Published January 31, 2023 | Version https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue1,Article166.pdf
Journal article Open

To Determine the Effect of a Combination of Nutritional Education and Nutritional Supplementation on Changes in the Nutritional Status of Newly Wed to Prevent Stunting in Newborns

  • 1. Tutor, Department of Community Medicine, PMCH, Patna, Bihar, India
  • 2. Tutor, Department of Physiology, NMCH, Patna, Bihar, India
  • 3. Tutor, Department of Pathology, NMCH, Patna, Bihar, India
  • 4. Professor & Head, Department of Community Medicine, PMCH, Patna, Bihar, India

Description

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 newly wed female to prevent stunting in newborns. Methods: The present study was conducted at PMCH, Patna, Bihar, India for one year and the number of subjects from the three intervention groups was 120 people. The intervention group is group 1: nutrition education intervention (stunting material) + multi micronutrient, group 2: nutrition education (stunting material) IFA (iron folic acid) and group 3: nutrition education (reproductive health material) + IFA. Results: The average age in group 1,2 and 3 was 24.19±2.60, 24.33±2.74 and 23, 48±2.53. The average BMI value of the three groups on the subject, 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. 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 from marriage to delivery, based on the distribution of outcome variables, showed that of 120 newborns, 14 babies had a body length of <48 cm, namely stunting. And 15 had low birth weight (<2,500 grams). For the variable head circumference, 13 infants had abnormal head circumferences, i.e. <32 cm for male infants and <31 cm for female infants. 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.

 

 

 

Abstract (English)

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 newly wed female to prevent stunting in newborns. Methods: The present study was conducted at PMCH, Patna, Bihar, India for one year and the number of subjects from the three intervention groups was 120 people. The intervention group is group 1: nutrition education intervention (stunting material) + multi micronutrient, group 2: nutrition education (stunting material) IFA (iron folic acid) and group 3: nutrition education (reproductive health material) + IFA. Results: The average age in group 1,2 and 3 was 24.19±2.60, 24.33±2.74 and 23, 48±2.53. The average BMI value of the three groups on the subject, 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. 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 from marriage to delivery, based on the distribution of outcome variables, showed that of 120 newborns, 14 babies had a body length of <48 cm, namely stunting. And 15 had low birth weight (<2,500 grams). For the variable head circumference, 13 infants had abnormal head circumferences, i.e. <32 cm for male infants and <31 cm for female infants. 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.

 

 

 

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Additional details

Dates

Accepted
2022-12-09

References

  • 1. Erik & Abdul Rohman. Stunting in Early Childhood (Case Study in Mirat Village, Lewimunding District, Majalengka). Cirebon. 2020; 2(1). 2. Ningsih T, Husna A. The Effectiveness of Nutrition Education on Increasing Knowledge of The Prospective Bride. Morfai Journal. 2022 Jun 23; 2(2):223- 8. 3. Senbanjo IO, Olayiwola IO, Afolabi WA, Senbanjo OC. Maternal and child under-nutrition in rural and urban communities of Lagos state, Nigeria: The relationship and risk factors. BMC Res Notes. 2013;6(1):1. 4. Kathryn G. Dewey, Khadijah B. Longterm consequences of stunting in early life. Matern Child Nutr. 2011;7(3):5- 18. 5. Branca F. Nutrition and health in women, children, and adolescent girls. BMJ. 2015;351(1):27-31. 6. Salimar AI. Pre-pregnancy maternal nutritional status as a predictor of birth weight and length in the bogor central district, bogor city. Penel Gizi Makan. 2014;37(2):119-28. 7. Schmidt MK, Muslimatun S, West CE, Schultink W, Gross R, Hautvast JGAJ. Nutritional Status and linear growth of Indonesian infants in west java are determined more by prenatal environment than by postnatal factors. J Nutr. 2002; 132:2202-7. 8. Prabandari Y, Hanim D, AR RC, Indarto D. Hubungan kurang energi kronik dan anemia pada ibu hamil dengan status gizi bayi usia 6-12 bulan di Kabupaten Boyolali. Penelit Gizi dan Makanan. 2016;39(1):1-8. 9. Ramli, Agho KE, Inder KJ, Bowe SJ, Jacobs J, Dibley MJ. Prevalence and risk factors for stunting and severe stunting among under-fives in North Maluku province of Indonesia. BMC Pediatr. 2009; 9:64. 10. Black RE, Allen LH, Bhutta ZA, et al. Maternal and child undernutrition: global and regional exposures andhealth consequences. Lancet. 2008;371 (9608):243-60. 11. Putri TA, Salsabilla DA, Saputra RK. The effect of low birth weight on stunting in children under five: a metaanalysis. J Matern Child Heal. 2022;6 (4):496-506. 12. Fall CHD, Yajnik CS, Rao S, Davies A, Brown N, Farrant HJW. Micronutrients and Fetal Growth. J Nutr. 2003;133(4):1747S. 13. Allen LH. Multiple micronutrients in pregnancy and lactation: An overview. Am J Clin Nutr. 2005;81(5):1206-12. 14. Sumarmi S, Wirjatmadi B, Kuntoro, Thaha AR, Soekirman. Preconception multimicronutrient intervention in prospective brides to prevent neonatal stunting in Probolinggo Regency, East Java. Gizi Mikro Indones. 2018; 3:47- 55. 15. Shi H, Enriquez A, Moreau J. NAD Deficiency, congenital malformations and niacin Supplementation. J Med. 2017;377(6):544-52. 16. Nobre RG, Azevedo DV de, Paulo Cesar de Almeida NMGS de A and FE de LF, Feitosa. Weight-Gain Velocity in Newborn Infants Managed with the Kangaroo Method and Associated Variables. Matern Child Health J. 2017;21(1):23-8. 17. Pojda JA, Laura Kelley. Low birthweight: a report based on the international low birthweight symposium and workshop held on 14- 17 June 1999 at the international centre for diarrhoeal disease research in Dhaka, Bangladesh. United Nations. International Low Birthweight Symposium. 2000. 18. Swamilaksita PD. The efficacy of nutritional supplementation in pregnant women on pregnancy outcomes. Media Gizi Mikro Indones. 2016;8(1):27-42. 19. Sumarmi S, Wirjatmadi B, Kuntoro, Thaha AR, Soekirman. Intervensi multimikronutrien masa prakonsepsi pada calon pengantin untuk mencegah neonatal-stunting di Kabupaten Probolinggo, Jawa Timur. Gizi Mikro Indones. 2018; 3:47-55. 20. Smith ER, Shankar AH, Wu LSF, et al. Modifiers of the effect of maternal multiple micronutrient supplementation on stillbirth, birth outcomes, and infant mortality: a metaanalysis of individual patient data from 17 randomised trials in low-income and middle-income countries. Lancet Glob Heal. 2017;5(11): e1090-100. 21. Namukwambi R. N., Tuhadeleni O., & Van Neel R. The Knowledge and Practices of Handwashing Among Street Food Vendors in the Keetmanshoop Municipal Area: none. Journal of Medical Research and Health Sciences. 2022; 5(4): 1860– 1865.