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Sri Sofyani

Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera

Author-ID : 3467233

Health Professions Medicine & Pharmacology

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Association between sleep quality and obesity in adolescents Nova Juliana Sagala; Sri Sofyani; Supriatmo Supriatmo
Paediatrica Indonesiana Vol 57 No 1 (2017): January 2017
Publisher : Indonesian Pediatric Society

Background Sleep quality can be measured by theÂ Pittsburgh Sleep Quality Index (PSQI). One component of the PSQI is duration of sleep, which is often highly inadequate in adolescents. Inadequate sleep may lead to obesity in adolescents.Objective To assess for an association between sleep quality and incidence of obesity in adolescents.Methods This caseâ€“control study was conducted at Santo Thomas I Senior High School, Medan, North Sumatera, Â from July to August 2015. A total of 227 adolescents were divided into two groups: the case group consisting of 101 obese adolescents and the control group consisting of 126 non-obese adolescents. Study data was collected by questionnaires and PSQI. We interviewed subjects on their food consumption for the three days prior and calculated their average caloric intake. The data were analyzed by non-paired T-test, Chi-square, Mann-Whitney, and multivariate analyses.Results There was a significant association between sleep quality and obesity [OR 3.87 (95%CI 1.920 to 7.829)]. Median PSQI (range) score in the obese group was significantly higher than in the non-obese group [6.00 (2-16) vs. 5.00 (2-12), respectively (P=0.0001)]. In addition, sleep latency (P=0.002) and sleep duration (P=0.0001) were significantly different between groups. Multivariate analysis revealed a significant association between poor sleep quality and high caloric intake.Conclusion Sleep duration in obese adolescents is significantly shorter than that in non-obese adolescents. In addition, sleep latency in obese adolescents was significantly longer than that in non-obese adolescents.

Serum 25-hydroxyvitamin-D level and atopic dermatitis severity in children Laily Munawwarah; Rita Evalina; Sri Sofyani
Paediatrica Indonesiana Vol 57 No 5 (2017): September 2017
Publisher : Indonesian Pediatric Society

Background Vitamin D plays an important role in the immune system. It inhibits B-lymphocyte proliferation and modulates the humoral response to suppress IgE production. Studies on the relationship between serum 25-hydroxyvitamin-D level and the severity of atopic dermatitis in several countries have had varying results.Objective To assess for a possible correlation between serum 25-hydroxyvitamin-D level and atopic dermatitis severity in children.Methods A cross-sectional study was conducted in 26 children with atopic dermatitis from September to December 2015. We evaluated the severity of disease using the Scoring of Atopic Dermatitis (SCORAD) index and measured serum 25-hydroxyvitamin-D levels. Spearmanâ€™s test was used to analyze for a correlation between serum 25-hydroxyvitamin-D level and the atopic dermatitis Â score in children with atopic dermatitis.Results Mean SCORAD index was 32.0 (SD 14.99) , with a range of 10.9 to 71.4. Mean serum 25-hydroxyvitamin-D level was 41.1 (SD 24.81) ng/mL, with a range of 10-137 ng/mL. There was a moderate correlation between serum 25-hydroxyvitamin-D level and the SCORAD index (r=-0.591), with higher SCORAD index associated with lower serum 25-hydroxyvitamin-D level (P=0.01).Conclusion There is a moderate correlation between serum 25-hydroxyvitamin-D level and the SCORAD index in children with atopic dermatitis.

Comparing sleep disorders in urban and suburban adolescents Nur'aini Nur'aini; Sri Sofyani; Supriatmo Supriatmo; Iskandar Z. Lubis
Paediatrica Indonesiana Vol 54 No 5 (2014): September 2014
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi54.5.2014.299-304

Background Sleep disturbances commonly occur in adolescents. Socioeconomic levels, lifestyle, and urban or suburban environments influence the sleep patterns of adolescents. The modernization process in urban environments is marked by the development of information technology media, and the lack of parental monitoring potentially influencing adolescent sleep disturbances. Sleep disturbances may affect children's physical growth, as well as their emotional, cognitive, and social development.Objective To assess for sleep disorders in urban and suburban adolescents, and to determine the factors that influence the prevalence of sleep disturbances.Methods A cross-sectional study was conducted on 12 to 15-year-old junior high school students in urban (n=350) and suburban (n=350) environments in the city of Medan, North Sumatera. The study was undertaken from May to June 2010 using the Sleep Disorders Scale for Children (SDSC), a set of questionnaires. The SDSC was filled out by parents based on what they remembered about their children's sleep patterns in the prior 6 months.Results In the urban group, there were 133 (38.0%) subjects with sleep disturbances, 182 (52.0%) were borderline, and 35 (10.0%) were normal. In the suburban group, there were 132 (37.7%) subjects with sleep disturbances, 180 (51.4%) were borderline, and 38 (10.9%) were normal. The most influential factors for sleep disturbances in urban and suburban youth were environmental noise (P=0.001) and consuming beverages that contain caffeine (P=0.001). There were three types of sleep disorders that significantly found more in urban adolescents: disorders of initiating and maintaining sleep, disorders of excessive somnolence, and sleep hyperhidrosis.Conclusion The prevalence of sleep disturbances do not differ between urban and suburban adolescents. Howevet; there are significant differences in the types of sleep disorders experienced. The most influential factors on sleep disturbance in both areas are environmental noise and consuming beverages that contain caffeine. Â

Quality of life in children with congenital heart disease after cardiac surgery Sindy Atmadja; Tina Christina Tobing; Rita Evalina; Sri Sofyani; Muhammad Ali
Paediatrica Indonesiana Vol 57 No 6 (2017): November 2017
Publisher : Indonesian Pediatric Society

Background Major achievements in congenital heart disease (CHD) treatment over the past 20 years have altered the course and prognosis of CHD. Improvement of quality of life (QoL) is now a major goal of CHD treatment. Objective To assess the QoL in children after cardiac surgery for CHD. Methods A cross-sectional study was performed in children aged 2 to 18 years. The case group had 20 children with a history of corrective heart surgery in the 12 months prior to the study. The control group had 20 healthy children, age-matchedÂ to the case group. The QoL of both groups was assessed by Pediatric Quality of Life Inventory (PedsQL) Generic Core Scales. The same post-operative children were also assessed with the PedsQL Cardiac Module. Data were analyzed using T-test with P < 0.05 as the level of significance. Results This study recruited 40 subjects: 20 post-operative and 20 healthy children. PedsQL Generic Core Scales assessment showed significant differences between groups in the physical function parameter of QoL (P<0.05) in children aged 13-18 years, but there were no significant differences in the social, emotional, and school function parameters. In children aged 2-12 years, there were no significant differences in physical, social, emotional, or school parameters. The PedsQL Cardiac Module assessment revealed that 35% of post-operative children was at risk for physical appearance problems, 80% was at risk for anxiety problems, 40% was at risk for cognitive problems, and 80% was at risk for communication problems. Conclusion Thirteen to 18-year-old children with non complex CHD have poorer physical function than healthy children. Post operative children are at risk for physical appearance, anxiety, cognitive, and communication problems.

Relationship between age at menarche and exposure to sexual content in audio-visual media and other factors in Islamic junior high school girls Tity Wulandari; Melda Deliana; Sri Sofyani; Siska Mayasari Lubis
Paediatrica Indonesiana Vol 57 No 6 (2017): November 2017
Publisher : Indonesian Pediatric Society

Background In recent decades, girls have experienced menarche at earlier ages, which may have negative effects on health. Exposure to audio-visual media and other factors may influence the age at menarche, although past studies have produced inconsistent results. Objective To assess for relationships between the age at menarche and audio-visual media exposure, socio-economic status, nutritional status, physical activity, and psychosocial dysfunction in adolescent girls. Methods This cross-sectional study was conducted from August to October 2015 in students from two integrated Islamic junior high schools in Medan, North Sumatera. There were 216 students who met the inclusion criteria: aged 10-16 years and experienced menarche. They were asked to fill out questionnaires that had been previously validated, regarding their history of exposure to audio-visual media, physical activity, and psychosocial dysfunction. The data were analyzed by Chi-square and Fisherâ€™s exact tests in order to assess for relationships between audio-visual media exposure and other potential factors with the age at menarche. Results Of 261 female students at the two schools, 216 had undergone menarche, with a mean age at menarche of 11.6 (SD 1.13) years. There was no significant relationship between age at menarche and audio-visual media exposure (P=0.68). Also, there were no significant relationships between factors such as socio-economic and psychosocial status with age at menarche (P=0.64 and P=0.28, respectively). However, there were significant relationships between earlier age at menarche and overweight/obese nutritional status (P=0.02) as well as low physical activity (P=0.01). Multivariate logistic regression analysis showed that low physical activity had the strongest influence on early menarche (RP=2.40; 95%CI 0.92 to 6.24). Conclusion Age at menarche is not significantly associated with sexual content of audio-visual media exposure. However, there were significant relationships between earlier age at menarche and obese/overweight nutritional status as well as low physical activity.

Co-Authors Iskandar Z. Lubis Laily Munawwarah Melda Deliana Muhammad Ali Nova Juliana Sagala Nur'aini Nur'aini Rita Evalina Sindy Atmadja Siska Mayasari Lubis Supriatmo Supriatmo Tina Christina Tobing Tity Wulandari

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