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Maternal Fasting Blood Glucose, Blood Pressure, and Amniotic Fluid Volume with Baby Birth Length and Weight Hamidah Aula Rusydiana; Mira Dewi; Hadi Riyadi; Lilik Kustiyah
Jurnal Ilmiah Kesehatan (JIKA) Vol. 4 No. 2 (2022): Volume 4 Nomor 2 Agustus 2022
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v4i2.311

Abstract

Maternal health during pregnancy is affecting fetal health in the womb and after birth. This study was conducted to see how maternal fasting blood glucose, blood pressure, and amniotic fluid volume in third semester correlate with baby birth weight and length. The design of this research was observasional in cohort program from third trimester pregnancy until delivery. Result showed that the rising of maternal fasting blood glucose in third trimester was predicted to significantly increasing the baby’s birth weight (b= 7,24, p= 0,025). Inversely, the increase in blood pressure during pregnancy had the potential to lower the weight of the baby (b= -13,94, p= 0,058) although not significanty proven in this study. The correlation between maternal amniotic fluid volume had not shown significant results with neither birth length nor weight of the offspring in this study. It is recommended that pregnant women could maintain their health and also conducted regular health checks of blood glucose, blood pressure, and amniotic fluid volume to avoid pregnancy adverse outcomes if detected.
The relationship between nutrition adequacy level, physical activity, and pregnancy outcomes in mothers and infants Hamidah Aula Rusydiana; Mira Dewi; Hadi Riyadi; Lilik Kustiyah
AcTion: Aceh Nutrition Journal Vol 8, No 2 (2023): June
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v8i2.883

Abstract

Pregnancy outcomes are affected by many factors: nutrition and physical activity. This study aims to determine the relationship between physical activity and nutritional adequacy level of pregnant women in the third trimester with pregnancy outcomes, namely maternal fasting blood glucose levels, blood pressure and amniotic fluid volume, and baby's birth weight and length. An observational study on a cohort was conducted on 34 pregnant women in their third trimester and followed until delivery in the Ciampea sub-district, Bogor, Indonesia. The data were processed through descriptive analysis for each variable. Bivariate tests between the predictor and outcome variables were performed using Pearson's correlation and Multiple Regression at 95% CI. Based on multiple regression analysis, we found that the samples' fasting blood glucose in the third trimester was predicted to be 36,9% positively affected by pre-pregnancy body mass index (b= 2,521; p= 0,009) and total physical activity during the third trimester (b= 0,055; p= 0,006). In conclusion, the nutritional adequacy level of macronutrients in the third trimester has not yet significantly affected pregnancy outcomes in this study. It is suggested that pregnant women should avoid prolonged sedentary activity and increase appropriate exercise to achieve maternal health and improve birth outcomes.
Validity of Waist-to-Height Ratio for Hypertension Screening among Pre-Elderly Men and Women in Indonesia Rusydiana, Hamidah Aula; Nurwati, Yuni
Jurnal Gizi dan Pangan Vol. 20 No. 3 (2025)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2025.20.3.187-196

Abstract

The research was conducted to validate the Waist-to-Height Ratio (WHtR) as a predictor of hypertension among pre-elderly individuals in Indonesia. The study utilized a cross-sectional analysis based on secondary data from the 2023 Indonesian Longitudinal Aging Survey (ILAS). A total of 2,170 pre-elderly adults aged 45–59 years (993 men and 1,177 women), were included, with 46.4% classified as hypertensive. Predictive performance of WHtR was assessed using Receiver Operating Characteristic (ROC) analysis. Optimal cutoff points were then determined using Youden index and accuracy. Diagnostic performance was evaluated based on sensitivity, specificity, Positive Predictive Value (PPV), and Negative Predictive Values (NPV). The Area Under the Curve (AUC) of WHtR for the predicting hypertension was 0.648 (95% CI: 0.614–0.683, p<0.001) in men and 0.633 (95% CI: 0.601–0.664, p<0.001) in women. The selected cutoff for WHtR was 0.513 in men (sensitivity: 67.6%, specificity: 55.5%), and 0.597 in women (sensitivity: 56.3%, specificity: 65.3%), with an overall accuracy of 61.0%. These results support that WHtR may serve as a practical screening tool for hypertension in pre-elderly individuals in Indonesia, with sex-specific cutoff values that could support early identification and prevention strategies.