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All Journal Jurnal Kesmas dan Gizi (JKG) Jurnal Pengmas Kestra (JPK) Medistra Medical Journal (MMJ)
Elpiani Br Depari
Fakultas Kedokteran Institut Kesehatan Medistra Lubuk Pakam
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Improvement of Renal Diet Knowledge among Hemodialysis Patients through Health Education in Commemoration of World Kidney Day Elpiani Br Depari; Gabriella Janelisa Samosir; Betaria Sihombing; Yoga Wijaya; Ramaida Ginting
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/v2770j93

Abstract

Chronic kidney disease (CKD) is a growing public health problem, with many patients eventually requiring hemodialysis therapy. Dietary management is an essential component of hemodialysis care, as it helps maintain fluid balance, nutritional status, and prevent disease-related complications. This community service activity was conducted in commemoration of World Kidney Day on March 12, 2026, at the Hemodialysis Unit of Grandmed Hospital Lubuk Pakam and involved 50 patients undergoing routine hemodialysis. The program consisted of health education delivered through interactive lectures, discussions, and question-and-answer sessions covering renal diet principles, fluid intake management, and restrictions on sodium, potassium, and phosphorus intake. Participants’ knowledge was evaluated using pre-test and post-test questionnaires. Most participants were male (52%), aged 30–59 years (64%), had completed senior high school or higher education (74%), and had been receiving hemodialysis for more than 18 months (58%). The evaluation results showed an increase in the proportion of participants with a good level of knowledge from 86% before the educational intervention to 98% afterward. However, misconceptions regarding fluid restriction and the consumption of high-phosphorus foods were still identified among some participants. These findings indicate that health education contributes to improving patients’ knowledge of renal dietary management and should be implemented continuously to support disease management and enhance the quality of life of patients undergoing hemodialysis.
Association of Baseline Leukocyte Count with 90-Day Mortality in Incident Hemodialysis Patients Elpiani Br Depari
Medistra Medical Journal (MMJ) Vol 4 No 1 (2026): Medistra Medical Journal (MMJ)
Publisher : Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/8kazfx03

Abstract

Background: Early mortality remains high among incident hemodialysis (HD) patients. Routine laboratory parameters may provide prognostic information. Objective: To investigate associations between baseline laboratory parameters and 90-day mortality and assess the discriminatory ability of leukocyte count. Methods: This retrospective cohort study included adults initiating HD at Grandmed Hospital, Lubuk Pakam, during October–December 2025. Baseline measurements included leukocyte count, neutrophil-to-lymphocyte ratio (NLR), hemoglobin, sodium, potassium, urea, and creatinine. Mortality was assessed over 90 days. Analyses included bivariate tests, logistic regression, receiver operating characteristic (ROC) analysis, and crude relative risk (RR) estimation. Results: Among 71 patients, 26 (36.6%) died within 90 days. Median leukocyte count was higher in nonsurvivors than survivors (14.17 vs. 9.24 × 10³/µL; p = 0.024), while other parameters showed no significant differences. Leukocyte count remained associated with mortality after adjustment for potassium (OR 1.088; 95% CI 1.013–1.169; p = 0.020). ROC analysis yielded an AUC of 0.662, with a cutoff of 10.6 × 10³/µL (sensitivity 73.1%; specificity 57.8%). Patients above this cutoff had higher mortality (50.0% vs. 21.2%; crude RR 2.36; 95% CI 1.14–4.90; p = 0.012). Conclusion: Higher baseline leukocyte counts were associated with increased 90-day mortality, but limited discrimination precludes their use as a standalone prognostic biomarker.
Central Adiposity and Accumulation of Cardiometabolic Risk Factors Among Medical Students: A Cross-Sectional Study Elpiani Br Depari; Mona Herni Cristina Ritonga; Intan Permatasari Damanik; Habibah Zahra S Sikumbang; Putri Mulyadi Mulyadi
JURNAL KESMAS DAN GIZI (JKG) Vol. 9 No. 1 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v9i1.3818

Abstract

Background: Cardiometabolic risk factors may accumulate during young adulthood before clinical disease develops. Waist-to-height ratio (WHtR) may provide additional information on central adiposity beyond body mass index (BMI). Objective: This study described cardiometabolic risk accumulation and its association with BMI and WHtR among medical students. Methods: This cross-sectional study included 46 medical students. Anthropometry, blood pressure, fasting blood glucose, sleep duration, sugar-sweetened beverage consumption, physical activity, and family history were assessed. BMI was categorized as <23 or ≥23 kg/m² and WHtR as <0.50 or ≥0.50. Seven risk indicators were combined into a total score. BMI and WHtR categories were analyzed using Fisher’s exact test, while risk scores were compared using the Mann–Whitney U test. Statistical significance was set at p<0.05. Results: WHtR ≥0.50 was found in 39.1% of participants, compared with 28.3% with BMI ≥23 kg/m². Short sleep duration (<7 hours) was the most common risk factor (91.3%), followed by a family history of cardiometabolic disease (58.7%). Overall, 63.0% had 2–3 risk factors and 21.7% had ≥4. BMI category was associated with WHtR category (p<0.01). Participants with BMI ≥23 kg/m² had higher risk scores than those with BMI <23 kg/m² (median 3 vs. 2; p=0.036). Scores were also higher among those with WHtR ≥0.50 than <0.50 (median 4 vs. 2; p<0.001). Conclusion: Cardiometabolic risk factors accumulated among clinically healthy medical students. WHtR may provide additional information on central adiposity beyond BMI.
Co-Authors Betaria Sihombing Gabriella Janelisa Samosir Habibah Zahra S Sikumbang Intan Permatasari Damanik Mona Herni Cristina Ritonga Putri Mulyadi Mulyadi Ramaida Ginting Yoga Wijaya