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All Journal Jurnal Kesehatan Masyarakat Sari Pediatri Paediatrica Indonesiana Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) AcTion: Aceh Nutrition Journal Nusantara Science and Technology Proceedings
Harsono Salimo
Bagian Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Sebelas Maret-RSUD Dr. Moewardi, Surakarta
Agriculture, Biological Sciences & Forestry Chemical Engineering, Chemistry & Bioengineering Economics, Econometrics & Finance Engineering Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Public Health Other

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The effect of cyanotic and acyanotic congenital heart disease on children’s growth velocity Dewi Awaliyah Ulfah; Endang Dewi Lestari; Harsono Salimo; Sri Lilijanti Widjaya; Bagus Artiko
Paediatrica Indonesiana Vol 57 No 3 (2017): May 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (692.228 KB) | DOI: 10.14238/pi57.3.2017.160-3

Abstract

Background Congenital heart disease (CHD) can lead to failure to thrive. Decreased energy intake, malabsorption, increased energy requirements, and decreased growth factors (growth hormone/insulin-like growth factor 1 axis) are related to malnutrition and growth retardation in children with CHD.Objective Tocompare the impact of cyanotic and acyanotic CHD on children’s growth velocity (using the 2009 WHO growth velocity chart).Methods This study was conducted in patients less than 24 months of age with CHD in the Pediatric Cardiology Specialist Unit Dr. Moewardi Hospital, Surakarta, Central Java, from December 2016 to February 2017. Subjects’ weights were evaluated at the beginning of the study and two months later. Data were compared to the WHO Growth Velocity chart and analyzed by Chi-square test.Results Of 46 patients with CHD (23 cyanotic, 23 acyanotic), 10 patients (21.7%) were identified with failure to thrive, i.e., < 5th percentile. Significantly more children with acyanotic CHD were in the >5th percentile for growth velocity than were children with cyanotic CHD (OR 5.600; 95%CI 1.038 to 30.204; P=0.032). Acute upper respiratory tract infection was not significantly associated with growth velocity (OR 2.273; 95%CI 0.545 to 9.479; P=0.253).Conclusion Children with cyanotic CHD have 5.6 times higher risk of failure to thrive than children with acyanotic CHD.
The Effect of Giving Red Dragon Fruit (Hylocereus polyrhizus) and Red Bean Yogurt (Phaseolus vulgaris L.) on The Satiety Index in Obese Adolescents Yenni Oktora; Harsono Salimo; Lilik Retna Kartikasari
Nusantara Science and Technology Proceedings The 3rd International Conference on Vocational Innovation and Applied Sciences (ICVIAS) 2021
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/nstp.2022.1614

Abstract

The oligosaccharide content of red dragon fruit shows prebiotic properties as nutrients for the growth of probiotic bacteria in yogurt, as well as provides the additional substrate to increase probiotic activity reaching the large intestine so that it affects appetite regulation caused by gastric emptying rates and increased postprandial amino acids. The purpose of this study was to analyze the effect of giving red dragon fruit and red bean yogurt to the satiety index in 60 obese adolescents for 14 days, who live in Mataram City, West Nusa Tenggara Province. Research respondents were divided into five groups with each group consisting of 12 people. In the control group (K), group P1 was given 70 g of red dragon fruit and 169 ml of red bean yogurt, group P2 was given 140 g of red dragon fruit and 113 ml of red bean yogurt, and group P3 was given 210 g of red dragon fruit and 57 ml of red bean yogurt, group P4 was only given 280 g of red dragon fruit. This research was an experimental trial with a randomized controlled trial design, pre-post test design with control group design. Appetite levels including hunger, satisfaction, and desire to eat were evaluated using the Visual Analogue Scale (VAS). Normality test using Kolmogorov-Smirnov test. Statistical analysis using Paired-t-test, Wilcoxon, and One Way Anova with a significant value of p <0.05. There was a difference in the satiety index between the 4 treatment groups at 0, 30 and 120 minutes (p <0.05) and there was no significant difference at the 60th minute. and 90 (p>0.05). Meanwhile, the control group compared to the 4 treatment groups showed that there was a significant difference in satiety index (p<0.05). Giving red dragon fruit and red bean yogurt resulted in a different satiety index at 0, 30, and 120 minutes compared to the control group.
Usia Gestasi Sebagai Prediktor Keberhasilan Terapi Antibiotik Empiris pada Infeksi Neonatorum di Rumah Sakit Umum Daerah Dr. Moewardi Surakarta Yanuar Ariefudin; Husnia Auliyatul Umma; Fadhilah Tia Nur; Harsono Salimo
Sari Pediatri Vol 24, No 3 (2022)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp24.3.2022.189-95

Abstract

Latar belakang. Infeksi merupakan penyebab utama kematian ketiga pada bayi baru lahir setelah komplikasi prematuritas dan asfiksia. Pemberian antibiotik empiris yang sama, baik pada neonatal aterm maupun neonatal preterm, dan penggunaan antibiotik empiris yang tetap dalam 10 tahun terakhir, maka dilakukan penelitian prospektif untuk menganalisis usia gestasi sebagai prediktor keberhasilan terapi antibiotik empiris pada infeksi neonatorum.Tujuan. Menganalisis usia gestasi sebagai prediktor keberhasilan terapi antibiotik empiris pada infeksi neonatorum.Metode. Penelitian ini merupakan penelitian kohort prospektif dengan pendekatan uji prognostik. Penelitian dilakukan di High Care Unit (HCU) Neonatus RSUD Dr. Moewardi Surakarta pada bulan April - Desember 2021. Nama pasien, usia gestasi, jenis kelamin, metode persalinan, berat badan lahir, asupan ASI, hasil kultur darah, jenis antibiotik dan terapi suportif dicatat. Uji chi square dilanjutkan dengan uji multivariat regresi logistik digunakan untuk menganalisis data.Hasil. Dari 146 neonatal infeksi, didapatkan 75 neonatal aterm dan 71 neonatal preterm. Kedua kelompok mendapatkan terapi antibiotik empiris. Analisis multivariat regresi logistik menunjukkan hasil usia gestasi dengan nilai p=0,001, terapi suportif dengan nilai p=0,090 dan kewaspadaan isolasi dengan nilai p=0,010. Usia gestasi aterm didapatkan hasil paling signifikan dengan nilai p=0,001 dan odds rasio 0,289 (IK 95%, 0,137 – 0,612).Kesimpulan. Usia gestasi merupakan prediktor keberhasilan terapi antibiotik empiris pada infeksi neonatorum.
Pengaruh Pemberian Hindmilk Air Susu Ibu pada Status Gizi Bayi Berat Lahir Rendah Zenny Nugraheni; Harsono Salimo; Lilik Retna Kartikasari; Setya Wandita
Sari Pediatri Vol 24, No 4 (2022)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp24.4.2022.268-72

Abstract

Latar belakang. Air susu ibu eksklusif dianjurkan diberikan pada bayi berat lahir rendah (BBLR), tetapi pertambahan berat badannya sering tidak memadai. Hindmilk merupakan bagian air susu ibu (ASI) yang mengandung kalori dan lemak tinggi. Tujuan. Untuk mengetahui apakah pemberian hindmilk meningkatkan status gizi yang lebih baik daripada ASI standard. Metode. Penelitian Randomized Control Trial dilakukan di unit perawatan neonatus antara Februari-Mei 2022. Kriteria inklusi adalah bayi dengan berat lahir 1000-2000 gram yang berumur 0-30 hari, sudah minum penuh ASI eksklusif,  dan payudara ibu mampu memroduksi ASI minimal 200 mL/hari. Kriteria eksklusi adalah bayi dengan kelainan bawaan, gangguan metabolik, ibu COVID-19, atau ada kontra-indikasi pemberian ASI. Subjek yang sesuai kriteria inklusi dan eksklui dirandom dengan cara blok untuk dimasukkan dalam kelompok perlakuan (hindmilk) atau kontrol (ASI standard).Hasil. Terdapat 54 subjek yang masuk penelitian yang terbagi pada kelompok hindmilk (28 subjek) dan kelompok ASI standard (26 subjek). Penurunan status gizi sangat kurus pada kelompok hindmilk ASI lebih banyak daripada ASI standard (71,42% vs 57,69%). Peningkatan status gizi lebih baik pada kelompok hindmilk (p=0,019).Kesimpulan. Peningkatan status gizi pada BBLR yang diberi hindmilk lebih baik daripada ASI standar.Tujuan: untuk menganalisis pengaruh pemberian hindmilk ASI terhadap peningkatan status gizi dan lama rawat bayi terhadap berat badan lahir rendah dan sangat rendah.Metode: Penelitian ini merupakan penelitian Eksperimental Randomized Control Trial dengan rancangan pre posttest with control group desain. Pengambilan sampel dilakukan secara consecutive sampling yang dilakukan pada bulan Februari-Mei 2022 di Ruang Perinatal RSUP Dr. Sardjito Yogyakarta. Subjek penelitian ada 54 Bayi Berat Lahir Rendah (BBLR) 1000-2000g. Pengamatan dilakukan mulai bayi masuk dirawat, fullfeeding sampai dengan diperbolehkan pulang.Hasil: Penelitian ini menunjukkan adanya peningkatan berat badan dan status gizi secara signifikan pada BBLR 1000-2000g yang diberikan hindmilk ASI (p=0,019 < 0,05). Penurunan status gizi sangat kurus pada BBLR 1000-2000g yang diberikan hindmilk ASI dari 71,42% (20 BBLR) menjadi 7,14% (2 BBLR) dan mix ASI dari 57,69% (15 BBLR) menjadi 30,77% (8 BBLR). Sementara itu tidak ada perbedaan yang bermakna pada lama rawat inap BBLR 1000-2000g yang diberikan hindmilk ASI dan mix (foremilk dan hindmilk) dengan rata-rata lama rawat 22 hari dan 20 hari (p= 0,370 > 0,05). Lama rawat inap dapat dipengaruhi oleh morbiditas dan gejala pada BBLR.Kesimpulan: Hindmilk ASI secara signifikan dapat meningkatkan status gizi BBLR 1000-2000g. Tidak ada perbedaan secara signifikan lama rawat BBLR 1000-2000g yang diberikan hindmilk dan mix (foremilk dan hindmilk) ASI. Perlu penelitian lebih lanjut untuk melihat umur kehamilan, gejala dan morbiditas BBLR.
Development of educational video feeding practice for children with cerebral palsy Desita Ike Sagita; Harsono Salimo; Tri Rejeki Andayani
AcTion: Aceh Nutrition Journal Vol 8, No 4 (2023): December
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v8i4.1234

Abstract

Feeding practice videos containing nutritional content for caregivers of children with cerebral palsy (CP) are often found in English. This study aimed to develop an educational video of feeding practices for children with CP that is feasible in Indonesia to improve the nutritional knowledge and skills of caregivers regarding feeding and drinking. The Research and Development method was used with the ADDIE model, which consisted of analysis, design, development, implementation, and evaluation stages. Small-group and field-group trials were conducted at the PNTC, IFA, and YPAC Surakarta pediatric physiotherapy clinics from February to April 2023. Video validation was performed by three experts: nutritionists, physiotherapists, and media experts who were competent in their fields. The video results based on nutritionist validation were 76,4%, physiotherapist validation results were 85,5%, and 82,4% media expert validation results. These results indicate that the video feeding practice developed as an educational media is suitable for use with minor improvements, according to expert advice. The trial results for the small group comprised ten respondents and obtained highly feasible results (90,3%). A field trial with 15 respondents obtained a result of 89,7% in the feasible category. In conclusion, an educational video of feeding practices for caregivers of children with cerebral palsy is feasible.
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.
Co-Authors Achmad Yudha Aditya Pratama Bagus Artiko Bambang Soebagyo Burhannudin Ichsan Catur Prangga Wadana Dahliansyah, Dahliansyah David Anggara Putra Desita Ike Sagita Dewi Awaliyah Ulfah Dewi Rokhanawati Diffah Hanim Endang Dewi Lestari Endang Dewi Lestari Endang Dewi Lestari Endang Dewi Lestari Endang Dewi Lestari Endang Dewi Lestari Endang Dewi Lestari Endang Dewi Lestari Fadhilah Tia Nur Fadhilah Tia Nur Fadhilah Tia Nur Fadhilah Tia Nur Farida, Jauharotul Gita Soraya Diananta H.A.A. Soebijanto Hari Wahyu Nugroho Hari Wahyu Nugroho Hari Wahyu Nugroho Husnia Auliyatul Umma Ismiranti Andarini Kiki Dwi qori Ayatulloh Kurniawan Adi Putranto Labiqatullubabah Ahasmi Leilani Lestarina Leilani Lestarina Lilik Retna Kartikasari Lilisianawati Lilisianawati Lilisianawati Lilisianawati Mayasari Dewi Mirham Nurul Hairunis Miza Dito Afrizal Mohammad Hakimi Muhammad Riza Mustarsid Mustarsid Narulita Laksmia Tantri Prima Evita Juwitasari Reza Abdussalam Rosaline Krimadi Rosaline NI Krimadi Rustam Siregar Rustam Siregar Rustam Siregar Saptawati Bardosono Setya Wandita Shinta Riana Setiawati Sri Lilijanti Widjaja Sri Lilijanti Widjaya Sri Martuti Sri Martuti Sumardiyono, Sumardiyono Tressa Bayu Bramantyo Tri Rejeki Andayani Yanuar Ariefudin Yenni Oktora Yulia Lanti Retno Dewi Zenny Nugraheni Zusta'in Noor Adhim