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Journal : Universa Medicina

Underweight increases the risk of pulmonary tuberculosis in adult Irawan, Galuh Chandra; Margawati, Ani; Rosidi, Ali
Universa Medicina Vol 36, No 1 (2017)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2017.v36.4-10

Abstract

BackgroundTuberculosis (TB) is a leading cause of morbidity and mortality, especially in middle- and low-income countries. The risk of developing TB may be related to nutritional status. Socioeconomic and behavioral factors are also shown to increase the susceptibility to TB infection. The objective of this study was to determine nutritional factors as risk factors of pulmonary TB in adult.MethodsThis was an observational study of case control design. The study subjects were community members consisting of 19 adult cases of pulmonary tuberculosis and 38 controls. Data on nutritional intakes were obtained by semiquantitative food frequency questionnaire (FFQ), while smoking behavior, history of DM, body mass index, education, and income were obtained by structured interviews. The data were analyzed by independent t-test and logistic regression for calculation of the odds ratio (OR).ResultsThe bivariate test showed that the adequacy levels for energy (OR=6.8; 95% CI: 1.51-30.54), protein (OR=5.1; 95% CI: 1.52-17.14), vitamin A (OR=4.2; 5% CI: 1.31-13.54), vitamin C (OR=3.8;95% CI: 1.21-12.36), selenium (OR=4.2; 95% CI: 1.34-13.58), body mass index (OR=4.4; 95% CI: 1.32-14.35) and smoking behavior (OR=3.7; 95% CI: 1.15-11.9), were significant risk factors for pulmonary tuberculosis. Multiple logistic regression test showed that low body mass index (<18.5 kg/m2) (OR=6.0; 95% CI: 1.32-27.18) was a the most influential risk factor of pulmonary tuberculosis.ConclusionLow body mass index is the most influential risk factor for pulmonary tuberculosis incidence in adult. Nutrition profile in adult is an important determinant of TB incidence.
Zinc deficiency as risk factor for stunting among children aged 2-5 years Bening, Salsa; Margawati, Ani; Rosidi, Ali
Universa Medicina Vol 36, No 1 (2017)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2017.v36.11-18

Abstract

BackgroundStunting is a nutritional problem in the form of linear growth disturbance caused by low intake of macro- and micronutrients. The prevalence of stunting in children aged 2-5 years in Semarang is higher in well-to-do families (67.2%) than in poor families (32.8%). The purpose of this study was to analyze the role of low adequacy levels of vitamin C, iron, zinc and low food expenditure as risk factors of stunting among children aged 2-5 years. MethodsThis was a case-control study with a sample of 71 cases (stunting) and 71 controls (no stunting). The collected variables were adequacy levels of vitamin C, iron, zinc and level of food expenditure. Nutrient intake data were obtained with the semiquantitative food frequency questionnaire (FFQ), while data on food expenditure were obtained through a food expenditure questionnaire. Data analysis was performed using simple and multivariate logistic regression method. ResultsThe results of the simple logistic regression showed that low levels of vitamin C ( OR=2.97; 95% CI=1.41 – 6.31), iron (OR=2.87; 95% CI=1.44 – 5.71) and zinc (OR=9.24; 95% CI=2.02 – 42.12) were risk factors of stunting. Multivariate analysis showed that the risk factor that most affected stunting was a low level of zinc (OR=6.39; 95% CI=1.34 – 30.33). A low level of food expenditure was not proven to influence the incidence of stunting. ConclusionsA low level of zinc was the risk factor that most affects stunting in children aged 2-5 years. Preventive strategies to prevent stunting and promote healthy eating is recommended.
Maternal perception of sickness as a risk factor of stunting in children aged 2-5 years Dellu, Maria Fatima Dete; Mexitalia, Maria; Rosidi, Ali
Universa Medicina Vol 35, No 3 (2016)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2016.v35.156-164

Abstract

BackgroundStunting in children is caused by past nutritional problems, adversely affects the physical and mental characteristics of children and is a well-established child-health indicator of chronic malnutrition. Socio-cultural factors can affect parenting, thereby indirectly affecting child growth. The objective of this study was to determine socio-cultural factors and parental short stature as risk factors of stunting in children aged 2 to 5 years.MethodsThe study used a quantitative approach with case control design and a qualitative approach with in-depth interview. The study subjects were children aged 2-5 years, consisting of 45 cases of stunting and 45 controls (normal subjects). Socio-cultural data were obtained through interviews with the mothers, while height was measured with a stadiometer. Data were analyzed using chi square and logistic regression tests to calculate the odds ratio (OR).ResultsThe logistic regression test showed that maternal perception of sickness as a curse (OR=7.43; 95% CI: 2.37-23.21), stopping breastfeeding at <24 months (OR=6.01;95% CI: 1.83-19.69) and low household expenditure for food (OR=5.78;95% CI: 1.28-26.01) were risk factors of stunting incidence with a probability of 73.8%. The most dominant risk factor of stunting was maternal perception of sickness (OR=7.43 95% CI: 2.37-23.21). ConclusionMaternal perception of sickness was the most dominant risk factor of stunting in children 2-5 years of age. A multidisciplinary approach is needed to address the range of raised issues and so combat stunting in children.