Yoga Devaera
Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Indonesia, Jakarta

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Journal : Paediatrica Indonesiana

Mortality, length of hospital stay, and nutritional status improvement in severely malnourished children with HIV infection in a tertiary center Yoga Devaera
Paediatrica Indonesiana Vol 52 No 6 (2012): November 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (103.286 KB) | DOI: 10.14238/pi52.6.2012.362-6

Abstract

Background Severe malnutrition contributes to child mortalityrates, especially in children under five HIV infection further increases the risk of death.Objective To evaluate the impact of HIV infection on mortality,length of hospital stay and improvement of nutritional status inseverely malnourished inpatients under five Methods This retrospective study included children aged less than5 years and admitted to a terti ary hospital for severe malnutrition.We excluded those with incomplete data, as well as thosetransferred to other hospitals or discharged against medical advice.Outcome measures were live/death status, length of hospital stayand improvement of nutritional status (weight gain and improvedweight􀁀for􀁀height Z score).Results Of 104 eligible patients, 97 were included as studysubjects. Their mean ages were 25.8 (SD 17.3) months forHIY-infected children and 16.3 (SD 15.3) months for HIYuninfectedchildren. Death occurred in 31.8% and 18.7% ofHIV􀁀infected and uninfected subjects, respectively. Medianlength of hospital stay was 14.5 (range 5􀁀51) days and 11(range 1􀁀99) days, respectively. There were no statisticallysignificant differences in between the two groups. Weight􀁀for􀁀height Z scores (WHZ) onadmission and discharge in HIV􀁀infected children were lowerthan those of uninfected children, but the weight gain (medianweight gain of 0.45 (-0.26 to 1.9) kg vs 0.38 (-0.81 to 2.2) kgin HIV􀁀infected and uninfected children, respectively) andimprovement of WHZ [1 (SD 1.1) vs 0.9 (SD 1), respectively]were similar.Conc l usion Severely malnourished children with HIVinfection had higher mortality rate, and longer hospitalizationsthan the uninfected group, although the differences were notstatistically signific ant. They also had lower mean WHZ scoresat admission and discharge, butnutritionalimprovement wassimilar to those who were HIV􀁀negative. [Paediatr Indones.2012;52:362-6].
Age at menarche and body fat in adolescent girls Aman Bhakti Pulungan; Resyana Putri Nugraheni; Najib Advani; Arwin AP Akib; Yoga Devaera; Hikari Ambara Sjakti; Attika Adrianti Andarie
Paediatrica Indonesiana Vol 60 No 5 (2020): September 2020
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi60.5.2020.269-76

Abstract

Background Menarcheal age is important in adolescent girls due to its associations with health outcomes at adulthood. Modifiable factors that may influence menarcheal age include body fat mass and fat distribution. Objective: To investigate possible correlations between body fat mass and fat distribution with age at menarche in adolescent girls. Methods This study was a cross-sectional study on 32 girls aged 10-15 years in Central Jakarta, who experienced menarche within the time period of July to September 2019. Data on menarcheal age was collected by recall. Body fat mass and distribution were calculated using anthropometric measurements and bioelectrical impedance analyzer (BIA) results. Results The mean age of study subjects was 12.06 (SD 0.82) years and the mean age at menarche was 11.91 (SD 0.83) years. Correlation tests revealed a moderate negative correlation between body mass index-for-age and menarcheal age (r= -0.45; P=0.01) and weak negative correlation between waist-height ratio and menarcheal age (r= -0.37; P=0.03). Conclusion Menarcheal age is correlated with body mass index-for-age and waist-height ratio. However, no significant correlations between menarcheal age and body fat mass or distribution are found.