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Pengaruh Penyakit Infeksi terhadap Kadar Albumin Anak Gizi Buruk Nur Aisiyah Widjaja; Siti Nurul Hidayati; Roedi Irawan
Sari Pediatri Vol 15, No 1 (2013)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp15.1.2013.46-50

Latar belakang. Penyakit infeksi dan gizi buruk merupakan hubungan yang sinergis. Serum albumin merupakan prognostik faktor yang penting untuk pasien gizi buruk terutama yang dirawat di rumah sakit. Pasien rawat inap dengan gizi buruk mempunyai risiko komplikasi klinis yang lebih berat, dan mortalitas lebih tinggi dibanding pasien tanpa gizi buruk.Tujuan. Mengetahui pengaruh penyakit infeksi terhadap kadar albumin anak dengan gizi buruk yang dirawat di rumah sakit.Metode. Penelitian analitik deskriptif retrospektif dari data sekunder status semua pasien gizi buruk dengan atau tanpa edema yang dirawat di bangsal anak RSUD Dr Soetomo, Surabaya sejak Mei tahun 2008-Juni 2009. Data yang diambil adalah data umur, jenis kelamin, dan status penyakit. Pasien dibagi dua kelompok, yaitu kelompok infeksi dan non infeksi, dan diukur kadar albuminnya. Analisis data menggunakan chi-square dan t-test.Hasil. Didapatkan 77 anak dengan gizi buruk tipe non edema, 44 anak dengan penyakit infeksi dan 33 anak dengan penyakit non infeksi. Nilai rerata albumin pada anak gizi buruk dengan infeksi lebih rendah dan bermakna secara statistik dibandingkan gizi buruk non infeksi (3,08Â±0,74 g/dL dibanding 3,56Â±0,99 g/dL, p=0,019). Anak gizi buruk dengan serum albumin rendah mempunyai risiko untuk mendapatkan penyakit infeksi lebih tinggi dibanding anak gizi buruk tanpa penyakit infeksi (RR:1,35, CI 95%:1,030-1,946).Kesimpulan. Kadar serum albumin yang rendah pada anak gizi buruk yang dirawat di rumah sakit lebih berisiko untuk mendapatkan infeksi.

Perbandingan Jumlah Limfosit Total pada Anak Gizi Buruk dengan Infeksi dan Tanpa Infeksi HIV Nur Aisiyah Widjaja; Dina Angelika; Siti Nurul Hidayati; Roedi Irawan
Sari Pediatri Vol 15, No 2 (2013)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Latar belakang. Anak gizi buruk dengan dan tanpa infeksi HIV mempunyai tampilan klinis yang hampir sama. Jumlah limfosit total (TLC) dapat digunakan sebagai parameter respon imun selular pada anak gizi buruk dan sebagai penilaian penurunan respon imun selular pada HIV yang dapat dipakai sebagai skrining awal.Tujuan. Membandingkan jumlah limfosit total pada anak gizi buruk dengan dan tanpa infeksi HIV.Metode. Penelitian analitik deskriptif retrospektif dari data sekunder status pasien gizi buruk umur 0-60 bulan yang dirawat di bangsal anak RSUD Dr Soetomo, Surabaya sejak tahun 2004-2009. Data yang diambil adalah data umur, jenis kelamin, dan status infeksi HIV. Diagnosis HIV berdasarkan pemeriksaan serologi tiga metode dan PCR. Semua pasien gizi buruk dengan dan tanpa HIV dihitung jumlah limfosit totalnya. Analisis data menggunakan chi-square dan t-test.Hasil. Didapatkan 58 anak dengan gizi buruk dan 14 anak disertai dengan infeksi HIV. Nilai rerata TLC pada anak gizi buruk dengan infeksi HIV 2743 (1008-4479), sedangkan tanpa infeksi HIV 6260 (4755-7766). Kelompok anak gizi buruk dengan infeksi HIV mempunyai TLC lebih rendah dibandingkan tanpa HIV (2743 vs 6260) yang bermakna secara statistik dengan mean difference -3517(-5740 sampai -1295 ),p=0,003. Perbedaan bermakna terutama pada kelompok umur 12-23 bulan (2279 vs 7403) dengan mean difference-5124 (-9074 sampai -1168), p=0.015. Kesimpulan. Anak gizi buruk dengan infeksi HIV mempunyai jumlah limfosit total yang lebih rendah dibandingkan gizi buruk tanpa infeksi HIV terutama pada kelompok umur 12-23 bulan.

Diet dan Sindrom Metabolik pada Remaja Obesitas Rendi Aji Prihaningtyas; Nur Aisiyah Widjaja; Meta Herdiana Hanindita; Roedi Irawan
Amerta Nutrition Vol. 4 No. 3 (2020): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v4i3.2020.191-197

ABSTRACTBackground : The prevalence of obesity in adolescents is increasing and causes metabolic syndrome at a young age. Metabolic syndrome results from the interaction of environmental, genetic, and dietary factors. The purpose of this study was to determine the diet profile of obese adolescents suffering from metabolic syndrome.Methods: This study was a cross-sectional study of obese adolescents who visited the Pediatric Nutrition and Metabolic Disease in Dr. Soetomo General Hospital, Surabaya. The anthropometry examination (weight, height and waist circumference), blood pressure, and blood tests (HDL cholesterol, triglycerides and blood glucose levels) were measured. The diagnosis of metabolic syndrome was based on the International Diabetes Federation. Food consumption data was obtained through direct interviews using data collection sheets. Analysis of dietary differences in obese adolescents suffering from metabolic syndrome was performed by chi square using SPSS.Results and Discussions: A total of 59 obese adolescents aged 13-16 years were involved in this study. A total of 27 subjects (45.8%) suffered from metabolic syndrome and 32 subjects (54.2%) did not suffer from metabolic syndrome. The level of the consumption of fish, vegetables, and fruit in obese adolescents were still low. There was no significant difference in the diet profile between obese adolescents who suffer from metabolic syndrome or not.Conclusion: Prevention strategies through food consumption patterns are needed in obese adolescents to control metabolic stress processes and prevent metabolic syndrome in the future. Diet knowledge in obese adolescents needs to be given early to prevent further complications. Increasing foods that contain anti-oxidants, such as fruits and vegetables, is one of the strategies to prevent metabolic syndrome in obese adolescents.ABSTRAKLatar Belakang : Prevalensi obesitas pada remaja semakin meningkat dan menyebabkan sindrom metabolik di usia muda. Sindrom metabolik terjadi akibat interaksi faktor lingkungan, genetik, dan diet. Tujuan dari penelitian ini adalah mengetahui profil diet pada remaja obesitas yang menderita sindrom metabolik.Metode : Penelitian ini merupakan penelitian potong lintang pada remaja obesitas yang berkunjung di Poli Nutrisi dan Penyakit Metabolik Anak di RSUD Dr. Soetomo, Surabaya. Pada subyek dilakukan pemeriksaan antropometri (berat badan, tinggi badan, dan lingkar pinggang), pemeriksaan tekanan darah, dan pemeriksaan darah (kolesterol HDL, trigliserida, dan kadar glukosa darah). Diagnosis sindrom metabolik ditegakkan berdasarkan International Diabetes Federation. Data konsumsi makanan didapatkan melalui wawancara langsung dengan menggunakan lembar pengumpul data. Analisis perbedaan diet pada remaja obesitas yang menderita sindrom metabolik dilakukan dengan chi square menggunakan SPSS.Hasil dan Pembahasan : Sebanyak 59 remaja obesitas yang berusia 13-16 tahun terlibat dalam penelitian ini. Sebanyak 27 subyek (45,8%) menderita sindrom metabolik dan sebanyak 32 subyek (54,2%) tidak menderita sindrom metabolik. Tingkat konsumsi ikan, sayur, dan buah pada remaja obesitas masih rendah. Tidak ada perbedaan yang bermakna pada profil diet antara remaja obesitas yang menderita sindrom metabolik maupun tidak.Kesimpulan : Strategi pencegahan melalui pola konsumsi makanan diperlukan pada remaja obesitas untuk mengontrol proses stres metabolik sehingga dapat mencegah sindrom metabolik di masa datang. Pengetahuan diet pada remaja obesitas perlu diberikan sejak dini untuk mencegah komplikasi lebih lanjut. Memperbanyak makanan yang mengandung anti-oksidan, seperti buah dan sayur merupakan salah satu strategi mencegah sindrom metabolik pada remaja obesitas.

The Use of STRONGkids, Total Lymphocyte Count, and Serum Albumin to Identify the Risk of Hospital Malnutrition in Children Hafiza Amadhin Rusti; Nur Aisiyah Widjaja; Roedi Irawan; Ariandi Setiawan
Folia Medica Indonesiana Vol. 59 No. 1 (2023): March
Publisher : Universitas Airlangga

Highlights: Medium- and high-risk STRONGkids scores are related with low total lymphocyte count and serum albumin, which are related to hospital malnutrition, albeit indirectly. The use of STRONGkids with total lymphocyte count and serum albumin can detect the risk of hospital malnutrition in children. Abstract: Hospital malnutrition occurs in hospitalized patients who do not consume enough food while their nutritional requirements increase. It occurs particularly in children who have undergone gastrointestinal surgery. Despite the lack of a universal instrument for detecting hospital malnutrition, various parameters can be considered to assist in its identification. STRONGkids has demonstrated its efficiency in detecting malnutrition risk in children. Total lymphocyte count (TLC) and serum albumin are biochemical markers that are related to infection and protein leakage, which can worsen hospital malnutrition. The research objective was to analyze the correlation between STRONGkids and biochemical markers (TLC, serum albumin) to identify hospital malnutrition in children who underwent gastrointestinal surgery. This was a retrospective cross-sectional observational study utilizing medical records. The statistical analysis was conducted using SPSS 21. This study included 37 subjects, with a 24.32% hospital malnutrition incidence rate. The subjects were divided into two groups: hospital malnutrition (n=9) and non-hospital malnutrition (n=28). The STRONGkids of both groups at admission demonstrated a significant difference, while the albumin and TLC did not. The significantly different STRONGkids scores of both groups at admission correlated negatively with the length of hospital stay (LOS), body weight reduction, TLC, and albumin. Those parameters also did not correlate with hospital malnutrition. However, hospital malnutrition increased the risk of low albumin and TLC at discharge by 2.951 and 5.549 times, respectively. In conlusion, TLC and serum albumin cannot be used as independent markers for hospital malnutrition, but STRONGkids can be used in conjunction with TLC and serum albumin to identify hospital malnutrition risk.

Relationship Between Central Obesity and The Risk of Hypertension in Obesity Adolescents Putri Ardina Maharani; Nur Aisiyah Widjaja; Meity Ardiana; Meta Herdiana Hanindita
Asian Journal of Social and Humanities Vol. 2 No. 03 (2023): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v2i03.199

The increasing prevalence of central obesity in adolescents is accompanied by an increase in risk factors for cardiovascular disease. The study aims to analyze the relationship between central obesity and the risk of hypertension in obese adolescents, including both male and female subjects. This study was undertaken to provide opportunities for further exploration of the relationship between central obesity and hypertension in adolescents. The study was a retrospective observational study that utilized medical record data from a previous research project entitled "Polimorfisme Gen Adiponectin ADIPOQ +45 T>G, ADIPOQ – 11377 C>G dengan Kadar Adiponektin Pada Remaja Obesitas dan Resiko Sindrom Metabolik." This data was obtained from research conducted on obese adolescents aged 13-18 years in junior and senior high schools in Surabaya and Sidoarjo who met the criteria. The sample comprised 140 obese adolescents, who were then categorized into two groups: those without central obesity and those with central obesity. Statistical data were analyzed using SPSS with the Chi Square test. There is a very strong and significant relationship between central obesity and the risk of hypertension in obese adolescents (p = 0.000; r = 0.373); central obesity and the risk of hypertension in obese male adolescents (p = 0.001; r = 0.587); and central obesity and the risk of hypertension in obese female adolescents (p = 0.003; r = 0.300). The study found a significant relationship between central obesity and hypertension risk in obese adolescents. Adolescents with central obesity were 3.6 times more likely to develop hypertension than those without. Male adolescents with central obesity were 6.5 times more likely to develop hypertension than those without. Female adolescents with central obesity were 2.9 times more likely to develop hypertension

Hubungan Berat Badan Lahir, Asi Eksklusif, dan Gizi Makanan dengan Stunting pada Anak Hendrayani, Ayu Ekanita; Widati, Sri; Widjaja, Nur Aisiyah
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.6288

This study aims to determine the relationship between Birth Weight, Exclusive Breastfeeding, and Nutritional Intake with stunting in children. The method used in this research employs a quantitative approach. The sample in this study consists of 40 toddlers. The variables in this research include Birth Weight, Exclusive Breastfeeding, and Nutritional Intake as independent variables, and stunting in children as the dependent variable. The instrument used is a questionnaire consisting of questionnaires to be filled out, and the data analysis conducted in this research utilizes regression model testing. The results of the research indicate that Birth Weight has a significant relationship with stunting in children, with a coefficient of determination of 73.7%; Exclusive Breastfeeding has a significant relationship with stunting in children, with a coefficient of determination of 73.4%; and Nutritional Intake has a significant relationship with stunting in children, with a coefficient of determination of 72.3%. The conclusion of this study is that the occurrence of stunting in children can be associated with several factors such as low birth weight, exclusive breastfeeding, and nutritional intake provided to the child during the child's growth period, which are factors related to the occurrence of stunting in children. Keywords: Exclusive Breastfeeding, Food Nutrition, Low Birth Weight, Stunting.

PROFILE OF METABOLIC SYNDROME COMPONENTS IN OBESE ADOLESCENTS: STUNTING VS. NON-STUNTING Harits, Muhammad; Widjaja, Nur Aisiyah; Ardiana, Meity
The Indonesian Journal of Public Health Vol. 19 No. 2 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i2.2024.302-315

Introduction: Stunted children are more likely to become obese, with a prevalence of 1.33% in children under the age of five. Aims: To evaluate the metabolic syndrome (MetS) profile in overweight/obese adolescents who are either stunted or not, and to determine the associations between stunting characteristics (height-for-age z-score, or HAZ) and anthropometric measurements (waist circumference, hip circumference, and waist-to-hip ratio), as well as MetS indicators. Methods: A retrospective observational study was conducted focusing on adolescents who were overweight or obese. Subjects were divided into 2 groups based on height-for-age z-score (HAZ): stunting group and non-stunting group. Subject numbers were determined by total sampling due to the number of stunted being small. Results: The prevalence of MetS in stunting overweight/ obese adolescents was 18.75%, dominated by female. There was a significant difference on BMI (34.60 (26.80-45.09) vs. 31.11 (27.34-40.13, p=0.040), waist-to-height ratio (0.63 (0.54-0.73) vs. 0.58 (0.52-0.64), p=0.005), hip circumference (111.27 (95-135) vs. 102.50 (87-114) cm, p=0.012) and systole blood pressure (124.37 (110-140) vs. 116.25 (100-130) mmHg, p=0.032), greater in stunting subjects than non-stunting. Waist-to-hip ratio was lower in stunting than non-stunting (0.85 (0.69-0.97) vs. 0.92 (0.81-0.99), p=0.012). HAZ was correlated negatively with BMI (r=-0.358, p=0.044), but correlated positively with hip circumference (r=0.215, p=0.023). Conclusion: Adolescents who were stunted and overweight/obese exhibited higher values for BMI, waist-to-height ratio, hip circumference, and systolic blood pressure compared to non-stunted individuals who were overweight/obese. There was a correlation between the height-for-age z-score and both BMI and waist-to-hip ratio.

THE USE OF SOCIAL MEDIA AS A SOURCE OF COMPLEMENTARY FEEDING INFORMATION FOR MOTHERS Hanindita, Meta Herdiana; Widjaja, Nur Aisiyah; Hidayati, Siti Nurul; Irawan, Roedi; Hidayat, Boerhan
The Indonesian Journal of Public Health Vol. 19 No. 2 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i2.2024.316-328

Introduction: In the digital age, social media (SM) has undeniably transformed the way parents access information, including complementary feeding (CF) practices. Approximately 57.1% mothers in Indonesia obtained information about CF from the internet, ranging from parenting forums to social media platforms like Instagram. Aims: To explore the use of SM as source of CF information among mothers in Indonesia. Method: Exploratory cross-sectional study was conducted in 1631 mothers of children 0-23 months in May 2023, using an online questionnaire. The analysis of the data was conducted using the statistical software SPSS 21.0 Results: Of all the subjects, the largest group consisted of those aged 26-30 years. A majority had a high level of education, had SM, and spent 30-60 minutes (59.2%) searching for CF information. Full-time mothers were more influenced by SM (p=0.043). A notable distinction existed in the choice of social media based on the level of education. The higher the education, the more Instagram was used, while the lower the education, the more TikTok was used (mothers p=0.000; fathers p=0.002). The higher the education, the more information sources were sorted (mothers p=0.014; fathers p=0.000), and the more the educational background of the informant was considered (mothers p=0.000; fathers p=0.000). Conclusion: Mothers seek CF information from SM because it is faster, easier and convenient. However, it is often not evidence-based, and the amount of conflicting information confuses parents. Health efforts with a promotive approach that are evidence-based, understandable and applicable are needed and can be carried out through SM.

Relationship Between Central Obesity and The Risk of Hypertension in Obesity Adolescents Putri Ardina Maharani; Nur Aisiyah Widjaja; Meity Ardiana; Meta Herdiana Hanindita
Asian Journal of Social and Humanities Vol. 2 No. 03 (2023): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v2i03.199

The increasing prevalence of central obesity in adolescents is accompanied by an increase in risk factors for cardiovascular disease. The study aims to analyze the relationship between central obesity and the risk of hypertension in obese adolescents, including both male and female subjects. This study was undertaken to provide opportunities for further exploration of the relationship between central obesity and hypertension in adolescents. The study was a retrospective observational study that utilized medical record data from a previous research project entitled "Polimorfisme Gen Adiponectin ADIPOQ +45 T>G, ADIPOQ – 11377 C>G dengan Kadar Adiponektin Pada Remaja Obesitas dan Resiko Sindrom Metabolik." This data was obtained from research conducted on obese adolescents aged 13-18 years in junior and senior high schools in Surabaya and Sidoarjo who met the criteria. The sample comprised 140 obese adolescents, who were then categorized into two groups: those without central obesity and those with central obesity. Statistical data were analyzed using SPSS with the Chi Square test. There is a very strong and significant relationship between central obesity and the risk of hypertension in obese adolescents (p = 0.000; r = 0.373); central obesity and the risk of hypertension in obese male adolescents (p = 0.001; r = 0.587); and central obesity and the risk of hypertension in obese female adolescents (p = 0.003; r = 0.300). The study found a significant relationship between central obesity and hypertension risk in obese adolescents. Adolescents with central obesity were 3.6 times more likely to develop hypertension than those without. Male adolescents with central obesity were 6.5 times more likely to develop hypertension than those without. Female adolescents with central obesity were 2.9 times more likely to develop hypertension

Oral Nutrition Supplements: Regulasi dan Distribusi di Indonesia - Studi di Rumah Sakit Swasta di Surabaya: Oral Nutrition Supplements: Regulation and Distribution in Indonesia – a Study in a Private Hospital in Surabaya Azzahra', Lama'ah; Widjaja, Nur Aisiyah; Nurfirdaus, Yasmine; Ardianah, Eva; Hermanto, Edi; Adha, Aziza Zahrotul
Amerta Nutrition Vol. 8 No. 4 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i4.2024.611-618

Background: Oral Nutrition Supplements (ONS) in the Minister of Health Regulation No. 29 year 2019 which was made as the guidance of nutritional management for children with nutritional problems, especially growth failure (still prevalent) and became one of Indonesia governments’ goal for MDG’s achievement. Objectives: To describe the regulations and distributions of ONS as a strategy to reach the optimal catch-up growth in children under 5 years-old in private hospital in Surabaya based on the Minister of Health Regulation No. 29 year 2019. Also to determine the effect of ONS on insulin-like growth factor-1 (IGF-1) as a growth marker and lymphocytes as immune cells involved in immune response. Methods: A quasi-experiment with pre-post design involving children aged 12-60 months old. The subjects received 400 ml of ONS (~400 kcal/day with estimated nutritional requirement of 1000 kcal/day) under the provision of the pediatrician as an adjuvant to cover their nutrients deficits. Results: ONS intervention along with dietary counselling for nutritional therapy and medication improved the children’s growths parameters, including body weight (from 10.38±2.28kg at day-0 to 11.27±2.38 at day-90, p-value=0.000) and body length/height significantly (from 82.94±9.58cm to 85.75±8.93 at day-90, p-value=0.000). ONS also improved IGF-1 in children with growth failure. Conclusions: ONS intervention was proved to improve the IGF-1 levels, but not with the number of lymphocyte cells. The regulation of ONS must be under professional provision as it has the effect to increase body weight rapidly and must be stopped when the children receive the prescription reached their catch-up growth.

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