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Journal : MANDALA of Health

HUBUNGAN MAKROSOMIA DENGAN KEJADIAN OBESITAS PADA ANAK YANG LAHIR DI RSUD MARGONO SOEKARDJO PURWOKERTO PERIODE JANUARI – DESEMBER 2010 Sofia, Firda; Santosa, Qodri; Wicaksono, Madya Ardi
MANDALA of Health Vol 7, No 3 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Abstract

Background : Obesity is one of nutritional problems which often encountered, and potentially cause health disturbance due to several complications and high risk of comorbidity. Thare are several factors that may contribute as etiology and risk factors of obesity, like macrosomia.Purpose : To investigate the association between macrosomia and obesity in children who were born at Margono Soekardjo hospital Purwokerto from January to December 2010.Method : A cohort retrospective was conducted since October 2013 to April 2014. The subjects are babies with macrosomia (≥4000g) and normal weight (2500-3999g) who were born at Margono Soekardjo hospital Purwokerto from January to December 2010 and resided in Banyumas. Total sampling was conducted. Birth weight of the subjects were seen in medical record. Body mass index was calculated and classified as obesity and normal using CDC curve by sex and age (≥ 95th percentile). Data were analyzed using Chi-square and logistic regression.Results : Total sampels were 82 respondents composed of 44 boys and 38 girls, and found nineteen respondents were obese. Macrosomia associated with obesity, with p-value=0,018 and RR=2,80 (95%CI; 1,11–7,06) by chi-square test. Macrosomia, formula feeding and timing of introduction of complementary food effect to obesity, with p value < 0,05 using logistic regression.Conclusions : Macrosomic newborns were significantly associated with obesity in children who were born at Margono Soekardjo hospital Purwokerto from January to December 2010.
PERBEDAAN TINGKAT AKTIVITAS FISIK ANTARA REMAJA DESA DAN KOTA DI KABUPATEN BANYUMAS Dicaraka, Benza Asa; Candrawati, Susiana; Wicaksono, Madya Ardi
MANDALA of Health Vol 7, No 1 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Background: Physical activity is movement of the body produced by skeletal muscle contraction that increase energy expenditure. Low levels of physical activity or sedentary behavior is one of the behavioral tendency of the current world population. The research on levels of physical activity in adolescents in rural and urban areas have never done before. Although many differences between rural and urban are indirectly affect the level of physical activity.Objective: The aim of this study is to knowing the different levels of physical activity between rural and urban adolescents at Banyumas Regency.Methods: This study was conducted by using observational analytic cross sectional design with 72 adolescents as respondents. The respondents were high school students derived from 4 high schools of urban and rural area, 2 schools each. Each respondents from school of rural and urban were 36 respondents. Physical activity level was assessed with GPAQ questionnaire.Results: Analysis for the differences of physical activity level was using paired T-test analysis. Univariate analysis showed a mean rate of rural adolescent’s physical activity 2272.78±3165.26 MET/week and a mean rate of urban adolescents’s physical activity 2321.89±2387.91. Bivariate analysis showed no significant differences of physical activity level between rural and urban adolescents (p=0,249).Conclusion: There was no different level of physical activity between rural and urban adolescents at Banyumas Regency
INTOLERANSI LAKTOSA Wicaksono, Madya Ardi
MANDALA of Health Vol 7, No 1 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Abstract

Lactose intolerance is a condition caused by lactase deficiency in the brush border of the intestine, causing inability in digesting lactose into glucose and galactose. It is a mild metabolic disease with low morbidity, but often used interchangeably with cow’s milk allergy, resulting confusion in public understanding. Lactase deficiency keeps lactose not hydrolyzed, resulting increased osmotic pressure and fluid secretion of intestine lumen. In the colon, the result of fermentation from the undigested lactose is hydrogen gas.  The symptoms of lactose intolerance are abdominal bloating, distension, pain, flatulence, and diarrhea. Symptoms are alleviated by complete elimination or reduced consumption of lactose-containing foods. Meanwhile, dairy products which contain large amount of lactose also become the main source of calcium as well. Elimination of dairy products from daily diet may results low calcium level, osteopenia, until osteoporosis. People with lactose intolerance need calcium supplementation to maintain the calcium level in the body if lactose is restrictedÂ