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All Journal Eduvest - Journal of Universal Studies Jurnal Kesehatan
Rachmawati Masnadi, Nice
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Aerospace Engineering Computer Science & IT Health Professions Neuroscience Nursing Social Sciences

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Calcium and Vitamin D Serum Level of Stunting and Severe Stunting Children Aged 12-23 Months in the Pauh Health Center, Padang City Rachmawati Masnadi, Nice; Yani, Finny Fitry
Eduvest - Journal of Universal Studies Vol. 5 No. 12 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i12.52498

Abstract

Stunting remains a significant public health challenge, particularly in developing countries. Vitamin D and calcium play crucial roles in linear growth and bone mineralization during early childhood. This study aimed to analyze the levels of serum vitamin D and calcium in stunted and severely stunted children aged 12–23 months in the working area of Pauh Health Center, Padang City, West Sumatra. This cross-sectional analytical study was conducted from February to May 2025, involving 43 children aged 12–23 months (33 stunted and 10 severely stunted). Data were analyzed using the chi-square test and independent-samples t-test. Most children exhibited hypovitaminosis D (62.7%), with 9.3% deficiency and 53.4% insufficiency. Serum calcium levels were predominantly normal (85.1%). No significant differences were found in vitamin D levels (p > 0.05) or calcium levels (p > 0.05) between stunted and severely stunted children. The mean vitamin D level was 12.14 ± 1.97 ng/mL in stunted children and 12.16 ± 1.63 ng/mL in severely stunted children. The mean serum calcium levels were 9.14 ± 1.97 mg/dL in stunted children and 9.16 ± 1.63 mg/dL in severely stunted children, respectively. Despite the high prevalence of vitamin D insufficiency, there were no significant differences in serum vitamin D and calcium levels between stunted and severely stunted children aged 12–23 months. The body's homeostatic mechanisms maintain normal serum calcium levels despite low vitamin D status, potentially at the expense of bone density. Further research is needed to identify other contributing factors to stunting severity.
Urinary Zinc Levels and Nutritional Status in Children with Acyanotic Congenital Heart Disease: A Cross-Sectional Study Pradhana Putra, Fajar; Hariyanto, Didik; Rachmawati Masnadi, Nice; Dianne Jurnalis, Yusri; Nurdin, Asrawati; Perdana Harmen, Anggia
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 1 (2026): Jurnal Kesehatan Volume 17 Nomor 1 Tahun 2026 (on progress)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i1.1622

Abstract

Background: Acyanotic congenital heart disease (CHD) causes increased metabolic demands and nutrient malabsorption, potentially triggering zinc deficiency. Urinary zinc measurement offers a non-invasive method to assess zinc status. This study evaluates the association between urinary zinc levels and nutritional status in children with acyanotic CHD. Methods: An analytical cross-sectional study involving 50 children aged 2–60 months with echocardiography-confirmed acyanotic CHD was conducted at the Pediatric Cardiology Outpatient Clinic, DR. M. Djamil General Hospital, Padang, from October 2024 to August 2025. Nutritional status was assessed by anthropometry using WHO growth standards (weight-for-height z-scores). Spot urinary zinc levels were measured using a colorimetric zinc assay kit (Elabscience, E-BC-K137-M) with absorbance read at 560 nm. One-way ANOVA and post-hoc tests were used for group comparisons. Results: Malnutrition prevalence reached 62% (undernutrition 32%, severe malnutrition 30%). Hypozincuria (urinary zinc <8 µmol/L) was found in 38% of subjects. A highly significant difference in urinary zinc levels was observed across nutritional status groups (p<0.001). Urinary zinc was highest in the well-nourished group (9.6±1.2 µmol/L), followed by undernutrition (8.4±1.8 µmol/L), and lowest in severe malnutrition (6.1±1.5 µmol/L). Post-hoc analysis confirmed significant differences between well-nourished and severely malnourished (p<0.001), and between undernutrition and severe malnutrition (p<0.001). Conclusion: Urinary zinc levels are significantly associated with nutritional status in children with acyanotic CHD, particularly in those with severe malnutrition. Urinary zinc assessment may serve as a practical screening tool to identify zinc deficiency in this population and guide targeted nutritional interventions.
Co-Authors Didik Hariyanto Finny Fitry Yani Nurdin, Asrawati Perdana Harmen, Anggia Pradhana Putra, Fajar Yusri Dianne Jurnalis