skip to main content

Hubungan antara total asupan energi dan komponen makrontrien dengan penambahan berat badan ibu hamil di Kecamatan Pedurungan Kota Semarang

1Prodi Kebidanan, Fakultas Kedokteran, Universitas Islam Sultan Agung, Indonesia

2Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Universitas Padjadjaran, Indonesia

3Departemen Farmakologi, Fakultas Kedokteran, Universitas Padjadjaran, Indonesia

Received: 19 Jul 2019; Published: 18 Dec 2020.

Citation Format:

Background: Gestational weight gain (GWG) is physiological change in pregnancy. Inadequate gestational weight gain (IGWG) and excessive gestational weight gain (EGWG) can pose a risk of complication such as gestational hypertention, low birth weight, giant baby, and premature birth. Food intake (energy and macronutrient) play important role in providing pregnancy needs such as fetal and placental growth, and also play role in fat accumulation in some part of mother’s body.

Objectives: This study aims to analyze the relationship between energy intake and macronutrient and gestational weight gain of pregnant woman and to know the consumption of food groups.

Methods: This study was quantitative study using cohort prospective approach. 73 healthy pregnant women with normal body fat mass who met inclusion and exclusion criteria was weighed twice in a period of 8 weeks. 24 hours food recall in 2 unsecutive days was done between those times. The instruments used for this study were weight scale, stadiometer, and questionnaire. Nutritional analysis used Nutrisurvey and statistic analysis used Chi Square test.

Result: There was a relationship between total energy intake and gestational weight gain ( p = 0.031) and there was no relationship between macronutrient component intake (carbohydrate, fat, and protein) and gestational weight gain (p = 0.175, p = 0.97, and p = 0.089 respectively). Respondent characteristic that has corelation with GWG is number of pregnancy. Most pregnant woman experienced EGWG (56.2%) and their food consumption not fulfilled the balance nutrient recommendation guidelines especially less in vegetables and fruits consumption.

Conclusion:There is a significant corelation between energy intake and GWG.

Fulltext View|Download
Keywords: gestational weight gain; energy; macronutient
Funding: Universitas Padjadjaran, Program Studi Magister Kebidanan

Article Metrics:

  1. Zeng Z, Liu F, Li S. Metabolic Adaptations in Pregnancy: A Review. Ann Nutr Metab. 2017;70(1):59–65
  2. Rasmussen KM, Yaktine AL. Weight gain during pregnancy: Reexamining the guidelines. Natl Acad Press. 2009;184(3):463–9
  3. American College of Obstetricians and Gynecologists. Weight Gain During Pregnancy. Committee Opinion No. 548. Obstet Gynecol. 2013;5(121):210–2
  4. Wen T, Lv Y. Inadequate gestational weight gain and adverse pregnancy outcomes among normal weight women in China. Int J Clin Exp Med. 2015;8(2):2881–6
  5. Soltani H, Lipoeto NI, Fair FJ, Kilner K, Yusrawati Y. Pre-pregnancy body mass index and gestational weight gain and their effects on pregnancy and birth outcomes: a cohort study in West Sumatra, Indonesia. BMC Womens Health. 2017;17(1):102
  6. Abubakari A, Jahn A. Maternal dietary patterns and practices and birth weight in Northern Ghana. PLoS One. 2016;11(9):1–17
  7. Fuller-Tyszkiewicz M, Skouteris H, Hill B, Teede H, McPhie S. Classification tree analysis of postal questionnaire data to identify risk of excessive gestational weight gain. Midwifery. 2016;32:38–44
  8. Poston L, Caleyachetty R, Cnattingius S, Corvalán C, Uauy R, Herring S, et al. Preconceptional and maternal obesity: epidemiology and health consequences. Lancet Diabetes Endocrinol. 2016;4(12):1025–36
  9. Poston L. Obesity in pregnancy; Where are we, where should we go? Midwifery. 2017;49:4–6
  10. Hill B, McPhie S, Moran LJ, Harrison P, Huang TTK, Teede H, et al. Lifestyle intervention to prevent obesity during pregnancy: Implications and recommendations for research and implementation. Midwifery. 2017;49(May 2016):13–8
  11. Yang S, Zhou A, Xiong C, Yang R, Bassig BA, Hu R, et al. Parental Body Mass Index, Gestational Weight Gain, and Risk of Macrosomia: A Population-Based Case-Control Study in China. Paediatr Perinat Epidemiol. 2015;29(5):462–71
  12. Huang A, Ji Z, Zhao W, Hu H, Yang Q, Chen D. Rate of gestational weight gain and preterm birth in relation to prepregnancy body mass indices and trimester: a follow-up study in China. Reprod Health. 2016;13(1):93
  13. Lee ACC, Katz J, Blencowe H, Cousens S, Kozuki N, Vogel JP, et al. National and regional estimates of term and preterm babies born small for gestational age in 138 low-income and middle-income countries in 2010. Lancet Glob Heal. 2013;1(1):e26-36
  14. Kemenkes RI. Riset Kesehatan Dasar 2013. Kementrian Kesehatan Republik Indonesia. 2013. 1–303 p
  15. Murki S. Intrauterine Growth Retardation - A Review Article. J Neonatal Biol. 2014;03(03)
  16. Johnson JL, Farr SL, Dietz PM, Sharma AJ, Barfield WD, Robbins CL. Trends in gestational weight gain: The Pregnancy Risk Assessment Monitoring System, 2000-2009. Am J Obstet Gynecol. 2015;212(6):806.e1-806.e8
  17. Harti LB, Kusumastuty I, Hariadi I. Hubungan status gizi dan pola makan terhadap penambahan berat badan ibu hamil. Indones J Hum Nutr. 2016;3(1):54–62
  18. Muktabhant B, Lawrie TA, Lumbiganon P, Laopaiboon M, Ta L, Lumbiganon P, et al. Diet or exercise, or both, for preventing excessive weight gain in pregnancy (Review). Cochrane Database Syst Rev. 2015;(6)
  19. Tielemans MJ, Garcia AH, Santos AP, Bramer WM, Luksa N, Luvizotto MJ, et al. Macronutrient composition and gestational weight gain: A systematic review. Am J Clin Nutr. 2016;103(1):83–99
  20. Bärebring L, Brembeck P, Löf M, Brekke HK, Winkvist A, Augustin H. Food intake and gestational weight gain in Swedish women. Springerplus. 2016;5(1):377
  21. Fitriana N. Hubungan Asupan Energi, Protein, Karbohidrat, dan Lemak terhadap Peningkatan Berat Badan Ibu Hamil Trimester 1 dan Trimester 2 di Wilayah Kota Malang. Repository Universitas Brawijaya; 2017
  22. Yang L, Wu C, Bao Y, Zhou F, Lan X, Zhang Y, et al. Energy Intake as Determinants of Gestational Weight Gain in Chengdu. Wei Sheng Yan Jiu. 2018;47(6):895–905
  23. Badan Penelitian dan Pengembangan Kesehatan. Diet total study: Survey of individual food consumption Indonesia 2014. Ministry of Health Republic of Indonesia. 2014
  24. Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 75 Tahun 2013 tentang angka kecukupan gizi yang dianjurkan bagi bangsa indonesia. Jakarta. 2013. p. 5–10
  25. Kementerian Kesehatan Republik Indonesia. Pedoman Gizi Seimbang. Kementerian Kesehatan Republik Indonesia; 2014
  26. Badan Pusat Statistik. Rata-Rata Konsumsi per Kapita Seminggu Beberapa Macam Bahan Makanan Penting, 2007-2018. Publikasi Statistik Indonesia. 2019. p. 1
  27. Mahan LK, Escott-stump S, Raymond JL. Krause’s Food and the nutrition care process. 13th ed. St Lousis Missouri: Elsevier Saunders; 2012
  28. Silva-del Valle MA, Sánchez-Villegas A, Serra-Majem L. Association between the adherence to the Mediterranean diet and overweight and obesity in pregnant women in Gran Canaria. Nutr Hosp. 2013;28(3):654–9
  29. The U.S. Food and Drug Administration Center. The Dangers of Raw Milk Protect Your Family with Wise Food Choices. 2006. p. 1–2
  30. Chithambo EST, Rhoda K, Holmboe-ottesen G. Factors associated with the rate of gestational weight gain in the rural Mangochi district of Malawi. University of Oslo; 2017
  31. Asefa F, Nemomsa D. Gestational weight gain and its associated factors in Harari Regional State: Institution based cross-sectional study, Eastern Ethiopia. Reprod Health. 2016;13(1):101
  32. Hanson MA, Bardsley A, De-Regil LM, Moore SE, Oken E, Poston L, et al. The International Federation of Gynecology and Obstetrics (FIGO ) Recommendations on Adolescent, Preconception , and Maternal Nutrition : “ Think Nutrition First .” Int J Gynecol Obstet. 2015;4(131):213–53
  33. Gilmore LA, Burton JH, Butte NF, Ravussin E. Energy Intake and Energy Expenditure for Determining Excess Weight Gain in Pregnant Women. Obs Gynecol. 2016;127(5):884–92
  34. Diemert A, Lezius S, Pagenkemper M, Hansen G, Drozdowska A, Hecher K, et al. Maternal nutrition, inadequate gestational weight gain and birth weight: results from a prospective birth cohort. BMC Pregnancy Childbirth. 2016;16(1):224
  35. Pathiratna ML, Sekijima K, Adakata M, Fujiwara N, Muramatsu Y, Wimalasiri KMS. Impact of Second Trimester Maternal Dietary Intake on Gestational Weight Gain and Neonatal Birth Weight. Nutrients. 2017;9(627):1–12
  36. Ebrahimi F, Shariff ZM, Tabatabaei SZ, Fathollahi MS, Mun CY, Nazari M. Relationship between Sociodemographics, Dietary Intake, and Physical Activity with Gestational Weight Gain among Pregnant Women in Rafsanjan City , Iran. J Heal Popul NUtr. 2015;33(1):168–76
  37. Carbal M, Sichieri R, Rocha CMM da, Castro MBT de. Protein intake and weight gain among low-income pregnant women from Mesquita County, Rio de Jenaeiro, Brazil. Rev Nutr. 2018;31(3):275–86
  38. Abeysekera M V, Morris JA, Davis GK, Sullivan AJO. Alterations in energy homeostasis to favour adipose tissue gain : A longitudinal study in healthy pregnant women. Aust New Zael J Obstet Gynaecol. 2016;56:42–8
  39. Nuriel-ohayon M, Neuman H, Koren O. Microbial Changes during Pregnancy , Birth , and Infancy. Front Microbiol. 2016;7(July):1–13
  40. Bell R, Robson P. Lack of a signi fi cant relationship between energy intake in pregnancy and gestational weight gain underlines the need for further evaluations of energy metabolism during this time. Evid Based Med. 2016;21(5):2016–7
  41. American College of Obstetricians and Gynecologists. Weight gain during pregnancy. Committee Opinion. 2013. 1250–1253 p
  42. Winkvist A, Persson V, Hartini TNS. Underreporting of energy intake is less common among pregnant women in Indonesia. Public Heal Nutr. 2017;5(4):523–9

Last update:

No citation recorded.

Last update: 2024-05-28 04:47:13

No citation recorded.