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All Journal Medicina E-Jurnal Medika Udayana Sari Pediatri Paediatrica Indonesiana Molecular and Cellular Biomedical Sciences (MCBS) ISM (Intisari Sains Medis) : Jurnal Kedokteran World Nutrition Journal Public Health and Preventive Medicine Archive
I Gusti Lanang Sidiartha
Department Of Child Health, Medical Faculty, Udayana University
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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BREAKFAST HABIT AND ACADEMIC PERFORMANCE AMONG SUBURBAN ELEMENTARY SCHOOL CHILDREN Widyanti, Putu Ayu; Sidiartha, I Gst Lanang
Medicina Vol 44 No 1 (2013): Januari 2013
Publisher : Medicina

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Abstract

Academic performance is affected by a numbers of factors. Age, gender, nutritional status, and breakfast habits are some factors that have relation with academic performance. Nutritional statues among school children still to be concerned. Breakfast habit is important thing to do before school to maintain enough calories to study and work well. The aim of this study was to determine the association of breakfast habits and academic performance especially in suburban elementary school children. An analytic cross sectional study conducted in children aged 6-12 years who studied at SD 1 Taro, Gianyar regency, Bali. There were 178 students participated in this study. We found 3 factors associated with academic performance i.e. breakfast, gender, and age with OR=2.56 (95% CI 1.16 to 5.66), P=0.02; OR=0.32 (95% CI 0.15 to 0.70), P=0.04; OR=6.52 (95% CI 2.73 to 15.53), P<0.0001, respectively. We conclude there was an association between breakfast habits and academic performance.
THE INCIDENCE OF IN-HOSPITAL MALNUTRITION IN CHILDREN AT SANGLAH DENPASAR HOSPITAL Lanang Sidiartha, I Gusti
Medicina Vol 43 No 1 (2012): Januari 2012
Publisher : Medicina

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Abstract

In-Hospital Malnutrition cause by longer length of stay is still as a health problem. The objective of the study is to find out the incidence of In-hospital malnutrition and the association with sex, age, malnutrition on admission, diagnosis and length of stay. The cohort retrospective study was done based on the medical record from The Nutrition and Metabolic Disease Division, Department of Child Health, Udayana University/Sanglah Hospital Denpasar from June 2008 to February 2009 period. In-hospital malnutrition was confirmed if the body weight decreased ? 2% in a week or ? 5% in a month or ? 10% in 6 months during hospitalized. Statistical analysis was done to find out the association between In-hospital malnutrition and sex, age, diagnosis, malnutrition on admission, and length of  stay. The odds ratio was counted and the statistical significant was decided if p value < 0.05. There were 78 over 460 children (17%) met the criteria of In-hospital malnutrition. Logistic regression showed that after adjusting for sex, age, malnutrition on admission, and diagnosis; the length of stay longer than 7 days (OR = 3.7, CI 95% 2.1 – 6.4) was statistically associated with In-hospital malnutrition in the final model. The study concludes that the incidence of In-hospital malnutrition in Sanglah Hospital was still high and it was associate with length of stay longer than 7 days. (MEDICINA 2012;43:15-18).
Pengenalan makanan padat dini dan lambat pada bayi merupakan risiko gagal tumbuh pada masa toddler Sidiartha, I Gusti Lanang; Widianto, Romy
Medicina Vol 47 No 2 (2016): Mei 2016
Publisher : Medicina

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Abstract

Pengenalan makanan padat pertama yang tidak tepat pada masa bayi merupakan faktor risiko timbulnya gagal tumbuh. Penelitian ini bertujuan untuk mencari hubungan antara pengenalan makanan padat pertama pada bayi dengan timbulnya gagal tumbuh pada masa toddler. Suatu penelitian potong-lintang analitik dikerjakan pada anak usia 1-3 tahun yang berkunjung ke Poliklinik Pediatrik RSUP Sanglah periode Desember 2009-Desember 2010. Dikatakan gagal tumbuh apabila berat menurut umur menyebrang 2 persentil mayor atau lebih. Pengenalan makanan padat dini bila <4 bulan, lambat bila >6-12 bulan dan sangat lambat bila >12 bulan. Hubungan variabel gagal tumbuh dengan pengenalan makanan padat diuji dengan Chi-Square dengan tingkat kemaknaan P <0,05, dihitung rasio prevalens dan IK95%. Dari 326 subjek penelitian terdapat 27 (8,3%) mengalami gagal tumbuh. Rasio prevalens gagal tumbuh pengenalan makanan padat dini 4,7 (IK95% 2,2 sampai 9,1), dan sangat lambat 3,6 (IK95% 1,1 sampai 11,8). Disimpulkan bahwa pengenalan makanan padat dini dan lambat pada masa bayi merupakan faktor risiko gagal tumbuh pada masa toddler. Inappropriately introduction of first solid food in infant is risk factor of failure to thrive (FTT). This study investigates the relationship between introduction of first solid food in infant and FTT in toddler. Cross-sectional analytical study was done on toddler whose came to the Pediatric Outpatient Clinic Sanglah Hospital in December 2009 to December 2010 period. FTT was defined if weight-for-aged was crossing two major percentile or more. Introduction of first solid food less than 4 months was called ‘too early’ and more than 12 months was called ‘too late’. The relation between variable was analyzed using Chi-Square test. Prevalence ratio with 95% confidence interval was calculated. Significances was defined if P value <0.05. There were 27 of 326 subject (8.3%) met the criteria of FTT. Prevalence ratio of FTT in ‘too early’ was 4.7 (95%CI 2.2 to 9.1), and ‘too late’ was 3.6 (95%CI 1.1 to11.8). It was concluded taht ‘too early’ and ‘too late’ introduction of first solid food in infant was risk factor of FTT in toddler.
ASSOCIATION BETWEEN ENERGY AND MACRONUTRIENTS INTAKE WITH ANTHROPOMETRIC INDICATORS IN CHILDREN Yuliana, Yuliana; Sidiartha, I Gusti Lanang
Medicina Vol 45 No 1 (2014): Januari 2014
Publisher : Medicina

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Abstract

Antropometric indicator is the most widely used measurement of children’s nutritional status. The three main indicators that use to deûne undernutrition are underweight, stunting, and wasting, willrepresent different histories of nutritional insult to children. Adequate nutrition is a prerequisite to good health and one important determinant of growth and development. The objective of this study wasto investigate possible association between energy and macronutrients intake with anthropometric indicators. A cross-sectional study held at Jempiring Pediatric Wards Sanglah Hospital Denpasarfrom October until December 2013. Chi square and logistic regression test were used for detecting associations between energy and macronutrients intake with anthropometric indicators. A P-valueless than 0.05 was considered statistical significant. A total of 152 children were analyzed. Underweight was associated with inadequate intake of total energy, carbohydrate, and protein with PR 5.47 (95% CI 1.20 to 24.96), 4.29 (95% CI 1.03 to 117.86), 3.40 (95% CI 1.04 to 11.13), respectively. Stunting was associated with inadequate intake of total energy and protein with PR 4.76 (95% CI 1.56 to 14.57) and 13.41 (95% CI 4.42 to 40.68), respectively. Wasting was associated only with inadequate intake of total energy with PR 4.14 (95% CI 1.74 to 9.83). It can be concluded that underweight, stunting, and wasting showed association with inadequate energy and macronutrients intake. [MEDICINA 2014;45:3-8]
PREVALENSI DAN KARAKTERISTIK PENGHENTIAN ASI EKSKLUSIF PADA BAYI USIA 6 BULAN PERTAMA Maharani, Ni Luh Putu; Lanang Sidiartha, I Gusti
Medicina Vol 44 No 2 (2013): Mei 2013
Publisher : Medicina

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Abstract

Manfaat air susu ibu (ASI) sudah diketahui masyarakat luas namun menurut survei demografi dankesehatan Indonesia tahun 2003 hanya 14% bayi usia 4-5 bulan yang diberi ASI secara eksklusif.Alasan ibu menghentikan pemberian ASI anak sebelum usia 6 bulan sangat berbeda-beda tergantungkarakteristik ibu. Belum ada data terbaru tentang alasan penghentian ASI eksklusif. Tujuan penelitianini adalah untuk mengetahui prevalensi dan karakteristik penghentian ASI eksklusif. Penelitian inimerupakan penelitian deskriptif potong lintang dengan subyek bayi dan anak usia 6 bulan-24 bulanyang berkunjung ke Poliklinik RS Sanglah Denpasar pada periode September 2011-Desember 2011.Selama periode penelitian terdapat 108 bayi dan anak yang berkunjung ke Poliklinik RS Sanglah.Prevalensi penghentian ASI eksklusif pada penelitian ini 63 (58%). Alasan penghentian ASI eksklusifadalah bayi tidak puas dengan pemberian ASI saja 21 (33,3%), produksi ASI tidak cukup 17 (27,0%),ASI tidak keluar 11 (17,5%), kesulitan bayi dalam menyusu 8 (12,7%), ibu sakit dan harus meminumobat 4 (6,3%), dan luka atau lecet pada payudara 2 (3,2%). Penghentian ASI terbanyak didapatkanpada usia 0 bulan. Alasan menghentikan ASI eksklusif terbanyak adalah bayi tidak puas denganpemberian ASI saja. [MEDICINA 2013;44:82-86].
NUTRISI PARENTERAL TOTAL PADA BAYI KURANG BULAN Gustawan, I W; Kardana, M; Retayasa, W; Suandi, IKG; Sidiartha, IGL
Medicina Vol 39 No 1 (2008): Januari 2008
Publisher : Medicina

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Abstract

Pemberian nutrisi pada penatalaksanaan bayi kurang bulan (BKB) merupakan hal yang sangat penting untuk tercapainya pertumbuhan dan perkembangan bayi yang optimal dengan pemberian semua komponen nutrisi secara adekuat. Dewasa ini nutrisi parenteral telah menjadi sarana penunjang utama perawatan bayi sakit berat maupun berat lahir sangat rendah (BBLSR) di Unit Perawatan Intensif Neonatus. Tujuan nutrisi parenteral adalah menyediakan energi dan nitrogen yang cukup untuk mencegah katabolisme dan mencapai keseimbangan nitrogen positif, mencegah defisiensi asam lemak esensial dan menyediakan komposisi nutrisi yang tepat untuk mencapai pertumbuhan normal seperti saat di dalam kandungan. Nutrisi parenteral total menyediakan semua nutrien untuk metabolisme basal dan pertumbuhan, mengandung cairan, energi, makronutrien dan mikronutrien.
CORRELATION BETWEEN PENIS LENGTH AND ANTHOPOMETRY OF 5 YEAR OLD CHILDREN Kurnia Indrawan, Doddy; Suryawan, Bikin; Sidiartha, Lanang; *, Arimbawa
Medicina Vol 43 No 1 (2012): Januari 2012
Publisher : Medicina

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Abstract

Short penis still a problem for parents. Penis lenght is associated with  weight and considered abnormal in obese children. The purpose of this study was to find out the correlation between penis length and the anthropometry children aged 5 years. A cross sectional study was conducted, at the Division of Endocrinology, Department of Child Health, Medical Faculty of Udayana University, Sanglah Hospital Denpasar, during October 2010, at TK Sayang Ibu Sanglah Hospital. The calculation of the sample with a correlation coefficient of weight and  height obtained  9 people, taking in consecutive sampling and analyzed  with Pearson’s correlation. The mean body weight was 23.6 (SD 7.70) kg;  mean child height was 108.4 (SD 5.3) cm, and 47.1% were obese. The mean length of the penis was 4.7(SD1.30) cm. The correlation between weight and penis lenght was strong negative (r = -0.876; P = 0.000) and between penis length and height was r = -0.597; P = 0,011.There was a strong negative correlation between body weight and penis length and also negative correlation between penis length and height in kindergarten children. (MEDICINA 2012;43:19-22).
OBESITY IS ASSOCIATED WITH HYPERTENSION IN ADOLESCENTS Hendy, Hendy; Lanang Sidiartha, I Gusti; Putu Nilawati, Gusti Ayu
Medicina Vol 44 No 3 (2013): September 2013
Publisher : Medicina

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Abstract

Obesity has become a global issue. Previous studies in Bali reveal an increase in the proportionof obesity in adolescents. Obesity causes hypertension; hence there should also be an increase inthe prevalence of hypertension as well in Bali. Hypertension in obese adolescents could be causedby various factors, hence identification of the risks factors is crucial as a preventive approach.The aim of this study was to prove an association between obesity and hypertension in adolescents,and to look for the risk factors. We used an analitical cross sectional design conducted to 12-14years old samples. We took body weight, height, waist circumference, hip circumference, andblood pressure measurements with appropriate devices and asked for information regarding lifestyle and familial history by a questionnare filled in by the samples. The association of obeseadolescents with hypertension and their risk factors was analyzed by Chi-square and multivariatetests. A total of 225 subjects from Santo Yoseph junior high school students, west Denpasar,Bali, met the inclusion criteria. The proportion of obese subjects in this study was 25.7%. Wefound that proportion in familial history of obesity was greater in obese than non-obese subjects(70.7 % vs 41.3%). Logistic regression test revealed that obese subjects with hypertension had abody mass index (BMI) > 30 with odds ratio of 7.3 (CI 95% = 1.8 to 28.8) and P = 0.005. Weconcluded that there was an association between obesity and adolescents with hypertension,and BMI > 30 could be a risk factor for obese adolescents with hypertension.
PREVALENCE AND RISK FACTORS OF OBESITY IN PRIMARY SCHOOL IN URBAN AND RURAL AREAS Ratna Dewi, Made; Sidiartha, I Gusti Lanang
Medicina Vol 44 No 1 (2013): Januari 2013
Publisher : Medicina

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Abstract

Obesity has become a continous increasing global health problem. Obesity can happen in adult population and also on children as well as teenagers. There are several factors that influence the occurrence of obesity. The aim of this study is to determine the prevalence and risk factors for obesity in primary school children in urban and rural areas. A cross sectional study was conducted with a total sample of 241 pupils in several elementary schools. Anthropometric status determine using body mass index for age and obesity stated if measurement exceed ?95th percentile based on CDC 2000. Analysis data perform with the Pearson Chi-square, Fisher's Exact Test, and logistic regression. A P value of <0.05 was considered significant. This study showed the prevalence of obesity was 15%. The prevalence of obesity in urban areas was 21% and rural areas was 5%. The result showed risk of obesity multiplied by 3.8 times in urban children as they had a habit of "snacking" had risk of suffering obesity by 3.4 times (95% CI 1.2 to 9.0). Children who had habit of having fast food more than 2 times per week had the more risk of obesity by 5 times (95% CI 1.9 to 13.5). Mothers education in urban areas as a protective factor. Conclusion of this study show that the prevalence of obesity in urban areas is 21% and 5% in rural areas. “Snacking” habit and eating fast food more than 2 times per week increase the risk of obesity in urban areas, while in rural areas no risk factors consider significant for obesity.
EFICACY OF ZINC SUPLEMENTATION AS ADJUVANT THERAPY IN CHILDREN 6- 60 MONTHS OLD WITH PNEUMONIA Sidiartha, I Gusti Lanang; Gede Suandi, I Kompiang; Subanada, Ida Bagus; Siadi Purniti, Ni Putu; Karsana, AA Raka
Medicina Vol 43 No 1 (2012): Januari 2012
Publisher : Medicina

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Abstract

Morbidity and mortality rates of childhood pneumonia is still high, especially in developing countries. Many efforts are done to decrease the morbidity and mortality rate and one of them is zinc supplementation as adjuvant therapy. The aim of the study is to find the effectiveness of zinc supplementation as adjuvant therapy in childhood pneumonia. The randomized controlled trial study was done on 33 patients with pneumonia at Sanglah Hospital Denpasar. Intervention group received 20 mg zinc elemental each day. Time for recovery and length of hospital stay were compared between zinc and placebo groups. The different was significant if the P value < 0.05. Time for recovery in zinc group and placebo group was 4 days and 3.4 days, respectivelly. Length of hospital stay was 5.9 days in zinc group and 5.6 days in placebo group. The different was not significant. Conclusion is zinc supplementation as adjuvant therapy in childhood pneumonia is not effective to decreased the time for recovery and length of hospital stay. (MEDICINA 2012;43:9-14).
Co-Authors AA Raka Karsana Anak Agung Ratna Purnama Santhi Arimbawa * Artawan Artawan Ayu Putri Satyawati Ayu Setyorini Mestika Mayangsari Ayu Shintia Shanti Bagus Ngurah Putu Arhana BNP Arhana Chaliza Adnan Desak Ayu Sri Cinthya Uttari Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dewi Sutriani Mahalini Dian Sulistya Ekaputri Dini Mutia Hasanah Doddy Kurnia Indrawan Dyah Kanya Wati Dyah Kanya Wati Eka Gunawijaya Elmy S Endy Paryanto Prawirohartono Gusti Ayu Putu Nilawati Hanzelina Hanzelina Hendra Santoso Hendy Hendy I Gusti Agung Ngurah Sugitha Adnyana I Gusti Agung Trisna Windiani I Gusti Ayu Putu Eka Pratiwi I Gusti Ngurah Made Suwarba I Gusti Ngurah Sanjaya Putra I Ketut Adi Wirawan I Kompiang Gede Suandi I Nyoman Ali Suandana I Nyoman Budi Hartawan I Putu Gede Karyana I Wayan Bikin Suryawan I Wayan Dharma Artana I Wayan Gustawan ID Ayu Eka Cahyani Ida Bagus Gede Suparyatha Ida Bagus Subanada Ida Bagus Subanada IGN Sanjaya IKG Suandi IKG Suandi IKG Suandi Kadek Dedy Sudiawan Kadek Tresna Adhi Kadek Wini Mardewi Katharina Yosephin Lakonawa Ketut Ariawati Ketut Dewi Kumara Wati Ketut Suarta Komang Ayu Witarini Kompiang Gede Suandi Lakonawa, Katharina Yosephin Luh Gede Yuliadewi NS M Kardana Made Michel Kresnayasa Made Ratna Dewi Made Suadnyani Pasek Made Yos Darmayasa Ni Luh Putu Ariastuti Ni Luh Putu Maharani Ni Luh Putu Sudiasih Ni Luh Putu Surya Candra Eka Pertiwi Ni Luh Sri Apsari Ni Made Chandra Mayasari Ni Made Dwiyathi Utami Ni Made Wini Jayesthiwi Wanami Putri Ni Nyoman Kanta Karmani Ni Nyoman Metriani Nesa Ni Putu Andina Kluniari Ni Putu Ayu Wulan Noviyanti Ni Putu Eka Suwitri Ni Putu Lia Juliantini Ni Putu Siadi Purniti Ni Putu Yunik Novayanti Novita Tjiang Noviyanti, Ni Putu Ayu Wulan NP Veny Kartika Yantie P Suwendra Putu Austin Widyasari Wijaya Putu Ayu Widyanti Putu Diah Vedaswari Putu Mas Vina Paramitha Cempaka Putu Satya Pratiwi Putu Vivi Paryati Romy Widianto, Romy Romy Windiyanto Sawitri, Anak Agung Sagung Silvia Sudarmadji Sudaryat S Sudiasih, Ni Luh Putu Suryadi Limardi Suwitri, Ni Putu Eka Tjiang, Novita W Retayasa Yuliana Yuliana