The Body Size and Micronutrients Status Among the Bride-To Be in Probolinggo Districtof East Java

Sri Sumarmi Sri Sumarmi, Nunik Puspitasari, Soenarnatalina Melaniani

Abstract

Micronutrients deficiency is prevalent among women in reproductive age, particularly in developing countries, including in Indonesia. Small body size reflects a chronic deficiency of nutrients intake. Both of those problems may correlate each other and making maternal nutrition more complicated. Brides-to be are the most important group of women in reproductive age who require better recognition, because they will become mothers. This study was to describe inter-correlation among anthropometric indices which reflected the maternal body size and several indicators of micronutrient status. A cross sectional study was conducted in selected sub-districts of Probolinggo District, East Java Province year 2012. The samples size of 115 brides-to be were randomly selected from list of brides-to be in Sub-district Office of Religious Affair. The observed variables were body weight, height, body mass index (BMI), mid upper arms circumference (MUAC), micronutrients status including concentration of hemoglobin, serum ferritin, serum retinol and serum zinc. Pearson correlation test was used to analyze data using SPSS for Window version 13.0. Result showed that the average of body weight was 47,3 kg, average stature was 150,4 cm, BMI was 20, MUAC was 25,3 cm. The average of hemoglobin level was 12,4 g/dL, serum ferritin was 50,6 g/L, serum retinol level was 1,06 mol/L, and serum Zn level was 12,9 mol/L. Statistical analisis showed significant correlation between the body weight and hemoglobin concentration (r =0,25, p = 0,01) and serum retinol (r = 0,21, p = 0,03); between BMI and hemoglobin concentration (r = 0,31, p = 0,00) and serum ferritin (r = 0,23, p = 0,03), and serum retinol (r = 0,21, p = 0,02); between MUAC and hemoglobin (r = 0,32, p = 0,00) and serum retinol (r = 0,24, p = 0,02); between hemoglobin concentration and serum ferritin concentration (r = 0,30, p = 0,00). Stature did not correlate with any indicators of micronutrient. It implies that among the indices of body size, body weight and BMI as well as MUAC are important indicators relating to iron status, and vitamin A status, but not zinc status.

Keywords

Body size, BMI, hemoglobin, serum ferritin, serum retinol, serum zinc

Full Text:

PDF

References

Aderibigde OR, Pisa PT, Vorster HH, and Kruger SH. 2014. The relationship between iron sttaus and adiposity in women from developing countries: a review. Crit Rev Food Sci Nutr. 28(3):553-560.

Ajioka RS, Phillips JD, Kushner JP. 2006. Biosynthesis of heme in mammals. Biochimica et Biophysica Acta. 1763: 723736.

Anticona C & Sebastian MS. 2014. Anemia and malnutrition in indegenous children and adolescents of the Peruvian Amazon in a context of lead exposure: a cross-sectional study. Glob Health Action 7: 22888.

Black RE, Allen LH, Bhutta ZA, Caufiled LE, de Onis M, Ezzati M, et al. 2008. Maternal and child undernutrition: global and regional exposures and health consequences. The Lancet. 371 (9608):243260.

Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. and the Maternal and Child Nutrition Study Group. 2013. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 382 (9890):427451.

Balitbangkes, Kementerian Kesehatan RI. 2010. Riset Kesehatan Dasar (Riskesdas) Tahun 2010. Balitbangkes, Kementerian RI. Jakarta..

Balitbangkes, Kementerian Kesehatan RI. 2007. Riset Kesehatan Dasar (Riskesdas) Tahun 2007. Balitbangkes, Kementerian RI. Jakarta.

Beard J. 2007. Recent evidence from human and animal studies regarding iron status and infant development. J Nutr.137:524S-530S.

Bhutta ZA, Rizvi A, Raza F, Hotwani S, Zaidi S, Moazzam Hossain S, Soofi S and Bhutta S. 2009. A comparative evaluation of multiple micronutrient and iron-folic acid supplementation during pregnancy in Pakistan: impact on pregnancy outcomes. Food Nutr Bull, 30(Suppl):S496505.

Bodnar LM, Gong Tang, Ness RB, Harger G, and Roberts JM. 2006. Periconceptional multivitamin use reduces the risk of preeclampsia. Am J Epidemiol. 164: 470-477.

Catove JM, Bodnar LM, Ness RB, Markovic N, and Roberts JM. 2007. Association of periconceptional multivitamin use and risk of preterm or small-for-gestational-age births. Am J. Epidemiol.166(3):296-303.

Cetin I, Berti C, and Calabrese S. 2010. Role of micronutrients in the periconceptional period. Human Reproduction Update, 16(1): 80-95.

De Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. 2007. Development of a WHO growth reference for school-age children and adolescents. Buletin of WHO 85:660-667.

Garcia OP, Long KZ, Rosado JL. 2009. Impact of micronutrient deficiencies on obesity. Nutr Rev. 67(10):559572.

Garca OP, Ronquillo D, Mara del Carmen C, Camacho M, Long KZ, and Rosado JL. 2012. Zinc, vitamin A, and vitamin C status are associated with leptin concentrations and obesity in Mexican women: results from a cross-sectional study. Nutr Metab (Lond). 9:59.

Gibson RS. 2005. Principles of Nutritional Assessment 2nd Edition. New York: Oxford University Press.

Guyton AC and Hall JE. 2006. Textbook of Medical Physiology 11th edition. Phyladephia: Elsevier Saunders.

Herman S. 2007. Masalah Kurang Vitamin A (KVA) dan Prospek Penanggulangannya. Media Litbang Kesehatan.17(4):35-42.

Ibekwe MU and Ibekwe RC. 2013. Correlation between seerum zinc level and height of adolescence school girls in a Nigerian community. Niger J Paed. 40(3):243-247.

Institute of Medicine. 2009. Weight gain During Pregnancy: Reaxamining the guidelines. Rassmusen M and Yaktine AL (Eds). Washington DC: National Academies Press.

Irawati A, Atmarita, Puspitasari DS, Yurista P, Puspitasari F, dan

Triwinarto A. 2013. Riset Kesehatan Dasar (Riskesdas) Tahun 2013. Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI. Jakarta.

Kamruzzaman, Rabbani G, Saw A, Sayem A and Hossain G. 2015. Differentials in the prevalence of anemia among non-pregnant, ever-married women in Bangladesh: multilevel logistic regression analysis of data from the 2011 Bangladesh

Demographic and Health Survey. BMC Womens Health 15: 54.

Kawai, Spiegelman D, Shankar AH, and Fawzi WW. 2011. Maternal multiple micronutrient supplementation and pregnancy outcomes in developing countries: meta-analysis and meta-regression. Bull World Health Organ, 89:402411B.

Masthalina H, Laraeni Y, dan Dahlia YP. 2015. Pola konsumsi (faktorinhibitor dan enhancer Fe) terhadap status anemia remaja putri. KESMAS. 11(1): 80-86.

Marliyati SA, Nugraha A dan Anwar F. 2014. Asupan vitamin A, status vitamin A, dan status gizi anak sekolah dasar di Kecamatan Leuwiliang, Kabupaten Bogor. Jurnal Gizi dan Pangan. 9(2): 109-116

Neggers Y dan Goldenberg RL. 2003. Some thoughts on body mass index, micronutrient intake and pregnancy outcome. Am J Clin Nutr.133: 1737S-1740S.

Nahar S, Mascie-Taylor CG, Begum HA. 2007. Maternal anthropometry as a predictor of birth weight. Public Health Nutr. 10(9):965-70.

Putri SI & Sri Sumarmi. 2013. Perbandingan konsumsi zat gizi, status gizi dan kadar hemoglobin pengantin wanita di wilayah pantai dan pertanian Kabupaten Probolinggo. Media Gizi Indonesia. 9(1):7277.

Qin Y, Melse-Boonstra A, Xiaoqun Pan, Yuan B, Dai Y, Zhao J, Zimmermann MB, et al. 2013. Anemia in relation to body mass index and waist circumeference among Chinese women. J Nutr 12: 10.

Ronnenberg AG, Wood RJ, Wang X, Xing H, Chen C, Chen D, et al. 2004. Preconception hemoglobin and ferritin concentration are associated with pregnancy outcome in a prospective cohort of Chinese women. J Nutr.134:2586-91.

Ribaya-Mercado JD, Maramag CC, Tengco LW, Blumberg JB, Solon FS. 2008. Relationship of body mass index with serum carotenoids, tocopherol and retinol at steady-state and in response to carotenoid-rich vegetable diet intervention in Filipino schoolchildren. Biosci Rep. 28(2):97-106.

Sari M, de Pee S, Halati S, Martini E, Bloem MW. 2004. Risk factors for night blindness among non-pregnant women in Indonesia. Paper presented at the XXII IVACG Meeting and 2004 INACG Symposium. Lima-Peru. 15-18 November 2004.

Sri Sumarmi, Adiningsih S, Hendrati LY, Hanim D dan Satoto. 2003. Pengaruh pemberian seng (Zn) pada ibu hamil terhadap status seng dan berat bayi lahir. Media Medika Inonesiana. 38 (1):25-36.

Sri Sumarmi, Puspitasari N, Mahmudiono T & Megatsari H. 2010. Baseline survey on nutritional status among women in reproductive age. Report. Planning and Development Board of District Government of Probolinggo: Probolinggo East Java.

Sri Sumarmi, Wirjatmadi B, Kuntoro, Dachlan EG, Adriana M, Retnowati E. 2015. Micronutrients supplementation during preconception period improves fetal survival and cord blood insulin-like growth factor-1. Asian J Nutr.7(2):33-44.

Sri Sumarmi. 2016. Maternal short stature and neonatal stunting: an inter-generational cycle of malnutrition. Proceeding. International Conference of Health and Well-being. Surakarta, Mei 2016.

Sri Sumarmi, Puspitasari N, Handajani R, and Wirjatmadi B. 2016. Underweight as a risk factor for iron depletion and iron- deficient erythropoiesis among young women in rural areas of East Java, Indonesia. Mal J Nutr. 22(2 ) : 219-23 2.

Stipanuk MH. 2006. Biochemical, Physiological, Molecular Aspects of Human Nutrition 2nd edition. St. Louis Missouri: Saunders Elsevier.

Sunawang UB, Utomo B, Hidayat A, Kusharisupeni, Subarkah. 2009. Preventing low birthweight through maternal multiple micronutrient supplementation: a cluster-randomized, controlled trial in Indramayu, West Java. Food Nutr Bull. 30(Suppl):S48895.

Utami SR. 2012. Status gizi, kebugaran jasmani dan produkstivitas kerja pada tenaga kerja wanita. KESMAS. 8(1):74-80.

Wessells KR, Brown KH. 2012. Estimating the global prevalence of zinc deficiency: Results based on zinc availability in national food supplies and the prevalence of stunting. PLoS ONE. 7(11): e50568.

Wieringa FT, Sophonneary P, Whitney S , Mao B, Berger J, Conkle J, Dijkhuizen MA and Laillou A. 2016. Low Prevalence of iron and vitamin A deficiency among Cambodian women of reproductive age. Nutrients. 8(4): 197.

World Health Organization. 2007. Assessing the iron status of population 2nd edition: report of a Joint World Health Organization/Centers for Disease Control and Prevention Technical Consultation on Assessment of Iron Status at the Population Level. Geneva: WHO.

World Healath Organization. 2011. Serum retinol concentrations for determining the prevalence of vitamin A deficiency in populations. Geneva: WHO.

?ekanowska E, Boinska J, Giemza-Kucharska P, Kwapisz J. 2011. Obesity and iron metabolism. BioTechnologia. 92(2):147-152.

Refbacks

  • There are currently no refbacks.