Adriyani, Rita Benya
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School Based Intervention on Overweight in Children: A Meta Analysis Nurlaili, Riftiani Nikmatul; Dewi, Yulia Lanti Retno; Adriyani, Rita Benya
Journal of Maternal and Child Health Vol 5, No 6 (2020)
Publisher : Journal of Maternal and Child Health

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Background: Overweight is a serious nutritio­nal problem in children. Currently, overweight is a nutritional problem in all countries, both developed and developing countries. One of the efforts to stop increasing overweight in children is to provide school-based interventions. This study aims to estimate the magnitude of the effect of school-based interventions on over­weight in children based on a number of previous primary studies.Subjects and Method: Meta-analysis was performed by systematically reviewing articles from Google Scholar, PubMed, BMJ, Science­Direct, BMC, and Sage. The articles used in this research are articles that have been published from 2007-2018. Keywords for searching arti­cles are as follows: (preschool OR school) AND (intervention OR program prevention) AND ("children obesity" OR "children overweight") AND "randomized control trials" and "pre­school based" OR "school based" AND inter­vention OR prevention OR program AND "childhood obesity" OR "childhood overweight" OR "children obesity" OR "children over­weight". The inclusion criteria used were full paper, used English, randomized controlled trials study design and the results reported Risk Ratio (RR). Articles are collected using PRISMA diagrams and analyzed using the Review Manager 5.3 application.Results: A total of 10 articles were reviewed in this study. Between experimental groups were homogeneous (I2= 0%; p= 0.570), therefore this study was conducted using a fixed effect model. Studies show that school-based inter­ventions have the effect of reducing the BMI of overweight children (RR = 0.89; 95% CI = 0.82 to 0.97; p = 0.007) in China, the United States, Mexico, Germany, Portugal, France, and the UK.Conclusion: School-based interventions have the effect of reducing the risk of overweight in children in China, the United States, Mexico, Germany, Portugal, France, and the UK.Keywords: School-based intervention, over­weight childrenCorrespondence: Riftiani Nikmatul Nurlaili. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: riftiani.nurlaili@gmail.com. Mobile: 08­5746737137.Journal of Maternal and Child Health (2020), 05(06): 683-392https://doi.org/10.26911/thejmch.2020.05.06.08.
Meta-Analysis the Effect of Obesity and Stress on Menstrual Cycle Disorder Annarahayu, Lutfi; Dewi, Yulia Lanti Retno; Adriyani, Rita Benya
Journal of Maternal and Child Health Vol 6, No 4 (2021)
Publisher : Journal of Maternal and Child Health

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Background: There are many factors that influence menstrual patterns to become irre­gular, including stress and obesity. Menstrual cycle irregularities can have a serious impact on women's health, which will affect the metabolic, fertility, sexual and reproductive systems. This study aims to analyze the influence of obesity and stress on menstrual cycle disorders with a meta-analysis study.Subjects and Method: This study is a syste­matic study and meta-analysis, with the follow­ing PICO, Population= women of childbearing age. Intervention= obesity and stress. Compa­rison= not obese and not stressed. Outcome = disruption of the menstrual cycle. The articles used in this study were obtained from several databases, including PubMed, ScienceDirect and Google Scholar. The keywords used are "menstrual disorder and obesity and stress", "obesity and menstrual irregularity", "obesity OR stress AND menstrual irregularity OR cross sectional study". The articles included in this study are full text articles with a cross sectional study design. Articles were collected using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application.Results: Meta-analysis of 8 observational studies showed that obese women were 4 times more likely to have menstrual cycle disorders than normal weight (aOR= 4.19; 95% CI= 1.99 to 8.84; p= 0.002). Meta-analysis of 6 observa­tional studies showed that women with stress had a risk of experiencing menstrual cycle dis­orders 1.28 times compared to women who did not experience stress (aOR= 1.28; 95% CI= 1.13 to 1.45; p= 0.001).Conclusion: Obesity and stress affect menstrual cycle disorders.Keywords: obesity, stress, menstrual cycle disorders, meta-analysisCorrespondence: Lutfi Annarahayu. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Su­tami 36A, Surakarta 57126, Central Java. Email: Lutfi.annarahayu@student.uns.ac.id. Mo­bile: 081910979054.Journal of Maternal and Child Health (2021), 06(04): 423-435https://doi.org/10.26911/thejmch.2021.06.04.04