ASUPAN KALSIUM DAN TINGKAT KECUKUPAN KALSIUM PADA IBU HAMIL DI KABUPATEN JEMBER
Article Sidebar
Abstract
Kalsium selama kehamilan selain penting bagi kesehatan tulang ibu dan janin, diperlukan pula untuk mencegah hipertensi dalam kehamilan. Wanita hamil di negara berkembang umumnya memiliki asupan kalsiumyang rendah. Selama ini belum banyak data mengenai asupan kalsium pada ibu hamil di Indonesia. Penelitian ini secara umum bertujuan menganalisis asupan kalsium pangan dan tingkat kecukupan kalsium pada ibu hamil di Kabupaten Jember. Penelitian ini menggunakan desaincross-sectional. Wawancara mengenai konsumsi pangan dilakukan kepada 96 orang ibu hamil yang dipilih secara purposive pada bulan Januari sampai Februari 2016 menggunakan food frequency questionnaire semi-kuantitatif. Hasil penelitian ini menunjukkan bahwa 81.2% ibu hamil memiliki tingkat kecukupan kalsium yang berada dalam kategori kurang. Asupan kalsium dari pangan memenuhi 67.6% EAR(Estimated Average Requirement) kalsium ibu hamil. Terdapat hubungan signifikan antara frekuensi konsumsi susu dan olahannya (r=0.721, p=0.000), lauk hewani (r=0.595, p=0.000), sayuran (r=0.463, p=0.000), dan jajanan (r=0.429, p=0.000) dengan tingkat kecukupan kalsium subjek. Penelitian ini menunjukkan pentingnya pendidikan gizi tentang konsumsi gizi seimbang selama kehamilan dan perlunya suplementasi kalsium sebagai salah satu program untuk memenuhi kebutuhan kalsium ibu hamil dan dalam rangka pencegahan hipertensi dalam kehamilan.
References
1. Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, Gülmezoglu AM, Temmerman M, Alkema L. Global Causes of Maternal Death: AWHO Systematic Analysis. Lancet Glob Health. 2014; 2(6):e323–33.
2. Direktorat Bina Gizi dan KIA, Kementrian Kesehatan RI. Rencana Aksi Percepatan Penurunan Angka Kematian Ibu di Indonesia. Jakarta (ID): Direktorat Bina Gizi dan KIA;2013.
3. Camargo EB, Moraes LF, Souza CM, Akutsu R, Barreto JM, da Silva EM. Survey of Calcium Supplementation to Prevent Preeklampsia: The Gap between Evidence and Practice in Brazil. BMC Pregnancy and Childbirth. 2013;206(13):1-7.
4. Imdad A, Jabeen A, Bhutta ZA. Role of Calcium Supplementation during Pregnancy in Reducing Risk of Developing Gestational Hypertensive Disorders: a Meta Analysis of Studies from Developing Countries. BMC Public Health. 2011; 11(3):S18.
5. Ritchie LD dan King JC. Dietary Calcium and Pregnancy Induced Hypertension: is there a relation? Am J Clin Nutr. 2000;71(5):1371S-4S.
6. Hofmeyr GJ, Lawrie TA, Atallah AN, Duley L, Torloni MR. Calcium Supplementation during Pregnancy for Preventing Hypertensive Disorders and Related Problems (Review). Cochrane Database Systematic Reviews, Issue 6. Published by John Wiley & Sons, Ltd. 2014.
7. Agueh VD, Tugoué MF, Sossa C, Métonnou C, Azandjemè C, Paraiso NM, Ouendo ME, Ouédraogo LT, Makoutodé M. Dietary Calcium Intake and Associated Factors among Pregnant Women in Southern Benin in 2014. Food and Nutrition Sciences. 2015;6(11):945-954.
8. Sukchan P, Liabsuetrakul T, Chongsuvivat wong V, Songwathana P, Sornsrivichai V, Kuning M. Inadequacy of Nutrients Intake among Pregnant Women in the Deep South of Thailand. BMC Public Health. 2010; 10(572):1-8.
9. Sacco LM, Caulfield LE, Zavaleta N, Retamozo L. Dietary Pattern and Usual Nutrient intakes of Peruvian Women during Pregnancy. European Journal of Clinical Nutrition. 2003;57(11):1492–1497.
10. Kodyat BA, Mukrie N, Latief D, Alhabsyi A& Palupi L. Indonesian Weaning Food Program (Lesson Learned). Proceedings of the International Workshop on Infant and Young Child Feeding; January 14–18, 1996; Surabaya. In- donesia. 1998.
11. Bhutta ZA, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, et al. Evidence-Based Interventions for Improvement of Maternal and Child Nutrition: What Can be Done and at What Cost? The Lancet. 2013; 382(9890):452-477.
12. Palacios, C. and Pena-Rosas, J. Calcium Supplementation during Pregnancy for Preventing Hypertensive Disorders and their Complications: Reproductive Health Library Comments. Geneva: World Health Organization.2013.
13. Dinas Kesehatan Kabupaten Jember. Profil Kesehatan Kabupaten Jember tahun 2013. Jember (ID): Dinas Kesehatan Kabupaten Jember. 2014.
14. Lemeshow. Besar sampel dalam penelitian Kesehatan. Yogyakarta: Gajah Mada Univer-sity Press. 1997.
15. Cucó G, Fernández-Ballart J, Sala J, Viladrich C, Vila J, Arija V. Dietary Patterns and Associated Lifestyles in Preconception, Pregnancy and Postpartum. Eur J Clin Nutr.2006;60(3):364-71.
16. Thompson JMD, Wall C, Becroft DMO, Robinson E, Wild CJ,Mitchell EA. Maternal Dietary Patterns in Pregnancy and the Association with Small for Gestational Age Infants. Br J Nutr. 2010;103(11):1665-73.
17. Kovacs CS. Calcium and Bone Metabolism Disorder during Pregnancy and Lactation. Endocrinol Metab Clin North Am. 2011;
40(4):795-826.
18. O’BrienKO, Donangelo CM, Zapata CLV,Abrams SA, Spencer EM, King JC. Bone Calcium Turnover during Pregnancy and Lactation in Women with Low Calcium Diets is Associated with Calcium Intake and Circulating Insulin like Growth Factor 1 Concentrations. Am J Clin Nutr. 2006; 83(2):317–323.
19. Institute of Medicine. Dietary Reference Intakes: Applications in Dietary Planning. Washington DC: National Academy Press. 2003.
20. Kementerian Kesehatan RI. Peraturan Menteri Kesehatan RI Nomor 75 Tahun 2013 tentang Angka Kecukupan Gizi yang Dianjurkan Bagi Bangsa Indonesia. Jakarta (ID): Kementrian Kesehatan RI. 2014.
21. Cheng Y, Dibley MJ, Zhang X, Zeng L, Yan H.Assessment of Dietary Intake among Pregnant Women in a Rural Area of Western China. BMC Public Health. 2009;9(222):1-9.
22. Gao H, Stiller CK, Scherbaum V, Biesalski HK, Wang Q, Horman E, Bellows AC. Dietary Intake and Food Habits of Pregnant Women Residing in Urban and Rural Areas of Deyang City, Sichuan Province, China. Nutrients. 2013;5(8):2933-2954.
23. Hartini TN, Winkvist A, Lindholm L, Sten- lund H, Persson V, Nurdiati DS, Surjono A. Nutrient Intake and Iron Status of Urban Poor and Rural Poor without Access to Rice Fields are Affected by the Emerging Economic Crisis: The Case of Pregnant Indonesian Women. European Journal of Clinical Nutrition.2003;57(5):654-666.
24. Ebrahimi F, Shariff ZM, Rezaeian M, Tabatabaei SZ, Mun CY, Tajik E. Socioeconomic Status and Intake of Energy and Sodium are Associated with Calcium Intake among Pregnant Women in Rafsanjan City, Iran. The Journal of Obstetrics and Gynaecology Research. 2012;39(1):146-153.
25. Weaver CM et al. Choices for Achieving Adequate Dietary Calcium with a Vegetarian Diet. Am J Clin Nutr. 1999;70 (3suppl): 543S-548S.
26. Harville E, Schramm M, Watt-Morse M, Chantala K, Anderson J, Hertz-Picciotto I. Calcium Intake during Pregnancy among White and African-American Pregnant Women in the United States. The Journal of the American College of Nutrition.2004;23(1):43-50.
27. Sung-Hyen L dan Soon Ok C. Comparison of the Bioavailability of Calcium from Anchovy, Tofu and Nonfat Dry Milk (NFDM) in Growing Male Rats. Korean J Nutrition. 1994; 27 (5): 473-482.
28. Winarno FG. Potensi dan Masalah Makanan Jajanan. Dalam: Keamanan Pangan. Naskah Akademis. Bogor: Institut Pertanian Bogor.1997. Hal 98.
29. Hapsari RN. Kontribusi Makanan Jajanan terhadap Tingkat Kecukupan Asupan Energi dan Protein pada Anak Sekolah yang Mendapat PMT-AS di SD Negeri Plalan 1 Kota Surakarta. Jurnal Publikasi. Surakarta: Universitas Muhammdiyah Surakarta. 2013.
30. Coelho NLP, Cunha DB, Esteves APP, Lacerda EMA, Filha MMT. Dietary Patterns in Pregnancy and Birth Weight. Rev Saúde Pública.
2015; 49(62):1-10.
31. Wen ML. Flood VM, Simpson JM, Rissel C, Baur L. Dietary Behaviours during Pregnancy: Findings from First time Mothers in Southwest Sydney, Australia. International Journal of Behavioral Nutrition and Physical Activity.2010; 7(13):1-7.
32. Rao S, Yajnik CS, Kanade A et al. Intake of Micronutrient rich Foods in Rural Indian Mothers is Associated with the Size of their Babies at Birth: Pune Maternal Nutrition Study. J Nutr. 2001; 131(4):1217–1224.
2. Direktorat Bina Gizi dan KIA, Kementrian Kesehatan RI. Rencana Aksi Percepatan Penurunan Angka Kematian Ibu di Indonesia. Jakarta (ID): Direktorat Bina Gizi dan KIA;2013.
3. Camargo EB, Moraes LF, Souza CM, Akutsu R, Barreto JM, da Silva EM. Survey of Calcium Supplementation to Prevent Preeklampsia: The Gap between Evidence and Practice in Brazil. BMC Pregnancy and Childbirth. 2013;206(13):1-7.
4. Imdad A, Jabeen A, Bhutta ZA. Role of Calcium Supplementation during Pregnancy in Reducing Risk of Developing Gestational Hypertensive Disorders: a Meta Analysis of Studies from Developing Countries. BMC Public Health. 2011; 11(3):S18.
5. Ritchie LD dan King JC. Dietary Calcium and Pregnancy Induced Hypertension: is there a relation? Am J Clin Nutr. 2000;71(5):1371S-4S.
6. Hofmeyr GJ, Lawrie TA, Atallah AN, Duley L, Torloni MR. Calcium Supplementation during Pregnancy for Preventing Hypertensive Disorders and Related Problems (Review). Cochrane Database Systematic Reviews, Issue 6. Published by John Wiley & Sons, Ltd. 2014.
7. Agueh VD, Tugoué MF, Sossa C, Métonnou C, Azandjemè C, Paraiso NM, Ouendo ME, Ouédraogo LT, Makoutodé M. Dietary Calcium Intake and Associated Factors among Pregnant Women in Southern Benin in 2014. Food and Nutrition Sciences. 2015;6(11):945-954.
8. Sukchan P, Liabsuetrakul T, Chongsuvivat wong V, Songwathana P, Sornsrivichai V, Kuning M. Inadequacy of Nutrients Intake among Pregnant Women in the Deep South of Thailand. BMC Public Health. 2010; 10(572):1-8.
9. Sacco LM, Caulfield LE, Zavaleta N, Retamozo L. Dietary Pattern and Usual Nutrient intakes of Peruvian Women during Pregnancy. European Journal of Clinical Nutrition. 2003;57(11):1492–1497.
10. Kodyat BA, Mukrie N, Latief D, Alhabsyi A& Palupi L. Indonesian Weaning Food Program (Lesson Learned). Proceedings of the International Workshop on Infant and Young Child Feeding; January 14–18, 1996; Surabaya. In- donesia. 1998.
11. Bhutta ZA, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, et al. Evidence-Based Interventions for Improvement of Maternal and Child Nutrition: What Can be Done and at What Cost? The Lancet. 2013; 382(9890):452-477.
12. Palacios, C. and Pena-Rosas, J. Calcium Supplementation during Pregnancy for Preventing Hypertensive Disorders and their Complications: Reproductive Health Library Comments. Geneva: World Health Organization.2013.
13. Dinas Kesehatan Kabupaten Jember. Profil Kesehatan Kabupaten Jember tahun 2013. Jember (ID): Dinas Kesehatan Kabupaten Jember. 2014.
14. Lemeshow. Besar sampel dalam penelitian Kesehatan. Yogyakarta: Gajah Mada Univer-sity Press. 1997.
15. Cucó G, Fernández-Ballart J, Sala J, Viladrich C, Vila J, Arija V. Dietary Patterns and Associated Lifestyles in Preconception, Pregnancy and Postpartum. Eur J Clin Nutr.2006;60(3):364-71.
16. Thompson JMD, Wall C, Becroft DMO, Robinson E, Wild CJ,Mitchell EA. Maternal Dietary Patterns in Pregnancy and the Association with Small for Gestational Age Infants. Br J Nutr. 2010;103(11):1665-73.
17. Kovacs CS. Calcium and Bone Metabolism Disorder during Pregnancy and Lactation. Endocrinol Metab Clin North Am. 2011;
40(4):795-826.
18. O’BrienKO, Donangelo CM, Zapata CLV,Abrams SA, Spencer EM, King JC. Bone Calcium Turnover during Pregnancy and Lactation in Women with Low Calcium Diets is Associated with Calcium Intake and Circulating Insulin like Growth Factor 1 Concentrations. Am J Clin Nutr. 2006; 83(2):317–323.
19. Institute of Medicine. Dietary Reference Intakes: Applications in Dietary Planning. Washington DC: National Academy Press. 2003.
20. Kementerian Kesehatan RI. Peraturan Menteri Kesehatan RI Nomor 75 Tahun 2013 tentang Angka Kecukupan Gizi yang Dianjurkan Bagi Bangsa Indonesia. Jakarta (ID): Kementrian Kesehatan RI. 2014.
21. Cheng Y, Dibley MJ, Zhang X, Zeng L, Yan H.Assessment of Dietary Intake among Pregnant Women in a Rural Area of Western China. BMC Public Health. 2009;9(222):1-9.
22. Gao H, Stiller CK, Scherbaum V, Biesalski HK, Wang Q, Horman E, Bellows AC. Dietary Intake and Food Habits of Pregnant Women Residing in Urban and Rural Areas of Deyang City, Sichuan Province, China. Nutrients. 2013;5(8):2933-2954.
23. Hartini TN, Winkvist A, Lindholm L, Sten- lund H, Persson V, Nurdiati DS, Surjono A. Nutrient Intake and Iron Status of Urban Poor and Rural Poor without Access to Rice Fields are Affected by the Emerging Economic Crisis: The Case of Pregnant Indonesian Women. European Journal of Clinical Nutrition.2003;57(5):654-666.
24. Ebrahimi F, Shariff ZM, Rezaeian M, Tabatabaei SZ, Mun CY, Tajik E. Socioeconomic Status and Intake of Energy and Sodium are Associated with Calcium Intake among Pregnant Women in Rafsanjan City, Iran. The Journal of Obstetrics and Gynaecology Research. 2012;39(1):146-153.
25. Weaver CM et al. Choices for Achieving Adequate Dietary Calcium with a Vegetarian Diet. Am J Clin Nutr. 1999;70 (3suppl): 543S-548S.
26. Harville E, Schramm M, Watt-Morse M, Chantala K, Anderson J, Hertz-Picciotto I. Calcium Intake during Pregnancy among White and African-American Pregnant Women in the United States. The Journal of the American College of Nutrition.2004;23(1):43-50.
27. Sung-Hyen L dan Soon Ok C. Comparison of the Bioavailability of Calcium from Anchovy, Tofu and Nonfat Dry Milk (NFDM) in Growing Male Rats. Korean J Nutrition. 1994; 27 (5): 473-482.
28. Winarno FG. Potensi dan Masalah Makanan Jajanan. Dalam: Keamanan Pangan. Naskah Akademis. Bogor: Institut Pertanian Bogor.1997. Hal 98.
29. Hapsari RN. Kontribusi Makanan Jajanan terhadap Tingkat Kecukupan Asupan Energi dan Protein pada Anak Sekolah yang Mendapat PMT-AS di SD Negeri Plalan 1 Kota Surakarta. Jurnal Publikasi. Surakarta: Universitas Muhammdiyah Surakarta. 2013.
30. Coelho NLP, Cunha DB, Esteves APP, Lacerda EMA, Filha MMT. Dietary Patterns in Pregnancy and Birth Weight. Rev Saúde Pública.
2015; 49(62):1-10.
31. Wen ML. Flood VM, Simpson JM, Rissel C, Baur L. Dietary Behaviours during Pregnancy: Findings from First time Mothers in Southwest Sydney, Australia. International Journal of Behavioral Nutrition and Physical Activity.2010; 7(13):1-7.
32. Rao S, Yajnik CS, Kanade A et al. Intake of Micronutrient rich Foods in Rural Indian Mothers is Associated with the Size of their Babies at Birth: Pune Maternal Nutrition Study. J Nutr. 2001; 131(4):1217–1224.
Authors
Purnasari, G., Briawan, D., & Dwiriani, C. M. (2017). ASUPAN KALSIUM DAN TINGKAT KECUKUPAN KALSIUM PADA IBU HAMIL DI KABUPATEN JEMBER. Media Kesehatan Masyarakat Indonesia, 12(4), 261-268. https://doi.org/10.30597/mkmi.v12i4.1546
Copyright and license info is not available