Analysis of Factors Related to Bone Density in Trimester III Pregnant Women in The Working Area of Community Health Center of Andalas Padang
##plugins.themes.academic_pro.article.main##
Abstract
The decrease of bone density becomes a serious health problem because of its increasing prevalence worldwide, especially for women. Parity is one of the factors that can affect bone density, apart from physical activity, consumption of caffeinated and carbonated drinks, intake of protein, magnesium, phosphorus, calcium, and serum 25(OH)D levels. This study aimed to comprehensively analyze the factors associated with bone density in pregnant women. This cross-sectional study was conducted in the working area of Community Health Center of Andalas Padang towards 73 pregnant women in the third trimester with a purposive sampling technique.Structured interviews were conducted by using a semi-quantitative food frequency questionnaire (nutritional intake), Baecke's questionnaire (physical activity) and examination of serum 25(OH)D levels using the ELISA method. Data were analyzed by using One Way ANOVA, Kruskal-Wallis test and multiple linear regression. The results of statistical tests showed that there was no significant relation (p> 0.05) among parity, physical activity, serum 25 (OH) D levels, consumption of caffeinated and carbonated drinks, intake of protein, phosphorus, magnesium, and calcium on bone density at pregnant women. The dominant factor related to bone density are parity (adjustedR2=0,191 ; standardized β coefficient= -0,357 ; p=0,004) and calcium intake (adjusted R2=0,191;standardized β coefficient=0,308 ; p=0,005). The conclusion of this study is that calcium intake and parity play important roles in bone density in pregnant women.
##plugins.themes.academic_pro.article.details##
References
[2] Dahlan, MS. (2012). Besar Sampel dan Cara Pengambilan Sampel dalam Penelitian Kedokteran dan Kesehatan. Edisi ke 5 Seri Evidence Based Medicine 1. Jakarta : Salemba Medika
[3] Dahlan, MS. (2012). Statistik untuk Kedokteran dan Kesehatan Deskriptif, Bivariat dan Multivariat. Edisi ke 5 Seri Evidence Based Medicine 1. Jakarta : Salemba Medika
[4] Daroszewska, Anna. (2015). Prevention and treatment of osteoporosis in women: an updae obstetrics, gynecology and reproductive medicine. http://dx.doi.org/10.1016/j.ogrm.2015.04.001
[5] Fitria, R. (2016). Hubungan Indeks Massa Tubuh, Paritas dan Lama Menopause dengan Densitas Mineral Tulang Pada Wanita Pasca Menopause. Jurnal Maternity and Neonatal Vol.2 No 2 Hal 68-73.
[6] IOF (International Osteoporosis Foundation). (2010). Osteoporosis fact sheet Switzerland. International Osteoporosis Foundation.
[7] Kementerian Kesehatan RI. (2014). Pedoman gizi seimbang. Jakarta:Kementerian Kesehatan RI.
[8] Kementerian Kesehatan RI. (2016). Pusat data dan informasi. Data dan kondisi osteoporosis di Indonesia.
[9] Kendall, K. Tao, L. (2014). Sinopsis Organ System Endokrinologi pendekatan dengan sistem terpadu dan disertai kumpulan kasus terpadu. Binarupa Aksara.
[10] Kovacs, CS. (2008). Vitamin D in pregnancy and lactation : maternal, fetal, and neonatal outcomes from human and animal studies.The American Journal of Clinical Nutrition. Vol. 88. pp. 520-528.
[11] Kovacs, CS. (2011). Bone development in the fetus and neonate: Role of the calciotropic hormones.Current Osteoporosis Reports, Vol. 9. No. 4. pp. 274-283. doi: 10.1007/s11914-011-0073-0.
[12] Kovacs, CS. Fuleihan, GE. (2006). Calcium and Bone Disorders During Pregnancy and Lactation. Endocrinology and Metabolism Clinics of North America. Doi: 10.1016/j.ecl.2005.09.004.
[13] Lemeshow, S. David, W. Hosmer. Janelle, K. Stephen, K. (1997). Besar sampel dalam penelitian kesehatan. Penerjemah: Pramono, D. Yogyakarta. Gajah Mada University Press. Terjemahan dari: Adequacy of sample size in health studies. 264 hal.
[14] Lipoeto, NI. Jalal, F. Hermizar. (2010). Antioksidan dalam masakan minang dan potensi protektif terhadap risiko penyakit kardiovaskular. Jurnal Kesehatan Masyarakat. 4 (1): 13-20
[15] NOF (National Osteoporosis Foundation). (2013). Clinician’s guide to prevention and treatment of osteoporosis. Osteoporos Int. 25(10): 2359-2381.
[16] Sherwood, L. (2011). Fisiologi Manusia. Alih Bahasa Pendit, B.U. Jakarta : EGC. Terjemahan dari human Physiology ; from cell to systems. Edisi 6.
[17] Weaver, CM. Henaey, RP. (2008). Calcium in modem nutrition in health and disease. Newyork: Lippincott William and Wilkins. 9th ed 141-155
[18] Zahoor, S. Ayub, U. Prevalence of osteoporosis in postmenopausal women visiting police and service hospital, peshawar, NWFP. Departement of Gynecology & Obstetrics. JPMI. 2010;24(01);04-08