Ani Ariani
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The effect of dietary intervention and physical activities on the lipid profile of obese children Fatimah Dewi Atikah; Nurzahara Siddik; Tiangsa Br Sembiring; Ani Ariani
Paediatrica Indonesiana Vol 49 No 2 (2009): March 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.926 KB) | DOI: 10.14238/pi49.2.2009.108-11

Abstract

Background Obesity is defined as body weight increase due toexcessive fat accumulation. Obesity during childhood and teenageyears is related to cardiovascular risks including hyperinsulinism,hypercholesterolemia, decreased high density lipoprotein (HOI),and hypertension. The principles of managing obesity are reducingenergy intake and increasing energy use, e.g., by increasing physicalactivities, changing life habits and, most importantly by involvingfamily in the therapeutic process.Objective To evaluate the effect of dietary intervention andphysical activity on obese children.Methods Seventy-six obese primary school children wererandomly allocated to either receive intervention (diet andphysical activities) or no intervention. At the beginning of thestudy, lipid profile was measured in all subjects. Subjects in theintervention group were asked to reduce calorie intake by 200 -500 kCal per day, and participating in a walk of 20-30 minutes forfive days per week over a period of one month. After one month,the lipid profile of both groups was remeasured and compared.Results After one month, 7 3 children had successfully completedthe study and had complete data for analysis. There was asignificant change in the mean HOL level before intervention(47.3 [SO 36.2] mg/dl) compared with after intervention (100.5[SO 35.7] mg/dl, P<0.05) in the group where intervention wasimplemented.Conclusion There are no significant differences in serum lipidvalues after intervention in both groups.
Effect of iron treatment on nutritional status of children with iron deficiency anemia Leon Agustian; Tiangsa Sembiring; Ani Ariani; Bidasari Lubis
Paediatrica Indonesiana Vol 49 No 3 (2009): May 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (101.46 KB) | DOI: 10.14238/pi49.3.2009.160-4

Abstract

Background Iron has been shown to improve growth in childrenwith iron deficiency anemia (IDA), as indicted by increases inheight and weight. Frequently, malnutrition and iron deficiencycoexist.Objective To determine the effect of iron treatment on nutritionalstatus in children with IDA.Methods A randomized placebo-controlled clinical trial wasconducted at Bilah Hulu, a subdistrict of Labuhan Batu, NorthSumatera, Indonesia, between November 2006 and February2007. Iron deficiency anemia was diagnosed if there anemiawas present along with MCHC <31%, RDW index >220 andMentzer index> 13. Elementary school children (8-12 years old)with IDA were randomly assigned to either receive a daily therapyof 6 mg iron/kg/day or a placebo for three months. Nutritionalstatus was evaluated by anthropometric assessment before andafter intervention.Results From 300 subjects recruited, there were 111 (3 7 .2%)with iron deficiency anemia; 108 of them completed the therapy.After intervention, the iron and placebo groups had differentmean hemoglobin concentrations (P <0.05), but there was nosignificant difference in mean weight and height gain betweenthe two groups.Conclusion A significant increase in hemoglobin concentrationwas seen when iron was given, but did not affect weight and height increase in the subjects.
Study of blood pressure in elementary school children at hill and seashore areas Ani Ariani; T Erna Lisma; Iskandar Z Lubis; Rafita Ramayati; Rusdidjas Rusdidjas
Paediatrica Indonesiana Vol 43 No 1 (2003): January 2003
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (253.931 KB) | DOI: 10.14238/pi43.1.2003.6-9

Abstract

Background Measurement of blood pressure is the most impor-tant tool for early detection of hypertension. There is an assump-tion that salt consumption of the population living at the seashoreis higher than that of those living on the hill area, and it would leadto higher blood pressure.Objective To find out whether there is any difference of bloodpressure between school-age children (6-13 years) living on thehill area (Brastagi subdistrict) and those living at the seashore area(Pantai Cermin sub district), North Sumatra.Methods A cross sectional study was conducted in Brastagi andPantai Cermin from September to October 1995. The subjects weretaken by a simple random sampling method. The blood pressurewas measured based on recommendation of The Second TaskForce on Blood Pressure Control in Children 1987.Results The means systolic pressure in boys of 6 years of age aswell as in girls of 6,8,12 and 13 years, and the means of diastolicpressure in girls of 6,7,8,11 years were higher in Pantai Cermin(p<0.05). Blood pressure had significant positive correlations(p<0.001) with age, weight and height in both areas. Overall, hy-pertension was found in 117 (11%) out of 1065 children, 11.6%among girls and 10.6% among boys. On the hill and at seashorearea, hypertension was found in 10.2% and 11.8% of children re-spectively, which was not statistically different (p>0.05).Conclusion In children, there was no significant difference be-tween the prevalence of hypertension on hill and seashore area