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All Journal Jurnal Gizi dan Pangan Jurnal Gizi Jurnal Kesehatan Masyarakat Indonesia MEDIA MEDIKA INDONESIANA Journal of Nutrition and Health JURNAL GIZI INDONESIA Journal of Nutrition College Sari Pediatri Universa Medicina Health Notions Jurnal Ilmu Kefarmasian Indonesia Medica Hospitalia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia World Nutrition Journal IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN) Berita Kedokteran Masyarakat

Hertanto Wahyu Subagio

Clinical Nutrition Department, Medical Faculty, Diponegoro University

Author-ID : 386871

Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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KEPATUHAN KONSUMSI TABLET BESI FOLAT PADA IBU HAMIL DAN FAKTOR YANG MEMPENGARUHI Rahmawati, Febriana; Subagio, Hertanto Wahyu
Journal of Nutrition College Vol 1, No 1 (2012): Oktober 2012
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Backgrounds : Anemia in pregnant women can effect maternal death, increased fetal morbidity and mortality. Iron supplementation programs should have a high success rate because the iron folate tablets are easily available and free of charge. But in reality. the compliance rate of iron folate tablets is still lowPurpose: analyze compliance rate of iron folate tablets in pregnant women at Puskesmas Halmahera and the factors influenced.Method: An analytic observational research with cross-sectional design. The subjects in this study is 56 pregnant women who went on Puskesmas Halmahera. Subject was taken by consecutive sampling technique with the criteria pregnant women trimester 2 and 3. Compliance data, knowledge, education, family support and health care obtained through interviews with a questionnaire. Normality of data was tested using Kolmogorov-Smirnov. Bivariate analyzes performed using Rank Spearman testResult: there is a association between knowledge scores with compliance (r = 0.370, p = 0.005), there is no significant association between education level and compliance (r = 0.032, p = 0.817 there is no significant association between family support and compliance (r = 0.216, p = 0.115) and there is no significant association between health service and compliance (r = 0.217, p = 0.108)Conclusion: more than a half of respondents (58,9%) did not comply consume iron folate tablets. Based on the data can be seen that the knowledge is the most influental factor.

POLA ASUH DAN STATUS GIZI BALITA DI KECAMATAN LAPE, KABUPATEN SUMBAWA, NUSA TENGGARA BARAT Denny Apriyanto; Hertanto Wahyu Subagio; Dian Ratna Sawitri
Jurnal Gizi dan Pangan Vol. 11 No. 2 (2016)
Publisher : Food and Nutrition Society of Indonesia

The purpose of this study was to investigate the relationship between caregiving behavior and nutritional status of under five children. This research used the quantitative cross-sectional design. The number of samples were 70 mothers taken by a multistage random sampling. The data was gained through in-depth interview and observation. Nutritional status was obtained by anthropometric measurement based on the z-score weight-for-age index. Caregiving behaviors that consist of attention to the mothers and feeding practices were poor, while home health practices were adequate. Most of the nutritional status of children under five was good (57.1%). Correlation analysis showed that attention to the mothers (r=0.321; p<0.05), feeding practices (r=0.252; p<0.05) and home health practices (r=0.358; p<0.05) were related positively to nutritional status. The study showed that caregiving behavior that affects nutritional status was attention to the mothers, feeding practices and home health practices.

Hubungan Lingkar Lengan Atas Ibu Hamil Genap Bulan Dengan Ukuran Plasenta Dan Berat Bayi Lahir Eunika Lusiana; Hertanto Wahyu Subagio; Besari Adi Pramono
Medica Hospitalia : Journal of Clinical Medicine Vol. 4 No. 2 (2017): Med Hosp
Publisher : RSUP Dr. Kariadi

Latar belakang: Status gizi ibu yang tercermin dari Lingkar Lengan Atas (LILA) sangat mempengaruhi status gizi bayi terutama Berat Bayi Lahir (BBL). Malnutrisi intrauterin mengakibatkan morbiditas dan mortalitas perinatal serta terjadinya penyakit degeneratif yang dikenal dengan Foetal Origin Adult Disease (FOAD). Plasenta merupakan organ untuk mencari riwayat malnutrisi intrauterin.Tujuan: Mencari hubungan LILA ibu hamil dengan ukuran plasenta (berat plasenta dan luas plasenta) dan BBL.Metode: Lima puluh subyek penelitian yang memenuhi kriteria inklusi dan eksklusi, diambil secara consecutive sampling, dari pasien yang melahirkanÂ selama bulan April â€“ Mei 2016 di RS Dr. Kariadi, Puskesmas Halmahera, Puskesmas Ngresep dan RSIA Bunda. DataÂ meliputi LILA, berat plasenta, luas plasenta dan BBL. Untuk mempelajari hubungan antara variabel independen (LILA, berat plasenta dan luas plasenta) dengan variabel dependen (BBL) dilakukan analisis uji korelasi. Analisis regresi linier multiple digunakan untuk mengetahui hubungan antara seluruh variabel independen dengan dependen secara simultan.Hasil: Ada hubungan antara LILA dengan BBL (r = 0,762; p = 0,0001), berat plasenta (r = 0,673; p = 0,0001) dan luas plasenta (r = 0,636; p = 0,0001). Pada analisis multivariat ternyata LILA, berat plasenta dan luas plasenta secara berturut-turut berpengaruh terhadap BBL. Nilai r2 = 0,237, artinya pengaruh LILA, berat plasenta dan luasÂ plasenta terhadap BBL sebesar 23,7%.Simpulan: LILA berhubungan secara positif dengan BBL, berat plasenta dan luas plasenta.Kata kunci: LILA, BBL, berat plasenta, luas plasenta.

Pengaruh Suplementasi Ekstrak Ikan Gabus (Channa Striata ) Terhadap Kadar Albumin, Kolesterol, Waktu Remisi Dan Kejadian Relaps Pada Anak Sindrom Nefrotik Muhammad Heru Muryawan; Ag Soemantri; Hertanto Wahyu Subagio; Nanan Sekarwana
Medica Hospitalia : Journal of Clinical Medicine Vol. 6 No. 1 (2019): Med Hosp
Publisher : RSUP Dr. Kariadi

Background : Nephrotic syndrome (NS) is common in children with massive proteinuria causing severe hypoalbuminemia and hypercholesterolemia. Various attempts are required to increase albunin serum, accelerate remission time, and prevent relapse in order to reduce kidney damage. The Channa striata extract is known for its benefits in increasing albumin levels. Objective : To prove channa striata extract supplementation effect in increasing albumin serum, reducing cholesterol serum, remission and relapse time in children with NS. Methods :This is a double blind randomized controlled trial pre and post test design, 60 children with NS aged 1-15 years were included. A total of 500 mg / day channa striata extract capsule supplementation were administrated 2x1 to the treatment group for 21 days, meanwhile control group received placebo. Children with other chronic disease and with steroid resistance NS were excluded. The outcomes were serum albumin, cholesterol levels, remission and relapse time. Analysis data of albumin and cholesterol was performed by using unpaired t test and Mann-Whitney test. Remission and relapse times were analyzed by chi-square test. Results: There are 60 children met the inclusion criteria (32 children received Channa extract and 28 children were given placebo). Increased albumin level after supplementation was 3,6+0.8 g/dL(p<0.05) higher compared to placebo group 3,2+0.8 g/dL( p<0.05). Decreased levels of total cholesterol between the two groups were not significant (p>0.05). The treatment group remission time was 8.4+2.9 days, 11.0+3.7 day faster compared to placebo group (p <0.05). Relapse in the treatment group (21.4%) were similar to the placebo group (21.9%) (p> 0.05). Conclusions: Channa striata extract supplementation 3x500 mg/day for 21 days is effective to increase albumin levels and accelerate remission time significantly. Decreased cholesterol serum and relapse were not significant. Keywords: nephrotic syndrome, channa striata extract, albumin, cholesterol, remission time, relapse Latar Belakang: Sindrom nefrotik (SN) banyak dijumpai pada anak dengan proteinuria masif yang menyebabkan hipoalbuminemia berat dan hiperkolesterolemia. Diperlukan upaya meningkatkan kadar albumin, mempercepat waktu remisi dan mencegah relaps guna mengurangi kerusakan ginjal. Ekstrak ikan gabus (EIG)/Channa striata) diketahui dapat meningkatkan kadar albumin. Tujuan: Membuktikan pengaruh suplementasi EIG terhadap peningkatan kadar albumin, penurunan kolesterol,waktu remisi dan kejadian relaps pada anak SN. Metode: Penelitian randomized controlled trial pre and post test design, tersamar ganda, dilakukan mulai Maret-November 2017 terhadap 70 anak SN usia 1-15 tahun, terbagi menjadi 35 anak kelompok suplementasi EIG 2x500 mg/hari selama 21 hari; 35 anak kelompok kontrol. Anak dengan penyakit kronis lain, anak dengan resisten steroid di eksklusi. Luaran yang diteliti adalah kadar albumin, kolesterol, waktu remisi dan kejadian relaps. Analisis data kadar albumin dan kolesterol dengan uji t tidak berpasangan dan uji Mann-Whitney, waktu remisi dan kejadian relaps dengan uji Chi-Square. Hasil: Enam puluh subyek masuk kriteria penelitian (32 di kelompok EIG dan 28 di kelompok plasebo). Peningkatan kadar albumin setelah pemberian EIG 3,6+0,8 g/dL lebih tinggi dibanding kontrol 3,2+0,8 g/dL (p<0,05). Penurunan kadar kolesterol total diantara dua kelompok didapatkan nilai p>0,05. Waktu remisi kelompok EIG 8,4+2,9 hari, lebih cepat dibanding kontrol 11,0+3,7 hari (p<0,05). Kejadian relaps kelompok EIG (21,4%) sama dengan kontrol (21,9%) (p>0,05). Kesimpulan: Suplementasi EIG 2x500 mg/hari selama 21 hari, efektif meningkatkan kadar albumin dan mempercepat waktu remisi secara bermakna. Penurunan kadar kolesterol dan kejadian relaps tidak bermakna. Kata kunci: sindrom nefrotik, ekstrak ikan gabus, albumin, kolesterol, waktu remisi, relaps

Energy target achievement and its determinants in critically ill COVID-19 patients in Indonesia Niken Puruhita; Febe Christianto; Luciana Sutanto; Banundari Rachmawati; Sofyan Harahap; Muchlis Ahsan Udji Sofro; Retnaningsih -; Riwanto; Hertanto Wahyu Subagio
World Nutrition Journal Vol. 4 No. 2 (2021): Volume 04 Issue 2, August 2021
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.i2.0006

Introduction. Achievement of energy target in critically ill Covid-19 patients in Intensive Care Unit (ICU) is challenging. This study was aimed to depict the possibility of achieving energy target and its determinants in critically ill Covid-19 patients. Methods. A cross sectional study was conducted in ICU of dr. Kariadi Hospital Semarang, Indonesia. Secondary data were obtained from Covid-19 patients who were in ICU for minimum 3 days, from March to December 2020. Data collected included age, sex, Body Mass Index (BMI), comorbidities, Modified Nutrition Risk in Critically Ill (mNUTRIC) score, energy intake, route of nutrition delivery (enteral or combination of enteral and parenteral nutrition), lactate status, ICU length of stay (LOS), duration of mechanical ventilator and mortality. Risk Prevalence calculations were conducted to measure risks. Variables with significant associations and p< 0.25 were included in multiple logistic regression. Results. A total of 188 subjects were included in the analysis. Most patients were male (62.8%) and obese (61.8%). As much as 56.9% patients were able to achieve energy target of 20 kcal/kgBW on day 3 of ICU stay. Those with low risk mNUTRIC score and nutrition delivery was through enteral and parenteral route were more likely to achieve target energy of 20 kcal/kgBW in the first 3 days in the ICU. Conclusions. Achieving energy target of 20 kcal on day 3 of ICU stay for critically ill Covid-19 patients is feasible. Low mNutric score and nutrition delivery through enteral and parenteral route were two determinants for the achievement.

Studi Kualitatif Ketersediaan dan Tingkat Konsumsi Garam Beriodium di Kabupaten Jepara Wiwid Widiyatni; Hertanto Wahyu Subagio; Suhartono -
Jurnal Gizi Vol 5, No 2 (2016): Jurnal Gizi UNIMUS
Publisher : Universitas Muhammadiyah Semarang

Universal salt iodization (USI) was the main program to overcome iodine deficiency disorders (IDD) in Indonesia. The uneven availability of iodized salt according to IndonesiaNational Standard (SNI) became a problem to reach USI in some part of Indonesia, including in Jepara. Jepara was one of the city in Central java province which produced iodized salt. Unfortunately, most of those salt was sold outside Jepara area while iodized salt needed by Jepara community was supplied from area outside Jepara. The aim of this research was toanalyze the availability and consumption rate of iodized salt in Jepara regency. This research used qualitative method. The main informants consist of five member from IDD prevention team and eleven salt producers. The triangulation informants consist of thirtypregnant women from Pakis Aji. Data collected through observation, in-depth interview, focus group discussion and documents review. Data was analyzed using content analysis method. The Results of this study : 76 iodized salt brands were circulated in jepara, 75% of them contain iodine <30 ppm. Those circulated unstandarized salt was caused by the lack of law enforcement by the Jepara Government. Most of the respondents thought that goiter was the most prevalent from IDD. Iodized salt available in every stores in Jepara, but the quality and taste of those salt became obstacle to consumed iodized salt according to SNI daily. The conclusion of this study : Most of the respondents has already consumed iodized salt but Most of iodized salt circulated in Jepara contain iodine < 30 ppm. Keywords: availability, salt consumption, iodized salt, Jepara

HUBUNGAN TINGKAT KECUKUPAN GIZI, ASUPAN TEMBAGA, SERAT DAN FITAT DENGAN KADAR SENG SERUM ANAK SEKOLAH DASAR BERTUBUH PENDEK DI KARANGAWEN DEMAK Santi Rahayu; Hertanto Wahyu Subagio; M. Zen Rahfiludin
Jurnal Kesehatan Masyarakat Indonesia Volume 2. No. 1. Tahun 2005
Publisher : Universitas Muhammadiyah Semarang

Background : Zinc deficiency cause of some inadequate function of the body such as slowed growth and recuce development children. Many factor affect the absorption and excretion zinc in the body that increase risk of zinc deficiency, likes infection disease, physical condition, dan diet factor. Nutrient and phytate in food influences zinc absorption. Objective.' Purpose of this research is to know relation between nutrient and phytate with zinc serum level.Method .' crosss sectional observasional design with cross sectional method. 1 13 Sampel for research are 1 " and 2 "d grade elementary school student at Karangawen, Demak who has stunted nutrition status (based on height-for-age < -2 to Z point WHO-NCHS score). Secondary data gained from food frequency semiquantified and result of zinc serumlevel from laboratorium assessment. Data analysis used Pearson Product Moment test. Resalt.' From data analyze got significant correlation between adequacy rate of vitamin A, dietary fiber intake phytate intake and copper intake with zinc serum level (p < 0,05). Otherwise no significant correlation adequacy rate of protein, and adequancy rate of ironwith zinc serum level. (p > 0,05).Conclusion .'Used the other different measurement zinc level method in order to minimize weakness and complete each other.Key words: Stunted Elementary School Student, Serum zinc level, Copper, phytate intake.

Pajanan Pestisida Sebagai Faktor Risiko Hipotiroidisme pada Wanita Usia Subur di Daerah Pertanian Suhartono Suhartono; RRJ. Sri Djokomoeljanto; Suharyo Hadisaputro; Hertanto Wahyu Subagio; Apoina Kartini; Suratman Suratman
MEDIA MEDIKA INDONESIANA 2012:MMI VOLUME 46 ISSUE 2 YEAR 2012
Publisher : MEDIA MEDIKA INDONESIANA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (266.173 KB)

Pesticide exposure as a risk factor for hypothyroidism in women at childbearing age in agricultural areasBackground: Hypothyroidism in women at childbearing age (WCA) will cause reproduction disorder, i.e. infertility, spontaneous abortion, impaired growth and development of foetus, placental abruption, and preterm delivery. Pesticide exposure is suspected to cause hypothyroidism. The research objective is to prove that pesticide exposure is a risk factor for hypothyroidism among WCA in agricultural areas.Methods: Case-control studies were used as study designs. Study subjects were 44 WCA as cases and 45 WCA as controls. Pesticide exposure was measured by asking WCA’s involvement in agricultural activities using structured questionnaire and by checking their levels of cholinesterase. Hypothyroidism was determined based on the results of TSH, FT4, and T3 level. Confounding variables were also measured. These variables were age, body mass index (BMI), participation in hormonal contraception, liver function, urinaryiodine excretion, urinary thiocyanate level and blood lead level. Chi-square test, OR (95% CI), and multivariate logistic regression were implemented to test the hypothesis.Results: Pesticides exposure is a risk factor for hypothyroidism (crude-OR=3.04; 95% CI=1.20-7.81; nilai p=0.033 and adjusted OR=3.31, 95% CI=1.25 to 8.78, p=0.016). The higher the degree of exposure, the greater the risk of having hypothyroidism.Conclusion: Pesticides exposure is a risk factor for hypothyroidism among WCA in agricultural areas.Keywords: Pesticide exposure, risk factor, hypothyroidism, women at childbearing age, agricultural areaABSTRAKLatar belakang: Hipotiroidisme pada kelompok wanita usia subur (WUS) dapat menyebabkan gangguan reproduksi, seperti infertilitas, abortus spontan, gangguan tumbuh-kembang janin, dan kelahiran prematur. Pajanan pestisida dapat mengganggu fungsi tiroid. Tujuan penelitian adalah membuktikan bahwa pajanan pestisida merupakan faktor risiko hipotiroidisme pada WUS di daerah pertanian.Metode: Desain penelitian yang digunakan adalah kasus-kontrol. Subyek penelitian adalah 44 WUS sebagai kasus dan 45 sebagai kontrol. Pajanan pestisida diukur menggunakan kuesioner dan pemeriksaan kadar kolinesterase. Kejadian hipotiroidisme diukur menggunakan parameter kadar TSH, FT4 dan T3. Variabel perancu yang diukur meliputi umur, indeks massa tubuh (IMT), penggunaan KB hormonal, fungsi hati, ekskresi yodium urin, kadar tiosianat urin, dan kadar Pb darah. Uji hipotesis yang digunakanadalah uji Chi-square, uji OR (95%CI), dan regresi logistik multivariat.Hasil: Pajanan pestisida merupakan faktor risiko hipotiroidisme pada WUS di daerah pertanian (crude-OR=3,04; 95%CI=1,20- 7,81; nilai p=0,033 dan adjusted OR=3,31; 95%CI=1,25-8,78; p=0,016). Semakin tinggi derajat pajanan pestisida, semakin besar risiko terjadinya hipotiroidisme.Simpulan: Pajanan pestisida merupakan faktor risiko kejadian hipotiroidisme pada WUS di daerah pertanian.

Hipotiroidisme pada Wanita Usia Subur (WUS) di Daerah Pertanian: Penelitian di Kecamatan Kersana Kabupaten Brebes Suhartono Suhartono; Sri Djokomoeljanto; Suharyo Hadisaputro; Hertanto Wahyu Subagio; Apoina Kartini
MEDIA MEDIKA INDONESIANA 2010:MMI VOLUME 44 ISSUE 1 YEAR 2010
Publisher : MEDIA MEDIKA INDONESIANA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (198.499 KB)

Background: Hypothyroidism can cause infertility, spontaneous abortion, fetal growth-development disorders, placental abruption and prematurity. Exposure to pesticides, both of organochlorines and organophosphate, can cause hypothyroidism. The aim of the study was to examine the prevalence of hypothyroidism in WCA in agricultural areas.Methods: A cross-sectional study was conducted in two hundred and eight women of WCA who were randomly selected from four villages and TSH levels were examined. The TSH cut-off point for the diagnosis of hypothyroidism was 4.5 μIU/mL. In a sub-sample, fT4 levels, UEI and thiocyanate in urine, were also examined. Result: The mean level of TSH was 3.66 (±5.330) μIU/mL, the lowest value was 0.05, and the highest was 60 µIU/mL; the median was 2.38 μIU/mL; the mean FT 4 (n=89) was 16.207±3.0438 pmol/L; UEI median value (n=41) was 288.0 mcg/L; while the mean of urinary thiocyanate levels (n=41) was 1.468±1.25 mcg/mL. There were 47 WCA (22,6%) with hypothyroidism, 46 of which (97.9%) are sub-clinical hypothyroidism.Conclusion: The prevalence of hypothyroidism in WCA was 22.6% and almost all women had sub-clinical hypothyroidism. Pesticide exposure is suspected as a risk factor for hypothyroidism in this population.ABSTRAKLatar belakang: Hipotiroidisme merupakan keadaan, di mana kelenjar tiroid tidak dapat memproduksi hormon cukup untuk memenuhi kebutuhan tubuh. Pada WUS, hipotiroidisme dapat menyebabkan infertilitas, abortus spontan, gangguan tumbuh-kembang janin, placental abruption dan bayi lahir sebelum waktunya. Pajanan pestisida, baik dari golongan organoklorin maupun organofosfat, dapat menyebabkan hipotiroidisme. Penelitian ini bertujuan mengkaji berapa besar prevalensi hipotiroidisme pada WUS yang bertempat tinggal di daerah pertanian.Metode: Penelitian ini menggunakan desain cross-sectional. 208 WUS dipilih secara acak dari empat desa dan dilakukan pemeriksaan kadar TSH. Diagnosis hipotiroidisme ditegakkan berdasarkan kadar TSH 4,5 µIU/mL. Pada sebagian WUS (sub-sampel) dilakukan pemeriksaan kadar fT4, UEI dan kandungan tiosianat dalam urin. Hasil: Rerata kadar TSH adalah 3,66 (±5,330) µIU/mL, nilai terendah 0,05, nilai tertinggi 60 µIU/mL sedangkan median TSH 2,38 µIU/mL; rerata fT 4 (n=89) adalah 16,207±3,0438 pmol/L; nilai median UEI (n=41) adalah 288,0 µg/L; rerata kadar tiosianat urin (n=41) adalah 1,25±1,468 µg/mL. Didapatkan 47 WUS (22,6%) dengan hipotiroidisme, 46 di antaranya (97,9%) adalah hipotiroidisme sub-klinik.Simpulan: Prevalensi hipotiroidisme pada WUS sebesar 22,6%, hampir semuanya hipotiroidisme sub-klinik. Pajanan pestisida patut dicurigai sebagai faktor risiko pada WUS di daerah pertanian yang diteliti ini.

Hipertensi pada Obesitas Masa Anak Mexitalia Mexitalia; M Herumuryawan; M Sakundarno; Hertanto Wahyu Subagio; Agustinus Soemantri
MEDIA MEDIKA INDONESIANA 2010:MMI VOLUME 44 ISSUE 1 YEAR 2010
Publisher : MEDIA MEDIKA INDONESIANA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (347.624 KB)

Background: The prevalence of obesity in children increased rapidly in recent years. One of the comorbidity of obesity is the premature onset of cardiovascular risk factors such as hypertension. The objective of the study is to describe the relationship between obesity and the elevated of blood pressure in children.Method: The population for this cross-sectional study was students in one of the junior high school in Semarang with the mean age of 13.5 years. The anthropometric and blood pressure data were taken in 2006. BMI was measured with bioelectrical impedance analysis (BIA) Omron Karada Scan and classified based on International Obesity Task Force according to CDC 2000 graphs. The blood pressure was measured by using Omron Digital type SEM-1 and classified based on national high blood pressure education program (NHBPEP). Anova, Spearman correlation and chi-square test were performed to analyze the data.Result: Of 1.129 students (50.7% boys and 49.3% girls), 185 (16.4%) were overweight and 160 (14.2%) were obese. Hypertension was detected in 304 students (26.9%). There were significant correlation between systolic blood pressure with BMI (r=0.466) and diastolic blood pressure with BMI (r=0.337). The risk to hypertension in overweight was 2.8 times greater (OR=2.79; 95% CI 1.97-3.96 p<0.001) and in obesity was 6.6 times greater (OR=6.61; 95% CI 4.59-9.52 p0.001) than normoweight children. Chinese race has 1.4 times greater risk to have hypertension than native Indonesian children.Conclusion: Overweight and obeis children have greater risk for hypertension than normal children. AbstrakLatar belakang: Prevalensi obesitas pada anak meningkat pesat dalam beberapa tahun terakhir. Salah satu komorbiditas obesitas yang terjadi sejak dini adalah penyakit kardiovaskuler seperti hipertensi. Tujuan dari penelitian ini adalah mengetahui hubungan antara obesitas dengan peningkatan tekanan darah pada anak.Metode: Desain penelitian adalah belah lintang dengan populasi adalah siswa sebuah SLTP di kota Semarang dengan rerata umur 13,5 tahun. Pengambilan data antropometri dan tekanan darah dilakukan tahun 2006. Indeks massa tubuh (IMT) diukur Bioelectrical Impedance Analysis (BIA) Omron Karada Scan dan status gizi ditetapkan berdasarkan kriteria International Obesity Task Force dengan memakai grafik CDC 2000. Tekanan darah diukur dengan Omron Digital type SEM-1 dan ditetapkan berdasarkan klasifikasi National High Blood Pressure Education Program (NHBPEP), dinyatakan hipertensi bila tekanan darah >persentil ke-90. Data dianalisis dengan Anova, Spearman correlation dan chi-square. Hasil: Dari 1.129 siswa (50,7% laki-laki dan 49,3% perempuan), 185 (16.4% adalah gizi lebih dan 160 (14,2%) obesitas. Didapatkan 304 siswa (26,9%) dengan hipertensi. Terdapat korelasi signifikan antar IMT dengan tekanan darah sistolik (r=0,466) dan tekanan darah diastolik (r=0,337). Risiko untuk terjadi hipertensi meningkat 2,8 kali (OR=2,79; 95% CI 1,97-3,96 p<0,001) pada anak dengan gizi lebih dan 6,6 kali (OR=6,61; 95% CI 4,59-9,52 p0,001) pada anak dengan obesitas. Ras Tionghoa mempunyai risiko 1,4 kali lebih tinggi untuk terjadi hipertensi dibandingkan pribumi.

Co-Authors Adriyan Pramono Ag Soemantri Agustinus Soemantri Ali Manfaluthi Ahmad Amalia Sukmadianti Amalia Sukmadianti Amin Samiasih Annisa Fauziah, Annisa Annta Kern Annta Kern Nugrohowati Annta Kern Nugrohowati Apoina Kartini Apoina Kartini Aris Sudiyanto Aryu Candra Atmaja, Diana Bagoes Widjanarko Banundari Rachmawati Besari Adi Pramono Binar Panunggal Budi Santoso Camelia Bomaztika Sari Darmono SS Darmono SS Denny Apriyanto Dewi Masitha Dewi, Amalia Andansari Dewi, Clara Rashinta Dian Ratna Sawitri Dodik Tugasworo EDI DHARMANA Edi Dharmana Enny Probosari Enny Probosari Etisa Adi Murbawani Eunika Lusiana Febe Christianto Febe Christianto Febriana Rahmawati Hardhono Susanto Hardian Hardian Hardono Susanto, Hardono Hartanti Sandi Wijayanti Henna Rya Sunomo Heri Nugroho Jennifer Setiawan Joriandhita Ramadhan Lisyani Suromo Luciana Sutanto Lukman, Petrin Redayani M Herumuryawan M Mexitalia M Sakundarno Maharatih, Gusti Ayu MARTHA ARDIARIA Mexitalia Mexitalia Minidian Fasitasari Mohammad Zen Rahfiludin MR Arientasari Himawan MS Anam Muchlis Achsan Udji Muchlis Ahsan Udji Sofro Muhammad Heru Muryawan Muhammad Sulchan Muji Mulyati Nanan Sekarwana Natalia Dewi Wardani Nathalia Safitri Niken Puruhita Nugrahaningsih Nugrahaningsih Nurrohmiati, Siti Nurul Ratna Mutu Manikam Nuryanto Nuryanto Nyoman Suci Widyastiti Phitra Sekar Dianggra Pusaka, Semerdanta Retnaningsih - Rimahardika, Rosita Riwanto Rosa Kristiansen Roziana Roziana, Roziana RRJ. Sri Djokomoeljanto Santi Rahayu SARJADI SARJADI Septiawan, Debree Sofyan Harahap Sri Djokomoeljanto suhartono - Suhartono Suhartono Suhartono, Suhartono Suharyo Hadisaputro Suharyo Hadisaputro Suprapti, Rini Suratman Suratman Susilo, Kezia Natalia Daniast Taufik Hilmansyah Tri Indah Winarni Ulfa, Viny Rosaliana Wendiranti, Catra Ibriza Widiastuti, Maria Immaculata Widya Budiarni Wijayanto Wijayanto Wiwid Widiyatni Wiwid Widiyatni, Wiwid Yuliyani, Ni Nyoman Sri

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