Perbedaan Karakteristik Demografi dan Klinis Ibu Hamil Overweight dan Obesitas Tipe I
DOI:
https://doi.org/10.35890/jkdh.v12i02.287Keywords:
overweight, obesity, demographic characteristic, clinical characteristic, pregnantAbstract
Indonesia is also experiencing a nutritional transition, namely increased overweight and obesity. This trend has a big impact on both mothers and the babies born. There has been no research that reveals differences in the demographic and clinical characteristics of overweight and obese pregnant women, so appropriate management cannot be carried out according to the characteristics of pregnant women. The aim of this study is to explain the differences in demographic and clinical characteristics of overweight and obese type 1 pregnant woman in Kediri City.. This research uses a comparative analytical design. The research was conducted at nine Kediri City health centers, namely Campurejo, Banjarmlati, Pesantren I, Pesantren II, North Region City, South Region City, Ngletih, and Mrican health centers, from June to August 2023. The research population in June was composed of third-trimester pregnant women (102 pregnant women). Determining the sample using a simple random sampling technique, 86 pregnant women were obtained and divided into groups, namely overweight (n = 59) and type 1 obesity (n = 27). The research inclusion criteria include willingness to be a respondent, age 20–35 years, having ANC at least once in the first trimester and once in the second trimester, LILA > 23.5 cm, BMI > 25, and the exclusion criteria is pregnancy with comorbidities. Data analysis in this study used the Mann-Whitney, Fisher Exact, and Chi-Square tests with a significance value of 0.05 using SPSS 26. The research results showed that in the demographic characteristics of the overweight group compared to obesity type I, there were differences in age (p < 0.001), family history of obesity (p = 0.007), and there were no differences in education level (p = 0.0617), employment status (p = 0.096), income level (0.0353), and family support score (p = 0.587). Data on clinical characteristics in the overweight group compared to obesity type I showed differences in the history of hormonal contraceptive use (p = 0.049) and diet (p = 0.035), but there were no differences in gestational age (p = 0.157) or parity (p = 0.530). The differences in demographic and clinical characteristics between the two groups can be used as a reference for service providers so that pregnant women can control weight gain according to their body mass index.
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Ballesteros-Guzmán, Karen, A., Carrasco-Legleu, C. E., Levario-Carrillo, M., Sánchez-Ramírez, D. V. C.-C. B., Guerrero-Salgado, E. O. M.-C. F., & Reza-López, S. A. (2019). Prepregnancy Obesity, Maternal Dietary Intake, and Oxidative Stress Biomarkers in the Fetomaternal Unit. BioMed Research International, 2019. http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L628280012%0Ahttp://dx.doi.org/10.1155/2019/5070453
Baum, J. D., Curcio, E. E., & Goodheart, S. E. (2020). Pregnancy Craving and Pica: 60 Years Later. Open Journal of Obstetrics and Gynecology, 10(08), 1079–1085. https://doi.org/10.4236/ojog.2020.1080101
Branum, A. M., Kirmeyer, S. E., & Gregory, E. C. W. (2016). Prepregnancy body mass index by maternal characteristics and state: Data from the birth certificate, 2014. National Vital Statistics Reports, 65(6), 1–11.
Charnley, M., Newson, L., Weeks, A., & Abayomi, J. (2021). Pregnant women living with obesity: A cross‐sectional observational study of dietary quality and pregnancy outcomes. Nutrients, 13(5). https://doi.org/10.3390/nu13051652
Citra, T., & Kartini, A. (2020). Faktor Risiko Kejadian Obesitas Pada Ibu Balita Di Desa Lokus Penanggulangan Stunting (Studi Di Desa Kembangan Kecamatan Bonang Kabupaten Demak Provinsi Jawa Tengah). Jurnal Kesehatan Masyarakat (e-Journal), 8(3), 383–390.
Dahlan, M. S. (2016). Besar Sampel Dalam Penelitian Kedokteran Dan Kesehatan Edisi 4. Jakarta: Salemba Medika.
Dayan, F., Javadifar, N., Tadayon, M., Malehi, A. S., & Komeili Sani, H. (2018). The Relationship between Gestational Weight Gain and Postpartum Depression in Normal and Overweight Pregnant Women. Journal of Pregnancy, 2018. https://doi.org/10.1155/2018/9315320
Ella, Y., Noor, I., Sugiarto, E., Fatimah, A. S., Kesehatan, F., Universitas, M., & Surabaya, A. (2022). The Description of Obesity Among Housewifes in The World. Jurnal Gizi Dan Kesehatan, 14(1), 34–42.
Kementerian Kesehatan RI. (2018). Hasil Utama Riset Kesehatan Dasar (RISKESDAS) (Kemenkes RI (ed.)). Kemenkes RI. https://doi.org/10.1088/1751-8113/44/8/085201
Kementerian Kesehatan RI. (2019). Hasil Utama Riskesdas 2018 Provinsi Jawa Timur. Kementerian Kesehatan RI, 1–82.
Li, L., Chen, Y., Lin, Z., Lin, W., Liu, Y., Ou, W., Zeng, C., & Ke, L. (2020). Association of pre-pregnancy body mass index with adverse pregnancy outcome among first-time mothers. PeerJ, 8, 1–14. https://doi.org/10.7717/peerj.10123
Natalia, J. R., Rodiani, & Zulfadli. (2020). Pengaruh Obesitas dalam Kehamilan Terhadap Berat Badan Janin. Medula, 10(3), 539–544. http://www.journalofmedula.com/index.php/medula/article/view/134
Nikooyeh, B., Abdollahi, Z., Salehi, F., Nourisaeidlou, S., Hajifaraji, M., Zahedirad, M., Shariatzadeh, N., Kalayi, A., Babaei balderlou, F., Gholizadeh salmasi, J., Entezarmahdi, R., Ghorbannezhad, Z., Lotfollahi, N., Maleki, M.-R., & Neyestani, T. R. (2016). Prevalence of Obesity and Overweight and Its Associated Factors in Urban Adults from West Azerbaijan, Iran: The National Food and Nutritional Surveillance Program (NFNSP). Nutrition and Food Sciences Research, 3(2), 21–26. https://doi.org/10.18869/acadpub.nfsr.3.2.21
Nuttall, F. Q. (2015). Body mass index: Obesity, BMI, and health: A critical review. Nutrition Today, 50(3), 117–128. https://doi.org/10.1097/NT.0000000000000092
Parengkuan, R., Mayulu, N., & Ponidjan, T. (2018). Hubungan Pendapatan Keluarga Dengan Kejadian Obesitas Dikota Manado. Jurnal Keperawatan UNSRAT, 1(1), 110322.
Safitri, D. E., & Rahayu, N. S. (2020). Determinan Status Gizi Obesitas pada Orang Dewasa di Perkotaan: Tinjauan Sistematis The Determinants of Urban Adults’ Obesity. Arkesmas, 5(1), 1–15.
Sastroasmoro, S., & Sofyan Ismael. (n.d.). Dasar-dasar metodologi penelitian klinis.
Sidiartha, I. G. L., & Juliantini, N. P. L. (2018). Hubungan Riwayat Obesitas Pada Orangtua Dengan Kejadian Obesitas Pada Anak Sekolah Dasar. E-Jurnal Medika Udayana, 3(12), 1–13.
Simko, M., Totka, A., Vondrova, D., Samohyl, M., Jurkovicova, J., Trnka, M., Cibulkova, A., Stofko, J., & Argalasova, L. (2019). Maternal body mass index and gestational weight gain and their association with pregnancy complications and perinatal conditions. International Journal of Environmental Research and Public Health, 16(10), 1–11. https://doi.org/10.3390/ijerph16101751
Soltani, H., Lipoeto, N. I., Fair, F. J., Kilner, K., & Yusrawati, Y. (2017). 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 Women’s Health, 17(1), 102. https://doi.org/10.1186/s12905-017-0455-2
Su, X. J., Huang, S. J., Li, X., & Du, Q. L. (2020). Prepregnancy Overweight and Obesity Are Associated with an Increased Risk of Preterm Birth in Chinese Women. Obesity Facts, 13(2), 237–244. https://doi.org/10.1159/000506688
Sun, Y., Shen, Z., Zhan, Y., Wang, Y., Ma, S., Zhang, S., Liu, J., Wu, S., Feng, Y., Chen, Y., Cai, S., Shi, Y., Ma, L., & Jiang, Y. (2020). Effects of pre-pregnancy body mass index and gestational weight gain on maternal and infant complications. BMC Pregnancy and Childbirth, 20(1), 1–13. https://doi.org/10.1186/s12884-020-03071-y
Tarasuk, V., Fafard St-Germain, A. A., & Mitchell, A. (2019). Geographic and socio-demographic predictors of household food insecurity in Canada, 2011-12. BMC Public Health, 19(1), 1–12. https://doi.org/10.1186/s12889-018-6344-2
Yani, M. D., Hermawati, D., & Darmawati. (2021). Dukungan Keluarga dan Upaya Pencegahan Obesitas sebagai Faktor Risiko Preeklampsia pada Ibu Hamil. Jim Fkep, 5(1), 152–161.
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