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All Journal Jurnal Gizi dan Pangan The Indonesian Journal of Public Health Universa Medicina Paediatrica Indonesiana Journal of Medicine and Health Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia World Nutrition Journal The New Ropanasuri Journal of Surgery Indonesian Journal of Global Health research JK Unila (Jurnal Kedokteran Universitas Lampung) The Indonesian Journal of Community and Occupational Medicine eJournal Kedokteran Indonesia The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Tirtayasa Medical Journal Occupational and Environmental Medicine Journal of Indonesia Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute Tirtayasa Medical Journal Journal of Medicine and Health
Indah S. Widyahening
Department Of Community Medicine, Faculty Of Medicine, Universitas Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Comparative analysis of COVID-19 incidence and neutralizing antibody response after primary COVID-19 vaccination and heterologous booster doses in adolescents vs. adults: the Indonesian experience Karyanti, Mulya Rahma; Satari, Hindra Irawan; Munasir, Zakiudin; Hadinegoro, Sri Rezeki; Widyahening, Indah Suci; Sasmono, R Tedjo
Paediatrica Indonesiana Vol. 65 No. 4 (2025): July 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.4.2025.316-24

Abstract

Background The Indonesian COVID-19 immunization program has provided primary doses of a COVID-19 vaccine to adolescents and adults, while booster doses were given to adults only. Evaluation of this program is crucial to determine if boosters should be recommended for adolescents. Objective To compare COVID-19 incidence and SARS-CoV-2 IgG neutralizing antibody levels after COVID-19 vaccination in adolescents given a primary dose vs. adults given a primary dose and a booster. Methods: In this cross-sectional study, participants were given questionnaires on their COVID-19 history and evaluated for SARS-CoV-2 IgG neutralizing antibody titers. We included healthy individuals aged 12 years or older who resided in Jakarta and consented to participate, had received primary COVID-19 vaccine doses, and for adults, booster doses. Participants were stratified into two age groups, adolescents (12-17 years) and adults (18 years and above). We compared the incidence of COVID-19 and SARS-CoV-2 antibody titers between the two age groups. Results Out of 419 participants who met the inclusion criteria, 159 had blood specimens drawn for measurement of SARS-CoV-2 antibody titers. Before the widespread administration of the vaccine, the incidence of COVID-19 in was 4.9% in adolescents vs. 10.2% in adults (P=0.036). After widespread vaccination, the incidence of COVID-19 remained lower in adolescents than in adults (2.2% vs. 8.8%, respectively; P=0.005). The median SARS-CoV-2 antibody titer post-COVID-19 vaccination was 97.85 (range 46.46-98.23) U/mL in adults vs. 96.78 (range 22.08-98.23) U/mL in adolescents (P<0.05). Conclusion While the incidence of COVID-19 was significantly lower in vaccinated adolescents than in vaccinated adults, titers of SARS-CoV-2 IgG neutralizing antibody in adolescents were significantly lower compared to that of adults.
Body Composition Parameters, Adiponectin, Leptin and Adiponectin/Leptin Ratio are Correlated with LH/FSH Ratio in Women with PCOS but not in Women without PCOS Gita Pratama; Wiweko, Budi; Asmarinah; Widyahening, Indah Suci; Andraini, Trinovita; Hartanto Bayuaji; Andon Hestiantoro
Indonesian Journal of Obstetrics and Gynecology Volume 12 No. 1 January 2024
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v12i1.2031

Abstract

Objective: To investigate the correlation between body composition parameters, adiponectin, leptin and the adiponectin/leptin ratio and the LH/FSH ratio in women with polycystic ovary syndrome (PCOS). Methods: A cross-sectional study was conducted at Reproductive Cluster Yasmin, Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia, with sixty women with PCOS and sixty healthy women as controls (matched for age and BMI). Body composition parameters, including body weight, body mass index (BMI), waist circumference (WC), waist to hip ratio (WHR), percent body fat (PBF), visceral fat area (VFA), percent subcutaneous fat (PSF) and skeletal muscle mass (SMM), were measured; levels of fasting glucose, fasting insulin, testosterone, and sex hormone binding globulin (SHBG) were measured; and homeostatic model assessment for insulin resistance (HOMA-IR) values, anti-Mullerian hormone (AMH), free androgen index (FAI), Ferriman-Gallwey (FG) score, adiponectin levels, leptin levels, adiponectin/leptin ratio, LH, FSH and LH/FSH ratio were measured. Results: Body composition parameters (body weight, BMI, WC, WHR, PBF, VFA, PSF, SMM) were not significantly different between women with PCOS and controls. Fasting insulin (P<0.05), HOMA-IR (P<0.05), AMH (P<0.01), FAI (P<0.01), FG score (P<0.01) and LH/FSH ratio (P<0.05) were higher in PCOS women. Adiponectin (P<0.01) was lower in PCOS women, while leptin and the adiponectin/leptin ratio were not significantly different between groups. Most of body composition parameters, adiponectin, leptin and adiponectin/leptin ratio were correlated with HOMA-IR in both groups. SMM was positively correlated with the LH/FSH ratio, while body weight, BMI, WC, PBF, VFA, and PSF were inversely correlated with the LH/FSH ratio in PCOS patients but not in controls. WHR was not correlated in either group. Leptin (r=-0.278; P<0.05) was negatively correlated with the LH/FSH ratio only in the PCOS group. Adiponectin (r=0.394; P<0.01) and the adiponectin/leptin ratio (r=0.413; P<0.01) were also positively correlated with the LH/FSH ratio only in the PCOS group. AMH was correlated with the LH/FSH ratio, whereas testosterone level, FAI, FG score, fasting insulin level and HOMA-IR value were not correlated with the LH/FSH ratio in PCOS women. Conclusion: Most of the body composition parameters, leptin, adiponectin and the adiponectin/leptin ratio were significantly correlated with HOMA-IR in both groups. However, correlations of those parameters with LH/FSH ratio were found only in PCOS but not in women without PCOS. Adiponectin and leptin may play a significant role in the mechanism of neuroendocrine disorders in PCOS, which is characterized by an increased LH/FSH ratio. Keywords: adiponectin, adiponectin/leptin ratio, body composition, HOMA-IR, leptin, LH/FSH ratio, PCOS
Hubungan Persentase Lemak Tubuh dengan Nilai V̇O2 Maks Penerbang TNI AU Eri Widianto; Retno Wibawanti; Herman Mulijadi; Indah Suci Widyahening; Fathiyah Isbaniah; Klara Sinabutar; Aria Kekalih
Majalah Kedokteran Indonesia Vol 73 No 5 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.5-2023-1030

Abstract

Introduction: Military pilots require good cardiorespiratory fitness due to the need to perform tasks in difficult and varied environmental conditions. Cardiorespiratory fitness is usually expressed in terms of maximal oxygen consumption (V̇O2 max). It is important to know the factors associated with V̇O2 max in order to maintain the fitness of Indonesian Air Force pilots. This study was conducted to assess the association between body fat percentage with V̇O2 max of Indonesian Air Force pilots.Methods: A cross-sectional study was conducted on active Indonesian Air Force pilots who carried out periodic medical examinations from October to November 2022 at Lakespra dr. Saryanto, Jakarta. The research subjects underwent body composition examinations using Bioelectrical Impedance Analysis (BIA), and V̇O2 max assessment was conducted using the Bruce protocol. The association between body fat percentage and V̇O2 max value was assessed by Pearson’s correlation test.Results: Of the 64 subjects analysed, the average value of V̇O2 max was 44.6±6.2 ml/kg/min and the average body fat percentage was 23.4±5.0 %. There is a significant correlation between body fat percentage and V̇O2 max. (r=-0.334; p=0.007)Conclusion: There is a significant negative correlation with moderate strength between the body fat percentage and the V̇O2 max of Indonesian Air Force pilots who carried out medical examination at Lakespra dr. Saryanto.
McKenzie Exercise for Reducing Low Back Pain Complaints in Office Worker: An Evidence-based Case Report Pahlavie, Bonnie Medana; Soemarko, Dewi S; Widyahening, Indah Suci
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 2
Publisher : UI Scholars Hub

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Abstract

Background: Low back pain (LBP) is pain that is felt in the lower back area, namely between the corners of the lowest ribs and the lower buttocks (lumbar or lumbo-sacral area) and can be local pain or radiate to the upper thighs/legs or both. Low back pain is a 10% debilitating condition that results in a change in life expectancy due to disability. Low back pain is not a malignancy and is a self-limiting condition, but patients always seek treatment to reduce the severity of their symptoms. Chronic Low Back Pain can alter lifestyle and increase the rate of prolonged absenteeism at work resulting in physical limitations. Discomfort due to chronic low back pain is a sign that requires immediate treatment. Methods: The purpose of this evidence-based case report is to get the right answer about McKenzie exercise in reducing low back pain in office workers. Article searches were conducted through PubMed, Embase and Cochrane Library. Inclusion criteria were Systematic Review, Meta-Analysis, Randomized Control Trial (RCT), Adult or Productive Age, Non Specific Chronic Low Back Pain and McKenzie Exercise. Then critically reviewed using Oxford CEBM criteria for intervention-therapy studies Results: 1 research article was obtained that met the inclusion criteria with the type of Randomized Control Trial (RCT). Conclusion:. The critical review showed that McKenzie exercise can reduce complaints of low back pain at 5 weeks of treatment, but this exercise did not show a clinical effect in the form of a reduction in complaints of low back pain after being implemented for 3,6 and 12 months. Keywords: Low Back pain; McKenzie; Exercise
Examining The Relationship between Shift Work and Diabetes Mellitus among Nurses: An Evidence-based Case Report Arifianto, Angga; Widyahening, Indah Suci; Khoe, Levina Chandra; Mokoagow, M. Ikhsan
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 2
Publisher : UI Scholars Hub

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Abstract

Background : Work shifts could cause numerous health problems, such as sleep disorders, weight gain disorders, and unhealthy food intake consumption, leading to obesity and changes in blood glucose levels, that eventually lead to diabetes mellitus. This evidence-based case report aims to provide an evidence of association between shift work and the risk of diabetes mellitus among nurses. Methods : We performed a literature searching from Pubmed, Embase, Cochrane, Scopus, and Google Scholar in September 2023 using keywords ‘shift work’ AND ‘diabetes’ AND ‘nurse’. We included studies that assessed the association between shift work and diabetes among nurses using observational studies, meta-analysis, and systemic review as their study design. The outcome variable was the odd ratio or the relative risk of developing diabetes. We excluded cross-over studies, clinical trials, and cross-sectional studies. In addition, quality assessment was conducted according to The Oxford Center for Evidence-Based Medicine (OCEBM). Results : After title and abstract screening, we found seven out of twenty articles with a total of 689,273 participants. Among these articles, there were three cohort studies which found an increased relative risk (1.08 to 2.60) of diabetes among nurses who worked night and rotating shifts compared to those who did not. Another evidence from two cohort studies and one meta-analysis identified that nurses who worked in full shifts had an increased risk of diabetes (1.05 to 3.60) than those who worked non-shifts. Factors affecting the risk of diabetes were gender, unhealthy lifestyle, sleep disorders, and shift work duration (≥10 years). Conclusions : Shift work in nurses has a significant association with the risk of diabetes mellitus. Nurses had been working shift work for more than 10 years, particularly on night shift, had a higher risk compared to those who had been working for less than 10 years without night shift. Additional factors such as obesity, smoking, lack of physical activity, unhealthy diet, and sleep disorders would increase the risk of diabetes mellitus.
The Effect of Blue Light Filter Lens Glasses on The Occurrence of Asthenopia Symptoms in Visual Display Terminal Users Mustikaningrum, Arif Hening; Soemarko, Dewi Sumaryani; Widyahening, Indah Suci
Occupational and Environmental Medicine Journal of Indonesia Vol. 3, No. 1
Publisher : UI Scholars Hub

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Abstract

The widespread use of Visual Display Terminals (VDTs) is associated with visual and musculoskeletal complaints, particularly Asthenopia, which may reduce productivity. A 32-year-old female financial worker presented with eye discomfort, including sore eyes, blurred vision, dizziness, and twitching on her left temple, particularly during extended computer use. The symptoms were relieved with rest. Most VDTs now use Light Emitting Diodes, which emit more blue light than LCDs and may cause eye fatigue and disrupt sleep. Currently, blue light filter lenses are available in the market, however, further study of existing scientific publications is necessary to ensure the effectiveness of blue light filter lenses, which are claimed to reduce asthenopia symptoms. This Evidence-based case report (EBCR) questions whether blue-light filter lens glasses alleviate symptoms of Asthenopia in workers A literature search in PubMed, Cochrane, and Embase identified Systematic Reviews, Meta-Analyses, and Randomized Controlled Trials (RCTs) evaluating blue light filter lenses in VDT users. These studies assessed objective measures (Critical Flicker Fusion Frequency—CFF) and subjective symptoms via questionnaires. The research papers were critically reviewed using the Oxford CEBM criteria for therapy (intervention) studies. Four Randomized Controlled Trial research articles met our criteria. However, the results did not provide conclusive evidence. There was no significant improvement in Critical Fusion Frequency (CFF), nor a reduction in subjective symptoms based on questionnaires. All studies varied in methodology, filter specifications, outcome tools, and subject characteristics. Therefore, blue light filter lenses cannot yet be clinically recommended for reducing asthenopia symptoms in VDT users. Further research is needed with a stronger design, larger sample size, and clearer standards and operational definitions.
Macronutrient Intake Among Multidrug-Resistant Tuberculosis Patients in Three Referral Hospitals in Indonesia Nina Mariana; Anggi Gayatri; Indah Suci Widyahening; Ano Rosdiana; Vivi Setiawaty; Purwantyastuti Ascobat
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): 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.v7i5.6624

Abstract

Poor nutritional status, such as macro- and micronutrient deficiencies, might lead to worse clinical outcomes in multidrug-resistant tuberculosis (MDR-TB) patients. This study aimed to describe the macronutrient intake among MDR-TB patients and then compare those findings with the Indonesian recommended dietary allowance (RDA). A cross-sectional study of MDR-TB outpatients aged 18-65 years treated with the nine- or 18-month regimens at the end of the first month of treatment was conducted. Macronutrient intake data were obtained from a food consumption survey (24-hour food recall) of MDR-TB outpatients that was conducted by interviewing, recording, and then analyzing using NutriSurvey software, and compared with the RDA of the Ministry of Health of Indonesia. There were 63 outpatients with MDR-TB. The mean age was 38 (SD 12) years, and most of the patients were male (58.7%). Nutritional status based on BMI < 18,5 kg/m2 was observed in 43 patients (68.3%). According to the survey, after the end of the first month of MDR-TB treatment, the median (min–max) daily intake of energy was 1386.5 (519.4 – 2963.6) kcal per day, and the mean of protein was 49.6 (SD 23.0) grams per day. The median (min-max) daily intake of fat was 43.0 (1.1-170.6) grams per day, and the mean carbohydrate was 209.16 (87.9) grams per day. The proportions of energy, protein, fat, and carbohydrate deficiency were 85,7%, 68,8%, 74,6%, 90,5%, respectively. Macronutrient intake among MDR TB patients in this study was lower than the Indonesian recommended dietary allowance. These findings indicate that additional food intake and dietary counseling are needed in MDR-TB patients in Indonesia.
miRNA-191 and miRNA-548c-3p Expression in Embryo Culture Medium and Their Association with Chromosomal Status Riyan Hari Kurniawan; Raden Muharam Natadisastra; Indah Suci Widyahening; Pritta Ameilia Iffanolida; Budi Wiweko
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 2 April 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i2.2915

Abstract

Objective: To analyze the relationship between the expression levels of miRNA-191 and miRNA-548c-3p in embryo culture media and embryo chromosomal status. Methods: This cross-sectional study was conducted on 30 embryos from 12 patients aged 28–40 years who underwent an in vitro fertilization (IVF) program in three clinics. Embryos were cultured until the blastocyst stage. PGT-A was performed after blastocyst biopsy on day 5 or 6, and chromosomal analysis was carried out using the NGS method. The expression levels of miRNA-191 and miRNA-548c-3p were analyzed from embryo culture media samples using the qPCR method. The relationship between the expression levels of these miRNAs and embryo chromosomal status was then assessed. Results: There were no significant differences in subjects’ characteristics between the euploid and aneuploid embryo groups (p > 0.05). There was no significant difference in the expression level of miRNA-191 between euploid and aneuploid embryos (median quantification 7.260 vs 1.039, p = 0.497). Similarly, there was no significant difference in the expression level of miRNA-548c-3p between the two groups (median quantification 1.919 vs 4.311, p = 0.707). Conclusion: The expression levels of miRNA-191 and miRNA-548c-3p show no relationship with embryo chromosomal status. Their expression in embryo culture media does not appear to be a good biomarker candidate for predicting embryo chromosomal status. Keywords: Chromosomal status, IVF, miRNA-191, miRNA-548c-3p.
Co-Authors Ade Mutiara Adi, Nuri Purwito Aji B Widodo Alam , Anggraini Ambar W Roestam Andon Hestiantoro Andrijono Andrijono Anggi Gayatri Anggraini Alam, Anggraini Anis Karuniawati Anna nasriawati Annang Giri Moelyo Ano Rosdiana Aria Kekalih Arifianto, Angga Arnold Fernando Asmarinah Bambang Tridjaja AAP, Bambang Tridjaja Bernath Siagian Brodjonegoro, Sakti R Budi Wiweko Budi Wiweko Chandra, Dian Novita Danarto, Raden Deandra, Fadhila I. Denta Aditya Episana Dewi Friska Dewi S. Soemarko Dewi Sumaryani Soemarko Dewi Wulandari Dewi Yunia Fitriani Dicky Mahardhika Dina Tri Amalia Eri Widianto Faraji, Mahsa Fathiyah Isbaniah Fauzia, Khalida Fedri Rinawan, Fedri Fuk, Liem Jen Gita Pratama Guntur Darmawan Handaya, Adeodatus Y. Hariwibowo, Rinto Hartanto Bayuaji Hendri, Ahmad Z Herman Mulijadi Hindra Irawan Satari Indrawarman Soeroharjo Indriastuti Soetomo Irwan Suhadi Iswanto, J. Judhiastuty Februhartanty KASMARA, E. Khoe, Levina Chandra Klara Sinabutar Kokok, Andwi Setiawan Kresna, Andreas Leopando, Zorayda E. Luh Ade Ari Wiradnyani Luh Ade Wiradnyani, Luh Ade Marcellus Simadibrata Marcellus Simadibrata Mardiastuti H Wahid Mokoagow, M. Ikhsan Muchammad Arief Gunawan Muhammad A Aufa Muhammad F Alhas Muhammad Ilyas Muhammad Ilyas Mulya Rahma Karyanti, Mulya Rahma Munasir , Zakiudin Murdana, Nyoman Mustikaningrum, Arif Hening Nasution, Safruddin Neni Nurainy Nina Mariana Nur Rasyid Nuri Purwito Adi Pahlavie, Bonnie Medana Parmitasari, Parmitasari Ponco Birowo Prahara Yuri Pritta Ameilia Iffanolida Purwantyastuti Ascobat Raden I. Ismail Raden Muharam Natadisastra Rakhmi Savitri Hoesein Retno Wibawanti Revata Utama Rimonta F Gunanegara Rimonta F Gunanegara, Rimonta F Rini Mulia Sari Riyan Hari Kurniawan SANTOSO, S. S.I. Sasmono , R. Tedjo Sasmono, R. Tedjo Saunar, Rofy S. Setiawati, Elsa P. Siti Darifah Sofyan, Marwan Sri Rezeki Hadinegoro, Sri Rezeki Sudadi Hirawan SUMAPRAJA, K. Tanoto, Rodri Tirza Z Tamin Toar J.M. Lalisang Tony Loho Trinovita Andraini Usman, Nurhayat Vivi Setiawaty Wangsa, Andrean Wibowo, Suryo Yefta Moenadjat Zakiudin Munasir