The Impact of a Combined Intervention Including Nutritional Education and Nutritional Supplements on Alterations in the Nutritional Status of Soon-to-be Married Individuals, with the Objective of Mitigating the Occurrence of Stunting in Neonates: A Comparative Study

Description

Abstract (English)

Abstract
Aim: The purpose of this study was to determine the effect of a combination of nutritional education and
nutritional supplementation on changes in the nutritional status of the prospective bride and groom to prevent
stunting in newborns.
Methods: The present study included subjects from the three intervention groups was 150 people. The
intervention group is group 1: nutrition education intervention (stunting material) +multi micronutrien, group 2:
nutrition education (stunting material) IFA (iron folic acid) and group 3: nutrition education (reproductive health
material) +IFA.
Results: The average BMI value of the three groups on the subject of the bride and groom before the
interventions were 21.64±3.16 kg/m2. The mean BMI after intervention was 22.08±3.12 kg/m2 with a
difference change of 0.45±0.36 kg/m2. The results of the Wilcoxon test showed that there was a difference in
the mean BMI before and after the intervention in all groups (p<0.05), meaning that there was a significant
difference in the mean before and after the intervention. The statistical test showed that there was a significant
difference in the mean BMI between the three groups (p<0.05). The provision of education and nutritional
supplementation since the bride and groom (premarital) until delivery, based on the distribution of outcome
variables, showed that of 150 newborns, 19 babies had a body length of <48 cm, namely stunting. And 18 had
low birth weight (<2,500 grams). For the variable head circumference, 16 infants had abnormal head
circumferences, i.e. <32 cm for male infants and <31 cm for female infants. The distribution of the number of
cases at risk of stunting was highest in group 3 and the lowest cases in the group that received intervention in
group 1. The average body length of the babies in the three groups was 49.21±1.36 cm.
Conclusion: The intervention can change the parameters of the nutritional status of the subject and there is a
relationship between weight gain during pregnancy and infant anthropometry