Konseling gizi fertilitas terhadap pengetahuan, sikap, asupan makronutrien, dan berat badan pasangan program bayi tabung

https://doi.org/10.22146/ijcn.89487

Sonia Marlaba Aritonang(1*), Mahdiah Mahdiah(2), Tetty Herta Doloksaribu(3), Lusyana Gloria Doloksaribu(4)

(1) Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Medan, Indonesia
(2) Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Medan, Indonesia
(3) Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Medan, Indonesia
(4) Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Medan, Indonesia
(*) Corresponding Author

Abstract


The effect of fertility nutrition counseling on knowledge, attitude, macronutrient intake, and body weight couple in IVF program


Background:
Based on PERFITRI (2017) shows 1,712 men and 2,055 women experiencing infertility. One of the factors that influences infertility is nutritional status. Overweight and underweight will affect conception delays. Body weight is influenced by nutritional knowledge, attitudes and food intake. Efforts to increase knowledge and attitudes can be done through nutritional counseling.

Objective: This study aimed to analyze the effect of nutritional counseling on knowledge, attitudes, macronutrient intake, and weight of In Vitro Fertilization (IVF) couples at Halim Fertility Center.

Methods: This research was a quasi-experiment with a one group pre-post test design. The study population was all married couples who were registered for nutritional counseling for the IVF program in January-February 2023 with a sample of 43 married couples. Data analysis used the T-dependent test and the Wilcoxon test.

Results: The average value of knowledge and attitudes increased with an increase in the husband’s knowledge score of 37,70 and the wife’s score 29,95 and an increase in the husband’s attitude score of 19,30 and the wife’s score of 12,79. There was a decrease in the energy intake of the husband 10,23% and the wife 7,49%, the husband's fat intake was 35,69% and the wife was 28,62%, husband's carbohydrate intake was 9,45% and the wife was 12,90%. Protein intake increased 54,31% for husbands and 55,84% for wives. The average value of body weight decreased by 2,51 kg for husbands and 1,85 kg for wives.

Conclusions: There is an effect of nutritional counseling on knowledge, attitudes, macronutrient intake and weight of IVF couples (p-value=0.000).


Keywords


attitude; fertility nutrition counseling; IVF couples; knowledge; macronutrient intake; weight

Full Text:

PDF


References

  1. Indarwati I, Hastuti URB, Dewi YLR. Analysis of factors influencing female infertility. Journal of Maternal and Child Health. 2017;2(2):150–61.

  2. World Health Organization & UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP). HRP annual report 2016. [series online] 2016 [cited 2022 July 5]. Available from: URL: https://iris.who.int/handle/10665/255768

  3. Merck & PERFITRI. Merck dan PERFITRI sosialisasikan bayi tabung/in vitro fertilization (IVF) sebagai solusi masalah kesuburan di Indonesia. [series online] 2018 [cited 2022 July 5]. Available from: URL: https://www.haloindonesia.co.id/merck-dan-perfitri-sosialisasikan-bayi-tabung-in-vitro-fertilization-ivf-sebagai-solusi-masalah-kesuburan-di-indonesia/

  4. Halimah AN, Winarni S, Dharminto D. Paparan rokok, status gizi, beban kerja dan infeksi organ reproduksi pada wanita dengan masalah fertilitas RSI Sultan Agung Semarang. Jurnal Kesehatan Masyarakat. 2018;6(5):202–8.

  5. Silvestris E, Lovero D, Palmirotta R. Nutrition and female fertility: an interdependent correlation. Front Endocrinol (Lausanne). 2019;10:346. doi: 10.3389/fendo.2019.00346

  6. Kementerian Kesehatan RI. Hasil riset kesehatan dasar tahun 2018. Jakarta: Kemenkes RI; 2018.

  7. Agustin F, Fayasari A, Dewi GK. Pengetahuan, sikap, dan perilaku gizi seimbang terhadap status gizi lebih pada pegawai Rumah Sakit Penyakit Infeksi Sulianti Saroso Jakarta Utara. Ilmu Gizi Indonesia. 2018;1(2):93–103. doi: 10.35842/ilgi.v1i2.19

  8. Doloksaribu LG, Simatupang AM. Pengaruh konseling gizi prakonsepsi terhadap pengetahuan dan sikap wanita pranikah di Kecamatan Batang Kuis. Wahana Inovasi. 2019;8(1):63–73.

  9. Mulyani U, Sukarni D, Sari EP. Faktor-faktor yang berhubungan dengan infertilitas primer pada pasangan usia subur di wilayah kerja UPTD Puskemas Lembak Kab. Muara Enim tahun 2021. Nusantara: Jurnal Ilmu Pengatahuan Sosial. 2021;8(8):2698–710.

  10. Akbar A. Gambaran faktor penyebab infertilitas pria di Indonesia: meta analisis. Jurnal Pandu Husada. 2020;1(2):66-74. doi: 10.30596/jph.v1i2.4433

  11. Sa’adah N, Purnomo W. Karakteristik dan perilaku berisiko pasangan infertil di klinik fertilitas dan bayi tabung Tiara Cita Rumah Sakit Putri Surabaya. Jurnal Biometrika dan Kependudukan. 2017;5(1):61-9. doi: 10.20473/jbk.v5i1.2016.61-69

  12. Nisa K. Pengaruh konseling mengenai gizi prakonsepsi terhadap asupan protein, kalsium, zat besi, asam folat dan status gizi pada wanita usia subur di Desa Paluh Kemiri [Skripsi]. Medan: Politeknik Kesehatan Medan Jurusan Gizi; 2018.

  13. Hanum N, Andiny P. Pengaruh tingkat pendidikan, usia perkawinan pertama dan kematian bayi terhadap fertilitas di Kabupaten Aceh Timur. Jurnal Samudra Ekonomi dan Bisnis. 2018;9(2):160-70. doi: 10.33059/jseb.v9i2.764

  14. Kofiudin DS. Faktor-faktor sosial ekonomi yang mempengaruhi fertilitas pada pasangan usia subur (PUS) di Kecamatan Puger Kabupaten Jember. Jember: Universitas Jember; 2020.

  15. Yuliarfani N, Nina N. pengaruh pekerjaan, stres, obesitas, dan siklus menstruasi dengan kejadian infertilitas pada wanita. JUMANTIK: Jurnal Ilmiah Penelitian Kesehatan. 2022;7(1):21. doi: 10.30829/jumantik.v7i1.10541

  16. Kusumaningrum R, Pudjirahaju A. Konseling gizi terhadap pengetahuan gizi dan sikap ibu, pola makan serta tingkat konsumsi energi dan protein balita gizi kurang. Jurnal Informasi Kesehatan Indonesia. 2018;4(1):53–63.

  17. Rahayu H, Iriyani K, Lusiana DS. Pengaruh konseling gizi terhadap pengetahuan dan pola asuh ibu balita gizi kurang. Faletehan Health Journal. 2018;5(1):32–8.

  18. Latifani D, Syauqy A, Wijayanti HS, Nissa C. Nutrition counseling with and without modules towards nutrition knowledge, attitude, and macronutrient intake among prediabetic women. J Nutr Sci Vitaminol (Tokyo). 2020;66(Supplement):S167-S172. doi: 10.3177/jnsv.66.S167

  19. Seid AM, Babbel NF. Behavioral model-guided nutritional counseling could improve the dietary practice and nutritional status of elders in Ethiopia: a quasi-experimental study. BMC Geriatr 2023;23(1):1–11. doi: 10.1186/s12877-023-04433-9

  20. Sine JGL, Manongga S, Picauly I. Konseling gizi terhadap pengetahuan, sikap dan tindakan ibu dalam perbaikan pola konsumsi anak autism. Penelitian Gizi dan Makanan. 2023;41(1):31-40.

  21. Setianingsih H, Moviana Y, Helmi R, Dewi M, Mulyo GP. Pengaruh pemberian konseling gizi terhadap pengetahuan dan sikap tentang gizi seimbang pada lansia. Jurnal Kesehatan Siliwangi. 2021;2(1):294–302.

  22. Lestantina A, Wahyudi A, Yuliantini E. Konseling gizi pada remaja obesitas. Jurnal Media Kesehatan. 2018;11(1):71-78. doi: 10.33088/jmk.v11i1.359

  23. Imbar HS, Sineke J, Rugian C. Pengaruh konseling gizi pada asupan makan remaja obesitas di SMP Kristen Woloan Kota Tomohon. Jurnal GIZIDO. 2019;11(1):23–7. doi: 10.47718/gizi.v11i01.751

  24. Afifi Z, Hassan A, Abdelrahman N, El Sayed A, Salem M. Impact of nutrition counseling on anthropometry and dietary intake of multiple sclerosis patients at Kasr Alainy Multiple Sclerosis Unit, Cairo, Egypt 2019-2020: randomized controlled clinical trial. Arch Public Health. 2023;81(1):11. doi: 10.1186/s13690-022-01013-y

  25. Hanson MA, Bardsley A, De-Regil LM, Moore SE, Oken E, Morris JL, et al. The International Federation of Gynecology and Obstetrics (FIGO) recommendations on adolescent, preconception, and maternal nutrition: "Think Nutrition First". Int J Gynaecol Obstet. 2015;131 Suppl 4:S213-53. doi: 10.1016/S0020-7292(15)30034-5

  26. Jairani EN, Napitupulu BN, Suraya R, Lestari W, Yulita, Nababan ASV. Pengaruh konseling gizi terhadap pengetahuan dan tingkat konsumsi zat gizi makro dan zat gizi mikro pada pasien tuberkulosis paru di UPT Rumah Sakit Khusus Paru Provinsi Sumatera Utara. Jurnal Riset Hesti Medan. 2022;7(2):138–47. doi: 10.34008/jurhesti.v7i2.278

  27. Chabibah N. Efektifitas konseling gizi dalam peningkatan asupan zat gizi wanita yang merencanakan kehamilan. Proceeding The 4th University Research Colloquium (URECOL) 2016. Surakarta: Universitas Muhammadiyah Surakarta; 2016.

  28. Lestari P. Hubungan pengetahuan gizi, asupan makanan dengan status gizi siswi MTS Darul Ulum. Sport and Nutrition Journal. 2020;2(2):73–80. doi: 10.15294/spnj.v2i2.39761

  29. Kemenkes RI. Profil penyakit tidak menular tahun 2016. [series online] 2017 [cited 2022 July 5]. Available from: URL: https://p2ptm.kemkes.go.id/dokumenptm/profil-penyakit-tidak-menular-tahun-2016

  30. Ranitadewi IN, Syauqi A, Wijayanti HS. Pengaruh pemberian konseling gizi terhadap persen lemak tubuh wanita overweight dan obesitas peserta senam pilates. Journal of Nutrition College. 2018;7(3):123-32. doi: 10.14710/jnc.v7i3.22271

  31. Sitoayu L, Pertiwi DA, Mulyani EY. Kecukupan zat gizi makro, status gizi, stres, dan siklus menstruasi pada remaja. Jurnal Gizi Klinik Indonesia. 2017;13(3):121-8. doi: 10.22146/ijcn.17867

  32. Dağ ZÖ, Dilbaz B. Impact of obesity on infertility in women. J Turk Ger Gynecol Assoc. 2015;16(2):111-7. doi: 10.5152/jtgga.2015.15232

  33. Jamhariyah, Dian D, Sasmito L. Obesitas dengan kejadian infertilitas pada wanita usia subur. Healthy: Jurnal Inovasi Riset Ilmu Kesehatan. 2022;1(2):121–31. doi: 10.51878/healthy.v1i2.1246

  34. Gifari N, Kuswari M, Nuzrina R, Pratiwi, Wulandari F. Pengaruh latihan dan konseling gizi terhadap perubahan status gizi dewasa obesitas. Ilmu Gizi Indonesia. 2021;4(2):107. doi: 10.35842/ilgi.v4i2.190

  35. Emilia, Cilmiyati R. Pengaruh konseling gizi, aktifitas fisik, dan asupan makanan terhadap penurunan berat badan remaja SMA yang kegemukan. Pontianak Nutrition Journal. 2020;3(1):6. doi: 10.30602/pnj.v3i1.624

  36. Tarigan RA, Ridmadhanti S. Infertility in female nurses in hospital. Journal of Midwifery. 2019;7(2):36–41.



DOI: https://doi.org/10.22146/ijcn.89487

Article Metrics

Abstract views : 491 | views : 182

Refbacks

  • There are currently no refbacks.




Copyright (c) 2024 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free
web stats View My Stats