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All Journal Nexus Kedokteran Komunitas Nexus Kedokteran Klinik Sari Pediatri Paediatrica Indonesiana Molecular and Cellular Biomedical Sciences (MCBS) Jurnal Gizi Klinik Indonesia Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Indonesian Journal of Medicine Journal of Maternal and Child Health Jurnal Kesehatan Masyarakat
Annang Giri Moelyo
Universitas Sebelas Maret Surakarta
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Hubungan Durasi Tidur dengan Memori Jangka Pendek pada Siswa Sekolah Dasar Putra, Farras Handyra; Umma, Husnia Auliyatul; Moelyo, Annang Giri
Sari Pediatri Vol 26, No 3 (2024)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp26.3.2024.152-7

Abstract

Latar belakang. Fungsi tidur secara tepat hingga kini masih belum jelas, tetapi dipercaya bahwa kekurangan durasi tidur dapat menurunkan kinerja kognitif memori jangka pendek. Namun, hasil beberapa penelitian yang sudah dilaksanakan tidak sejalan dengan teori tersebut. Penelitian ini bertujuan untuk mengetahui apakah terdapat hubungan antara durasi tidur dan memori jangka pendek, dengan harapan mendapatkan hasil yang baru dan signifikan yang sejalan dengan teori yang sudah ada.Tujuan. Mengetahui hubungan antara durasi tidur dengan memori jangka pendek pada siswa SD Al-Islam 2 Jamsaren Surakarta.Metode. Penelitian ini menggunakan studi analitik cross-sectional dengan sampel siswa tingkat sekolah dasar kelas 4-6 SD Al-Islam 2 Jamsaren Surakarta. Instrumen yang digunakan adalah kuesioner SDSC untuk mengetahui durasi tidur dan tes FDST untuk menentukan kualitas memori jangka pendek anak. Teknik analisis yang digunakan adalah uji analisis chi-square dan uji multivariat regresi logistik. Jika pada analisis bivariat terdapat lebih dari 1 variabel bebas/perancu yang signifikan (p<0.25), maka dilanjutkan dengan analisis multivariat. Tes yang digunakan dalam penelitian ini adalah regresi logistik dengan signifikansi statistik p<0,05. Hasil. Hasil uji bivariat yang signifikan (p<0,05) didapatkan pada uji chi-square durasi tidur dengan memori jangka pendek.Kesimpulan. Terdapat hubungan antara durasi tidur dengan memori jangka pendek pada siswa tingkat sekolah dasar. 
Tri-ponderal mass index vs. body mass index to determine obesity and central obesity in adolescents Moelyo, Annang Giri; Ferdian, Hanum
Paediatrica Indonesiana Vol. 64 No. 6 (2024): November 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.6.2024.501-8

Abstract

Background Tri-ponderal mass index (TMI) is as accurate as body mass index (BMI) in predicting body fat in children and adolescents. Despite TMI simplicity, there have been few studies comparing the sensitivity and specificity of TMI and BMI in determining obesity and central obesity in adolescents. Objective To compare the sensitivity and specificity of TMI and BMI in determining general obesity and central obesity in adolescents. Methods This cross-sectional study was conducted in Surakarta. Healthy school children aged 12 to 17 years underwent TMI, BMI, and waist circumference measurements in 2016, 2017, 2019. Tri-ponderal mass index was calculated as the weight divided by the height in metres cubed (kg/m3). General obesity was defined by the International Obesity Task Force (IOTF) classification of overweight-obese. The BMI-WHO overweight/obesity was defined as over the 85th percentile of the BMI SDS (WHO growth reference). Central obesity was defined as waist-to-height ratio (WtHR) ? 0.5. The sensitivity and specificity of TMI and BMI were calculated. Results A total of 1,173 children and adolescents (837 girls, 336 boys) aged 12-17 years were recruited into this study. The overall prevalences of obesity by BMI-WHO, TMI, BMI-IOTF, and WtHR were 22.68%, 14.92%, 20.55%, and 32.74%, respectively. The sensitivity of BMI-WHO vs. TMI for general obesity was 100.00% vs. 77.71%, respectively (girls) and 100.00% vs. 59.52%, respectively (boys). The specificity was 98.24% vs. 99.56%, respectively (girls) and 98.84% vs. 100%, respectively (boys). The sensitivity of BMI-WHO vs. TMI for central obesity was 58.77% vs 48.82%, respectively (girls), and 47.40% vs 27.75%, respectively (boys). The specificity was 92.81% vs. 96.49%, respectively (girls), and 90.80% vs 98.77%, respectively (boys). Conclusion Tri-ponderal mass index consistently showed higher specificity and lower sensitivity than BMI in assessing general and central obesity.
Identifying competency gaps in intra- and post-learning of a pediatric residency program: a qualitative study Putra, David Anggara; Sekarhandini, Pitra; Moelyo, Annang Giri
Paediatrica Indonesiana Vol. 64 No. 6 (2024): November 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.6.2024.527-35

Abstract

Background The purpose of the pediatric residency program is for aspiring pediatricians to develop the core competencies needed to care for the children’s health. Upon graduation, pediatricians encounter competency challenges related to diverse populations, cultures, and medical facilities across the nation. Enhancing the efficacy and efficiency of medical education in pediatric residency programs requires identifying and addressing gaps in the post-learning outcomes and intra-learning processes. Objective To investigate competency gaps between the core competencies taught in the pediatric residency training program and the actual necessitates in the professional experience of pediatricians. Methods This qualitative study was conducted by a focus group discussion using semi-constructed questions. Twelve pediatricians who graduated from the Pediatric Residency Program of Universitas Sebelas Maret and had professional work experience of 3 to 18 months were included. Focus group discussions were held online and moderated by the research team using guided questions. Two FGD sessions of 5 and 7 subjects each were conducted. The discussions were recorded and transcribed for analysis in a stepwise manner involving data grouping, information labeling, and data coding to identify the main themes. Results All subjects were working in type B, C, and D hospitals in six different provinces at the time of the study. The competency gaps in intra-residency learning domain covered two topics: curriculum content (core competencies, medicolegal education, effective communication, vaccination, and longitudinal case management) and training (case variations, patient complexity, and affiliated hospital rotations). The smallest competency gaps was core competency; and there was a need for improvement in other topics, particularly in effective communication and vaccination. The competency gaps in the post-learning domain included 4 topics: daily practices (demographic differences, popular topics, and effective communication), health facilities (the gap between individual competency and availability of health facilities), professional relationships with senior/other center colleagues, and strategic plans (continuing medical education). The cultural social background of the population and limited health resources were the main issues in the post-learning are-sxa that need be acknowledged. Effective communication was the theme that emerged and should be to be taught in both ares of learning and post-learning. Conclusion Pediatric residency graduates should address some gaps in learning after completing the pediatric residency program. Effective communication was identified as a learning gap during and after training. Based on our findings, we recommend for the program to provide additional steps to prepare pediatric residents before their graduation.
Central Obesity in Children and Adolescent: Current Themes and Future Potential Researches Moelyo, Annang Giri; Ferdian, Hanum; Wiyono, Nanang
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.2898

Abstract

The increasing prevalence of central obesity among children and adolescents is a significant concern for public health, as it can lead to various health risks and complications. This study aimed to provide comprehensive updates using the keywords “central obesity,” and “children” or “adolescent”. The Scopus electronic database was searched for relevant articles to compile the basic publishing and citation data found in the article’s title, abstract, and keyword. The author, country, journal, and keyword networks were visualized using the bibliometric software program VOSviewer and biblioshiny. Of 1,190 articles, this study suggests the growth advancement with a 7.84% annual growth rate. The Plos One is the most international publication. The United States is the country leading in this topic. We find four theme clusters: obesity, central obesity, metabolic syndrome, and adolescents. The analysis shows that the diagnosis through anthropometric measurements, body fat assessment, metabolic syndrome, and complications were the major well-known research. The growing interest and future interest topics were waist-to-hip ratio, waist-to-height ratio, lifestyle, adiposity, and dyslipidemia. This bibliographic study showed the expanding publications of central obesity in children and adolescents and suggested several critical themes for future research.
Mosaic Form of Turner Syndrome Laqif, Abdurahman; Wijayanti, Agung Sari; Moelyo, Annang Giri; Budihastuti, Uki Retno; Melinawati, Eriana
Indonesian Journal of Obstetrics and Gynecology Volume 12 No. 1 January 2024
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v12i1.1826

Abstract

Objective: To report a case of breast growth disorder in a mosaic form of Turner Syndrome. Turner syndrome is a chromosomal condition characterized by small height and primary ovarian insufficiency that affects one in every 2500 female births. Mosaicism is likely to occur when monosomy X develops in only a few cells during development. The clinical presentation of Turner syndrome mosaicism is atypical, with symptom severity varying based on the number of affected cells. This case discusses issues with secondary sex development, including mild hyperandrogenism, and explores how combination hormonal treatment can aid in enhancing secondary sex development. Method: Case Report. Case: A 21-year-old woman presented with chief complaint of the lack of breast enlargement. She exhibited normal genitalia internally and externally and had a regular menstrual cycle. Karyotyping revealed a mosaic pattern of 45, X/46, XX (1 percent/99%) with normal estradiol levels and elevated testosterone levels (indicating mild hyperandrogenism). The patient underwent two cycles of hormone therapy using Ethinyl Estradiol and Drospirenone, resulting in breast growth progression from Tanner stage 1 to Tanner stage 2. Conclusion: Mosaicism in Turner syndrome is plausible, and the severity of clinical symptoms correlates with the number of defective chromosomes. The presentation of Turner syndrome mosaicism varies, and therapy should be tailored to address specific symptoms. While breast development is observed in some girls with Turner Syndrome, instances of breast growth disorder may occur, involving estrogen activity and estrogen receptor sensitivity. Although the exact cause of impaired breast growth remains unknown, administering estrogen in such cases can improve secondary sexual characteristics. Keywords: mild hyperandrogenism, mosaicism, turner syndrome
Tri-ponderal mass index and body mass index for estimating body fat in children in Surakarta, Indonesia Moelyo, Annang Giri; Nisa, Azzahra Fadhlila Aulia; Astuti, Anita Sefti; Mardiyah, Putri Ma’rifatul; Azzainabi, Nur Fatimah Nikmatullah; Kumala, Soebhita Hema; Rahayu, Cynthia Octaviani; Purnata, Lyviana Patrishia; Marcellia, Stefany; Prisola, Steiner Lukas
Jurnal Gizi Klinik Indonesia Vol 18, No 4 (2022): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.91159

Abstract

Background: The body mass index parameter is currently used to determine obesity (excess body fat) in children. Using this measure has limitations in predicting body fat, particularly in adolescents. An alternative parameter to predict body fat is the tri-ponderal mass index (TMI).Objective: The study aims to investigate the different patterns between body mass index and triponderal mass index in children and to determine the correlation of body mass index (BMI) or TMI as a predictor of body fat.Methods: This cross-sectional study of 351 subjects aged 6-18 in Surakarta (241 females; 110 males). All subjects underwent anthropometric measurements (height and weight) and body fat percentage measurements. We used equations for predicting the percent body fat in boys and girls based on their TMI and BMI.Results: TMI and BMI overall means were 13.3±2.9 vs 20.2±4.7. Among subjects less and more than 12 years, the TMI and BMI means were 13.3±2.1 vs 17.9±3.6. and 13.3±3.1 vs 20.7±4.8. The adjusted R2 of equations for predicting percent body fat based TMI and BMI were 0.76 vs 0.33 in boys and 0.89 vs 0.87 in girls).Conclusions: TMI showed greater stability with age than BMI. TMI was a better predictor for body fat percentage than BMI for both sexes, especially in boys. It is worth considering replacing body mass index with triponderal mass index to estimate body fat percentage in boys.
Analisis Pengaruh Keaktifan Posyandu dan Keanekaragaman Makanan terhadap Status Gizi Balita di Kecamatan Jenawi Pratiwi, Tan Mike; Maulina, Rufidah; Sukamto, Ika Sumiyarsi; Moelyo, Annang Giri
Sari Pediatri Vol 26, No 6 (2025)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp26.6.2025.383-8

Abstract

Latar belakang. Studi Status Gizi Indonesia tahun 2022 menunjukkan angka stunting di Indonesia mencapai 21,6%. Penimbangan rutin Posyandu dapat mencegah terjadinya gizi buruk. Kebutuhan asupan nutrisi dipenuhi dengan makanan yang beragam.Tujuan. Penelitian ini bertujuan untuk mengetahui hubungan keaktifan Posyandu dan keanekaragaman makanan dengan status gizi balita.Metode. Penelitian ini menggunakan pendekatan cross-sectional. Keanekaragaman makanan diukur dengan Dietary Diversity Score (DDS), kunjungan ke Posyandu didapatkan dari kartu menuju sehat (KMS), sedangkan status gizi didapatkan dari hasil penimbangan. Populasi penelitian meliputi 66 ibu dan balita usia 12-59 bulan di Kecamatan Jenawi. Data dianalisis melalui uji korelasi Rank Spearman dan uji resgresi logistik ordinal dengan nilai alpha 0,05.Hasil. Hasil penelitian menunjukkan mayoritas balita memiliki status gizi normal. Uji bivariat Rank Spearman menunjukkan terdapat hubungan keaktifan Posyandu dengan status gizi balita (p-value 0,003) dan terdapat hubungan keanekaragaman makanan dengan status gizi balita (p-value 0,002). Uji multivariat menunjukkan keaktifan Posyandu dan keanekaragaman makanan mempengaruhi status gizi balita sebesar 27,8%. Uji rasio odds didapatkan peluang tertinggi status gizi buruk yaitu sebesar 41,6 kali pada balita yang memiliki tingkat keanekaragaman makanan dengan kategori kurang.Kesimpulan. Terdapat hubungan antara keaktifan Posyandu dan keanekaragaman makanan dengan status gizi balita. Tenaga kesehatan disarankan untuk mengevaluasi kegiatan Posyandu serta memberikan penyuluhan pentingnya keanekaragaman makanan bagi balita sesuai dengan ketersediaan bahan pangan lokal.
Analisis Hubungan Eosinopenia Terhadap Derajat Keparahan Infeksi COVID-19: Studi Cross-Sectional di Rumah Sakit Umum Daerah Moewardi Surakarta Kesit, Johan Wijaya; Harsono, Ganung; Moelyo, Annang Giri
Sari Pediatri Vol 26, No 2 (2024)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp26.2.2024.102-8

Abstract

Latar belakang. Luaran klinis infeksi COVID-19 pada anak baik tetapi angka kematian COVID-19 masih tinggi. Identifikasi derajat keparahan sedini mungkin dapat memberikan luaran klinis yang baik. Beberapa penanda inflamasi pada kasus COVID-19 salah satunya didapatkan eosinopenia. Tetapi hingga saat ini belum ada penelitian tentang hubungan antara eosinopenia terhadap derajat keparahan infeksi COVID-19 pada anak.Tujuan. Menganalisis hubungan eosinopenia terhadap derajat keparahan infeksi COVID-19 pada anak. Metode. Studi cross sectional observasional analitik, data sekunder retrospektif, diambil dari rekam medis pasien usia 0-<18 tahun terkonfirmasi COVID-19 derajat ringan, sedang, berat dan kritis, yang dirawat diruang isolasi RSUD Dr. Moewardi Jawa Tengah sejak 1 Januari 2022 – 31 Desember 2022 didapatkan 268 subyek penelitian. Analisis statistik SPSS 22 dengan Uji Chi square dan nilai p<0,05 signifikan.Hasil. Dari 268 subyek, kelompok eosinopenia 168 (62,6%) anak dan non eosinopenia 100 (37,4%) anak. Kasus severe (derajat berat dan kritis) 160 (95,2%) anak dan kasus non severe (derajat ringan dan sedang) 8 (4,7%) anak pada kelompok eosinopenia. Ada korelasi bermakna antara eosinopenia terhadap derajat keparahan infeksi COVID-19 kasus severe (p<0,001) dengan nilai duga positif (NDP) 95,2% dan nilai duga negatif (NDN) 87%.Kesimpulan. Eosinopenia dapat memprediksi derajat keparahan infeksi COVID-19 pada anak.
Perbandingan Lingkar Leher dan Indeks Massa Tubuh terhadap Body Fat pada Siswa Sekolah Dasar Pamungkas, Rafli Yuda; Sekarhandini, Pitra; Moelyo, Annang Giri
Sari Pediatri Vol 25, No 6 (2024)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp25.6.2024.393-7

Abstract

Latar belakang. Pengukuran antropometri yang umum digunakan untuk menilai obesitas adalah Indeks Massa Tubuh Namun, pengukuran menggunakan Indeks Massa Tubuh masih memiliki beberapa kekurangan, yakni tidak mampu menunjukkan perbedaan antara massa otot dan lemak. Pengukuran juga tidak bisa memberikan informasi mengenai distribusi lemak tubuh. Metode pengukuran alternatif yakni lingkar leher. Hasil pengukuran lingkar leher dapat menjadi indikator terhadap penumpukan lemak subkutaneus tubuh bagian atas sehingga berguna dalam mengidentifikasi anak dengan obesitas. Tujuan. Mengetahui perbandingan lingkar leher dan indeks massa tubuh terhadap body fat pada siswa sekolah dasar.Metode. Penelitian ini menggunakan studi analitik cross-sectional dengan sampel siswa tingkat sekolah dasar kelas 4-6 Sekolah Dasar Al-Islam 2 Jamsaren Surakarta. Data didapatkan dari hasil pengukuran lingkar leher, berat badan, tinggi badan, dan persentase body fat. Teknik analisis dengan uji analisis Spearman dan uji multivariat regresi linier berganda.Hasil. Hasil uji bivariat yang signifikan (p<0,005) didapatkan pada uji Spearman baik lingkar leher dengan body fat, maupun Indeks Massa Tubuh dengan body fat.Kesimpulan. Terdapat hubungan antara lingkar leher dan body fat, maupun Indeks Massa Tubuh dengan body fat. Secara simultan Indeks Massa Tubuh berpengaruh lebih besar terhadap peningkatan body fat dibandingkan lingkar leher.
Target height prediction in Indonesian children: a population-based and clinically relevant model Moelyo, Annang Giri; Ferdian, Hanum
Paediatrica Indonesiana Vol. 65 No. 5 (2025): September 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.5.2025.416-21

Abstract

Background The traditional calculation of target height (TH) overlooks two important factors: the assortative mating correlation, which reflects the tendency for people of similar height to partner, and the parental–offspring correlation, which measures the strength of the relationship between parents’ and children’s heights. A more accurate model is needed for the Indonesian population.   Objective To develop a target height (TH) prediction model for Indonesian children and to compare its performance with traditional formulas. Methods This retrospective study used nationally representative data from the Indonesia Family Life Survey (IFLS). Adult height data from the IFLS-5 (2014) for 2,506 subjects and the corresponding parental height data from the IFLS-3 (2000) were analyzed. We used a new model, namely estimated target height (eTH), which combined the Hermanussen–Cole and van Dommelen methods, to estimate each participant’s TH. This new model was compared to traditional models which used Tanner (TTH) and modified Tanner (mTH) formulas.   Results The new eTH model yielded the following formulas: TH (boys) = 0.36 × father’s height + 0.43 × mother’s height + 42.77; and TH (girls) = 0.30 × father’s height + 0.36 × mother’s height + 50.47. Correlations with the observed adult height were highest for the new model (r = 0.528 for boys; r = 0.534 for girls), compared to traditional models. Conclusion This study provides a locally validated model for TH estimation in Indonesian children that demonstrates improved clinical applicability over traditional formulas.
Co-Authors . Widardo Aryani, Imasari Astuti, Anita Sefti Azzainabi, Nur Fatimah Nikmatullah Ema Nur Fitriana Eriana Melinawati Ferdian, Hanum Ganung Harsono Hari Wahyu Nugroho Harsono Salimo Husnia Auliyatul Umma, Husnia Auliyatul Ilma Anisa Iskandar, Nurdin Aji Isna Noor Rakhmawati Istar Yuliadi Istar Yuliadi Kesit, Johan Wijaya Kumala, Soebhita Hema Laqif, Abdurahman Marcellia, Stefany Mardiyah, Putri Ma’rifatul Maulina, Rufidah Muhammad Riza Nabiel, Nabiel Nabila Adib Sungkar Nanang Wiyono Nisa, Azzahra Fadhlila Aulia Pamungkas, Rafli Yuda Paramasari Dirgahayu Pratiwi, Tan Mike Prisola, Steiner Lukas Purnata, Lyviana Patrishia Putra, David Anggara Putra, Farras Handyra Rachma, Ulfa Puspita Rahayu, Cynthia Octaviani Sekarhandini, Pitra Septin Widiretnani, Septin Suci Murti Karini Sukamto, Ika Sumiyarsi Tolibin, Restu Triwulandani Uki Retno Budihastuti Wijayanti, Agung Sari Zenia Purnama Murti