Gizi Pr a -

Nikah: W h a t
to consider?
Q o n i ta R a c h m a h , M.Sc
C o -fo u n d e r AhliGizi.ID
Journey..

2013 2015 dan 2016 2016

Lulus S1 Gizi Shortcourse Lulus S2
Universitas Indonesia - Food and Mahidol University,
environment: Thailand
Vietnam
- Food culture: Jepang
dan Korea Selatan

2017 - now Email: qonita.rachmah@fkm.

Akademisi unair.ac.id IG: @nita.rachmah
Co-founder
AhliGizi.ID
Ahli Gizi
KlinikMPA
SI
Going to talk
about….

01 02 03
Status Gizi P ra- Tips Diet Pr a-
Zat gizi pra-nikah
Nikah dan Nikah
dan persiapan
Im plikasin ya
kehamilan
Importan c e of Nutrition
through life cycle…
01 Status Gizi Pra-Nikah dan
Implikasinya

Indeks Massa lemak

Massa
Tubuh (%)
(IMT)

Lingkar Rasio
Atas
Lengan pinggang
lingkar
(LiLA) panggul
Indeks Massa T u b u h (IMT)
 Fat Mass

• It has now been established that fertility in women

is affected by their percentage body fat, rather than
absolute bodyweight.
• Research has shown that a body fat content of at
least
22% is necessary for normal ovulatory function
and menstruation (Thomas 2001)
• The deposition of excess fat in central depots had
more impact on reduced fertility than age or
severity of obesity.
• Normal fat mass  20 – 30%
 Rasio Lingkar
Lingkar L en gan Atas Pinggang Panggul
(LiLA) (RLP P )
LiLA m e n g ga mb a r ka n
s i m p a n a n e n e rg i
tubuh
Batas a m a n < 0.8
Kurang Energi Kronis, (Zaadstra et al. 1993)
LiLA ≤ 23.5 c m
Implikasi status gizi pra-nikah..

Gangguan Irregular longer

sekresi hormon menstrual to
Status
estrogen cycles conceiv
gizi
kurang Kenaikan BB Kekurangan gizi Berate Bayi
hamil pada janin Lahir Rendah
rendah (BBLR)

Gangguan LH Kelangsunga
Status gizi Resistensi
(Luteinising n hidup sel
lebih insulin
hormone) telur
Gestasional Hiperglikemia Makrosomia
diabetes

Pre-
eklampsia
Modifi ed f ro m W i ll i a m s o n (2006); Za ad st ra et al. (1993); G o l d b e r g (2002); S mi th , et al (2008)
Obesity VS. PCOS
 Implikasi status gizi pra-nikah (2)

“The e m b r y o is most vulnerable to the effects of poor maternal diet

●du-ring the first few weeks of development, often before pregnancy has

been confirmed. “
02.
Zat gizi pra-nikah
dan persiapan
kehamilan
 Prevalensi Anemia di Indonesia

Source: Riskesdas (2018)

 PROTEIN Fe

VIT B KOMPLEKS Zn VIT A Cu VIT B12 INHIBITOR

TRANSFERIN SIMPANAN TDK PENYERAPAN

HEME SYNTHESIS
DIGUNAKAN

ANEMIA ERYTROPOISIS

GENETIK PERDARAHAN INF PARASIT GAGAL GINJAL

New Finding..
N eur al
Tube
Defect
(NTD)
 Zat Gizi Penting*

Protein Zat Besi Seng

6 0 g / d ay 18 m g / d a y 8 mg /day

Vitamin B12 Asam Folat Vitamin D

4 mcg /day 4 0 0 mcg /day 15 m c g / d a y

*) Kebutuhan zat gizi berdasarkan AKG 2019 usia 19-29 tahun

Bagaimana Makan
m e m e n uhin ya? bervarias
i
 03

Tips Diet
Pra- Nikah
Diet weight gain
Prinsip Gizi Seimbang
yang tepat
Penambaha n kalori 5 0 0
kkal/hari (naik 0.5-1
kg/minggu). Kebutuhan
energi pe r e mp ua n 1 9 -
29
tahun 2 2 5 0 kkal

Bisa porsi kecil tapi

sering
Diet weight loss
Prinsip Gizi Seimbang
yang tepat
Defisit kalori maksimal 5 0 0
kkal/hari (0.5-1 kg/minggu).
Kebutuhan energi pe r e mpu a n
1 9 - 2 9 tahun 2 2 5 0 kkal

Jangan ikut diet

kekinian
PLAN

YO UR

M E AL
“
https://play.google.com/store/ap
ps/ details?
id=dafidea.dietduc
D O W N L O A D ated
LINK
A N D R O I D O N LY
Creating daily habit
Example: 2 1 0 0 kkal

30% = 630 kalori

10% = 200 kalori 10% = 200 kalori

15% = 300 kalori

25% = 525 kalori

10% = 200 kalori

W h a t to CUT?
“..Prepare yo ur
nutrition, prepare
yo ur future family”
Thanks!
D o y o u h av e a ny q ue sti o n s ? qo
nita.rachmah@fkm.unair.ac.id IG
@ n i t a . ra c h m a h

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