Elysa Nur Safrida
Departemen Ilmu Kesehatan Anak Fakultas Kedokteran, Keperawatan, Dan Kesehatan Masyarakat Universitas Gadjah Mada/RSUP. Dr. Sardjito, Yogyakarta

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Glycated hemoglobin HbA1c, waist circumference, and waist-to-height ratio in overweight and obese adolescents Elysa Nur Safrida; Neti Nurani; Madarina Julia
Paediatrica Indonesiana Vol 57 No 2 (2017): March 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (263.206 KB) | DOI: 10.14238/pi57.2.2017.57-62

Abstract

Background Central obesity has been associated with a high risk of insulin resistance. Waist circumference and waist-to-height ratio are anthropometric indices for determining central obesity and have been associated with increased blood pressure, cholesterol, and insulin levels. In adults, fat distribution around the waist is a valid predictor of glycated hemoglobin (HbA1c)levels, and is currently recommended by experts as a diagnostic tool for diabetes. Central obesity measurement has advantages over fasting blood glucose and oral glucose tolerance tests, as it is simple and inexpensive to perform.Objective To assess for correlations between HbA1c level and waist circumference as well as waist-to-height ratio and to assess factors potentially associated with HbA1c levels in overweight and obese adolescents.Methods This cross-sectional study was done in four junior high schools in Yogyakarta, which were obtained by cluster sampling. Overweight and obese students who were generally healthy were included in the study. Subjects underwent waist circumference and waist-to-height ratio measurements, as well as blood tests for HbA1clevels.Results Sixty-seven children participated in the study, with 48 girls (71.6%) and 19 boys (28.4%). Waist circumference and HbA1c levels were not significantly associated (r=0.178; P=0.15). However, waist-to-height ratio and HbA1c levels had a weak positive correlation (r=0.21; P=0.04). Linear regression analysis revealed that waist-to-height ratio had a significant association with HbA1c level (P=0.02), but age, sex, and nutritional status did not.Conclusion Waist-to-height ratio is correlated with HbA1c levels in overweight and obese adolescents.
Lama Pemberian Air Susu Ibu pada Bayi Kurang Bulan dan Faktor yang Memengaruhi Tunjung Wibowo; Alifah Anggraini; Elysa Nur Safrida; Setya Wandita; Ekawaty Lutfia Haksari
Sari Pediatri Vol 24, No 5 (2023)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp24.5.2023.294-8

Abstract

Latar belakang. Air susu ibu (ASI) merupakan nutrisi yang penting untuk bayi kurang bulan. Pemberian ASI pada bayi kurang bulan mempunyai banyak kendala yang akan memengaruhi keberhasilan pemberian ASI. Tujuan. Mengetahui durasi pemberian ASI pada bayi yang lahir kurang bulan dan faktor-faktor yang memengaruhiMetode. Rancang bangun penelitian adalah potong lintang. Data diambil dari registri bayi kurang bulan yang dirawat di bangsal Perinatologi RSUP Dr. Sardjito, yang lahir antara 1 Januari 2018 – Desember 2018. Bayi yang tidak mendapatkan ASI karena alasan medis, misal ibu menderita HIV, ibu mendapatkan kemoterapi atau karena ibu meninggal dunia dikeluarkan dari penelitian ini. Analisis simple dan multiple linear regression dilakukan untuk mengetahui hubungan variabel bebas terhadap lama pemberian ASI. Hasil. Sebanyak 79 bayi kurang bulan yang memenuhi kriteria inklusi dan eksklusi direkrut ke dalam penelitian. Rerata ± SD lama pemberian ASI pada bayi kurang bulan adalah 10,8±8,1 bulan dengan median 7 bulan. Bayi yang mendapatkan ASI sampai usia 2 bulan adalah 96,2%, usia 4 bulan 89,9%, 6 bulan 81%, 8 bulan 45,6 %, 10 bulan 34,2%. Hasil analisis regresi linear berganda menunjukkan bahwa variabel yang secara independent terbukti bermakna memengaruhi lama menyusui adalah usia pertama kali bayi diberikan susu formula (?=0,66; p=<0,001) dengan adjusted R2= 0,34.Kesimpulan. Waktu pertama kali diberikan susu formula memengaruhi lama pemberian ASI. Semakin akhir pemberian susu formula akan semakin lama pemberian ASI.