R.M. Ryadi Fadil
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Comparison of Age of Thelarche between Obese and Normal Girls Yunitasari Yunitasari; R.M. Ryadi Fadil; Fenny Dwiyatnaningrum
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Childhood obesity has become a major concern in recent years. The increasing childhood obesity prevalence may occur as the result of food consumption with high content of calories, fat, cholesterol and the lack of physical activity. Obesity in children will also affect their pubertal development. Puberty is a period in which maturation of the reproductive function is achieved.In girls, the initial sign of puberty is thelarche, defined as the appearance of breast bud underneath the areola.The onset of puberty depends on many factors, one of them is nutritional status especially obesity. This study was conducted to compare the age of thelarche between obese and normal girls.Methods: An analytical study using cross sectional method was conducted. This study was held in Bandung, West Java, Indonesia, during the period of SeptemberOctober 2013. Data were obtained from 3 elementary schools, selected by multistage random sampling.The total subject was 46. Data were analyzed using the Mann-Whitney and chi-square test.Results: Thelarche occurred at age 9 years 4 months in the obese group compared to 11 years 2 months in the normal group. The analysis using Mann-Whitney test showed the difference was statistically significant (p<0.001). Based on age group, 42% obese girls attained thelarche between ages 89 years, while 63% girls in the normal group attained thelarche between ages 1112 years. The analysis using chi- square test showed that the difference was statistically significant (p<0.001).Conclusions: Thelarche occurs earlier in obese girls compared to normal girls. [AMJ.2016;3(3):411–5]DOI: 10.15850/amj.v3n3.906
Upper Lower Segment Ratio Comparison between Obese and Normal Children Aged 7 to 10 Years Old Muhammad Zulfikar Azhar; R.M. Ryadi Fadil; Edhyana K. Sahiratmadja
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Upper lower segment ratio is an anthropometric measurement that often used to detect the presence of abnormal growth. Growth is affected by many factor, one of them is nutrional status. Obesity prevalence in Indonesian children increases annually. These children show an accelerated growth in pre-puberty compared to normal children in their age. This study aimed to analyze the difference in upper lower segment ratio between obese and normal children aged 7 to 10 years old.Methods: A cross sectional study was carried out in children aged 7 to 10 years old in three Elemantary School in Bandung during September–October 2013. Height and weight were measured to calculate body mass index (BMI) score and were grouped into obese (BMI >95th percentile) and normal (BMI 10th–85th percentile). The upper lower segment ratio was compared between obese and normal children and the level of the significant difference were analyzed by unpaired T-test.Results: From a total of 200 children recruited, 90 were obese and 110 were normal. There was no significant difference between upper lower segment ratio in obese and normal children (p=0.603) with mean ratio 1.137 and 1.142 respectively. The mean of upper lower segment ratio in obese boys was higher than normal boys (mean ratio 1.15 and 1.14 respectively), but obese girls had a lower ratio compared to normal girls (mean ratio 1.12 and 1.14 respectively).Conclusions: There is no difference between upper lower segment ratio in obese and normal children aged 7 to 10 years old. [AMJ.2016;3(1):147–51] DOI: 10.15850/amj.v3n1.721
Correlation between Heredity Factor and Menarcheal Age among Adolescent Aged 9–15 Years Old Nurul Khotimah; R.M. Ryadi Fadil; Haryono Tansah
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (155.626 KB) | DOI: 10.15850/amj.v4n2.1081

Abstract

Background: Menarche is a sign of maturity of the female reproductive function. It is influenced by many factors, such as heredity, general health status, nutrition, and socioeconomic status. The purpose of this study is to determine the correlation of heredity and menarcheal age.Methods:This study was a cross-sectional analytic study conducted from September–October 2014 in Bandung using a multi-stage sampling technique and it was  conducted in twelve elementary schools and junior high schools. A total of 123 subjects were included in this study. The instrument of this study was questionnaire containing menarcheal age of subject, older sister, biological mother, and maternal grandmother. The data were analyzed using Spearman correlation and linear regression test with the level of significance was determined at p<0.05. Results: Among 123 data, the majority of subjects had experienced menarche at the age of 11 (39%) and 12 years (36.6%) with an average of 11.46 years old. Based on the Spearman correlation and multiple linear regression tests, there was a correlation between heredity and menarcheal age. (P=0.00).Conclusions: There is a correlation between heredity and menarcheal age, with the highest correlation is between subject’s and older sister’s menarcheal age.  DOI: 10.15850/amj.v4n2.1081
Association of Body Mass Index to Onset of Puberty in Male Jeevithaambigai Subramaniam; Yulia Sofiatin; R.M. Ryadi Fadil
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Puberty is the period where the developmental process takes place, marks the transition from childhood to adulthood with physical and physiological changes. This study was conducted to discover association between body mass index (BMI) and onset of puberty in male.Methods: A cross-sectional study was conducted from May to November 2013 using simple random sampling which was part of bigger research study by Nutrition and Metabolism Working Group on Jatinangor Cohort, especially Puberty Survey in Jatinangor, by Department of Epidemiology and Biostatistics Faculty of Medicine Universitas Padjadjaran. Respondents were 286 males, 9–15 years old from Elementary School (Sekolah Dasar/SD) and Junior High School (Sekolah Menengah Pertama/SMP). Inclusion criteria were students who are healthy at the time and do did not have obvious disease, attained puberty within 1 year or did not yet attained it, and voluntarily followed the study procedure. The questionnaire was provided after getting informed consent from the respondents. The data analysis was done conducted using Pearson Correlation. Results: The magnitude of association of BMI to the onset of puberty in male among school students in Jatinangor was 0.243 which showed there was positive correlation coefficient between BMI to onset of puberty in male. Test results with the t-test showed t-value of 2.683 with p-value of 0.008.Conclusions: There is association of BMI to the onset of puberty in male among school students in Jatinangor. Positive correlation indicates that the higher the BMI, the faster the onset of puberty in male. [AMJ.2016;3(1):12–16] DOI: 10.15850/amj.v3n1.697