TEA CONSUMPTION AND IRON-DEFICIENCY ANEMIA AMONG PREGNANT WOMAN IN BOGOR DISTRICT, INDONESIA
Abstract
Background. Anemia in pregnancy is an essential problem due to affect to not only the mother’s life but also to baby’s life. An iron deficiency causes about 75 percent of anemia during pregnancy. Objective. This study aimed to identify risk factors for iron deficiency among pregnant women and determine the possible link between iron status and tannin levels associated with tea consumption. Method. The population-based cross-sectional studies were conducted from secondary data of previous thesis-research in 2013, “Pengaruh Kadar Tanin pada Teh Celup terhadap Anemia Gizi Besi (AGB) pada Ibu Hamil di UPT Puskesmas Citeureup Kabupaten Bogor Tahun 2012”. The study population consisted of 94 randomly selected pregnant women. The inclusion criteria were pregnant women who participated in the previous study and have a complete antenatal care record. Demographic data were collected, including data on age, working status, gestational stage, time since last pregnancy, and parity. The information included nutritional variables, such as iron supplements, nutritional status, and iron intake. Also, data for tannin level grouped as low, medium, and high based on the frequency of daily tea consumption and tea-making habits. The linear model analysis was used to determine the influence of tea consumption on serum ferritin levels. Results. The results showed that time since last pregnancy (<2 years), parity (more than two children), reduced consumption of foods containing heme, and levels of tannin consumption (low, medium, or high) were predictors of iron-deficiency anemia. The results also suggested that tannin levels were inversely proportional to serum ferritin levels. Conclusion. Pregnant women who consumed tea with a low tannin level had the highest serum ferritin levels, whereas those who drank tea with medium and high tannin levels had the lowest serum ferritin levels.
References
World Health Organization. The Global Prevalence of Anaemia in 2011. Geneva: World Health Organization; 2015.
Api O, Breyman C, Cetiner M, Demir C, Ecder T. Diagnosis and Treatment of Iron Deficiency Anemia during Pregnancy and the Postpartum Period: Iron Deficiency Anemia Working Group Consensus Report. Turk J Obstet Gynecol. 2015;12(3):173-81..
Badan Penelitian dan Pengembangan Kesehatan. Riset Kesehatan Dasar (Riskesdas) 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2013.
Breymann C. Iron Deficiency Anemia in Pregnancy. Expert Review Obstet Gynecol. 2013; 8(6): 587-96.
Santi B. Pengaruh Pemberian Suplemen Tablet Besi Folat dan Suplemen Multivitamin Mineral terhadap Kadar Hemoglobin pada Ibu Hamil Anemia di Kabupaten Kuningan Tahun 2006. Tesis. Depok: Universitas Indonesia, 2007.
Al-Farsi YMI. Effect High Parity on Occurance of Pre-diabetes, Low Birth Weight, and Anemia in Pregnancy in Tha Sultanate of Oman. Dissertation. Boston: Boston Universty, 2008.
Derso T, Abera C, Tariku A. Magnitude and Associated Factors of Anemia among Pregnant Women in Dera District: A Cross-sectional Study in Northwest Ethiopia. BMC Research Notes. 2017;10(359):1-8.
Samman S, Sandstorm B, Toft MB, Bukhave K, Jensen M, Sorensen SS, et al. Green Tea or Rosemary Extract Added to Foods Reduce Nonheme-Iron Absorption. American Journal Clinical Nutrition. 2001;73(3):607-12.
Gabrielli GB, Sandre GD. Excessive Tea Consumption can Inhibit the Efficacy Oral Iron Treatment in Iron-Deficiency Anemia. Haematologica. 1995;80(6):518-20.
Xing Y, Yan H, Dang S, Zhuoma B, Zhou X, Wang D. Hemoglobin Levels and Anemia Evaluation during Pregnancy in the Highlands of Tibet: A Hospital-based Study. BMC Public Health. 2009;9(336):1-7.
Mohamed AA, Ali AA, Ali NI, Abusalama EH, Elbashir MI, Adam I. Zinc,Parity, Infection, and Severe Anemia among Pregnant Women in Kassla, Eastern Sudan. Biol Trace Elem Res. 2011;140(3):284-90.
Disler PB, Lynch SR, Charlton RW, Torrance JD, Bothwell TH, Walker RB, et al. The Effect of Tea on Iron Absorption. Gut. 1975;16(3):193-200.
Machmud PB. Pengaruh Kadar Tanin pada Teh Celup terhadap Anemia Gizi Besi (AGB) pada Ibu Hamil di UPT Puskesmas Citeureup Kabupaten Bogor Tahun 2012. Tesis. Depok: Universitas Indonesia, 2013.
Mwau M, Bwana P, Kithinji L, Ogollah F, Ochieng S, Akinyi C, et al. Mother-to-Child Transmission of HIV in Kenya: A Cross-Sectional Analysis of the National Database Over Nine Years. PLoS One. 2017;12(8):1-15.
Hyder SZ, Persson LA, Chowdhury A, Ekstrom EC. Anaemia among Non-Pregnant Women in Rural Bangladesh. Public Health Nutrition. 2000;4(1):79-83.
Eckhardt C, Torheim L, Monterrubio E, Barquera S, Ruel M. The Overlap of Overweight and Anaemia among Women in Three Countries undergoing the Nutrition Transtition. European Journal of Clinical Nutrition. 2008;62(2):238-46.
Beck KL, Conlon CA, Kruger R, Coad J. Dietary Determinants of and Possible Solutions to Iron Deficiency for Young Women Living in Industrialized Countries: A Review. Nutrients. 2014;6(9):3747-76.
Nguyen P, Gonzales-Casanove I, Nguyen H, Pham H, Truong T, Nguyen S, et al. Multicausal Etiology of Anemia among Women of Reproductive Age in Vietnam. European Journal of Clinical Nutrition. 2015;69(1):107-13.
Kaltwasser JP, Werner E, Schalk K, Hansen C, Gottschalk R, Seidi C. Clinical Trial on the Effect of Regular Tea Drinking on Iron Accumulation in Genetic Haemochromatosis. Gut. 1998;43(5):699-704.
Musaiger AO. Iron Deficiency Anaemia Among Children and Pregnant Women in the Arab Gulf Countries: The Need for Action. Nutr Health. 2002;16(3):161-71.
Khader A, Madi H, Riccardo F, Sabatinelli G. Anaemia among Pregnant Palestinian Women in the Occupied Palestinian Territory. Public Health Nutrition. 2009;12(12):2416-20.
Looker AC, Dalman PR, Carrol MD, Gunter EW, Johnson CL. Prevalence of Iron Deficiency in United States. JAMA. 1997;277(12):973-6.
Pei L, Ren L, Wang D, Yan H. Assessment of Maternal Anemia in Rural Western China between 2001 and 2005: A Two-Level Logistic Regression Approach. BMC Public Health. 2013;13(366):1-9.
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