Hadi Riyadi
Nutrition Study Program, Faculty of Medicine and Nutrition, IPB University, Indonesia

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Parity, Interpregnancy Interval, and Socioeconomic Status in Relation to Low Birth Weight: A Prospective Cohort in Yogyakarta Rina Oktasari; Hadi Riyadi; Ali Khomsan; Katrin Roosita; Yulin Lestari
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.873

Abstract

Low birth weight (LBW, <2,500 g) remains a critical public health problem, contributing to neonatal mortality and long-term risk of non-communicable diseases, and national estimates in Indonesia indicate a prevalence ranging from approximately 6.2% to 11.7%. Parity and interpregnancy interval (IPI) are important reproductive determinants of perinatal outcomes, and their effects may be modified by socioeconomic status (SES). This study aimed to investigate the association between parity and IPI with LBW and to assess whether SES modifies these associations in a prospective cohort of pregnant women in Yogyakarta, Indonesia. A total of 120 women (poor households n=48; non-poor households n=72) were recruited purposively from community health centers and a maternity hospital/clinic. Inclusion criteria were gestational age 26–35 weeks, maternal age 20–35 years, parity 1–2, non-smoker, and provision of informed consent. Pre-pregnancy BMI was obtained through maternal recall of the last measured height and weight before conception. Data were analyzed using Pearson’s χ² tests for baseline comparisons and stratified logistic regression models to estimate adjusted odds ratios (aORs) with 95% confidence intervals. The prevalence of LBW was higher among women with non-optimal IPI (<24 or >60 months and primigravida) compared to those with optimal IPI (24–60 months). Multiparity showed a protective tendency against LBW, particularly among non-poor women. SES significantly modified the association between IPI and LBW (p for interaction <0.05). These findings suggest that multiparity may reduce LBW risk, whereas non-optimal IPI increases it, with SES acting as an effect modifier. Strengthening preconception counseling on birth spacing and targeted support for low-SES families are warranted
The Correlations of Body Image, Eating Behavior Types, and Energy and Nutrient Adequacy Level with Anemia Status in Adolescent Girls at SMAN 1 Dramaga, Bogor Regency Novi Puspita Sari; Lilik Kustiyah; Hadi Riyadi
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.932

Abstract

Anemia is a serious global public health issue with the highest prevalence in adolescent girls. This study aimed to analyze the relationships among body image, eating behaviour, and the adequacy of energy and nutrient intake with anemia status in adolescent girls. This study used a cross-sectional design with 105 participants selected through purposive sampling. Data on subject characteristics were collected using a questionnaire, body image was assessed using the Body Shape Questionnaire (BSQ), eating behaviour using the Dutch Eating Behaviour Questionnaire (DEBQ), nutrient adequacy level using 2 × 24 H food recall, and hemoglobin levels were measured using HemoCue 301. Data were analysed using the Spearman Rank test. The results showed that 28.6% of the subjects had anemia. Based on bivariate analysis, there was no correlation between body image and anemia status (r=-0.108, p =0.271). There was also no correlation between emotional eating, external eating, and restrained eating (p>0.05) and anemia status. Similarly, energy (r= 0.133, p=0.177), vitamin B9 (r=0.169, p=0.085), and vitamin C (r=0.016, p=0.873) were not significantly correlation with anemia status. However, adequacy level of protein (r=0.288, p=0.003), iron (r= 0.194, p=0.048), and vitamin B12 (r= 0.216, p=0.027) were significantly positive correlation with anemia status. This study indicates that the majority of subjects had a negative body image, tended to display external eating behavior, and generally had insufficient nutrient intake. Therefore, nutrition education for adolescents is needed, with a focus on promoting healthy and high-quality eating habits.