scholarly journals Perbedaan asupan mikronutrien pada lansia penderita hipertensi esensial yang overweight dan tidak overweight

2013 ◽  
Vol 10 (1) ◽  
pp. 25
Author(s):  
Catur Saptaning Wilujeng ◽  
Wasilah Rochmah ◽  
Susetyowati Susetyowati

Background: Hypertension in overweight elderly is a crucial problem considering that its pathogenesis, disease pattern and management are not entirely the same with hypertension in young adults. Hypertension in overweight elderly requires particular attention because it is closely associated with overall management (medical and nutritional).Objective: To study different intake of micronutrients, i.e. natrium (Na), potassium (K), calcium (Ca), and magnesium (Mg) in overweight and non overweight elderly with essential hypertension at Griya Sehat Lansia (GSL) Yogyakarta.Method: The study was analytical with case control study design. Samples were as many as 138 elderly of 60-75 years old taken using multistage sampling technique. Data of intake Na, K, Ca, Mg were obtained through semi quantitative food frequency questionnaire (FFQ); essential hypertension through assessment of blood pressure using sphygmomanometer; overweight and non overweight status through body mass index (BMI), BMI for overweight was 23-24.9 kg/m2 and non-overweight was 18.50-22.99 kg/m2. Statistical analysis used paired t test, Chi-Square and logistic regression.Results: There were differences in intake of Na, K, Ca, and Mg between overweight and non overweight elderly (p<0.05). There were significant association (p<0.05) between intake of Na, K, Ca, and Mg of overweight and non overweight elderly with essential hypertension, with OR 5.271; 6.813; 3.398 and 3.444. Intake of Na and K were variables most significantly associated with overweight and non overweight elderly with essential hypertension (p<0.05).Conclusion: There were significant differences in intake of micronutrients (Na, K, Ca, Mg) between overweight and non overweight elderly with essential hypertension at GSL Yogyakarta.

2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Adefri Wahyudi ◽  
Finny Fitry Yani ◽  
Erkadius Erkadius

AbstrakPrevalensi asma  terus meningkat (5—30% dalam satu dekade terakhir) dan lebih dari 50% penderita saat ini adalah anak-anak. Fenomena ini tidak terlepas dari kompleksitas patogenesis asma yang melibatkan faktor genetik dan lingkungan  yang dimulai sejak masa fetal. Tujuan penelitian ini adalah menentukan hubungan antara faktor genetik, demografi, lingkungan, dan perinatal terhadap kejadian asma anak di RSUP Dr. M.. Djamil Padang. Desain penelitian ini adalah case-control study terhadap pasien rawat inap di bangsal anak. Pemilihan sampel menggunakan teknik simple randomized sampling dengan jumlah 78 pasien (39 kasus dan 39 kontrol). Data didapatkan melalui rekam medis subyek penelitian. Analisis data yang digunakan yaitu univariat dan bivariat dengan chi-square. Hasil uji chi-square menunjukkan usia < 5 tahun (p= 0,364), jenis kelamin laki-laki (p=0,255), berat badan lahir rendah (p=0,358), obesitas (p=0,382)  tidak memiliki hubungan bermakna dengan asma anak. Hanya riwayat atopi (p <0,05) yang memiliki hubungan berarti. Riwayat paparan asap rokok dan bulu binatang tidak lengkap; sedangkan  usia gestasional hanya satu kelompok saja sehingga tidak dianalisis. Disimpulkan bahwa tidak terdapat hubungan bermakna antara usia <5 tahun, jenis kelamin laki-laki, prematuritas dan obesitas dengan kejadian asma anak. Hubungan bermakna hanya terdapat pada riwayat atopi dengan kejadian asma anak.Kata kunci: asma anak, faktor risiko, riwayat atopi  AbstractPrevalence of asthma is  still elevating (5—30% at last decade) and more than 50% of asthmatic is children. This phenomenon is predicted correlating with the complexity of pathogenesis of asthma (included genetic, environtment and perinatal factors) that began from fetal-age. The objectives of this study was to deternine the correlation of genetic, demographic, environtment, perinatal factors to asthma in children in RSUP Dr. M. Djamil Padang. Research design was case-control study. The pediatric patients in RSUP Dr. M. Djamil Padang were the population. The 78 samples were taken by simple randomized sampling technique (39 cases and 39 controls). The chi-square test showed no correlation among age <5 years old (p=0,364), male for sex (p=0,255), low birth-weight (p=0,358), obesity (p=0,382) to children asthma. The history of atopy (p <0,05) was the only correlation to asthma in RSUP M. Djamil Padang. The data of environtment tobacco smoke and pet’s hair were not completed and prematurity history  just the only grouped in class of gestasional age, so the data were not analyzed. In conclusion, there are no correlation among age <5 years old, male for sex, low birth-weight, and obesity with children asthma. Atopic history is the  only data that has correlation with children ashtma in RSUP M. Djamil Padang. Keywords: children asthma, risk factors, atopic history


2017 ◽  
Vol 5 (1) ◽  
pp. 68
Author(s):  
Kanella Ayu Wulanuari ◽  
Anggi Napida Anggraini ◽  
Suparman Suparman

<em>A study by UNICEF in Indonesia find that the number of early marriage for 15 years old is 11% and 18 years is 35%. Generally, early marriage is more common in women than men, it’s approximately 5% of boys get married before they are 19 years old. The purpose of this study was to determine factors relating to early marriage in women and the most significant factor relating to early marriage. The study used observational quantitative study with case-control study design. The population of the study was 132 married women, samples were selected by using total sampling technique with the inclusion and exclusion criteria. The respondents of this study were 53 women. Data were analysis by chi square test and logistic regression. The results of chi-square test showed variables that had relationship with early marriage were respondents' education (p=0.035), respondents’ income (p=0.000), and sexual pre marriage (p=0.006) whereas variables that did not have relationship with early marriage are father's education (p=0.436), mother’s education (p=0.290), parents’ income (p=0.356) and respondents’ religiosity (p=0.489). The result of logistic regression analysis showed that respondents’ income was the most dominant factor affecting early marriage in women. Conclusion the most significant factor related to early marriage was respondents’ income.</em>


2019 ◽  
Vol 5 (2) ◽  
pp. 21-26
Author(s):  
Fera Yuli Setiyaningsih

Sleep well is a need that must be solved by the baby because at this time sleep brain development reaches its peak. 51.3% of babies experience sleep disturbances, 42% of babies sleep less than 9 hours a night, and at night they wake up more than 3 times with an increase of more than one hour. This study discusses baby massage on sleep quality 1-3 months in mombykids. Research method: Design of the study used Case control study was conducted in November with a sample of 30 infants divided into two groups, namely the control group consisting of 15 infants, the report group consisted of 15 infants. The sampling technique uses total sampling. Data analysis using Chi Square. The results of the study: the results of Chi Square analysis p = 0.027 <0.05 so that it can be concluded related to infant massage with the quality of sleep for infants aged 1-3 months.


Author(s):  
St. Surya Indah Nurdin ◽  
Ratna Dunggio ◽  
Sarni Batiti ◽  
Levana Sondakh ◽  
Zul Fikar Ahmad

Preeclampsia is an increase in blood pressure in pregnant women and excess levels of protein in the urine (proteinuria). This study aims to assess the factors associated with the incidence of preeclampsia. This is an analytical observational study with a case control study approach. This study was carried out in January-September 2018. The sample in this study was 62 people, 31 case samples and 31 control samples. Sample was selected used simple random sampling technique. Data analysis using chi-square test. The results of this study showed that there was a relationship between obesity, parity, and history of ANC with the incidence of preeclampsia with p-value <0.05. Obesity is 7.2 times more at risk of developing preeclampsia (OR = 7,200 CI 95% = 2,182-23,755). Multigravida (OR = 0.044 95% CI: 0.011-0.182) and a history of complete ANC (OR = 0.057 95% CI: 0.011-0.281) were protective factors for the incidence of preeclampsia. To prevent the incidence of preeclampsia, it is necessary to increase education and literacy on risk factor prevention, including improving clean and healthy living behavior.


2019 ◽  
Vol 4 (2) ◽  
pp. 1
Author(s):  
Siti maisyaroh Fitri Siregar

ABSTRACT               The objective of the research was to analyze the risk factors of  women with the history of normal childbirth had delivery by section caesarea.             The research used observational analytic method with case-control study design. The samples consisted of 42 cases and 42 controls, taken by using consecutive sampling technique. Dependent variable was childbirth with CS and independent variables were parity, accompanied illness, and reference. The gathered data were analyzed by using univatriate analysis, bivariate analysis with chi square test, and multivatriate analysis at α = 0.05.             The result of the research from multivariate analysis showed that the variables which had significant influence on childbirth with SC were parity (p = 0.006; OR = 5.801 95% CI = 1.642-19.110),accompanied illness (p = 0.03; OR = 6.382 95% CI = 1.198-33.992), and reference (p = 0.003; OR = 6.350 95% CI = 1.874-21.522). The variable which had the most dominant influence childbirth with CS was accompanied illness. p-value = 97% which indicated that childbirth women with the parity > 2 had accompanied illness and the reference to the hospital had the possibility to give birth with CS of 97%.             It is recommended to do family planning programme, and prevent the illness during pregnant, apply ANC according to the standard, and make sure that the childbirth is safe from Period I to Period III.   Keywords: Risk Factor, Caesarea, Case-Control


2019 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
Marek Samekto ◽  
Suharyo Hadisaputro ◽  
Mateus Sakundarno Adi ◽  
Suhartono Suhartono ◽  
Bagoes Widjanarko

Background: Limitations of data regarding risk factors that affect the incidence of leptospirosis in endemic areas make leptospirosis control in Leptospirosis endemic areas not effective. Therefore, a study is needed to determine the factors that influence the occurrence of Leptospirosis in an area.Methods: An observational analytic was conducted with case-control study design. The population in this study were all patients found at the Hospital in Pati Regency who showed clinical symptoms of Leptospirosis (fever >38 oC, severe headache, calf muscle pain, red/yellowish red eyes) and had a laboratory examination with Leptotek Lateral Flow and recorded on medical records. The sample in this study were 44 cases and 44 controls with consecutive sampling technique. Data were analyzed by chi-square and logistic regression.Results: Variables that influence the occurrence of leptospirosis are the characteristic of the non-ratproof house with OR = 3.14 (95% CI = 1.16-8.47), the existence of rats in and around the house with OR = 3.66 (95% CI = 1.67-12.28), the behavior of walking barefoot during outdoor activities with OR = 1.57 (95% CI = 1.31-10.28).Conclusion: Several factors that have been proven to have an effect on the occurrence of leptospirosis are the characteristic of the non-ratproof house, the existence of rats in and around the house and the behavior of walking barefoot during outdoor activities.


2019 ◽  
Vol 2 (1) ◽  
pp. 39-44
Author(s):  
Ermawati Ermawati ◽  
Hafni Bachtiar

Prolap organ panggul merupakan kondisi yang mempengaruhi kualitas hidup wanita. Prolaps organ panggul ini dapat disebabkan oleh perlukaan sewaktu proses persalinan, proses penuaan, komposisi jaringan pada seorang wanita, batuk- batuk kronis, atau sering melakukan pekerjaan berat. Pengenalan dini prolaps terkait dengan prognosis pemulihan anatomik dan fungsional organ panggul. Hingga kini, penerapannya dalam dunia klinis belum banyak sehingga pelatihan dan pembelajaran lebih lanjut tentang pelvic organ prolapse quantification (POPQ) jelas diperlukan. Penelitian ini dilakukan dengan metode case control study di polikilinik Obgin RSUP. Dr. M. Djamil Padang mulai bulan September 2013 sampai jumlah sampel terpenuhi sebanyak 98 orang. Dengan 49 orang kelompok kontrol dan 49 orang kelompok kasus .Analisis dilakukan untuk menilai hubungan usia, paritas, pekerjaan dan indek massa tubuh dengan kejadian prolap organ panggul berdasarkan skor POPQ. Data disajikan dalam bentuk tabel. Data diuji dengan t test dan chi square test. Jika p<0,05 menunjukan hasil yang bermakna. Terdapat hubungan yang bermakna antara usia dengan kejadian prolap organ panggul dengan (p<0,05) dan OR 27,871.terdapat hubungan yang bermakna antara paritas dengan kejadian prolap organ panggul dengan (p<0,05) dan OR 52,970.Dari analisa statistik pekerjaan tidak bisa di uji secara statistik.indek massa tubuh tidak terdapat hubungan yang bermakna terhadap kejadian prolap organ panggul.(p>0,05)


2020 ◽  
Vol 4 (2) ◽  
pp. 107-119
Author(s):  
Swaidatul Masluhiya AF ◽  
Irma Irma

Masalah kesehatan masyarakat yang cukup seriuspada kelompok usia balita sampai saat ini adalah kejadian malnutrisi, hal iniberdampak pada gangguan pertumbuhan dan perkembangan fisik balita. Malnutrisi juga dapat menyebabkan balita menjadi rentan terhadap penyakit infeksi. Beberapa faktor penyebab malnutrisi diantaranya faktor makanan dan penyakit infeksi yang mungkin diderita anak, faktor ketahanan pangan dikeluarga, pola pengasuhan anak, pelayanan kesehatan dan kesehatan lingkungan. Tujuan penelitian ini adalah untuk mengetahui apakah sindrom penyakit tropis merupakan prediktor terjadinya gizi kurang pada balita. Penelitian ini termasuk penelitian observasional analitik dengan rancangan Case Control Study. Populasi dalam penelitian ini adalah seluruh pasangan ibu dan balita yang ada di daerah pesisir kecamatan Nambo Kota Kendari denganteknik simple randam sampling di dapatkan jumlah sampel  sebanyak 164 orang yang terdiri dari dua kelompok yaitu kelompok kasus dan kelompok kontrol dengan perbandingan 1:1. Data dianalisis secara statistik dengan uji Chi square pada tingkat kepercayaan 95% (α=0,05) dengan mempertimbangkan nilai Odd Ratio dan nilai Confidence Interval. Hasil penelitian ini menunjukan bahwa sindrom penyakit tropis (diare dengan р-value = 0,001 dan OR = 4,162, batuk – batuk dengan р-value = 0,001 dan OR = 3,552,ISPAnon pneumoni dengan р-value = 0,004 dan OR = 3,003) merupakan faktor prediktor terjadinya malnutrisi pada balita sedangkan infeksi cacing dengan р-value = 0,056 dan OR= 1,773 bukan merupakan faktor prediktor terjadinya malnutrisi pada balita di daerah pesisir Kecamatan Nambo Kota Kendari


2021 ◽  
pp. 1-10
Author(s):  
Jie Zhu ◽  
Yu-Hong Liu ◽  
Xiang-Long He ◽  
Martin Kohlmeier ◽  
Li-Li Zhou ◽  
...  

<b><i>Introduction and Aims:</i></b> Choline-metabolizing genetic variation may interact with choline intake on fetal programming and pregnancy outcome. This case-control study aims to explore the association of maternal choline consumption and phosphatidylethanolamine N-methyltransferase (PEMT) gene polymorphism rs7946 with preterm birth risk. <b><i>Methods:</i></b> 145 Han Chinese women with preterm delivery and 157 Han Chinese women with term delivery were recruited in Shanghai. Dietary choline intake during pregnancy was assessed using a validated food frequency questionnaire. Additionally, DNA samples were genotyped for PEMT rs7946 (G5465A) with plasma homocysteine (Hcy) levels measured. <b><i>Results:</i></b> Compared with the lowest quartile of choline intake, women within the highest consumption quartile had adjusted odds ratio (aOR) for preterm birth of 0.48 (95% confidence interval, CI [0.24, 0.95]). There was a significant interaction between maternal choline intake and PEMT rs7946 (<i>p</i> for interaction = 0.04), where the AA genotype carriers who consumed the energy-adjusted choline &#x3c;255.01 mg/day had aOR for preterm birth of 3.75 (95% CI [1.24, 11.35]), compared to those with GG genotype and choline intake &#x3e;255.01 mg/day during pregnancy. Additionally, the greatest elevated plasma Hcy was found in the cases with AA genotype and choline consumption &#x3c;255.01 mg/day (<i>p</i> &#x3c; 0.001). <b><i>Conclusion:</i></b> The AA genotype of PEMT rs7946 may be associated with increased preterm birth in these Han Chinese women with low choline intake during pregnancy.


2014 ◽  
Vol 13 (2) ◽  
pp. 3283-3291 ◽  
Author(s):  
N. Dalai ◽  
H. Cui ◽  
M. Yan ◽  
G. Rile ◽  
S. Li ◽  
...  

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