skip to main content

Household food security and diet quality with chronic energy deficiency among preconception women

Department of Nutrition Science, Faculty of Medicine, Diponegoro University, Indonesia

Received: 11 Apr 2020; Published: 30 Jun 2021.

Citation Format:
Abstract

Background: Chronic energy deficiency (CED) that occurs at risk preconception women during pregnancy increased low birth weight (LBW) in infants. Household food security and diet quality are factors that cause CED. Therefore, this study aims to determine the relationship between household food security and diet quality with CED preconception women.

Materials and Methods: We used a cross-sectional study design. The subject of 70 preconception women aged 16-35 years registered in the religious affairs office in Sumowono and Pringapus Subdistrict were selected by consecutive sampling method. Weight and height were measured to assess body mass index to determine CED. Household food security was measured using the Household Food Security Scale Module (HFSSM). Food intake data were obtained using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) and DQI-I (Diet Quality Index-International) to measure diet quality. Bivariate analyses were tested using Rank Spearman and Pearson Product Moment.

Results: The prevalence of subjects with CED risk was 48.6% and subjects with  CED was 15.7%. 38.6% of subjects married at the age of 16-20 years, 75.1% of subjects had low household food security and 80% of subjects had low diet quality. There was no significant relationship between household food security and diet quality with CED, namely (p = 0.537) and (p = 0.711). The components of diet quality, namely variation, adequacy, moderation and balance also did not show a significant relationship with CED, respectively with p-value (p = 0.711), (p = 0.523), (p = 0.412), (p = 0.604 )

Conclusions: There was no correlation between household food security and CED, also no correlation between diet quality and CED.

Fulltext View|Download
Keywords: CED; Diet quality; food security; Preconception woman

Article Metrics:

  1. Shin D, Lee KW, Song WO. Pre-Pregnancy Weight Status Is Associated with Diet Quality and Nutritional Biomarkers during Pregnancy. Nutrients. 2016 Mar 11;8(3):1–12
  2. Stephanie P, Kartika SKA. Gambaran Kejadian Kurang Energi Kronik dan Pola Makan Wanita Usia Subur di Desa Pesinggahan Kecamatan Klungkung Bali 2014. E-Jurnal Medika Udayana. 2016 May 31;5(6):1–6
  3. Das S, Bose K. Body Mass Index, and Chronic Energy Deficiency among Adult Santals of Purulia District, West Bengal, India. Journal of Human Sciences. 2010 Jul 25;7(2):488–503
  4. Kementerian Kesehatan RI. Riset Kesehatan Dasar 2013 (RISKESDAS 2013). Indonesia: Kementerian Kesehatan Republik Indonesia; 2013
  5. Budiono I. Pengembangan Model Indeks Pembangunan Gizi. KEMAS: Jurnal Kesehatan Masyarakat. 2013 Jan 3;8(2):113–20
  6. Putri SI, Sumarmi S. Perbandingan Konsumsi Zat Gizi, Status Gizi, dan Kadar Hemoglobin Pengantin Wanita di Wilayah Pantai dan Pertanian Kabupaten Probolinggo. Media Gizi Indonesia. 2012 Jan;9(1):1–6
  7. Kementerian Kesehatan Republik Indonesia. Pusat Data dan Informasi Kementrian Kesehatan RI. Kementerian Kesehatan Republik Indonesia; 2014
  8. Rahmi L. Faktor-Faktor yang Berhubungan dengan Kekurangan Energi Kronik (KEK) pada Ibu Hamil di Puskesmas Belimbing Padang Tahun 2016. Jurnal Kesehatan Medika Saintika. 2017 Jun 12;8(1):35–46
  9. Arimond M, Elin L, Wiesmann D, Joseph M, Carriquiry A. Dietary Diversity as a Measure of Women’s Diet Quality in Resource-Poor Areas: Results from Rural Bangladesh Site. Food and Nutrition Technical Assistance. 2008;58
  10. Potdar RD, Sahariah SA, Gandhi M, Kehoe SH, Brown N, Sane H, et al. Improving women’s diet quality preconceptionally and during gestation: effects on birth weight and prevalence of low birth weight--a randomized controlled efficacy trial in India (Mumbai Maternal Nutrition Project). Am J Clin Nutr. 2014 Nov;100(5):1257–68
  11. Na M, Mehra S, Christian P, Ali H, Shaikh S, Shamim AA, et al. Maternal Dietary Diversity Decreases with Household Food Insecurity in Rural Bangladesh: A Longitudinal Analysis. J Nutr. 2016 Oct;146(10):2109–16
  12. Abraham S, Miruts G, Shumye A. Magnitude of chronic energy deficiency and its associated factors among women of reproductive age in the Kunama population, Tigray, Ethiopia, in 2014. BMC Nutrition. 2015 Jun 22;1(1):12
  13. Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Provinsi Jawa Tengah Tahun 2016. Kementerian Kesehatan Republik Indonesia; 2016
  14. Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Kabupaten Semarang 2014. Kementerian Kesehatan Republik Indonesia; 2014
  15. Santoso B, Sulistiowati E, Fajarwati T, Pambudi J. Survei Konsumsi Makanan Individu Provinsi Jawa Tengah 2014. Semarang: Badan Penelitian dan Pengembangan; 2014
  16. Usfar AA, Fahmida U, Februhartanty J. Household food security status measured by the US-Household Food Security/Hunger Survey Module (US-FSSM) is in line with coping strategy indicators found in urban and rural Indonesia. Asia Pac J Clin Nutr. 2007;16(2):368–74
  17. Adereti DT, Fasina OO. Gender analysis of food security status of rural households in Ondo State, Nigeria. Russ Agricult Sci. 2017 Jul 1;43(4):353–60
  18. Guerrero MLP, Pérez-Rodríguez F. Diet Quality Indices for Nutrition Assessment: Types and Applications. In: Functional Food - Improve Health through Adequate Food [Internet]. IntechOpen; 2017 [cited 2020 Nov 16]. Available from: https://www.intechopen.com/books/functional-food-improve-health-through-adequate-food/diet-quality-indices-for-nutrition-assessment-types-and-applications
  19. Ghrayeb FA, Rusli A M, Ismail I M, Ghrayeb NF, Al Rifai A. Prevalence of Early Marriage among Women in Rural Palestinian Community: A Cross-Sectional Study. International Medical Journal. 2015 Oct 3;22(4):291–4
  20. Raj A, Saggurti N, Balaiah D, Silverman JG. Prevalence of Child Marriage and its Impact on the Fertility and Fertility Control Behaviors of Young Women in India. Lancet. 2009 May 30;373(9678):1883–9
  21. Islam A, Islam N, Bharati P, Aik S, Hossain G. Socio-economic and demographic factors influencing nutritional status among early childbearing young mothers in Bangladesh. BMC Women's Health. 2016 26;16(1):58
  22. Rumble L, Peterman A, Irdiana N, Triyana M, Minnick E. An empirical exploration of female child marriage determinants in Indonesia. BMC Public Health. 2018 Mar 27;18(1):407
  23. Hubu N, Nuryani N, Hano YH. Pengetahuan, Asupan Energy dan Zat Gizi Berhubungan dengan Kekurangan Energy Kronis pada Wanita Prakonsepsi. GJPH. 2018 Apr 19;1(1):015
  24. Atiqah AN, Norazmir M, Anuar MK, Fahmi MM, Norazlanshah H. Food security status: it’s association with inflammatory marker and lipid profile among young adult. [Internet]. undefined. 2015 [cited 2020 Nov 16]. Available from: /paper/Food-security-status%3A-it%27s-association-with-marker-Atiqah-Norazmir/557339a0f893c6e1e813a700a3ad236a335e5b50
  25. Cordeiro LS, Wilde PE, Semu H, Levinson FJ. Household food security is inversely associated with undernutrition among adolescents from Kilosa, Tanzania. J Nutr. 2012 Sep;142(9):1741–7
  26. Hackett M, Melgar-Quiñonez H, Taylor CA, Alvarez Uribe MC. Factors associated with the household food security of participants of the MANA food supplement program in Colombia. Arch Latinoam Nutr. 2010 Mar;60(1):42–7
  27. Ahmed UI, Ying L, Bashir MK, Abid M, Zulfiqar F. Status and determinants of small farming households’ food security and role of market access in enhancing food security in rural Pakistan. PLoS One. 2017;12(10):e0185466
  28. Mariscal-Arcas M, Romaguera D, Rivas A, Feriche B, Pons A, Tur JA, et al. Diet quality of young people in southern Spain evaluated by a Mediterranean adaptation of the Diet Quality Index-International (DQI-I). Br J Nutr. 2007 Dec;98(6):1267–73
  29. Madanijah S, Briawan D, Rimbawan R, Zulaikhah Z, Andarwulan N, Nuraida L, et al. Nutritional status of pre-pregnant and pregnant women residing in Bogor district, Indonesia: a cross-sectional dietary and nutrient intake study. Br J Nutr. 2016;116 Suppl 1:S57-66
  30. Shamim AA, Mashreky SR, Ferdous T, Tegenfeldt K, Roy S, Rahman AKMF, et al. Pregnant Women Diet Quality and Its Sociodemographic Determinants in Southwestern Bangladesh. Food Nutr Bull. 2016 Mar;37(1):14–26
  31. Austin GL, Ogden LG, Hill JO. Trends in carbohydrate, fat, and protein intakes and association with energy intake in normal-weight, overweight, and obese individuals: 1971-2006. Am J Clin Nutr. 2011 Apr;93(4):836–43
  32. Mohseni-Takalloo S, Mirmiran P, Hosseini-Esfahani F, Azizi F. Dietary Fat Intake and Its Relationship with Serum Lipid Profiles in Tehranian Adolescents. JFNR. 2014 Jun 16;2(6):330–4
  33. Mridha MK, Matias SL, Arnold CD, Dewey KG. Factors associated with nutritional status and dietary practices of Bangladeshi adolescents in early pregnancy. Ann N Y Acad Sci. 2018 Feb 18;1416:66–76
  34. Keino S, Plasqui G, van den Borne B. Household food insecurity access: a predictor of overweight and underweight among Kenyan women. Agriculture & Food Security. 2014 Jan 28;3(1):2
  35. Abdu J, Kahssay M, Gebremedhin M. Household Food Insecurity, Underweight Status, and Associated Characteristics among Women of Reproductive Age Group in Assayita District, Afar Regional State, Ethiopia [Internet]. Vol. 2018, Journal of Environmental and Public Health. Hindawi; 2018 [cited 2020 Nov 16]. p. e7659204. Available from: https://www.hindawi.com/journals/jeph/2018/7659204/
  36. Gulliford MC, Mahabir D, Rocke B. Food insecurity, food choices, and body mass index in adults: nutrition transition in Trinidad and Tobago. Int J Epidemiol. 2003 Aug;32(4):508–16
  37. Nobrega S, Champagne N, Abreu M, Goldstein-Gelb M, Montano M, Lopez I, et al. Obesity/Overweight and the Role of Working Conditions: A Qualitative, Participatory Investigation. Health Promot Pract. 2016 Jan;17(1):127–36
  38. Feskanich D, Rockett HRH, Colditz GA. Modifying the Healthy Eating Index to assess diet quality in children and adolescents. J Am Diet Assoc. 2004 Sep;104(9):1375–83
  39. Dobner J, Kaser S. Body mass index and the risk of infection - from underweight to obesity. Clin Microbiol Infect. 2018 Jan;24(1):24–8
  40. Katona P, Katona‐Apte J. The Interaction between Nutrition and Infection. CLIN INFECT DIS. 2008 May 15;46(10):1582–8
  41. Leung CW, Epel ES, Ritchie LD, Crawford PB, Laraia BA. Food Insecurity Is Inversely Associated with Diet Quality of Lower-Income Adults. Journal of the Academy of Nutrition and Dietetics. 2014 Dec;114(12):1943-1953.e2
  42. Coelho DF, Pereira-Lancha LO, Chaves DS, Diwan D, Ferraz R, Campos-Ferraz PL, et al. Effect of high-fat diets on body composition, lipid metabolism and insulin sensitivity, and the role of exercise on these parameters. Brazilian Journal of Medical and Biological Research. 2011 Oct;44(10):966–72

Last update:

  1. Reproducibility and Validity of a Food Frequency Questionnaire (FFQ) Developed for Middle-Aged and Older Adults in Semarang, Indonesia

    Ahmad Syauqy, Diana Nur Afifah, Rachma Purwanti, Choirun Nissa, Deny Yudi Fitranti, Jane C.-J. Chao. Nutrients, 13 (11), 2021. doi: 10.3390/nu13114163

Last update: 2024-11-13 05:50:02

No citation recorded.