Hasil Pencarian  ::  Simpan CSV :: Kembali

"Pola asupan makanan yang tidak seimbang banyak dijalani kaum remaja saat ini. Hal tersebut menyebabkan ancaman status gizi berlebih semakin mengintai para remaja. Status gizi remaja dapat tercermin melalui pengukuran Indeks Massa Tubuh (IMT). Tujuan penelitian ini ialah mengetahui hubungan antara asupan energi dan komposisi makronutrien dengan IMT pada remaja usia 15-18 tahun. Penelitian menggunakan desain penelitian potong lintang analitik. Pengambilan data dilaksanakan di Jakarta terhadap 75 mahasiswa kedokteran, laki-laki (n=31) dan perempuan (n=44), tingkat 1 tahun 2012 yang diminta untuk menjawab wawancara mengenai asupan hariannya memakai kuisioner Food Frequency Questionnaires (FFQ) semikuantitatif dan menjalani pemeriksaan fisik, berupa tinggi dan berat badan.Dari penelitian ini, hasilnya, yakni sebaran subjek berdasarkan asupan energi , yaitu kurang (24%), cukup (30,7%), lebih (45,3%). Untuk asupan karbohidrat ialah kurang (10,7%), cukup (77,3%), dan lebih (12%). Sementara itu, asupan lemak yang kurang ada 24%, cukup sebanyak 44%, dan lebih sebesar 32%. Terakhir, sebaran subjek berdasarkan asupan protein, yakni kurang (1,3%) dan cukup (98,7%). Tidak ada responden yang asupan proteinnya lebih. Distribusi subjek berdasarkan IMT, yaitu pada laki-laki 9,7% kurang, 61,3% normal, dan 29% lebih sedangkan pada perempuan 90,9% normal dan 9,1% lebih. Kesimpulan pada penelitian ini ialah tidak terdapat adanya hubungan (p>0,05) antara asupan energi dan komposisi makronutrien dengan IMT pada remaja usia 15-18 tahun.

---

Unbalance pattern of food intake become trend for many young people at this time. This causes overweight and obesity risk threaten the teens. Adolescent nutritonal status can be defined by Body Mass Index (BMI) measurement. The purpose of this study is to determine the relationship between energy intake and macronutrient composition with BMI in adolescents aged 15-18 years old. Study used cross-sectional analytical study design. Data collection was conducted in Jakarta on 75 first grade medical students, boys (n=31) and girls (n=41), in 2012 who were asked to answer the interview about her daily intake using Food Frequency Questionnaires (FFQ) semiquantitative and underwent a physical examination, such as height and weight.

The results from this study were the respondent distributions of energy intake were less (24%), adequate (30,7%), over normal (45,3%). For carbohydrate intake were less (10,7%), adequate (77,3%), and over normal (12%). Meanwhile, there were 24% respondents with less intake of fat, 44% adequate. and 32% over normal. Last, the distributions of protein intake were less (1,3%) and adequate (98,7%). No respondent with over normal protein intake. Subject distributions of BMI, were in boys 9,7% less, 61,3% normal, and 29% over normal while in girls, 90,9% normal and 9,1% over normal. The conclusion of this study is there is no relationship (p>0,05) between energy intake and macronutrient composition with BMI in adolescents aged 15-18 years old."

"Latar belakang. Jumlah pasien keganasan anak di Indonesia tertinggi di Asia Tenggara dan pneumonia merupakan komplikasi infeksi tersering serta memiliki luaran yang lebih berat. Namun, hingga saat ini belum ada penelitian mengenai prevalens, karakteristik, dan faktor risiko kejadian pneumonia pada pasien keganasan anak di IndonesiaTujuan. Mengetahui prevalens, karakteristik, dan faktor-faktor yang memengaruhi kejadian pneumonia pada pasien keganasan anak di RSCM.Metode. Penelitian ini merupakan studi deskriptif analitik dengan metode potong lintang retrospektif menggunakan data rekam medis pasien. Subjek yang diteliti ialah seluruh pasien keganasan berusia 1 bulan-18 tahun yang dirawat inap di IGD, PICU, dan bangsal anak RSCM dari Januari 2021 sampai Desember 2023. Faktor risiko yang dianalisis, antara lain usia, jenis keganasan, status imunisasi, status gizi, tipe terapi keganasan, neutropenia, dan riwayat rawat inap ≥ 14 hari.Hasil. Terdapat 162 subjek yang memenuhi kriteria inklusi dan eksklusi dalam penelitian. Prevalens pneumonia pada pasien keganasan anak di RSCM sebesar 43,2% (70/162) subjek, terdiri dari 78,5% (55/70) kasus pneumonia terkait RS dan 21,4% (15/70) kasus pneumonia komunitas. Karakteristik subjek dengan pneumonia, antara lain median usia 5,3 tahun (min-mak 0,2-17,5 tahun), median usia awitan keganasan 4,7 tahun (min-mak 0-17,3 tahun), jenis kelamin lelaki 57,1% subjek, pengidap leukemia 55,7% subjek, imunisasi tidak lengkap 38,6% subjek, status gizi kurang/buruk 54,3% subjek, terapi keganasan berupa kemoterapi 61,4% subjek, neutropenia 65,7% subjek, dan riwayat rawat inap ≥14 hari 34,3% subjek. Profil klinis dan pemeriksaan penunjang pada subjek dengan pneumonia, yakni 37,1% subjek mengalami pneumonia sangat berat, terapi oksigen dengan kecepatan  >6 lpm 40% subjek, 52,8% subjek tidak terdapat leukositosis, kadar CRP meningkat pada 80% subjek, kadar PCT meningkat pada 71,4% subjek, dan rontgen dada kesan sugestif pneumonia pada 82,9% subjek. Hasil analisis multivariat faktor yang memengaruhi kejadian pneumonia dan pneumonia terkait RS adalah status gizi kurang/buruk (AOR 3,24; IK 95% 1,49-7,05; p=0,003 dan AOR 2,98; IK 95% 1,24-7,17; p=0,015), neutropenia (AOR 4,15; IK 95% 1,94-8,84; p<0,001 dan AOR 4,59; IK 95% 1,94-10,86; p<0,001), serta riwayat rawat inap (AOR 8,48; IK 95% 2,63-27,31; p<0,001 dan AOR 12,34; IK 95% 3,71-41,09; p<0,001).Simpulan.Faktor yang memengaruhi kejadian pneumonia, khususnya pneumonia terkait RS pada pasien keganasan anak adalah status gizi kurang/buruk, neutropenia, dan riwayat rawat inap ≥ 14 hari.

---

Background. The number of pediatric malignancies in Indonesia is the highest in Southeast Asia. Pneumonia is the most common infection in childhood cancer and also has more severe outcomes than normal children. However, there has been no research regarding the prevalence, characteristics, and risk factors influencing pneumonia in pediatric patients with malignancy in Indonesia

Objectives. To determine the prevalence, characteristics, and risk factors influencing pneumonia in pediatric patients with malignancy at RSCM.

Method. This research was a descriptive-analytical study with a retrospective cross-sectional design using medical records. The subjects studied were all malignancy patients aged 1 month-18 years who were hospitalized in the ER, PICU, and RSCM pediatric wards from January 2021 to December 2023. The risk factors which studied were age, type of malignancy, immunization status, nutritional status, type of malignancy therapy, neutropenia, and a history of hospitalization ≥ 14 days.

Result. 162 subjects met the inclusion and exclusion criteria in the study. The prevalence of pneumonia in pediatric malignancy patients at RSCM was 43,2% (70/162) subjects, consisting of 78,5% (55/70) cases of hospital-acquired pneumonia and 21,4% (15/70) cases of community-acquired pneumonia. Basic characteristics of the subjects, including median age 5,3 years (min-max 0,2-17,5 years), median age of malignancy onset 4,7 years (min-max 0-17,3 years), male 57,1% subjects, leukemia 55,7% subjects, incomplete immunization 38,6% subjects, malnutrition 54,3% subjects, chemotherapy in 61,4% subjects, neutropenia in 65,7% subjects, and history of hospitalization ≥ 14 days in 34,3% subjects. The clinical profiles and laboratory examinations in subjects with pneumonia, including 37,1% subjects had very severe pneumonia, 40% subjects had oxygen therapy >6 lpm, 52,8% subjects had no leukocytosis, CRP level increased in 80% subjects, PCT level increased in 71,4% subjects, and chest x-ray impression suggestive of pneumonia in 82,9% subjects. Multivariate analyses result of risk factors influencing pneumonia and hospital-acquired pneumonia are moderate/severe malnutrition (AOR 3,24; 95% CI 1,49-7,05; p = 0,003 and AOR 2,98; 95% CI 1,24-7,17; p = 0,015), neutropenia (AOR 4,15; 95% CI 1,94-8,84; p <0,001 and AOR 4,59; 95% CI 1,94-10,86; p <0,001) and history of hospitalization (AOR 8,48; 95% CI 2,63-27,31; p <0,001 and AOR 12,34; 95% CI 3,71-41,09; p <0,001).

Conclusion. Moderate/severe malnutrition, neutropenia, and a history of hospitalization ≥14 days are risk factors for pneumonia, especially hospital-acquired pneumonia in pediatric patients with malignancy."