Tisnasari Hafsah, Tisnasari
Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Padjadjaran/RSUP Dr. Hasan Sadikin, Bandung

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Perbedaan status gizi bayi usia 6-9 bulan yang diberi MPASI buatan pabrik dan rumah Erizvina Marisa Anggraeni; Dewi Marhaeni Diah Herawati; Viramitha Kusnandi Rusmil; Tisnasari Hafsah
Jurnal Gizi Klinik Indonesia Vol 16, No 3 (2020): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (237.227 KB) | DOI: 10.22146/ijcn.43358

Abstract

The differences of nutritional status of 6-9 months old infant given factory-made and homemade complementary foodsBackground: The nutritional status of 6-9 months old babies depend on the amount of nutrition acquired from breastmilk and complementary food. The incorrect feeding of complementary food may contribute to poor nutritional status. Objective: This study aims to illustrate the nutritional status of factory-made and homemade complementary food, and analyze the difference in the nutritional status of infants given factory-made and homemade complementary food.Methods: This is an analytic, observational, and cross-sectional study, conducted in seven villages within the scope of Puskesmas Jatinangor, Jatinangor Sub-district, Sumedang Regency in August-October 2018. The samples were 102 babies 6-9 months old obtained through total sampling. The variables of this study include the type of complementary food, and infant nutritional status with weight for age, length for age, and weight for height index.Results: Complementary food consumption is dominated by factory-made type (69.6%). Macronutrients which are energy and protein and micronutrients which are vitamins from both types of complementary food already fulfill the daily recommended dietary allowances for babies, except for minerals which are calcium, iron, and zinc. Chi-Square test results showed an insignificant difference in the nutritional status of babies (p=0,881 for BW/A; p=0.194 for BH/A; and p=0,599 for BW/BH) based on the type of complementary food given.Conclusions: Nutritional contents of macro and micronutrients from both types of complementary food have fulfilled the recommended dietary allowances for complementary food, except for the minerals calcium, iron, and zinc. There wasn’t a considerable difference in nutritional status between those acquired through factory-made and homemade complementary food.
Hubungan Perawakan Pendek dengan Obesitas pada Remaja Akhir di Kecamatan Jatinangor Nuraisyah, Salwa Mazaya; Hafsah, Tisnasari; Luftimas, Dimas Erlangga; Andriana, Novina; Dewi, Mia Milanti; Sujatmiko, Budi
Sari Pediatri Vol 26, No 1 (2024)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp26.1.2024.48-53

Abstract

Latar belakang. Obesitas merupakan masalah yang harus menjadi perhatian pada remaja akhir. Obesitas memiliki berbagai dampak terhadap aspek kesehatan, psikologis dan sosial. Salah satu faktor risiko obesitas adalah perawakan pendek, tetapi hingga saat ini hubungannya masih belum diketahui secara jelas khususnya pada kelompok remaja akhir.Tujuan. Mengetahui hubungan perawakan pendek dengan obesitas pada remaja akhir di Kecamatan Jatinangor.Metode. Penelitian ini menggunakan desain potong lintang secara luring dari bulan Agustus - September 2022 di 4 sekolah tingkat Sekolah Menengah Atas dan sederajat di Kecamatan Jatinangor. Variabel independen adalah tinggi badan, karakteristik subjek, pola makan dan aktivitas fisik. Variabel dependen adalah obesitas, yang ditetapkan berdasarkan nilai Z-score Indeks Massa Tubuh menurut Umur >2 deviasi standar. Analisis dilakukan dengan uji chi-square, fisher exact dan korelasi spearman. Nilai p dianggap bermakna apabila p<0,05.Hasil. Penelitian melibatkan 208 subjek, 27(13%) subjek memiliki perawakan pendek dan 21(10,1%) subjek mengalami obesitas. Analisis bivariat menunjukkan tidak terdapat hubungan antara perawakan pendek dan obesitas (p=0,323), tetapi terdapat korelasi positif tinggi badan dengan IMT (p=0,021, r=0,159). Variabel yang memiliki hubungan bermakna dengan obesitas pada remaja akhir adalah aktivitas fisik (p=0,017).Kesimpulan. Penelitian ini menunjukkan pada remaja akhir perawakan pendek tidak berhubungan dengan obesitas. Faktor yang memengaruhi obesitas pada remaja akhir adalah aktivitas fisik.
Early Left Ventricular Structural Changes With Preserved Function in Overweight and Obese Adolescents: A Speckle-Tracking Echocardiography Study Nurfandi, Wendi; Hafsah, Tisnasari; Rahayuningsih, Sri Endah; Apandi, Putria Rayani; Hakim, Dzulfikar Djalil Lukmanul; Ghrahani, Reni; Kuswiyanto, Rahmat Budi; Gurnida, Dida Akhmad
Althea Medical Journal Vol 12, No 4 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n4.4343

Abstract

Background: Overweight and obesity in adolescents are associated with dyslipidemia and may contribute to early cardiovascular remodelling. Speckle-tracking echocardiography (STE) is a sensitive imaging technique capable of detecting early myocardial functional alterations before the onset of clinical symptoms. This study aimed to evaluate the correlation between cardiac chamber dimensions, left ventricular (LV) geometry and function, and lipid profiles in overweight and obese adolescents. Methods: A cross-sectional study was conducted from June to September 2023, involving 51 overweight and obese adolescents aged 15–18 years in Bandung, Indonesia. Anthropometric measurements, fasting lipid profiles (triglycerides, total cholesterol, LDL, HDL), and transthoracic echocardiography were obtained. LV dimensions, LV mass index (LVMI), ejection fraction (EF), fractional shortening (FS), and global longitudinal strain (GLS) were assessed. Associations were analyzed using Pearson correlation.Results: Participants were predominantly male (64.7%) with a mean age of 16.3±0.6 years. Overweight (47.1%) and obesity (52.9%) were almost equally distributed with a mean BMI of 29.6±4.1 kg/m². LVMI correlated negatively with total cholesterol (r=−0.356; p=0.005), HDL (r=−0.351; p=0.006), and LDL (r=−0.280; p=0.023). The LV posterior wall thickness and LV end-diastolic diameter were also inversely correlated with selected lipid parameters. Interventricular septal thickness in systole correlated positively with triglycerides (r=0.270; p=0.028). No significant correlations were found between lipid profiles and LV function parameters, including EF, FS, and GLS (p>0.05).Conclusions: In overweight and obese adolescents, lipid profiles are associated with early alterations in LV structural dimensions while LV systolic function remains preserved. These findings support the importance of early cardiovascular screening and lifestyle modification to reduce future cardiometabolic risk.
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.