DOI: https://doi.org/10.14710/jgi.9.1.27-32

Perilaku gizi dan hidrasi selama kehamilan berhubungan dengan konstipasi

Jurusan Ilmu Gizi, Fakultas Ilmu Kesehatan, Universitas Esa Unggul, Indonesia

Received: 3 Apr 2020; Published: 18 Dec 2020.

Citation Format:
Abstract

Background: Prevalence of constipation in pregnant women is estimated at 11-38%. Impact of constipation in pregnant women are haemorrhoids and decreased quality of life. Meanwhile, determinants known to influence constipation during pregnancy are hormonal changes, poor diet, low physical activity and lack of fluid consumption.

Objectives: Identify the determining factors that can affect occurrence of constipation and investigated the difference based on constipation status among pregnant women in Public Health Centre in Jakarta, Indonesia;

Methods: This research was a cross sectional design conducted in July 2019 to October 2019. The subject was pregnant women. We used accidental sampling method to recruit subjects in Public Health Centre, Kebun Jeruk, West Jakarta. We measured the determining factors of constipation among pregnant women. Characteristic of pregnant women, knowledge, attitudes and practices were measured by questionnaires. Anthropometrics data for weight, height, and mid arm circumference were measured. Haemoglobin level was also measured. Bivariate analysis using Pearson or Spearman was used to investigate which factors associated significantly with constipation among pregnant women. We also assessed the difference of characteristic of pregnant women, knowledge, attitudes and practices using differential analysis (Mann-Whitney U-test).

Results: The results showed that prevalence of constipation was 30%. Differential analysis showed that mothers who experienced constipation had a younger age and low nutritional and hydration behaviour scores. Other variables such as gestational age, weight before pregnancy, upper arm circumference, height, haemoglobin, knowledge score and nutritional attitude and hydration did not show significant differences based on constipation status. Correlation analysis showed an inverse relationship between maternal age and incidence of constipation, with r = 0.242 and a p-value = 0.015. Maternal age, nutritional behaviour and hydration also showed significant inverse relationship with incidence of constipation (r = -0.206 and p-value 0.039);

Conclusion: Nutritional and hydration behaviour during pregnancy was related to the occurrence of constipation. Mothers are advised to have good nutrition and hydration behaviour to prevent constipation.

Fulltext View|Download
Keywords: constipation; pregnant women; public health center

Article Metrics:

Article Info
Section: Articles
Language : EN
Recent articles
Red dragon fruit (Hylocereus spp.) peel marmalade effectively improve blood glucose and lipid profile of hypercholesterolemic wistar rats Pengaruh pemberian buah naga merah, jambu biji merah, dan kombinasinya terhadap kapasitas antioksidan total dan kadar malondealdehid pada remaja perokok Rate of physical appearance changes on yellowness in salak during preservation in room storage More recent articles
Most cited articles
Karakteristik makanan pendamping ASI balita yang disubstitusi dengan tepung ikan lele dan labu kuning Prevalensi dan jenis masalah emosional dan perilaku pada anak usia 9-11 tahun dengan perawakan pendek di Kabupaten Brebes Front Matter Faktor risiko stunting pada anak umur 6-24 bulan di kecamatan Penanggalan kota Subulussalam provinsi Aceh Pengaruh pendidikan gizi terhadap pengetahuan dan sikap tentang gizi anak Sekolah Dasar More cited articles
  1. Wuhan J. Gastrointestinal Motility Group of Digestive Disease Branch and Colorectal Group of Surgery Branch of Chinese Medical Association. Chinese Guideline for Chronic Constipation. Chin J Dig. 2013;33(5):291-7
  2. Kassolik K, Waldemar A, Iwona W, Marcin B, Kamila V, Ewa J-K, Barbara N, Donata K. The Effectiveness of Massage Based on The Tensegrity Principle Compared with Classical Abdominal Massage Performed on Pattient with Constipation. Arch Gerontol Geriat. 2015;61(2):202-11
  3. Verghese TS, Futaba K, Latthe P. Constipation in pregnancy. Obstet Gynaecol. 2015;17(2):111-5
  4. Derbyshire E, Davies J, Costarelli V, Dettmar P. Diet, physical inactivity and the prevalence of constipation throughout and after pregnancy. Matern Child Nutr. 2006;(2):127-34
  5. Belsey J, Greenfield S, Candy D, Geraint M. Systematic review: impact of constipation on quality of life in adults and children. Aliment Pharm Ther. 2010;31(9):938-49
  6. Bharucha AE, Dorn SD, Lembo A, Pressman A. American Gastroenterological Association medical position statement on constipation. Gastroenterology. 2013;144(1):211-7
  7. Shin GH, Toto EL, Schey R. Pregnancy and postpartum bowel changes: constipation and fecal incontinence. Am. J. Gastroenterol. 2015;110(4):521-9
  8. Chinzon D, Dias-Bastos TR., Medeiros da Silva A., Eisig JN, Latorre MDRDDO. Epidemiology of constipation in Sao Paulo, Brazil: a population-based study. Curr. Med. Res. Opin. 2015;31(1):57-64
  9. Mugie SM, Benninga MA, Di Lorenzo C. Epidemiology of constipation in children and adults: a systematic review. Best Pract Res Cl Ga. 2011;25(1):3-18
  10. Kaboli SA, Pourhoseingholi MA, Moghimi-Dehkordi B, Safaee A, Habibi M, Pourhoseingholi A, Vahedi M. Factors associated with functional constipation in Iranian adults: a population-based study. Gastroenterol Hepatol Bed Bench. 2010;3(2)
  11. Zhao YF, Ma XQ, Wang R, Yan XY, Li ZS, Zou DW, et al. Epidemiology of functional constipation and comparison with constipation-predominant irritable bowel syndrome: the Systematic Investigation of Gastrointestinal Diseases in China (SILC). Aliment Pharmacol Ther. 2011;34(8):1020–9
  12. Liu W, Liu XH, Fang XC, Zhou LK, Yang XL, Ke MY, et al. A Multicenter Epidemiological Investigation On Outpatients with Chronic Constipation in Beijing Area. Chin J Gastroenterol. 2010;15(2):95-8
  13. You JS, Park JY, Chang KJ. A case-control study on the dietary taurine intake, nutrient status and life stress of functional constipation patients in Korean male college students. J Biomed Sci. 2010;17:S1-41
  14. Devanarayana NM, Rajindrajith S. Association between constipation and stressful life events in a cohort of Sri Lankan children and adolescents. J Trop Pediatr. 2010;56(3):144-8
  15. Kil SY, Oh WO, Koo BJ, Suk MH. Relationship between depression and health-related quality of life in older Korean patients with chronic obstructive pulmonary disease. J Clin Nurs. 2010;19(9-10):1307-14
  16. Cheng C, Chan AO, Hui WM, Lam SK. Coping strategies, illness perception, anxiety and depression of patients with idiopathic constipation: a population-based study. Aliment Pharmacol Ther. 2003;18(3):319-26
  17. Wald A. Constipation, diarrhea and symptomatic hemorrhoids during pregnancy. Gastroenterol Clin N. 2003;32(1):309-22
  18. Shi W, Xu X, Zhang Y, Guo S, Wang J,Wang J. Epidemiology and risk factors of functional constipation in pregnant women. PloS One. 2015;10(7)
  19. Riza N. Hubungan Konsumsi Serat, Air, Tablet Fe Dan Aktivitas Fisik Dengan Kejadian Konstipasi Pada Ibu Hamil Di Wilayah Kerja Puskesmas Lubuk Buaya Kota Padang Tahun 2017. [Doctoral dissertation]. Padang: Universitas Andalas; 2017
  20. Hayati S. Pengaruh Konsumsi Tablet Fe Dengan Kejadian Konstipasi Pada Ibu Hamil Diwilayah Kerja Puskesmas Payung Sekaki Pekanbaru. Jurnal Medika Usada. 2020;3(1):15-9
  21. Purbadewi L, Ulvie YNS. Hubungan Tingkat Pengetahuan Tentang Anemia Dengan Kejadian Anemia Pada Ibu Hamil. Jurnal Gizi. 2013;2(1)
  22. Goni AP, Laoh JM, Pangemanan DH. Hubungan Pengetahuan Dan Sikap Ibu Hamil Dengan Status Gizi Selama Kehamilan Di Puskesmas Bahu Kota Manado. Jurnal Keperawatan. 2013;1(1)
  23. Mulyani EY, Briawan D, Santoso BI. Hydration Status Of Pregnant Women In West Jakarta. Asia Pac. J. Clin. Nutr.. 2017;26:S26
  24. Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC. Functional bowel disorders. Gastroenterology. 2006;130(5):1480-91
  25. Vazquez JC. Constipation, haemorrhoids, and heartburn in pregnancy. BMJ clinical evidence. 2010
  26. Yamada M, Sekine M, Tatsuse T. Psychological stress, family environment, and constipation in japanese children: The Toyama birth cohort study. Journal of epidemiology. 2018;JE20180016
  27. Harari D. Constipation and fecal incontinence in old age. In Brocklehurst's Textbook of Geriatric Medicine and Gerontology. WB Saunders. 2010:909-25
  28. Jangid V, Godhia M, Sanwalka N, Shukla A. Water Intake, Dietary Fibre, Defecatory Habits and its Association with Chronic Functional Constipation. Curr Res Nutr Food Sci. 2016;4(2),90-5

Last update:

No citation recorded.

Last update: 2025-07-02 13:34:51

No citation recorded.