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All Journal Jurnal Kesehatan Masyarakat Jurnal Media Gizi Indonesia (MGI) Sari Pediatri Paediatrica Indonesiana Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Indonesian Journal of Medicine Journal of Maternal and Child Health Amerta Nutrition Proceeding Muhammadiyah International Public Health and Medicine Conference Proceeding of International Conference on Special Education in South East Asia Region
Harsono Salimo
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DIFFERENCES IN FOOD INTAKE (ENERGY, PROTEIN, FAT AND CARBOHYDRATES) IN CHILD WASTING BY GIVING COOKIES OF PURPLE SWEET POTATO AND TEMPEH FLOUR Fitria Mushollini; Harsono Salimo; Lilik Retna Kartika Sari
Muhammadiyah International Public Health and Medicine Proceeding Vol. 3 No. 1 (2023): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - T
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v3i1.435

Abstract

Wasting is a malnutrition condition attributable to insufficient food intake and/or disease. Poor quality and quantity nutrition in food intake is particular concern, especially for child wasting. One of the efforts to deal of child wasting is by providing nutrient-rich supplementary foods such as cookies. Cookies of purple sweet potato and tempeh flour have nutritional value of protein (8.06-22.31%) and carbohydrates (63.85-82.42%). The aim of study was to analyze differences in food intake (energy, protein, fat and carbohydrates) in child wasting by giving cookies of purple sweet potato and tempeh flour. The design of this study was quasi-experiment used a pre-posttest design with a controlled group. The study consisted of a control group (100% purple sweet potato cookies), K1 (90% purple sweet potato: 10% tempeh flour) and K2 (80% purple sweet potato: 20% tempeh flour). The intervention for 30 days. The analyze of data used were paired t-test and One-Way Anova. The results found that there was an increase in food intake (energy, protein, fat and carbohydrates) before and after giving cookies of purple sweet potato and tempeh flour and it was statistically significant. There was a significant difference food intake in each group after intervention by cookies (p<0.05). Intervention with cookies of purple sweet potato and tempeh flour could be the alternative to increase food intake in child wasting.
Faktor Prediktif Kegagalan Hasil High Flow Nasal Cannula pada Anak dengan Gagal Napas Akut Prasetyo, Medita; Martuti, Sri; Salimo, Harsono
Sari Pediatri Vol 26, No 4 (2024)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp26.4.2024.202-11

Abstract

Latar belakang. High Flow Nasal Cannula dapat membawa risiko keterlambatan saat intubasi diperlukan. Pentingnya memprediksi luaran HFNC agar eskalasi terapi dapat segera dilakukan.Tujuan. Menganalisis nilai HR, RR, SpO2, pH, pCO2, HCO3, laktat, FiO2, rasio SF dan indeks ROX sebagai faktor prediktif kegagalan terapi HFNC pada anak dengan gagal napas akut.Metode. Kohort retrospektif dilakukan di Unit Perawatan Intensif Anak/PICU Rumah Sakit Umum Daerah Dr. Moewardi pada bulan Desember 2023 sampai Februari 2024. Analisis data rekam medis menggunakan SPSS 23, nilai p<0,05 dianggap signifikan secara statistik.Hasil. Peningkatan HR (nilai p=0,001; RR=39; IK95%:3,48-437,49), peningkatan RR (nilai p=0,09; RR=16,33; IK95%:2,19-121,42), penurunan SpO2 (nilai p=0,04; RR=7; IK95%:1,20-40,83) dan peningkatan laktat (nilai p=0,04; RR=6,50; IK95%:1,09-36,63) signifikan pada 1 jam setelah HFNC. Peningkatan HR signifikan pada 2 jam dan 4 jam setelah terapi HFNC (p=0,004; RR=17,33; IK95%:2,36-127,34 dan nilai p=0,04; RR=6,50; IK95%:1,09-38,63). Peningkatan HR merupakan faktor prediktif yang signifikan pada 1 jam dan 2 jam setelah terapi HFNC serta peningkatan RR pada 1 jam setelah HFNC berdasarkan uji multivariat (masing-masing p=0,04; RR=42,67; IK95%:1,18-1.518,62, nilai p=0,02; RR=15,29; IK95%:1,42-164,19, dan nilai p=0,04; RR=44,41; IK95%:1,24- 1.595,89).Kesimpulan. Peningkatan HR dan peningkatan RR adalah faktor prediktif kegagalan terapi HFNC yang paling berpengaruh. Perlunya pemantauan ketat utamanya pada 1 jam setelah terapi HFNC sebagai pertimbangan eskalasi.
Characteristics Energy, and Protein Intake of Pregnant Women during The Covid-19 Pandemic and Its Relation with Infant Birth Weight Usman, Fahmil; Salimo, Harsono; Nuhriawangsa, Adi Magna Patriadi
Media Gizi Indonesia Vol. 17 No. 2 (2022): JURNAL MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v17i2.174-182

Abstract

The COVID-19 pandemic is an outbreak that has a risk of a food crisis and changes in diet that have an impact on the nutritional status of pregnant women and babies. This study was aimed to analyze the relationship between the characteristics of pregnant women in the third trimester and food intake during the COVID-19 pandemic with birthweight. This research used cross-sectional method with a sample of 91 third trimester pregnant women at the Pundong and Bantul 1 Community Health Centers, Bantul Regency, Yogyakarta, which were randomly selected. The data was collected using a questionnaire. The nutritional status was measured based on MUAC (Mid Upper Arm Circumference), food consumption was measured using SQFF (Semi-Quantitative Food Frequency) questionnaire, and birth weight was measured using a digital weight scale with an accuracy of 0.1 kg. Bivariate analysis was done using Fisher-Exact with 95% CI. The results showed that the characteristics of pregnant women in the third trimester such as education, income, occupation, and disease history had no relationship with birth weight; gestational age (p = 0.007) and nutritional status (p = 0.002) had a relationship with birth weight; energy intake had no relationship while protein had a relationship with birth weight (p = 0.001). The conclusion is that gestational age, nutritional status, and protein intake have a relationship with birth weight during the COVID-19 pandemic. Therefore, pregnant women should always pay attention to food intake and carry out regular pregnancy checks to health services to detect early abnormalities to prevent low birthweight.
Path Analysis of the Relationship between Nutritional Status, Maternal Knowledge, Dietary Compliance and Health-Related Quality of Life in Children with Acute Lymphoblastic Leukemia Arini Tri Lestari; Dewi, Yulia Lanti Retno; Salimo, Harsono; Hikmayani, Nur Hafidha
Journal of Maternal and Child Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.03.04

Abstract

Background: Acute Lymphoblastic Leukemia (ALL) is the most common type of blood cancer in children. Treatment for ALL may affect the patient's quality of life. Factors such as nutritional status, maternal knowledge of nutrition, and dietary compliance play a role in determining the quality of life of children with ALL. This study aims to analyze the relationship between nutritional status, maternal knowledge, and dietary compliance with health-related quality of life (HRQoL) in children with ALL. Subjects and Method: This study used a cross-sectional design with a sample of 52 children with ALL at the Pediatric Hematology Clinic of Dr. Moewardi Surakarta Hospital in October-November 2024. The independent variables were nutritional status, maternal knowledge, and dietary compliance, while the dependent variable was HRQoL. Data were collected using anthropometric instruments and questionnaires, then analyzed with single logistic regression and path analysis. Results: Single logistic regression analysis showed that nutritional status (OR= 4.60; 95% CI= 1.311 to 16.139; p = 0.017) and dietary compliance (OR= 4.82; 95% CI= 1.39 to 16.78; p= 0.013) were significantly associated with HRQoL. Maternal knowledge had no significant effect (OR= 1.88; 95% CI = 0.35 to 10.18; p = 0.467). Path analysis showed that nutritional status, dietary compliance, and body mass index had a direct positive association with the child's quality of life. The path analysis model showed a good fit with the data (goodness of fit p = 0.594). Conclusion: Nutritional status and dietary compliance are major factors in improving the quality of life of children with ALL. Although maternal knowledge does not have a direct effect, the mother's role remains important through improving the child's dietary compliance. Multidisciplinary interventions that integrate nutrition education and family support are needed to enhance HRQoL in pediatric patients with ALL.
Analisis Keterkaitan antara Gambaran Elektroensefalografi dan Fungsi Motorik pada Anak Epilepsi dan Palsi Serebal Setyorini, Wenny; Nur, Fadhilah Tia; Salimo, Harsono
Sari Pediatri Vol 26, No 5 (2025)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp26.5.2025.291-7

Abstract

Latar belakang. Epilepsi merupakan suatu penyakit kronis pada otak yang ditandai dengan kejang berulang dan terjadinya episode singkat dari gerakan tidak sadar (involuntary) yang dapat menjadi penyakit penyerta pada anak palsi serebral. Melalui gambaran elektroensefalografi (EEG) kita dapat mengetahui tipe kejang epilepsi serta tingkatan disfungsi motorik kasar yang terjadi pada pasien, dan diharapkan dapat menjadi acuan dalam menentukan prognosis.Tujuan. Menganalisis hubungan gambaran elektroensefalografi dengan derajat fungsi motorik pada pasien anak epilepsi dengan palsi serebral.Metode. Studi cross sectional, diambil dari pasien yang terdiagnosis epilepsi dengan palsi serebral berusia 1-18 tahun yang menjalani pengobatan di Poliklinik Anak Rumah Sakit Umum Daerah Dr. Moewardi Surakarta pada kunjungan Desember 2023 – April 2024. Analisis data menggunakan SPSS 26.0 dan uji Chi-square dengan signifikansi p<0.05.Hasil. Secara statistik tidak didapatkan hubungan yang signifikan antara gambaran EEG dengan derajat fungsi motorik pada pasien anak epilepsi dengan palsi serebral (p=0,215). Pasien anak epilepsi dengan palsi serebral yang memiliki hasil EEG kejang umum 88,2% membutuhkan alat bantu.Kesimpulan. Tidak didapatkan hubungan yang signifikan secara statistik antara gambaran EEG dengan derajat fungsi motorik pada pasien anak epilepsi dengan palsi sererbal. Namun pasien dengan hasil simpulan EEG kejang umum lebih banyak membutuhkan alat bantu dalam kehidupan sehari-hari dibandingkan dengan kejang fokal.
Analysis of exclusive breastfeeding and history of infectious diseases for wasting in children aged 12 - 59 months Farida, Jauharotul; Salimo, Harsono; Sumardiyono, Sumardiyono
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 6, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(6).436-444

Abstract

ABSTRAK Latar Belakang: Indonesia menghadapi beban tinggi wasting pada anak. Secara global pada tahun 2018, 1 dari 10 balita mengalami berat badan di bawah normal atau status gizi terlalu kurusuntuk seusianya. Berdasarkan Survei Kesehatan Indonesia tahun 2023, prevalensi status gizi (BB/TB) pada anak usia 0-59 bulan di Indonesia mencapai 8,5%. Di Jawa Tengah prevalensi BB/TB tercatat sebesar 7,1% (wasting = 5,5% dan severely wasting = 1,6%), sementara Kudus memiliki prevalensi 8,7% di atas rata-rata Jawa Tengah. Banyak faktor yang diketahui berkontribusi terhadap wasting diantaranya: pemberian ASI eksklusif dan asupan vitamin A yang tidak memadai; pemberian MP-ASI yang kurang berkualitas; balita yang menderita sakit seperti diare, ISPA, kecacingan, dan penyakit infeksi lainnya; imunisasi tidak lengkap; keterlambatan penanganan balita yang sakit; dan lingkungan rumah yang kurang bersih.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian ASI eksklusif dan riwayat penyakit infeksi (diare, ISPA, dan tuberkulosis) dengan kejadian wasting pada anak usia 12-59 bulan.Metode:  Desain penelitian yang digunakan adalah case control dengan 150 anak balita sebagai subjek penelitian (50 wasting dan 100 gizi normal). Pengambilan data dilakukan pengukuran BB dan TB menggunakan alat ukur digital, serta wawancara kepada orang tua/wali menggunakan kuesioner. Analisis data dilakukan secara univariat menggunakan distribusi frekuensi dan bivariat menggunakan chi-square.Hasil: Variabel yang mempunyai hubungan dan secara signifikan dengan kejadian Wasting pada anak usia 12-59 bulan adalah pemberian ASI eksklusif (p-value=0.018). Sedangkan riwayat penyakit infeksi Diare (p-value=0.271), ISPA (p-value=0.950), dan Tuberkulosis (p-value=1.000) tidak mempunyai hubungan yang signifikan dengan kejadian Wasting di Kabupaten Kudus. Kesimpulan: Pemberian ASI eksklusif pada anak balita mempunyai korelasi dengan kejadian wasting. Pemenuhan nutrisi balita dengan ASI eksklusif dapat menguatkan imunitas tubuh pada anak terhadap berbagai macam penyakit infeksi.KATA KUNCI: wasting; ASI eksklusif; diare; ISPA; tuberkulosis   ABSTRACTBackground: Indonesia faces a high burden of wasting among children. Globally, 1 in 10 toddlers were underweight or wasting for their age in 2018. According to the 2023 Indonesian Health Survey, the prevalence of nutritional status (weight/height) among children aged 0-59 months in Indonesia reached 8.5%. In Central Java, the prevalence was 7.1% (wasting = 5.5% and severely wasting = 1.6%), while Kudus had a prevalence of 8.7%, above the Central Java average. Many factors are known to contribute to wasting, including inadequate exclusive breastfeeding and vitamin A intake; poor-quality complementary feeding (MP-ASI; illnesses such as diarrhea, acute respiratory infections (ARI), worm infections, and other infectious diseases; incomplete immunization; delayed treatment of sick toddlers; and poor household hygiene. Objectives: This study aims to determine the relationship between exclusive breastfeeding and a history of infectious diseases (Diarrhea, ARI, and Tuberculosis) with the incidence of wasting in children aged 12-59 months.Methods: This case-control study involved 150 children (50 with wasting and 100 with normal nutrition status). Data was collected through Weight measurement using digital scales, Height measurement using digital TB measuring instruments, and interviews with parents/guardians using questionnaires. The data analysis used was univariate using frequency distribution and bivariate using chi-square.Results: The variable that has a significant relationship with the incidence of wasting in children aged 12-59 months is exclusive breastfeeding (p-value = 0.018). In comparison, the history of infectious diseases diarrhea (p-value = 0.271), ARI (p-value = 0.950), and tuberculosis (p-value = 1.000) did not have a significant relationship with the incidence of Wasting in Kudus Regency.Conclusions: Exclusive breastfeeding in toddlers correlates with the incidence of wasting. Fulfilling toddler nutrition with exclusive breastfeeding can strengthen the child's body's immunity against various infectious diseases.KEYWORDS: wasting; exclusive breastfeeding; diarrhea; ARI; tuberculosis Received: Nov 26, 2024; Revised: Nov 12 2024; Accepted: Nov 28, 2024; Available online: Nov 30, 2024; Published: Nov 30, 2024.
Hubungan Kecemasan Orang Tua dengan Kualitas Hidup Anak dengan Epilepsi: Studi Potong Lintang Azis Halid, A Annisa Ashliyatul Aziza; Salimo, Harsono; Nur, Fadhilah Tia
Sari Pediatri Vol 27, No 5 (2026)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp27.5.2026.338-44

Abstract

Latar belakang. Epilepsi merupakan gangguan neurologis kronis pada anak yang berdampak pada fungsi fisik, emosional, sosial, dan kognitif. Kualitas hidup anak dengan epilepsi dipengaruhi oleh faktor klinis dan psikologis, termasuk kecemasan orang tua sebagai pengasuh utama.Tujuan. Menilai hubungan kecemasan orang tua dengan kualitas hidup pada anak dengan epilepsi.Metode. Penelitian potong lintang dilakukan pada 57 anak berusia 1-18 tahun dengan epilepsi yang menjalani pengobatan di Poliklinik Anak RSUD Dr. Moewardi Surakarta pada Oktober 2024–Januari 2025. Kecemasan orang tua dinilai menggunakan Hamilton Anxiety Rating Scale (HARS), sedangkan kualitas hidup anak dinilai menggunakan Quality of Life in Childhood Epilepsy (QOLCE). Analisis bivariat dilakukan menggunakan uji chi-square dan dilanjutkan dengan regresi logistik metode backward.Hasil. Sebanyak 43,9% orang tua mengalami kecemasan dan 42,1% anak memiliki kualitas hidup yang tidak baik. Kecemasan orang tua berhubungan signifikan dengan kualitas hidup anak (OR 3,833; p=0,030). Faktor lain yang berhubungan bermakna meliputi penggunaan politerapi obat antiepilepsi (p=0,006), lama pengobatan ?5 tahun (p=0,035), dan tingkat pendidikan orang tua (p<0,001). Analisis multivariat menunjukkan pendidikan orang tua (OR 17,1; p=0,001) dan lama pengobatan (OR 6,33; p=0,032) sebagai faktor paling berpengaruh terhadap kualitas hidup anak.Kesimpulan. Kecemasan orang tua berkontribusi penting terhadap kualitas hidup anak dengan epilepsi. Dukungan psikososial dan manajemen klinis yang komprehensif diperlukan untuk meningkatkan kualitas hidup anak secara berkelanjutan.
Co-Authors -, Suradi Abd. Rasyid Syamsuri Adi Magna Patriadi Nuhriawangsa Alfianrisa, Anggityas Alinda Nur Ramadhani Anggraini, Yeni Anindya, Ivanda Glanny Annang Giri Moelyo Annang Giri Moelyo Argyo Demartoto, Argyo Aries - Krisbiyantoro Arini Tri Lestari Astuti, Fitriyani Dwi Azis Halid, A Annisa Ashliyatul Aziza Bachtiar, Harrys Bhisma Murti Brian Wasita Burhannudin Ichsan Dhewi Nurahmawati Diana Mayasari Hadianto Didik Tamtomo, Didik Dwi Hidayah Dwi Wijayanti Dyah Ratna Budiani Eko Dewi Ratna Utami Endang Dewi Lestari Endang Sutisna Sulaeman Eti Kuswandari Eti Poncorini Pamungkasari Fadhilah Tia Nur, Fadhilah Tia Farida, Jauharotul Fauziyah, Rahma Fitria Mushollini Galih Herlambang H.A.A. Soebijanto Hardilla, Dinda Septiani Hartanti, Ainurrizma Tri Idulhaq, Mujaddid Ika Yuli Ayuningrum Ilma, Nabilah Nurul Indriasih, Merlita Indriasih, Merlita Indriyani, Eny Inggar Ratna Kusuma Iskandar, Nurdin Aji Ivanda Glanny Anindya Juhrotun Nisa, Juhrotun Khalifah, Intan Noor Kusumastuti, Nurry Ayuningtyas Kusumawardhani, Wahyu Leilani Lestarina Lestari, Nining Lilik Retna Kartika Sari Lilisianawati Lilisianawati Listiani, Funik Rahma Mei Maria Galuh Kamenyangan Sari Marlinawati, Iin Tri MS, Novi Paramitasari Muhammad Riza Muslimah, Putri Andini Nugraha, Sandi Nugroho, Irfan Dzakir Nur Hafidha Hikmayani Nurmayanti, Rika Poncorini, Eti Prasetyo, Medita Rahmah Rahmah Risya Cilmiaty, Risya Rita Adriani Benya Adriani Riza, Muhamad Rohaniyati, Retno Dwi Rokhayati, Rokhayati Rokhayati, Rokhayati Safriana, Latifah Sagita, Desita Ike Saptawati Bardosono Saputra, Rhyan Darma Sari, Lutfiana Puspita Setyorini, Wenny Sinta, Prabawati Soestrisno, Soestrisno Soetrisno Soetrisno Sri Lilijanti Widjaja Sri Martuti Sukoco, Amin Sumardiyono Sumardiyono Titah Pujangkara, Ajeng Ayu Tri Rejeki Andayani Trisnawati, Iga USMAN, FAHMIL Vitri Widyaningsih Wayanshakty, Janur yulia lanti retno dewi Yulia Lanti Retno Dewi Yulidar Hafidh Yusup Subagio Zahidah, Fairuz Zummatul Atika