured using the nearest 0.1 cm microtoice assisted by trained enumerators. Physical activity data were obtained using a physical activity questionnaire was adopted from previous studies. Nutritional status data is calculated using the WHO software Anthro 2005. Univariate analysis using frequency distribution and bivariate analysis using Fisher’s Exact Test. Data were analyzed using software statistic.Results: Results analisis showed physical activity had a significant relationship with the incidence of obesity in children, with p Value 0.015 (<0,05) with OR of 4.78 (95% CI: 1.36 to 16.82), in other words children who do moderate to severe activity ≤1 hour/day had 5 times higher chance to be obese than children with moderate to severe activity >1 hour/day.Conclusions: Physical activity has a significant association with obesity. KEYWORDS: physical activity, obesity, elementary school children ABSTRAKLatar belakang: Peningkatan prevalensi obesitas disebabkan oleh adanya ketidakseimbangan antara masukan energi dengan keluaran energi. Aktivitas fisik pada anak-anak baik di sekolah maupun di rumah berperan penting dalam penentuan status gizi anak, termasuk risiko terjadinya obesitas.Tujuan: Untuk mengetahui hubungan antara aktivitas fisik dengan kejadian obesitas pada anak Sekolah Dasar Negeri Ngebel, Tamantirto Kasihan Bantul.Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross sectional. Populasi penelitian adalah semua anak kelas 3, 4, dan 5 SDN Ngebel, Tamantirto Kasihan Bantul. Sampel penelitian berjumlah 96 anak yang memenuhi kriteria inklusi dan eksklusi diperoleh dengn teknik total sampling. Berat anak-anak diukur dengan menggunakan timbangan injak digital dengan ketelitian 0,1 kg, sedangkan tinggi badan diukur menggunakan microtoise dengan ketelitian 0,1 cm dibantu oleh enumerator terlatih. Data aktivitas fisik diperoleh menggunakan kuesioner aktivitas fisik yang diadopsi dari penelitian sebelumnya. Data status gizi dihitung dengan menggunakan software WHO Anthro 2005. Analisis univariat menggunakan distribusi frekuensi dan analisis bivariat menggunakan Fisher’s Exact Test. Data dianalisis dengan menggunakan program software statistic.Hasil: Hasil analisis menunjukkan aktivitas fisik memiliki hubungan yang signifikan dengan kejadian obesitas pada anak dengan nilai p value 0,009 (<0,05) dengan nilai OR 5,69 (95% CI: 1,42-22,65), dengan kata lain anak yang melakukan aktivitas sedang-berat ≤1 jam/hari berpeluang 5 kali lebih besar untuk mengalami obesitas daripada anak dengan aktivitas sedang-berat >1 jam/hari.Kesimpulan: Aktivitas fisik memiliki hubungan secara bermakna dengan obesitas.KATA KUNCI: aktivitas fisik, obesitas, anak SD

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The Determinant of Hypertension on Pre-Elderly and Elderly Prolanis in Sukowono Primary Health Center Jember Regency in 2019

J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) ◽

10.35308/j-kesmas.v7i1.1865 ◽

2020 ◽

Vol 7 (1) ◽

pp. 6

Author(s):

Ardhi Nur Rahmad ◽

Farida Wahyu Ningtyias ◽

Ninna Rohmawati

Keyword(s):

Physical Activity ◽

Nutritional Status ◽

Health Center ◽

Saturated Fat ◽

Bivariate Analysis ◽

P Value ◽

Primary Health Center ◽

Primary Health ◽

Increased Risk ◽

Sodium Consumption

Hypertension is a main health problem throughout the world, in addition to its high prevalence, hypertension is also associated with an increased risk of cardiovascular disease. The reasearch was to analyze the relation between levels of sosialeconomic, levels of sodium and saturated fat consumption, the levels of physical activity, nutritional status, coffee, smoking, and the levels of stress with hypertension of Prolanis pre-elderly and elderly in Sukowono Primary Health Center, Jember Regency. The research was observational analytic study with cross sectional design. The population of this research were 48 respondents. The sampling technique was total sampling. The data analyzed by using bivariate analysis with Chi-Square test. The result of analysis in this research showed that there was a correlation between the level of sodium consumption with the incidence of hypertension. There was no correlation between socioeconomic (employment and the minimum earning) (p-value = 0.282 and p-value = 0.770 > 0.05), the levels of saturated fat (p-value = 1.000 > 0.05), the levels of physical activity (p-value = 0.074 > 0.05), nutritional status (p-value = 0.799 > 0.05), consumption coffee (p-value = 1.000 > 0.05), smoking (p-value = 1.000 > 0.05), and the levels of stress (p-value = 0.126 > 0.05) with hypertension. There was correlation between the levels of sodium consumption with hypertension (p-value = 0.000 < 0.05).

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Asupan Gizi dan Mengantuk pada Mahasiswa

Kesmas National Public Health Journal ◽

10.21109/kesmas.v7i3.55 ◽

2012 ◽

Vol 7 (3) ◽

pp. 99

Author(s):

Sada Rasmada ◽

Triyanti Triyanti ◽

Yvonne M. Indrawani ◽

Ratu Ayu Dewi Sartika

Keyword(s):

Physical Activity ◽

Sleep Duration ◽

Nutrition Status ◽

Dominant Factor ◽

P Value ◽

Fat Intake ◽

Iron Intake ◽

Cross Sectional ◽

Nutrition Intake ◽

Diabetes Melitus

Asupan nutrisi dan energi, status nutrisi, serta aktivitas harian berpengaruh pada kejadian mengantuk yang berpengaruh negatif pada konsentrasi dan produktivitas belajar pada mahasiswa. Kejadian mengantuk berhubungan dengan penurunan kemampuan kognitif yang disebabkan oleh defisiensi zat besi. Seseorang yang mengantuk akan mengalami penurunan aktivitas fisik yang menyebabkan kelebihan berat badan sehingga berisiko lebih tinggi untuk terkena penyakit degeneratif seperti penyakit kardiovaskular dan diabetes melitus. Penelitian ini bertujuan untuk menganalisis faktor dominan yang berpengaruh pada kejadian mengantuk di kalangan mahasiswa. Penelitian dengan desain studi cross sectional ini dilakukan terhadap sampel 139 mahasiswa Fakultas Kesehatan Masyarakat Universitas Indonesia. Proporsi mahasiswa yang hampir mengantuk sekitar 28,80%. Terdapat hubungan yang signifikan antara durasi tidur dan masalah kantuk (nilai p = 0,048). Mahasiswa dengan durasi tidur < 8 jam per hari mengalami kejadian mengantuk 0,50 kali lebih besar daripada mahasiswa dengan durasi tidur ³ 8 jam per hari. Faktor dominan yang berhubungan dengan kejadian mengantuk adalah durasi tidur setelah dikontrol dengan asupan protein dan lemak, aktivitas fisik, dan paparan media. Mahasiswa yang sering mengantuk memperlihatkan asupan zat besi rendah sehingga disarankan untuk meningkatkan asupan zat besi yang berasal dari sumber makanan yang mengandung heme.Kata kunci: Asupan nutrisi, aktivitas fisik, konsentrasi, masalah kantukAbstractNutrient and energy intake, nutrition status, and daily activity could give impact for sleepiness problem. Sleepiness related to the decreasing of cognitive ability that caused by iron deficiency. A person who feels sleepy will have a lack of physical activities that lead to overweight and therefore has a higher risk to suffer degenerative diseases such as cardiovascular and diabetes mellitus. This study aimed to analyze dominant factor that can give influence to sleepiness problem among students. The cross sectional research used 139 students of Faculty of Public Health University of Indonesia. The percentage of students who is almost sleepy was 28,80%. This research showed the association between sleep duration and somnolence problem is significant (p value = 0,048). Students with sleep duration < 8 hours a day could be 0,50 times more sleepy than students with sleep duration ³ 8 hours a day. The dominant factor is sleep duration after controlled by protein and fat intake, physical activity, and media exposure. Students that frequently feels sleepy indicated low iron intake so that suggested to increase the iron intake through consuming heme contained food.Key words: Nutrition intake, physical activity, concentration, sleepiness problem

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Analysis of Differences in Individual Characteristics, Lifestyle, Nutritional Status and Dieting Patterns in Pregnant Women with Preeclampsian History

Jurnal Ilmu Keperawatan (Journal of Nursing Science) ◽

10.21776/ub.jik.2021.009.01.11 ◽

2021 ◽

Vol 9 (1) ◽

pp. 87-94

Author(s):

Asti Melani Astari ◽

◽

Nurul Evi ◽

Muladefi Choiriyah ◽

Puji Ariyani ◽

...

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Nutritional Status ◽

Pregnant Women ◽

Developed Countries ◽

Individual Characteristics ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test

Preeclampsia is a multisystem complication that occurs after 20 weeks of gestation. In recent years there has been no significant decrease in the incidence of preeclampsia, even in developed countries it is still the main cause of maternal and fetal morbidity and mortality. This study aims to analyze differences in individual characteristics, lifestyle (physical activity), nutritional status and diet in pregnant women with a history of preeclampsia. This research design is descriptive analytic with cross sectional approach. Samples were obtained from 55 pregnant women with consecutive sampling who met the inclusion criteria. Data analysis used chi-square test and spearman correlation test. The results showed a relationship between physical activity with systolic blood pressure (p value 0.001, r = 0.449) and diastolic (p value 0.43, r = 0.273), there was also a relationship between diet and risk factors for preeclampsia through blood pressure measurements as evidenced by increase in blood pressure (p value 0.000) in pregnant women in the working area of Puskesmas Kedungkandang Malang. The results of this study are expected to be used as a reference in intervening pregnant women at risk of preeclampsia, so that the disease does not develop more severely so that it does not endanger the lives of the mother and the fetus she is carrying

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Changes in anthropometric parameters and physical fitness in older adults after participating in a 16-week physical activity program

Revista de la Facultad de Medicina ◽

10.15446/revfacmed.v68n3.75817 ◽

2020 ◽

Vol 68 (3) ◽

pp. 375-382

Author(s):

Pablo Valdés-Badilla ◽

Eduardo Guzmán-Muñoz ◽

Rodrigo Ramírez-Campillo ◽

Andrés Godoy-Cumillaf ◽

Yeny Concha-Cisternas ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Nutritional Status ◽

Physical Fitness ◽

Healthy Aging ◽

Normal Weight ◽

Physical Activity Program ◽

Anthropometric Parameters ◽

Chair Stand ◽

Activity Program

Introduction: Physical activity is important for achieving healthy aging. Objective: To analyze changes in anthropometric parameters and physical fitness among Chilean older adults after participating in a 16-week physical activity program and to evaluate whether there were differences in relation to their baseline nutritional status or not. Materials and methods: Pre-experimental quantitative study. The study population consisted of 176 older adults (155 women and 21 men) distributed in three groups: normal weight (n=56), overweight (n=67) and obese (n=53). The following variables were evaluated: body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHR) and physical fitness. Results: Significant decreases between pre- and post-measurements were found for WC (p<0.001), BMI (p=0.015), and WHR (p<0.001). Improvements were observed in the following tests: chair stand (p<0.001), arm curl (p<0.001), 2-min step (p<0.001), chair sit-&-reach (p=0.018) and back scratch (p=0.014). Regarding BMI, significant changes were observed between normal weight vs. overweight participants (p=0.001) and between normal weight vs. obese participants (p=0.001). Conclusion: Older adult participants that regularly attended the physical activity program were able to reduce their WC, BMI and WHR, and also improved their physical-functional performance on the chair stand, arm curl, 2-min step, chair sit-&-reach and back scratch tests. In addition, anthropometric parameters and physical fitness also improved regardless of their baseline nutritional status.

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Determinants of Glycemic Control among Urban Patients with Type 2 Diabetes: A mediation analysis from real-world evidence

10.21203/rs.2.19907/v2 ◽

2020 ◽

Author(s):

Rubén Silva-Tinoco ◽

Teresa Cuatecontzi-Xochitiotzi ◽

Viridiana De la Torre-Saldaña ◽

Enrique León-García ◽

Javier Serna-Alvarado ◽

...

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

Glycemic Control ◽

Low Income ◽

Self Care ◽

P Value ◽

Diabetes Knowledge ◽

Linear Regression Models ◽

Care Behavior

Abstract Aims To explore the determinants of glycemic control (GC) among patients with type 2 diabetes (PwD) to provide insight into the pathways of the effect of diabetes knowledge on GC.Methods A multicenter cross-sectional study was conducted in PwD from 28 primary outpatient centers located in Mexico City. Using the multivariable-adjusted models, we determined the associations between diabetes knowledge, self-care behaviors, and glycemic control. The mediation analyses used linear regression models, where the significance of indirect effects was calculated with bootstrapping.Results The population (N=513) had a mean age of 53.8 years (standard deviation: 11.3 yrs.), and 65.9% were women. Using multivariable-adjusted linear models, we found that diabetes knowledge was associated with glycemic control (β: -0.102, 95% Confidence Interval [95% CI] -0.189, -0.014). Diabetes knowledge was also independently associated with self-care behavior (for physical activity: β: 0.181, 95% CI 0.088, 0.273), and self-care behavior was associated with glycemic control (for physical activity: β: -0.112, 95% CI -0.194, -0.029).The association between diabetes knowledge and glycemic control was lost after adjustment for self-care behaviors, especially physical activity (β: -0.084, 95% CI -0.182, 0.014, p -value: 0.062). Finally, the mediation models showed that the effect of diabetes knowledge on glycemic control was 17% independently mediated by physical activity ( p -value: 0.049).Conclusions Self-care activities, particularly physical activity, mediated the effect of diabetes knowledge on glycemic control. Our results indicate that diabetes knowledge should be reinforced in low-income PwD, with an emphasis on the benefits physical activity has on improving GC.

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EFFECTIVENESS OF STRUCTURED NURSING INTERVENTION ON NUTRITIONAL STATUS OF UNDERFIVE CHILDREN, KNOWLEDGE AND PRACTICE OF MOTHERS REGARDING THE PREVENTION AND MANAGEMENT OF PROTEIN ENERGY MALNUTRITION IN SELECTED COASTAL VILLAGES OF KERALA.

10.36106/ijsr/3907513 ◽

2021 ◽

pp. 57-59

Author(s):

Lija R Nath

Keyword(s):

Nutritional Status ◽

Protein Energy Malnutrition ◽

Nursing Intervention ◽

P Value ◽

Anthropometric Parameters ◽

Knowledge Questionnaire ◽

Protein Energy ◽

Childhood Morbidity ◽

Post Test ◽

Knowledge And Practice

Malnutrition is not only an important cause of childhood morbidity and mortality, but leads also to permanent impairment of physical and possibly, of mental growth of those who survive. The study was carried out to nd out the effectiveness of structured nursing intervention on nutritional status of underve children, knowledge and practice of mothers regarding prevention and management of malnutrition in selected coastal villages of Kerala. Samples consisted of 122 underve children who were identied with different degrees of malnutrition and their mothers. Pre experimental study design was used. Anthropometric parameters (Weight, Height, MUAC) were checked. Structured knowledge questionnaire and practice check list were used to measure the knowledge and practice of mothers related to the prevention and management of malnutrition. All the measurements were carried out once before the Structured Nursing Intervention and three times after the intervention. Structured Nursing Intervention was found to be effective in improving the knowledge and practice of mothers related to prevention and management of malnutrition among underve children (p < 0.001). Percentage of grade I malnutrition reduced from 83.6% in pre test to 63.69% in post test III. Z test was carried out and it was concluded that Structured Nursing Intervention had signicant inuence on the nutritional status of underve children (Z = 3.33**, p value <0.01).

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Intake of stimulant foods is associated with development of parasomnias in children

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20150193 ◽

2015 ◽

Vol 74 (1) ◽

pp. 62-66

Author(s):

Fabiana Ruotolo ◽

Lucila B. F. Prado ◽

Vanessa R. Ferreira ◽

Gilmar F. Prado ◽

Luciane B. C. Carvalho

Keyword(s):

Physical Activity ◽

Elementary Schools ◽

Nutritional Status ◽

Sleep Disturbance ◽

Feeding Habits ◽

Food Type ◽

Dietary Recall ◽

Starting Time ◽

Public Elementary Schools ◽

Nighttime Feeding

ABSTRACT Objective To verify if nighttime feeding habits can influence parasomnia in children. Method Seven private and four public Elementary Schools took part in the study. A total of 595 Sleep Disturbance Scale for Children were distributed to the parents of children aged from 7 to 8 years. Data of dietary recall, starting time to school, physical activity, and nutritional status were studied. Results Of the 226 questionnaires completed, 92 (41%) reported parasomnia. Girls had 2.3 times more the chance to parasomnia than boys. Children who consumed stimulant foods had 2.6 times more chance to have parasomnia than those of children who consumed non-stimulant foods. There were no difference between parasomnia and no-parasomnia groups in food type (p = 0.78) or timing of last meal before bedtime (p = 0.50). Conclusion Our findings suggest that intake of stimulant foods is associated with development of parasomnia in children.

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Association of sodium and potassium intake, nutritional status, and physical activity with blood pressure in diabetes mellitus patients in Pesanggrahan District Health Center

ARGIPA (Arsip Gizi dan Pangan) ◽

10.22236/argipa.v4i2.3875 ◽

2020 ◽

Vol 4 (2) ◽

pp. 54-64

Author(s):

Ade Dwi Pangestu

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Blood Pressure ◽

Nutritional Status ◽

Health Center ◽

Sodium Intake ◽

Diabetic Patients ◽

District Health ◽

Potassium Intake ◽

Sodium And Potassium

Diabetic patients have a 1,5 to 3 times higher risk of developing hypertension compared to non-diabetics. The proportion of hypertension in Indonesia in patients with DM is 51.8%. This study aims to determine the relationship between sodium and potassium intake, nutritional status, and physical activity with the incidence of blood pressure in DM patients in Pesanggrahan District Health Center. The study design used was cross-sectional, with a sample of 99 patients obtained from the purposive sampling method. The results showed that the average patient was 57 years old, female, and had been suffering from diabetes for five years. The average sodium and potassium intake are 2401 mg and 1460 mg respectively. The proportion of diabetic patients at the Pesanggrahan District Health Center who had high blood pressure was 83,8% and 78,8% of patients have central obesity, while 75,8% fall into the category of low physical activity. Based on the chi-square test, there is a significant relationship (p=0,000) between sodium intake, nutritional status, and physical activity with systolic blood pressure. There was a significant relationship between sodium intake, nutritional status, and physical activity with diastolic blood pressure (p= 0,000, 0,023, and 0,000). Keywords: blood pressure, diabetes mellitus, nutrient intake, nutritional status, physical activity

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