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Protein Insufficiency Among First-Trimester Pregnant Women in Jambi, Indonesia Herlambang, Herlambang; Puspasari, Anggelia; Maharani, Citra; Enis, Rina Nofri; Fitri, Amelia Dwi; Kusdiyah, Erny; Ibnu, Ismi Nurwaqiah
Althea Medical Journal Vol 12, No 2 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n2.4044

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Background: Insufficient protein intake or specific patterns of plasma amino acid levels during pregnancy has been associated with adverse maternal and neonatal outcomes. Studies in non-pregnant women have reported an association between protein intake and amino acid levels, however, data in pregnant women remain limited. Jambi, a region rich in freshwater fish, has a traditional dishes based on fish, which may affect maternal protein adequacy. This study aimed to assess protein sufficiency intake, plasma essential amino acid levels, and the relationship between fish consumption and protein intake among first-trimester pregnant women. Methods: A cross-sectional study was conducted in 2022 involving pregnant women at 9-16 weeks of gestation in Jambi, Indonesia, selected through purposive sampling. Protein intake and fish consumption data were collected using Food Frequency Questionnaires. Plasma essential amino acid levels were measured using Liquid Chromatography-Mass Spectrometry. Bivariate analyses were performed using Mann-Whitney and Chi-square tests.Results: Among 30 participants, 23.3% had insufficient protein intake and had lower plasma essential amino acid levels. Lysine levels showed a statistically significant difference between groups (p=0.010). Women with adequate protein intake reported significant higher fish consumption, particularly of freshwater fish (p=0.033).Conclusion: Adequate protein intake during early pregnancy is related to higher plasma essential amino acid levels. Consumption of local freshwater fish contributes to maintaining sufficient protein intake. These findings emphasize the importance of integrating healthy dietary patterns and locally sourced nutrient-rich foods into prenatal care to support maternal wellness and long-term health outcomes.
ATHEROGENIC INDEX OF PLASMA ASSESSMENT AS AN EFFORT TO DETECT THE RISK OF CORONARY HEART DISEASE IN PRODUCTIVE AGE INDIVIDUALS WITH OBESITY IN THE WORKING AREA OF THE SIMPANG SUNGAI DUREN HEALTH CENTER Puspasari, Anggelia; Maharani, Citra; Halim, Rita; Enis, Rina Nofri; Shafira, Nyimas Natasha Ayu; Tarawifa, Susan
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 1 (2025): MEDIC. Medical dedication
Publisher : Universitas Jambi

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Prospective studies indicate that the Atherogenic Index of Plasma (AIP) is a superior marker compared to isolated assessments of triglycerides (TG) and High-Density Lipoprotein (HDL) in predicting Coronary Heart Disease (CHD). Simpang Sungai Duren Community Health Center serves a large population with a high proportion of productive-age and obese individuals. Routine metabolic screening for CHD risk stratification in obese residents has been hindered by limited facilities and healthcare financing systems. This community service initiative aimed to assess AIP for CHD risk stratification in obese individuals. Participants included residents aged 19–64 years with a body mass index (BMI) ≥25 kg/m², no recent lipid-lowering medication use (within 3 months), and an 8–10 hour fasting period. AIP scores (logarithm of TG/HDL ratio) were used to stratify CHD risk. Results were communicated to participants alongside health promotion leaflets. Among 61 participants, AIP-based screening identified 14.8% as high-risk, 26.2% as moderate-risk, and 59% as low-risk for CHD. Modifiable cardiometabolic risk factors in the high-risk group revealed 100% with central obesity and hypertriglyceridemia, and 50% with hypertension and/or low HDL levels. The high-risk cohort exhibited multiple cardiometabolic risks requiring comprehensive management.
COMMUNITY SCREENING OF STROKE RISK FACTORS AMONG PRODUCTIVE AGE POPULATION Maharani, Citra; Shafira, Nyimas Natasha Ayu; Puspasari, Anggelia; Enis, Rina Nofri; Iskandar, Mirna Marhami
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 1 (2025): MEDIC. Medical dedication
Publisher : Universitas Jambi

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Abstract

Stroke is a neurological disease caused by multiple risk factor and can be prevented through early screening and lifestyle modifications. However, the misconception that stroke only affects the elderly leads to low screening interest among younger adults. This community service activity aimed to screen for stroke risk factors, particularly lipid profile examination among the productive age population in the working area of Simpang Sungai Duren Public Health Center. A total of 90 respondents aged 19-59 years participated, most of whom were office workers with sedentary lifestyles and unhealthy dietary habits. The screening included blood pressure measurement, body mass index assessment, total cholesterol and Low-Density Lipoprotein (LDL) levels. All respondents fasted for 8-10 hours before venous blood sampling. Screening results were delivered along with individual consultation and lifestyle education. The results revealed that 20% of respondents had hypercholesterolemia, 22% had elevated LDL levels, 23.26% had hypertension, 21% were overweight, and 39% were obese. These findings indicate that individuals in the productive age group may already have stroke risk factors despite being asymptomatic. Therefore, regular screening from early adulthood is essential as a primary prevention strategy against stroke.
OPTIMIZING MATERNAL AND CHILD HEALTH: ENHANCING PUBLIC AWARENESS OF TORCH INFECTIONS DURING PREGNANCY Ekaputri, Tia Wida; Enis, Rina Nofri; Tarawifa, Susan; Harahap, Huntari; Syauqy, Ahmad; Perkasa, Tengku Arief Buana
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 1 (2025): MEDIC. Medical dedication
Publisher : Universitas Jambi

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TORCH infections (Toxoplasmosis, Rubella, Cytomegalovirus, Herpes simplex) pose significant risks during pregnancy, contributing to congenital abnormalities and adverse neonatal outcomes. In Indonesia, limited public awareness and inadequate preventive practices exacerbate these risks. This community service initiative aimed to enhance knowledge about TORCH infections among reproductive-aged women through a hybrid educational seminar. Conducted in collaboration with Peduli TORCH, the program utilized the "5P Framework" (Pathogen Awareness, Prenatal Screening, Pathogen Management, Postnatal Monitoring, Preventive Practices) to deliver evidence-based strategies. A total of 54 participants (87% female, 61.1% from Jambi Province) attended the seminar, combining in-person and virtual engagement. Pre- and post-tests assessed knowledge improvement, revealing a statistically significant median score increase from 70.0 to 100.0 (p<0.001, Wilcoxon test). Participants reported high satisfaction with the seminar’s content, interactive format, and accessibility, though logistical refinements were suggested for future iterations. The initiative successfully bridged knowledge gaps, emphasizing the importance of early screening, vaccination, and hygiene practices. By empowering women and leveraging community engagement, this program highlights the potential of targeted educational interventions to reduce TORCH-related morbidity and improve maternal-child health outcomes. Culturally adapted, hybrid approaches demonstrate promise for scalable public health strategies in low-resource settings.
Correlation between Humerus Length and Height in Medical Students at Jambi University Naufal Adli Marvi; Attiya Istarini; Rita Halim; Rina Nofri Enis; Huntari Harahap
Journal of Medical Studies Vol. 5 No. 1 (2025): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v5i1.43280

Abstract

ABSTRACT Background: Anthropometry is essential in identifying biological profiles, including height. One of the most commonly used anthropometric data to estimate height is the length of the humerus bone. This study analyzes the correlation between humeral length and height among medical students at UNJA. Methods: This study is an analytical correlational study conducted cross-sectionally. The sample consisted of male and female students who met the inclusion criteria: active medical students at UNJA who were willing to participate by signing an informed consent form. The exclusion criteria included deformities, a history of injuries, or bone disabilities. The humeral length was measured using a measuring tape, and height was measured using a microtoise. Results: The study found a correlation coefficient between humeral length and height ranging from 0.660 to 0.788 (p < 0.001). The simple linear regression equation obtained showed a Standard Error of the Estimation (SEE) ranging from 3.802 to 4.912 (p < 0.001). Conclusion: A strong positive correlation exists between humerus length and height, indicating that height can be estimated by measuring humerus length and applying it to the simple linear regression equation. Keywords: Anthropometry; Humeral length; Height; Regression equation
Genetic variation near the MC4R gene rs17782313 as a protective factor against high visceral fat: case control study in the Jambi Malay population Alya Dwiva Juhari; Citra Maharani; Anggelia Puspasari; Rina Nofri Enis; Armaidi Darmawan
Indonesian Journal of Biomedicine and Clinical Sciences Vol 57 No 3 (2025)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v57i3.20568

Abstract

Obesity is commonly assessed using the body mass index (BMI), which does not distinguish between fat and lean mass. Among fat distributions, visceral fat is more strongly associated with the risk of metabolic disease. Visceral or central obesity, characterized by excessive visceral fat accumulation, has become increasingly prevalent in recent years. Genetic factors, including rs17782313 polymorphism near the melanocortin 4 receptor (MC4R) gene, have been implicated in visceral fat accumulation. Previous studies reported varying effect sizes across different populations and inconsistent genotype-phenotype associations. However, no studies have investigated this association in the Jambi Malay Population. This case-control study aimed to evaluate the association between the MC4R rs17782313 polymorphism and visceral fat in the Jambi Malay population. A total of 110 Jambi Malay subjects participated in the study. Visceral fat was measured using bioelectrical impedance analysis (BIA), and genotyping was performed using the Tetra-ARMS PCR method. Bivariate and multivariate analyses were conducted to assess the association between genetic variation and visceral fat levels. Bivariate analysis showed that the TC genotype had a protective effect against high visceral fat compared to the TT genotype (p = 0.037; OR = 0.395). Similarly, the recessive model (CC+TC vs. TT) also indicated a protective effect (p = 0.022; OR = 0.375). In logistic regression model adjusted for calorie intake and physical activity, the protective effect persisted for both TC (p = 0.018; OR = 0.302) and the recessive model (p = 0.013; OR = 0.305). However, further adjustment for gender nullified the effect of the TC genotype, whereas the recessive model remained statistically significant, though the genetic effect was attenuated (p = 0.044; OR = 0.372). In conclusion, the TC genotype of MC4R rs17782313 is associated with a protective effect against visceral fat accumulation. This effect is influenced by calorie intake, physical activity, and gender.
Exercise-Based Rehabilitation to Improve Extremity Muscle Strength in Stroke Survivors: A Study at H. Abdul Manap Regional Hospital (2022–2024) Howir Riyelma, Gina; Lailan; Rina Nofri Enis; Patrick William Gading; Tia Wida Ekaputri
Journal of Medical Studies Vol. 5 No. 2 (2025): Journal of Medical Studies (Ongoing Issue)
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v5i2.46085

Abstract

Background: Exercise therapy is a medical rehabilitation intervention to increase upper and lower extremity muscle strength in post-stroke patients. Objective: This study aims to determine the characteristics of stroke patients at H. Abdul Manap Jambi Regional Hospital in 2022–2024, including age, gender, and history of comorbidities (hypertension, diabetes mellitus, dyslipidemia). In addition, this study identifies muscle strength before and after exercise therapy and analyzes the effect of therapy duration on increasing muscle strength. Methods: This study is an observational analytic study with a cross-sectional approach. Secondary data were obtained from medical records of stroke patients at H. Abdul Manap Jambi Regional Hospital from 2022 to 2024. The sample consisted of 52 patients who met the inclusion and exclusion criteria. Data analysis used the Paired Sample T-test or Wilcoxon test based on the normality test. Results: Exercise therapy significantly increased upper and lower extremity muscle strength after exercise therapy (p <0.05). Most patients experienced improvement on the Manual Muscle Testing (MMT) scale, especially in the lower extremities, with a dominant increase from scores 2 to 3 and 4. Conclusion: Exercise therapy significantly increases upper and lower extremity muscle strength in post-stroke patients. Therefore, it can be recommended in rehabilitation to optimize motor function recovery.
EDUKASI KESEHATAN MATA DAN DETEKSI DINI PENURUNAN TAJAM PENGLIHATAN SEBAGAI UPAYA PENCEGAHAN KELAINAN REFRAKSI PADA ANAK USIA SEKOLAH DI MADRASAH TARBIYATUSSHOLATIYAH JAMBI Tarawifa, susan; Rina Nofri Enis; Nyimas Natasha Ayu Shafira; Anggelia Puspasari; Citra Maharani
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 2 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

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ABSTRACTEye health is a vital aspect in supporting the physical and cognitive development of children, especially at school age. Disruptions in eye health, or even blindness, can have negative impacts on their lives. This community service project aims to provide eye health education and vision examinations for children enrolled in the Al-Qur'an memorization program at Madrasah Tarbiyatussholatiyah Jambi, as an effort to maintain their visual health. The activity involved 40 tahfidz children, and data was collected regarding their vision conditions and reading habits. The examination results indicated that 62.5% of the children had normal vision (6/6), while 35% experienced significant vision impairment of varying degrees, and 2.5% were blind. The education provided included proper reading techniques and the importance of adequate lighting to raise awareness among both children and parents. This community service activity emphasizes the necessity of integrating eye health programs in tahfidz educational institutions, particularly at Madrasah Tarbiyatussholatiyah, to detect and prevent vision disorders early on, as well as to effectively support the learning and memorization of the Al-Qur'an.Keyword: Eye health, Visual impairment, Reading habits. ABSTRAKKesehatan mata merupakan aspek vital dalam mendukung perkembangan fisik dan kognitif anak, terutama pada usia sekolah. Pada saat terjadi gangguan pada kesehatan mata atau bahkan kebutaan akan berdampak negatif pada kehidupan. Pengabdian kepada masyrakat ini bertujuan untuk memberikan edukasi kesehatan mata dan pemeriksaan visus pada anak-anak tahfidz Al-Qur'an di Madrasah Tarbiyatussholatiyah Jambi sebagai Upaya untuk menjaga kesehatan penglihatan mereka. Kegiatan ini melibatkan 40 anak tahfidz, data dikumpulkan mengenai kondisi visus dan kebiasaan membaca. Hasil pemeriksaan menunjukkan bahwa62,5% anak memiliki visus normal (6/6), sementara 35% lainnya mengalami penurunan tajam penglihatan, dengan berbagai derajat dan 2,5% mengalami kebutaan. Edukasi yang diberikan terkait teknik membaca yang benar dan pentingnya pencahayaan yang dibutuhkan untuk meningkatkan kesadaran anak dan orang tua. Kegiatan peengabdian ini menekankan perlunya integrasi program kesehatan mata di lembaga pendidikan tahfidz khususnya di Madrasah Tarbiyatussholatiyah untuk mendeteksi dan mencegah gangguan penglihatan sejak dini, serta mendukung proses belajar dan menghafal Al-Qur'an secara efektif.Kata Kunci: Kesehatan mata, Gangguan Penglihatan, Kebiasaan membaca
SEDENTARY LIFESTYLE: SKRINING POTENSI RISIKO KESEHATAN PADA CIVITAS AKADEMIKA UNIVERSITAS JAMBI TAHUN 2024 Shafira, Nyimas Natasha Ayu; Enis, Rina Nofri; Puspasari, Anggelia; Maharani, Citra; Tarawifa, Susan
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 2 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

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ABSTRACT The sedentary lifestyle among office workers is associated with various adverse health risks, such as increased rates of metabolic disorders such as diabetes mellitus, hypertension, and dyslipidemia, as well as depression and cognitive impairment. Data from the Jambi University Clinic shows that there are still many educational staff and educators who are overweight, and awareness of getting themselves checked before health problems arise is still low. Health screening related to adverse effects due to a sedentary lifestyle, such as obesity, hypertension, and diabetes mellitus, needs to be carried out so that preventive measures and further management can be carried out. The PPM was attended by educational staff or educators at Jambi University aged 19-64, who were checked for body mass index (BMI), blood pressure, and fasting blood sugar (GDP) measurements. Before taking venous blood for GDP examination, participants must fast for 8-10 hours. The examination results are sent to service participants along with health promotion media in the form of leaflets to avoid sedentary behavior. The activity was attended by 99 people who met the criteria. From the results of BMI measurements, it was found that 8.08% were underweight, 22.2% normoweight, 8.08% overweight, and 61.62% obese. The GDP examination found that 92.93% were normal, 3.03% pre-diabetic, and 4.04% were diabetic. From blood pressure measurements, it was found that 36.36% were normal, 39.39% were pre-hypertension, and 24.24% were hypertensive. It should be noted that service participants who are underweight, overweight, pre-diabetic, and pre-hypertensive need regular follow-up evaluations to prevent worsening of their health conditions. Participants who are obese, diabetic, and hypertensive need to receive further management in the form of treatment from a doctor according to the health problems they are experiencing. Keywords: Diabetic, Hypertension, Obesity, Sedentary lifestyle ABSTRAKGaya hidup yang kurang gerak (sedentary lifestyle) di kalangan pekerja kantoran memiliki hubungannya dengan berbagai risiko kesehatan yang merugikan seperti peningkatan angka gangguan metabolism seperti diabetes mellitus, hipertensi, dan dislipidemia, serta depresi, dan gangguan kognitif. Data dari Klinik Universitas Jambi, diketahui bahwa masih banyak tenaga kependidikan maupun pendidik yang memiliki berat badan berlebih, dan kesadaran untuk memeriksakan diri sebelum timbul masalah kesehatan yang masih rendah. Skrining kesehatan terkait efek buruk yang timbul karena perilaku sedentary seperti obesitas, hipertensi dan diabetes mellitus perlu dilakukan agar dapat dilakukan tindakan preventif maupun tatalaksanalanjutan. PPM diikuti oleh tenaga kependidikan atau pendidik di Universitas Jambi berusia 19-64 tahun, dilakukan pemeriksaan Indeks massa tubuh (IMT), tekanan darah dan pengukuran gula darah puasa (GDP). Sebelum pengambilan darah vena untuk pemeriksaan GDP, peserta diwajibkan berpuasa 8-10 jam. Hasil pemeriksaan dikirimkan kepada peserta pengabdian beserta media promosi kesehatan berupa leaflet untuk menghindari perilaku sedentary. Kegiatan diikuti oleh 99 orang yang memenuhi kriteria. Dari hasil pengukuran IMT didapatkan 8.08% underweight, 22.2% normoweight, 8.08% overweight dan 61.62% obese. Dari pemeriksaan GDP didapatkan 92.93% normal, 3.03% pre-diabetik, 4.04% diabetik. Daripengukuran tekanan darah didapatkan 36.36% normal, 39.39% pre-hipertensi, 24.24% hipertensi. Hendaknya menjadi perhatian untuk peserta pengabdian yang mengalami underweight, overweight, prediabetik, dan pre-hipertensi membutuhkan evaluasi lanjutan secara berkala agar tidak terjadi perburukan kondisi kesehatan. Para peserta yang mengalami obese, diabetik, dan hipertensi perlu untuk mendapat tatalaksana lanjutan berupa pengobatan dari dokter sesuai masalah kesehatan yang dialami.Kata kunci: Diabetes, Hipertensi, Obesitas, Sedentary lifestyle
PROFIL METABOLISME LIPID SIRKULASI SEBAGAI UPAYA DETEKSI DINI SINDROMA METABOLIK PADA WANITA USIA PRODUKTIF DI WILAYAH KERJA PUSKESMAS PAKUAN BARU Maharani, Citra; Enis, Rina Nofri; Herlambang, Herlambang; Syauqy, Ahmad; Puspasari, Anggelia; Shafira, Nyimas Natasha Ayu; Tarawifa, Susan; Halim, Rita
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 2 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

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ABSTRACT Metabolic syndrome is a cluster of conditions that increases the risk of cardiovascular disease, diabetes mellitus, and stroke. Among the components of dyslipidemia, triglyceride levels and high-density lipoprotein (HDL) are important indicators in assessing cardiovascular disease risk, making these examinations useful for screening risk factors associated with metabolic syndrome. However, healthcare facilities are often unable to conduct these assessments independently, necessitating a referral system to more comprehensive healthcare services. Our community service team aims to facilitate this by conducting lipid profile examinations at Puskesmas Pakuan Baru as an early detection effort for metabolic syndrome in women of reproductive age. The activities carried out included lipid profile testing, blood pressure measurement, and education regarding metabolic syndrome. The results from 26 participants indicated that 23.07% had elevated triglyceride levels, 73.08% had low HDL levels, and 19.33% were hypertensive. Based on these findings, women of reproductive age already exhibit risk factors for metabolic syndrome, suggesting that lipid profile assessments should be incorporated into routine screening programs to prevent the onset of metabolic syndrome. ABSTRAK Sindroma metabolik merupakan kumpulan kondisi yang meningkatkan risiko penyakit kardiovaskular, diabetes mellitus dan stroke. Komponen dislipidemia yang menjadi indikator penting dalam penilaian risiko penyakit kardiovaskular antara lain kadar trigliserida dan high-density lipoprotein (HDL), sehingga pemeriksaan ini dapat dimanfaatkan untuk skrining faktor risiko sindroma metabolik. Namun, fasilitas pelayanan kesehatan belum dapat melakukan pemeriksaan tersebut secara mandiri sehingga perlu dilakukan sistem rujukan ke fasilitas kesehatan yang lebih lengkap. Tim pengabdian berupaya memfasilitasi hal ini dengan melakukan kegiatan pengabdian pemeriksaan profil lipid di Puskesmas Pakuan Baru sebagai upaya deteksi dini sindroma metabolik pada wanita usia produktif. Kegiatan yang dilakukan meliputi pemeriksaan profil lipid, pemeriksaan tekanan darah, dan edukasi terkait sindroma metabolik. Dari hasil pemeriksaan yang telah dilakukan pada 26 orang peserta didapatkan hasil 23,07 % peserta memiliki kadar trigliserida tinggi, 73,08 % memiliki kadar HDL yang rendah, dan 19,33% mengalami hipertensi. Berdasarkan hasil tersebut, wanita usia produktif sudah menunjukkan adanya faktor risiko sindroma metabolik, sehingga pemeriksaan profil lipid sebaiknya dapat dimasukkan sebagai program skrining rutin di masyarakat untuk mencegah terjadinya sindroma metabolik.