Nawanto Agung Prastowo
Universitas Katolik Indonesia Atma Jaya, Jakarta

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Comparison of the anthropometric measurements and health risks in people with normal weight according to the body mass index-for-age charts Haryono, Ignatio R.; Prastowo, Nawanto A.
Medical Journal of Indonesia Vol 18, No 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (400.516 KB) | DOI: 10.13181/mji.v18i1.339

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Aim Body mass index (BMI) at 5th-84th percentiles according to the BMI-for-age charts from Center for Diseases Control and Prevention (CDC) is considered as normal BMI for children and adolescents. However, Guo et al found that BMI at 75th-84th percentiles already had a possibility to be adult overweight and obese. This study aimed to determine anthropometric measurements, laboratory findings, and health risk differences to find an ideal BMI group according to the BMI charts.Methods Normal BMI according to adult classification from the World Health Organization (BMI at 18.5-24.9) is used as a reference group.Results & Conclusion Our study showed BMI value at 50th-74th percentiles in boys and at 75th-84th percentiles in girls had higher anthropometric measurements and laboratory findings than the reference group. However, the health risks of those BMI percentiles did not significant different compared with the reference group. (Med J Indones 2009; 18: 41-7)Keywords: normoweight, adolescent, BMI-for-age charts, anthropometric measurements, health risks
Assessing Endothelial Function in Normotensive Overweight Adolescent Using Dundee Step Test Prastowo, Nawanto A.; Haryono, Rika; Lucida, Peggy; Indra, Stella K.
Medical Journal of Indonesia Vol 19, No 1 (2010): February
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.532 KB) | DOI: 10.13181/mji.v19i1.383

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Aim Normotensive overweight adolescents may have endothelial dysfunction which is not clinically detected in a routine clinical examination. The purpose of this study was to detect endothelial dysfunction in normotensive overweight using Dundee step test.Methods Sixty two subjects consist of 31 normoweight and 31 overweight group participated in this study. Blood pressure measurement was taken at rest and after 3 minutes Dundee step test. Hyper-responder was defined if systolic blood pressure reach 180 mmHg or more after 3 minutes exercise.Results Mann-Whitney test showed that overweight subjects had significantly higher resting systolic blood pressure, post exercise blood pressure anf magnitude of SBP change (Δ SBP) compared to control subjects (116.5 vs 112.8; 163.8 vs 142.7 vs; and 47.3 vs 29.9; P<0.05). Twenty six percent of overweight was diagnosed as hyper-responder.Conclusion There was significant association between overweight and ExSBP indicating endothelial dysfunction in normotensive overweight adolescents. (Med J Indones 2010; 19:52-6)Keywords: adolescent, Dundee step test, endothelial dysfunction, overweight, systolic blood pressure
Dark chocolate administration improves working memory in students Prastowo, Nawanto Agung; Kristanto, Samuel; Sasmita, Poppy Kristina
Universa Medicina Vol 34, No 3 (2015)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2015.v34.229-236

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BackgroundFlavonoids have positive effects on health, including the nervous system. High flavonoid content can be found in chocolate, especially dark chocolate. Verbal working memory is important for reasoning, language comprehension, planning, and spatial processing. The purpose of this study was to evaluate the effect of a single dose of dark and white chocolate administration on verbal working memory in medical students. MethodsA study of experimental pre-post test design with controls was conducted on 60 students. These were simply randomized into two groups: the first group was supplemented with white chocolate as control, and the second group received dark chocolate, at an identical single dose of 100 g. Working memory was measured with the digit span forwards (DSF) and the digit span backwards (DSB) tests, before, at 1 hour, and at 3 hours after intervention. Independent t and Mann-Whitney tests were used for data analysis. ResultsScores for DSF and DSB in control and treatment groups were similar at baseline. At 1 hour after dark and white chocolate administration, DSF and DSB scores were not significantly different between the two groups (p=0.832; p=0.683). Supplementation of dark chocolate at 3 hours after intervention significantly increased DSB scores compared to white chocolate (p=0.041), but DSF scores were not significantly different between the two groups (p=0.204). ConclusionsDark chocolate as a single dose is capable of improving verbal working memory in students, 3 hours after its consumption. Since cocoa contains multiple bioactive compounds, one approach might be to examine the neurocognitive effects of combinations of potential functional ingredients.
Performance of osteoporosis self-assessment tool in detecting low bone mineral density in menopausal women Haryono, Ignatio Rika; Prastowo, Nawanto Agung
Universa Medicina Vol 36, No 2 (2017)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2017.v36.123-130

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BackgroundThe osteoporosis self-assessment tool (OST) is a simple screening tool to assess risk of osteoporosis and to select high risk women for dual-energy x-ray absorptiometry (DXA) examination. This study aimed to evaluate OST performance in detecting low bone mineral density (BMD) in menopausal women.MethodsA cross-sectional study involving 60 menopausal women aged 50-65 years. The OST score was calculated from: [weight (kg) – age (yr)] x 0.2. Subjects were classified by OST score into low risk (OST ³2) and high risk (OST< 2) groups. BMD was determined by DXA at 3 bone locations (L1-L4, femoral neck, and total hip). DXA T-scores were categorized into: normal BMD (T-score >-1) and low BMD (T-score £-1). Independent t-test was used to compare subject characteristics between OST groups. Diagnostic performance of OST was evaluated by measuring sensitivity, specificity, positive & negative predictive value (PPV, NPV), positive & negative likelihood ratio (PLR, NLR) and receiver-operating characteristic (ROC). Significance was set at p<0.05.ResultsSubject characteristics and BMD between groups were significantly different (p<0.05). Most subjects (44/73.3%) had high risk of low BMD (OST < 2). Low BMD (T score £-1) was found in 43 subjects (71.7%) at L1-L4, 41 subjects (68.3%) at femoral neck, and 37 subjects (61.7%) at total hip. Diagnostic performance of OST was significant at total hip BMD (sensitivity=0.946, AUC=0.777).Conclusion We conclude that use of the OST score in menopausal women is effective and has adequate sensitivity and specificity. The highest diagnostic performance of OST is on total hip BMD.
Body Mass Index, a Body Shape Index, and Waist-to-Height Ratio in Predicting Elevated Blood Pressure Bryan Junius Winata; Veronika Maria Sidharta; Linawati Hananta; Vetinly Vetinly; Nawanto Agung Prastowo
Althea Medical Journal Vol 9, No 1 (2022)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v9n1.2291

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Background: One of the complications of obesity is an elevation in blood pressure  which can increase the risk of hypertension. This study aimed to explore body mass index (BMI), a body shape index (ABSI), and waist-to-height ratio (WHtR) in predicting elevated blood pressure (BP).Methods: This study was conducted in a cross-sectional design on 215 medical students from October 2019 to September 2020. Respondents measured their own weight, height, waist circumference and BP. Receiver operating characteristics (ROC) curve were analyzed using IBM SPSS v.23. Results: Of the 215 medical students who participated in this study, only 102 met the inclusion criteria. The majority of the students were female (n=71, 69.6%) with a mean age of 19.37 years, and normal blood pressure (n=90, 88.2%). Area under the ROC curve (AUC) of WHtR and ABSI were 0.774 (p-value= 0.002) and 0.766 (p-value= 0.003) respectively, which were still acceptable. However, the AUC of BMI (p-value=0.589) was 0.11, which was considered poor.Conclusion: The indicators of obesity can be used as a screening value for increased blood pressure in adults, with BMI being the weakest indicator compared to ABSI and WHtR. Further research is needed to examine ABSI and WHtR indicators as predictor of increased blood pressure in adults.
FAKTOR-FAKTOR YANG MEMENGARUHI EXCESSIVE DAYTIME SLEEPINESS PADA MAHASISWA FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS KATOLIK INDONESIA ATMA JAYA Clarisa Seravine; Nawanto Agung Prastowo
Bahasa Indonesia Vol 18 No 2 (2019): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v18i2.2220

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Introduction: Excessive daytime sleepiness is a person's tendency to fall asleep when they should be awake. This can cause various problems in the performance of daily activities such as a decrease in workplace productivity, traffic accidents, and a lower academic score among medical students. Therefore, this study was conducted to determine the factors that influence the occurrence of excessive daytime sleepiness among the students of Atma Jaya Catholic University of Indonesia School of Medicine dan Health Sciences (FKIK UAJ).Methods: This research is a descriptive analytic study with a cross-sectional approach on respondents consisting of preclinical students from the year 2015 -2017. Respondents were given questionnaires containing demographic data, Epworth Sleepiness Scale (ESS), and subjective sleep duration. Data on height, weight, and waist circumference of the respondents were taken using their corresponding measuring instruments. The analysis was conducted using logistic regression in order to find which factors has the most influence on excessive daytime sleepiness.Results: In this study, 132 students from FKIK UAJ who met the inclusion criteria were were selected as respondents. Data analysis showed that excess body mass index was the most statistically significant factor in the occurrence of excessive daytime sleepiness among FKIK UAJ students with an OR of 14,584 (95% CI 5,651-37,637) followed by inadequate sleep duration with an OR of 3.693 (95% CI 1,183-11,533).Conclusion: This research has found that the greatest factors on the occurrence of excessive daytime sleepiness on the students of FKIK UAJ are excessive body mass index and inadequate sleep duration.
The Association Between Knowledge, Attitudes, and Smoking Practice with Relating Factors in a Junior High School Dwi Jani; Deni Gunawan; Nawanto Agung Prastowo
Jurnal Ilmu Kesehatan Masyarakat Vol 16 No 2 (2020)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v16i2.18634

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Smoking habit in adolescents has been increasing recently. Some factors are associated with the smoking habit. However, there are lacks of information regarding influencing factors to smoking habit in the adolescent. The study aimed to examine how knowledge, attitudes, practice, and other factors play a role in adolescents' smoking. There were 381 female and male students of a junior high school in Jakarta who participated. Influencing factors were knowledge, attitudes, practice, social influence, anti-smoking campaigns. The association between factors was analyzed using appropriate statistical tests. Most students had better knowledge, attitude, and practice. Only two students smoked cigarettes (0.5%). Gender was significantly associated with knowledge (p=0.048), social influence (p=0.000), an anti-smoking campaign (p=0.024). Knowledge had an association with social influence (p=0.002) and anti-smoking campaign (p=0.000), whereas attitudes with practice smoking (p=0.005) and anti-smoking campaign (p=0.000). Social influence was also associated with the anti-smoking campaign (p=0.000). In conclusion, students of Permai junior high school had good knowledge, attitudes, and practice of smoking. There are associations between factors that contribute to smoking habit in adolescents.
THE DIFFERENCE IN GRADE POINTS BETWEEN MORNING AND EVENING CHRONOTYPES AMONG PRECLINICAL MEDICAL STUDENTS Cindy Leona Wangsa; Nawanto Agung Prastowo; Veronica Dwi Jani Juliawati; Francisca Tjhay
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 2 (2022): JUNI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.65919

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Background: Every person has a different diurnal preference, sleep-wake cycle, and alertness known as chronotype. There are three chronotypes, that is morning, evening, and intermediate type. Medical students with evening chronotype are still forced to follow the standard academic schedule in the morning, hence their sleep time is reduced. This problem results in lower grade points since sleep quality affects academic achievement. This study aimed to analyze the difference in grade points between morning and evening chronotypes among medical students.Methods: A comparative cross-sectional study was performed among 102 preclinical students class 2018 of School Medicine and Health Sciences of Atma Jaya Catholic University Indonesia. All personal data, grade points, and chronotypes were taken using google form. Chronotypes and sleep characteristics were determined with Munich ChronoType Questionnaire (MCTQ) by calculating weekend mid-sleep time and sleep debt. Unpaired t-test and binary logistic regression were used to analyze the statistical significance.Results: The results of evening chronotype 44.1% respondents, morning chronotype 31.4% respondents, and intermediate chronotype 24.5% respondents were obtained from 102 respondents. There were 65.7% of students with grade points greater than or equal to three and 34.4%  lower than three. There was no significant difference in grade points between morning and evening chronotypes on semester 1, 2, 3, nor grade point average 3 (p>0.05). Conclusion: There is no significant difference in grade points between morning and evening chronotypes among preclinical students class 2018 of School Medicine and Health Sciences Atma Jaya Catholic University of Indonesia.
Comparing tools of balance tests in assessing balance of middle-aged women with or without exercises Nawanto Agung Prastowo; Michelle Olivia Budiarta; Kidyarto Suryawinata; Ignatio Rika Haryono
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 11, No 1, (2020)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol11.Iss1.art4

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Background: Fall risks among middle-aged women are relatively high. However, there is a lack of studies on tools of balance tests and their accuracy among middle-aged women. Objective: The aim of this study is to compare three tools of balance tests to predict falls of middle-aged women who exercise regularly and who do not. Methods: Eighty-five middle-aged women (50-64 years old) were included in this study, and 40 women of them (47.1%) exercised regularly. The Berg Balance Scale (BBS), Timed Up and Go Test (TUG), and 30-second Chair Stand Test (30-s CST) were the tools examined in this study. The numerical data of this study were analyzed by using a Mann-Whitney test. Those were significant if p<0.05. Accuracy of the tools of balance tests was evaluated by using Receiver Operating Characteristic (ROC) curve. Area under the curve (AUC) was significant if =0.70.Results: Based on this study, the middle-aged women (EG) indicated lower score of TU than sedentary (SG) test (6.9 ± 0.9 vs 8.3 ± 1.7, p = <0.000), and higher score of 30-s than sedentary (SG) test (20.1 ± 3.6 vs 17.2 ± 5.6, p = 0.026). Three participants (3.53%) reported history of falls. The TUG test had better accuracy to predict the falls (AUC 0.922, 95% CI 0.840 - 1.005, sensitivity 1.00, specificity 0.84, p=0.013). Mostly, the participants (˜70%) preferred to practice Tai Chi and Yoga. Conclusion: The middle-aged women who exercised could have a better score of the balance tests, and the TUG test could predict falls of them.
The correlation between skin type and acne scar severity in young adults Yessica Mishellin Awaloei; Nawanto Agung Prastowo; Regina Regina
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 12, No 1, (2021)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol12.Iss1.art9

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Background: Acne is the most common skin disorder, especially in adolescents and youths. Inflammation due to acne may leave scar tissue. The scar severity may correlate with gender and skin type. Objective: This study aims to investigate the correlation between gender, skin type, and acne scar severity in youth. Methods: This is a cross-sectional study with 132 (81 female) medical college students aged from 18 to 23 participated in the study. Skin type was assessed using a Baumann Skin Type questionnaire. Acne scar severity was evaluated using the Qualitative Global Scarring Grading. Skin examination was conducted through the image from the face photograph. Lambda test was used to confirm the correlation between gender, skin type, and acne scar severity. Multiple logistic regression was applied to determine the odd risk of gender and skin type to moderate-severe acne scar. Significance was set at p<0.05.Results: Most of the participants (80.3%) had oily skin, and 22 participants (16.7%) had moderate-severe acne scar. A weak positive correlation was confirmed between skin type and acne scar severity (p<0.01, r=0.3). Oily skin type has 4.3 times greater risk of developing more severe acne scar (p<0.01, 95%CI = 1.90-9.90).Conclusion: Skin type is correlated with acne scar severity. Oily skin type is at greater risk of developing severe acne scar.