Vetinly Vetinly
FKIK Universitas Katolik Indonesia Atma Jaya

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Body Mass Index, a Body Shape Index, and Waist-to-Height Ratio in Predicting Elevated Blood Pressure Bryan Junius Winata; Veronika Maria Sidharta; Linawati Hananta; Vetinly Vetinly; Nawanto Agung Prastowo
Althea Medical Journal Vol 9, No 1 (2022)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v9n1.2291

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Background: One of the complications of obesity is an elevation in blood pressure  which can increase the risk of hypertension. This study aimed to explore body mass index (BMI), a body shape index (ABSI), and waist-to-height ratio (WHtR) in predicting elevated blood pressure (BP).Methods: This study was conducted in a cross-sectional design on 215 medical students from October 2019 to September 2020. Respondents measured their own weight, height, waist circumference and BP. Receiver operating characteristics (ROC) curve were analyzed using IBM SPSS v.23. Results: Of the 215 medical students who participated in this study, only 102 met the inclusion criteria. The majority of the students were female (n=71, 69.6%) with a mean age of 19.37 years, and normal blood pressure (n=90, 88.2%). Area under the ROC curve (AUC) of WHtR and ABSI were 0.774 (p-value= 0.002) and 0.766 (p-value= 0.003) respectively, which were still acceptable. However, the AUC of BMI (p-value=0.589) was 0.11, which was considered poor.Conclusion: The indicators of obesity can be used as a screening value for increased blood pressure in adults, with BMI being the weakest indicator compared to ABSI and WHtR. Further research is needed to examine ABSI and WHtR indicators as predictor of increased blood pressure in adults.
Indeks Massa Tubuh Paling Berpengaruh Terhadap Rasio Extracellular Mass/Body Cell Mass Myra Antonia; Maria Dara Novi Handayani; Agnes Rensa; Vetinly Vetinly
Bahasa Indonesia Vol 20 No 2 (2021): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v20i2.2638

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ABSTRACT Background: Extracellular mass/body cell mass (ECM/BCM) ratio is a independent predictor mortality in nutritional status and certain chronic disease. ECM/BCM ratio is influenced by various factors such as muscle mass, blood cells, bone mass, tendons, total body water, and certain chronic diseases. Objective: Determine factors associated with elderly ECM/BCM ratio in Jakarta nursing home. Methods: This observational cross-sectional study was conducted in four nursing home in Jakarta. Nutritional status measured with Mini Nutritional Assessment (MNA) score, Body Mass Index (BMI), Waist Circumference (WC), Mid-Arm Circumference (MAC), and calf circumference (CC) using measurement. ECM/BCM ratio is measured using Maltron Bioscan 916, Pearson correlation and Kendall's Tau B were used for bivariate analysis. Simple linear regression was used for multivariate analysis. Results: A total of 74 subjects were recruited (mean age 72.12 years, 71.6% women). Body mass index (p<0.05), WC (p<0.05), and CC (p<0.05) were negatively associated with ECM/BCM ratio, while MNA score (p<0.05) and age (p<0.05) were positively associated with ECM/BCM ratio. There wasn't any significant difference in TBW between male and female elderly. In the multivariate linear regression analysis, BMI was negatively associated with ECM/BCM ratio (p<0.05). Conclusions: Significant relationship were found independently between MNA score, BMI, WC,MAC, and age with ECM/BCM ratio. Body mass index is the main factor associated with ECM/BCM ratio in the elderly in Jakarta nursing homes. Our findings suggest that elderly with lower BMI have higher ECM/BCM ratio.
Dietary Intake, Nutritional Status, and Quality of Life in Patients with Thalassemia Major Steven Yulius Usman; Salvabilla Azheema Rahmat; Vetinly Vetinly; Felicia Kurniawan
Althea Medical Journal Vol 9, No 2 (2022)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v9n2.2301

Abstract

Background: Impaired growth and inadequacy of dietary intake in thalassemia patients may affect the quality of life. This study aimed to determine and examine the relationship between dietary intake, nutritional status, and quality of life in in patients with thalassemia major.Methods: This study was a cross-sectional descriptive study conducted from February to October 2020. Twelve respondents who were registered at the Yayasan Thalassemia Indonesia and the blood transfusion unit at Fatmawati Hospital participated. This study conducted a physical examination and distributed food record questionnaires and WHOQOL-BREF. Data analysis was performed using Nutrisurvey 2007 and Fisher’s exact test.Results: The majority of the respondent were male (58.3%), categorized in the age group 5–18 years (58.3%), had normal nutritional status (50%) and quality of life. Interestingly, the respondents had an excess intake of protein and fats, while the intake of energy and carbohydrates was normal. Respondents had less intakes of all micronutrients. Conclusion: The majority of respondents have normal nutritional status and quality of life but have a low intake of micronutrients. Both patients and parents need to be further educated on dietary intake to meet their nutritional needs
TINGKAT PENGETAHUAN EFEK KONSUMSI KAFEIN DAN ASUPAN KAFEIN PADA MAHASISWA Sarah Stephanie Br Ginting; Yunisa Astiarani; Bryany Titi Santi; Vetinly Vetinly
Journal of Nutrition College Vol 11, No 4 (2022): Oktober
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v11i4.32930

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Latar belakang: Sejak tahun 1990 hingga 2021, Indonesia mengalami peningkatan konsumsi kopi sekitar 302,57%. Peningkatan asupan kafein ini sering kali tidak diikuti dengan pengetahuan yang baik terkait efek konsumsi kafein, baik risiko dan manfaatnya. Konsumsi kafein dapat memberikan manfaat seperti meningkatkan mood, memperbaiki konsentrasi, meningkatkan performa aktivitas fisik, menangkal radikal bebas, dan menurunkan berat badan. Risiko dari konsumsi kopi dapat berpotensi mengalami nyeri kepala, dispepsia, diuresis, ansietas, dan kualitas tidur yang buruk.Tujuan: Mengetahui hubungan tingkat pengetahuan efek konsumsi kafein dengan asupan kafein pada mahasiswa tahap akademik Fakultas Kedokteran dan Ilmu Kesehatan Universitas Katolik Indonesia Atma Jaya.  Metode: Penelitian analisis observasional dengan desain potong lintang yang meliputi 155 mahasiswa tahap akademik di FKIK Universitas Katolik Indonesia Atma Jaya angkatan 2018-2020. Sampel yang digunakan dalam penelitian ini diambil dengan metode proportional random sampling (sampel acak proporsional). Penelitian dilaksanakan pada bulan Oktober 2021. Data penelitian diperoleh melalui kuesioner yang sudah divalidasi dan dibagikan secara dalam jaringan (online). Analisis data dilakukan dengan uji Chi-square.  Hasil: Dari 155 responden yang berpartisipasi dalam penelitian ini, sebanyak 60,65% memiliki pengetahuan yang baik terkait risiko dan manfaat kafein. Prevalensi konsumsi kafein pada Mahasiswa tahap akademik cukup tinggi (82,58%) namun rata-rata tingkat konsumsinya masih dalam batas aman (55,60mg/ hari, SD = 47,89mg). Sumber kafein utama yang paling banyak dikonsumsi adalah kopi, dan minuman berenergi menempati posisi yang paling rendah. Hubungan yang signifikan antara tingkat pengetahuan dengan asupan kafein harian dengan dibuktikan oleh analisis bivariat Chi-square (p =0,005).  Simpulan: Terdapat hubungan antara tingkat pengetahuan dan manfaat konsumsi kafein dengan asupan kafein harian pada Mahasiswa tahap akademik Fakultas Kedokteran dan Ilmu Kesehatan Universitas Katolik Indonesia Atma Jaya.Kata Kunci : Dewasa muda; Konsumsi kafein; Mahasiswa; Risiko dan manfaat; Tingkat pengetahuan.
Comparison of the Anthropometric Indices to Identify Prehypertension Among Male Medical Students Vetinly Vetinly; Yunisa Astiarani; Katheryn Etania; Jeremy Jeremy
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 1 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.1.52-61

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The state of prehypertension that is often neglected in young adults is not inferior to hypertension in contributing to a higher risk of cardiovascular diseases. Several simple anthropometric indices may be used as prehypertension prognostic tools, including Body Mass Index (BMI), Body Shape Index (ABSI), Waist Circumference (WC), Weight to Height Ratio (WHtr), and Body Roundness Index (BRI). This study aimed to compare several anthropometric examinations for detecting prehypertension in male medical students. The cross-sectional study design was conducted on 107 male medical students. Direct measurements of the respondents were carried out with blood pressure data collection and anthropometric examination. The area under the receiver-operating characteristic curve (AROC) analysis with a 95% confidence interval (CI) was used to assess all anthropometric measures’ discriminatory power to assess the risk of prehypertension in the participants. Participants with prehypertension were relatively older and had less active physical activity than normotensive (p<0.05). The mean BMI, BRI, WC, and WHtR were significantly higher in the prehypertensive group than in the normotensive group. However, ABSI was not showing any relationship with blood pressure. The process with 95% CI of blood pressure classification related to anthropometric measures indicates that BMI showed the highest AROC values for the prehypertensive state (AROC: 0.73, 95% CI: 0.63–0.82), and WC had the lowest AROCs (AROC: 0.63, 95% CI: 0.52–0.63). BMI, BRI, WC, and WHtr may be applied as prognostic assessments for prehypertension states in young adult males.
Hubungan Konsumsi Buah dan Sayur Terhadap Infeksi Saluran Kemih Ivan Citra Selima; Felicia Kurniawan; Vetinly; Prisillia Nanny Djaya; Sheella Rima Bororing
Bahasa Indonesia Vol 22 No 1 (2023): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v22i1.3104

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Pendahuluan: Infeksi Saluran Kemih (ISK) merupakan penyakit yang menyerang sistem kemih, baik organ maupun salurannya. Penyakit ini merupakan penyakit infeksi dengan angka tersering kedua pada anak, setelah penyakit infeksi saluran pernafasan dan dapat menimbulkan beban ekonomi negara sehingga harus segera diatasi. Sekitar 56,6% anak usia sekolah tidak mengonsumsi buah dan sayur yang cukup. Hal ini dapat menjadi faktor pendukung tingginya angka kasus ISK di Indonesia. Penelitian ini bertujuan untuk menganalisis hubungan kecukupan makan buah dan sayur dengan kejadian suspek ISK pada anak. Metode: Desain penelitian ini adalah studi observasional potong lintang yang menggunakan analisis data sekunder (ADS). Jumlah sampel sebanyak 331 murid kelas 4-6 dari dua Sekolah Dasar di Jakarta Utara. Data kecukupan konsumsi buah dan sayur didapatkan melalui pengisian kuesioner, sedangkan dugaan ISK diperoleh dari pemeriksaan urinalisis (makroskopik, kimiawi, dan mikroskopik).  Hasil: Terdapat 154 murid kurang mengonsumsi buah dan sayur, serta 9 murid diduga ISK. Tidak ditemukan hubungan bermakna antara kecukupan konsumsi buah dan sayur dengan kejadian ISK (p=0,378), namun pada responden yang mengonsumsi cukup buah dan sayur memiliki persentase suspek ISK yang lebih kecil dibandingkan dengan responden yang kurang mengonsumsi buah dan sayur. Simpulan: Konsumsi buah dan sayur tidak memiliki hubungan yang bermakna dengan suspek ISK pada anak. tetapi berdasarkan persentase suspek ISK, anak yang cukup mengonsumsi buah dan sayur memiliki persentase suspek ISK yang lebih rendah. Kata Kunci: urinalisis, pola kebiasaan makan buah dan sayur, infeksi saluran kemih.
Physical Activity Levels and Total Food Intake among Preclinical Students at a School of Medicine and Health Sciences Lydia Esterlita Halim; Francisca Tjhay; Nawanto Agung Prastowo; Vetinly; Nelly Tina Widjaja
Folia Medica Indonesiana Vol. 59 No. 3 (2023): September
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmi.v59i3.47290

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Highlights: 1. This is the first cross-sectional study in Indonesia that was conducted specifically to find a correlation between physical activity levels and food intake.2. As lower physical activity was found to be associated with higher food intake, this study suggests that physical activity might be taken into consideration to manipulate one’s food consumption   Abstract One of the most crucial things a person can do to enhance the well-being of their body is to engage in regular physical activity. However, currently, there are still many people who have low physical activity levels. It is stated that habitual physical activity can affect the sensitivity of food intake regulation. This study aimed to determine the correlation between the total food intake and physical activity of preclinical students. This study was conducted using the cross-sectional method among preclinical students (n=238) in the classes of 2017, 2018, and 2019 at the School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia. Subjects with appetite-manipulating supplements, a diet program, a history of metabolic disease, a history of eating disorders, stress, or trauma were excluded from this study. The physical activity level was evaluated using the Baecke Physical Activity Questionnaire (BPAQ), while the total food intake was evaluated using the three-day food record method. The statistical test applied in this study was the Spearman test, with a significance of p<0.05. There were 22.3% of respondents with a low physical activity level, and there were 9.7% of respondents with a total food intake higher than recommended. The statistical analysis showed a significant negative correlation between physical activity levels and total food intake (p=0.008). In conclusion, there is an association between students’ physical activity levels and their total food intake.
HUBUNGAN DISFAGIA DAN PENURUNAN KESADARAN TERHADAP PNEUMONIA ASPIRASI PADA PASIEN STROKE RS ATMA JAYA Michael Nathaniel Budiarso; Linda Suryakusuma; Luse Luse; Vetinly Vetinly
NEURONA Vol 36 No 1 (2018)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v36i1.46

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   THE CORRELATION BETWEEN DISHAGIA AND ALTERED LEVEL OF CONSCIOUSNESS WITH ASPIRATION PNEUMONIA IN STROKE PATIENTS AT ATMA JAYA HOSPITALABSTRACTIntroduction: Approximately 40-96% of stroke patients will develop complications; the most frequent is pneumonia (33%). This is due to the underlying clinical manifestation of stroke such as dysphagia, immobilization, altered level of consciousness, and immune suppression which increases the risk of aspiration, therefore increases the risk for aspiration pneumonia. Early detection of aspiration pneumonia and its risk factors in stroke patients are essential, but the number of researches regarding this in Indonesia is still limited.Aims: To study the correlation between dysphagia and altered level of consciousness in stroke patients with aspiration pneumonia in Atma Jaya Hospital, Jakarta.Methods: This is a retrospective cohort research with a cross sectional approach towards 263 stroke patients in Atma Jaya Hospital, February 2016 until October 2017. Data was taken from the stroke registry and medical records, and analized with Chi-square test (α=0.05).Results: The incidence for aspiration pneumonia was 16% in the study population, most of which being male (57.8%), age <65 years old (79.5%), and length of education <9 years (71.5%). Age >65, dysphagia and altered level of consciousness were statistically significant with Odds ratio (OR) 2.26, 3.92, and 8.67, respectively.Discussion: Male, age <65 years old, and length of education <9 years were correlated with poor daily life habits which increases the risk of getting a stroke. Age >65 years old, dysphagia and altered level of consciousness can disturb the coordination and swallowing reflex which makes patients more vulnerable to aspiration and develop aspiration pneumonia.Keywords: Altered level of consciousness, aspiration pneumonia, dysphagia, strokeABSTRAKPendahuluan: Sebanyak 40-96% pasien stroke akan mengalami komplikasi, terutama pneumonia (33%). Hal ini dimungkinkan oleh adanya kecenderungan disfagia, imobilitas, penurunan kesadaran, dan supresi imunitas yang mempermudah terjadinya aspirasi hingga terjadi pneumonia aspirasi. Deteksi awal faktor risiko pneumonia aspirasi pada pasien stroke sangat penting, namun penelitiannya masih terbatas di Indonesia.Tujuan: Mengetahui hubungan antara disfagia dan penurunan kesadaran terhadap kejadian pneumonia aspirasi pada pasien stroke di RS Atma Jaya, Jakarta.Metode: Penelitian kohort retrospektif dengan pendekatan potong lintang terhadap 263 pasien stroke di RS Atma Jaya. Penelitian dilakukan mulai Februari 2016-Oktober 2017. Data diperoleh melalui data register stroke dan rekam medis. Analisis dilakukan menggunakan uji Chi-square dengan nilai α=0,05.Hasil: Insiden pneumonia aspirasi pada pasien stroke adalah 16%. Didapatkan mayoritas populasi laki-laki (57,8%) berusia <65 tahun (79,5%), dan berpendidikan <9 tahun (71,5%). Usia >65 tahun, disfagia, dan penurunan kesadaran memiliki hubungan yang bermakna secara statistik terhadap kejadian pneumonia aspirasi dengan rasio Odds (RO) 2,26, 3,92, dan 8,67 kali lipat.Diskusi: Laki-laki, usia <65 tahun, dan pendidikan <9 tahun berkaitan dengan pola kesehatan hidup buruk yang meningkatkan faktor risiko terjadinya stroke. Usia >65 tahun, disfagia, dan penurunan kesadaran dapat mengganggu koordinasi dan refleks menelan, sehingga pasien stroke lebih rentan terjadi aspirasi dan mengalami pneumonia aspirasi.Kata kunci:  Disfagia, penurunan kesadaran, pneumonia aspirasi, stroke