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All Journal Jurnal Berkala Epidemiologi Folia Medica Indonesiana Jurnal Media Gizi Indonesia (MGI) The Indonesian Journal of Public Health Sari Pediatri Paediatrica Indonesiana Health Notions Jurnal Medik Veteriner Amerta Nutrition Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) Media Gizi Kesmas Indian Journal of Forensic Medicine & Toxicology MEDICINUS Berita Kedokteran Masyarakat
Roedi Irawan
Child Health Department, Faculty Of Medicine, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya
Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Usage of Foods for Special Medical Purposes in the Pediatric Ward Dr. Soetomo Hospital Surabaya Dwi Lestari Avianti; Nur Aisiyah Widjaja; Roedi Irawan
Health Notions Vol 4, No 11 (2020): November
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn41101

Abstract

Children who are hospitalized are at risk of malnutrition due to increased energy requirements caused by underlying disease, drug use, decreased appetite and inadequate diet during treatment which can inhibit growth and development. Medical nutrition is required to use food for special medical purposes (FSMP) to meet nutritional needs during hospitalization. The aim of this study is to know the number of patients and types of medical indications for FSMP administration. This research was conducted from August 2018 to October 2018 by reviewing the medical records of children who were treated in the pediatric ward Dr. Soetomo Surabaya. The inclusion criteria were children aged 1 month -18 years and received FSMP as indicated. The sampling method is total sampling. Data in the form of age, gender, nutritional status, disease diagnosis and FSMP type administration, were obtained from medical records from April 2017 to April 2018. The samples obtained were grouped according to indications for FSMP use based on the pediatric drug dosage book of the Indonesian Pediatric Association. A total of 402 children were enrolled in this study. Male patients who received FSMP were 229 (56.9%). The highest use of FSMP was at the age of less than 1 year as many as 195 patients (48.5%) with the highest indication of malnutrition. The most indications for FSMP are malnutrition as many as 267 patients (66.4%), which was caused by gastrointestinal (GI) disease (24.4%), malignancy (18.4%) and congenital heart disease (CHD) (11.2%). The second highest indication of FSMP was malabsorption in 210 patients (52.2%), caused by gastrointestinal disease (41.4%) and cholestasis (17.6%). Another indication that there was volume limitation in 51 patients (12.7%), mostly due to CHD accompanied by heart failure and cow's milk protein allergy (CMPA) in 38 patients (9.5%), more with gastrointestinal symptoms (60.5%) than respiratory symptoms (39.5%). The use of FSMP in the pediatric ward Dr. Soetomo Hospital, Surabaya with medical indications of malnutrition (moderate malnutrition, severe malnutrition, failure to thrive), malabsorption, volume limitation and cow's milk protein allergy with malnutrition as the most indications. Keywords: hospitalized children; medical nutrition; foods for special medical purposes; nutritional requirements
ANTHROPOMETRIC PROFILE OF CHILDREN WITH CYANOTIC AND NONCYANOTIC CONGENITAL HEART DISEASE Mahrus Rahman; I Ketut Alit Utamayasa; Taufiq Hidayat; Roedi Irawan; Rina Elizabeth
Media Gizi Indonesia Vol. 15 No. 1 (2020): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v15i1.1-6

Abstract

Impaired nutritional status is a frequent complication of congenital heart disease (CHD). Non cyanotic congenital heart disease (NC-CHD) have problem with lung overfl ow and heart failure. Consequences of Cyanotic congenital heart disease (C-CHD) are decrease pulmonary blood fl ow and prolong hypoxia. These conditions can have eff ect on nutritional status and outcome of surgery. This study aimed to compare anthropometric profi les of children with C-CHD and NC-CHD. Cross-sectional study conducted in 66 children, age 3 months until 5 years old who met inclusion criteria in Pediatric Cardiology Outpatient Unit Dr. Soetomo Hospital Surabaya in November 2012. A total of 66 children, consisted of 26 children with C-CHD and 40 children NC-CHD included in study. We measure weight, length/height, head circumference, upper arm circumference, and skin fold thickness. We used Chi Square test for statistical analysis with Confi dence Interval 95%. Mean age of both groups was 27.82 ± 16.63 months. Majority of NC-CHD was Ventricular Septal Defect (28.6%) and C-CHD was Tetralogy of Fallot (21.4%). There were no signifi cant diff erence from weight for age, length for age weight for length, head circumference for age, mid upper arm circumference for age, mid upper arm circumference for age, and skin fold thickness for age between children with C-CHD and NC-CHD (p= 0.80; 0.98;0.54 0.29; 0.80; 0.53 respectively). There were no diff erence in anthropometric profi les among children with cyanotic congenital heart disease and non-cyanotic congenital heart disease in this study.
PARENT’S STRATEGY TO ATTRACT CHILDREN TO EAT, FEEDING DURATION, AND ITS RELATION TO WEIGHT FOR AGE Z-SCORE IN CHILDREN Masayu Ramadhani Polanunu; Nanda Hudawarrahmah; Hartojo Hartojo; Meta Herdiana Hanindita; Nur Aisiyah Wijaya; Siti Nurul Hidayati; Roedi Irawan; Boerhan Hidajat
Media Gizi Indonesia Vol. 15 No. 1 (2020): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v15i1.27-30

Abstract

Appropriate feeding practices are critical for gaining and maintaining nutrition and development in children. Previous study in feeding practices indicated that inappropriateness in feeding practices had consequences in children’s growth and development. This study aimed to determine corelation between parents strategy to attract children to eat and feeding duration to weight for age z-score in children. This was a simple random sampling, cross-sectional study and held on April to June 2016 in Dr. Soetomo Hospital and Husada Utama Hospital, Surabaya, Indonesia. Subjects in this study were children from 6 to 24 months. Feeding practice determined by interview with children’s parents which consisted parent’s strategy to attract children to eat, feeding duration, and then children were measured weight for age z-score using WHO chart. Statistical analysis used Spearman correlation test. Thirty children were enrolled, 50% were male, with median age 16.5 months (6-24 months). Parents strategy to attract children to eat (53.3% talking, 30% playing and 16.7% watching television) had correlated signifi cantly with weight for age (r= 0.35, p= 0.028). Meanwhile, 56.7% children with feeding duration more than 30 minutes and 43.3% children with time feeding duration less than 30 minutes. Feeding duration had no correlation with weight for age in children (r=-0.32, p=0.43). We conclude from this study that parents strategy to attract children to eat had signifi cant correlation to weight for age but feeding duration had no correlation with weight for age. This study implied that strategy to attract children to eat is necessity in children physical development. Meanwhile, feeding duration has no signifi cant implication. We recommended children must be persuaded as part of parents strategy in order to attract them to eat.
ENERGI, MAKRONUTRIEN, DAN CAROTID INTIMA-MEDIA THICKNESS (CIMT) PADA REMAJA OBESITAS [Energy, Macronutrients, and Carotid Intima-Media Thickness (CIMT) in Obese Adolescents] Nur Aisiyah Widjaja; Roedi Irawan; Meity Ardiana; Meta Herdiana Hanindita; Rendi Aji Prihaningtyas
Media Gizi Indonesia Vol. 15 No. 1 (2020): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v15i1.22-26

Abstract

Obesity prevalence is increasing in adolescents. Subclinical chronic infl ammation in obesity causes complication, such as atherosclerosis. Cardiovascular disease is one of the complications of obesity that causes premature death. Carotid intima-media thickness (CIMT) is a subclinical marker of atherosclerosis which easily performed and noninvasive. Early detection of atherosclerosis can improved outcome. Healthy diet have a negative correlation with CIMT meanwhile high calori diet increase CIMT. This study aimed to examine the eff ect of energy and macronutrients intake on CIMT in obese adolescents. A cross sectional study was conducted on 59 adolescents aged 13-16 years old with obesity in pediatric clinic of Dr. Soetomo General Hospital using consecutive sampling method. Dietary intake was obtained through 1 x 24 hours food recall. Anthropometric measurements include body height and weight. Body Mass Index (BMI) was calculated. Obesity is defi ned as BMI higher than 95th percentile based on age and gender (CDC 2000 curve). CIMT examination was performed using B mode ultrasonography on the neck. Statistical analysis was perfomed using mutiple linear regression to analyze the eff ect of total energy, fat, and carbohydrate on CIMT. There were 59 obese adolescents included in this study, consist of 27 (45.8%) female adolescents and 32 (54.2%) male adolescents. No eff ects of total energy, carbohydrate, and fat on CIMT was found in obese adolescents (p>0.05). Further research with more subjects and at least 2x24 hours food recall are needed to assess the eff ect of calories and macronutrients on CIMT in obese adolescents.
EFFECT OF FISH-OIL-ENRICHED INTRAVENOUS LIPID EMULSION ON SYSTEMIC INFLAMMATORY RESPONSE SYNDROME IN POST INTESTINAL SURGERY CHILDREN Khadijah Rizky Sumitro; Meta Herdiana Hanindita; Nur Aisiyah Widjaja; Roedi Irawan
Media Gizi Indonesia Vol. 15 No. 3 (2020): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v15i3.214-218

Abstract

Intravenous lipid emulsions (IVLE) is one of the compositions of the parenteral nutrition (PN) that recommended in children who cannot meet their caloric requirements especially after small intestinal surgery and diff erentiated by their infl ammatory eff ects. The fi rst generation IVLE is proinfl ammatory, the second and the third are infl ammatory neutral, while the fourth (fi sh-oil-enriched) is anti-infl ammatory. The objective of this study is to investigate the eff ect of fi shoil enriched IVLE on systemic infl ammatory response syndrome (SIRS) in children after small intestinal surgery. A retrospective study using medical record was undertaken in children after small intestinal surgery admitted Dr. Soetomo Hospital, Surabaya in 2016-2017. Children with duodenal and jejunoileal atresia who had PN for at least three days were included. The types of IVLE used are FOLE and non-FOLE. Defi nition of SIRS was based on International Pediatric Sepsis Consensus Conference in 2005. A total of 25 children were included in this study. There were 44% children received FOLE and 48% received non-FOLE while 8% children received no IVLE. Median duration and dose of IVLE was 8 (5-15,5) days and 1,8 (1,25-2) g/kg/day. SIRS was signifi cantly more common in girls (OR 9 95%CI 1,3-63,0; p=0,036) and in the non-FOLE children (OR 8,0 95% CI 1,24 – 51,50; p=0,022).
LINGKAR PINGGANG DAN ADIPONEKTIN PADA REMAJA OBESITAS Waist Circumference and Adiponectin in Obese Adolescents Nur Aisiyah Widjaja; Rendi Aji Prihaningtyas; Meta Herdiana Hanindita; Roedi Irawan
Media Gizi Indonesia Vol. 15 No. 2 (2020): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v15i2.88-93

Abstract

Obesity causes low-grade chronic infl ammation. Adiponectin is an anti-infl ammatory cytokine. Increased waist circumference in obesity infl uences pro-infl ammatory and anti-infl ammatory cytokine levels which increase the risk of metabolic complications. This study was a cross-sectional study conducted at the Nutrition and Metabolic Diseases Clinic of Children's Hospital Dr. Soetomo, Surabaya. Subjects were chosen consecutively as many as 59 obese adolescents with inclusion criteria: obesity, aged 13-16 years, and having parents / guardians who were willing to follow the research and exclusion criteria: taking drugs, such as dyslipidemia, getting hormone therapy, suff ering from secondary obesity , suff ers from endocrine abnormalities, and has an infection or infl ammatory disease. Anthropometric examination was performed on subjects, including body weight, height, and waist circumference. Body Mass Index (BMI) is measured by weight calculation (kg) divided by height squared (meters) and plotted into the CDC 2000 curve. Obesity is established if a Body Mass Index/Age (BMI/A) >P95 is obtained according to age and sex on the CDC 2000 curve. Adiponectin levels are examined using venous serum with ELISA. The relationship between waist circumference and adiponectin levels was analyzed by Pearson correlation. 59 subjects were included in this study. The mean of waist circumference and adiponectin were 100.18 ± 10.63 cm and 7,84 ± 3,81 μg / ml. Statistic test showed that there is no correlation between waist circumference and adiponectin levels in obese adolescents (p>0,05). There is no correlation between waist circumference and adiponectin levels in obese adolescents. Factors that aff ect the correlation between waist circumference and adiponectin include race, diet and physical activity
SLEEP DURATION AND METABOLIC SYNDROME IN OBESE ADOLESCENTS Nur Aisiyah Widjaja; Rendi Aji Prihaningtyas; Roedi Irawan; Meta Herdiana Hanindita
Media Gizi Indonesia Vol. 16 No. 1 (2021): JURNAL MEDIA GIZI INDONESIA (National Nutrition Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v16i1.33-37

Abstract

Shorter sleep duration is a risk factor for obesity and metabolic syndrome. Previous studies conducted on diff erent races showed inconsistent results. The purpose of this study was to analyze the diff erences in sleep duration in obese adolescents who suff er from metabolic syndrome compared with obese adolescents who do not suff er from metabolic syndrome. A cross sectional study was carried out on 59 obese adolescents who visited the Pediatric Nutrition and Metabolic Disease Clinic in Dr. Soetomo General Academic Hospital, Surabaya. Subjects were selected using total sampling techniques who met the inclusion and exclusion criteria in August-November 2018. Anthropometry (weight, height and waist circumference), blood pressure, and blood tests (HDL cholesterol levels, triglycerides, and fasting blood glucose levels) were held to determine obesity according to CDC 2000 and metabolic syndrome according to International Diabetes Federation. The diff erence in sleep duration in obese adolescents suff ering from metabolic syndrome and without metabolic syndrome analyzed using Chi square test. A total of 27 subjects (45.8%) suff ered from metabolic syndrome. Most obese adolescents (57,6%) have suffi cient sleep duration (≥ 8 hours/day). There was no sleep duration diff erences in obese adolescents suff ering and not suff ering from metabolic syndrome (p> 0.05).
THE COMPOSITION OF CARBOHYDRATE AND FAT CONSUMPTION AMONG OBESE ADOLESCENTS IN SURABAYA AND SIDOARJO Christine Florens; Nur Aisiyah Widjaja; Roedi Irawan; Meta Herdiana Hanindita
Media Gizi Indonesia Vol. 17 No. 1 (2022): JURNAL MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v17i1.62-69

Abstract

Carbohydrates and fats are macronutrients that have been the most influential factors to obesity. The excess of consumed carbohydrates or fats will be stored as triglycerides in adipocytes. This study aims to analyze the proportion of carbohydrates and fats consumption among obese adolescents from Surabaya and Sidoarjo. This study also revealed the relationship between the proportion with the total calories consumption and body mass index (BMI). This cross-sectional study involved obese adolescents aged 13-18 years old from several junior and senior high schools, conducted during May-September 2020. The subject was selected using a total population sampling method that met inclusion and exclusion criteria. Anthropometries (weight and height) were measured to calculate BMI and determine obesity according to CDC 2000 criteria. A 24-hour-food-recall for the last two days was used to get the dietary information. This study divided carbohydrates consumption into three groups (high (HC), moderate (MC), low(LC)) and fats consumption into two groups (high fats (HF) and non-high fats (Non-HF)). There were 240 obese adolescents participating in this study; 40.4% of them consuming high carbohydrates and 17.5% of them consuming HF on their diets. Although there were several distinctions in carbohydrates and fats composition on diet, the total calorie and the mean BMI were not considerably different based on macronutrients consumption. In conclusion, there were two types of imbalance proportion of macronutrients consumption among our participants, high–carbohydrates-low-fats diet and low-carbohydrates-high-fats-diet.
Perbedaan Kecepatan Kesembuhan Anak Gizi Buruk yang Diberi Modisco Susu Formula dan Modisco Susu Formula Elemental Di RSU dr. Soetomo Surabaya Roedi Irawan
Sari Pediatri Vol 8, No 3 (2006)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (84.711 KB) | DOI: 10.14238/sp8.3.2006.226-30

Abstract

Latar belakang. Dalam tata laksana kasus gizi buruk yang dirawat di rumah sakitmemerlukan nutrisi yang terbaik dalam mempercepat kesembuhannya terhadap penyakitutama maupun upaya dalam memperbaiki status gizi. Oleh karena itu sampai saat inimasih dicari dan diujicobakan beberapa nutrisi yang tepat dan terbaik pada anak giziburuk.Tujuan. Penelitian ini bertujuan mempelajari perbedaan kecepatan kesembuhan padaanak gizi buruk yang diberi modisco susu formula dan modisco susu formula elemental.Metoda. Pengambilan sampel secara acak buta ganda dengan uji eksperimental. Kriteriainklusi yaitu anak umur 1–3 tahun dengan status gizi buruk dan menderita penyakitinfeksi. Subyek penelitian diambil dari 112 populasi anak gizi buruk yang menderitaberbagai macam penyakit infeksi sebagai penyakit primer.Hasil. Didapatkan 49 anak diantaranya yang masuk kriteria inklusi, kemudian dibagidalam 2 kelompok: 27 anak diberi modisco susu formula dan 22 anak diberi modiscosusu formula elemental. Terdapat perbedaan bermakna antara berat badan sebelum dansesudah penelitian pada kedua kelompok (P<0,05). Perbedaan bermakna pada nilai Zskorberat badan terhadap tinggi badan (BB/TB) antara kelompok yang diberi modiscosusu formula dan modisco susu formula elemental (P<0,05).Kesimpulan. Kelompok yang diberi modisco susu formula elemental menunjukkanpenyembuhan yang lebih cepat dibanding kelompok yang diberi modisco susu formula.
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

Abstract

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 (3,08±0,74 g/dL dibanding 3,56±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.
Co-Authors Alexander Leonard Caesar Josediputra Alexander, Yoppi Yeremia Alifah Fajriyyatul Izzah Ardianah, Eva Ariandi Setiawan Arief Wibowo Ayuning Tetirah Ramadhani Bahmid, Moh Bahmid, Moh. Boerhan Hidayat Boerhan Hidayat Boerhan Hidayat, Boerhan Budi Prasety Christine Florens Christine Florens Darto Saharso Diah Indriani Dina Angelika Dwi Lestari Avianti Eddy Bagus Wasito Esthy Poespitaningtyas Febriyana, Nining Frieska Piesesha Gibrata, Aisyah Alhaura Hafiza Amadhin Rusti Hanindita, Meta Herdiana Hanindita, Meta Herdiana Hardiani, Kartika Hardiyani, Kartika Hardiyani, Kartika Hari Basuki Notobroto Hartojo Hartojo HERMANTO, EDI Hidajat, Boerhan Hidayatunnikmah, Nina I Dewa Gede Ugrasena I Gusti Ayu Putu Eka Pratiwi Iitdrie Iitdrie, Iitdrie Indri Safitri Mukono, Indri Safitri Ismail, Chasan Jusak Nugraha Keya , Rino Tryanto Keya, Rino Tryanto Khadijah Rizky Sumitro Khadijah Rizky Sumitro KUNTORO Mahrus A Rahman, Mahrus A Masayu Ramadhani Polanunu Meity Ardiana Miriawati Miriawati Mochammad Bagus Qomaruddin Muhammad Faizi Muthmainnah Muthmainnah Nanda Hudawarrahmah Ninik Asmaningsih Soemyarso Noviyanti, Tausiyah Rohmah Noviyanti, Tausyiah Rohmah Nur Aisiyah Widjaja, Nur Aisiyah Nur Aisiyah Widjaya Nur Aisiyah Wijaya Nur Aisyah Widjaja Nurfidaus, Yasmine Pebriaini, Prisma Andita Piesesha, Frieska Putri, Melvanda Gisela Qonitatillah, Ana Rachmah Indawati Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Ria Puspitasari Rina Elizabeth Risa Etika, Risa Rizky Arisanti Maharani Royke Tony Kalalo Santoso, Febrina Mustika Sigit Ari Saputro SITI NURUL HIDAYATI Soenarnatalina Melaniani Taufiq Hidayat Widati Fatmaningrum Widjaja, Nur Aisyah Widjaja, Nur Aisyah Wigati, Kristanti Wanito Windhu Purnomo