No abstract

The research aimed to investigate the association of nutritional status, blood lead level, and risk factors of hypertension and diabetes mellitus in female traffic police officers routinely exposed to lead in Yogyakarta, Indonesia. Fifty-four female traffic police officers aged 20-50 year old participated in this cross-sectional study. As risk factors of diabetes and hypertension, Body Mass Index (BMI) was calculated from height and weight data while percentage of body fat (%BF) was measured using Bioelectrical Impedance Analysis (BIA). Energy intake (EI) was assessed using 1x24-hour dietary recall. Atomic Absorption Spectrophotometer (AAS) method was conducted to measure blood lead (Pb-S). Blood pressure (BP) was measured using mercury sphygmomanometer while blood glucose (Glu) was measured in laboratory. Pearson's and Spearman Rank correlation test were performed for statistical analysis. We demonstrated that Pb-S was positively correlated with both systolic and diastolic BP but not with BMI, %BF, and Glu. Meanwhile, there was a correlation between Glu and either BMI or %BF but not EI. Therefore, our study indicates that exposure to lead is correlated with hypertension while nutritional status is more correlated with diabetes mellitus.

Objectives: This study aimed to examine the association between maternal health behaviors and neonatal outcomes among the Indonesian population. Methods: Articles were collected from PubMed, EBSCO, ProQuest, DOAJ, and GARUDA. Funnel plots and Egger’s tests analyzed indications of publication bias. A Mantel–Haenszel random-effects model was used to see the overall effect size of exposures on outcomes. Heterogeneity was seen based on I2. Data collected from articles included the author, year of publication, location of the study, study design, number of samples, risk factors, and effect sizes. Results: We identified 24 relevant studies, including eight from the primary databases and 16 from an additional database. A total of 12 studies were included in the meta-analysis, examining the association between maternal health behaviors and neonatal outcomes. The pooled odds ratio (OR) for passive smoking and low-birth-weight (LBW) was 3.41 (95% CI: 1.75–6.63, I2 = 40%, four studies). The pooled OR for incomplete antenatal care (ANC) and LBW was 6.29 (95% CI: 2.11–18.82, I2 = 70%, four studies). The pooled OR for incomplete ANC and neonatal mortality was 2.59 (95% CI: 1.01–6.66, I2 = 93%, four studies). Conclusions: The results indicated that pregnant women with incomplete ANC had a higher risk of LBW and neonatal mortality, and those who were passively exposed to smoking had a higher risk of LBW. Further investigations are needed, considering the high heterogeneity found, and additional meta-analyses should be based on the variations of socio-demographic conditions.