Suryati Kumorowulan
Balai Litbang GAKI Magelang

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KARAKTERISTIK SOSIAL KELUARGA, FUNGSI TIROID, DAN RISIKO ANEMIA PADA BALITA DI DAERAH REPLETE GAKI Nurcahyani, Yusi Dwi; Kumorowulan, Suryati; Latifah, Leny; Yunitawati, Diah; Martiyana, Cati
Media Gizi Mikro Indonesia Vol 11 No 1 (2019): Media Gizi Mikro Indonesia Desember 2019
Publisher : Balai Penelitian dan Pengembangan Kesehatan Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mgmi.v11i1.2498

Abstract

Latar Belakang. Sepertiga populasi dunia menderita anemia, setengahnya karena defisiensi zat besi. Prevalensi anemia pada balita di Indonesia meningkat menjadi 38,5 persen. Faktor yang berhubungan dengan anemia pada balita sangat kompleks dan multidimensional. Di satu sisi, anemia juga dapat mengganggu fungsi tiroid. Anemia di daerah replete GAKI mempunyai efek merugikan pada fungsi tiroid. Tujuan. Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan status anemia pada balita dan hubungan fungsi tiroid dengan anemia di daerah replete GAKI. Metode. Penelitian potong lintang yang dilakukan pada 229 balita berusia 6 ? 48 bulan (93 anemia, 136 normal) yang tinggal di daerah replete GAKI. Karakteristik subjek diperoleh dengan cara wawancara. Pengukuran antropometri dilakukan untuk menghitung status gizi balita. Sampel darah dianalisis untuk pemeriksaan fT4, TSH, dan hemoglobin. Dikategorikan anemia apabila kadar hemoglobin <110 g/L untuk anak usia 6-48 bulan.  Hasil. Diketahui 93 (40,6%) balita menderita anemia dan disfungsi tiroid paling banyak adalah hipotiroid subklinik (12,6%) balita. Variabel dominan yang memengaruhi status anemia adalah umur balita, pendidikan ibu, pekerjaan ibu, dan kategori dari kadar TSH. Balita berumur 24?35 bulan mempunyai risiko 4,6 kali menderita anemia dibandingkan balita berumur 6?11 bulan. Balita dengan ibu berpendidikan rendah mempunyai risiko 8,6 kali menderita anemia dibandingkan ibu berpendidikan tinggi. Balita dengan hipertiroid subklinik mempunyai risiko 8,3 kali menderita anemia dibandingkan balita eutiroid. Kesimpulan. Penelitian ini menemukan prevalensi anemia yang tinggi pada balita di daerah replete GAKI. Anak-anak dengan hipertiroid subklinik, usia 24-35 bulan, dan memiliki ibu dengan pendidikan rendah berhubungan dengan tingginya risiko kejadian anemia di daerah replete GAKI
HUBUNGAN STATUS IODIUM DENGAN FUNGSI TIROID DI KOTA YOGYAKARTA, KABUPATEN PURWOREJO, DAN KOTA BUKITTINGGI Kumorowulan, Suryati; Wahyuningrum, Sri Nuryani; Kusrini, Ina; Sukandar, Prihatin Broto; Kusumawardani, Hastin Dyah; Riyanto, Slamet; Prihatmi, Ernani Budi; Sudarinah, Sudarinah; Mulyani, Dwi; Astuti, Beta Dwi; Janah, Nur Asiyatul
Media Gizi Mikro Indonesia Vol 11 No 1 (2019): Media Gizi Mikro Indonesia Desember 2019
Publisher : Balai Penelitian dan Pengembangan Kesehatan Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mgmi.v11i1.2530

Abstract

Latar Belakang. Iodium merupakan bahan esensial yang dibutuhkan tubuh untuk membentuk hormon tiroid. Kecukupan iodium dapat dilihat dari status iodium yaitu kadar iodium urine (UIE) dan kadar tiroglobulin. Status iodium sangat memengaruhi regulasi hormon tiroid dimana kadar TSH dan FT4 sangat berperan dalam mekanisme fungsi tiroid. Defisiensi iodium merupakan permasalahan yang laten sehingga sewaktu-waktu dapat muncul kembali. Tujuan. Penelitian ini bertujuan untuk melihat hubungan status iodium dengan indikator fungsi tiroid di daerah dengan riwayat kecukupan iodium yang berbeda?beda. Metode. Penelitian ini merupakan penelitian cross-sectional pada wanita usia subur (WUS) umur 15 sampai 45 tahun di Kota Yogyakarta, Kabupaten Purworejo, dan di Kota Bukittinggi. Besar sampel setiap daerah sebanyak 120 WUS, sehingga total sampel adalah 360 WUS. Variabel yang diukur adalah IMT, TSH, FT4, UIE, dan tiroglobulin. Pengukuran kadar TSH dan FT4 serta tiroglobulin menggunakan metode ELISA sedangkan pengukuran kadar UIE dengan metode spektrofotometri. Hasil. Fungsi tiroid dilihat dari kadar TSH dan FT4 mayoritas normal pada ketiga daerah tersebut. Status iodium dilihat dari kadar median UIE di Kota Yogyakarta dan Kabupaten Purworejo lebih dari normal, sedangkan di Kota Bukittinggi median UIE < 90 persen atau defisiensi iodium ringan dengan proporsi iodium <50 µg/L lebih dari 20 persen. Terdapat hubungan yang signifikan antara TSH dengan UIE dan tiroglobulin di Kabupaten Purworejo. Kesimpulan. Defisiensi iodium masih menjadi masalah kesehatan masyarakat di Kota Bukittinggi. Terdapat hubungan yang bermakna antara status iodium dengan fungsi tiroid di Kabupaten Purworejo.
FAKTOR RISIKO STUNTING DI DAERAH ENDEMIK GAKI KABUPATEN TIMOR TENGAH UTARA Rosselo, Josefa; Kandarina, Istiti; Kumorowulan, Suryati
Media Gizi Mikro Indonesia Vol 10 No 2 (2019): Media Gizi Mikro Indonesia Juni 2019
Publisher : Balai Penelitian dan Pengembangan Kesehatan Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mgmi.v10i2.598

Abstract

Latar Belakang. Stunting merupakan salah satu masalah gizi  serius di beberapa negara di dunia, khususnya negara-negara berkembang termasuk Indonesia. Faktor risiko stunting antara lain tinggi badan ibu, penyakit infeksi dan Berat Bayi Lahir Rendah (BBLR) serta faktor lain seperti konsumsi goitrogenik, kadar iodium garam, dan kadar iodium urin. Iodium merupakan mikronutrien penting untuk pertumbuhan dan perkembangan normal. Prevalensi stunting yang tinggi dan status iodium yang tidak diketahui menjadi perhatian penting untuk mengetahui faktor risiko stunting di daerah endemik GAKI. Tujuan. Penelitian ini bertujuan mengetahui faktor risiko stunting di daerah endemik GAKI. Metode. Penelitian ini merupakan penelitian observasional analitik dengan desain penelitian case control. Sampel penelitian adalah siswa sekolah dasar berusia 10-12 tahun  sebanyak 106 orang. Analisis hasil penelitian secara bivariat menggunakan chi square, dan analisis multivariat menggunakan regresi logistik. Hasil. Rata-rata tinggi badan menurut umur (TB/U) anak stunting dan tidak stunting adalah 138,8 cm. Sedangkan rata-rata tinggi badan ibu adalah 148,3 cm yang artinya lebih tinggi dari cut off 145 cm sebagai standar seorang ibu dikatakan pendek/stunting. Analisis bivariat tinggi badan ibu (OR:3,69, CI:1,32-10,32) dan riwayat penyakit infeksi (OR:11.02, CI:2.38-50,90) merupakan faktor risiko stunting (p<0,05). BBLR bukan merupakan faktor risiko stunting. Hasil analisis multivariate menunjukkan tinggi badan ibu dan riwayat penyakit infeksi merupakan faktor risiko yang dapat memprediksi kejadian stunting sebesar 15 persen, sedangkan 85 persen disebabkan oleh faktor lain yang tidak diamati dalam penelitian ini. Kesimpulan. Peluang ditemukan anak stunting dari ibu yang pendek (<145 cm) dan riwayat penyakit infeksi (ISPA dan diare) saat balita lebih tinggi dibandingkan dari ibu yang memiliki tinggi badan normal (>145 cm) dan tanpa paparan penyakit ISPA dan diare saat balita di daerah endemik GAKI.
AUTOIMUNITAS SEBAGAI FAKTOR RISIKO HIPERTIROIDISME PADA WANITA USIA SUBUR DI DAERAH REPLETE GANGGUAN AKIBAT KEKURANGAN IODIUM (GAKI) Wibowo, Agus; Wahyuningrum, Sri Nuryani; Kusrini, Ina; Kumorowulan, Suryati; Prihatmi, Ernani Budi; Sudarinah, Sudarinah; Wijayanti, Catur; Nuraini, Nafisah; Janah, Nur Asiyatul; Setianingsih, Ismi; Ayuni, Palupi Dyah; Harfana, Cicik; Samsudin, Mohamad
Media Gizi Mikro Indonesia Vol 9 No 2 (2018): Media Gizi Mikro Indonesia Juni 2018
Publisher : Balai Penelitian dan Pengembangan Kesehatan Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mgmi.v9i2.600

Abstract

Latar belakang. Hormon tiroid memiliki peran penting dalam tubuh manusia selama hidup. Hormon tiroid berperan dalam perkembangan otak dan pematangan sel dan jaringan, peningkatan konsumsi oksigen oleh sel serta berperan dalam sekresi dan pengendalian produksi hormon lainnya. Sekresi hormon tiroid yang berlebihan akan menimbulkan hipertiroid. Hipertiroid banyak terjadi pada wanita usia subur (WUS) dan risikonya 5-10 kali dibandingkan pria. Hipertiroid dapat terjadi karena asupan iodium yang berlebih dalam jangka panjang atau kejadian autoimun seperti pada penyakit Graves. Hipertiroid banyak terjadi pada daerah replete Gangguan Akibat Kekurangan Iodium (GAKI) seperti wilayah Magelang. Tujuan. Penelitian ini bertujuan mengidentifikasi kejadian autoimun sebagai penyebab hipertiroid di daerah replete GAKI. Metode. Penelitian ini menggunakan metode kasus kontrol dengan jumlah responden kelompok kasus hipertiroid sebanyak 24 orang dan kelompok kontrol sebanyak 41 orang. Penentuan responden antar kelompok dengan tapisan hormon TSH dan fT4. Hasil. Nilai rata-rata hormon tiroid yaitu fT4 dan fT3 serta TSH pada kelompok kasus adalah fT4= 2,52 pg/ml; fT3 =2,96 pg/ml; TSH=0,08 µIU/l. Sedangkan pada kelompok kontrol adalah fT4= 1,6 pg/ml fT3= 2,36 pg/ml; TSH=1,65 µIU/l Autoimun berhubungan dengan kejadian hipertiroid (OR: 18,86; 95%CI). Kesimpulan. Titer TR ab (Tyroid Hormone Reseptor antibody) plasma merupakan faktor risiko tertinggi kejadian hipertiroid pada WUS di daerah replete GAKI.
SWEET POTATO (IPMOEA BATATAS L.) LEAF: ITS EFFECT ON PROLACTIN AND PRODUCTION OF BREAST MILK IN POSTPARTUM MOTHERS Kusuma, Ima Candra; Setiani, Onny; Umaroh, Umaroh; Pramono, Noor; Widyawati, Melyana Nurul; Kumorowulan, Suryati
Belitung Nursing Journal Vol 3, No 2 (2017): March-April 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.42 KB) | DOI: 10.33546/bnj.72

Abstract

Background: Sweet potato leaf is assumed to be one of alternative herbs that can increase breast milk production. However, there was no studies found in the literature that examine the sweet potato leaves to increase the levels of prolactin and milk production.Objective: To examine the effect of sweet potato (Ipomoea batatas L.) leaf on the levels of prolactin and milk production in postpartum mothers.Methods: This was a Quasy experimental study with pretest-posttest design with control group, conducted on November 2016 to December 2016 in the Health Center (Puskesmas) of Boyolali I. Thirty respondents were selected using consecutive sampling, which were divided to be 15 respodents in intervention group and 15 respondents in control group. Enzyme-linked immunosobent assay (ELISA) was used to measure prolactin levels, while breast milk production was measured based on the volume of breast milk and baby’s weight. Data were analzed using Independent t-test and paired t-test.Results: Finding showed that there was a significant difference in prolactin levels between the intervention (270.43) and control group (156.28) after intervention  with p-value 0.000, and a significant difference in breast milk production in terms of breast milk volume (intervention group 136.33; and control group 119) with p-value 0.028; and baby’s weight (intervention group 3030.3; and control group 2787.33) with p-value 0.000.Conclusion: There was  a significant effect of sweet potato (Ipomoea batatas L.) leaf on the levels of prolactin and breast milk production. Thus, it could be suggested that sweet potato leaves should be considered to be one of alternative treatements for health care providers, especially for midwives to help breastfeeding mothers in increasing their breast milk production and prolactin levels. Further research is needed to examine all factors affecting breast milk production.
EFFECT OF SECANG WOOD (CEASALPINIA SAPPAN L.) EXTRACT ON MORPHOLOGY OF SPERMATOZOA, SPERM COUNT, AND REVERSIBLE PROCESS IN MALE RATS Arum, Silfia Sekar; Hidayat, Syarief Thaufik; Khafidhoh, Nur; Kumorowulan, Suryati; Suhartono, Suhartono; Suwondo, Ari
Belitung Nursing Journal Vol 3, No 2 (2017): March-April 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (186.815 KB) | DOI: 10.33546/bnj.78

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Background: Limited choice of contraception for males is one of the reasons why their participation is low. Secang wood is considered as an alternative contraception that has an influence in the morphology and number of spermatozoa, and reversible in nature.Objective: To examine the effect of extracts of secang wood in the morphology of spermatozoa, sperm count and reversible process in male mice.Methods: This was a quasy experimental study with randomized post test only control group design. There were 32 male rats (Mus Muscullus L) recruited in this study. Four groups were involved, namely: 1) Ethanol group, 2) Chloroform fraction, 3) Water fraction, and 4) Control group. Each group consisted of 8 mice. There were two treatments in this study: 1) each group was given secang extract with dose 50 mg/25 gram of weight, 2) The observation period was 10 days after the treatment, and 4 mice in each group was dissected to see the morphology and sperm count, while the other 4 mice were allowed to live and maintained until 20 days to see reversible morphology and sperm count Results: The extract of sepang wood at a dose of 50mg/25gram weight could increase the abnormal sperm morphology, and lower sperm count. There was a significant difference between the treatment group and control group with p-value <0.05. The extract was also reversible on the morphology and sperm count.Conclusion: There was a significant effect of secang wood extract on sperm morphology, the number of spermatozoa, and reversible process. This study provides the insight of scientific information about the effect of the sepang extracts on the number and morphology of spermatozoa, and it could be used as a basis for further research in human in the development of natural contraceptive on a reversible man.
EFFECT OF CONSUMING TOMATO (LYCOPERSIUM COMMUNE) JUICE IN LOWERING BLOOD PRESSURE IN PREGNANT MOTHERS WITH HYPERTENSION Anita, Theresia; Suwandono, Agus; Ariyanti, Ida; Pramono, Noor; Kumorowulan, Suryati
Belitung Nursing Journal Vol 3, No 6 (2017): November-December 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (190.794 KB) | DOI: 10.33546/bnj.296

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Background: High blood pressure during pregnancy can pose significant problems such as preeclampsia, eclampsia, and premature birth. Thus, early prevention is needed. Consuming tomato (lycopersium commune) juice is considered effective to reduce blood pressure in pregnant women.Objective: This study aims to examine the effect of tomato juice on the decrease in blood pressure of pregnant women with hypertension in pregnancyMethods: This study was a quasy experiment with pretest-posttest control group. This research was conducted at the working area of the Community Health Center of Magelang in July 2016 - January 2017. The target population of this study was pregnant women in trimester I, II, and III with high blood pressure. There were 30 samples selected using consecutive sampling, with 15 assigned in the experiment and control group. Wilcoxon Test was performed for data analysis.Results: There was a statistically significant difference in systolic and diastolic blood pressure before and after given tomato juice with p = 0.001 (<0.05).Conclusion: Consuming tomato juice can be one of the efforts to reduce blood pressure in pregnant women with hypertension. 
COMPARISON OF EFFECTS OF MASSAGE THERAPY ALONE AND IN COMBINATION WITH GREEN COCONUT WATER THERAPY ON Β-ENDORPHIN LEVEL IN TEENAGE GIRLS WITH DYSMENORRHEA Ulya, Fitria Hikmatul; Suwandono, Agus; Ariyanti, Ida; Suwondo, Ari; Kumorowulan, Suryati; Pujiastuti, Sri Endang
Belitung Nursing Journal Vol 3, No 4 (2017): July-August 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.404 KB) | DOI: 10.33546/bnj.158

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Background: Dysmenorrhea is pain during menstruation in lower abdomen, and is not due to other diseases. Effleurage massage and consuming green coconut water are considered able to reduce menstrual pain. However, little is known about the effect of the combination between the two interventions.Objective: To compare the effectiveness of effleurage massage and in combination with green coconut water on pain, anxiety, and ß-endorphin level in teenage girls with menstrual pain (dysmenorrhea).Design: A quasy experiment with pretest-posttest approach design with control group. There were 36 samples recruited in this study by purposive sampling, which were divided into a massage therapy group, the combination therapy group, and a control group. Menstrual pain was measured using Numeric Rating Scale, while anxiety was measured using Zung Self rating Anxiety Scale (ZSAS), and endorphin level using ELISA (Enzyme-Linked Immunosorbent Assay). One way anova test and repeated anova were performed as a bivariate analysis. Mancova and post hoc anova were used for multivariate analysis.Result: The combination of massage and green coconut water was more effective in reducing pain (p 0.013) and anxiety levels (p 0.000), and in increasing β-endorphin  (p 0.029) with significant value of <0.05 compared to the massage therapy alone.Conclusion: The combination of effleurage massage and green coconut water had significant effect in decreasing anxiety and pain levels, and increasing β-endorphin levels in teenage girls with painful periods (dysmenorrhea); and more effective than performing effleurage massage only. It is suggested that this combination therapy could be used as an alternative therapy for women with dysmenrrohea.
HYDROGEL OF MANGOSTEEN PEEL (GARCINIA MANGOSTANA L.) AS AN ANTISEPTIC FOR PERINEAL WOUND IN POSTPARTUM WOMEN Putri, Ananti Setya Primawati; Widyawati, Melyana Nurul; Kumorowulan, Suryati
International Journal of Nursing and Health Services (IJNHS) Vol 3 No 1 (2020): International of Nursing and Health Services (IJHNS)
Publisher : International Journal of Nursing and Health Services

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v3i1.273

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This study aimed to examine relationship between age, sex, type of stroke, admission time, frequency of attacks, comorbidities, and muscle strength with functional abilities among stroke patients. A cross-sectional was applied in this study. The findings showed that there was relationship between muscle strength and functional ability among stroke patients. However, there is no relationship between age, type of stroke, commorbidities, and experience of stroke attack with functional ability among stroke patients. Inconclusion stroke is a major cause of functional disorders Keyword: mangosteen peel hydrogel, wound healing, perineal, postpartum women