PERUBAHAN KONSUMSI PANGAN DAN ASUPAN VITAMIN A IBU MENYUSUI SESAAT DAN TIGA BULAN SETELAH MELAHIRKAN
Changes in Food Consumption and Vitamin A Intake of Breastfeeding Mothers in Moment and Three Months After Giving Birth

Abdul Salam, Dodik Briawan, Drajat Martianto, Abdul Razak Thaha

= http://dx.doi.org/10.20473/mgi.v15i2.127-134
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Abstract


Adequate intake of vitamin A during lactation is very crucial due to its eff ect on retinol levels in breast milk. This study was aimed to analyze the changes in food consumption and vitamin A intake of lactating mothers in moment and three months after giving birth. This study used a cohort design for 3 months involving 295 breastfeeding mothers. Subjects were selected according to inclusion criteria including mother with normal labour and full term month normally and term, have a baby with normal birth weight, and maximum of a third parity. A 2x24 hour food recall questionnaire was used to determine nutrient intake and a food frequency questionnaire to determine the consumption habits of sources of vitamin A. The Wilcoxon test and paired t test were used in this study. The results of study showed that the most frequently consumed vegetables both shortly and three months after childbirth were tomatoes, 65% and 73.9% respectively. Most frequently consumed fruits were mangoes, 18.3% and 13.6%. While the most frequently consumed animal source foods were eggs, 68.1% and 79.7%, respectively. Among the consumption of vitamin A sources foods, only the consumption of tomatoes, milk, and cooking oil were found increase signifi cantly in three months after delivery (p <0.05). The mean of protein, zinc and iron intake adequacy level were decrease signifi cantly in three months after delivery (p<0.05), but not with fat and vitamin A intake (p>0.05). It is necessary to increase the consumption of vitamin A food sources, especially during lactation to increase the content of vitamin A in breast milk to meet the needs of newborns and prevent vitamin A defi ciency both in mother and baby

Keywords


intake; breastfeeding mother; food consumption; vitamin A

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References


Ahmad, S. M., Hossain, M. I., Bergman P., Kabir Y. & Raqib R. (2015). The effect of postpartum vitamin A supplementation on breast milk immune regulators and infant immune functions: study protocol of a randomized, controlled trial. Trials, (16), 1–9. doi: 10.1186/s13063-015-0654-9.

Ayah, R. A., Mwaniki, D. L., Magnussen, P., Tedstone, A. E., Marshall, T., Alusala, D., ... Friis, H. (2007). The eff ects of maternal and infant vitamin A supplementation on vitamin A status: a randomised trial in Kenya. British Journal of Nutrition,98(2), 422–430. doi: 10.1017/S0007114507705019

Azeredo, V. B., & Trugo, N. M. F. (2008). Retinol, carotenoids, and tocopherols in the milk of lactating adolescents and relationships with plasma concentrations. Nutrition,24(2), 133–139. doi: 10.1016/j.nut.2007.10.011

Cahyanto, B.A., & Roosita, K. (2013). Kaitan asupan vitamin A dengan produksi Air Susu Ibu (ASI) pada ibu nifas. Jurnal Gizi Dan Pangan,8(2), 83–88. Retrieved from https://journal.ipb.ac.id/index.php/jgizipangan/article/view/7685/5952

Fikawati, S., & Sari, V. G. P. (2018). Maternal postpartum weight loss and associated factors in Beji subdistrict Depok city, Indonesia. Malaysian Journal of Nutrition ,24(1), 45–52. Retrieved from https://www.researchgate.net/publication/325533944_Maternal_postpartum_weight_loss_and_associated_factors_in_Beji_subdistrict_Depok_City_Indonesia

Fujita, M., Shell-Duncan. B., Ndemwa. P., Brindle, E., Lo, Y., Kombe, Y., & O’connor, K. (2011). Vitamin A dynamics in breastmilk and liver stores: a life history perspective. American Journal of Human Biology, 23(5), 664–673. doi: 10.1002/ajhb.21195

Gropper, S., & Smith, J. (2013). Advanced nutrition and human metabolism, Sixth Edition. Belmon: Yolanda Casio.

Gross, R., Hansel, H., Schultink, W., Shrimpton, R., Matulessi, P., Gross, G., ... Sastroamdijojo, S. (1998). Moderate zinc and vitamin A defi ciency in breast milk of mothers from East-Jakarta. Europan Journal of Clinical Nutrition,52(12), 884–890. doi: 10.1038/sj.ejcn.1600660

Imdad, A., Ahmed, Z., & Bhutta, Z. (2016). Vitamin A supplementation for the prevention of morbidity and mortality in infants one to six months of age (Review). Cochrane Database of Systematic Reviews, (9),1-22.doi:10.1002/14651858.CD0074 80 .pub3.

Lira, L.Q., Ribeiro, P.P.C., Grilo. E.C., Freitas J.K.C.O., & Dimenstein, R. (2011). Serum and colostrum retinol profi le in postpartum women in a Brazilian public maternity and its association with maternal and obstetric characteristics. Revista Paulista de Pediatria, 29(4), 515–520. doi: 10.1590/S0103-05822011000400008

Newman, V. (1993). Vitamin A and breastfeeding : a comparison data from developed and developing countries. San Diego: Wellsart International.

Ni’man, C., & Muniroh, L. (2015). Hubungan tingkat pendidikan, tingkat pengetahuan dan pola asuh ibu dengan wasting dan stunting pada balita keluarga miskin. Media Gizi Indonesia, 10(1), 84–90. doi: 10.20473/mgi.v10i1.84-90

Oliveira, J. M., Michelazzo, F. B., Stefanello, J., & Rondó, P. H.( 2008). Influence of iron on vitamin A nutritional status. Nutrition Reviews,66(3), 141–147. doi: 10.1111/j.1753-4887.2008.00018.x.

Roy, S., Islam, A., Molla, A., Akramuzzaman, S., Jahan, F., & Fuchs, G. (1997). Impact of a single megadose of vitamin A at delivery on breastmilk of mothers and morbidity of their infants. Europan Journal of Clinical Nutrition, 51(5), 302–307. doi: 10.1038/sj.ejcn.1600398

Siswanto., Permaesih, D., Lamid, A., Prihatini, S., Rosmalina, Y., Hermina, ... Fajarwati, T.(2014). Studi Diet Total : Survei Konsumsi Makanan Individu Indonesia 2014. Jakarta: Lembaga Penerbitan Badan Litbangkes.

World Health Organization. (2011). Guideline: vitamin A supplementation in postpartum women. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/44623/9789241501774_eng.pdf;jsessionid=10D3CE775082D23C403D638471FF12A3?sequence=1


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