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Vol. 12 No. 1 (2024): Jurnal Keperawatan Padjadjaran

Food taboo, dietary diversity and prevalence of chronic energy deficiency in pregnant women living in rural area Indonesia

March 21, 2023


Background: Chronic energy deficiency is strongly associated with poor pregnancy outcomes. Food taboo and dietary diversity are suspected as main risk factors of chronic energy deficient in pregnant women in rural area. Nevertheless, none studies elaborated the inferential relationship of those factors with chronic energy deficiency during pregnancy. Purpose: to describe dietary diversity score and perception of food taboo and examine it association with chronic energy deficiency prevalence in pregnant women in a rural area Methods: This cross-sectional study involved 178 pregnant women aged 15-45 years. Food taboo and dietary diversity scores was drawn from single 24 hours food recall while the perceived reason of food taboo was assessed by focus group discussion. Chronic energy deficiency was determined by mid-upper arm circumference by standard tape. Food taboo and dietary diversity score interaction was generated and binary logistic regression analysis with α= 5% and 95% confidence interval were performed to provide adjusted associations Results: Almost half of respondents had food taboo (43.8%) and had low dietary diversity score (43%) while one of fifth (19.7%) of respondent were chronic energy deficient. Those with food taboo and low dietary diversity were two times more likely to suffer from chronic energy deficiency. However, only pregnancy related factor (parity) was associated significantly with the outcome. Conclusions: Although the relationship between food taboo and chronic energy deficiency was not statistically significant, pregnant mother with food taboo should be encouraged to have a cultural-specific health and nutrition education.

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  1. Abraham, S., Miruts, G., & Shumye, A. (2015). Magnitude of chronic energy deficiency and its associated factors among women of reproductive age in the Kunama population, Tigray, Ethiopia, in 2014. BMC Nutrition, 1(1), 12.
  2. ACOG, A. (2020). Physical Activity and Exercise During Pregnancy and the Postpartum Period: ACOG Committee Opinion, Number 804. Obstetrics & Gynecology, 135(4), e178-e188.
  3. Biza Zepro, N. (2015). Food Taboos and Misconceptions Among Pregnant Women of Shashemene District, Ethiopia, 2012. Science Journal of Public Health, 3(3), 410.
  4. Black, R. E. (2001). Micronutrients in pregnancy. British Journal of Nutrition, 85(S2), S193-S197.
  5. Daniel, W. (1999). The Fisher exact test. Daniel WW. Biostatistics: A Foundation for Analysis in the Health Sciences. 7th Ed. New York: John Wiley and Sons, 606-611.
  6. Gadegbeku, C., Wayo, R., Ackah-Badu, G., Nukpe, E., & Okai, A. (2013). Food taboos among residents at Ashongman-Accra, Ghana. Food Science and Quality Management, 15, 21-29.
  7. Iradukunda, F. (2020). Food taboos during pregnancy. Health Care for Women International, 41(2), 159-168.
  8. Joshi, N. P., Kulkarni, S. R., Yajnik, C. S., Joglekar, C. V., Rao, S., Coyaji, K. J., Lubree, H. G., Rege, S. S., & Fall, C. H. D. (2005). Increasing maternal parity predicts neonatal adiposity: Pune Maternal Nutrition Study. American Journal of Obstetrics and Gynecology, 193(3), 783-789.
  9. KEMENKES, R. (2013). Riset kesehatan dasar (RISKESDAS) 2013. Jakarta: Kemenkes RI, 259.
  10. Kemunto, M. L. (2013). Dietary diversity and nutritional status of pregnant women aged 15-49 years attending Kapenguria District Hospital West Pokot County. Kenya. Kenayatta University Institutional Repository.
  11. Kennedy, G., Ballard, T., & Dop, M. C. (2011). Guidelines for measuring household and individual dietary diversity. Nutrition and Consumer Protection Division, Food and Agriculture Organization of the United Nations. Accessed on 2016/03/06.
  12. Kheirouri, S., & Alizadeh, M. (2021). Maternal dietary diversity during pregnancy and risk of low birth weight in newborns: A systematic review. Public Health Nutrition, 24(14), 4671-4681.
  13. Kołomańska, D., Zarawski, M., & Mazur-Bialy, A. (2019). Physical Activity and Depressive Disorders in Pregnant Women—A Systematic Review. Medicina, 55(5), 212.
  14. Lander, R., Hambidge, K., Westcott, J., Tejeda, G., Diba, T., Mastiholi, S., Khan, U., Garcés, A., Figueroa, L., Tshefu, A., Lokangaka, A., Goudar, S., Somannavar, M., Ali, S., Saleem, S., McClure, E., Krebs, N., & on behalf of the Women First Preconception Nutrition Trial Group. (2019). Pregnant Women in Four Low-Middle Income Countries Have a High Prevalence of Inadequate Dietary Intakes That Are Improved by Dietary Diversity. Nutrients, 11(7), 1560.
  15. Launer, L. J., Villar, J., Kestler, E., & Onis, M. (1990). The effect of maternal work on fetal growth and duration of pregnancy: A prospective study. BJOG: An International Journal of Obstetrics and Gynaecology, 97(1), 62-70.
  16. Legesse, M., Abebe, Z., & Woldie, H. (2019). Chronic energy deficiency and associated factors among older population in Ethiopia: A community based study. PLOS ONE, 14(4), e0214861.
  17. Lipoeto, N. I., Masrul, null, & Nindrea, R. D. (2020). Nutritional contributors to maternal anemia in Indonesia: Chronic energy deficiency and micronutrients. Asia Pacific Journal of Clinical Nutrition, 29(Suppl 1), S9-S17.
  18. Martínez Pérez, G., & Pascual García, A. (2013). Nutritional Taboos among the Fullas in Upper River Region, The Gambia. Journal of Anthropology, 2013, 1-9.
  19. Maslova, E., Rytter, D., Bech, B. H., Henriksen, T. B., Rasmussen, M. A., Olsen, S. F., & Halldorsson, T. I. (2014). Maternal protein intake during pregnancy and offspring overweight 20 y later. The American Journal of Clinical Nutrition, 100(4), 1139-1148.
  20. Meyer-Rochow, V. B. (2009). Food taboos: Their origins and purposes. Journal of Ethnobiology and Ethnomedicine, 5(1), 18.
  21. Miele, M. J., Souza, R. T., Calderon, I. M., Feitosa, F. E., Leite, D. F., Rocha Filho, E. A., Vettorazzi, J., Mayrink, J., Fernandes, K. G., Vieira, M. C., Pacagnella, R. C., & Cecatti, J. G. (2021). Maternal Nutrition Status Associated with Pregnancy-Related Adverse Outcomes. Nutrients, 13(7), 2398.
  22. Neupane, S., Nwaru, B. I., Wu, Z., & Hemminki, E. (2014). Work behaviour during pregnancy in rural China in 2009. The European Journal of Public Health, 24(1), 170-175.
  23. Neupane, S., Nwaru, B. I., Wu, Z., & Hemminki, E. (2016). Changes in work behavior during pregnancy in rural Anhui, China from 2001-03 to 2009: A population based cross-sectional study. BMC Women’s Health, 16(1), 34.
  24. Piercy, K. L., Troiano, R. P., Ballard, R. M., Carlson, S. A., Fulton, J. E., Galuska, D. A., George, S. M., & Olson, R. D. (2018). The Physical Activity Guidelines for Americans. JAMA, 320(19), 2020.
  25. Ramakrishnan, U., Grant, F., Goldenberg, T., Zongrone, A., & Martorell, R. (2012). Effect of Women’s Nutrition before and during Early Pregnancy on Maternal and Infant Outcomes: A Systematic Review: Periconceptual nutrition and maternal and infant outcomes. Paediatric and Perinatal Epidemiology, 26, 285-301.
  26. Ramulondi, M., de Wet, H., & Ntuli, N. R. (2021). Traditional food taboos and practices during pregnancy, postpartum recovery, and infant care of Zulu women in northern KwaZulu-Natal. Journal of Ethnobiology and Ethnomedicine, 17(1), 15.
  27. Ruel, M. T., Deitchler, M., & Arimond, M. (2010). Developing Simple Measures of Women’s Diet Quality in Developing Countries: Overview. The Journal of Nutrition, 140(11), 2048S-2050S.
  28. Sharifah Zahhura, S. A., Nilan, P., & Germov, J. (2012). Food restrictions during pregnancy among Indigenous Temiar women in peninsular Malaysia. Malaysian Journal of Nutrition, 18(2), 243-253.
  29. Sintia, S., Septiani, W., Rany, N., & Kursani, E. (2021). Determinant Of Chronic Energy Deficiency (Kek) In Pregnant Women In The Working Area Of Siak Hulu Iii Health Center Of Kampar Regency. Jurnal Kesehatan Komunitas, 7(1), 64-69.
  30. Sorenson, D. L. S., & Tschetter, L. (1994). Reasons for employment or nonâ€employment during pregnancy. Health Care for Women International, 15(5), 453-463.
  31. Sukandar, D. (2007). Makanan Tabu di Jeneponto Sulawesi Selatan. Jurnal Gizi Dan Pangan, 2(1), 42.
  32. Suzumori, N., Ebara, T., Matsuki, T., Yamada, Y., Kato, S., Omori, T., Saitoh, S., Kamijima, M., Sugiuraâ€Ogasawara, M., & the Japan Environment & Children’s Study Group. (2020). Effects of long working hours and shift work during pregnancy on obstetric and perinatal outcomes: A large prospective cohort study—Japan Environment and Children’s Study. Birth, 47(1), 67-79.
  33. Tsegaye, D., Tamiru, D., & Belachew, T. (2021). Food-related taboos and misconceptions during pregnancy among rural communities of Illu Aba Bor zone, Southwest Ethiopia. A community based qualitative cross-sectional study. BMC Pregnancy and Childbirth, 21(1), 309.
  34. Vasilevski, V., & Carolan-Olah, M. (2016). Food taboos and nutrition-related pregnancy concerns among Ethiopian women. Journal of Clinical Nursing, 25(19-20), 3069-3075.
  35. Zerfu, T. A., Umeta, M., & Baye, K. (2016). Dietary habits, food taboos, and perceptions towards weight gain during pregnancy in Arsi, rural central Ethiopia: A qualitative cross-sectional study. Journal of Health, Population and Nutrition, 35(1), 1-7.