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Oral Nutrition Supplements: Regulasi dan Distribusi di Indonesia - Studi di Rumah Sakit Swasta di Surabaya: Oral Nutrition Supplements: Regulation and Distribution in Indonesia – a Study in a Private Hospital in Surabaya Azzahra', Lama'ah; Widjaja, Nur Aisiyah; Nurfirdaus, Yasmine; Ardianah, Eva; Hermanto, Edi; Adha, Aziza Zahrotul
Amerta Nutrition Vol. 8 No. 4 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i4.2024.611-618

Abstract

Background: Oral Nutrition Supplements (ONS) in the Minister of Health Regulation No. 29 year 2019 which was made as the guidance of nutritional management for children with nutritional problems, especially growth failure (still prevalent) and became one of Indonesia governments’ goal for MDG’s achievement. Objectives: To describe the regulations and distributions of ONS as a strategy to reach the optimal catch-up growth in children under 5 years-old in private hospital in Surabaya based on the Minister of Health Regulation No. 29 year 2019. Also to determine the effect of ONS on insulin-like growth factor-1 (IGF-1) as a growth marker and lymphocytes as immune cells involved in immune response. Methods: A quasi-experiment with pre-post design involving children aged 12-60 months old. The subjects received 400 ml of ONS (~400 kcal/day with estimated nutritional requirement of 1000 kcal/day) under the provision of the pediatrician as an adjuvant to cover their nutrients deficits. Results: ONS intervention along with dietary counselling for nutritional therapy and medication improved the children’s growths parameters, including body weight (from 10.38±2.28kg at day-0 to 11.27±2.38 at day-90, p-value=0.000) and body length/height significantly (from 82.94±9.58cm to 85.75±8.93 at day-90, p-value=0.000). ONS also improved IGF-1 in children with growth failure. Conclusions: ONS intervention was proved to improve the IGF-1 levels, but not with the number of lymphocyte cells. The regulation of ONS must be under professional provision as it has the effect to increase body weight rapidly and must be stopped when the children receive the prescription reached their catch-up growth.
`Socio-Demographic Association with Nutritional Status in Children Aged 8-9 Years Old in Surabaya: Focusing on HAZ Status in Path Analysis Ardianah, Eva; Indriani, Diah; Soenarnatalina, Melaniani; Widjaja, Nur Aisiyah; Santoso, Febrina Mustika
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI1 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI1.2025.1-15

Abstract

Background: Child health, growth, and nutrition are influenced by socioeconomic, cultural, demographic, climatic, nutrition, physical, hygiene, sanitation, medical, and environmental factors. LAZ/HAZ was used to assess the presence of 'stunting' in the population, which indicates chronic malnutrition. Objectives: to investigate the socio-demographics, lifestyle (sleep duration, screen time) and HAZ status of children in 2nd and 3rd grade of elementary school, and the correlation of socio-demographics with the anthropometric parameters. Methods: An observational study with a cross-sectional design was conducted during October – December 2022 in Surabaya, involving healthy children aged 9-10 years old who were in 2nd and 3rd grade of elementary school. Results: BMI-for-age z-score was higher in males than females. Overweight/obesity were prevalent in males (15.16% vs. 10.67%), and underweight and severely underweight were prevalent in females (12.27% vs. 14.23%). The prevalence of stunted/severely stunted was 12.39%. HAZ and WAZ were correlated positively with parental height. The number of children in the household had a negative, weak correlation with HAZ. The maternal education showed that the prevalence of maximal elementary school graduation was higher in stunted children than in normal children (29.27% vs. 18.14%, p=0.043). Fathers' salaries below minimum regional wage were more prevalent among stunted and severely stunted (81.71% and 75%, respectively) than normal subjects (60%), p=0.007. Conclusion: Socio-demographic factors affecting the prevalence of stunting in children were the father's salary and maternal education. Meanwhile, factors associated with HAZ were parental height and number of children in the household. The effect of socio-demography on HAZ was mediated by parental education, which stimulates household economics and has a further effect on food intake and child anthropometrics.
PHYSICAL BEHAVIOURS IN ADOLESCENTS THAT CONTRIBUTE TO OVERWEIGHT/OBESITY Keya , Rino Tryanto; Widjaja, Nur Aisiyah; Noviyanti, Tausiyah Rohmah; Alexander, Yoppi Yeremia; Iitdrie, Iitdrie; Hermanto, Edi; Ardianah, Eva; Bahmid, Moh; Hanindita, Meta Herdiana; Irawan, Roedi
Media Gizi Indonesia Vol. 20 No. 1 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i1.12-20

Abstract

Physical behaviours research in adolescents is still limiting in regard of overweight/obesity. Physical behaviour according to World Health Organization Global School Student Health Survey (WHO-GSHS) had four components namely physical activity, active transportation, physical education and sedentary behaviour showed inconsistent results investigating the obesity/overweight epidemic. The objective of this study is to examine the physical behaviour and metabolic components in overweight/obese adolescents. A cross-sectional study was conducted from September to October 2019 involving healthy obese adolescents with overweight/obesity in Sidoarjo and Surabaya. The statistical analysis was test of normality for interval/ratio variables, descriptive, bivariate correlation and binary logistic regression. All the analysis were conducted using SPSS ver. 21 (IBM, US). A total of 109 subjects were recruited in this study, consisting of male (50.46%) and female (49.54%) adolescents. The mean age of the subjects were 15.13 + 1.46 years old. Adolescents with sufficient physical activity, physical transport, physical class and recommended screen time was 93.58%, 23.85%, 14.68% and 36.70% respectively. The overweight subjects were 63 (57.80%) and obesity was 46 (42.20%), and prevalent in male than female (65.22% vs. 34.78%, p=0.012). The prevalent of MetS was 53.21%, no significant difference of MetS distribution among male and female (p=0.506). Subjects with physically transport behaviour had lower risk of abdominal obesity by 0.266-times than subjects with physically immobile. Thus, physical behaviour score did not correlate with anthropometric parameters indicating to overweight/obesity and metabolic factors, but the component of physical behaviour, especially sedentary lifestyle correlated with anthropometric parameters and systolic blood pressure.
The Effects of Cigarette Smoke Exposure on Anthropometric Measurements, Lipid Profile, Fasting Blood Glucose, Fasting Insulin, and Blood Pressure in Overweight/Obese Adolescents Widjaja, Nur Aisiyah; Claudia Felisia Magdalena Kurube; Febrina Mustika Santoso; Noviyanti, Tausyiah Rohmah; Alexander, Yoppi Yeremia; Keya, Rino Tryanto; Hermanto, Edi; Iitdrie; Ardianah, Eva; Amer Siddiq Amer Nordin
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. 1 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.I1.2025.47-55

Abstract

Background: Cigarette smoke exposure increases the risk of obesity, metabolic syndrome, hypertension, hyperglycemia, and dyslipidemia. The nicotine content in cigarettes can acutely increase energy expenditure, decrease appetite, and several other chronic diseases such as cardiovascular disease, lung disease, cancer, and so on. Objectives: This study aims to determine the effect of cigarette smoke exposure on anthropometric measurements, lipid profiles, fasting blood glucose, fasting insulin, and blood pressure in overweight/obese adolescents. Methods: This was a cross-sectional study involving overweight/obese adolescents conducted from September to October 2019 to evaluate the effects of tobacco exposure on anthropometric measurements, lipid profile, fasting blood glucose (FBG), fasting insulin, and blood pressure. Results: This study showed no significant differences in the age distribution, body weight, body height, height-for-age z-score (HAZ), hip circumference, body mass index (BMI), BMI-for-age z-score, fasting insulin, FBG, lipid profile, and blood pressure between low, moderate, and high cigarette smoke exposure in overweight/obese adolescents, but the high exposure group had a bigger waist circumference than the moderate exposure group (107,45 + 11,25 vs 99,35 + 11,36 cm, p = 0,019) and low exposure (107,45 + 11,25 vs 99,04 + 12,08 cm, p = 0,015). Conclusion: The degree of exposure to heavy cigarette smoke has a greater waist circumference than exposure to light and moderate cigarette smoke. Cigarette smoke exposure is significantly associated with body weight and hip circumference, and heavy cigarette smoke exposure is prevalent in adolescent boys.
CLUSTERING OF DRUG, COSMETIC, TRADITIONAL MEDICINE, AND FOOD CRIME VULNERABILITY IN EAST JAVA USING THE K-MEDOIDS ALGORITHM Puspitasari, Ria; Mahmudah, Mahmudah; Indriani, Diah; Indawati, Rachmah; Ardianah, Eva
Jurnal Biometrika dan Kependudukan Vol. 14 No. 1 (2025): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v14i1.2025.34-44

Abstract

Drug and Food crime vulnerability mapping is the process of identifying potential crimes based on investigation, news, and study analysis, including the results of supervision, intelligence, cyber, and information analysis.  The purpose of this study is to classify the vulnerability of drug, cosmetic, traditional medicine, and food crime in East Java using the K-Medoids algorithm, as well as to see the development of the vulnerability of drug, cosmetic, traditional medicine, and food crime in East Java Province for 5 years from 2019 to 2023. The method used is the K-Medoids algorithm with the determination of the number of clusters using the Average Silhouette Width (ASW) method. The highest ASW value between 0.28447-0.61210 was obtained in clusters with 5 groups, namely very high, high, medium, low, and very low clusters. The results of the study show that from 2019 to 2023, as many as 12 regencies/cities have an increasingly vulnerable status, while 26 other regencies/cities have an increasingly safe status. The 12 regencies/cities that are increasingly vulnerable are Bangkalan Regency, Gresik Regency, Lamongan Regency, Nganjuk Regency, Pamekasan Regency, Pasuruan Regency, Ponorogo Regency, Sidoarjo Regency, Tuban Regency, Malang City, Probolinggo City, and Surabaya City. It is necessary to empower the community and intensify communication, provide education and disseminate information massively regarding the use of legal and safe Drugs and Food products, especially in areas with very high vulnerability.
Immune response in IGF-1 and growth parameters among infected children Ardianah, Eva; Widjaja, Nur Aisiyah; Indriani, Diah; Melaniani, Soenarnatalina; Kuntoro; Wibowo, Arief; Notobroto, Hari Basuki; Purnomo, Windhu; Indawati, Rachmah; Saputro, Sigit Ari; Santoso, Febrina Mustika; Puspitasari, Ria; Pebriaini, Prisma Andita; Nurfidaus, Yasmine; Irawan, Roedi; Hidayat, Boerhan; Hidayati, Siti Nurul; Hanindita, Meta Herdiana
BKM Public Health and Community Medicine Vol 41 No 08 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i08.18379

Abstract

Purpose: Infections in children can affect weight gain and linear growth by influencing metabolism and nutrition. Chronic inflammation results in growth failure mediated by pro-inflammatory cytokines and poor nutritional intake, which affects the GH/IGF-1 axis. This study aimed to investigate the impact of the inflammatory response on children's anthropometry, particularly HAZ, and the role of IGF-1. Methods: An observational study with a cross-sectional design was conducted from September 2021 to July 2022. The study involved children diagnosed with infections. The subjects had undergone a physical and laboratory investigation, which included a thorax photo, urine culture, Mantoux test, and complete blood test in a hospital setting. A complete medical history was obtained from the pediatrician. Results: The prevalence of undernutrition was 37.33%; the prevalence of underweight/severely underweight, stunted/severely stunted, and wasted/severely wasted was 25.33%, 30.66%, and 14.67% respectively. Stunted/severely stunted was more prevalent in subjects under 2 years old, compared to subjects more than 2 years old (22/41 vs. 7/34, p=0.014). SEM analysis revealed that the inflammatory response affected IGF-1 levels (r=0.850, p=0.000), while IGF-1 affected body composition (r=0.245, p=0.025), and then affected HAZ (r=1.000, p=0.000). The effect of IGF-1 on HAZ appears to be indirect, acting through body composition. Parental height has a weak, albeit significant, effect on body composition (r=0.101, p=0.025) and HAZ (r=0.192, p=0.040). Univariate analysis revealed strong correlations between IL-6 and IL-10 and IGF-1 (r=0.870, p=0.000 and 0.876, p=0.000, respectively). In contrast, parental height showed a correlation with HAZ/LAZ (r=0.319, p=0.000). Maternal height was correlated positively with WAZ (r=0.320, p=0.044). Conclusion: The prevalence of stunting among children under two years of age indicates that early childhood constitutes a critical period for intervention in growth and development. Inflammatory response has been demonstrated to influence IGF-1 levels in children. The role of IGF-1 on HAZ was mediated by body composition.
SLEEP DURATION, ANTHROPOMETRIC MEASUREMENTS AND METABOLIC SYNDROME IN OVERWEIGHT/OBESE ADOLESCENTS Iitdrie; Widjaja, Nur Aisiyah; Hanindita, Meta Herdiana; Irawan, Roedi; Qomaruddin, Mochammad Bagus; Muthmainnah, Muthmainnah; Ardianah, Eva; Noviyanti, Tausyiah Rohmah; Alexander, Yoppi Yeremia; Keya, Rino Tryanto; Hermanto, Edi
Media Gizi Indonesia Vol. 20 No. 3 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i3.356-362

Abstract

Introduction: Adolescents have sleep problems, as their sleep duration does not meet the recommended sleep duration of 8-10 hours, leading to various sleep-related problems. Sleep duration is suspected to have detrimental effects on health, such as non-communicable diseases including obesity, cardiovascular disease (CVD), and type 2 diabetes mellitus (T2DM). However, the correlation between sleep duration and the prevalence of obesity and metabolic syndrome (MetS) is still conflicting, especially in the adolescent population. This study aimed to examine and analyze the effect of sleep duration on anthropometric measurements and MetS in overweight/obese adolescents. Methods: A cross-sectional study involving healthy overweight/obese adolescents was conducted from September to October 2019 to evaluate the effect of sleep duration on anthropometric measurements, lipid profiles, fasting blood glucose levels, and blood pressure in overweight/obese adolescents. Results and discussion: A total of 197 subjects showed no significant differences in body height, BMI, waist circumference, blood pressure, and lipid profile based on sleep duration categories. Subjects with short sleepers were older than those with sufficient sleep (p<0.05). However, long sleepers were heavier, had larger BMI-for-age z-scores, and larger waist circumferences than sufficient and short sleepers (p<0.05). However, the differences between the short, sufficient, and long sleepers were U-shaped. Sleep duration was not correlated with MetS or MetS components (abdominal obesity, hyperglycemia, hypertriglyceridemia, hypertension, and low HDL-c). Conclusion: Long sleepers (>11 h/night) were heavier, had greater BMI-for-age z-scores, and larger waist circumference than (<sufficient sleeper (6-10 h/night), or short sleepers 6 h/night).
Screen Time, Anthropometric Parameter, Insulin and HOMA IR in Adolescents Widjaja, Nur Aisiyah; Arifani, Rizka; Noviyanti, Tausiyah Rohmah; Alexander, Yoppi Yeremia; Hermanto, Edi; Iitdrie, Iitdrie; Ardianah, Eva; Keya, Rino Tryanto
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i2.6265

Abstract

The rapid integration of digital technology into daily life, particularly among adolescents, has generated increased screen time exposure. This study investigates the effect of screen time on anthropometric parameters, insulin levels, and HOMA IR in adolescents, regarding the increasing concerns about its potential health implications. Methods: A cross-sectional study involving 131 healthy adolescents (aged 12-18) was conducted to assess an anthropometric measurements, blood investigations (lipid profile, fasting blood glucose, fasting insulin), blood pressure, and screen time assessments. Screen time was categorized as recommended, moderate, and heavy. Results and Discussion: The moderate screen time was associated with a higher risk of overweight (OR=5.643), obesity (OR=3.737), insulin resistance (OR=4.116), and metabolic syndrome (OR=2.185). Heavy screen time showed higher risks for being overweight and metabolic syndrome (OR=32.421), but did not correlate significantly with overweight or obesity. The findings suggest a significant association between screen time and adverse health outcomes in adolescents, particularly for moderate and heavy screen time. Heavy screen time demonstrated substantial risks, emphasizing the need for interventions to mitigate potential health consequences. Conclusion: Screen time has noteworthy implications on the health of adolescents, with significant associations observed on anthropometric parameters, insulin resistance, and metabolic syndrome.