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The relationship between body mass index, sleep quality, stress conditions and menstrual cycles in female adolescents

International Journal of Public Health Science (IJPHS) Vol 8, No 1: March, 2019
Publisher : Institute of Advanced Engineering and Science

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Abstract

Background: Menstrual cycles are an important indicator of women's health. Menstrual cycles can be affected by BMI, sleep quality, and stress. Objective: To analyse the relationship between BMI, sleep quality, stress and the menstrual cycle. Method: The subjects of this research were the female adolescents at the age of at least 15 years old that had experienced menstruation for at least 2 years. The dependent variable is the menstrual cycle while the independent variables are BMI, sleep quality, and stress conditions. Observational analytic research method with cross sectional design was used in this research. The subjects were 148 female students. The BMI data were obtained through the anthropometric measurement. The sleep quality data were taken with PSQI questionnaire, and the stress condition data obtained from PSS-10 questionnaire which were then analysed using Chi-Square test and Logistic Regression. Results: There is a significant relationship between BMI, sleep quality, stress conditions and the adolescent menstrual cycle. The results of the multivariate analysis showed that the female adolescents with abnormal BMI are at risk of having menstrual cycle disorders 1.91 times. The adolescents with poor sleep quality are at risk experiencing menstrual cycle disorders 2.05 times, and the adolescents with stress conditions at risk of the menstrual cycle disorders 2.26 times. Conclusion: There is a relationship between BMI, sleep quality, stress conditions and the menstrual cycle. Stress conditions most influence the regularity of the menstrual cycle.

Motivation as Mediator between Family Support to the Readiness of Pregnant Woman in Exclusive Breastfeeding

International Journal of Public Health Science (IJPHS) Vol 6, No 2: June 2017
Publisher : Institute of Advanced Engineering and Science

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Abstract

The success of the implementation of exclusive breastfeeding in the community is depend on the readiness of pregnant mothers in exclusive breastfeeding. This readiness is influenced by several factors including motivation and support exclusive breastfeeding by family. This study aimed to examine the empirical model that shows the motivational role as mediators of the relationship between family support of readiness pregnant mothers in exclusive breastfeeding. Cross-sectional study performed on pregnant women in Surakarta. A sample of 150 respondents mother in her first time pregnancy. The closed questionnaire of Likert scale developed to measure three variables of the study. Path analysis procedure used to test the hypothesis of motivational role as mediator relations between two other variables. The results showed that all three variables had a significant relation (p <0.001). The relationship between family support to readiness pregnant women after entering motivation as covariates remained significant but decreased significantly path coefficient (β = 0.365; p <0.001 becomes β = 0.260; p = 0.001). Thus the motivation become a mediator relationship with the family support of readiness pregnant mothers in exclusive breastfeeding.

Pengaruh Suplementasi Vitamin C, Vitamin E, dan Kombinasinya Terhadap Penurunan Kadar Low Density Lipoprotein Serum pada Pasien Penyakit Ginjal Kronis Stadium V yang Dilakukan Hemodialisis

Jurnal Kedokteran Indonesia Vol 3, No 1 (2012)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background:Low density lipoprotein (LDL) cholesterol is a prognostic factor for hemodialysis mortality through atherosclerosis mechanism. Vitamin C and E have been well known as anti-oxidants that reduced LDL cholesterol. However, there were no studies have been done to address the effectiveness of vitamin C, E, and its combination on lowering LDL in patients with hemodialysis. This study aimed to determine the effect of vitamin C, E, and C and E combination on LDL cholesterol. Methods:A randomized controlled trial was conducted in 64 patients receiving hemodialysis at RSUD Dr.Moewardi(RSDM) Surakarta. The sample was taken at random and then divided into 4 groups: placebo, vitamin C (500 mg), vitamin E (400 mg), and vitamin C + E combination. The treatment lasted for 30 days. LDL cholesterol before and after treatment were analyzed at the Clinical Pathology division, RSDM. The reduction in LDL cholesterol before and after treatment was analyzed using One Way Anovaand (pair-wise) Post-Hoc Test. Results:One Way Anovashowed statistically significant reduction in LDL cholesterol between groups (p<0.001). Post hoc testshowed that vitamin C, vitamin E, or its combination reduced LDL cholesterol more than the placebo (p<0.001). Vitamin C and E administered in combination led to statistically significant lower LDL cholesterol than administered alone (p=0.002). There was no statistically difference in LDL cholesterol level between those provided with vitamin C and vitamin E. Conclusion: Vitamin C and E, individually or in combination, reduces LDL cholesterol. The highest reduction was achieved by vitamin C and E combination.Keywords: vitamin C, vitamin E, LDL cholesterol

Relationship between calcium supplementation dose and vegetable intake with preeclampsia

International Journal of Public Health Science (IJPHS) Vol 8, No 1: March, 2019
Publisher : Institute of Advanced Engineering and Science

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Abstract

Preeclampsia is one of the cause of high maternal mortality rates. Risk factors for preeclampsia include a lack of nutrients such as vitamin A, calcium, sodium and potassium. Calcium intake in pregnant women is not only obtained from calcium supplementation, but also obtained from consumed foods such as vegetables. to analyzed the relationship between calcium supplementation dose and vegetable intake with preeclampsia in third trimester of pregnant women. observational analytic used a prospective cohort design. A total of 65 third trimester pregnant women participated in the study in Bantul, Yogyakarta. The calcium supplementation dose was obtained through interview using a questionnaire, while vegetable intake was obtained through the food frequency and food recall 2x24 hours. 16 third trimester pregnant women experienced preeclampsia. The mean calcium dose consumed per day was 476.2 mg. The average intake of vegetables per day for pregnant women was 250.9 gr. Kaplan-Mier with the log rank method states that there was a significant difference between calcium supplementation dose (p=0.007) and preeclampsia. There was a significant difference between vegetable intake (p=0.007) and preeclampsia. there was a significant relationship between calcium supplementation dose and vegetable intake with preeclampsia in third trimester pregnant women.

Perbedaan Kekuatan Genggam Berdasarkan Status Gizi pada Pasien DM Tipe 2 (Handgrip Strength Difference based on Nutritional Status in Type 2 Diabetic Patients)

Indonesian Journal of Human Nutrition Vol 3, No 1 (2016): Suplemen "Malang Current Issues On Nutrition (MCION)"
Publisher : Jurusan Gizi, Fakultas Kedokteran, Universitas Brawijaya Malang

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Abstract

AbstrakDiabetes melitus (DM) merupakan masalah utama kesehatan masyarakat. Kondisi malnutrisi dapat terjadi pada pasien DM. Malnutrisi menyebabkan kelainan sensorimotor dan pengecilan otot yang bervariasi pada tiap tahapannya. Penilaian penurunan kekuatan genggam disarankan sebagai metode untuk mendeteksi kekurangan gizi di bidang klinik. Penelitian ini bertujuan untuk mengetahui perbedaan kekuatan genggam berdasarkan status gizi IMT pada pasien DM tipe 2. Penelitian ini bersifat observasional dengan rancangan cross sectional. Jumlah sampel adalah 153 pasien DM tipe 2 di Poliklinik Penyakit Dalam rawat jalan RSUD Dr. Moewardi Surakarta. Teknik pengambilan sampel adalah purposive sampling. Semua sampel diukur kekuatan genggam menggunakan handgrip dynamometer dan untuk Indeks Massa Tubuh (IMT) dengan penimbangan berat badan menggunakan timbangan digital dan pengukuran tinggi badan menggunaan microtoise kemudian dimasukkan rumus IMT. Analisis yang digunakan yaitu uji t independen untuk mengetahui perbedaan nilai rerata kekuatan genggam, perhitungan koefisien korelasi Pearson untuk mengetahui hubungan kekuatan genggam dengan IMT, dan model regresi linear untuk prediksi skor dari karakteristik ke variabel kekuatan genggam. Hasil penelitian menunjukkan bahwa pada 153 subjek memiliki rentang usia 38-68 tahun dengan rata-rata 56±7,13 tahun. Terdapat perbedaan kekuatan genggam berdasar jenis kelamin dan pekerjaan pada status gizi baik dan kurang, sedangkan perbedaan kekuatan genggam berdasar pendidikan hanya pada status gizi baik. Nilai kekuatan genggam antara status gizi kurang vs. status gizi baik = 22,28±9,69 kg vs. 22,98±8,27 kg (p=0,807). Dapat disimpulkan bahwa tidak terdapat perbedaan yang signifikan kekuatan genggam antara status gizi kurang dan status gizi baik berdasarkan IMT pada pasien DM tipe 2.Kata kunci : Kekuatan genggam, IMT, DM Tipe 2 AbstractDiabetes mellitus is a major health problem. Malnutrition is common among diabetic patients. Malnutrition may cause sensory motor disorders and muscle wasting in varying degrees. Handgrip strength (HGS) asessment is recommended to detect undernutrition in clinical practice. The aim of this study was to determine the HGS in type 2 diabetic patients. This was an observational study with cross sectional design. 153 type 2 diabetes outpatients of internal medicine clinic in Dr Moewardi Hospital, Surakarta were recruited using purposive sampling technique. HGS level was measured using handgrip dynamometer. The bodyweight and height were measured using digital weight scale and microtoise, respectively. The body mass index (BMI) was determined from body weight in kilograms divided by the square of height in meters. Independent sample t test was used to determine the difference of HGS level based of BMI index; Pearson correlation coefficient  measures the correlation between HGS and BMI while linear regression models were used to predict score from characteristic to HGS variable. Overall, 153 type 2 diabetes patients aged 38-68 year-old were participated in this study. The mean level of age was 56±7,13 year-old. The difference of HGS level was found based on gender and type of jobs, both normoweight and underweight group while HGS difference based on educational level was only found in normoweight group. HGS between underweight vs. normoweight group was 22,28±9,69 vs 22,98±8,27 kgs (p=0,807). There was no significant difference of HGS in type 2 diabetic patients with underweight and normoweight status.Keywords: Handgrip Strength, BMI, Type 2 Diabetes.

Relation of complementary foods and anemia in urban underprivileged children in Surakarta

Paediatrica Indonesiana Vol 47, No 5 (2007): September 2007
Publisher : Indonesian Pediatric Society

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Abstract

Background Iron deficiency anemia (IDA) is still prevalent inIndonesian children. Attempt to treat patients with IDA withiron supplementation has been difficult because of lowcompliance.Objective To determine the complementary foods that contributesin the prevalence of anemia in children.Methods A cross sectional study was conducted in three urbanunderprivileged villages. Healthy children aged 6-23 months atthe time of interview were selected. The questionnaire wasspecially developed for determining the risks of IDA. We tookblood sampling to measure the hemoglobin concentration.Results A total of 86 children participated in the study; but only dataof 78 children were available for analysis. The prevalence of anemiaamong those children was 35%. Most children (90%) consumedanimal protein inadequately. Rice-based diet was the main meal ofmost children (97%). Analysis of possible factors associated with theanemia showed that inadequate plant or animal protein consumption,wasted children, less than 2 orange consumption, not consumingiron fortified formula/cereal had OR 1.2 (95%CI 0.40; 3.61), 4.13(95%CI 0.48;35.45), 4.67 (95%CI 1.04;20.04), 6.25 (95% CI1.32;29.55) and 3.15 (95%CI 1.18;8.41), respectively. Logistic analysisrevealed that the factors associated with anemia were wasted children(OR 9.10, 95%CI 1.38;60.18), low or no orange consumption (OR7.86, 95%CI 1.36;45.40) and not consuming iron fortified formula/cereal (OR 3.01, 95%CI 1.02;8.90).Conclusion In children with rice-based diet as main meal,consuming orange as an enhancing factor should also be addressedin order to prevent anemia.

Path Analysis: Knowledge, Motivation Factor, and Their Relationship with Readiness to Provide Exclusive Breastfeeding among Pregnant Women

International Research Journal of Management, IT & Social Sciences (IRJMIS) Vol 4 No 1: January 2017
Publisher : IJCU

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Abstract

Women who prepare early will be better prepared both physically and psychologically to breastfeed exclusively. The purpose of this research was to determine whether the motivation variable as a mediator of the relation between knowledge of exclusive breastfeeding with readiness to exclusive breastfeeding. The study was observational, A total of 150 respondents, These three variables, namely knowledge, motivation, and readiness in exclusive breastfeeding, measured by the enclosed questionnaire. Correlation between variables was analyzed with path analysis. The relation between variables in all three models was significant (p <0.001), whereas the relation between knowledge and preparedness in exclusive breastfeeding is not significant (1b = 0.142; p = 0.092). The relation between knowledge and preparedness in exclusive breastfeeding changed from the first model, into the fourth model. Besides there is a decline in the path coefficient of 0,302 became 0,142, the relation also becomes insignificant. This shows that the fourth mediation relationship condition is fulfilled. Pregnant women motivation exclusively breastfed mediates the relationship between knowledge of exclusive breastfeeding with maternal readiness in exclusive breastfeeding.

Hubungan rentang lengan, tinggi lutut, panjang ulna dengan tinggi badan lansia perempuan di Kecamatan Sewon

Ilmu Gizi Indonesia Vol 1, No 2 (2018): Februari
Publisher : Program Studi S-1 Ilmu Gizi

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Abstract

AbstrakLatar Belakang: Menjadi tua merupakan suatu proses alami yang tidak dapat dihindari. Selain masalah penyakit degeneratif seperti osteoporosis, malnutrisi juga merupakan masalah kesehatan lansia saat ini yaitu masalah gizi kurang dan gizi lebih. Penilaian status gizi lansia dapat diukur dengan menggunakan indeks massa tubuh (IMT) yaitu perbandingan berat badan dan kuadrat tinggi badan. Tinggi badan (TB) merupakan indikator status gizi sehingga pengukuran tinggi badan seseorang secara akurat sangatlah penting untuk menentukan nilai IMT. Akan tetapi untuk memperoleh pengukuran TB yang tepat pada lansia cukup sulit karena masalah postur tubuh, kerusakan spinal, maupun masalah dalam pergerakan. Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan rentang lengan, tinggi lutut dan panjang ulna dengan tinggi badan. Metode: Penelitian ini menggunakan desain cross sectional dan bersifat observasional analitik. Responden penelitian ini adalah lansia >60 tahun sebanyak 119 lansia. Hasil: Berdasarkan hasil analisis dengan menggunakan korelasi pearson terdapat hubungan yang bermakna antara rentang lengan, tinggi lutut, panjang ulna dengan tinggi badan. Tingkat keeratan hubungan untuk rentang lengan sebesar 0,779, tinggi lutut sebesar 0,639,dan panjang ulna sebesar 0,488. Rentang lengan, tinggi lutut, dan panjang ulna dapat digunakan untuk memprediksi tinggi badan lansia. Kesimpulan: terdapat hubungan yang bermakna antara rentang lengan, tinggi lutut, panjang ulna dengan tinggi badan Kata kunci: rentang lengan, tinggi lutut, panjang ulna, lansia 

Hubungan Pemberian ASI Eksklusif dan Lingkar Kepala dengan Perkembangan Motorik Bayi Usia 6-12 Bulan di Surakarta

Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal
Publisher : Fakultas Kedokteran Universitas Sebelas Maret

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Abstract

Introduction: Motor development needs to be considered to detect the presence or absence of delays in infant’s development which can affect their potency in the future. Exclusive breastfeeding contains lactose, taurine, DHA, and AA which are needed for motor development. Head circumference is related to brain development as one of motor control organs. This study aimed to analyze the relationship between exclusive breastfeeding and head circumference with motor development of infants aged 6-12 months in Surakarta. Methods: This was an analytical observational study with a cross sectional design. The subject were infants aged 6-12 months in Puskesmas Gajahan and Puskesmas Ngoresan Surakarta who met the inclusion criteria. Data obtained from interviews, measurements of head circumference, and assessments of motor development, in 84 subjects that selected purposely. The data were analyzed using Chi Square test, Odds Ratio (OR), and logistic regression.Results: There was a significant relationship between exclusive breastfeeding and motor development (p<0,001; OR=9,88) but no significant relationship was found between head circumference and motor development (p=0,208; OR=5,35), complementary feeding and motor development (p=0,242; OR=0,52), sex and motor development (p=0,400; OR=1,59), age and motor development (p=0,432; OR=0,65). Conclusion: Infants aged 6-12 months who are exclusive breastfed and had normal head circumference have greater chances to experience motor development that is age – appropriate.

Hubungan rentang lengan, tinggi lutut, panjang ulna dengan tinggi badan lansia perempuan di Kecamatan Sewon

Ilmu Gizi Indonesia Vol 1, No 2 (2018): Februari
Publisher : Program Studi S-1 Ilmu Gizi

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Abstract

AbstrakLatar Belakang: Menjadi tua merupakan suatu proses alami yang tidak dapat dihindari. Selain masalah penyakit degeneratif seperti osteoporosis, malnutrisi juga merupakan masalah kesehatan lansia saat ini yaitu masalah gizi kurang dan gizi lebih. Penilaian status gizi lansia dapat diukur dengan menggunakan indeks massa tubuh (IMT) yaitu perbandingan berat badan dan kuadrat tinggi badan. Tinggi badan (TB) merupakan indikator status gizi sehingga pengukuran tinggi badan seseorang secara akurat sangatlah penting untuk menentukan nilai IMT. Akan tetapi untuk memperoleh pengukuran TB yang tepat pada lansia cukup sulit karena masalah postur tubuh, kerusakan spinal, maupun masalah dalam pergerakan. Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan rentang lengan, tinggi lutut dan panjang ulna dengan tinggi badan. Metode: Penelitian ini menggunakan desain cross sectional dan bersifat observasional analitik. Responden penelitian ini adalah lansia >60 tahun sebanyak 119 lansia. Hasil: Berdasarkan hasil analisis dengan menggunakan korelasi pearson terdapat hubungan yang bermakna antara rentang lengan, tinggi lutut, panjang ulna dengan tinggi badan. Tingkat keeratan hubungan untuk rentang lengan sebesar 0,779, tinggi lutut sebesar 0,639,dan panjang ulna sebesar 0,488. Rentang lengan, tinggi lutut, dan panjang ulna dapat digunakan untuk memprediksi tinggi badan lansia. Kesimpulan: terdapat hubungan yang bermakna antara rentang lengan, tinggi lutut, panjang ulna dengan tinggi badan