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All Journal MEDIA MEDIKA INDONESIANA JURNAL GIZI INDONESIA Journal of Nutrition College Jurnal Gizi Klinik Indonesia Journal of Educational, Health and Community Psychology Journal of Biomedicine and Translational Research Sari Pediatri Universa Medicina Paediatrica Indonesiana Health Notions Jurnal Gizi Klinik Indonesia Jurnal Epidemiologi Kesehatan Komunitas Medica Hospitalia
Maria Mexitalia
Department Of Pediatrics, Faculty Of Medicine, Universitas Diponegoro
Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Maternal perception of sickness as a risk factor of stunting in children aged 2-5 years Dellu, Maria Fatima Dete; Mexitalia, Maria; Rosidi, Ali
Universa Medicina Vol 35, No 3 (2016)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2016.v35.156-164

Abstract

BackgroundStunting in children is caused by past nutritional problems, adversely affects the physical and mental characteristics of children and is a well-established child-health indicator of chronic malnutrition. Socio-cultural factors can affect parenting, thereby indirectly affecting child growth. The objective of this study was to determine socio-cultural factors and parental short stature as risk factors of stunting in children aged 2 to 5 years.MethodsThe study used a quantitative approach with case control design and a qualitative approach with in-depth interview. The study subjects were children aged 2-5 years, consisting of 45 cases of stunting and 45 controls (normal subjects). Socio-cultural data were obtained through interviews with the mothers, while height was measured with a stadiometer. Data were analyzed using chi square and logistic regression tests to calculate the odds ratio (OR).ResultsThe logistic regression test showed that maternal perception of sickness as a curse (OR=7.43; 95% CI: 2.37-23.21), stopping breastfeeding at <24 months (OR=6.01;95% CI: 1.83-19.69) and low household expenditure for food (OR=5.78;95% CI: 1.28-26.01) were risk factors of stunting incidence with a probability of 73.8%. The most dominant risk factor of stunting was maternal perception of sickness (OR=7.43 95% CI: 2.37-23.21). ConclusionMaternal perception of sickness was the most dominant risk factor of stunting in children 2-5 years of age. A multidisciplinary approach is needed to address the range of raised issues and so combat stunting in children.
Study of Family Behavior that At Risk For Pneumonia in Under Five Children in Mempawah District Rahardjani, Kamilah Budhi; Sakundarno, Mateus; Meilantika, Ayu Diana; Hadisaputro, Suharyo; Mexitalia, Maria
Health Notions Vol 2 No 4 (2018): April 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.288 KB)

Abstract

Pneumonia is respiratory infection disease which effects lungs and there are many cases on under five children. Prevalence period of pneumonia case in Mempawah district the fourth highest of 3.6% of other districts. The purpose of this study was to prove family behavior that are risk of pneumonia in under five children in Mempawah district. This study used case control design. Subject of the study was 100 respondents which consisted of 50 cases and 50 controls meeting the criteria of inclusion. This research use consecutive sampling techniques. Data analysis uses logistic regression. Data were analysed by logistic regression method. Result of analysis shows that history of not exclusive breastfeeding (OR=11.391; 95%CI: 3.087-42.028), habits of not opening room windows (OR= 9.528; 95%CI: 2.699-33.640), existence of pets (OR= 7.871; 95%CI: 2.381-26.019) dwelling density (OR=6.623; 95%CI=1.770-24.785) are proven as risk factors of pneumonia in under five children. Family behaviors as history of not exclusive breastfeeding, habits of not opening room windows, existence of pets, and dwelling density are proven as risk factors of pneumonia in under five children. Keywords: Family behavior, Pneumonia, Under five children
Perbedaan status gizi, kesegaran jasmani, dan kualitas hidup anak sekolah di pedesaan dan perkotaan Mexitalia, Maria; Sellina, Hendriani; Anam, Mohammad Syarofil; Yoshimura, Aya; Yamauchi, Taro; Nurkukuh, Nurkukuh; Hariyana, Bambang
Jurnal Gizi Klinik Indonesia Vol 8, No 4 (2012): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (119.055 KB) | DOI: 10.22146/ijcn.18216

Abstract

Background: The differences in geographic, sosioeconomic and lifestyle between children in rural and urban areas infl uence their nutritional status. The urban children tended to be less active. The evidence suggested that physical activity improves cardiorespiratory fi tness and mental health in young people but study that compare those indicators among rural and urban children was scarce.Objective: To compare the nutritional status, physical fi tness, and quality of life between elementary school children in rural and urban areas.Method: A cross-sectional study was conducted at Semarang (urban) and Mlonggo (rural) Central Java in 2009. Inclusion criteria was school children aged 9-11 years and had no physical disability. Body composition was measured by Bioelectrical Impedance Analysis, physical activity by Global Physical Activity Questionnaire (GPAQ), physical fi tness by 20-m shuttle run test and quality of life by Pediatrics Quality of Life Questionnaire (PedQoL 4.0). The differences between nutritional status and physical activity were assessed by Chi Square test, while the differences between physical fi tness and quality of life were tested by independent t test (p<0.05).Result: One hundred sixty-two subjects were enrolled in the study (Semarang 82 students; 36 boys, 46 girls and Mlonggo 80 students; 40 boys, 40 girls). Body mass index (18.97 vs 15.16 kg/m2) and body fat (26.03% vs 18.03%) of urban children were higher than that of the rural’s (p<0.001). Children in rural area were signifi cantly more active, have higher physical fi tness level (VO2 max 28.54±1.79 ml/kg/min vs 21.57+1.79 ml/kg/min) (p<0.01), and have higher score in quality of life (2243 + 295,8) compared to the children from urban area (2133 + 369.4) (p<0.05). Conclusion: Rural school children have lower nutritional status than urban children, but they are more active and have higher physical fi tness level. They also have better quality of life.
Risk Factors of Growth Faltering on Infants Aged 6-12 Months in Tongkuno, Southeast Sulawesi Thamrin, Jumianti Lestari; Kartasurya, Martha Irene; Sakundarno, Mateus; Mexitalia, Maria; Suhartono, Suhartono
Health Notions Vol 2 No 3 (2018): March 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.752 KB)

Abstract

Background: The prevalence of underweight and severe malnutrition on under-five children in Southeast Sulawesi based on the latest Riskesdas was 23.9%, which higher than the national prevalence (19.6%). This study aimed to analyze risk factors of growth faltering on infants aged 6-12 months in Tongkuno. Methods: This was a cohort prospective study. The numbers of subjects were 79 infants: 32 infants who were given early complementary feeding and 47 infants who were not. Consecutive sampling technique was used in this study. The adequacy levels of energy and protein intake were collected using 2x24 hours food recall. The incidence of upper respiratory tract infection was recorded through interviews using structured questionnaires. Data were analyzed by logistic regression method. Results: There were 46.9% of the infants who had growth faltering among the early complementary feeding group. Multivariate analysis showed that the early complementary feeding, low levels of energy adequacy, and frequent URTI were the risk factors for growth faltering. The frequent URTI was the most influential factor for growth faltering (OR= 5.52; 95%CI: 1.63-18.72). Conclusion: The frequent URTI was the most important factor for growth faltering on infants aged 6-12 months in Tongkuno. Increased exclusive breastfeeding promotion and URTI prevention are recommended. Keywords: Risk factors, Growth faltering, Infants
Status hidrasi, tingkat kebugaran jasmani dan daya konsentrasi anak sekolah dasar Sudrajat, Agus; Mexitalia, Maria; Rosidi, Ali
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 2 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (357.324 KB) | DOI: 10.14710/jgi.7.2.109-113

Abstract

Background: The dehydration correlated with physical fitness and the cognition. The cardiorespiratory fitness correlated with brain ability and working performance too. Objectives: The purpose of this study is to assess the correlation of dehydration status and cardiorespiratory fitness with the concentration of primary school children.Methods: Correlational study is done to the students aged 10-12 years old. The dehydration status is measured by urine specific gravity. The cardiorespiratory fitness is measured by harvard step test and digit symbol test is used to measure concentration. The analysis of the data using product moment to bivariate analysis and partial correlation to multivariate analysis.Results: The result showed that the average of subjects have a mild (Usg 1020.20±6.99 g/dl). The average of the subjects have a less cardiorespiratory fitness (31.27±8.00). The results of concentration ability measurement showed about of 35±12.27. The correlation analysis showed a significant correlation between dehydration status with cardiorespiratory fitness( r=-0.29, p=0.04 ), between dehydration status with concentration (r=-0.29, p=0.036) and between cardiorespiratory fitness with concentration (r=0.295, p=0.03). Partial correlation analysis showed the persistence of a significant correlation between dehydration status and cardiorespiratory fitness (p=0.02), between dehydration status and concentration (p=0.02) and between cardiorespiratory fitness and concentration (p=0.002).Conclusion: There is a significant correlation between dehydration status and cardiorespiratory fitness. There is a significant correlation between dehydration status and the concentration. There is a significant correlation between cardiorespiratory fitness and the concentration. 
Pengaruh asupan energi dan protein terhadap perubahan status gizi pasien anak selama dirawat di RSUP Dr. Kariadi Semarang Bandawati, Bandawati; Mexitalia, Maria; Rahfiludin, M. Zen
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 4, No 2 (2016)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (423.742 KB) | DOI: 10.14710/jgi.4.2.102-106

Abstract

Background : Adequate energy and  protein  intake  for  children  patients is required as efforts to prevent decline in nutritional status during hospitalization. Nutritional support is a part of therapy which has an important role in the recovery.Objective : To analyze the effect of energy and protein intake on changes of nutritional status in children patients during hospitalized.Method : Observational study with cohort prospective design, from March to April 2014. Subjects were 52 children, 2-14 years old from pediatrics unit in Dr. Kariadi Central General Hospital Semarang. Sampling were choosen by consecutive sampling, hospitalized for >7 days and according inclusion criteria. Body weight and height data were measured at admission and discharge. Nutritional status determined using weight for height Z Score, according to WHO 2005 child Growth Standards. Food intake data collected by Comstock Methode and recall 24 hours. Data analyzed by chi-square and fisher test.Result : There were 48,1% subjects with insufficient energy and 53,9% with insufficient protein intakes. 48,1% subjects  were declining in nutritional status after hospitalization. There was correlation between energy (p=0,003) and protein (p= 0,003) intakes on changes of nutritional status in children patients during hospitalized.  Subjects with insufficient energy intakes were 26 times at risk (95% CI 3,31-291,09) of declining of BW/BH Z Score than sufficient subjects. Subjects with insufficient protein intake were 20 times at risk (95% CI 4,24-230,52) of declining of weight for height Z Score than sufficient subjects.Conclusion : Insufficient energy and protein intakes can decline nutritional status in children during hospitalized.
Pengaruh pemberian asi eksklusif dan non eksklusif terhadap mental emosional anak usia 3-4 tahun Setyarini, Any; Mexitalia, Maria; Margawati, Ani
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 4, No 1 (2015)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (299.184 KB) | DOI: 10.14710/jgi.4.1.16-21

Abstract

Background: Breastmilk is the best food contains all the elements of required nutrients for infant aged 0-6 months, and the attachment of the breastfeeding process give better of growth and mental emotional development of the infant. Less attachment between mother and infant caused mental emotional disorders, that affect to the next period of child’s development..Objective : The objective of this research was to analyze the differences of influence of exclusive breastfeeding and non exclusive brestfeeding history on child’s emotional mental age of 3-4 years as well as analyze the most dominant variables. Method: This was an observational analitic research with cross sectional approach. The subjects consisted of 84 children aged 3-4 years, living Banyumanik subdistrict Semarang, taken by purposive sampling and grouped into exclusive and non-exclusive breastfeeding. The data was collected by questionnaire, and the analysis using chi square and logistic regression.Result: The study showed that most of children with exclusively breastfed had good mental emotional (76.2%), while children who did not get exclusively breastfed had a mental emotional problem (64.3%). There were relations between breastfeeding (p=0,001), mother’s knowledge (p=0,001), mother’s attitude (p=0,001), and mother’s education level (p=0,029) to children’s mental emotional. Education level of mother was the most influence variable for child’s emotional mental after addjusted with mother’s knowledge, mother’s attitude,  mother’s education level, and birth weight of children.Conclusion: Breastfeeding history, mother’s knowledge, mother’s attitude, and mother’s education level were factors that influencing to children’s mental emotional
Risk Factors of Growth Faltering on Infants Aged 6-12 Months in Tongkuno, Southeast Sulawesi Jumianti Lestari Thamrin; Martha Irene Kartasurya; Mateus Sakundarno; Maria Mexitalia; Suhartono Suhartono
Health Notions Vol 2, No 3 (2018): March
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.752 KB) | DOI: 10.33846/hn.v2i3.149

Abstract

Background: The prevalence of underweight and severe malnutrition on under-five children in Southeast Sulawesi based on the latest Riskesdas was 23.9%, which higher than the national prevalence (19.6%). This study aimed to analyze risk factors of growth faltering on infants aged 6-12 months in Tongkuno. Methods: This was a cohort prospective study. The numbers of subjects were 79 infants: 32 infants who were given early complementary feeding and 47 infants who were not. Consecutive sampling technique was used in this study. The adequacy levels of energy and protein intake were collected using 2x24 hours food recall. The incidence of upper respiratory tract infection was recorded through interviews using structured questionnaires. Data were analyzed by logistic regression method. Results: There were 46.9% of the infants who had growth faltering among the early complementary feeding group. Multivariate analysis showed that the early complementary feeding, low levels of energy adequacy, and frequent URTI were the risk factors for growth faltering. The frequent URTI was the most influential factor for growth faltering (OR= 5.52; 95%CI: 1.63-18.72). Conclusion: The frequent URTI was the most important factor for growth faltering on infants aged 6-12 months in Tongkuno. Increased exclusive breastfeeding promotion and URTI prevention are recommended.Keywords: Risk factors, Growth faltering, Infants
Intensive Lactation Counseling for The Success of Giving Exclusive Breastfeeding until 2 Months Old Nurdiana Nurdiana; Kamilah Budhi; Mateus Sakundarno; Maria Mexitalia; Bagoes Widjanarko
Health Notions Vol 2, No 12 (2018): December
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.132 KB) | DOI: 10.33846/hn.v2i12.260

Abstract

Background: In Semarang in 2016, giving exclusive breastfeeding by mother to her baby was 67.16% and in work area of Candi Lama Public Health Center only reached 43.52%. So far, it had not been known the influence of intensive lactation counseling against the success of giving exclusive breastfeeding. Purpose: to know the influence of intensive lactation counseling against the success of giving exclusive breastfeeding until 2 months old. Methods: This research utilized quasi experimental design. Population in this research was mothers who had gestational age in 37-42 weeks. Total of the subjects was 32 mothers who were divided by 2 groups, experiment group (n = 16) and control group (n = 16). Experiment group was given intensive lactation counseling in 6 times for 3 months. Meanwhile, control group was not given any lactation counseling, but was given leaflet of exclusive breastfeeding. Results: Proportion of mothers who were successful in giving exclusive breastfeeding until 2 months old in experiment group was higher (93.75%) rather than in control group (31.25%). The difference in this proportion was quite significant (p= 0.001). The comparison result of proportion for mothers who were successful in giving exclusive breastfeeding until 2 months old between the group that was given intensive lactation counseling (experiment group) and control group showed RR = 3.0 (95% CI: 1.435-6.273). Conclusion: Giving intensive lactation counseling increased the proportion for the mothers who were successful in giving exclusive breastfeeding until 2 months old. Keywords: Intensive lactation counseling, Exclusive breastfeeding
Ketogenic Diet for Treatment 2-Year 9 Month Old Boy With Intractable Epilepsy I Made Ananta Wijaya; Alifiani Hikmah Putranti; Maria Mexitalia
Medica Hospitalia : Journal of Clinical Medicine Vol. 6 No. 2 (2019): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (372.874 KB) | DOI: 10.36408/mhjcm.v6i2.395

Abstract

Background:The ketogenic diet (KD) is a high-fat, low-carbohydrate, and normal-protein diet that has been used for the treatment of medically refractory childhood epilepsy since the 1920s.The KD includes 80% fat, 15% protein, and 5% carbohydrate; the ratio of fat to carbohydrate plus protein ranges from 2:1 to 4:1.The purpose of the case report was to learn benefits and factors that influence the administration of the ketogenic diet in intractable epilepsy. Case:A 2-years 9 months old boy since 3 month of age the child begins seizure. Five month the child was diagnosed with epilepsy received one type of anti epileptic drug (AED). Seven months of age the child began control in outpatient clinic Neurology Department of Dr. Kariadi Hospital with a diagnosis of general epilepsy, were given 2 type of AEDs. Since10 month of age the child was given 3 type of AEDs. The child still often seizure, at 15 months was diagnosed intractable epilepsyand at 29monthof age, was programed to have long term EEG and KD during hospitalization. Conclusion:The administration of KD in 2-years9 months old boy with intractable epilepsyshowed benefits in reducing the frequency of seizures. Key word : Ketogenic Diet, Intractable Epilepsy, Child
Co-Authors Adriyan Pramono Agustini Utari Ahmad Syauqy Alamsyah, Dedi Ali Rosidi Alifiani Hikmah Putranti Ani Margawati Anindita Soetadji Annastasia Ediati Any Setyarini, Any Arif Faiza Avionita Latuihamallo Aya Yoshimura Azusa Uemura Bagoes Widjanarko Bambang Hariyana Bandawati, Bandawati Bob Kevin Pardede Damianus Galih Panunggal Darwati Darwati Diana Nur Afifah, Diana Nur Edi Dharmana Erna Mirani Etika Ratna Noer Farid Agung Rahmadi, Farid Agung Fitri Hartanto Hapsari, Widawati Hariyana, Bambang Hendriani Sellina Henry Setyawan Susanto Henry Setyawan Susanto Hesti Kartika Sari I Made Ananta Wijaya Ika Rara Rosita Isfandiyar Fahmi JC Susanto Julian Dewantiningrum Jumianti Lestari Thamrin Juwita Pratiwi Kamilah Budhi Kamilah Budhi Rahardjani, Kamilah Budhi Kristiana Haryanti, Kristiana Kusuma Dewi, Anna Mailasari Latifah Rachmawati Leny Zabidi Liana Ekowati M. Supriatna M. Zen Rahfiludin Magdalena Sidhartani Maria Bramanwidyantari Maria Fatima Dete Dellu, Maria Fatima Dete Maria Martiani Martha Irene Kartasurya Martvera Susilawati Mateus Sakundarno Mateus Sakundarno Mateus Sakundarno Adi, Mateus Sakundarno Meilantika, Ayu Diana Miratul Haya MMDEAH Hapsari Mohamad Supriatna Mohammad Syarofil Anam Mohammad Syarofil Anam, Mohammad Syarofil Mohammad Zen Rahfiludin MS Anam Muflihatul Muniroh Muyassaroh Muyassaroh Ninung Kusumawati Ninung Rose Diana Kusumawati Noor Pramono Nurdiana Nurdiana Nurkukuh Nurkukuh Nurkukuh, Nurkukuh Nyoman Suci Widyastiti Pusaka, Semerdanta Rina Pratiwi Rudy- susanto S.A. Nugraheni Sarjadi Sarjadi Sellina, Hendriani Soemedi Hadiyanto Suci Romadhona Sudrajat, Agus Suhartono, Suhartono Suharyo Hadisaputro Suharyo Hadisaputro T Mirza Iskandar Taro Yamauchi Taro Yamauchi Taro Yamauchi Taro Yamauchi Thamrin, Jumianti Lestari Wistiani Wistiani Yetty M Nency Yoshimura, Aya Yudo Murti Mupangati Yulia Wahyuni Yusrina Istanti