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All Journal YARSI Medical Journal The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Pradana Suwondo
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Medicine & Pharmacology

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Faktor risiko disfungsi endotel pada prediabetes Eliana, Fatimah; Suwondo, Pradana; Hakim Makmun, Lukman; Saksono Harbuwono, Dante
Jurnal Kedokteran YARSI Vol 17, No 3 (2009): SEPTEMBER - DESEMBER 2009
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.613 KB) | DOI: 10.33476/jky.v17i3.211

Abstract

Prevalensi kasus prediabetes di Indonesia pada saat ini cukup tinggi, dan oleh karena itu proporsi wanita berisiko penyakit kardiovaskular meningkat. Penelitian ini bertujuan untuk mengetahui faktor risiko disfungsi endotel pada wanita prediabetes melalui pemeriksaan kadar asymmetric dimethylarginine (ADMA) serum. Penelitian ini dilakukan dengan desain case control pada populasi wanita prediabetes berusia 30-55 tahun. Kriteria prediabetes ditentukan dari pemeriksaan toleransi glukosa oral (TTGO) dengan pemberian 75 gram glukosa. Selanjutnya dilakukan pemeriksaan kadar kolesterol total, LDL, HDL, trigliserida dan HbA1c sebagai variabel independen, serta ADMA sebagai variabel dependen. Terdapat 41 subjek wanita prediabetes yang memenuhi kriteria inklusi dan dimasukkan dalam kelompok kasus, dan 39 subjek yang dimasukkan dalam kelompok kontrol. Terdapat hubungan yang bermakna dan korelasi yang kuat antara peningkatan kadar ADMA dengan glukosa darah puasa, glukosa darah pasca pemberian glukosa 75 gram dan HbA1c. Namun hasil analisis multivariat membuktikan bahwa faktor yang menentukan kadar ADMA adalah HbA1c.Probabilitas subjek prediabetes dengan HbA1c lebih dari 6% untuk mendapatkan kadar ADMA yang tidak normal adalah 96,03%. Faktor risiko terjadinya disfungsi endotel pada wanita prediabetes adalah peningkatan HbA1c lebih dari 6%.
Effects of BCAA Enteral Nutrition to the Change of Nutritional Status and Hepatic Encephalopathy Parameters in Liver Cirrhosis Patient with Hepatic Encephalopathy Achmad Fauzi; Unggul Budihusodo; Nurul Akbar; Pradana Suwondo; Suhardjono Suhardjono; Abdul Aziz Rani
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 10, ISSUE 2, August 2009
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/102200956-62

Abstract

Background: This study was also conducted to determine the effects of high-branched chain amino acid (BCAA) enteral supplementation on altered nutritional status parameters (including plasma prealbumin) and hepatic encephalopathy parameters in liver cirrhosis patients with hepatic encephalopathy. Method: Our study was a randomized, single-blinded experimental study comparing between control group of liver cirrhosis patients with standard hospital liver diet (40 kcal/kgBW/day for male and 35 kcal/kgBW/day for female; protein 1.25 g/kgBW/day) and experimental group of liver cirrhosis patients with liver diet modification high in BCAA supplementation, which had similar protein and calorie calculation as the control group. Results: Subclinical hepatic encephalopathy prevalence was 32%. In the experimental group, prealbumin plasma, arm circumference, body weight and body mass index (BMI) increased; whereas in the control group, prealbumin plasma, arm circumference, body weight and BMI decreased (p 0.05). In experimental group, the ammonia level significantly decreased (p 0.01). Clinical hepatic encephalopathy, flapping tremor, the number connection test (NCT) did not show significant changes between the two groups. However, there was worsening trend in the control group. Level of albumin, bilirubin, AST, ALT did not show any significant difference between both groups. Conclusion: High-BCAA enteral supplementation which is administered to liver cirrhosis patients with hepatic encephalopathy for 14 days could improve plasma prealbumin level, arm circumference, body weight, BMI and could decrease the plasma ammonia level. However, it does not improve Fischer ratio, psychometric test and electroencephalography   Keywords: malnutrition, liver cirrhosis, BCAA, Fisher ratio
Co-Authors Abdul Aziz Rani Abdul Aziz Rani Achmad Fauzi ACHMAD FAUZI Alida Harahap Asmarinah Asmarinah Dante Saksono Harbuwono Fatimah Eliana, Fatimah Hakim Makmun, Lukman Joedo Prihartono Nurul Akbar Nurul Akbar Samsuridjal Djauzi Suhardjono Suhardjono Suhardjono Suhardjono Tjokorda Gde Dalem Pemayun Unggul Budihusodo