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Obesity as A Predictor of Preeclampsia in High-Risk Pregnancies: A Literature Review Rahmatiqa, Chamy; Sulastri, Delmi
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.48112

Abstract

Obesity in pregnant women is a major risk factor contributing to the increased incidence of preeclampsia, a serious pregnancy complication that significantly contributes to maternal morbidity and mortality. This study aims to examine the relationship between obesity and the incidence of preeclampsia in pregnant women, particularly in the context of high-risk pregnancies. It is a systematic review conducted in accordance with PRISMA guidelines. Articles were retrieved from the PubMed, ScienceDirect, Scopus, and Google Scholar databases. Eight articles meeting the inclusion criteria were analyzed narratively. The findings indicate that obesity significantly contributes to the incidence of preeclampsia, with a reported prevalence of up to 37.5%. Other predominant risk factors include maternal age extremes (<20 years or >35 years), hypertension, high parity, sociocultural conditions, and multiple pregnancies. The reviewed studies show that pre-pregnancy obesity increases the risk of preeclampsia proportionally to the class of obesity, with the highest risk observed at a BMI ≥40. In conclusion, obesity is a modifiable risk factor that plays a significant role in the occurrence of preeclampsia in high-risk pregnancies. These findings underscore the importance of early interventions and preventive efforts focused on maternal weight management. Keywords: preeclampsia, obesity, high-risk pregnancy, maternal mortality
HUBUNGAN OBESITAS DENGAN DIABETES MELITUS TIPE  DI WILAYAH KERJA PUSKESMAS KEBUN SIKOLOS KOTA PADANG PANJANG TAHUN 2021 Nur’afifah, Fauziah; Burhan, Ida Rahmah; Sulastri, Delmi
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 8 (2025): SINERGI : Jurnal Riset Ilmiah, Agustus 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i8.1601

Abstract

Type 2 diabetes mellitus is a metabolic disease characterized by increased blood glucose levels or hyperglycemia caused by insulin resistance. One of the biggest risk factors for type 2 diabetes mellitus is obesity. Excessive fat accumulation in obesity results in an inflammatory process that results in damage to insulin as a regulator of sugar in the blood. The purpose of this study was to determine the relationship between obesity and type 2 diabetes mellitus in the working area of  Kebun Sikolos Health Center, Padang Panjang City in 2021. This research is an observational analytic study with a case control research design that examines the relationship between obesity and type 2 diabetes mellitus in the working area of Kebun Sikolos Health Center, Padang Panjang City in 2021. The sample of this study was 78 people consisting of 39 patients with type 2 diabetes mellitus as the case group and 39 patients who did not suffer from diabetes mellitus as the control group were obtained using a simple random sampling technique. Data collection in this study used medical record data. Data analysis used the Chi-Square test. The results of this test obtained a significance value (p-value) of 0.007 (p <0.05). The p-value is less than 0.05 (0.007 <0.05) so the test decision is H0 is rejected, which means there is a relationship between obesity and type 2 diabetes mellitus in the working area of Kebun Sikolos Health Center, Padang Panjang City in 2021. The conclusion obtained is that there is a relationship between the two variables, namely obesity and type 2 diabetes mellitus. The incidence of obesity is more common in people with type 2 diabetes mellitus compared to those who do not suffer from diabetes mellitus
PERBEDAAN JUMLAH KOLONI BAKTERI PATOGEN PADA GAGANG PINTU BERDASARKAN WAKTU, LOKASI, DAN RUANGAN DI RUANG INTENSIF RSUP DR. M. DJAMIL PADANG Faisaelia, Rezka Nanda; Rasyid, Roslaili; Sulastri, Delmi; Linosefa, Linosefa; Hardisman, Hardisman; Hasmiwati, Hasmiwati
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 3 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, September 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i3.1842

Abstract

Objective: This study aims to determine differences in pathogenic bacterial contamination on door handles based on time, location, and room in the intensive care unit of Dr. M. Djamil Hospital; Methods: This type of research is observational analytic. Samples were taken in 5 intensive rooms with a total of 40 samples. After that, the number of colonies was calculated based on differences in sampling time, door handle location, and room; Results: The results showed that 87.5% of door handles in the intensive care unit of Dr. M. Djamil Hospital were contaminated with bacteria. The bacteria found were S.warneri, S.hom.hominis, A.viridans, S.vitulinus, and S.maltophilia; Conclusion: There is no significant difference in the number of bacterial colonies on the door handles of the intensive care unit of Dr. M. Djamil Hospital based on time, location, and room.
Omega-3 for Inflammatory Bowel Disease: Is it worthy?- A Literature Review Afdhal, Fitrah; Sulastri, Delmi
Majalah Kedokteran Andalas Vol. 47 No. 2 (2024): MKA April 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v47.i2.p217-227.2024

Abstract

Tujuan: Memberikan pemahaman mengenai potensi terapeutik asam lemak omega-3 dalam penanganan Inflammatory Bowel Disease (IBD). Metode: Artikel ini disusun berdasarkan metode tinjauan literatur. Sumber data diperoleh dari artikel-artikel ilmiah yang dipublikasikan di jurnal internasional berbahasa Inggris. Proses pencarian literatur dilakukan melalui mesin pencari Google Scholar dan PubMed. Hasil: Inflammatory Bowel Disease (IBD), yang mencakup kondisi seperti Ulcerative Colitis (UC) dan Crohn's Disease (CD), merupakan kelompok gangguan inflamasi kronis yang mempengaruhi saluran pencernaan. Dalam beberapa tahun terakhir, asam lemak omega-3 telah menjadi titik perhatian dalam diskusi IBD, terutama karena sifat anti-inflamasinya. Penelitian epidemiologi menunjukkan bahwa diet kaya omega-3 dapat meningkatkan kemungkinan remisi klinis pada pasien IBD. Sebagai contoh, pasien UC yang mengonsumsi salmon Alaskan dalam jumlah tinggi menunjukkan penurunan marker inflamasi dibandingkan dengan kelompok kontrol. Kesimpulan: Bukti saat ini menunjukkan bahwa makanan alami yang kaya omega-3, seperti salmon, memiliki potensi manfaat dalam penanganan Inflammatory Bowel Disease.
Diet Rendah Protein pada Gagal Ginjal Kronik Evynatra, Evynatra; Sulastri, Delmi
Majalah Kedokteran Andalas Vol. 48 No. 3 (2025): MKA July 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v48.i3.p320-330.2025

Abstract

Tujuan: Menyediakan informasi mengenai diet rendah protein pada gagal ginjal kronik. Metode: Penulisan artikel ini menggunakan metode literature review. Sumber yang dipakai berupa artikel dari jurnal internasional. Artikel diambil dalam menggunakan Bahasa Inggris. Pencarian sumber artikel menggunakan bantuan mesin pencari Google Scholar dan PubMed. Hasil: Diet rendah protein (Low Protein Diet/LPD, 0,6-0,8 g/kg/hari) dan bahkan diet protein sangat rendah (Very-Low Protein Diet/vLPD, 0,3-0,4 g/kg/hari) direkomendasikan untuk pasien CKD. Diet rendah protein (Low Protein Diet/LPD) memiliki banyak keunggulan dalam pengelolaan pasien CKD dengan mengurangi produk limbah nitrogen dan mengurangi beban kerja ginjal melalui penurunan tekanan intraglomerular, yang memiliki efek protektif ginjal, terutama pada mereka yang memiliki cadangan fungsi nefron yang berkurang. Kesimpulan: Pengelolaan pasien Chronic Kidney Disease (CKD) dengan diet protein rendah (LPD) telah diidentifikasi sebagai strategi potensial untuk mengendalikan gejala uremik dan komplikasi metabolik, serta menunda kebutuhan untuk dialisis. Meskipun memiliki manfaat potensial, keberatan terkait Protein-Energy Wasting (PEW) telah membatasi adopsi luas strategi ini di kalangan klinisi. Penting untuk menekankan bahwa penerapan LPD memerlukan pemantauan gizi yang ketat. Sebuah pendekatan multidisiplin, melibatkan spesialis seperti dokter, perawat, ahli gizi, dan pekerja sosial, diperlukan untuk memastikan keberhasilan dan keamanan penerapan LPD dalam pengelolaan pasien CKD.
Unlocking the Fiber Mystery: The Secret Key to Blood Sugar Control and Diabetes Management Thamrin, Silvia; Sulastri, Delmi
Majalah Kedokteran Andalas Vol. 47 No. 4 (2024): MKA October 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v47.i4.p465-473.2024

Abstract

Latar Belakang: Serat makanan terdiri dari karbohidrat kompleks dan lignin yang tidak dihidrolisis oleh enzim manusia dan, oleh karena itu, tidak dicerna atau diserap oleh tubuh manusia. Berbagai efek serat makanan, termasuk peningkatan viskositas intraluminal, penurunan penyerapan makronutrien, dan berkurangnya sekresi insulin, berkontribusi pada pengendalian glikemia postprandial dan mengurangi risiko hipoglikemia pasca-penyerapan. Tujuan: Untuk memberikan pemahaman bahwa asupan serat makanan yang cukup sangat penting untuk kontrol glikemik dan manajemen diabetes yang efektif. Metode: Artikel ini disusun berdasarkan metode tinjauan pustaka. Hasil: Serat makanan memainkan peran penting dalam kontrol glukosa darah, terutama pada individu dengan pra-diabetes dan diabetes. Efek intrinsik serat makanan dalam mengurangi asupan energi dan mempromosikan penurunan berat badan juga penting dalam manajemen diabetes. Selain itu, efek usus besar dari serat makanan, yang meningkatkan fermentasi asam lemak rantai pendek dan mengurangi glukosa harian dan produksi asam lemak bebas, dapat meningkatkan sensitivitas insulin dan mengurangi sekresi insulin. Kesimpulan: Serat pangan memiliki manfaat untuk mengontrol glukosa darah.
The Relationship Between Macronutrient Intake and Stunting Among Children Aged 1–2 Years: Quantitative and Qualitative Approaches Nesva, Intan Silvia; Sulastri, Delmi; Basyir, Vaulinne
Journal of Epidemiology and Public Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.04.04

Abstract

Background: Stunting among children aged 1–2 years remains a critical public health concern in Indonesia, particularly during the vital 1,000-day window of child development. This study aimed to analyze the relationship between macronutrient intake and stunting using a mixed-methods approach. Subjects and Method: This was a sequential explanatory mixed-methods study conducted from February 2024 to May 2025 at Community Health Center Dadok Tunggul Hitam, Padang City. The quantitative component employed a case-control design involving 66 children aged 1–2 years, divided equally into stunted (cases) and non-stunted (controls) groups. Sampling was conducted purposively for cases and by simple matching for controls. The independent variables were intake of carbohydrates, proteins, and fats; the dependent variable was stunting, defined using WHO growth standards. Macronutrient intake was assessed via a 24-hour recall. Data were analyzed using Chi-square tests to determine associations, and Odds Ratios (OR) with 95% Confidence Intervals (CI) were reported. The qualitative phase included interviews with mothers, health workers, and community volunteers, analyzed thematically using NVivo 12. Results: Children with inadequate carbohydrate intake were significantly more likely to be stunted (OR=3.50; 95% CI=1.27 to 9.64; p=0.015). No statistically significant associations were found for protein intake (OR=2.60; 95% CI=0.91 to 7.44; p=0.074) or fat intake (OR=2.44; 95% CI=0.89 to 6.70; p=0.082). Qualitative findings revealed barriers such as loss of appetite during illness, preference for snacks, food aversions, and limited maternal knowledge and resources, all of which contributed to inadequate macronutrient intake. Conclusion: Inadequate carbohydrate intake was significantly associated with stunting in children aged 1–2 years. Contextual factors such as eating behavior and parental feeding practices further influenced nutritional outcomes. Interventions should address both dietary intake and behavioral barriers within families.
Anemia-free strategies and antenatal care services in stunting prevention Mizawati, Afrina; Effendi, Nursyirwan; Sulastri, Delmi; Purna, Rozi Sastra
BKM Public Health and Community Medicine Vol 40 No 07 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i07.6806

Abstract

Purpose: The purpose of this study was to evaluate the effectiveness of interventions targeting anemia prevention and antenatal care (ANC) to reduce the risk of stunting in children. Methods: A comprehensive search will be conducted in electronic databases to investigate the impact of anemia prevention strategies on child stunting. Studies will be included if they assess interventions in women focusing on iron supplementation, nutrition counseling, or a combination of both and report child stunting as an outcome measure. Results: Anemia prevention is very effective in improving children's growth outcomes, thus contributing to knowledge and ways of treating anemia in the preconception and antenatal periods to reduce the prevalence of stunting. Conclusion: The importance of comprehensive interventions in improving the health and well-being of future generations. Implementing health policies integrating blood supplementation interventions, nutrition education, and quality antenatal care is highly recommended to create a healthier and more qualified generation.
Weight of Pregnant Women in Deli Serdang Regency: A Qualitative Study Sari, Nur Mala; Lipoeto, Nur Indrawaty; Bachtiar, Adang; Ariadi, Ariadi; Machmud, Rizanda; Defrin, Defrin; Mudjiran, Mudjiran; Sulastri, Delmi
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3982

Abstract

Weight gain that is not according to recommendations during pregnancy has become an epidemic throughout the world today and is a clinical problem with high prevalence and can affect the health of mothers and babies. Objective: This study aims to find out more about the perspective of increase in weight of pregnant women in deli serdang regency. Method: This study was qualitative with a descriptive approach. The informants in this study were 3 pregnant women with weight gain above recommendations, 3 pregnant women with weight gain below recommendations, 1 ob-gyn, 1 midwife, and 1 nutrition who were recruited using purposive sampling. Data were collected using semi-structured interviews. Data were analyzed using the Content Analysis. Results: The study emerged 5 themes: (1) Knowledge, (2) Perspective, (3) Behaviour, (4) Family support, and (5) Physical activity. Conclusions: The findings show that several factors influence the increase in weight of pregnant women in Deli Serdang Regency, so the health care provider needs to pay attention to improve their knowledge about weight gain during pregnancy according to the needs of pregnant women.
Policy Analysis On Exclusive Breastfeeding for Informal Workers in Traditional Markets in North Sumatra Ariani, Peny; Lipoeto, Nur Indrawaty; Chundrayetti, Eva; Malini, Hema; Bachtiar, Adang; Sulastri, Delmi; Mayetti, Mayetti; Neherta, Meri
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4064

Abstract

Most informal female workers in traditional markets are in the reproductive age range. One of the causes of low exclusive breastfeeding in women informal workers is the low implementation of policies related to exclusive breastfeeding in the workplace, especially in the informal sector. Objective to analyze the policies carried out by the local government related to exclusive breastfeeding policies for informal workers in traditional markets. Method: the study was qualitative with a phenomenological approach. Participants consisted of 12 employees of related agencies with purposive sampling. Data collection was done through in-depth interviews using voice records. Data analysis used content analysis by the collaizi method. The principle of traceability was applied to ensure rigor in the research. The results of this study obtained two themes related to the analysis of exclusive breastfeeding policies in Informal Workers of Traditional Markets in North Sumatra, namely 1) perception of lactation corner facilities in the markets; and 2) barriers to the certainty of lactation corners in the traditional market. It is essential to analyze the exclusive breastfeeding policy for informal workers in convention markets to create better policies by providing adequate lactation corner facilities for informal workers.
Co-Authors Abdiana Adang Bachtiar Afdhal, Fitrah Afriani, Nita Afriwardi Afriwardi Afrizal Afrizal Alfin Rahma Fadhilah Amara Azka Shafrina Amel Yanis Amir, Aprima Yona Andani Eka Putra Ariadi, Ariadi Ariani, Peny Azrimaidaliza Basyir, Vaulinne Defrin Defrin Defrin, Defrin Desmawati Desmawati Desmawati Desmawati Dessy Arisany Dian Isti Angraini Dian Isti Angraini Dolly Irfandy Eldi Sauma Endrinaldi Erasta, Junira Eva Chundrayetti Eva Chundrayetti Evynatra Evynatra Evynatra, Evynatra Faisaelia, Rezka Nanda Fasrini, Ulya U Firdawati, Firdawati Fitrah Afdhal Fivi Melva Diana, Fivi Melva Friska Eka Fitria Hafni Bachtiar Hardisman Haryani, Sesmeri Hasmiwati Hema Malini, Hema Heriawita Heriawita, Heriawita Hermawan, Nur Sefa Arief Hudila Rifa Karmia Huvaid, Sevilla Ukhtil Ida Rahmah Burhan Ida Rahmah Burhan Ika Nur Saputri Ilmiawati Indah Gemala Inke Malahayati Iqbal Muhammad Helmi Izmi Fadhilah Nasution Jamsari Jamsari Linosefa Linosefa Lipoeto NI Masrul Mayetti Mayetti Mizawati, Afrina Mudjiran Mudjiran Mudjiran Nasrul Zubir Neherta, Meri Nesva, Intan Silvia Novita Sari Nur Indrawaty Lipoeto Nur Indrawaty Lipoeto Nursyirwan Effendi, Nursyirwan Nurul Ramadhini Nur’afifah, Fauziah Nuzulia Irawati Oktarina, Mika Puteri Fannya Putra, Abdi Setia Putri Aisyah Mirza Putri, Miftahul NS rahmatiqa, chamy Rauza Sukma Rita Rizanda Machmud Rizanda Mahmud` Rosfita Rasyid Roslaili Rasyid Roza Mulyana Rozi Sastra Purna Sari, Nur Mala Sari, Vivi Sary, Annisa Novita silvia thamrin Sri Mulyanti Susi Susanti Susi Susanti Thamrin, Silvia Ulva, Fadillah Ulya Uti Fasrini Utama, Bobby Indra Wahyuni, Yosha Putri Yulistini, Yulistini Yuniar Lestari Yusrawati Yusrawati Yusti Siana