Food suggestions, meal frequency and dietary diversity among pregnant women: a quantitative study

  • Rian Diana Department of Nutrition, Faculty of Public Health, Universitas Airlangga
  • DYAN FAJAR CHISTIANTI
  • FAISAL ANWAR
  • RENDRA KUSUMA
  • RIRIS DIANA RACHMAYANTI
  • ALI KHOMSAN
Keywords: dietary diversity; dietary habit; food suggestions; meal frequency; pregnant women; recommended food

Abstract

During pregnancy, nutritional requirement increases. Therefore, many nutritious foods (diverse food groups) are suggested for pregnant. This study aimed to explore the association between food suggestion and meal frequency with dietary diversity among pregnant women. This research was a cross sectional study conducted in 2017 at Sumenep Regency in the Eastern Madura Island, East Java Province, Indonesia. There were 282 pregnant women involved in this study. Coefficient contingency were done to analyze the association between variables. Most of pregnant women eat 2-3x/day. More than half of pregnant women have a food suggestion (57.4%) and reach minimum dietary diversity (56%). There was a tendency that higher meal frequency contribute to higher dietary diversity but not  significantly associated (p=0.024). There was a significant association between food suggestion and dietary diversity (p=0.003). Indigenous knowledge such as food suggestion have a beneficial effect on pregnant women diet. Pregnant women need to follow the food suggestions so they can have a good and diverse diet.

References

Asayehu, T. T., Lachat, C., Henauw, S. De, & Gebreyesus, S. H. (2017). Dietary behaviour, food and nutrient intake of women do not change during pregnancy in Southern Ethiopia. Maternal and Child Nutrition, 13(2), 1–10. https://doi.org/10.1111/mcn.12343
Bailey, R. L., Pac, S. G., Fulgoni, V. L., Reidy, K. C., & Catalano, P. M. (2019). Estimation of Total Usual Dietary Intakes of Pregnant Women in the United States. JAMA Network Open, 2(6). https://doi.org/10.1001/jamanetworkopen.2019.5967
Bustos, M., Venkataramanan, R., Caritis, S., Pittsburgh, T. S., Sciences, R., Womens, M., & Sciences, R. (2017). Nausea and Vomiting of Pregnancy-What’s New? Martha. HHS Public Access, 202, 62–72. https://doi.org/10.1016/j.autneu.2016.05.002.Nausea
Danielewicz, H., Myszczyszyn, G., Dębińska, A., Myszkal, A., Boznański, A., & Hirnle, L. (2017). Diet in pregnancy—more than food. European Journal of Pediatrics, 176(12), 1573–1579. https://doi.org/10.1007/s00431-017-3026-5
Delil, R., Tamiru, D., & Zinab, B. (2018). Dietary Diversity and Its Association with Anemia among Pregnant Women Attending Public Health Facilities in South Ethiopia. Ethiop J Health Sci, 28(5), 625–634.
Desta, M., Akibu, M., Tadese, M., & Tesfaye, M. (2019). Dietary Diversity and Associated Factors among Pregnant Women Attending Antenatal Clinic in Shashemane, Oromia, Central Ethiopia: A Cross-Sectional Study. Journal of Nutrition and Metabolism, 2019, 7–10. https://doi.org/10.1155/2019/3916864
Diana, R., Rachmayanti, R. D., Anwar, F., Khomsan, A., Christianti, D. F., & Kusuma, R. (2018). Food taboos and suggestions among Madurese pregnant women: a qualitative study. Journal of Ethnic Foods, 5(4). https://doi.org/10.1016/j.jef.2018.10.006
Dubois, L., Diasparra, M., Bedard, B., Colapinto, C. K., Fontaine-Bisson, B., Morisset, A. S., … Fraser, W. D. (2017). Adequacy of nutritional intake from food and supplements in a cohort of pregnant women in Québec, Canada: The 3D Cohort Study (Design, Develop, Discover). American Journal of Clinical Nutrition, 106(2), 541–548. https://doi.org/10.3945/ajcn.117.155499
FAO and FHI 360. (2016). Minimum Dietary Diversity for Women- A Guide to Measurement. Rome: FAO. Retrieved from http://www.fao.org/3/a-i5486e.pdf
Kiboi, W., Kimiywe, J., & Chege, P. (2017). Determinants of dietary diversity among pregnant women in Laikipia County, Kenya: a cross-sectional study. BMC Nutrition, 3(1), 1–8. https://doi.org/10.1186/s40795-017-0126-6
Kominiarek, M. A., & Rajan, P. (2016). Nutrition Recommendations in Pregnancy and Lactation. Med Clin North Am, 100(6), 1199–1215. https://doi.org/10.1016/j.mcna.2016.06.004.Nutrition
Madanijah, S., Briawan, D., Rimbawan, R., Zulaikhah, Z., Andarwulan, N., Nuraida, L., … Bindels, J. (2016). Nutritional status of pre-pregnant and pregnant women residing in Bogor district, Indonesia: a cross-sectional dietary and nutrient intake study. British Journal of Nutrition, 116(Supplement S1), S57–S66. https://doi.org/10.1017/S000711451600057X
Michelfelder, A. J. (2009). Soy: A Complete Source of Protein. American Family Physician, 79(1), 43–47.
Ministry of Health. (2014). Balanced Diet Guidelines. Jakarta: Ministry of Health.
Ministry of Health. (2019). Basic Health Survey 2018. Jakarta: Ministry of Health.
Murakami, K., & Livingstone, M. B. E. (2016). Associations between Meal and Snack Frequency and Diet Quality in US Adults: National Health and Nutrition Examination Survey 2003-2012. Journal of the Academy of Nutrition and Dietetics, 116(7), 1101–1113. https://doi.org/10.1016/j.jand.2015.12.012
Nag, M. (1994). Beliefs and Practices about Food during Pregnancy: Implications for Maternal Nutrition. Economic And Political Weekly, 29(37), 2427–2438. https://doi.org/10.2307/4401755
Nguyen, C. L., Van Hoang, D., Nguyen, P. T. H., Van Ha, A. V., Chu, T. K., Pham, N. M., … Binns, C. W. (2018). Low dietary intakes of essential nutrients during pregnancy in Vietnam. Nutrients, 10(8), 1–13. https://doi.org/10.3390/nu10081025
Nguyen, P. H., Sanghvi, T., Kim, S. S., Tran, L. M., Afsana, K., Mahmud, Z., … Menon, P. (2017). Factors influencing maternal nutrition practices in a large scale maternal, newborn and child health program in Bangladesh. PLoS ONE, 12(7), 1–17. https://doi.org/10.1371/journal.pone.0179873
Powell, B., Kerr, R. B., Young, S. L., & Johns, T. (2017). The determinants of dietary diversity and nutrition : ethnonutrition knowledge of local people in the East Usambara Mountains , Tanzania. Journal of Ethnobiology and Ethnomedicine, 13(23), 1–12. https://doi.org/10.1186/s13002-017-0150-2
Rathnayake, K. M., Madushani, P., & Silva, K. (2012). Use of dietary diversity score as a proxy indicator of nutrient adequacy of rural elderly people in Sri Lanka. BMC Research Notes, 5, 2–7. https://doi.org/10.1186/1756-0500-5-469
Starling, P., Charlton, K., Mcmahon, A. T., & Lucas, C. (2015). A Systematic Review of the Evidence. Nutrients, 7, 2001–2014. https://doi.org/10.3390/nu7032001
Yeneabat, T., Adugna, H., Asmamaw, T., Wubetu, M., Admas, M., Hailu, G., … Amare, T. (2019). Maternal dietary diversity and micronutrient adequacy during pregnancy and related factors in East Gojjam Zone, Northwest Ethiopia, 2016. BMC Pregnancy and Childbirth, 19(1), 1–9. https://doi.org/10.1186/s12884-019-2299-2
Zeng, Z., Liu, F., & Li, S. (2017). Metabolic Adaptations in Pregnancy: A Review. Annals of Nutrition and Metabolism, 70(1), 59–65. https://doi.org/10.1159/000459633
Published
2020-10-18
How to Cite
Diana, R., DYAN FAJAR CHISTIANTI, FAISAL ANWAR, RENDRA KUSUMA, RIRIS DIANA RACHMAYANTI, & ALI KHOMSAN. (2020). Food suggestions, meal frequency and dietary diversity among pregnant women: a quantitative study. Future of Food: Journal on Food, Agriculture and Society, 8(3). Retrieved from https://www.thefutureoffoodjournal.com/index.php/FOFJ/article/view/292
Section
Research Articles