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All Journal Paediatrica Indonesiana Majalah Kedokteran Nusantara The Journal Of Medical School SCRIPTA SCORE Scientific Medical Journal Cermin Dunia Kedokteran Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) The Journal of Society Medicine (JSOCMED) Cermin Dunia Kedokteran
Arto, Karina Sugih
Department Of Child Health University Of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Journal : Paediatrica Indonesiana

 1 
Puberty onset in rural and urban children Hariadi Edi Saputra; Hakimi Hakimi; Melda Deliana; Siska Mayasari Lubis; Karina Sugih Arto
Paediatrica Indonesiana Vol 57 No 1 (2017): January 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.851 KB) | DOI: 10.14238/pi57.1.2017.52-6

Abstract

Background Accelerated pubertal onset has been reported in recent years. Environmental factors are assumed to influence this condition.Objective To assess differences in pubertal onset between children in rural and urban areas, as well as to evaluate body mass index (BMI) and socioeconomic status that affect pubertal onset.Methods This cross-sectional study was conducted in July 2010 at junior high schools in Mandailing Natal and Medan, North Sumatera. Data were collected with purposive sampling of children aged 8 to 13 years. Sexual maturity was assessed by Tanner stage and risk factors was determined by questionnaires. The comparison between pubertal onset in rural and urban areas was assessed by Mann-Whitney U test. The relationships between nutritional status, socioeconomic status, sexual maturity, and pubertal onset were assessed by Spearman’s correlation.Results Eighty-four subjects (38 boys and 46 girls) from a rural area and 87 subjects (40 boys and 47 girls) from an urban area participated in this study. There were significant differences in mean pubertal age of onset between subjects living in rural vs. urban areas, for both girls and boys [girls: 10.2 vs. 9.5 years, respectively (P=0.008); boys: 11.7 vs. 10.1 years, respectively, (P=0.001)]. We found weak negative correlations between BMI and pubertal onset in boys (r=-0.246; P=0.03) and in girls (r=-0.548; P=0.001). We also found weak negative correlations between socioeconomic status and  pubertal onset in boys (r=-0.406; P=0.0001) and in girls (r=-0.575; P=0.001).Conclusion Pubertal onset is faster in girls and boys who lived in an urban area.  There are negative correlations between BMI and socioeconomic status with pubertal onset.
Comparison of Growth Diagrams Of Indonesian Children to 2006 World Health Organization Growth Standards in diagnosing stunting Rizki Aryo Wicaksono; Karina Sugih Arto; Rina Amalia Karomina Saragih; Melda Deliana; Munar Lubis; Jose Rizal Latief Batubara
Paediatrica Indonesiana Vol 60 No 2 (2020): March 2020
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (200.111 KB) | DOI: 10.14238/pi60.2.2020.97-101

Abstract

Background Stunting represents a linear growth disturbance due to chronic malnutrition, recurrent infection, and inadequate psychosocial stimulation. The 2006 World Health Organization (WHO) Growth Standards are utilized as a modality in monitoring children's growth, but to date, there has been no recommendation on use of the Growth Diagrams of Indonesian Children to monitor the growth of Indonesian children. Objective To determine the proportion of stunting, the sensitivity and specificity of Growth Diagrams of Indonesian Children for diagnosing stunting. In addition, we aimed to compare proportions of stunting using the 2006 WHO Growth Standards and Growth Diagrams of Indonesian Children. Method A cross-sectional study was conducted in Lawe Alas District, Southeast Aceh, Indonesia, from December 2017 to May 2018. Subjects were children aged 1-59 months who fulfilled the inclusion criteria. Subjects were obtained using a consecutive sampling method. Weight and height measurements were plotted on the Growth Diagrams of Indonesian Children and on the 2006 WHO Growth Standards to determine the stature o subjects. Stunting was defined as the index Z-score for HAZ of less than -2 SD for the 2006 WHO Growth Standards, and an HAZ index of below the 10th percentile (p10th) for the Growth Diagrams of Indonesian Children. Results Of 141 subjects, 66 (46.8%) had stunting based on the 2006 WHO Growth Standards and 51 (34.8%) had stunting based on Growth Diagrams of Indonesian Children. The sensitivity and specificity of the Growth Diagrams of Indonesian Children were 75.5% and 98.66%, respectively. Significantly more children were considered to be stunted using the 2006 WHO Growth Standards than using the Growth Diagrams of Indonesian Children. Conclusion Stunting prevalence is high in Southeast Aceh. The Growth Diagrams of Indonesian Children is a spesific and sensitive tool to diagnosed stunting in accordance with Indonesian children's growth patterns.
Risk factors of stunting in Indonesian children aged 1 to 60 months Rizki Aryo Wicaksono; Karina Sugih Arto; Erna Mutiara; Melda Deliana; Munar Lubis; Jose Rizal Latief Batubara
Paediatrica Indonesiana Vol 61 No 1 (2021): January 2021
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi61.1.2021.12-9

Abstract

Background The Indonesian province of Aceh has a high prevalence of stunting. Identifying risk factors for stunting may help prevention efforts. The Growth Diagrams of Indonesian Children are a specific tool to diagnose stunting in Indonesian pediatric populations. Objective To determine the risk factors of stunting in children aged 1-60 months using the Growth Diagrams of Indonesian Children. Methods This observational, analytic study with case-control design was conducted in the Lawe Alas District, Southeast Aceh, Indonesia to compare prior risk factors exposure between stunted children (cases) and non-stunted children (controls) from January-April 2018. Subjects were children aged 1-60 months and recruited by consecutive sampling. Results The subjects comprised 97 cases and 97 controls, totaling 194 subjects, internal risk factors of stunting were short birth length (OR 2.87; 95%CI 1.24 to 6.61; P=0.011), inadequate calorie intake (OR 2.37; 95%CI 1.32 to 4.27; P=0.004), non-exclusive breastfeeding (OR 3.64; 95%CI 2.01 to 6.61; P<0.001), chronic diarrhea (OR 6.56; 95%CI 3.33 to 13.01; P<0.001) and upper respiratory tract infections (OR 3.47; 95%CI 1.89 to 6.35; P<0.001). External risk factors of stunting were unimproved sanitation (OR 2.98; 95%CI 1.62 to 5.48; P<0.001), unimproved water sources (OR 2.71; 95%CI 1.50 to 4.88; P=0.001), low family income (OR 2.49; 95%CI 1.38 to 4.49; P=0.002), low paternal educational level (OR 2.98; 95%CI 1.62 to 5.48; P<0.001), low maternal educational level (OR 2.64; 95%CI 1.38 to 5.04; P=0.003), and living in households with >4 family members (OR 1.23; 95%CI 0.69 to 2.17; P=0.469). Regression analysis showed that the dominant risk factor of stunting was chronic diarrhea (OR 5.41; 95%CI 2.20 to 13.29; P<0.001). Conclusion The history of chronic diarrhea and non-exclusive breastfeeding are the main risk factors of childhood stunting.
Intelligence quotient (IQ) outcome in children with early-treated congenital hypothyroidism: a systematic review and meta-analysis Whyra Pratama Said; Karina Sugih Arto; Winra Pratita; Sufitni Sufitni
Paediatrica Indonesiana Vol 63 No 4 (2023): July 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.4.2023.290-7

Abstract

Background Congenital hypothyroidism (CH) is the most common congenital endocrine disorder in childhood and is one of the most preventable causes of intellectual disability (ID). Late initiation of thyroid hormone substitution therapy has a negative impact on intellectual abilities in CH patients. Objective To compare Intelligence Quotient (IQ) between children with CH who underwent early treatment among the children without CH. Methods We performed online literature searches of ScienceDirect, Pubmed, Cochrane Library, and Google Scholar. We included clinical studies that examined IQ scores in patients with early-treated CH and without CH. Review Manager 5.4 was used to perform the meta-analysis. Results Twelve studies comparing pediatric patients with and without CH were included in this meta-analysis, for a total of 808 patients. Based on data analysis, IQ levels of verbal IQ [mean difference (MD) -9.05; (95%CI -14.51 to -3.59); (P<0.00001)], performance IQ [MD -11.70; (95%CI -17.41 to -5.99); (P<0.00001)], and total IQ [MD -10.78; (95%CI -14.03 to -7.54); (P<0.00001)]. While verbal, performance, total, of the early-treated CH group were within the normal range, they were each significantly lower than those in the non-CH group. Conclusion This meta-analysis reveals that IQ scores in early-treated CH subjects were within normal limits, but significantly lower than that of normal controls.
Overweight and menstrual disorders in girls aged 12-15 years Purba, Siska Octaviani; Arto, Karina Sugih; Saragih, Rina Amalia C.
Paediatrica Indonesiana Vol. 63 No. 6 (2023): November 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.6.2023.499-505

Abstract

Background Several studies have noted a strong association between fat distribution and menstrual disorders. Many studies have evaluated the association between nutritional status and menstrual disorders, but the results remain inconclusive. Objective To assess for possible associations between overweight and menstrual disorders in girls aged 12-15 years. Methods A cross-sectional study was conducted in girls aged 12-15 years who had undergone menarche. Nutritional status was classified based on the Centers for Disease Control and Prevention curve for body mass index (BMI) as overweight (P85-P95) and normal weight (P3-<P85); those underweight (<P3) were excluded. We recorded the subjects’ BMI, waist circumference (WC), waist circumference-to-height ratio (WtHR), menstrual pain (using the visual analog scale), menstrual cycle length, menstrual period duration, and bleeding volume (estimated by the daily number of menstrual pads used) and compared these variables between normal weight and overweight subjects. Results Of 73 subjects, 32.9% were overweight and 67.1% had normal weight. There were significant associations between overweight and menstrual disorders (prevalence ratio, PR=1.304; P=0.027), irregular menstrual cycle (PR=4.696; P<0.001), abnormal menstrual period duration (PR=2.45; P<0.001), and excessive bleeding volume (PR=9.528; P<0.001). No significant association was found between overweight and menstrual pain (P=0.227). BMI, WC, and WtHR were significantly higher in girls with irregularity and abnormal duration of menstrual cycles, but not in girls with excessive menstrual pain. Conclusion Overweight is significantly associated with menstrual disorders, irregular menstrual cycle, abnormal menstrual period duration, and abnormal volume of menstrual loss, but not with menstrual pain.
Co-Authors Adelita, Miranda Bagus Prastyo, Dimas Bugis Mardina Lubis, Bugis Mardina Dina Arwina Dalimunthe, Dina Arwina Erna Mutiara Hakimi dr Hakimi Hakimi Harahap, Nurul Wahida Hariadi Edi Saputra Heny Syahrini Jose Rizal Latief Batubara Jose RL Batubara Lubis, Dian Anindita Mayasari Lubis, Siska Melda Deliana Melda Deliana Melda Deliana Melda Deliana Melda Deliana Melda Deliana, Melda Miranda Adelita Munar Lubis Nasution, Indah Purba, Siska Octaviani Rahmad Sumiko Rina Amalia C. Saragih, Rina Amalia C. Rina Amalia Karomina Saragih Rizki Aryo Wicaksono Rizki Aryo Wicaksono Siska Mayasari Lubis Siska Mayasari Lubis Sufitni Supriatmo Whyra Pratama Said Winra Pratita