LITERATURE REVIEW: CHRONIC ENERGY DEFICIENCY AS A RISK FACTOR FOR ANEMIA IN PREGNANT WOMEN
Keywords:
chronic energy deficiency, anemia, Establishment of this atmosphere, Nutritional Status, Pregnant WomenAbstract
Pregnancy causes a significant increase in macro- and micro-nutrient requirements, so nutritional fulfillment is key in maintaining maternal and fetal health. Chronic energy deficiency (CED) is one of the most common nutritional problems in pregnant women and acts as a major risk factor for anemia. This literature review aims to determine the relationship between CED and anemia in pregnant women. Data were obtained from 12 articles published in 2015-2025 accessed through Google Scholar and PubMed. The results of the review showed that CED, characterized by upper arm circumference (LiLA) < 23.5 cm, is significantly associated with low hemoglobin levels. Macronutrient (energy, protein) and micronutrient (iron, folate, vitamin B12) deficiencies in mothers with severity impair erythropoiesis, increasing the risk of iron deficiency anemia and megaloblastic anemia. Thus, CED is proven to be a major risk factor for anemia in pregnant women and has the potential to cause obstetric and neonatal complications. Early detection and appropriate nutritional interventions are essential for prevention.
References
Adfar, T. D. A., Nova, M., & Adriani, I. (2022). Efektivitas Pendampingan Ibu Hamil Kurang Energi Kronis Terhadap Peningkatan Status Gizi. Jurnal Pangan Kesehatan Dan Gizi Universitas Binawan, 2(2), 37–47. https://doi.org/10.54771/jakagi.v2i2.426
Ariani, S., Zalukhu, M., & Winarni, L. M. (2024). Hubungan Kekurangan Energi Kronik Dengan Anemia Pada Ibu Hamil Trimester Iii Di Puskesmas Delanggu. JMM (Journal of Midwifery Madani), 1(1), 11–18. http://repository.stikesmukla.ac.id/id/eprint/566%0Ahttp://repository.stikesmukla.ac.id/566/1/BAB I.pdf
Atanu, D., & Bhadra, P. (2020). A Review on Nutritional Anemia. Indian Journal of Natural Sciences, 10(59), 18674.
Cançado, R. D. (2023). Iron deficiency anemia in women: pathophysiological, diagnosis, and practical management. Revista Da Associacao Medica Brasileira, 69(Suppl 1), 1–12. https://doi.org/10.1590/1806-9282.2023S112
Castellanos-Sinco, H. B., Ramos-Peñafiel, C. O., Santoyo-Sánchez, A., Collazo-Jaloma, J., Martínez-Murillo, C., Montaño-Figueroa, E., & Sinco-Ángeles, A. (2015). Megaloblastic anaemia: Folic acid and vitamin B12 metabolism. Revista Médica Del Hospital General De México, 78(3), 135–143. https://doi.org/10.1016/j.hgmx.2015.07.001
Fauziana et al, S. (2020). Hubungan Pengetahuan, Keragaman Pangan, Dan Asupan Gizi Makro Mikro Terhadap Kek Pada Ibu Hamil. Binawan Student Journal, 2(1), 191–199. https://doi.org/10.54771/bsj.v2i1.107
Gokhale, D., & Rao, S. (2021). Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers. BMC Nutrition, 7(1), 4–11. https://doi.org/10.1186/s40795-021-00478-4
Hariz A, B. P. (2025). Megaloblastic Anemia. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK537254/
Haryanti, S. Y. (2019). Anemia Dan Kek Pada Ibu Hamil Sebagai Faktor Risiko Kejadian Bayi Berat Lahir Rendah (Bblr) (Studi Di Wilayah Kerja Puskesmas Juwana Kabupaten Pati). Jurnal Kesehatan Masyarakat (e-Journal), 7(1), 322–329.
Hendro Stenly Kadmaerubun, Rahmawati Azis, & Jalil Genisa. (2023). Hubungan Pola Makan dan Asupan Gizi Dengan Kekurangan Energi Kronik (KEK) Pada Ibu Hamil. Inhealth : Indonesian Health Journal, 2(2), 127–138. https://doi.org/10.56314/inhealth.v2i2.152
Hidayatullah, F., Andhika, D. P., Prasetyawan, W., Rahman, Z. A., Kd, P., & Hakim, L. (2024). Narra J. 1–8.
Idarto, A., Siahaan, S. C., Lukas, D. L., & Tannus, F. A. (2024). Analisis Perbandingan Kadar Hemoglobin dan Eritrosit pada Ibu Hamil Normal dengan Ibu Hamil Kekurangan Energi Kronis ( KEK ) di Kota Surabaya dan Sumenep Comparative Analysis of Hemoglobin and Erythrocyte Levels Between Normal Pregnant Women and Pregnant . 7(3), 143–154.
Intan Sari, A. S. (2021). Pemeriksaan Status Gizi Pada Ibu Hamil Sebagai Upaya Mendeteksi Dini Kurang Energi Kronik (KEK). Kebidanan Indonesia, 12(1), 16–23.
Irmawati, D. (2023). Landscape Analysis and Recommendations i. UNICEF Indonesia. https://www.unicef.org/indonesia/media/21761/file/Maternal nutrition in Indonesia - Landscape analysis and recommendation.pdf.pdf
Jaelani, S., & Sitawati, S. (2024). Edukasi Pencegahan Kekurangan Energi Kronik pada Remaja dalam Upaya Penurunan Stunting. Jurnal Pengabdian Kepada Masyarakat Citra Delima, 1(2), 58–63. https://doi.org/10.33862/jp.v1i2.438
Kangalgil, M., Sahinler, A., Kırkbir, I. B., & Ozcelik, A. O. (2021). Associations of maternal characteristics and dietary factors with anemia and iron-deficiency in pregnancy. Journal of Gynecology Obstetrics and Human Reproduction, 50(8). https://doi.org/10.1016/j.jogoh.2021.102137
Kaushal, S., Priya, T., Thakur, S., Marwaha, P., & Kaur, H. (2022). The Etiology of Anemia Among Pregnant Women in the Hill State of Himachal Pradesh in North India: A Cross-Sectional Study. Cureus, 14(1), 10–16. https://doi.org/10.7759/cureus.21444
Kemenkes RI. (2021). Laporan Kinerja Kementerian Kesehatan 2021. Kementrian Kesehatan RI, 23. https://e-renggar.kemkes.go.id/file_performance/1-131313-1tahunan-314.pdf
Kraus, S., Breier, M., Lim, W. M., Dabić, M., Kumar, S., Kanbach, D., Mukherjee, D., Corvello, V., Piñeiro-Chousa, J., Liguori, E., Palacios-Marqués, D., Schiavone, F., Ferraris, A., Fernandes, C., & Ferreira, J. J. (2022). Literature reviews as independent studies: guidelines for academic practice. Review of Managerial Science, 16(8), 2577–2595. https://doi.org/10.1007/s11846-022-00588-8
Lestari, C. R., & Saputro, A. A. (2022). Hubungan Lingkar Lengan Atas (Lila) Dan Kadar Hemoglobin Dengan Kejadian Anemia Pada Ibu Hamil Trimester Iii. Jurnal Kesehatan Tambusai, 3(3), 384–395. https://doi.org/10.31004/jkt.v3i3.6516
Mayasari, N. R., Bai, C. H., Chao, J. C. J., Chen, Y. C., Huang, Y. L., Wang, F. F., Wiratama, B. S., & Chang, J. S. (2023). Relationships between Dietary Patterns and Erythropoiesis-Associated Micronutrient Deficiencies (Iron, Folate, and Vitamin B12) among Pregnant Women in Taiwan. Nutrients, 15(10). https://doi.org/10.3390/nu15102311
Mousa, A., Naqash, A., & Lim, S. (2019). Macronutrient and micronutrient intake during pregnancy: An overview of recent evidence. Nutrients, 11(2), 1–20. https://doi.org/10.3390/nu11020443
Mundari, R. (2022). Pengetahuan Ibu Hamil tentang Kebutuhan Nutrisi Selama Kehamilan. Jurnal Ilmu Gizi Indonesia (JIGZI), 3(1), 9–16. https://doi.org/10.57084/jigzi.v3i1.838
Permatasari, D., & Soviana, E. (2022). Hubungan Asupan Protein Terhadap Kejadian Anemia pada Remaja Putri. Indonesian Journal of Nutrition Science and Food, 8(2), 8–13. http://e-journal.ivet.ac.id/index.php/IJNuFo/about
Ramadhan, A. K., Danianto, A., & Cholidah, R. (2023). Jurnal Biologi Tropis Anemia in Pregnancy : Cause and Effect. Jurnal Biologi Tropis, 2(1).
Sadiman, S., & Yuliawati, Y. (2024). Promosi Kesehatan Tentang Anemia Pada Ibu Hamil Di Pos Kesehatan Kelurahan Iringmulyo, Kota Metro, Lampung. EJOIN : Jurnal Pengabdian Masyarakat, 2(5), 841–847. https://doi.org/10.55681/ejoin.v2i5.2829
Simanjuntak, F. M., Asiani, G., Zaman, C., Ekawati, D., Prodi, S., Masyarakat, K., Bina, S., Palembang, H., Laboratorium, B., & Masyarakat, K. (2024). Analisis Kejadian Kekurangan Energi kronis pada Ibu Hamil. Jurnal Ilmiah Multi Science Kesehatan. 16(1).
Zahro, A. L. A., Widiyanto, A., & Isnani, N. (2022). Journal of Language and Health Volume 3 No 2 , October 2022. 3(2), 71–78.
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