Ali Sungkar
Indonesian journal of obstetrics and gynecology

Published : 14 Documents
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Journal : World Nutrition Journal

IS SERUM ZINC LEVEL CORRELATED WITH INSULIN RESISTANCE AMONG LACTATING MOTHERS IN JAKARTA? Ramadhania, Dian Araminta; Sunardi, Diana; Sungkar, Ali
World Nutrition Journal Vol 3, No 2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V03.i2.0009

Abstract

Introduction: Insulin resistance is a condition that underlies the development of diabetes mellitus. The prevalence of diabetes mellitus keeps rising, including in Indonesia. A higher proportion of diabetes was found in women. Physiological changes during pregnancy can cause insulin resistance that may persist until postpartum period. Lactation and nutrient like zinc may improve insulin resistance. This study aimed to measure the correlation between zinc serum level and insulin resistance of lactating mothers in Jakarta.Methods: This study used cross-sectional design, was conducted in Puskesmas Kecamatan Grogol Petamburan, West Jakarta and Puskesmas Kecamatan Cilincing, North Jakarta from February to April 2019. A total of 75 lactating mothers at 3?6 months postpartum were selected using consecutive sampling method. Zinc serum was analyzed using atomic absorption spectrophotometry (AAS) method. Insulin resistance was assessed using the homeostasis model assessment-insulin resistance (HOMA-IR).Results: Approximately 76% (n = 57) subjects had low serum zinc level. Spearman correlation test between serum zinc level and HOMA-IR was done (r = 0.003, p = 0.977). Also, correlation test between BMI and HOMA-IR (r = 0.563, p <0.001).Conclusion: No correlation was found between serum zinc level and HOMA-IR however, there was a significant moderate positive correlation between BMI and HOMA-IR.Keywords: Lactation, zinc, insulin resistance, HOMA-IR, BMI
Zinc Deficiency Among Lactating Mothers in Jakarta : Associated Factors Ramadhania, Dian Araminta; Sunardi, Diana; Sungkar, Ali
World Nutrition Journal Vol 3, No 1 (2019): Volume 03 Issue 1 Include Supplements Oral Presentation Abstracts of 14th Sympos
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.284 KB) | DOI: 10.25220/WNJ.V03.i1.0006

Abstract

Background and Objectives : Deficiency of zinc is prevalent worldwide mostly in developing countries. However, its prevalence among vulnerable group such as lactating mothers is still unknown in most populations. This study aimed to determine the prevalence of zinc deficiency among lactating mothers in Jakarta and factors that influence it.Methods :A cross sectional study was conducted in Puskesmas Kecamatan Grogol Petamburan, West Jakarta and Puskesmas Kecamatan Cilincing, North Jakarta between February and April 2019. A total of 75 lactating mothers at 3?6 months postpartum, aged 20?40 years old were recruited using consecutive sampling method. Subjects were interviewed for education levels, occupation, physical activity, types of breastfeeding (exclusive or not), and numbers of parity. Dietary assessment of zinc and protein was carried using semi quantitative food frequency questionnaire (FFQ). Weight and height were measured to assess the body mass index (BMI). Blood samples were taken to analyze serum zinc concentrations. Descriptive analysis, one way ANOVA, and unpaired t-test were used, p-values ?0.05 were considered significant.Results :The mean of serum zinc was 62.33 ± 11.89 and zinc deficiency was found in 76% of the subjects. There were no significant differences of serum zinc related to education levels, occupation, types of breastfeeding, numbers of parity, zinc intakes, protein intakes, and categories of BMI. Significant difference of serum zinc was found between levels of daily physical activity (p = 0.008) ? light, moderate, and vigorous.    Conclusion :Zinc deficiency was prevalent among lactating mothers in Jakarta. There was a significant difference of serum zinc between different levels of daily physical activity.