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All Journal AcTion: Aceh Nutrition Journal
Bakhtiar Bakhtiar
Division of Respirology, Department of Pediatrics, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Nutritional status, age and gender factors associated on pneumonia in congenital heart disease: A hospital-based cross-sectional study in Banda Aceh, Indonesia Nora Sovira; Herlina Dimiati; Sulaiman Yusuf; Bakhtiar Bakhtiar; Jufitriani Ismy
AcTion: Aceh Nutrition Journal Vol 10, No 3 (2025): September
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i3.2442

Abstract

Pneumonia is a leading cause of morbidity and mortality in children with congenital heart disease (CHD). Risk factors for pneumonia in these children include anemia, hypoxemia, nutritional status, congestive heart failure, and neuromuscular disorders. This study aimed to determine the risk factors for pneumonia in children with CHD at the Dr. Zainoel Abidin Public Hospital, Banda Aceh, Indonesia. This analytical, observational study employed a cross-sectional approach. This study included children aged 1 month to 18 years who were treated at the Dr. Zainoel Abidin Public Hospital from January 2022 to December 2023. Data were collected from medical records of 121 children who met the inclusion and exclusion criteria. Data were analyzed using bivariate analysis with the chi-square test and multivariate analysis with logistic regression. Pneumonia was observed in 66 (54,5%) patients. The majority of children with critical illnesses who developed pneumonia were between 1 month and 5 years of age (60%), female (61,7%), had poor nutritional status (53,2%), and had a birth weight ≥ 2500 g (54,5%). The type of CHD was found to be a significant risk factor for pneumonia (p = 0,024), with an odds ratio of 3,16 (95% CI: 1,162–8,617). In conclusion, the CHD type is a risk factor for pneumonia in children with CHD.
Nutritional status trajectories in cured and non-cured pediatric tuberculosis patients following six-month anti-TB treatment Zulfahlayya Zulkifli; Bakhtiar Bakhtiar; Eka Yunita Amna; Heru Noviat Herdata; Mulya Safri; Darnifayanti Darnifayanti
AcTion: Aceh Nutrition Journal Vol 11, No 2 (2026): June
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v11i2.2923

Abstract

Pediatric tuberculosis (TB) remains a critical public health issue in Indonesia, with 809,000 new cases reported in 2023. Malnutrition is a common comorbidity; however, the nutritional trajectory that differentiates children who achieve clinical recovery from those who do not remains underexplored. This retrospective cohort study analyzed 102 children aged 2–18 years with pulmonary TB who were treated at RSUD dr. Zainoel Abidin, Banda Aceh, from January 2024 to January 2025. Patients with comorbidities and incomplete medical records were excluded. Nutritional status was assessed using the CDC 2000 Growth Charts at three time points: baseline, 2 months, and 6 months, and analyzed using Repeated Measures ANOVA (p<0.05). Among the participants, 96 (94.1%) recovered, whereas 6 (5.9%) did not. The mean body weight increased significantly from 21.9 kg at baseline to 25.0 kg at six months (p<0.001), with the proportion of children classified as well-nourished rising from 45.1% to 71.6%. Nutritional trajectories improved significantly over the treatment period (p<0.001), with more consistent gains observed in the recovery group. In conclusion, these findings indicate that six-month anti-tuberculosis therapy (ATT) is effective not only in resolving infection but also in enhancing the nutritional status of children. Monitoring nutritional trajectories may serve as a valuable prognostic indicator for evaluating treatment response and predicting clinical outcomes in pediatric TB.
Co-Authors Darnifayanti Darnifayanti Eka Yunita Amna Herlina Dimiati Heru Noviat Herdata Jufitriani Ismy Mulya Safri Nora Sovira Sulaiman Yusuf Zulfahlayya Zulkifli