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The effect of soy milk on haemoglobin levels in pregnant women with anaemia

1Midwifery Study Program Karawang, Politeknik Kesehatan Kemenkes Bandung, Bandung, Jawa Barat, Indonesia

2Department of Community Education, Universitas Pendidikan Indonesia, Bandung, Jawa Barat, Indonesia

3Undergraduate Program of Midwifery, Politeknik Kesehatan Kemenkes Tasikmalaya, Tasikmalaya, Jawa Barat, Indonesia

Received: 5 Aug 2023; Revised: 18 Feb 2024; Accepted: 15 Mar 2024; Available online: 28 Jun 2024; Published: 28 Jun 2024.

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Abstract

Background: Anaemia is one of the health problems that occur in pregnant women, often associated with a lack of iron intake. One approach to overcoming iron deficiency anaemia is through the use of functional foods, such as soy milk, because it contains high protein and iron, which can stimulate the production of red blood cells. This study aims to determine the effect of soy milk on haemoglobin levels in pregnant women with anaemia. This research method uses a quasi-experimental research design with a pretest-posttest control group design. The intervention group underwent an initial haemoglobin level check (Haemoglobin 1), followed by a 15-day intervention period by consuming soy milk (250 ml/day) and Fe tablets (2x1/day). On day 16, the haemoglobin level was re-evaluated (Haemoglobin 2). Meanwhile, the control group also underwent an initial haemoglobin level check (Haemoglobin 1) and then received iron tablets (2x1/day), with a follow-up haemoglobin level check on day 16 (Haemoglobin 2). The total sample size was 130 people (65 people in the intervention group and 65 people in the control group). Sampling was purposive sampling, and the data were analysed with a dependent t-test for the intervention group, a Wilcoxon test for the control group, and a Mann-Whitney test. The majority of respondents were between 20 and 35 years old (94.6%), had junior high school education (63.15%), did not work (75.4%), had a had a parity less than 2 (76.9%), and had a had a low knowledge level (70.8%). After the intervention, haemoglobin levels increased by 0.9. Statistical analysis showed a significant difference in the mean haemoglobin levels before and after soy milk consumption (p = 0.001). In addition, there was a significant difference in haemoglobin levels between the intervention group and the control group (p = 0.001). Soy milk consumption showed a positive effect on haemoglobin levels in anaemic pregnant women. Soy milk consumption (2x250 ml/day) can be an alternative to increasing haemoglobin levels in pregnant women.

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Keywords: Soy Milk; Pregnant Women; Anaemia

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  1. WHO. Iron deficiency anaemia: assessment, prevention and control. In 2011
  2. Wemakor A. Prevalence and determinants of anaemia in pregnant women receiving antenatal care at a tertiary referral hospital in Northern Ghana. BMC Pregnancy Childbirth. 2019;19(1):1-11.Available from: https://doi: 10.1186/s12884-01
  3. Abu-Ouf NM, Jan MM. The impact of maternal iron deficiency and iron deficiency anemia on child’s health. Saudi Med J [Internet]. 2015;36(2):146–9. Available from: https://doi.org/ 10.15537/smj.2015.2.10289
  4. Dinkes Karawang. Profil Dinas Kesehatan Tahun 2021. Karawang: Dinas Kesehatan Karawang; 2021
  5. Bhutta ZA et al. Community-Based Interventions for Improving Perinatal and Neonatal Health Outcomes in Developing Countries: A Review of the Evidence’, Pediatrics, 115(Supplement 2),. 2017. 519-617 doi: 10.1542/peds.2004-1441p
  6. Camilleri AP. Anaemia in Pregnancy. Br Med J. 2012;2(5202):859.doi: 10.1136/bmj.2.5202.859
  7. Juffrie M, Helmyati S, Hakimi M. Nutritional anemia in Indonesia children and adolescents: Diagnostic reliability for appropriate management. Asia Pac J Clin Nutr. 2020;29(December):18-31 Available from: https://doi.org/ 10.6133/APJ
  8. Sunuwar DR, Sangroula RK, Shakya NS, Yadav R, Chaudhary NK. Pengaruh pendidikan gizi terhadap kadar hemoglobin pada ibu hamil : Sebuah studi kuasi eksperimental. J pone. 2019;(Cdc):Available from: https://doi.org/10.1371/journal.po
  9. Jalambo M, Karim N, Naser I, Sharif R. Effects of iron supplementation and nutrition education on haemoglobin, ferritin and oxidative stress in iron-deficient female adolescents in Palestine: Randomized control trial. East Mediterr Heal J. 2018;24(6):560-568 Available from: https://doi.org/10.26719/2
  10. Ekafitri, R., & Isworo R. Pemanfaatan Kacang-Kacangan sebagai Bahan Baku Sumber Protein Untuk Pangan Darurat The Utilization of Beans as Protein Source for Emergency Food. J Pangan. 2014;23(2):134-145.Available from: https://doi.org/10.33964/
  11. Guo B, Sun L, Jiang S, Ren H, Sun R, Wei Z, et al. Soybean genetic resources contributing to sustainable protein production. Theor Appl Genet [Internet]. 2022;135(11):4095–121. Available from: https://doi.org/10.1007/s00122-022-04222-9
  12. Liu S, Wen N, Su HT. Influence of High-Protein Food on Physical Function of Athletes. J Food Qual. 2023;22:1-9.vailable from: https://doi.org/10.1155/2022/44
  13. Kaczmarska K, Taylor M, Piyasiri U, Frank D. Flavor and metabolite profiles of meat, meat substitutes, and traditional plant-based high-protein food products available in Australia. Foods. 2021;10(4):1-16.ilable from: https://doi.org/10.3390/foods100
  14. Khojely DM, Ibrahim SE, Sapey E, Han T. History, current status, and prospects of soybean production and research in sub-Saharan Africa. Crop J [Internet]. 2018;6(3):226–35. Available from: https://doi.org/10.1016/j.cj.2018.03.006
  15. Astawa, M dan Kasih AL. Khasiat Warna-Warni Makanan. Jakarta: Gramedia Pustaka Utama; 20008
  16. Messina M, Sievenpiper JL, Williamson P, Kiel J, Erdman JW. Perspective: Soy-based Meat and Dairy Alternatives, Despite Classification as Ultra-processed Foods, Deliver High-quality Nutrition on Par with Unprocessed or Minimally Processed Animal-based Counterparts. Adv Nutr. 2022;13(3):726-738.Available from: https://doi.org/10.1093/ad
  17. Rizki N, Wiji RN, Rismawati V, Harianti R. Pengaruh Susu Kedelai Terhadap Peningkatan Kadar Hemoglobin Remaja Putri Sma Negeri 1 Perhentian Raja Kampar. J Gizi dan Kuliner [Internet]. 2022;3(1):26–33. Available from: http://dx.doi.org/10.35706/giziku.v3i1.6895
  18. Amallia S, Afriyani R, Utami SP. Faktor Risiko Kejadian Anemia pada Ibu Hamil di Rumah Sakit BARI Palembang. J Kesehat. 2017;8(3):389-395.Available from: https://doi.org/10.26630/j
  19. Ntuli TS, Mokoena OP, Maimela E, Sono K. Prevalence and factors associated with anaemia among pregnant women attending antenatal care in a district hospital and its feeder community healthcare centre of the Limpopo Province, South Africa. J Fam Med Prim Care. 2023;12(11):2708-2713.Available from: https://doi.org/10.4103/
  20. Amini A, Pamungkas CE, Harahap APHP. Usia Ibu Dan Paritas Sebagai Faktor Risiko Yang Mempengaruhi Kejadian Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Ampenan. Midwifery J J Kebidanan UM Mataram. 2018;3(2):Available from: https://doi.org/108-113.10.31764/m
  21. Sari SA, Fitri NL, Dewi NR. Hubungan Usia Dengan Kejadian Anemia Pada Ibu Hamil Di Kota Metro. J Wacana Kesehat. 2021;6(1):23-26.Available from: https://doi.org/10.52822/jwk
  22. Kemenkes RI. Buku Pedoman Pengenalan Tanda Bahaya Kehamilan, Persalinan dan Nifas. EGC; 2017
  23. Gedefaw L, Ayele A, Asres Y, Mossie A. Anemia and Associated Factors Among Pregnant Women Attending Antenatal Care Clinic in Wolayita Sodo Town, Southern Ethiopia. Ethiop J Health Sci [Internet]. 2015;25(2):155–62. Available from: http://dx.doi.org/10.4314/ejhs.v25i2.8
  24. Farisni TN, Fitriani F, Yarmaliza Y. The Effectiveness of Homemade Soymilk in Increasing Haemoglobin (Hb) Levels in Pregnant Women. J-Kesmas J Fak Kesehat Masy (The Indones J Public Heal [Internet]. 2019;6(2):41–8. Available from: https://doi.org/10.35308/j-kesmas.v6i2.1159
  25. Olii N, Ischak WI, Manueke I, Donsu A, Surya S, Nurdin I, et al. Effect of Soybean Juice on the Increase in Hemoglobin Levels among Adolescent Girls. J Info Kesehat [Internet]. 2023;21(2):192–8. Available from: https://doi.org/10.31965/infokes.Vol21Iss2.1028
  26. Sari AP, Yuniarti P, Krisnasary A. The Impact of Tempeh Milk and Soymilk on Adolescent Hemoglobin Level. Media Gizi Indones. 2023;18(1SP):27-32.Available from: https://doi.org/10.20473/mgi
  27. Wulandhari A, Supriyana S, Bahiyatun B, Hadisaputro S, Mashoedi ID. Effect of Fe-Fortified Tempe on Hematologic Status in Pregnant Mothers With Anemia. Belitung Nurs J [Internet]. 2017;3(4):370–5. Available from: https://doi.org/10.33546/bnj.157
  28. Yuniwati Y. Pengaruh Pemberian Susu Tempe Terhadap Kadar Haemoglobin Pada Ibu Hamil Trimester Iii. J Media Kesehat. 2018;7(2):169-176.Available from: https://doi: 10.33088/jmk.v
  29. Jiang S, Cai W, Xu B. Food quality improvement of soy milk made from short-time germinated soybeans. Foods. 2013;2(2):198-212.https:/doi.10.3390/foods2020198
  30. Garland MA, Sengupta S, Mathew LK, Truong L, de Jong E, Piersma AH, et al. Glucocorticoid receptor-dependent induction of cripto-1 (one-eyed pinhead) inhibits zebrafish caudal fin regeneration. Toxicol Reports [Internet]. 2019;6(February):529–37. Available from: https://doi.org/10.1016/j.toxrep.2019.05.013
  31. Ooi SL, Pak SC, Campbell R, Manoharan A. Polyphenol-Rich Ginger (Zingiber officinale) for Iron Deficiency Anaemia and Other Clinical Entities Associated with Altered Iron Metabolism. Molecules. 2022;27(19):1-25.Available from: https://doi.org/10.3390/molec
  32. Ozkur M, Benlier N, Takan I, Vasileiou C, Georgakilas AG, Pavlopoulou A, et al. Ginger for Healthy Ageing: A Systematic Review on Current Evidence of Its Antioxidant, Anti-Inflammatory, and Anticancer Properties. Oxid Med Cell Longev [Internet]. 2022;20(22):1–15. Available from: http://dx.doi.org/10.1155/2022/4748447
  33. Benny M, Shylaja MR, Antony B, Kumar Gupta N, Mary R, Anto A, et al. Acute and Sub Acute Toxicity Studies With Ginger Extract in Rats. Int J Pharm Sci Res [Internet]. 2021;12(5):2799. Available from: http://dx.doi.org/10.13040/IJPSR.0975-8232.12
  34. Hadiyani W, Yunidha V. Pengaruh Kepatuhan Konsumsi Tablet Fe Terhadap Kadar Haemoglobin Ibu Hamil. J Ilm Keperawatan (Scientific J Nursing). 2019;5(1):7-13.Available from: https://doi.org/10.33023/jike
  35. Nurhaliza S, Een Husanah. Asuhan kebidanan pada ibu hamil anemia dengan konsumsi susu kedelai di klinik pratama jambu mawar kota pekanbaru tahun 2021. J Kebidanan Terkini (Current Midwifery Journal). 2022;2(1):132-137.Available from: https://doi.org/10.25311/j
  36. Kusuma M&. Susu Kedelai; Susu Nabati yang Menyehatkan. Revisi. Jakarta: Penerbit Agro Media Pustaka; 2017
  37. Skolmowska D, Głąbska D. Analysis of heme and non-heme iron intake and iron dietary sources in adolescent menstruating females in a national Polish sample. Nutrients [Internet]. 2019;11(5):1–21. Available from: https://doi.org/10.3390/nu11051049
  38. Piskin E, Cianciosi D, Gulec S, Tomas M, Capanoglu E. Iron Absorption: Factors, Limitations, and Improvement Methods. ACS Omega [Internet]. 2022;7(24):20441–56. Available from: https://doi.org/10.1021/acsomega.2c01833
  39. Vandevijvere S, Michels N, Verstraete S, Ferrari M, Leclercq C, Cuenca-García M, et al. Intake and dietary sources of haem and non-haem iron among European adolescents and their association with iron status and different lifestyle and socio-economic factors. Eur J Clin Nutr [Internet]. 2013;67(7):765–72. Available from: https://doi.org/10.1038/ejcn.2013.100
  40. Linder M. Biokimia Nutrisi dan Metabolisme. Jakarta: Universitas Indonesia; 2009
  41. ML G. The Nutrients and Their Metabolism. In : Mahan LK, EscottStump S. Krause’s Food, Nutrition, and Diet Therapy. In: 12th editi. Philadelphia: Saunders; 2008
  42. Arief N, 2008. Panduan Lengkap Kehamilan dan Kelahiran Sehat. Yogyakarta: Dianloka;
  43. Kementerian Kesehatan Republik Indonesia. Pedoman Pemberian Tablet Tambah Darah (TTD) Bagi Ibu Hamil. 2020;24
  44. Proverawati A. Anemia dan Anemia Kehamilan. Yogyakarta: Nuha Medika; 2011
  45. Ni’matush Sholihah, Sri Andari, Bambang Wirjatmadi. Hubungan Tingkat Konsumsi Protein, Vitamin C, Zat Besi dan Asam Folat dengan Kejadian Anemia Pada Remaja Putri SMAN 4 Surabaya. Amerta Nutr [Internet]. 2019;3(3):135–41. Available from: https://doi.org/10.2473/amnt.v3i3.2019.135-141
  46. Ndiaye NF, Idohou-Dossou N, Diouf A, Guiro AT, Wade S. Folate Deficiency and Anemia Among Women of Reproductive Age (15-49 Years) in Senegal: Results of a National Cross-Sectional Survey. Food Nutr Bull [Internet]. 2018;39(1):65–74. Available from: https://doi.org/10.1177/0379572117739063
  47. Almatsier. Basic Principles of Nutrition. Jakarta: Gr

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