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All Journal Majalah Kedokteran Bandung Althea Medical Journal Journal of Mathematical and Fundamental Sciences Majalah Kedokteran Gigi Indonesia Global Medical and Health Communication Jurnal Media Gizi Indonesia (MGI) Sari Pediatri Jurnal Sistem Kesehatan Padjadjaran Journal of Dentistry Paediatrica Indonesiana GIZI INDONESIA Jurnal Gizi Klinik Indonesia JTP - Jurnal Teknologi Pendidikan Padjadjaran Journal of Dental Researchers and Students Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Jurnal Ners Pediomaternal Nursing Journal Jurnal Maternitas Aisyah (JAMAN AISYAH) Berita Kedokteran Masyarakat Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan Media Penelitian dan Pengembangan Kesehatan
Dida Akhmad Gurnida
Pediatrics Department, Faculty Of Medicine, Universitas Padjadjaran, Bandung
Astronomy Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Education Environmental Science Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Nursing Physics Public Health

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Reduced Left Ventricular Global Longitudinal Strain in Obese Adolescents Rilda Dwi Febrianda; Tisnasari Hafsah; Sri Endah Rahayuningsih; Dzulfikar Djalil Lukamnul Hakim; Rahmat Budi Kuswiyanto; Putria Rayani Apandi; Dida Akhmad Gurnida
Althea Medical Journal Vol 13, No 1 (2026)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v13n1.4342

Abstract

Background: Obesity in adolescents is associated with early cardiac structural and functional alterations that may progress to ventricular dysfunction later in life. Two-dimensional speckle-tracking echocardiography (2D STE) enables early identification of subclinical ventricular dysfunction. Nevertheless, its application in the adolescents remains limited. This study aimed to assess differences in left ventricular (LV) function among well-nourished, overweight, and obese adolescents using 2D STE.Methods: A cross-sectional study was conducted among adolescents aged 15–18 years from five senior high schools in Bandung, Indonesia between June and August 2023. Participants were randomly categorized into well-nourished, overweight, and obese groups. Transthoracic echocardiographic using M-mode and 2DSTE was performed to evaluate LV function, particularly global longitudinal strain (GLS). Statistical analyses were performed using SPSS with significance defined as p<0.05.Results: Sixty adolescents were included, 65% were male with a mean age of 16.4±0.6 years. Conventional echocardiography showed no significant differences in systolic or diastolic function among groups. However, obese adolescents demonstrated significantly greater LV posterior wall thickness and larger LV and right ventricular basal volumes compared with other groups. GLS analysis revealed significantly reduced LV deformation in obese group compared with overweight and well-nourished groups (–20.0±1.9 vs. –22.3±1.4 vs. –22.7±1.9, respectively; p<0.001).Conclusion: Reduced LV GLS detected by 2D STE indicates early subclinical myocardial dysfunction in obese adolescents despite normal conventional echocardiographic findings. Early cardiovascular screening and lifestyle interventions, including balanced nutrition and regular physical activity, may help reduce future cardiometabolic risk.
Efforts to Prevent Stunting by Enhancing Cadres Knowledge and Attitudes on Infant and Young Child Feeding Ari Indra Susanti; Putri Argi Larasati; Tisnasari Hafsah; Dida Akhmad Gurnida
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 3 No. 2 (2025): Jurnal Ilmiah Pengabdian Kepada Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v3i2.382

Abstract

Stunting is a global health issue that affects physical growth, cognitive development, and future productivity. WHO (2022) reported that 22.3% of children under five years old experience stunting worldwide, with a prevalence of 26.4% in Southeast Asia. In Indonesia, the stunting prevalence is 21.7%, while in Bandung City, it reaches 16.3% (Kemenkes, 2023). One of the efforts to prevent stunting is educating community health cadres on Infant and IYCF as agents of change in society. This study employed a descriptive method with a cross-sectional approach involving 400 community health cadres in Bandung City. The training was conducted using a blended learning approach, combining online and offline sessions over four stages. Evaluation was performed through pretest and posttest assessments to measure knowledge improvement and attitude changes among cadres. The results showed an increase in cadre knowledge from 49.7% before the training to 67.8% after the training. However, negative attitudes toward IYCF increased from 46.2% to 56.4%, likely due to implementation challenges in the field. These findings highlight that while training effectively enhances cadre knowledge, practical application in communities still faces obstacles. Therefore, policy support, cross-sectoral involvement, and more effective communication strategies are needed to enable cadres to optimize their role in stunting prevention.
Co-Authors Abdullah Ichsan Adhi Pribadi Akhmad Yogi Pramatirta, Akhmad Yogi Alamsyah Aziz Alex Chairulfatah Anas Subarnas Anggraini Alam Ari Indra Susanti Aris Primadi Aziz, Muhammad Alamsyah Carla Pusparani Chin Annrie Eidwina Chin Annrie Eidwina, Chin Annrie Damayani, Ayi Diah Dany Hilmanto Dedi Rachmadi Dewi Marhaeni Diah Herawati Dewi Marheini Diah Herawati Dicky Santosa Dwi Agustian Dzulfikar Djalil Lukamnul Hakim Dzulfikar Djalil Lukmanul Hakim Dzulfikar Djalil Lukmanul Hakim Eddy Fadlyana Elsa Pudji Setiawati Erliana Ulfah Erwina Sumartini Fitria Nurwulansari Fransisca Sri Susilaningsih Fransisca Sri Susilaningsih Gaga Irawan Nugraha Galuhafiar Puratmaja Geraldo Laurus Giyawati Yulilania Okinarum Hadi - Susiarno Hadyana Sukandar Hadyana Sukandar Hani Hilda Kartika Heda Melinda Nataprawira Herri S. Sastramihardja Herry Garna Herry Herman Ichsan, Abdullah Ieva Baniasih Akbar Iis Rosita Insi Farisa Desy Arya Irna Sufiawati Irvan Afriandi Jusuf Sulaeman Effendi Jusuf Sulaeman Effendi Kusnandi Rusmil Kusteja, Nadya Fauzia Laurus, Geraldo Lelani Reniarti Lia Faridah Lina Ferryana Melisa Lilisari Melsa Sagita Imaniar Mercy Amelia Mustika Hana Harahap Nanan Nur’aeny Nanan Sekarwana Novina Novina Nur Eva Aristina Nurfandi, Wendi Nurihsan, Achmad Juntika Nurul Auliya Kamila Nurwulansari, Fitria Oki Suwarsa Primadevi, Inggit Putri Argi Larasati Putria Rayani Apandi Putria Rayani Apandi, Putria Rayani Rahmat Budi Kuswiyanto Rahmat Budi Kuswiyanto, Rahmat Budi Reni Ghrahani Rilda Dwi Febrianda Rini Rossanti Ruswana Anwar Sembiring, Gaipyana Setyorini Irianti Siska Wiramihardja Siska Wiramihardja, Siska Siti - Damayanti Siti Aisyah Siti Nur Fatimah Siti Nur Fatimah Sri Endah Rahayuningsih Sri Endah Rahayuningsih Sri Endah Rahayuningsih Susiarno, Hadi Syarifah Prita Yulianty Syifa Rahma Septiani Tetty - Yuniati Tika - Lubis Tisnasari Hafsah Tisnasari Hafsah Tisnasari Hafsah, Tisnasari Tono Djuwantono Uni Gamayani Viiola Irene Winata Yesi Herawati Yosef Leu Maing Deni Kurniadi Sunjaya Supriyati Yudith Setiati Ermaya Zulmansyah , Zulmansyah