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AT Genotype of FTO rs9939609 Enhances Risk for Central Obesity Under Obesogenic Lifestyle Maharani, Citra; Puspasari, Anggelia; Enis, Rina Nofri; Ekaputri, Tia Wida; Shafira, Nyimas Natasha Ayu
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 13 No. 1 (2025): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v13i1.38811

Abstract

Background: Central obesity is a major risk factor for cardiovascular diseases, influenced by both genetic and lifestyle factors. The rs9939609 variant of Fat Mass and Obesity-Associated (FTO) gene has been associated with increased risk of central obesity, potentially modulated by dietary intake and physical activity. Objective: This study aimed to investigate the association between the FTO rs9939609 variant and central obesity, and its interaction with dietary intake and physical activity among adults in Jambi, Indonesia. Method: A cross-sectional study was conducted on 175 adults. Central obesity was defined using NCEP ATP III criteria. Dietary intake and physical activity were assessed using 24-hour food recall and the IPAQ, respectively. Genotyping was performed using the Tetra ARMS-PCR. Bivariate analysis was used to assess associations. Results: Individuals with the AT genotype had a significantly increased risk of central obesity (OR= 3.29; 95% CI: 1.30–8.35; p= 0.01). Under the dominant model (AAAT), the association remained significant (OR= 2.90; 95% CI: 1.17-7.16; p= 0.02). The risk was higher among individuals with high caloric intake (OR= 4.64) and low to moderate physical activity (OR= 4.77). Conclusion: The FTO rs9939609 variant is associated with increased central obesity risk, and in the presence of obesogenic lifestyle factors.
The Genetic Variation of Ace Gene Rs4343 Has Lack Association With Pre-Eclampsia: Case-Control Study In Jambi Malay Population Puspasari, Anggelia; Herlambang, Herlambang; Maharani, Citra; Perkasa, Tengku Arief Buana; Enis, Rina Nofri; Tarawifa, Susan; Syukur, Astian Nathaniel
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 13 No. 1 (2025): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v13i1.41334

Abstract

Background: The PE is leading cause of maternal and neonatal mortality and morbidity worldwide. The etiology of PE remains not yet clearly identified, genetics contributed 20-40% of PE. The variation of the rs4343 gene was significant as a risk factor for PE and the severity of PE with effect sizes varying between studies. To the best of our knowledge, the association of rs4343 in the ACE gene for PE risk has not been reported to the population of Indonesia, especially the Jambi Malays. Aims: This study aims to reveal the association of Genetic Variation of ACE gene rs4343 with preeclampsia. Methods: This recent study was case-control, 78 pregnant women matching based on age and pregnancy number participated in this study. The preeclampsia diagnosis is based on the criteria of the American College of Obstetricians and Gynecologists. The genotyping method was tetra ARMS-PCR. Bivariate statistical analysis was performed. Results: The proportion of the AA genotype and AG genotype was slightly different between the two groups, but all GG genotypes suffered preeclampsia. The recessive model reported the GG/AG genotype has a higher risk of PE than the AA genotype (p-value 0.784; OR 1.16, 95% CI (0.40-3.41)). The allele model reported that the G allele (p-value 0.338; OR 1.59, 95% CI (0.62-4.14)) had a higher risk than the A allele. However, all those differences do not reach statistically significant. Conclusion: Genetic Variation of ACE gene rs4343 Has Lack Association with Pre-eclampsia.
Exploration The Multifaceted Role Of Vitamins In Epigenetic Regulation: Insights Into DNA Methylation And Histone Modification Perkasa, Tengku Arief Buana; Puspasari, Anggelia; Priskila, Loury; Tarigan, Nadir Putra Indra; Widyawati, Dwi; Neldi, Vina
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 13 No. 1 (2025): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v13i1.42536

Abstract

Background: Recent research shows that vitamins actively regulate epigenetic mechanisms like DNA methylation and histone changes. Gene regulation, cellular differentiation, and disease development depend on these pathways. Aims: This review aims to synthesize current evidence on how vitamins A, B, C, D, E, and K influence epigenetic regulation, and to elucidate their potential roles in health maintenance and disease prevention. Methods: NCBI and ScienceDirect were used to search English-language literature from 2015 to 2024 for a narrative review. To capture vitamins' direct and indirect impacts on epigenetic pathways, selected peer-reviewed papers were qualitatively examined. Results: Vitamin A affects gene expression via receptor-mediated mechanisms which modify chromatin structure. B vitamins provide methyl donors for DNA methylation and histone changes. Vitamin C cofactors TET enzymes and histone demethylases, supporting active DNA demethylation and histone acetylation. The vitamin D receptor (VDR) affects DNA methyltransferases and histone-modifying enzymes, regulating gene transcription. Vitamins E and K modulate oxidative stress and histone changes to stabilize the epigenome, which may benefit cancer treatment and metabolic regulation. Conclusion: Vitamins' diverse and linked epigenetic regulatory activities are highlighted.  These micronutrients may help prevent and treat cancer, metabolic problems, and developmental anomalies by maintaining genomic integrity and influencing gene expression. Keywords: Vitamins, Epigenetics, DNA Methylation, Histone Modification, Nutritional Epigenetics, Gene Expression.
Protein Insufficiency Among First-Trimester Pregnant Women in Jambi, Indonesia Herlambang, Herlambang; Puspasari, Anggelia; Maharani, Citra; Enis, Rina Nofri; Fitri, Amelia Dwi; Kusdiyah, Erny; Ibnu, Ismi Nurwaqiah
Althea Medical Journal Vol 12, No 2 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n2.4044

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Background: Insufficient protein intake or specific patterns of plasma amino acid levels during pregnancy has been associated with adverse maternal and neonatal outcomes. Studies in non-pregnant women have reported an association between protein intake and amino acid levels, however, data in pregnant women remain limited. Jambi, a region rich in freshwater fish, has a traditional dishes based on fish, which may affect maternal protein adequacy. This study aimed to assess protein sufficiency intake, plasma essential amino acid levels, and the relationship between fish consumption and protein intake among first-trimester pregnant women. Methods: A cross-sectional study was conducted in 2022 involving pregnant women at 9-16 weeks of gestation in Jambi, Indonesia, selected through purposive sampling. Protein intake and fish consumption data were collected using Food Frequency Questionnaires. Plasma essential amino acid levels were measured using Liquid Chromatography-Mass Spectrometry. Bivariate analyses were performed using Mann-Whitney and Chi-square tests.Results: Among 30 participants, 23.3% had insufficient protein intake and had lower plasma essential amino acid levels. Lysine levels showed a statistically significant difference between groups (p=0.010). Women with adequate protein intake reported significant higher fish consumption, particularly of freshwater fish (p=0.033).Conclusion: Adequate protein intake during early pregnancy is related to higher plasma essential amino acid levels. Consumption of local freshwater fish contributes to maintaining sufficient protein intake. These findings emphasize the importance of integrating healthy dietary patterns and locally sourced nutrient-rich foods into prenatal care to support maternal wellness and long-term health outcomes.
ATHEROGENIC INDEX OF PLASMA ASSESSMENT AS AN EFFORT TO DETECT THE RISK OF CORONARY HEART DISEASE IN PRODUCTIVE AGE INDIVIDUALS WITH OBESITY IN THE WORKING AREA OF THE SIMPANG SUNGAI DUREN HEALTH CENTER Puspasari, Anggelia; Maharani, Citra; Halim, Rita; Enis, Rina Nofri; Shafira, Nyimas Natasha Ayu; Tarawifa, Susan
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 1 (2025): MEDIC. Medical dedication
Publisher : Universitas Jambi

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Abstract

Prospective studies indicate that the Atherogenic Index of Plasma (AIP) is a superior marker compared to isolated assessments of triglycerides (TG) and High-Density Lipoprotein (HDL) in predicting Coronary Heart Disease (CHD). Simpang Sungai Duren Community Health Center serves a large population with a high proportion of productive-age and obese individuals. Routine metabolic screening for CHD risk stratification in obese residents has been hindered by limited facilities and healthcare financing systems. This community service initiative aimed to assess AIP for CHD risk stratification in obese individuals. Participants included residents aged 19–64 years with a body mass index (BMI) ≥25 kg/m², no recent lipid-lowering medication use (within 3 months), and an 8–10 hour fasting period. AIP scores (logarithm of TG/HDL ratio) were used to stratify CHD risk. Results were communicated to participants alongside health promotion leaflets. Among 61 participants, AIP-based screening identified 14.8% as high-risk, 26.2% as moderate-risk, and 59% as low-risk for CHD. Modifiable cardiometabolic risk factors in the high-risk group revealed 100% with central obesity and hypertriglyceridemia, and 50% with hypertension and/or low HDL levels. The high-risk cohort exhibited multiple cardiometabolic risks requiring comprehensive management.
COMMUNITY SCREENING OF STROKE RISK FACTORS AMONG PRODUCTIVE AGE POPULATION Maharani, Citra; Shafira, Nyimas Natasha Ayu; Puspasari, Anggelia; Enis, Rina Nofri; Iskandar, Mirna Marhami
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 1 (2025): MEDIC. Medical dedication
Publisher : Universitas Jambi

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Abstract

Stroke is a neurological disease caused by multiple risk factor and can be prevented through early screening and lifestyle modifications. However, the misconception that stroke only affects the elderly leads to low screening interest among younger adults. This community service activity aimed to screen for stroke risk factors, particularly lipid profile examination among the productive age population in the working area of Simpang Sungai Duren Public Health Center. A total of 90 respondents aged 19-59 years participated, most of whom were office workers with sedentary lifestyles and unhealthy dietary habits. The screening included blood pressure measurement, body mass index assessment, total cholesterol and Low-Density Lipoprotein (LDL) levels. All respondents fasted for 8-10 hours before venous blood sampling. Screening results were delivered along with individual consultation and lifestyle education. The results revealed that 20% of respondents had hypercholesterolemia, 22% had elevated LDL levels, 23.26% had hypertension, 21% were overweight, and 39% were obese. These findings indicate that individuals in the productive age group may already have stroke risk factors despite being asymptomatic. Therefore, regular screening from early adulthood is essential as a primary prevention strategy against stroke.
SOCIALIZATION OF HIGH-FIBER AND HIGH-PROTEIN MENUS FOR INDIVIDUALS WITH TYPE 2 DIABETES MELLITUS Suzan, Raihanah; Halim, Rita; Amalia, Fenny; Ayudia, Esa Indah; Puspasari, Anggelia; Gading, Patrick Wiliam
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 1 (2025): MEDIC. Medical dedication
Publisher : Universitas Jambi

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Abstract

ABSTRACT Type 2 Diabetes Mellitus (T2DM) is a chronic disease prevalent worldwide and is one of the biggest public health challenges of the 21st century. Lifestyle changes and proper dietary patterns have proven effective for the prevention and management of diabetes mellitus. Emerging evidence shows that a high-protein and high-fiber diet is particularly beneficial. This Community Service Activity was conducted at the Puskesmas Koni in Jambi City. Participants attended a session on high-fiber and high-protein menu guidelines for individuals with T2DM presentation. The activity was attended by 30 participants, comprising 19 volunteers and 11 individuals with T2DM. Most participants, 21 people (70%) were aged 19 to 59 years, and 18 participants (60%) were female. The average pre-test score was 49.7, and the post-test score was 75. There was an increase in participants' knowledge after the socialization of the high-fiber and high-protein menu guidelines for individuals with T2DM. Keywords: High-Protein Diet; High-Fiber Diet; Menu Guidelines; T2DM; Blood Sugar Management
Hubungan Pemakaian Pampers terhadap Kejadian Infeksi Saluran Kemih (ISK) pada Anak di Bawah 2 Tahun di RSUD H. Abdul Manap Kota Jambi Farrah Balqis; Irawan Anasta; Anggelia Puspasari
Journal of Medical Studies Vol. 4 No. 1 (2024): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v4i1.32087

Abstract

ABSTRACT Background: Urinary tract infections (UTIs) in infants and children have a long-term impact on kidney function, with one of them leading to kidney failure. Wearing diapers is one of the risk factors for suffering UTIs.In This study aims to determine the relationship between the use of diapers and the incidence of UTIs in children under 2 years old at Abdul Manap Hospital, Jambi City. Methods: The research was conducted using Case Control and choosing the subject was taken consequently. The total subjects in this study are 40 children under 2 years old, of which 20 children used diapers and 8 children of them did not. Data collection on the characteristics of the subject used questionnaires and interviews. The diagnosis of UTIs is determined based on the consensus of the Indonesian Medical Association. Urine is collected and tested for nitrites and urinary leukocytes to diagnose a UTI. Bivariate data analysis was used. Results: The results of the study found a meaningful relationship (P <0.05) statistically between the use of diapers, especially the use of diapers > 4 hours as one of the risk factors for the incidence of UTIs. The frequency of subjects who wear diapers and suffer from UTIs of subjects who do not wear diapers (p-value 0.014; OR 10.231; 95% CI: 1.121 – 93.341). The frequency of subjects who wore diapers > 4 hours with a UTI was more than subjects who wore diapers < 4 hours (p-value 0.001; OR 2.421; 95% CI: 0.109 – 2.129). Conclusion: The incidence of UTIs in children under 2 years old is correlated with the use of diapers and the duration of diaper use. Keywords: Diapers, Urinary tract infection, Infant, Children ABSTRAK Latar Belakang: Infeksi saluran kemih (ISK) masa bayi dan anak menimbulkan dampak jangka panjang terhadap fungsi ginjal salah satu dapat mengakibatkan gagal ginjal. Penggunaan pampers merupakan salah satu risiko infeksi saluran kemih (ISK). Penelitian ini bertujuan untuk mengetahui hubungan pemakaian pampers dengan kejadian ISK pada anak di bawah 2 tahun di RSUD H.Abdul Manap Kota Jambi. Metode: Penelitian menggunakan Case Control dan pengambil subjek dilakukan secara konsekutif. Sebanyak 40 anak usia di bawah 2 tahun pada penelitian yang pakai pampers sebanyak 20 anak dan tidak pakai pampers sebanyak 8 orang dilakukan dalam penelitian ini. Pengumpulan data karakteristik subjek dengan kuesioner dan wawancara. Diagnosis Infeksi saluran kemih ditentukan berpedoman pada Konsensus ikatan dokter Indonesia. Urin diambil dengan menggunakan urin collector dan diperiksa nitrit dan leukosit urin untuk membantu diagnosis. Data dianalisis dengan menggunakan bivariat. Hasil: Hasil penelitian didapatkan hubungan bermakna (P <0,05) secara statistik antara pemakaian pampers terutama pemakaian pampers > 4 jam sebagai salah satu faktor risiko. Frekuensi subjek yang memakai pampers dan menderita ISK subjek yang tidak memakai pampers (nilai p 0,014; OR 10,231; 95% CI: 1,121 – 93,341). Frekuensi subjek yang memakai pampers > 4 jam dengan menderita ISK lebih banyak dibandingkan subjek yang memakai pampers < 4 jam (nilai p 0,001 ; OR 2,421 ; 95% CI : 0,109 – 2,529). Kesimpulan: Terdapat hubungan pemakaian pampers dan lama pemakaian pampers terhadap kejadian ISK anak dibawah 2 tahun. Kata Kunci: Pampers, Infeksi saluran kemih, Bayi, Anak
Genetic variation near the MC4R gene rs17782313 as a protective factor against high visceral fat: case control study in the Jambi Malay population Alya Dwiva Juhari; Citra Maharani; Anggelia Puspasari; Rina Nofri Enis; Armaidi Darmawan
Indonesian Journal of Biomedicine and Clinical Sciences Vol 57 No 3 (2025)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v57i3.20568

Abstract

Obesity is commonly assessed using the body mass index (BMI), which does not distinguish between fat and lean mass. Among fat distributions, visceral fat is more strongly associated with the risk of metabolic disease. Visceral or central obesity, characterized by excessive visceral fat accumulation, has become increasingly prevalent in recent years. Genetic factors, including rs17782313 polymorphism near the melanocortin 4 receptor (MC4R) gene, have been implicated in visceral fat accumulation. Previous studies reported varying effect sizes across different populations and inconsistent genotype-phenotype associations. However, no studies have investigated this association in the Jambi Malay Population. This case-control study aimed to evaluate the association between the MC4R rs17782313 polymorphism and visceral fat in the Jambi Malay population. A total of 110 Jambi Malay subjects participated in the study. Visceral fat was measured using bioelectrical impedance analysis (BIA), and genotyping was performed using the Tetra-ARMS PCR method. Bivariate and multivariate analyses were conducted to assess the association between genetic variation and visceral fat levels. Bivariate analysis showed that the TC genotype had a protective effect against high visceral fat compared to the TT genotype (p = 0.037; OR = 0.395). Similarly, the recessive model (CC+TC vs. TT) also indicated a protective effect (p = 0.022; OR = 0.375). In logistic regression model adjusted for calorie intake and physical activity, the protective effect persisted for both TC (p = 0.018; OR = 0.302) and the recessive model (p = 0.013; OR = 0.305). However, further adjustment for gender nullified the effect of the TC genotype, whereas the recessive model remained statistically significant, though the genetic effect was attenuated (p = 0.044; OR = 0.372). In conclusion, the TC genotype of MC4R rs17782313 is associated with a protective effect against visceral fat accumulation. This effect is influenced by calorie intake, physical activity, and gender.
SEDENTARY LIFESTYLE: SKRINING POTENSI RISIKO KESEHATAN PADA CIVITAS AKADEMIKA UNIVERSITAS JAMBI TAHUN 2024 Shafira, Nyimas Natasha Ayu; Enis, Rina Nofri; Puspasari, Anggelia; Maharani, Citra; Tarawifa, Susan
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 2 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

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ABSTRACT The sedentary lifestyle among office workers is associated with various adverse health risks, such as increased rates of metabolic disorders such as diabetes mellitus, hypertension, and dyslipidemia, as well as depression and cognitive impairment. Data from the Jambi University Clinic shows that there are still many educational staff and educators who are overweight, and awareness of getting themselves checked before health problems arise is still low. Health screening related to adverse effects due to a sedentary lifestyle, such as obesity, hypertension, and diabetes mellitus, needs to be carried out so that preventive measures and further management can be carried out. The PPM was attended by educational staff or educators at Jambi University aged 19-64, who were checked for body mass index (BMI), blood pressure, and fasting blood sugar (GDP) measurements. Before taking venous blood for GDP examination, participants must fast for 8-10 hours. The examination results are sent to service participants along with health promotion media in the form of leaflets to avoid sedentary behavior. The activity was attended by 99 people who met the criteria. From the results of BMI measurements, it was found that 8.08% were underweight, 22.2% normoweight, 8.08% overweight, and 61.62% obese. The GDP examination found that 92.93% were normal, 3.03% pre-diabetic, and 4.04% were diabetic. From blood pressure measurements, it was found that 36.36% were normal, 39.39% were pre-hypertension, and 24.24% were hypertensive. It should be noted that service participants who are underweight, overweight, pre-diabetic, and pre-hypertensive need regular follow-up evaluations to prevent worsening of their health conditions. Participants who are obese, diabetic, and hypertensive need to receive further management in the form of treatment from a doctor according to the health problems they are experiencing. Keywords: Diabetic, Hypertension, Obesity, Sedentary lifestyle ABSTRAKGaya hidup yang kurang gerak (sedentary lifestyle) di kalangan pekerja kantoran memiliki hubungannya dengan berbagai risiko kesehatan yang merugikan seperti peningkatan angka gangguan metabolism seperti diabetes mellitus, hipertensi, dan dislipidemia, serta depresi, dan gangguan kognitif. Data dari Klinik Universitas Jambi, diketahui bahwa masih banyak tenaga kependidikan maupun pendidik yang memiliki berat badan berlebih, dan kesadaran untuk memeriksakan diri sebelum timbul masalah kesehatan yang masih rendah. Skrining kesehatan terkait efek buruk yang timbul karena perilaku sedentary seperti obesitas, hipertensi dan diabetes mellitus perlu dilakukan agar dapat dilakukan tindakan preventif maupun tatalaksanalanjutan. PPM diikuti oleh tenaga kependidikan atau pendidik di Universitas Jambi berusia 19-64 tahun, dilakukan pemeriksaan Indeks massa tubuh (IMT), tekanan darah dan pengukuran gula darah puasa (GDP). Sebelum pengambilan darah vena untuk pemeriksaan GDP, peserta diwajibkan berpuasa 8-10 jam. Hasil pemeriksaan dikirimkan kepada peserta pengabdian beserta media promosi kesehatan berupa leaflet untuk menghindari perilaku sedentary. Kegiatan diikuti oleh 99 orang yang memenuhi kriteria. Dari hasil pengukuran IMT didapatkan 8.08% underweight, 22.2% normoweight, 8.08% overweight dan 61.62% obese. Dari pemeriksaan GDP didapatkan 92.93% normal, 3.03% pre-diabetik, 4.04% diabetik. Daripengukuran tekanan darah didapatkan 36.36% normal, 39.39% pre-hipertensi, 24.24% hipertensi. Hendaknya menjadi perhatian untuk peserta pengabdian yang mengalami underweight, overweight, prediabetik, dan pre-hipertensi membutuhkan evaluasi lanjutan secara berkala agar tidak terjadi perburukan kondisi kesehatan. Para peserta yang mengalami obese, diabetik, dan hipertensi perlu untuk mendapat tatalaksana lanjutan berupa pengobatan dari dokter sesuai masalah kesehatan yang dialami.Kata kunci: Diabetes, Hipertensi, Obesitas, Sedentary lifestyle