AN ANALYTICAL STUDY OF NUTRITIONAL STYLE, NUTRITIONAL STATUS, AND MENTAL HEALTH IN THE PRECONCEPTION PERIOD : (TOWARDS OPTIMAL PREGNANCY OUTCOMES)
Downloads
Background: The preconception period is a crucial period to optimize maternal and fetal health. Preconception nutrition can affect nutritional status and mental health which has an impact on pregnancy readiness. This study aims to analyze the correlation between nutrition and nutritional status and mental health during the preconception period. Method: This study used a prospective cohort study involving women of childbearing age selected by stratified random sampling to obtain 129 respondents. Nutritional Style data were collected through FFQ questionnaires, nutritional status was measured through anthropometry and Hemoglobin examination, and mental health was measured using the DASS questionnaire. Data collection was carried out three times and analyzed using the Pearson correlation test, multiple linear regression and the Wilcoxon test for longitudinal analysis. Result: The results showed that there was no significant correlation between Nutritional Style and BMI (p-value>0.05). However, there was a significant correlation between Nutritional Style and the incidence of anemia, the strongest correlation in the first measurement (p-value 0.001) and the second measurement (p-value 0.049). A significant correlation was found between Nutritional Style and mental health, especially anxiety in the first measurement (p-value 0.022), the second measurement (p-value 0.006) and the third measurement (p-value 0.029), but not with stress and depression. There was a significant increase in nutritional status from the first to the second measurement (p-value 0.020) and the first to the third measurement (p-value 0.003). There was a significant decrease in anxiety from the first to the second measurement (p-value 0.034) and the first to the third measurement (p-value 0.000). Conclusion : Good Nutritional Style during preconception can improve nutritional status and minimize mental health risk. Nutrition intervention programs are needed to improve knowledge and implementation of healthy food nutrition. In addition, regular monitoring of nutritional status and mental health is also needed to optimize pregnancy readiness.
Amini, P., Asif, H., & Jeyaseelan, L. (2020) 'Preconception nutrition and lifestyle interventions for the prevention of gestational diabetes mellitus: a systematic review', Nutrients, 12(10).
Aschauer, J., Halát, H. and Imhof, M. (2024) 'Preconceptional micronutrient supplementation and spontaneous pregnancy rates in women of higher reproductive age and unexplained infertility: A comparative study', Clínica e Investigación en Ginecología y Obstetricia, 51( 4), p. 100988. Available at: https://doi.org/https://doi.org/10.1016/j.gine.2024.100988.
Bekdash, RA (2021) 'Early life nutrition and mental health: The role of dna methylation', Nutrients, 13(9). Available at: https://doi.org/10.3390/nu13093111.
Public Health, Pharmacy and Medical Devices and Health Workers Sector. Annual Report of the Tuban Regency Health Office 2023. Tuban: Tuban Regency Health Office and P2KB.
Bhutta, ZA et al. (2013) 'Evidence-based interventions for improvement of maternal and child nutrition: What can be done and at what cost?', The Lancet, 382(9890), pp. 452–477. Available at: https://doi.org/10.1016/S0140-6736(13)60996-4.
Bremner, J.D. et al. (2020) 'Diet, stress and mental health', Nutrients, 12(8), pp. 1–27. Available at: https://doi.org/10.3390/nu12082428.
Cebrino, J. and de la Cruz, SP (2021) 'Diet quality according to mental status and associated factors during adulthood in Spain', Nutrients, 13(5), pp. 1–24. Available at: https://doi.org/10.3390/nu13051727.
Chen, H. et al. (2023) 'The associations of dietary patterns with depressive and anxiety symptoms: a prospective study', BMC Medicine, 21(1), pp. 1–11. Available at: https://doi.org/10.1186/s12916-023-03019-x.
Dennis, CL et al. (2022) 'Preconception risk factors and health care needs of pregnancy-planning women and men with a lifetime history or current mental illness: A nationwide survey', PLoS ONE, 17(6 June), pp. 1–13. Available at: https://doi.org/10.1371/journal.pone.0270158.
Firth, J. et al. (2019) 'The Effects of Dietary Improvement on Symptoms of Depression and Anxiety: A Meta-Analysis of Randomized Controlled Trials', Psychosomatic Medicine, 81(3), pp. 265–280. Available at: https://doi.org/10.1097/PSY.0000000000000673.
Hill, B. et al. (2019) 'Health in preconception, pregnancy and postpartum global alliance: international network preconception research priorities for the prevention of maternal obesity and related pregnancy and long-term complications', Journal of Clinical Medicine, 8(12). Available at: https://doi.org/10.3390/jcm8122119.
Lassale, C. et al. (2019) 'Healthy dietary indices and risk of depressive outcomes: a systematic review and meta-analysis of observational studies', Molecular Psychiatry, 24(7), pp. 965–986. Available at: https://doi.org/10.1038/s41380-018-0237-8.
Macedo, R.M. et al. (2022) 'Assessment of Eating Habits and Preconception and Gestational Nutritional Status of Women Who Attended the Prenatal Service of a Brazilian University Hospital', Obesity Research – Open Journal, 9(1), pp. 1–6. Available at: https://doi.org/10.17140/oroj-9-149.
Martínez-Galiano, J.M. et al. (2020) 'Nutrition in Reproductive Health: Nutritional Conditioning Factors during Pregnancy and Its Impact on Health', Reproductive Medicine, 1(3), pp. 169–180. Available at: https://doi.org/10.3390/reprodmed1030013
O'Neil, A. et al. (2014) 'Relationship between diet and mental health in children and adolescents: A systematic review', American Journal of Public Health, 104(10), pp. e31–e42. Available at: https://doi.org/10.2105/AJPH.2014.302110.
Paratmanitya, Y., Hadi, H. and Susetyowati, S. (2012) 'Body image, food intake, and nutritional status of premarital women of childbearing age', Indonesian Journal of Clinical Nutrition, 8(3), p. 126. Available at: https://doi.org/10.22146/ijcn.18208.
Stephenson, J. (2018) 'Europe PMC Funders Group Before the beginning : nutrition and lifestyle in the preconception period and its importance for future health', 391(10132), pp. 1830–1841. Available at: https://doi.org/10.1016/S0140-6736(18)30311-8.Before.
Taneja, S. et al. (2020) 'Impact of an integrated nutrition, health, water sanitation and hygiene, psychosocial care and support intervention package delivered during the pre- and peri-conception period and/or during pregnancy and early childhood on linear growth of infants in 2020', Trials, 21(1), p. 127. Available at: https://doi.org/10.1186/s13063-020-4059-z
Copyright (c) 2024 Nur Cholila, Nur Maziyah Hurin'in, Tri Yunita Fitria Damayanti
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The formal legal aspect of journal publication accessibility refers to Creative Commons Atribution-Share Alike 4.0 (CC BY-SA).
This Journal (e-ISSN 2656-7806) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
