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All Journal The Indonesian Biomedical Journal Sari Pediatri Paediatrica Indonesiana Molecular and Cellular Biomedical Sciences (MCBS) Smart Medical Journal Jurnal Gizi Klinik Indonesia Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Journal of Maternal and Child Health Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Jurnal Kesehatan Masyarakat

Annang Giri Moelyo

Department Of Child Health, Faculty Of Medicine, Sebelas Maret University, Surakarta

Author-ID : 321150

Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Glycated Albumin as Marker for Early Hyperglycemia Detection in Adolescent with β Thalassemia Major Dewinda Candrarukmi; Annang Giri Moelyo; Muhammad Riza
The Indonesian Biomedical Journal Vol 13, No 3 (2021)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v13i3.1546

BACKGROUND: Hyperglycemia is one of the most common endocrine complications in children with β thalassemia major. Though the current diagnostic marker either requires fasting, has low reproducibility, or it is not an accurate for thalassemia patients. Glycated albumin (GA) is a quick and easy alternative marker for hyperglycemia detection and monitoring of glycemic control. However to date, no studies have analyzed the role of GA value in detection of hyperglycemia in children with thalassemia major. This study analyzed the value of GA as an alternative screening marker for hyperglycemia detection in children with β thalassemia major.METHODS: A single-blind prospective diagnostic test was conducted in 9 to 18 years old children with β thalassemia major and who were treated at the Dr. Moewardi Regional General Hospital between October 1, 2018 and December 31, 2019. In a single, fasted study visit, height, weight, fasting blood glucose (FPG), GA, oral glucose tolerance test (OGTT) were measured. The area under a receiver operating characteristic curve (AUC) was used to determine the cut-off value at which hyperglycemia prediction (OGTT ≥140 mg/dL) display optimal sensitivity and specificity. RESULTS: Among the 53 children with β thalassemia major, 1 (1.9%) had diabetes mellitus and 4 (7.5%) had prediabetes based on their OGTT values. The median GA value in this study was 10.9% (range: 7.6–12.4%). GA had a low AUC (0.646, p=0.287) for hyperglycemia detection in pediatric patients with β thalassemia major. At a cut-off of 11.45%, GA demonstrated 60% sensitivity and 60.4% specificity.CONCLUSION: GA cannot be used as an alternative marker for hyperglycemia detection in children with β thalassemia major.KEYWORDS: hyperglycemia, diabetes mellitus, prediabetes, β thalassemia major, glycated albumin

Hubungan HbA1c dengan Lingkar Pinggang, Rasio Lingkar Pinggang-Tinggi Badan, Indeks Massa Tubuh, dan Lingkar Lengan Atas pada Remaja Perempuan Overweight/Obesitas Febry Dwi Indrawati; Annang Giri Moelyo; Bambang Soebagyo
Sari Pediatri Vol 21, No 3 (2019)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Latar belakang. Obesitas memiliki risiko terhadap penyakit kardiovaskular dan metabolik. Lingkar pinggang (LP), rasio lingkar pinggang-tinggi badan (RLPTB), indeks massa tubuh (IMT), dan lingkar lengan atas (LiLA) merupakan indeks antropometrik untuk menentukan obesitas sentral dan berkaitan dengan kadar insulin. Pada orang dewasa, distribusi lemak di sekitar pinggang adalah prediktor yang valid dari kadar hemoglobin A1c (HbA1c). Pengukuran ini memiliki kelebihan dibandingkan dengan tes glukosa darah puasa dan toleransi glukosa oral karena mudah dan murah.Tujuan. Untuk menentukan korelasi antara level HbA1c dengan lingkar pinggang, rasio lingkar pinggang-tinggi badan, indeks massa tubuh, dan lingkar lengan atas.Metode. Penelitian potong lintang ini dilakukan di SMP 4 Surakarta, data diperoleh secara consecutive sampling. Siswi overweight dan obesitas yang memenuhi kriteria termasuk dalam penelitian ini. Subjek menjalani pengukuran LP, RLPTB, IMT, LiLA, dan tes darah untuk kadar HbA1c. Semua data dianalisis dengan menghitung uji korelasi dengan signifikan <0,05.Hasil. Dua puluh sembilan siswi overweight/obesitas berpartisipasi dalam penelitian ini. HbA1c dan lingkar lengan atas memiliki korelasi positif dalam kategori sedang (r=0,580; p=0,001). HbA1c tidak berhubungan dengan LP (r=0,044; p=0,821), RLPTB (r=0,060; p=0,758), dan IMT ( =0,007; p=0,971).Kesimpulan. Lingkar lengan atas memiliki korelasi positif yang signifikan dengan kadar HbA1c pada remaja yang overweight dan obesitas.

Hubungan Parameter Status Gizi dengan Body Fat pada Anak Usia Sekolah di Panti Asuhan Surakarta Tiffany Satiadarma; Elisabeth Nova Kurniasari; Sandra Lestari; Kartiko Kurnianto; Annang Giri Moelyo
Sari Pediatri Vol 23, No 6 (2022)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp23.6.2022.353-9

Latar belakang. Obesitas pada anak merupakan masalah dengan dampak di masa mendatang. Anak-anak di panti asuhan dapat mengalami risiko obesitas selain gizi kurang. Parameter status gizi dapat digunakan untuk prediksi body fat pada anak obesitas.Tujuan. Mengetahui hubungan indeks massa tubuh (IMT), lingkar pinggang (LP), rasio lingkar pinggang dengan tinggi badan (rasio LP/TB), lingkar lengan atas (LiLA), triceps skinfold thickness, dan lingkar leher dengan body fat pada anak usia sekolah di panti asuhan. Metode. Penelitian cross sectional dengan subjek penelitian berusia 6-18 tahun di 2 panti asuhan di Surakarta. Variabel terikat berupa body fat (normal, overweight, obes) dan variabel bebas berupa IMT, LP, rasio LP/TB, LiLA, triceps skinfold thickness, dan lingkar leher. Tingkat depresi dinilai menggunakan skala Childrenâ€™s Depression Inventory serta aktivitas fisik dinilai dengan Physical Activity Questionnare for Older Children (PAQ-C) dan Physical Activity Questionnare for Adolescent (PAQ-A).Hasil. Sebanyak 73 sampel dengan rincian 43 laki- laki dan 30 perempuan. Terdapat korelasi antara body fat dengan IMT, LP, rasio LP/TB, LiLA, dan triceps skinfold thickness pada laki-laki dan perempuan ((p<0,05). Terdapat korelasi antara lingkar leher dengan body fat pada perempuan, tetapi tidak ditemukan korelasi pada laki- laki. Pada laki-laki, parameter yang paling kuat hubungannya adalah rasio LP/TB dan triceps skinfold thickness, dan pada perempuan adalah IMT dan LiLA.Kesimpulan. Terdapat korelasi positif antara parameter status gizi dengan body fat pada anak usia sekolah di panti asuhan.

Penile length of newborns and children in Surakarta, Indonesia Annang Giri Moelyo; Melita Widyastuti
Paediatrica Indonesiana Vol 53 No 2 (2013): March 2013
Publisher : Indonesian Pediatric Society

Background Penile length is a factor for assessing abnormalities inexternal genitalia. To diagnose micropenis, a condition in whichpenile length is < - 2.5 standard deviations (SD), a reference isrequired for diagnosis. Age and race/ethnic groups are factorsthat contribute to normal penile length. To date, Indon esia doesnot have such a reference for normal penile length in newbornsand children.Objective To assess normal penile length in newborns and childrenin Surakarta, Central Java, in which the majority population isofJavanese ethnicity.Methods We studied male newborns and children who werepatients in Moewardi Hospital from January 2011 to January2012. We included males aged 0-18 years whose parents providedinformed consent. We excluded children with undescendedtestis, hypospadia, ambiguous genitalia, con genital anomalies,or syndromes (such as Down syndrome). For penile len gthmeasurements, we stretched the flaccid penis, depressed thepubic fat and placed a wooden spatula vertically along the dorsalpenis. The penile length was measured from the penile baseto the tip of the glans excluding the prepuce. Measurementswere performed three times and a mean value was calculatedfor each subject.Results Of the 300 subjects, 100 were newborns and 200 werechildren aged 1 month - 18 years. Two hundred ninety-six subjects(98.7%) were Javanese. The mean penile lengths of preterm(gestational age 30-36 weeks) and term (gestational age > 36weeks) newborns were 1.88 (SD 0.14) cm and 2.3 7 (SD 0.26) cm,respectively. The mean penile lengths by age groupings were asfollows: 0-<6 months, 2.67 (SD 0.58) cm; 6- < 12 months, 2.67(SD 0.58) cm; 1- <3 years, 2.80 (SD 0.84) cm; 3-<5 years, 3 .50(SD 0.55) cm; 5- <7 years, 3 .50 (SD 0.71) cm; 7-<9 years, 3 .85(SD 0.53 ) cm; 9-<ll years, 4.50 (SD 0.71) cm; 11-< 13 years,4.63 (SD 1.13) cm; 13-< 15 years, 5.53 (SD 1.45) cm; and 15-18years, 6.16 (SD 1.19) cm.Conclusion Normal penile length in boys in Surakarta is smallerthan the normal range reference currently in use.

Sitting height, sitting height/height ratio, arm span and arm span-height difference of healthy adolescents in Surakarta, Indonesia Annang Giri Moelyo; Lucky Yogasatria; Yusak Aditya Setyawan; Evi Rokhayati
Paediatrica Indonesiana Vol 58 No 3 (2018): May 2018
Publisher : Indonesian Pediatric Society

Background Sitting height, sitting height/height ratio (SHR), arm span, and arm span-height difference (AHD) are indices to diagnose conditions of disproportion. Reference data on sitting height, SHR, arm span, and AHD for Indonesian children are limited. Objective To compile reference data on sitting height, SHR, arm span, and AHD in Indonesian adolescents, and to compare these indices for boys and girls at various ages. Methods A population-based survey was conducted from August 2016 to November 2017 in three high schools in Surakarta, Central Java, Indonesia. A convenience sampling method was employed to recruit healthy adolescents without history of chronic disease, history of physical trauma, and/or physical disabilities. All subjects underwent anthropometric measurements (height, weight, sitting height, and arm span), and their ethnic origins were noted. The lambda-mu-sigma (LMS) method was used for reference construction. Results Of 639 subjects, 42% were male. Body mass index (BMI) values were similar between males and females. Mean height, weight, sitting height, and arm span of males were greater than those of females. The mean male and female SHRs were 51.1 (SD 1.6) % and 51.0 (SD 1.6) %, respectively (P=0.36), while the mean AHDs were 4.2 (SD 4.5) cm and 3.4 (SD 4.1) cm, respectively (P=0.02). The formula to estimate height based on arm span in males was [height = (0.78 x arm span) + 32.14] in cm. The formula in females was [height = (0.66 x arm span) + 50.59] in cm. Conclusion There was no significant difference in SHR between male and female adolescents. However, males haVE significantly larger mean AHD than females. We provide references on sitting height, SHR, arm span, and AHD in male and female adolescents.

Menstrual cycle patterns of Indonesian adolescents Imasari Aryani; Ulfa Puspita Rachma; Evie Rokhayati; Annang Giri Moelyo
Paediatrica Indonesiana Vol 58 No 3 (2018): May 2018
Publisher : Indonesian Pediatric Society

Background Adolescents often experience menstrual irregularity in the first few years after menarche. Abnormal menstrual cycles may increase the risk of polycystic ovary syndrome. Objective To determine the menstrual cycle patterns of adolescent females in Indonesia and associated factors. Methods This cross-sectional study was conducted at two senior high schools in Surakarta, Central Java, from September to October 2016. Subjects were healthy female students whose parents have given written informed consent. Girls taking hormonal drugs or with chronic diseases were excluded. Subjects filled questionnaires on menstrual cycle, diet, ethnicity, and physical activity. All subjects underwent anthropometric measurements (height and weight). Kruskal-Wallis test was used for data analysis. Results Four hundred and forty-four subjects met the inclusion criteria. Mean age at menarche was 12.27 (SD 1.08) years. Mean menstrual cycle length was 31.1 (SD 6.5) days. Abnormal menstrual cycle occurred in 30.6% of subjects (24.5% oligomenorrhea, 5.9% polymenorrhea, and 0.2% amenorrhea). Ethnicity (Javanese, Chinese, or Arab) was significantly associated with menstrual cycle category (P<0.05). Girls with Chinese ethnicity having the largest proportion of oligomenorrhea. Other factors (body mass index, age, age at menarche, nutritional status, physical activity, and fat intake) were not found to be associated with menstrual cycle abnormalities. Conclusion Menstrual abnormalities, especially oligomenorrhea, are common in Indonesian adolescent girls. Oligomenorrhea is more frequent in girls of Chinese ethnicity, compared to those of Javanese or Arab ethnicity.

Age at menarche and early menarche among healthy adolescents Annang Giri Moelyo; Anindita Wulandari; Oktania Imas; Ulfa Puspita Rahma; Nurul Hidayah; Cempaka Kesumaningtyas; Fadhilah Tia Nur; Hari Wahyu Nugroho
Paediatrica Indonesiana Vol 59 No 1 (2019): January 2019
Publisher : Indonesian Pediatric Society

Background Menarche is an important indicator of female adolescents' health and also population health. Age at menarche tends to decrease in many countries. Early menarche that defined from the lowest quartile of age at menarche, associated with some physical and psychological problems. Objective To determine the mean age at menarche, the prevalence of early menarche among healthy adolescents in Surakarta and its association to nutritional status. Methods This cross-sectional study was conducted in 5 schools (3 junior and 2 senior high schools) in Surakarta, Central Java, Indonesia, from September 2016 to March 2018, by consecutive sampling technique. We included menarched healthy female students whose parent provided informed consent and without consuming any routine medication. Data were derived from self-reported questionnaire and measurements of body weight; body height; and body mass index (BMI) by calculated based on weight/height2(kg/m2). Results Of 835 eligible subjects, the mean age at menarche was 12.0 (SD 1.1) years (range 8.8-15.1 years) and the prevalence of early menarche was 11.1%. The peak of age at menarche were at 11,12, and 13 years (24.3%, 36.2%, and 23.9%, respectively) and almost 99.04% of subjects had menarche at 14 years old. The proportion of early menarche between subjects birth 1997-2001 and 2002-2007 were 8.4% and 16.1%. Early menarche associated with overweight-obese in adolescents (odd ratio 2.14; 95%CI 1.21 to 3.76). Conclusion The mean age at menarche of healthy adolescents in Surakarta is younger than other previous studies in Indonesia. Early menarche was significantly a risk for overweight/obese in adolescents.

Levothyroxine use and thyroid gland volumes in children with autoimmune thyroiditis: a systematic review and meta-analysis Annang Giri Moelyo; Indah Suci Widyahening; Bambang Tridjaja
Paediatrica Indonesiana Vol 59 No 4 (2019): July 2019
Publisher : Indonesian Pediatric Society

Background Autoimmune thyroiditis may manifest as overt hypothyroidism, subclinical hypothyroidism, euthyroidism, or hyperthyroidism in children. Although there is no consensus on treating euthyroidism and autoimmune thyroiditis in children, some studies have demonstrated the efficacy of levothyroxine in reducing thyroid volume, improving thyroid function, and stabilizing the immunological process. Objective To determine the effect of levothyroxine on thyroid gland volume changes, thyroid function, and thyroid antibodies in euthyroid children with autoimmune thyroiditis. Methods We performed a literature search of electronic databases (the Cochrane Library, MEDLINE, EBSCO, ProQuest, clinicaltrials.gov, and other sources, as well as a non-electronic search (searching journals and conference proceedings by hand) to identify studies of euthyroid children with autoimmune thyroiditis published by August 2018. Only English-language articles were included in the search (electronic and non-electronic). Randomized controlled trials that compared levothyroxine with a control (placebo or no treatment) in euthyroid children with autoimmune thyroiditis were selected. The outcome measures were thyroid volume changes, thyroid function, and thyroid antibody levels in euthyroid children with autoimmune thyroiditis. Two authors independently extracted the data, assessed the risk of bias, and analyzed the pooled data from the included studies using a random effects model. The same authors performed a sensitivity analysis. Results We identified 57 studies. Of these, three studies, involving 97 subjects (51 subjects in an intervention group and 46 subjects in the control group) were selected for inclusion in a systematic review/meta-analysis. The meta-analysis revealed a significant difference in mean thyroid volume changes between the two groups (-1.10 SDs; 95%CI -1.56 to -0.64; P<0.0001; I2=6%). The mean difference in the thyroid-stimulating hormone (TSH) change of the two groups was -1.82 mU/L (95%CI -3.52 to -0.11; I2=87%; P=0.04). The standardized mean difference in free thyroxine (fT4) change of the two groups was 0.82 pmol/L (95%CI -1.14 to 2.78; I2=89%; P=0.41). Conclusion In euthyroid children with autoimmune thyroiditis, levothyroxine treatment reduces the thyroid volume better. The TSH level change in the intervention group is better than those in the control group. Levothyroxine treatment did not significantly improve free T4.

Lung ultrasound in diagnosing neonatal respiratory distress syndrome: a meta-analysis Hanum Ferdian; Dian Ibnu Wahid; Samad Samad; Anggun Esti Wardani; Guntur Surya Alam; Annang Giri Moelyo
Paediatrica Indonesiana Vol 59 No 6 (2019): November 2019
Publisher : Indonesian Pediatric Society

Background Neonatal respiratory distress syndrome (NRDS) is commonly diagnosed by clinical sign and symptoms, blood gas analysis, and chest x-ray. In the past, lung ultrasound (LUS) was not standard for NRDS examination. Many studies show that ultrasound diagnostic tool for NRDS is accurate, reliable, low cost, easy to use, and safe because due to no ionizing radiation. Objective To determine the sensitivity and specificity of LUS in diagnosing NRDS. Methods This meta-analysis study was conducted LUS as a diagnostic tool for NRDS. Inclusion criteria were all studies from PubMed, Embase, and The Cochrane Library, without any limitation on published journals, as well as using keywords or search terms of ultrasound, neonatal, and respiratory distress syndrome. Statistical analysis was undertaken using MedCalcÂ® version 18.2 software. Results Seven studies with a total of 580 patients met the inclusion criteria. Proportional meta-analysis obtained random effects models, with total sensitivity of LUS was 97.2% (95% CI for I2 74.24 to 92.88; P<0.0001) and specificity of LUS was 94.8% (95% CI for I2 88.60 to 98.03; P<0.00001). Conclusion Lung ultrasound should be considered as a diagnostic tool for NRDS because it is high in sensitivity and specificity, inexpensive, safe, as well as limited radiation exposure.

Blood glucose level during induction phase chemotherapy in childhood acute lymphoblastic leukemia Nunki Andria; Annang Giri Moelyo; Muhammad Reza
Paediatrica Indonesiana Vol 60 No 4 (2020): July 2020
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi60.4.2020.197-2

Background Steroids and L-asparaginase (L-Asp) are agents used in induction phase chemotherapy for childhood acute lymphoblastic leukemia (ALL). Both agents are often reported to have the side effect of hyperglycemia, and native L-Asp is also reported to cause hypoglycemia. In ALL patients, hyperglycemic events during chemotherapy can cause lower 5-year overall and relapse-free survival. Objective To investigate the incidence of abnormal blood glucose level (BG) as the side effect of prednisone and L-Asp during induction phase chemotherapy, its predisposing factors, and its effect on remission status. Methods This cohort prospective study was conducted in 36 children aged 1-18 years who were newly diagnosed with childhood ALL at Dr. Moewardi Hospital, Surakarta, Central Java. Subjectsâ€™ nutritional status consist of wellnourished and undernourishment. Subjects underwent BG monitoring. At the end of induction phase chemotherapy, subjects underwent bone marrow puncture (BMP) evaluation to assess their response to chemotherapy and the effect of abnormal BG on remission status. Results Hypoglycemia, a combination of hypoglycemia and hyperglycemia, hyperglycemia, as well as euglycemia, were experienced by 9, 7, 6, and 14 subjects, respectively. Nutritional status was found to be a significant risk factor for abnormal BG. There was no significant difference in remission status at the end of induction phase chemotherapy between the euglycemic group and abnormal BG groups (P=0.533). Conclusion Abnormal BG during induction phase chemotherapy did not affect remission status at the end of induction phase. Undernourishment is also found to be a predisposing factor in abnormal BG.

Co-Authors . Widardo Andhika Trisna Putra Andre Christiawan Susanto Anggun Esti Wardani Anindita Wulandari Ardi Findyartini, Ardi Ari Natalia Probandari Aryono Hendarto Astuti, Anita Sefti Azzainabi, Nur Fatimah Nikmatullah Bambang Soebagyo Bambang Tridjaja AAP, Bambang Tridjaja Bella Monika Rajagukguk Cahyanto, Erindra Budi Cempaka Kesumaningtyas Dewinda Candrarukmi Dewinda Candrarukmi Dian Ibnu Wahid Elisabeth Nova Kurniasari Ema Nur Fitriana Eriana Melinawati Evi Rokhayati Evie Rokhayati Fadhilah Tia Nur Febry Dwi Indrawati Ferdian, Hanum Ganung Harsono Guntur Surya Alam Hanum Ferdian Hanum Ferdian Hanum Ferdian Hari Wahyu Nugroho Hari Wahyu Nugroho Harsono Salimo Husnia Auliyatul Umma, Husnia Auliyatul Ilma Anisa Imasari Aryani Indah S. Widyahening Iskandar, Nurdin Aji Ismiranti Andarini Isna Noor Rakhmawati Isna Noor Rakhmawati Istar Yuliadi Istar Yuliadi Jonathan Billy Christian Tjiayadi Kartiko Kurnianto Kesit, Johan Wijaya Kumala, Soebhita Hema Laqif, Abdurahman Lucky Yogasatria Marcellia, Stefany Mardiyah, Putri Ma’rifatul Maulina, Rufidah Melita Widyastuti Muchtar Hanafi Muhammad Reza Muhammad Riza Muhammad Riza Nabiel, Nabiel Nabila Adib Sungkar Nanang Wiyono Nisa, Azzahra Fadhlila Aulia Novarianto, Justinus Kurniabudhi Nunki Andria Nurinasari, Hafi Nurul Hidayah Oktania Imas Pamungkas, Rafli Yuda Paramasari Dirgahayu Pratiwi, Tan Mike Prisola, Steiner Lukas Purnata, Lyviana Patrishia Putra, David Anggara Putra, Farras Handyra Rahayu, Cynthia Octaviani Rina Triasih Rizki Sulistyanto Rustam Siregar Samad Samad Sandra Lestari Sari Dwi Jayanti Sekarhandini, Pitra Senyum Indrakila Septin Widiretnani, Septin Soetrisno Soetrisno Suci Murti Karini Suci Murti Karini Sukamto, Ika Sumiyarsi Tiffany Satiadarma Tolibin, Restu Triwulandani Uki Retno Budihastuti Ulfa Puspita Rachma Ulfa Puspita Rachma Ulfa Puspita Rahma Wijayanti, Agung Sari Yusak Aditya Setyawan Zenia Purnama Murti

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