Body Mass Index of Pregnant Women and Anemia in Children Aged 6-12 Months in Sidodadi, Pondok Kelapa, Central Bengkulu Regency, Bengkulu, Indonesia
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Highlights:
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There is still a medium incidence of anemia in infants aged 6-12 months.
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Pregnant women with high BMI and excessive weight gain are more likely to have anemic infants.
- Nutrient intake for pregnant women and infants is essential to determining the incidence of anemia.
Abstract
Introduction: Children are more likely to experience psychological and motor developmental difficulties if they or their mothers have anemia. This study aimed to describe the maternal body mass index (BMI) during gestation and the prevalence of anemia in children aged 6-12 months.
Methods: This descriptive study was conducted during integrated service post (posyandu) activities in Sidodadi, Pondok Kelapa, Central Bengkulu Regency, Bengkulu, Indonesia, in February 2023, involving the collection of Maternal and Child Health Handbook (KIA) records and blood sampling on children. A total sample of 35 pairs of mothers and children was collected. The data in this study were analyzed using the Fisher test, with a p-value of <0.05 indicating an association between the variables tested, and employing the International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 26.0 for Windows.
Results: Underweight mothers had one child with anemia (2.9%), mothers who had normal BMI had five children with anemia (14.3%), overweight mothers had two children with anemia (5.7%), whilst obese mothers had four children with anemia (11.4%). Fisher’s exact test results showed no significant difference in the anemia status of children between underweight to normal BMI mothers, as well as when compared to overweight to obese mothers, with a p-value of 0.261 or >0.05.
Conclusion: There was no significant difference in the anemia status of children with underweight up to normal maternal BMI mothers and overweight up to obese mothers.
World Health Organization (WHO). Anaemia, Children Aged 6–59 Months with Anaemia (Thousands) (2021 Edition), Number. Geneva, (2021). [Website]
Shukla AK, Srivastava S, Verma G. Effect of Maternal Anemia on the Status of Iron Stores in Infants: A Cohort Study. J Family Community Med 2019; 26: 118–122. [PubMed]
Pasricha SR, Tye-Din J, Muckenthaler MU, Swinkels DW. Iron Deficiency. Lancet 2021; 397: 233–248. [ScienceDirect]
Larasati SA, Setyaningtyas A, Hanindito E, Andarsini MR. Anemia Profile in Pediatric Patients at Pediatric Intensive Care Unit (PICU) of Dr. Soetomo General Academic Hospital. Indones J Anesthesiol Reanim 2022; 4: 80–86. [Journal]
Nurdin MS, Hadju V, Ansariadi A, Zulkifli A, Arundhana AI. Determinants of Anemia among Pregnant Women in Jeneponto Regency. Asian Pacific J Heal Sci 2018; 5: 135–138. [Journal]
Tiruneh T, Shiferaw E, Enawgaw B. Prevalence and Associated Factors of Anemia among Full-Term Newborn Babies at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia: A Cross-Sectional Study. Ital J Pediatr 2020; 46: 1. [Journal]
Ntenda PAM, Nkoka O, Bass P, Senghore T. Maternal Anemia is a Potential Risk Factor for Anemia in Children Aged 6–59 Months in Southern Africa: A Multilevel Analysis. BMC Public Health 2018; 18: 650. [Journal]
Joo EY, Kim KY, Kim DH, Lee JE, Kim SK. Iron Deficiency Anemia in Infants and Toddlers. br 2016; 51: 268–273. [Journal]
Yin S, Zhou Y, Li H, Cheng Z, Zhang Y, Zhang L, et al. Association of Maternal BMI during Early Pregnancy with Infant Anemia: A Large Chinese Birth Cohort. Nutr Metab (Lond) 2020; 17: 32. [Journal]
Adnyana IMD. Metode Penelitian Pendekatan Kuantitatif. 2021. [ResearchGate]
Nie NH, Bent DH, Hull CH. Statistical Package for the Social Sciences (SPSS), (2018). [Website]
Rasmussen KM, Yaktine AL. Weight Gain During Pregnancy: Reexamining the Guidelines. Washington (DC), 2009. [PubMed]
Onyeneho NG, Ozumba BC, Subramanian S V. Determinants of Childhood Anemia in India. Sci Rep 2019; 9: 16540. [Journal]
Zuffo CRK, Osório MM, Taconeli CA, Schmidt ST, da Silva BHC, Almeida CCB. Prevalence and Risk Factors of Anemia in Children. J Pediatr (Rio J) 2016; 92: 353–360. [ScienceDirect]
Sunardi D, Bardosono S, Basrowi RW, Wasito E, Vandenplas Y. Dietary Determinants of Anemia in Children Aged 6–36 Months: A Cross-Sectional Study in Indonesia. Nutrients; 13. 2021. [Journal]
Alemayehu M, Meskele M, Alemayehu B, Yakob B. Prevalence and Correlates of Anemia among Children Aged 6-23 Months in Wolaita Zone, Southern Ethiopia. PLoS One 2019; 14: e0206268. [Journal]
Imoru M, Buhari H, Erhabor O. Effect of Socio-Demographic Variables on the Prevalence of Anaemia among Pregnant Women in Sokoto, Nigeria. Jacobs J Emerg Med 2016; J J Emerge: 034. [ResearchGate]
Omote V, Ukwamedua HA, Bini N, Kashibu E, Ubandoma JR, Ranyang A. Prevalence, Severity, and Correlates of Anaemia in Pregnancy among Antenatal Attendees in Warri, South-Southern Nigeria: A Cross-Sectional and Hospital-Based Study. Anemia 2020; 2020: 1915231. [PubMed]
Manikam NRM. Known Facts: Iron Deficiency in Indonesia. World Nutr J 2021; 5: 1–9. [Journal]
Chandra F, Junita D, Fatmawati T. Tingkat Pendidikan dan Pengetahuan Ibu Hamil dengan Status Anemia. J Ilm Ilmu Keperawatan Indones 2019; 9: 653–659. [Journal]
Al-Suhiemat AA, Shudifat RM, Obeidat H. Maternal Level of Education and Nutritional Practices Regarding Iron Deficiency Anemia among Preschoolers in Jordan. J Pediatr Nurs 2020; 55: e313–e319. [ScienceDirect]
Jamilah M, Muniroh L, Atmaka DR. Evaluation Individual Level Outcome of Nutrition Education in Surabaya Pregnant Women Class Program. Indones J Public Heal 2023; 18: 276–290. [Journal]
Dereje I, Etefa T, Gebremariam T, Getaye A, Tunta A, Gerbi A. Prevalence of Anemia and Associated Factors among Term Newborns in Nekemte Specialized Hospital, Western Ethiopia. J Multidiscip Healthc 2021; 14: 2607–2615. [PubMed]
Ali AEN, Hassan A. Correlation between Mode of Delivery and Newborn’s Cord Blood Composition. Open J Obstet Gynecol 2019; 09: 395–403. [Journal]
Tesema GA, Worku MG, Tessema ZT, Teshale AB, Alem AZ, Yeshaw Y, et al. Prevalence and Determinants of Severity Levels of Anemia among Children Aged 6–59 Months in Sub-Saharan Africa: A Multilevel Ordinal Logistic Regression Analysis. PLoS One 2021; 16: e0249978. [Journal]
Alamneh TS, Melesse AW, Gelaye KA. Determinants of Anemia Severity Levels among Children Aged 6–59 Months in Ethiopia: Multilevel Bayesian Statistical Approach. Sci Rep 2023; 13: 4147. [Journal]
Ahmad A, Madanijah S, Dwiriani C, Kolopaking R. Iron Deficiency Risk Factors in Undernourished Children Aged 6-23 Months in Aceh, Indonesia. J Gizi dan Pangan 2018; 13: 144–156. [Journal]
Gebremeskel MG, Tirore LL. Factors Associated with Anemia among Children 6-23 Months of Age in Ethiopia: A Multilevel Analysis of Data from the 2016 Ethiopia Demographic and Health Survey. Pediatr Heal Med Ther 2020; 11: 347–357. [PubMed]
Faiqah S, Ristrini R, Irmayani I. Hubungan Usia, Jenis Kelamin dan Berat Badan Lahir dengan Kejadian Anemia pada Balita di Indonesia. Bul Penelit Sist Kesehat; 21. 2 January 2019. [ResearchGate]
Putri D, Utami N, Rosha B. Asupan Zat Besi dan Seng pada Bayi Umur 6–11 Bulan di Kelurahan Jati Cempaka, Kota Bekasi, Tahun 2014. J Ekol Kesehat; 14. 3 March 2016. [ResearchGate]
Buck S, Rolnick K, Nwaba AA, Eickhoff J, Mezu-Nnabue K, Esenwah E, et al. Longer Breastfeeding Associated with Childhood Anemia in Rural South-Eastern Nigeria. Int J Pediatr 2019; 2019: 9457981. [PubMed]
Irawan R, Widjaja NA, Hanindita MH. Effect of Different Complementary Feeding on Iron Deficiency Anemia and Growth in Breastfed Infants: Home-Made VS Commercial. Folia Medica Indones 2019; 55: 112–116. [Journal]
Wawer AA, Hodyl NA, Fairweather-Tait S, Froessler B. Are Pregnant Women Who Are Living with Overweight or Obesity at Greater Risk of Developing Iron Deficiency/Anaemia? Nutrients; 13. 2021. [Journal]
Ridho HR, Akbar MIA, Fatmaningrum W, Santoso B. Correlation between Anemia and Preeclampsia in Universitas Airlangga Hospital in 2017. JUXTA J Ilm Mhs Kedokt Univ Airlangga 2021; 12: 66–71. [Journal]
Maharani A, Aditiawarman A, Fatmaningrum W. The Maternal Risk Factors for Preterm Birth in Universitas Airlangga Hospital Surabaya in 2017-2018. JUXTA J Ilm Mhs Kedokt Univ Airlangga 2022; 13: 31–37. [Journal]
Nadhiroh SR, Micheala F, Tung SEH, Kustiawan TC. Association between Maternal Anemia and Stunting in Infants and Children Aged 0-60 Months: A Systematic Literature Review. Nutrition 2023; 115: 112094. [PubMed]
Cantoral A, Ramírez-Silva I, Lamadrid-Figueroa H, Christensen DL, Bygbjerg IC, Groth-Grunnet L, et al. Pre-Pregnancy Body Mass Index and Gestational Weight-Gain Predict Maternal Hemoglobin Levels and are Jointly Associated with Neonatal Outcomes in a Mexican Birth Cohort. Nutr Hosp 2022; 39: 852–862. [PubMed]
Dosch NC, Guslits EF, Weber MB, Murray SE, Ha B, Coe CL, et al. Maternal Obesity Affects Inflammatory and Iron Indices in Umbilical Cord Blood. J Pediatr 2016; 172: 20–28. [ScienceDirect]
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