Analysis of Factors Associated with Preconception Nutritional Readiness Among Women of Reproductive Age in Kerinci Regency

  • Ela Sintia Master of Midwifery Program, Faculty of Medicine, Universitas Andalas, Indonesia
  • Desmawati Department of Nutrition Science, Faculty of Medicine, Universitas Andalas, Indonesia
  • Siti Nurhajjah Department of Anatomy, Faculty of Medicine, Universitas Andalas, Indonesia
Keywords: Preconception; nutritional readiness; Women; childbearing age

Abstract

Women of Reproductive Age (WRA) as prospective mothers are a vulnerable group whose health status, particularly nutritional status, requires attention. The quality of future generations is determined by the mother's condition before pregnancy, as malnutrition during the preconception period can lead to both maternal and fetal malnutrition. This study aims to analyze the factors associated with preconceptions of nutritional readiness among WRA in Kerinci Regency. The study uses an analytical design with a cross-sectional approach. It was conducted at 5 Religious Affairs Offices in Kerinci Regency (The Office of Religious Affairs of East Air Hangat, Depati Tujuh, Sitinjau Laut, Danau Kerinci, and Keliling Danau) from 1 November to 30 November 2023. The sample consisted of 80 pre-marriage WRA registrants. Data were collected using questionnaires and analyzed using Chi-Square tests and Multiple Logistic Regression. The results showed significant associations between age (p-value 0.645), attitudes (p-value 0.005), occupation (p-value 0.006), physical activity (p-value 0.449), lifestyle (p-value 0.001), income (p-value 0.002), culture (p-value 0.018), food access (p-value 0.004), and the role of health workers (p-value 0.015) with preconceptional nutritional readiness. Multivariate analysis indicated that the most dominant factor was lifestyle, with an odds ratio (OR) of 17.75. In conclusion, the study found significant associations between various factors and preconceptions of nutritional readiness, with lifestyle being the most influential. Cross-sectoral cooperation and education are needed to intervene during the preconception period to prepare women for a healthy pregnancy and a positive pregnancy outcome.

Author Biographies

Ela Sintia, Master of Midwifery Program, Faculty of Medicine, Universitas Andalas, Indonesia

Master of Midwifery Program, Faculty of Medicine, Universitas Andalas, Indonesia

Siti Nurhajjah, Department of Anatomy, Faculty of Medicine, Universitas Andalas, Indonesia

Department of Anatomy, Faculty of Medicine, Universitas Andalas, Indonesia

References

Agustina, R., Rianda, D., & Setiawan, E. A. (2022). Relationships of child-, parents-, and environment-associated determinants with diet quality, physical activity, and smoking habits among Indonesian urban adolescents. Food and Nutrition Bulletin, 43(1), 44-55. https://doi.org/10.1177/03795721211046145

Ahmad, A., Wagustina, S., & Estuti, W. (2021). Maternal malnutrition before pregnancy determines factors for chronic energy deficiency in pregnancy: a cross-sectional survey in Aceh Besar District, Aceh, Indonesia. Prof Khor Geok Lin, PhD and Helda Khusun, PhD, 52, 116.

Akande, V. O., Fawehinmi, T. O., Ruiter, R. A., & Kremers, S. P. (2021). Healthy dietary choices and physical activity participation in the Canadian Arctic: understanding Nunavut Inuit perspectives on the barriers and enablers. International journal of environmental research and public health, 18(3), 940. https://doi.org/10.3390/ijerph18030940

de Diego-Cordero, R., Rivilla-Garcia, E., Diaz-Jimenez, D., Lucchetti, G., & Badanta, B. (2021). The role of cultural beliefs on eating patterns and food practices among pregnant women: a systematic review. Nutrition reviews, 79(9), 945-963. https://doi.org/10.1093/nutrit/nuaa119

Dhaded, S. M., Hambidge, K. M., Ali, S. A., Somannavar, M., Saleem, S., Pasha, O., et al. (2020). Preconception nutrition intervention improved birth length and reduced stunting and wasting in newborns in South Asia: The Women First randomized controlled trial. PLOS ONE, 15(1), 1–15. https://doi.org/10.1371/journal.pone.0227830

Dieny, F., Widyastuti, N., Deny, Y., & Nissa, C. (2019). Iron deficiency in obese premarital women of childbearing age. Indonesian Micro Nutrition Media, 11(1), 101–110.

Doloksaribu, L. G., & Simatupang, A. M. (2019). Pengaruh konseling gizi prakonsepsi terhadap pengetahuan dan sikap wanita pranikah di Kecamatan Batang Kuis. Wahana Inov, 8(2089-8592), 63-73.

Ekowati, D., Seri Ani, L., & Trisna Windiani, I. G. A. (2017). High parity and chronic energy deficiency increase risk for low birth weight in Situbondo District. Public Health and Preventive Medicine Archives, 5(1), 35. https://doi.org/10.53638/phpma.2017.v5.i1.p07

Fall, C. H. (2013, July). Fetal malnutrition and long-term outcomes. In Nestlé nutrition institute workshop series (Vol. 74, p. 11).

Hanifah, R. N., Djais, J., & Fatimah, S. N. (2020). Prevalensi Underweight, Stunting, Dan Wasting Prevalensi Underweight, Stunting, Dan Wasting Pada Anak Usia 12-18 Bulan Di Kecamatan Jatinangor. Jurnal Sistem Kesehatan, 5(3). https://doi.org/10.24198/jsk.v5i3.28768

Harper, A., Rothberg, A., Chirwa, E., Sambu, W., & Mall, S. (2022). Household food insecurity and demographic factors, low birth weight and stunting in early childhood: Findings from a longitudinal study in South Africa. Maternal and Child Health Journal, 27, 56–69. https://doi.org/10.1007/s10995-022-03485-7

Jap, J., Sumarmi, S., & Damayanti, N. A. (2019). Importance of collaborative intervention of preconception nutrition in suppressing the stunting case in East Nusa Tenggara, Indonesia. Indian Journal of Public Health Research & Development, 10(9), 175–179.

Juan, J., & Yang, H. (2022). Early life 1000 days: Opportunities for preventing adult diseases. Chinese Medical Journal, 135(5), 516–518. https://doi.org/10.1097/CM9.0000000000001861

Kerinci District Health Office. (2023). Data on coverage of neonatal complications handling in 2022. Kerinci: Kerinci District Health Office.

Kerinci District Health Office. (2023). Publication of stunted data measurement results for Kerinci District 2022. Kerinci: Kerinci District Health Office.

Ministry of Health. (2018). Pocket book of reproductive health for prospective brides. Jakarta: Ministry of Health.

Ministry of Health. (2019). Results of Basic Health Research 2018. Jakarta: Ministry of Health.

Ministry of Religion of Kerinci Regency. (2023). Number of marriage events in Kerinci Regency in 2022. Kerinci: Ministry of Religion of Kerinci Regency.

Misgina, K. H., van der Beek, E. M., Boezen, H. M., Bezabih, A. M., & Groen, H. (2021). Pre-conception and prenatal factors influencing gestational weight gain: a prospective study in Tigray region, northern Ethiopia. BMC Pregnancy and Childbirth, 21, 1-13. https://doi.org/10.1186/s12884-021-04171-z

Nurlinda, N., & Sari, R. W. (2021). Pengaruh penyuluhan dengan media animasi pencegahan stunting terhadap pengetahuan dan sikap calon pengantin. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 4(3), 372-376. https://doi.org/10.56338/mppki.v4i3.1606

Paratmanitya, Y., Helmyati, S., Nurdiati, D. S., Lewis, E. C., & Hadi, H. (2021). Assessing preconception nutrition readiness among women of reproductive age in Bantul, Indonesia: Findings from baseline data analysis of a cluster randomized trial. Indonesian Journal of Nutrition and Dietetics, 8(2), 68–79. http://dx.doi.org/10.21927/ijnd.2020.8(2).68-79

Putri, P. H., Ainani, F. N. N., Yuliani, K., Sunaryo, M., & Puspitasari, P. (2021). Edukasi Dengan Media Booklet Terhadap Pengetahuan Gizi Prakonsepsi, Sikap dan Asupan Zat Gizi Makro Wanita Pranikah. Preventia: Indonesian Journal of Public Health, 6(2), 88-96.

Rafsanjani, T. M. (2018). Pengaruh individu, dukungan keluarga dan sosial budaya terhadap konsumsi makanan ibu muda menyusui (Studi kasus di Desa Sofyan Kecamatan Simeulue Timur Kabupaten Simeulue). AcTion: Aceh Nutrition Journal, 3(2), 124-131. http://dx.doi.org/10.30867/action.v3i2.112

Rahmah, N., & Kurniawati, W. (2021). Relationship between marriage readiness and pregnancy planning among prospective brides. Journal of public health research, 10(1_suppl), jphr-2021. https://doi.org/10.4081/jphr.2021.2405

Reski, R. N., Hadju, V., Indriasari, R., & Muis, M. (2020). Anemia, chronic energy deficiency, and their relationship in preconception women. Enfermería Clínica, 30, 76–80. https://doi.org/10.1016/j.enfcli.2019.11.021

Susilowati, & Kuspriyanto. (2016). Nutrition in the life cycle (1st ed.). Refika Aditama.

Swain, D., Begum, J., & Parida, S. P. (2021). Effect of preconception care intervention on maternal nutritional status and birth outcome in a low-resource setting: Proposal for a nonrandomized controlled trial. JMIR Research Protocols, 10(8), e28148. https://doi.org/10.2196/28148

Taneja, S., Chowdhury, R., Dhabhai, N., Upadhyay, R. P., Mazumder, S., Sharma, S., et al. (2022). Impact of a package of health, nutrition, psychosocial support, and WaSH interventions delivered during preconception, pregnancy, and early childhood periods on birth outcomes and on linear growth at 24 months of age: Factorial, individually randomized controlled trial. The BMJ, 379, 1–7. https://doi.org/10.1136/bmj-2022-072124

UNICEF. (2023). Women’s nutrition – UNICEF DATA. Retrieved July 19, 2023, from https://data.unicef.org/topic/nutrition/womens-nutrition/

Wantini, N. A., Maydianasari, L., & Agni, A. S. (2023). The Description of Future Bride Nutritional Status Included Incidence of Anemia, Chronic Energy Deficiency (CED), and Nutritional Status Based on Body Mass Index. Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), 10(2), 239-246. https://doi.org/10.26699/jnk.v10i2.ART.p239-246

Wati, E. K., Murwani, R., Kartasurya, M. I., & Sulistiyani, S. (2024). Determinants of chronic energy deficiency (CED) incidence in pregnant women: A cross-sectional study in Banyumas, Indonesia. Narra J, 4(1), e742. https://doi.org/10.52225/narra.v4i1.742

Wirenviona, R., & Cinthya, R. (2021). Reproductive health and fetal growth and development to elderly in women. Surabaya: Airlangga University Press.

World Health Organization. (2012). Nutrition of women in the preconception period, during pregnancy, and the breastfeeding period: Report by the Secretariat. Retrieved January 3, 2023, from https://apps.who.int/iris/handle/10665/78900

World Health Organization. (2019a). Nutrition landscape information system (NLIS) country profile indicators (2nd ed.). Switzerland: WHO Press.

World Health Organization. (2019b). Anaemia. Retrieved March 21, 2023, from https://www.who.int/health-topics/anaemia#tab=

World Health Organization. (2022). Stunting prevalence among children under 5 years of age. Retrieved April 26, 2023, from https://www.who.int/data/gho/data/indicator-details/GHO/gho-jme-stunting-prevalence

Yee, L. M., Silver, R. M., Haas, D. M., Parry, S., Mercer, B. M., Iams, J., et al. (2020). Quality of periconceptional dietary intake and maternal and neonatal outcomes. American Journal of Obstetrics and Gynecology, 223(1), 121–128. https://doi.org/10.1016/j.ajog.2020.01.045

Young, M. F., & Ramakrishnan, U. (2021). Maternal undernutrition before and during pregnancy and offspring health and development. Annals of nutrition & metabolism, 76(Suppl 3), 41-53. https://doi.org/10.1159/000510595

Published
2025-07-04
How to Cite
Sintia, E., Desmawati, D., & Nurhajjah, S. (2025). Analysis of Factors Associated with Preconception Nutritional Readiness Among Women of Reproductive Age in Kerinci Regency . Journal La Medihealtico, 6(3), 753-765. https://doi.org/10.37899/journallamedihealtico.v6i3.2241