Badriul Hegar Syarif
Department of Child Health, University of Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta

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Absorption of carbohydrate derived from rice in children aged 1-3 years Agus Firmansyah; Daniel Effendi; Sri Rezeki Hadinegoro; Aswitha Boediarso; Badriul Hegar Syarif; Pramitra Gayatri
Paediatrica Indonesiana Vol 41 No 5-6 (2001): May 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi41.3.2001.132-40

Abstract

Many studies showsthat rice starch is well-absorbed in gastrointestinaltract, even better as a composition with electrolyte to overcome diarrhea. Although in small number, there is still a various prevalence of carbohydrate malabsorption, both with rice starch and with other starch. Khin-Maung-U found significant (66.5%) prevalence of rice starch in Burmese children malabsorption, whereas rice starch is readily obtained in countries with rice as the population staple food,so thatability to absorb rice starch in Indonesian children need to be studied. Breath hydrogen test (BHT) was performed in 86 Indonesian children aged 1-3 years on Pejaten Barat Subdistrict, Pasar Minggu, South Jakarta. Among the 86 children given meal test with rice starch cakes 80 g for eachchildren, 82 children (95.3%) can absorb rice starch well, but 4 children (4.7%) suffered from rice starch alabsorption. Currentlyit is unknown certainly the type of the malabsorption. Previous researchers found that rice malabsorption is due to enzyme deficiency and intestinal motility disturbance. In this study there were 16 children (18.6%) coming from social-economically underprivileged family, most of the mothers with junior high school and lower educational level, and the majority of parent occupation were on private and labor sectors. There was no significant relation (p >0.05) between diarrhea effects on rice starch malabsorption in 6 children (7%), history of low birth weight baby (15.1%), undernourished or malnutrition status in 35 children (40.7%), and worm and/or fungal infection in 17 children (19.8%).found that rice malabsorption is due to enzyme deficiency and intestinal motility disturbance. In this study there were 16children (18.6%) coming from social-economically underprivileged family, most of the mothers with junior high school andlower educational level, and the majority of parent occupation were on private and labor sectors. There was no significantrelation (p >0.05) between diarrhea effects on rice starch malabsorption in 6 children (7%), history of low birth weight baby(15.1%), undernourished or malnutrition status in 35 children (40.7%), and worm and/or fungal infection in 17 children(19.8%). [
Factors affecting exclusive breastfeeding in term infants Novitria Dwinanda; Badriul Hegar Syarif; Damayanti Rusli Sjarif
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 (81.408 KB) | DOI: 10.14238/pi58.1.2018.25-35

Abstract

Background Exclusive breastfeeding by healthy mothers to their healthy, term babies who underwent vaginal birth, should be readily accomplished. However, exclusive breastfeeding by Indonesian mothers has declined.Objective To assess the monthly success rate prevalences for exclusive breastfeeding for the first 6 months of life, as well as factors that affect exclusive breastfeeding.Methods A prospective cohort study was conducted in 243 healthy mothers with healthy term babies who underwent normal births at Cipto Mangunkusumo Hospital (CMH), Jakarta, Indonesia. Guided interviews were conducted monthly for six months. Bivariate and multivariate analyses were performed on the factors potentially affecting breastfeeding with equal subject numbers.Results Exclusive breastfeeding prevalences were 64.8% (first month), 53.7% (second month), 43% (third month), 30.7% (fourth month), 23.5% (fifth month), and 22.3% (sixth month). Multivariate analysis revealed that the mother’s confidence in breast milk production, as well as husband or family support, affected the success of exclusive breastfeeding for each month. Maternal not working/studying outside the home affected the success of exclusive breastfeeding in the third (RR 3.38; 95%CI 1.21 to 9.43) and fourth months (RR 6.56; 95%CI 1.39 to 30.99).Conclusion Exclusive breastfeeding prevalences in Cipto Mangunkusumo Hospital decrease in a monthly fashion up to the sixth month. Several factors affecte the success rate for each month in the six month period, including maternal confidence in breast milk production and family support.