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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

Author-ID : 2535774

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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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 of Physical Change and Social Culture with the Risk of Eating Disorder in One of Surabaya High School Gibrata, Aisyah Alhaura; Kalalo , Royke Tony; Febriyana, Nining; Irawan, Roedi
Jurnal Psikiatri Surabaya Vol. 13 No. 2 (2024): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v13i2.50503

Introduction: Adolescents aged 10 to 19 experience significant growth in various areas. Around 14% of them struggle with mental health, and eating disorders have the highest mortality rate. According to research, screen-related disordered eating affects about 1 in 8 high school students, and sociocultural pressure is positively associated with bulimia-related behaviors. Limited data on physical changes and sociocultural influences on eating disorders exist in Surabaya, Indonesia. The study aims to examine the potential correlation between physical alterations and sociocultural elements and the likelihood of eating disorders in one of Surabaya’s high schools. Methods: This cross-sectional observational analytic study collects primary data using two questionnaire instruments: EAT-26e collected samples from 60 students in SMAN2 Surabaya and SATAQ-4 using random stratified sampling. We used random stratified sampling to collect samples from 60 students in one of Surabaya’s high schools. We used SPSS version 25 to examine the data using the Spearman’s Rho Correlation Coefficient. Results: Physical changes show no significant correlation; in contrast, sociocultural pressure results show a significant correlation with the risk of eating disorders. Peer pressure, family pressure, and media pressure do not significantly influence the subscales of social culture under measurement. Conclusion: In one of Surabaya’s high schools, there is a significant positive correlation between sociocultural factors and the risk of eating disorders; however, there is no significant correlation between physical changes and the risk of eating disorders.

PHYSICAL BEHAVIOURS IN ADOLESCENTS THAT CONTRIBUTE TO OVERWEIGHT/OBESITY Keya , Rino Tryanto; Widjaja, Nur Aisiyah; Noviyanti, Tausiyah Rohmah; Alexander, Yoppi Yeremia; Iitdrie, Iitdrie; Hermanto, Edi; Ardianah, Eva; Bahmid, Moh; Hanindita, Meta Herdiana; Irawan, Roedi
Media Gizi Indonesia Vol. 20 No. 1 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i1.12-20

Physical behaviours research in adolescents is still limiting in regard of overweight/obesity. Physical behaviour according to World Health Organization Global School Student Health Survey (WHO-GSHS) had four components namely physical activity, active transportation, physical education and sedentary behaviour showed inconsistent results investigating the obesity/overweight epidemic. The objective of this study is to examine the physical behaviour and metabolic components in overweight/obese adolescents. A cross-sectional study was conducted from September to October 2019 involving healthy obese adolescents with overweight/obesity in Sidoarjo and Surabaya. The statistical analysis was test of normality for interval/ratio variables, descriptive, bivariate correlation and binary logistic regression. All the analysis were conducted using SPSS ver. 21 (IBM, US). A total of 109 subjects were recruited in this study, consisting of male (50.46%) and female (49.54%) adolescents. The mean age of the subjects were 15.13 + 1.46 years old. Adolescents with sufficient physical activity, physical transport, physical class and recommended screen time was 93.58%, 23.85%, 14.68% and 36.70% respectively. The overweight subjects were 63 (57.80%) and obesity was 46 (42.20%), and prevalent in male than female (65.22% vs. 34.78%, p=0.012). The prevalent of MetS was 53.21%, no significant difference of MetS distribution among male and female (p=0.506). Subjects with physically transport behaviour had lower risk of abdominal obesity by 0.266-times than subjects with physically immobile. Thus, physical behaviour score did not correlate with anthropometric parameters indicating to overweight/obesity and metabolic factors, but the component of physical behaviour, especially sedentary lifestyle correlated with anthropometric parameters and systolic blood pressure.

Microbiological Assessment of Fresh Expressed Breast Milk on Room Temperature at Dr. Soetomo Hospital Neonatal Unit Widjaja, Nur Aisyah; Hardiyani, Kartika; Hanindita, Meta Herdiana; Irawan, Roedi
Folia Medica Indonesiana Vol. 55 No. 1 (2019): March
Publisher : Universitas Airlangga

Storing EBM at room temperature in several hours before consuming, frequently found in Indonesia. Based on Academy of Breastfeeding Medicine guidelines EBM can last for 6 to 8 hours in room temperature (25oC or 77oF). However, currently there hasn't been study in tropical country especially Indonesia for the guidelines. This study aimed to assess microbiological quality of EBM on room temperature, including bacterial growth and major bacterial found on EBM for health care and society recommendations. An observational study of 30 expressed breast milk samples provided by 30 healthy women with term baby below 6 month old. The samples were kept sterile and laid at plates for 0 hours, 2 hours, 4 hours and 6 hours in room temperature (26°-32° C) and used drop plate technique on several culture media. Data was analyzed by Chi-square and paired sample T-test. Thirty of unheated fresh EBM from 30 lactating mothers were stored at room temperature, examined for the degree of bacterial contamination at 0 hour, 2 hours, 4 hours, and 6 hours. All the EBM samples were contaminated at 2 hour. Bacterial species identified was Coagulase-negative Staphylococcus (CNS), Escherichia coli, Klebsiella pneumoniae and Streptococcus faecalis, range of growth 109 cfu/ml-63 x 109 cfu/mm3 after 6 hour of storage. The EBM exposed at room temperature (30-36 0C) for more than two hour reduce the quality and do not recommended to be given to the infants.

Effect of Different Complementary Feeding on Iron Deficiency Anemia and Growth in Breastfed Infants: Home-Made VS Commercial Irawan, Roedi; Widjaja, Nur Aisiyah; Hanindita, Meta Herdiana
Folia Medica Indonesiana Vol. 55 No. 2 (2019): June
Publisher : Universitas Airlangga

After approximately 6 months of age, term breastfed infants are increasingly depend on other sources of iron to avoid iron deficiency anemia, due to the depletion of the low concentration of iron in human milk. The appropriate complementary feeding must include a balance composition of foods containing an adequate amount of macro- and micronutrients to avoid iron deficiency anemia. This study aimed to compare the risk of iron deficiency and growth in breastfeed infants receiving commercial fortified complementary foods or home-made. A cross-sectional study was held on April-June 2016 to evaluate infants aged 6-24 months with breast feeding intake for 6 month of life. Complementary feeding practices were determined by questionnaire; an unquantified food frequency and feeding practices questionnaire was used to determine usual food intake. Biochemical assessment of haemoglobin (Hb), serum ferritin (SF) and serum iron (SI) level were measured. Anthropometric were assessed using WHO Child Growth Standard 2005. Statistical analysis used were Chi-square Test. Thirty eight infants were enrolled, mean age of 16.2 (SD 10.5) months. 17 infants consumed commercial complementary foods and 21 infants use home-made. Infants with home-made had lower Hb level, SF and SI than those receiving commercial complementary food, and had higher risk of underweight, stunted and wasted. Infants with home-made complementary food had lower haemoglobin, serum feritin and serum iron levels than those in fortified complementary food CF; and a higher risk of stunted and wasted than children with commercial fortified CF.

NUTRITIONAL INTERVENTION IN STUNTING CHILDREN AGED 1-5 YEARS-OLD USING ORAL NUTRITIONAL SUPPLEMENTS (ONS) IN SURABAYA CITY Alexander, Yoppi Yeremia; Widjaja, Nur Aisiyah; Irawan, Roedi; Hanindita, Meta Herdiana; Noviyanti, Tausyiah Rohmah; Keya, Rino Tryanto; Hermanto, Edi; Bahmid, Moh.; Iitdrie, Iitdrie
Media Gizi Indonesia Vol. 20 No. 2 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i2.168-177

Growth faltering, also known as failure to thrive, in pediatric populations may arise from a combination of insufficient nutritional intake and the presence of chronic infections. When this condition persists over an extended duration, it can culminate in stunting—a form of chronic malnutrition characterized by impaired linear growth—which continues to exhibit a high prevalence rate across various regions of Indonesia. As part of the national effort to mitigate and prevent stunting, oral nutritional supplements (ONS), which are specifically formulated for both therapeutic and dietary management in pediatric patients with specific health conditions, including growth failure, play a critical role. This study aims to examine the impact of ONS intervention, with a caloric density of approximately 1 kilocalorie per milliliter, on stunted children between the ages of one and five years at a private healthcare facility, namely Husada Utama Hospital in Surabaya. This study is an observational analytical study of a quasi- randomized control trial with a pre- and post-test design. The sample of this study was stunting children aged 1-5 years as many as 20 subjects who were willing to follow the ONS intervention research in achieving optimal growth. After being given intervention for 90 days, the number of normal HAZ/LAZ children became 5 (25% increase). There was a decrease from severely stunting by 7 subjects to stunting and a decrease in stunting to normal by 5 subjects

Immune response in IGF-1 and growth parameters among infected children Ardianah, Eva; Widjaja, Nur Aisiyah; Indriani, Diah; Melaniani, Soenarnatalina; Kuntoro; Wibowo, Arief; Notobroto, Hari Basuki; Purnomo, Windhu; Indawati, Rachmah; Saputro, Sigit Ari; Santoso, Febrina Mustika; Puspitasari, Ria; Pebriaini, Prisma Andita; Nurfidaus, Yasmine; Irawan, Roedi; Hidayat, Boerhan; Hidayati, Siti Nurul; Hanindita, Meta Herdiana
BKM Public Health and Community Medicine Vol 41 No 08 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i08.18379

Purpose: Infections in children can affect weight gain and linear growth by influencing metabolism and nutrition. Chronic inflammation results in growth failure mediated by pro-inflammatory cytokines and poor nutritional intake, which affects the GH/IGF-1 axis. This study aimed to investigate the impact of the inflammatory response on children's anthropometry, particularly HAZ, and the role of IGF-1. Methods: An observational study with a cross-sectional design was conducted from September 2021 to July 2022. The study involved children diagnosed with infections. The subjects had undergone a physical and laboratory investigation, which included a thorax photo, urine culture, Mantoux test, and complete blood test in a hospital setting. A complete medical history was obtained from the pediatrician. Results: The prevalence of undernutrition was 37.33%; the prevalence of underweight/severely underweight, stunted/severely stunted, and wasted/severely wasted was 25.33%, 30.66%, and 14.67% respectively. Stunted/severely stunted was more prevalent in subjects under 2 years old, compared to subjects more than 2 years old (22/41 vs. 7/34, p=0.014). SEM analysis revealed that the inflammatory response affected IGF-1 levels (r=0.850, p=0.000), while IGF-1 affected body composition (r=0.245, p=0.025), and then affected HAZ (r=1.000, p=0.000). The effect of IGF-1 on HAZ appears to be indirect, acting through body composition. Parental height has a weak, albeit significant, effect on body composition (r=0.101, p=0.025) and HAZ (r=0.192, p=0.040). Univariate analysis revealed strong correlations between IL-6 and IL-10 and IGF-1 (r=0.870, p=0.000 and 0.876, p=0.000, respectively). In contrast, parental height showed a correlation with HAZ/LAZ (r=0.319, p=0.000). Maternal height was correlated positively with WAZ (r=0.320, p=0.044). Conclusion: The prevalence of stunting among children under two years of age indicates that early childhood constitutes a critical period for intervention in growth and development. Inflammatory response has been demonstrated to influence IGF-1 levels in children. The role of IGF-1 on HAZ was mediated by body composition.

SLEEP DURATION, ANTHROPOMETRIC MEASUREMENTS AND METABOLIC SYNDROME IN OVERWEIGHT/OBESE ADOLESCENTS Iitdrie; Widjaja, Nur Aisiyah; Hanindita, Meta Herdiana; Irawan, Roedi; Qomaruddin, Mochammad Bagus; Muthmainnah, Muthmainnah; Ardianah, Eva; Noviyanti, Tausyiah Rohmah; Alexander, Yoppi Yeremia; Keya, Rino Tryanto; Hermanto, Edi
Media Gizi Indonesia Vol. 20 No. 3 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i3.356-362

Introduction: Adolescents have sleep problems, as their sleep duration does not meet the recommended sleep duration of 8-10 hours, leading to various sleep-related problems. Sleep duration is suspected to have detrimental effects on health, such as non-communicable diseases including obesity, cardiovascular disease (CVD), and type 2 diabetes mellitus (T2DM). However, the correlation between sleep duration and the prevalence of obesity and metabolic syndrome (MetS) is still conflicting, especially in the adolescent population. This study aimed to examine and analyze the effect of sleep duration on anthropometric measurements and MetS in overweight/obese adolescents. Methods: A cross-sectional study involving healthy overweight/obese adolescents was conducted from September to October 2019 to evaluate the effect of sleep duration on anthropometric measurements, lipid profiles, fasting blood glucose levels, and blood pressure in overweight/obese adolescents. Results and discussion: A total of 197 subjects showed no significant differences in body height, BMI, waist circumference, blood pressure, and lipid profile based on sleep duration categories. Subjects with short sleepers were older than those with sufficient sleep (p<0.05). However, long sleepers were heavier, had larger BMI-for-age z-scores, and larger waist circumferences than sufficient and short sleepers (p<0.05). However, the differences between the short, sufficient, and long sleepers were U-shaped. Sleep duration was not correlated with MetS or MetS components (abdominal obesity, hyperglycemia, hypertriglyceridemia, hypertension, and low HDL-c). Conclusion: Long sleepers (>11 h/night) were heavier, had greater BMI-for-age z-scores, and larger waist circumference than (<sufficient sleeper (6-10 h/night), or short sleepers 6 h/night).

The Relationship Of Vitamin A Supplementation, Giving Immunization, And History Of Infection Disease With The Stunting Of Children Aged 24-59 Months In Puskesmas Mulyorejo, Surabaya Putri, Melvanda Gisela; Irawan, Roedi; Mukono, Indri Safitri
Media Gizi Kesmas Vol 10 No 1 (2021): MEDIA GIZI KESMAS (JUNE 2021)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v10i1.2021.72-79

ABSTRAKLatar Belakang: Stunting merupakan suatu istilah yang menggambarkan kondisi pertumbuhan tinggi badan kurang berdasarkan umur disesuaikan dengan Z-Score (<-2SD). Stunting pada balita dapat diakibatkan oleh kurangnya asupan zat gizi yang diperlukan bagi pertumbuhan anak. Penelitian dilakukan untuk mengetahui hubungan suplementasi vitamin A, pemberian imunisasi dan riwayat penyakit infeksi yakni diare dan ISPA terhadap kejadian stunting.Tujuan: Mengetahui hubungan suplementasi vitamin A, pemberian imunisasi, dan penyakit infeksi terhadap stunting pada anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya.Metode: Penelitian ini merupakan penelitian analitik observasional dengan metode cross sectional. Besar sampel adalah 107 anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya. terdiri dari 25 anak kelompok stunting dan 82 anak kelompok non- stunting. Cara pengambilan data melalui data sekunder posyandu dan wawancara langsung orang tua anak dengan pengisian kuisioner. Data dianalisis menggunakan uji Chi-Square, Fisher Exact, dan Mann Whitney.Hasil: Penelitian ini menunjukkan hasil terdapat hubungan suplementasi vitamin A dengan stunting (p=0,000), tidak ada hubungan antara pemberian imunisasi terhadap stunting (p=0,332). Dalam riwayat penyakit infeksi, frekuensi diare dan ISPA ditemukan tidak ada hubungan dengan stunting (p=0,053 dan p=0,082), begitu pula pada lama diare dan lama ISPA tidak berhubungan dengan stunting (p= 0,614 dan p=0,918).Kesimpulan: Suplementasi vitamin A berhubungan signifikan dengan stunting yang diamati pada anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya. Kata kunci: Stunting, vitamin A, imunisasi, penyakit infeksi, anak usia 24-59 bulanABSTRACTBackground: Stunting is a term that describes condition of lower height-for-age Z-Score (<-2SD). Stunting among children can be caused by a lack of nutrients needed for children's growth. This study was conducted to determine the relationship between vitamin A supplementation, immunization and a history of infectious diseases, namely diarrhea and ARI to the incidence of stunting.Objectives: To determine the relationship between vitamin A supplementation, immunization, and history of infectious disease with the incidence of stunting in children aged 24-59 months at Puskesmas Mulyorejo, Surabaya.Methods: This study was an observational analytic study with cross sectional method. The sample size was 107 children aged 24-59 months at Puskesmas Mulyorejo, Surabaya. This study consisted of 25 children in the stunting group and 82 children in the non-stunting group. The method of data collection was through secondary data from posyandu and direct interviews with parents by filling out questionnaires. Data were analyzed using the chi-square test, fisher exact, and Mann Whitney.Results: The results of this study indicated that there was a relationship between vitamin A supplementation and with stunting (p = 0.000). There was no relationship between immunization and stunting (p = 0.332). In the history of infectious diseases, the frequency of diarrhea and ARI was found to have no relationship with stunting (p = 0.053 and p = 0.082), as well as the duration of diarrhea and duration of ARI there was no association with the stunting (p = 0.614 and p = 0.918).Conclusion: Vitamin A supplementation has significant relationship with stunting in children aged 24-59 months at Puskesmas Mulyorejo, Surabaya.Keyword: Stunting, vitamin A, immunization, infectious disease, children aged 24-59 months

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

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