Hari Wahyu Nugroho
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Perbandingan Sensitivitas dan Spesifisitas antara Pengukuran Lingkar Lengan Atas, Lingkar Pinggang dan Lingkar Leher untuk Identifikasi Anak dengan Obesitas Irawati, Cempaka; Nugroho, Hari Wahyu; Budiani, Dyah Ratna
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Abstract

Background: Childhood obesity is a global phenomenon. Oneoften childreninthe worldare over weight. Then in Indonesia, the prevalence of childhood obesityis relatively increasedyear to year. Screening forobese childrenneeds to be doneearly, given thatobesity inchildhoodis likely to leadtoadultobesitylater. Anthropometric measurements are easy and inexpensive way. Therefore, there was some studies using anthropometryas the tool for identify obesityin addition to body mass index(BMI), which is the gold standard. However, there is no studies have compared the validity of assorted anthropometricas a tool to identify obese children, so that there searcherintends to compare the sensitivity and specificity between mid-upper arm circumference (MUAC), waist circumference (WC), and neck circumference (NC) in identification obese children. Methods: This study is observational analytic cross sectional approach. A sample included 72 children who were aged 6 to 12 years from four elementary school in Surakarta. Sampling population was obesity and healthy children (controls) who selected by simple random sampling had been carried out previously by fixed disease samples. Then the child was measured height, weight, MUAC, WC, and NC. Height and weight will be converted into BMI to determine obesity or not. Data were analyzed with diagnostic tests are grouped in table 2x2. From diagnostic test, we can determine the sensitivity and specificity. Furthermore, data were analyzed by Chi Square test and analysis receiver operating characteristic curve (ROC) to determine accuracy. Results: Among 72 children, 51,4% are male. MUAC (≥ percentile 90th), WC (≥ percentile 90th) and NC (cut off point 27,0-31,5) are significantly correlated with BMI. The sensitivity of MUAC was 58,33% with specificity 100%. The sensitivity of waist circumference was 66,67% with specificity 97,22%. The sensitivity of the neck circumference was 80,56% with specificity 63,89%. Conclusions: MUA Cisthe best measuring tool to identification obesityin children because it hasthe highest specificity, that is 100%. Keywords: Mid-upper arm circumference, waist circumference, neck circumference, obesity, children 
AGE AT MENARCHE AND EARLY MENARCHE AMONG HEALTHY ADOLESCENTS Moelyo, Annang Giri; Wulandari, Anindita; Imas, Oktania; Rahma, Ulfa Puspita; Hidayah, Nurul; Kesumaningtyas, Cempaka; Nur, Fadhilah Tia; Nugroho, Hari Wahyu
Paediatrica Indonesiana Vol 59 No 1 (2019): January 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (264.554 KB) | DOI: 10.14238/pi59.1.2019.33-7

Abstract

Background Menarche is an important indicator of female adolescents? health and also population health. Age at menarche tends to decrease in many countries. Early menarche that defined from the lowest quartile of age at menarche, associated with some physical and psychological problems. Objective To determine the mean age at menarche, the prevalence of early menarche among healthy adolescents in Surakarta and its association to nutritional status. Methods This cross-sectional study was conducted in 5 schools (3 junior and 2 senior high schools) in Surakarta, Central Java, Indonesia, from September 2016 to March 2018, by consecutive sampling technique. We included menarched healthy female students whose parent provided informed consent and without consuming any routine medication. Data were derived from self-reported questionnaire and measurements of body weight; body height; and body mass index (BMI) by calculated based on weight/height2(kg/m2). Results Of 835 eligible subjects, the mean age at menarche was 12.0 (SD 1.1) years (range 8.8-15.1 years) and the prevalence of early menarche was 11.1%. The peak of age at menarche were at 11,12, and 13 years (24.3%, 36.2%, and 23.9%, respectively) and almost 99.04% of subjects had menarche at 14 years old. The proportion of early menarche between subjects birth 1997-2001 and 2002-2007 were 8.4% and 16.1%. Early menarche associated with overweight-obese in adolescents (odd ratio 2.14; 95%CI 1.21 to 3.76). Conclusion The mean age at menarche of healthy adolescents in Surakarta is younger than other previous studies in Indonesia. Early menarche was significantly a risk for overweight/obese in adolescents.
Hubungan Kadar Feritin dengan Morbiditas pada Anak dengan Gizi Kurang Lestari, Endang Dewi; Siregar, Rustam; Nugroho, Hari Wahyu
Sari Pediatri Vol 13, No 6 (2012)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp13.6.2012.397-400

Abstract

Latar belakang. Kejadian infeksi dan inflamasi berhubungan dengan kekurangan zat besi, hal ini digambarkan dengan perubahan kadar feritin serum, zat besi serum, dan saturasi transferin pada saat fase akut.Tujuan. Mengetahui hubungan antara morbiditas dengan kadar feritin serum pada anak dengan gizi kurang usia 7-9 tahun.Metode. Pengambilan sampel penelitian dilakukan secara multi staging sampling. Kadar feritin diukur dengan menggunakan metode ELISA. Kejadian morbiditas infeksi saluran napas dan diketahui dengan pemeriksaan fisik oleh dokter infeksi saluran cerna. Data diolah dengan menggunakan SPSS 17.0. Hubungan antara morbiditas dengan kadar feritin serum dianalisis menggunakan regresi logistik.Hasil. Penelitian dilakukan dengan 220 orang anak SD usia 7-9 tahun, terdiri dari 125 (52,27%) lakilaki dan 105 (13,15%) perempuan. Tigabelas (12 anak) mempunyai kadar feritin <12 µg/L. Di antara 79 (86,81%) anak dengan kadar feritin ≥12 µg/L, 1 (7,69%) merupakan infeksi saluran cerna sedangkan 12 (92,31%) menderita infeksi saluran nafas.Kesimpulan. Peningkatan kadar feritin tidak berhubungan dengan kejadian morbiditas pada anak dengan gizi kurang
Behavioral parent training for ADHD children: a mixed methods study Nugroho, Hari Wahyu; Sitaresmi, Mei Neni; Gamayanti, Indria Laksmi
Paediatrica Indonesiana Vol 57 No 3 (2017): May 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (64.826 KB) | DOI: 10.14238/pi57.3.2017.145-8

Abstract

Background Management of ADHD requires multimodal treatments. Parental participation is one of the most important factors for effective ADHD treatment.Objective To investigate the effectiveness of behavioral parent training combined with routine clinical care, in reducing ADHD symptoms in children.Methods Quantitative and qualitative methods were combined in this study. This study was conducted at 3 growth and developmental clinics in Central of Java, on June-July 2016. The quantitative aspect was assessed by comparing ADHD quotient scores at pre- and post-intervention, while the qualitative aspect by intensive parental interviews. Parents of children with ADHD were randomized with block random sampling. In the treatment group, parents received behavioral training for 7 weeks, along with weekly routine clinical care for their children. The control group received only routine clinical care of the children. Six parents in the treatment group were randomly selected for intensive interviews.Results A total of 67 parents with their children were involved. Both groups’ ADHD quotient scores improved post-intervention. The treatment group ADHD quotient score was reduced from 120.53 to 116.41 (effect size Cohen’s d 0.68). The control group ADHD quotient score was reduced from 121.74 to 119.83 (effect size Cohen’s d 0.23). Mean difference post-intervention in both group was not significant (p=.161). After behavioral parent training, communication between parents and children increased and parents’ capability in directing their children’s daily activity increased.Conclusion Behavioral parent training can not enhacing effectiveness of routine clinical care to reduce ADHD symptoms in children.
EFFECTS OF IRON AND ZINC FORTIFIED MILK SUPPLEMENTATION ON WORKING MEMORY OF UNDERWEIGHT POOR-URBAN SCHOOL CHILDREN: A RANDOMIZED DOUBLE BLIND CONTROLLED TRIAL Nugroho, Hari Wahyu; Lestari, Endang Dewi; Salimo, Harsono; Dewi, Mayasari; Adhim, Zusta'in Noor; Lestarina, Leilani
Paediatrica Indonesiana Vol 50 No 2 (2010): March 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (98.838 KB) | DOI: 10.14238/pi50.2.2010.92-95

Abstract

Background Undernutrition associated micronutrientdeficiencies in children are still prevalent in most developingcountries. Iron and zinc deficiencies are the most commonmicronutrient deficiency globally, which significantly contributedeficits in cognitive function. Fortification with iron and zinc hasproven successfully in reducing certain cognitive impairmentslike memory.Objective To determine the effects of milk fortified with iron andzinc on memory of underweight poor-urban schoolchildren.Methods A double blind randomized controlled trial wasconducted on 218 underweight poor-urban schoolchildren aged7-9 years old; 113 children were supplemented twice daily with27 gram of milk fortified with iron pyrophosphate (12.15 mg) andzinc sulfate (4.4 mg) for three months, 105 children served ascontrols. Anthropometry measured including bodyweight, height,sitting height and middle upper arm circumference. Memory wasmeasured using digit span backward test in Wechsler IntelligenceScales III. Statistical analyses were performed with SPSS forWindows, version 11.0.Results Baseline data of digit span backward score in iron andzinc group was 2.4 (SD 1.2), and control group was 3.0 (SD 1.8).After intervention, mean digit span backward score in iron andzinc group was 3 .1 (SD 1.2) and in control group 3.0 (SD 1.3).There was no improvement digit span backward score in controlgroup after intervention, compared with 0.7 point improvementin iron and zinc group (P=0.009).Conclusion Milk fortified with iron and zinc improves workingmemory of underweight poor-urban schoolchildren.
Perbandingan Sensitivitas dan Spesifisitas antara Pengukuran Lingkar Lengan Atas, Lingkar Pinggang dan Lingkar Leher untuk Identifikasi Anak dengan Obesitas Irawati, Cempaka; Nugroho, Hari Wahyu; Budiani, Dyah Ratna
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Abstract

Background: Childhood obesity is a global phenomenon. Oneoften childreninthe worldare over weight. Then in Indonesia, the prevalence of childhood obesityis relatively increasedyear to year. Screening forobese childrenneeds to be doneearly, given thatobesity inchildhoodis likely to leadtoadultobesitylater. Anthropometric measurements are easy and inexpensive way. Therefore, there was some studies using anthropometryas the tool for identify obesityin addition to body mass index(BMI), which is the gold standard. However, there is no studies have compared the validity of assorted anthropometricas a tool to identify obese children, so that there searcherintends to compare the sensitivity and specificity between mid-upper arm circumference (MUAC), waist circumference (WC), and neck circumference (NC) in identification obese children. Methods: This study is observational analytic cross sectional approach. A sample included 72 children who were aged 6 to 12 years from four elementary school in Surakarta. Sampling population was obesity and healthy children (controls) who selected by simple random sampling had been carried out previously by fixed disease samples. Then the child was measured height, weight, MUAC, WC, and NC. Height and weight will be converted into BMI to determine obesity or not. Data were analyzed with diagnostic tests are grouped in table 2x2. From diagnostic test, we can determine the sensitivity and specificity. Furthermore, data were analyzed by Chi Square test and analysis receiver operating characteristic curve (ROC) to determine accuracy. Results: Among 72 children, 51,4% are male. MUAC (? percentile 90th), WC (? percentile 90th) and NC (cut off point 27,0-31,5) are significantly correlated with BMI. The sensitivity of MUAC was 58,33% with specificity 100%. The sensitivity of waist circumference was 66,67% with specificity 97,22%. The sensitivity of the neck circumference was 80,56% with specificity 63,89%. Conclusions: MUA Cisthe best measuring tool to identification obesityin children because it hasthe highest specificity, that is 100%. Keywords: Mid-upper arm circumference, waist circumference, neck circumference, obesity, children 
The Correlation between Level of Mother's Knowledge in Bottle Feeding with Early Childhood Caries in Children Aged 3-5 Years Old Dewi, Anggita .; Nugroho, Hari Wahyu
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction:Caries is a problem that happen in many children around the world. Bottle feeding is one of factors that can occur caries on children?s teeth. High level of mother's knowledge about bottle feeding is assumed can prevent their children from caries.This study aims to determine the correlation between level of mother's knowledge in bottle feeding with early childhood caries in children aged 3-5 years old. Methods:This research was a cross-sectional observational analytic study. The subjects of this study was mother of Islam Bakti XI Surakarta and Sri Juwita Hanum kindergarten student. The sample size was 113 mother which was taken by purposive sampling. This research was done by using Knowledge of Bottle (KBU) questionnare and examination of children's teeth. Data was analyzed with spearman test by Statistical Product and Serve Solution (SPSS) version 21.0 for Windows. Results:This study showed that the correlation between level of mother's knowledge in bottle feeding with early childhood caries in children aged 3-5 years old were significant (r = 0,917, p = 0,000). Conclusions:This study concluded that there was correlation between level of mother's knowledge in bottle feeding with early childhood caries in children aged 3-5 years old. Keywords:level of mother?s knowledge, bottle feeding, early childhood caries 
Platelet and Leukocyte Count Difference on Clinical Degrees of Dengue in Children in Dr Moewardi Hospital Surakarta. Putro, Jati Febriyanto Adi Listyono; Nugroho, Hari Wahyu; ., Hudiyono
Nexus Kedokteran Klinik Vol 4, No 2 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Dengue Hemmorhagic Fever is still one of the major public health problem in Indonesia. The classification of Dengue severity from mild to severe is very important because it can prevent the progression of Dengue. Unfortunately the WHO 2011 criteria for Dengue severity only contains the clinical symptoms of patients without including the exact value of complete blood count, like platelet and leukocyte, in each degree. This study was conducted to determine whether there was a difference between the value of platelet and leukocyte in each clinical degree of Dengue Methods: This research was an analytical observational study with cross sectional approach. It was carried out in Dr. Moewardi hospital, Surakarta from July to October 2014. Children who were hospitalized in Dr. Moewardi hospital from January 1st to December 31st 2013 whom fulfill all of the inclusion criteria and none of the exclusion criteria were eliglible. Data was taken from medical record an analyzed using Kruskal-Wallis test and Spearman test. Results: Among 203 patiens were diagnosed with Dengue hemorrhagic fever, 113 (55%) patients were in DHF 1, 52 (25%) patiens were in DHF 2, and 38 (20%) were DSS patients. The difference of platelet count in each degree was significant (p=0,01). The difference of leukocyte in each degree was significant (p=0,002). The association between platelet count and clinical Dengue degree was statistically significant (p=0,005) with very weak negative correlation (r=-0,198). The association between leukocyte count and clinical Dengue degree was statistically significant (p=0,001) with weak positive correlation (r=0,227) Conclusions:There are significant differences of platelet and leukocyte count in clinical Dengue degree of children in Dr. Moewardi hospital, Surakarta. There are no correlation between platelet and leukocyte with clinical Dengue degree of children in Dr. Moewardi hospital, Surakarta although statistically significant. Keywords: Dengue hemorrhagic fever, platelets, lekocytes