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Melda Deliana
Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
Health Professions Medicine & Pharmacology

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Journal : Paediatrica Indonesiana

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Body mass index and age of menarche in young girls Dina Olivia; Melda Deliana; Supriatmo Supriatmo; Hakimi Hakimi; Siska Mayasari Lubis
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 (102.239 KB) | DOI: 10.14238/pi52.6.2012.309-12

Abstract

Background Currently the age at onset of menarche is earlierthan in the past. Nutritional status has an important role inthe onset of menarche. Past studies have shO\vn an associationbetween body mass index (BMI) in young girls and earlier onsetof menarche.Objective To assess an association between BMI and age at onsetof menarche.Methods This cross􀁈sectional study was conducted in younggirls aged 10 to 15 years from Immanuel Elementary and JuniorHigh School, Medan in June 2010. We used purposive samplingto recruit subjects. After subjects underwent height and weightmeasurements, we calculated their BMIs. The association betweenBMI and initial age of menarche was assessed by Chi square test(P<O.05 v.ith a 95% confidence interval).Results Eighty􀁈five subjects participated in this study. There were44 subjects in the 5th􀀊85th percentile ofBMI (nonnoweight), 19subjects with 85th􀀊95th percentile of BMI (overweight) and 12subjects in the> 95th percentile ofBMI (obese). All obese subjectshad an earlier onset of menarche at ages 1O􀁈 11 years, comparedto that of non􀁈obese subjects (P=O.OOOl).Conclusion Young girls v.ith BMI > 95th percentile had anearlier age at onset of menarche than young girls v.ith lower BMls.[Paediatr lndanes. 2012,52:309-12].
Effectiveness of vitamin E as a treatment of primary dysmenorrhea in pubertal adolescents Wagito Wagito; Siska Mayasari Lubis; Melda Deliana; Hakimi Hakimi
Paediatrica Indonesiana Vol 51 No 1 (2011): January 2011
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi51.1.2011.41-6

Abstract

Background Primary dysmenorrhea is a common complaint among adolescents. Absenteeism from work and school are associated with the severity of symptoms. Vitamin E is an alternative treatment for primary dysmenorrhea.Objective To evaluate the effectiveness of vitamin E as a treatment of primary dysmenorrhea.Methods We conducted a randomized, double-blind, controlled trial from August to October 2009. We included female adolescents 'With primary dysmenorrhea in this study. Subjects were divided into 2 groups by simple randomization. Each group received either 200 units of vitamin E or a placebo twice daily, beginning two days before menstruation and continuing until the third day of menstruation. Treatment was repeated for three menstrual cycles. Subjects recorded the severity and duration of pain in a daily diary. Data was analyzed using Chi􀁍square, Mann􀁍W hitney U􀁍test, and independent T-test.Results One hundred􀁍sixteen primary dysmenorrhea subjects enrolled in our study. By simple randomization, they were divided into two groups of 58 subjects each. There were no statistically significant differences between the two groups in the severity and duration of pain before the start of treatment and after 1 month of treatment. After treatment for 2 months and 3 months, there were statistically significant differences in pain severity (P=0.013, 95%CI -0.54 to -0.11; and P=0.0001, 95%CI -0.67 to -0.26, respectively) and pain duration (P=0.025, 95%CI -0.65 to -0.07 and P=0.007, 95%CI -0.75 to -0.12, respectively) between the 2 groups.Conclusion Vitamin E was effective in treatment of primary dysmenorrhea in pubertal adolescents after 2 and 3 months of treatment.
Relationship between age at menarche and exposure to sexual content in audio-visual media and other factors in Islamic junior high school girls Tity Wulandari; Melda Deliana; Sri Sofyani; Siska Mayasari Lubis
Paediatrica Indonesiana Vol 57 No 6 (2017): November 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.722 KB) | DOI: 10.14238/pi57.6.2017.323-8

Abstract

Background In recent decades, girls have experienced menarche at earlier ages, which may have negative effects on health. Exposure to audio-visual media and other factors may influence the age at menarche, although past studies have produced inconsistent results. Objective To assess for relationships between the age at menarche and audio-visual media exposure, socio-economic status, nutritional status, physical activity, and psychosocial dysfunction in adolescent girls. Methods This cross-sectional study was conducted from August to October 2015 in students from two integrated Islamic junior high schools in Medan, North Sumatera. There were 216 students who met the inclusion criteria: aged 10-16 years and experienced menarche. They were asked to fill out questionnaires that had been previously validated, regarding their history of exposure to audio-visual media, physical activity, and psychosocial dysfunction. The data were analyzed by Chi-square and Fisher’s exact tests in order to assess for relationships between audio-visual media exposure and other potential factors with the age at menarche. Results Of 261 female students at the two schools, 216 had undergone menarche, with a mean age at menarche of 11.6 (SD 1.13) years. There was no significant relationship between age at menarche and audio-visual media exposure (P=0.68). Also, there were no significant relationships between factors such as socio-economic and psychosocial status with age at menarche (P=0.64 and P=0.28, respectively). However, there were significant relationships between earlier age at menarche and overweight/obese nutritional status (P=0.02) as well as low physical activity (P=0.01). Multivariate logistic regression analysis showed that low physical activity had the strongest influence on early menarche (RP=2.40; 95%CI 0.92 to 6.24). Conclusion Age at menarche is not significantly associated with sexual content of audio-visual media exposure. However, there were significant relationships between earlier age at menarche and obese/overweight nutritional status as well as low physical activity.
Triiodothyronine levels and mortality in children with sepsis and septic shock Cynthea Prima Destariani; Munar Lubis; Melda Deliana; Gema Nazri Yanni
Paediatrica Indonesiana Vol 58 No 1 (2018): January 2018
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (191.89 KB) | DOI: 10.14238/pi58.1.2018.20-4

Abstract

Background Sepsis is the most common cause of death in infants and children. It can cause hormonal imbalances, such as euthyroid sick syndrome (ESS), which may increase the risk of death. Objective To evaluate a possible correlation between the level of triiodothyronine (T3) and mortality in children with sepsis and septic shock. Methods An observational cohort study was conducted on 80 children with sepsis and septic shock from October 2015 until January 2016 in Haji Adam Malik General Hospital, Medan. Subjects underwent PELOD score and T3 examination on the first day admitted in Haji Adam Malik General Hospital. Chi-square test was used to analyze for a correlation between the T3 values and mortality. Results Of the 80 consecutive subjects, 39 (48.75%) had low T3 level on the first day. Of these 39 children, 36 (92.3%) died. Subjects with low T3 level had a 6.31 times higher risk of mortality(PR 6.31; 95%CI 2.99 to 13.28; P<0.001). Of the 31 subjects with high PELOD score, 23 (74.2%) had decreased T3 (PR=2.27; 95%CI 1.45 to 3.57; P<0.001). Conclusion Low T3 level has significant relationship with mortality in children with sepsis and septic shock.
Co-Authors Cynthea Prima Destariani Dina Olivia Gema Nazri Yanni Hakimi Hakimi Munar Lubis Siska Mayasari Lubis Sri Sofyani Supriatmo Supriatmo Tity Wulandari Wagito Wagito