scholarly journals The Effect of Nutrition Status and Occupancy Density Compliance with Home Contact Pulmonary TB Insidence in Specialized Hospital of Pulmonary

2020 ◽  
Vol 16 (2) ◽  
pp. 200-206
Author(s):  
Dahwan Dahwan ◽  
Fazidah Aguslina ◽  
Wirsal Hasan

Pulmonary Tuberculosis is an important and serious public health problem throughout the world. It is caused by Mycobacterium tuberculosis which attacks lungs and other body organs. This study aimed to determine the effects of nutritional status and dwelling density on the risk of pulmonary TB incidence in Medan, North Sumatera. This was a case control study conducted at Pulmonary Disease Hospital, Medan, North Sumatera, from January to June in 2018. A sample of 120 patients was selected for this study, consisting 60 patients with TB and 60 patients without TB. The dependent variable was TB incidence. Data were collected through observations and interviews using questionnaires. Data was analyzed by bivariate using simple logistic regression test and multivariate by multiple logistic regression. The result showed poor nutritional status is closely associated with pulmonary TB infection. Impact of nutritional status and occupancy density on incidence of Pulmonary contact TB at Median Specialized Hospital in 2018.

Author(s):  
Helpi Sitanggang ◽  
Fazidah Aguslina Siregar ◽  
Nurmaini Nurmaini

Background: Pulmonary tuberculosis is an infection diseases that continues to increase morbidity and mortality in Indonesia. In 2017, the cases of pulmonary TB in Samosir District was 252 cases, with incidence rate a smear-positive of 126 per 100,000 population. Smear positive pulmonary tuberculosis potential to infect other people who living in the same environtment.   Materials and Methods: This study aims to determine the association of nutritional status and lighting withsmear positive pulmonary tuberculosis. Methods: A case-control study was conducted among 63 cases of smear-positive pulmonary tuberculosis and 63 controls without pulmonary tuberculosis. The cases were retrieved from the TB Registry at health centre in Samosir District. The cases were recruited from June 2018 to March 2019. Data was collected using a set of questionnaireby interview. Simple logistic regressionwas used to compute the crude odds ratio for the association of nutritional and lighting with smear-positive pulmonary tuberculosis.   Result: This study indicated that there was an association of poor nutrition status (OR = 4.280; 95% CI: 1.849, 9.906), and an overcrowded (OR = 5.084;95% CI: 1.852, 13,995) with the incidence of smear-positive pulmonary TB in Samosir District.   Conclusion: The conclusion of this study there was an association between poor nutritional status and an overcrowded with smear-positive pulmonary TB in Samosir District. Some interventions needed including strengthening health promotion and supplementary feeding to TB patient.  


2007 ◽  
Vol 2 (2) ◽  
pp. 64
Author(s):  
Nur Widodo

Pneumonia masih menjadi masalah kesehatan masyarakat yang penting di Indonesia termasuk di Kota Tasikmalaya. Diperkirakan proporsi penyakit pneumonia bayi adalah 16,4%, dan pada balita adalah 25%. Tujuan penelitian ini adalah untuk mengetahui hubungan kejadian pneumonia pada balita dengan faktor lingkungan fisik kamar tidur dan karakteristik anak. Desain penelitian yang digunakan adalah case control. Sampel sebanyak 300 responden terdiri dari 150 orang kasus dan 150 orang kontrol. Dari hasil uji multivariat tanpa interaksi, faktor dominan yang mempengaruhi kejadian penyakit pneumonia pada anak balita adalah status gizi dengan nilai B 1,799 dan OR = 6,041 (CI 95%=1,607-22,713). Sedangkan hasil uji interaksi diperoleh hasil bahwa faktor dominan yang mempengaruhi kejadian pneumonia anak balita adalah interaksi antara asap obat nyamuk dengan status gizi dengan nilai B 1,040 dan OR=2,828 (CI 95%=1,667-4,7988). Pada perhitungan probabilitas didapatkan hasil bahwa balita yang menderita pneumonia memiliki probabilitas odds 15,6 kali punya riwayat status imunisasi tidak lengkap (DPT dan Campak), status gizi kurang dan ada asap obat nyamuk bakar di dalam kamar tidur dibanding balita yang tidak menderita pneumonia. Disarankan agar anak balita diimunisasi lengkap (DPT dan Campak), diberi asupan makanan dengan gizi seimbang, dan tidak menggunakan obat anti nyamuk bakar di dalam kamar tidur, serta perlu disosialisasikan faktor-faktor yang berhubungan dengan kejadian pneumonia pada balita.Kata kunci: Pneumonia, balita, kamar tidurAbstractPneumonia is still an important public health problem in Indonesia, especially in Tasikmalaya city, West Java. It was predicted that pneumonia contributed to fetal death at about 16.4%, while the incidence of the pneumonia among under 5 years children is 25%. The objective of this study is to know the relationship between physical environment of baby sleeping room and pneumonia. Design of the study used is case control study. The sample size is 300 subjects consists of 150 cases and 150 controls. Based on multivariate analysis, the nutritional status of children relate closely with pneumonia (OR = 6.041; 95% CI =1.607- 22.713). While from an interaction analysis it was found that there is an interaction effect of mosquito coil and nutritional status on pneumonia (OR=2.828 ;CI 95%= 1.667-4.7988). Based on probability computation it was known that under 5 years old children who suffer from pneumonia has probability odds of 15.6 times has incomplete diphteria and measles immunization, poor nutritional status, and using mosquito coil compared to healthy children. Under five years children is recommended to get complete DPT and measles immunization, provided balance nutritional intake and not using mosquito coil in sleeping room.Keywords : Pneumonia, under 5 years children, sleeping room


Author(s):  
Rahmadi . ◽  
Toto Sudargo ◽  
Agus Wijanarka

Background: Act No. 25/2000 about National Development Program and Vision Healthy Indonesia 2010 specifi ed that 80% of Indonesian families become nutrition aware families. The result of survey on nutrition aware families in indicated that in 2006 as much as 52.7% and in 2007 as much as 27.2% of families were not yet nutrition aware. The result of nutritional status monitoring of underfi ves (Z-score) showed undernourishment increased from 5.1% in 2004 to 10.1% in 2005.<br /><br />Objective: To analyze association between nutrition aware behavior and food security of the family and nutrition status of underfi ves at District of Tanah Laut, Province of Kalimantan Selatan.<br /><br />Method: The study was observational with cross sectional design. The dependentvariable was nutritional status of underfi ves (z-score for weight/length); the independent variables were nutrition aware behavior and food security of the family; and the confounding variables were characteristics of the family (parents’ education, number of the family members, knowledge of mothers about nutrition and family income). Subject consisted of underfi ves of 6–24 months with as many as 198 underfi ves. Data analysis used chi square and double logistic regression (multiple logistic regression) and qualitative analysis with indepth interview for families that were not yet nutrition aware.<br /><br />Result: There were 145 families (73.2%) that were nutrition aware and 53 (26.8%) that were not yet nutrition aware; based on energy consumption 51.1% of families had enough food and 48.9% were undernourished; based on protein consumption 52.5% of families had enough food and 47.5% were undernourished; and children with good nutrition status were 72.6% for boys and 72.8% or girls. There was signifi cant association between nutrition aware behavior and nutrition status of underfi ves (p=0.010). The result of logistic regression test showed that there was signifi cant association between the number of family members and food security of the family (p&lt;0.05) with OR=5.516 (95%CI=2.584–11.775). There was signifi cant association between knowledge of mothers about nutrition and food security of the family (p&lt;0.05) with OR=0.486 (95%CI=0.25–0.914).<br /><br />Conclusion: There was no association between nutrition aware behavior and food security of the family based on level of energy and protein consumption. There was signifi cant association (p&lt;0.05) between number of family members and food security of the family based on level of energy and protein consumption. There was signifi cant association between knowledge of mothers about nutrition and food security of the family based on energy consumption. There was no association between parents’ education and family income based on level of energy and protein consumption. There was signifi cant association between nutrition aware behavior of the family and nutrition status of underfi ves; however there was no association between food security of the family and nutrition status of underfi ves.<br /><br />KEYWORDS: nutrition aware, family characteristics, food security, nutritional status of underfi ves<br /><br />ABSTRAK<br /><br />Latar Belakang: Undang-undang nomor 25 tahun 2000 tentang Program Pembangunan Nasional dan Visi Indonesia Sehat 2010 menetapkan  80% keluarga menjadi keluarga sadar gizi (kadarzi). Hasil data survei kadarzi pada tahun 2006 dan 2007 didapatkan keluarga yang belum kadarzi 52,7% dan 27,2%. Hasil pemantauan status gizi balita (z-ScoreBB/U) didapatkan status gizi kurang menunjukkan adanya peningkatan, yaitu  tahun 2004 sebesar (5,1%),  tahun 2005 (9,8%)dan tahun 2006 (10,1%) <br /><br />Tujuan: Untuk  menganalisis hubungan antara perilaku sadar gizi  dan ketahanan pangan keluarga dengan status gizi balita di Kabupaten Tanah Laut  Provinsi  Kalimantan Selatan.<br /><br />Metode: Jenis penelitian observasional dengan rancangan cross sectional. Variabel terikat: status gizi balita (z-score BB/TB) dan variabel bebas:  perilaku sadar gizi, ketahanan pangan keluarga serta variabel pengganggu: pendidikan orang tua, jumlah anggota keluarga, pengetahuan gizi ibu dan pendapatan keluarga. Subjek penelitian balita usia 6-24 bulan,  jumlah 198 balita. Analisis yang digunakan adalah uji chi-square dan regresi logistik  berganda  (multiple logistic regression)  dan didukung  analisis kualitatitf  dengan indepth interview  bagi keluarga belum kadarzi.<br /><br />Hasil: Keluarga sudah kadarzi 145 (73,2%) dan belum kadarzi 53 (26,8%). Indikator kadarzi tentang dukungan keluarga memberikan ASI eksklusif 0-6 bulan paling banyak tidak dilaksanakan. Alasannya adalah setelah melahirkan ASI tidak keluar, susu ibu bengkak dan mengeluarkan  darah, hamil lagi, dan alasan pekerjaan. Semua keluarga menggunakan garam beryodium dalam memasak makanan. Keluarga tahan pangan dan tidak tahan pangan berdasarkan tingkat konsumsi energi masing-masing sebesar 47,5% dan 52,5%, keluarga yang tahan pangan dan tidak tahan pangan berdasarkan tingkat konsumsi protein masing-masing sebesar 52,5% dan 47,5% dan status gizi balita hasil z-score BB/TB didapatkan  balita gizi baik 72,7% dan gizi kurang 27,3%.  Perilaku sadar gizi berhubungan signifi kan dengan ketahanan pangan keluarga berdasarkan tingkat konsumsi energi (p&lt;0,05). Perilaku sadar gizi dan ketahanan pangan keluargaberdasarkan tingkat konsumsi energi dan protein tidak berhubungan signifi kan dengan status gizi balita  (p&gt;0,05).<br /><br />Kesimpulan: Perilaku sadar gizi, jumlah anggota keluarga, pengetahuan gizi ibu dan pendapatan per kapita berhubungan signifikan dengan ketahanan pangan keluarga berdasarkan tingkat konsumsi energi, sedangan pengetahuan gizi ibu dan pendapatan per kapita berhubungan signifi kan dengan ketahanan pangan keluarga berdasarkan tingkat konsumsi protein. Perilaku sadar gizi keluarga dan ketahanan pangan keluarga berdasarkan tingkat konsumsi energi dan protein tidak berhubungan dengan status gizi balita (z-score BB/TB).<br /><br />KATA KUNCI: keluarga sadar gizi, karakteritik keluarga, ketahanan pangan, status gizi balita


2020 ◽  
Vol 1 (1) ◽  
pp. 51-79
Author(s):  
Haile Abebe ◽  
◽  
Teshome Alemteshay ◽  

The nutritional status of a woman during pregnancy is important as a suboptimal diet impacts negatively on the health of the mother, the fetus and the newborn. There is limited knowledge in the area of malnutrition and factors’ affecting it among pregnant women despite evidence showing that maternal nutrition has important direct and/or indirect consequences for all other age. The objective of the study was to assess the determinants of dietary diversity and nutritional status of pregnant women attending antenatal clinic at Armed Forces Comprehensive Specialized Hospital. The study was cross-sectional and conducted by using both quantitative and qualitative methods. A multistage sampling procedure was employed to draw 320 samples, pregnant women. The women were selected in random through balloting among the first five pregnant women to arrive at the antenatal clinic and thereafter systematic sampling was used and every fourth woman that arrived were sampled until the sample size is met. The data were analyzed by using a software STATA version 14. Descriptive statistics to determine the dietary diversity and nutritional status were done and also to characterize the nutritional status. The statistical model namely, logistic and ordered logistic regression was used for factors affecting the dietary diversity and nutritional status. A P value of <0.1 was considered statistically significant. According to the logistic model interpretation, negative relation implies that the dependent and independent variables are inversely related; while the positive association is the outcome and independent variable have direct relations. The findings of the descriptive analysis indicated that low dietary diversity was experienced by 61.56 percent of the respondents and the rest of the study population was in a high dietary diversity. Based on Mid-upper arm circumference cut-offs 0.31 percent were severely malnourished, while 3.44 percent were moderately malnourished and 96.25 percent were well nourished. Findings from logistic regression revealed that income, meals that were eaten in the last 24 hours, and anemia have positively and significantly affects dietary diversity while not taking iron-fortified foods affects negatively. The results from the ordered logit model indicate that severe undernutrition is determined by not taking micronutrient daily positively where ever income and cleaning utensil properly impact negatively, although moderate undernutrition is associated with not taking micronutrient daily positively and negatively with cleaning utensil properly. Though being nourished is affected by not taking micronutrient daily negatively and positively by cleaning utensil properly. Whereas by World Health Organization hemoglobin cut-offs 2.50 percent, 11.56 percent, and 85.94 percent were in severe anemia, moderate anemia, and normal hemoglobin level respectively. The results from the multinomial regression model reveal that severe anemia is negatively associated with dietary diversity. At the same time, moderate anemia is affected positively by not taking micronutrient daily and negatively by age, dietary diversity score and morbidity status of the pregnant women. Similarly being in normal hemoglobin cut-off was affected positively by age, dietary diversity and morbidity, negatively affected by not taking micronutrient daily. Finally, the findings conclude that dietary diversity and nutritional status were very poor and socio-demographic, socio-economic, micronutrient supplementation, morbidity, environmental factors, and dietary diversity influence the nutritional status of pregnant women. It is recommended that promotion of dietary diversity and modification of diets be carried out through practical demonstrations in the community and health facilities and there should be income generation practices and entrepreneur encouragements should be practiced.


2020 ◽  
Vol 26 (2) ◽  
pp. 35-50
Author(s):  
Suria Emilia Suhana Othman Tan ◽  
Nurul Nadiah Ishak ◽  
Narazah Mohd Yusoff

Objective: This study aimed to determine the prevalence of anaemia in children aged six months to fifteen years old treated in a single centre from 2008 to 2018. Methods: A retrospective study was conducted among 274 children age six months to fifteen years old, treated in Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia (USM) from 2008 to 2018. The data was obtained from computerised hospital data (CARE2X), Laboratory Information System (LIS) or medical record. Parents of the eligible participants were called for any incomplete data and verbal consents were obtained. Descriptive analysis was conducted to determine the prevalence whereas the relationship between independent variables with types of anaemia were examined using simple logistic regression. Results: The prevalence of anaemia was 22.3%. Among the anaemic children, the predominant morphology form was hypochromic microcytic anaemia (82%) followed with normochromic normocytic anaemia (18%). Iron deficiency anaemia (IDA) was found to be the commonest cause (24%) of hypochromic microcytic anaemia, followed by IDA with concomitant thalassaemia (14%) and thalassaemia alone (8%). In simple logistic regression analysis, no significant association was found. Conclusions: The prevalence of anaemia was 22.3%, which is considered as moderate public health problem according to WHO. Hypochromic microcytic anaemia was the predominant red cell morphology (82%) and IDA was the commonest causes (24%).


2019 ◽  
Vol 15 (4) ◽  
pp. 137
Author(s):  
Agus Santosa ◽  
Sri Mulatsih ◽  
Susetyowati Susetyowati

Identification of malnutritional risk and nutrition status evaluation of pediatric cancer patients with chemotherapy treatmentBackground: Hospitalized childhood cancer patients had a high risk for malnutrition, either caused by the disease or effects of cancer treatment. Malnutrition in cancer patients gives negative impacts on treatment outcomes in the form of increasing morbidity and mortality rates. Nutrition screening for identifying malnutrition risks could prevent malnutrition in hospitals.Objectives: Investigating the influence of malnutrition risk during hospitalization on the changes in the nutritional status of childhood cancer patients with chemotherapy treatment. Methods: This research was observational research with the nested case-control design. The research subjects were childhood cancer patients aged 2-18 years old meeting the inclusion criteria. They were 64 in number consisting of the case group involving 32 patients and a control group involving the rest. During hospitalization, analyses of nutritional intake, change in body weight, nutritional status, and hospitalization period. Furthermore, the analyses of the influence of malnutrition risk on the outcome between those two groups were then compared. Results: There was a significant influence of malnutrition risk on less energy intake (p<0.001), less protein intake (p=0.002), weight loss >2% (p<0.001), poor nutritional status based on the BMI/U (p=0.011), and longer hospitalization (p=0.034). The group of patients with malnutrition risks had risks of 15.5 (CI 95%: 3.991-63.359) times higher for less energy intake, 6.12 (CI 95%: 1.675-24.906) times higher for less protein intake, and 45.3 (CI 95%: 5.666-1940.768) times higher for weight loss > 2% than the group of patients without malnutrition risks.Conclusions: Patients with a significant risk of malnutrition had less energy and protein intake, weight loss > 2%, poor nutritional status based on BMI/U, and longer hospitalization.


2015 ◽  
Vol 115 (5) ◽  
pp. 495-514 ◽  
Author(s):  
Maria Nnyepi ◽  
Maurice R. Bennink ◽  
Jose Jackson-Malete ◽  
Sumathi Venkatesh ◽  
Leapetswe Malete ◽  
...  

Purpose – Identifying and addressing poor nutritional status in school-aged children is often not prioritized relative to HIV/AIDS treatment. The purpose of this paper is to elucidate the benefits of integrating nutrition (assessment and culturally acceptable food supplement intervention) in the treatment strategy for this target group. Design/methodology/approach – The authors conducted a randomized, double blind pre-/post-intervention trial with 201 HIV-positive children (six to 15 years) in Botswana. Eligibility included CD4 cell counts < 700/mm3 (a marker for the severity of HIV infection), documented treatment with antiretroviral (ARV) drugs, and no reported evidence of taking supplemental food products with one or more added nutrients in the six-month period prior to the study. The intervention (12 months) consisted of two food supplements for ethical reason, one with a higher protein content, bean (bean-sorghum based) group (n=97) and a cereal (sorghum) group (n=104) both of which contained added energy- and micro- nutrients. Anthropometric and biochemical nutritional status indicators (stunting, wasting, underweight, skinfolds for fat and muscle protein reserves, and hemoglobin levels) were compared within and between the bean and the cereal groups pre- and post-intervention separately for children six to nine years and ten to 15 years. Findings – Older children (ten to 15 years) fared worse overall compared to those who were younger (six to nine years) children in anthropometric and protein status indicators both at baseline and post-intervention. Among children six to nine years, the mid arm circumference and blood hemoglobin levels improved significantly in both the bean and cereal groups (p < 0.01 and p < 0.05, respectively). Although the BMI for age z-score and the triceps skinfold decreased significantly in the bean group, the post-intervention subscapular skinfold (fat stores) was significantly higher for the bean group compared to the cereal group (p < 0.05). Among children ten to 15 years, both the bean and the cereal groups also showed improvement in mid arm circumference (p < 0.001), but only those in the bean group showed improvement in hemoglobin (p < 0.01) post-intervention. Originality/value – Similar significant nutritional status findings and trends were found for both food interventions and age within group pre- vs post-comparisons, except hemoglobin in the older children. Post-intervention hemoglobin levels for the type food supplement was higher for the “bean” vs the “cereal” food in the younger age group. The fact that all children, but especially those who were older were in poor nutritional status supports the need for nutrition intervention in conjunction with ARV treatment in children with HIV/AIDS, perhaps using a scaled up future approach to enhance desired outcomes.


2015 ◽  
Vol 78 (1) ◽  
pp. 47-65 ◽  
Author(s):  
Subal Das ◽  
Kaushik Bose

Abstract The nutritional status and socio-demographic profile of tribal people is an important issue in India due to their marginalization from main stream population with respect to varied facilities. However, data on their nutritional status and socio-demographic profile are limited. This review aims to give an overview of the prevalence of chronic energy deficiency (CED) using Body mass index (BMI) and various demographic profile of Indian tribes based on studies published hitherto. In total 76 studies were reviewed for mean BMI based on the World Health Organization (WHO) classification of the public health problem of low BMI, based on adult populations worldwide. The overall sex specific prevalence of CED showed that both the tribal females (52.0%) and males (49.3%) were passing through the critical situation with respect to nutritional status with females being more underprivileged. In conclusion, although there is a gradual increase in knowledge about the nutritional and socio-demographic status of tribes since last decades; there is still paucity of data and information on more than approximately 600 tribes regarding their bio-social profile. However previous studies clearly indicate the need to enhance the health and nutrition status of the tribes by providing job opportunity and food security. Since the prevalence of CED was higher (critical to serious situation) in tribal populations, concerted efforts should also be made to improve the health status and nutrition uptake among them.


2021 ◽  
Author(s):  
Gloria Ofosu Tenkorang ◽  
Emmanuel Kobla Atsu Amewu ◽  
Samuel Opoku Asiedu ◽  
Priscilla Kini ◽  
Bill Clinton Aglomasa ◽  
...  

Abstract Background Lymphatic filariasis (LF) is a neglected tropical disease with several infection phenotypes. In addition to mass drug administration, host immune response contributes to microfilariae clearance. An important influence of immunity, nutritional status, remains to be evaluated among filarial lymphedema patients. This study sought to assess the nutritional status of LF patients and its association with the pathology. Methods As cross-sectional study was conducted to determine the nutrition status of lymphedema patients in Ahanta West, Ghana. To obtain sociodemographic and nutrition data, a structured questionnaire was administered to the study participants. Anthropometry and 24-hour food recall were used to assess the nutritional status of participants. Results While all and 71 (82.6%) had adequate carbohydrate and protein intakes respectively, 83 (96.5%) had inadequate intake of fat. There were widespread inadequate nutrients intakes that were associated with stage of lymphedema: fat, r = -0.267, p = .024; carbohydrate, r = 0.305, p = .010; sodium, r = -0.259, p = .029; copper, r = -0.249, p = .036; selenium, r = -0.265, p = .025; pantothenic acid, r = -0.265, p = .025; vitamin B6, r = -0.270, p = .023; vitamin B12, r = -0.288, p = .015; and vitamin A, r = -0.276, p = .020. Conclusion The study shows widespread malnutrition among the participants. A nutritional intervention is recommended to complement current management strategies of filarial lymphedema.


SinkrOn ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 19 ◽  
Author(s):  
Mohammad Badrul ◽  
Rusdiansyah Rusdiansyah ◽  
Cahyani Budihartanti

The nutritional status of children under five is measured by age, weight and height. The weight and height variables are presented in the form of three anthropometric indicators namely weight by age, height by age, and weight by height. By using these indicators the Cipadu-Kreo health center sometimes determines the nutritional status of children under five years of age. Therefore the simple additive weighting (SAW) method is able to decide the nutritional status of toddlers by adding a toddler's body mass index variable, so as to produce the right and valid decision. Then from 20 samples of toddlers categorizing by age group. Obtained the nutritional status results there are 1 toddler get a SAW value of 0.44 with poor nutritional status, 3 toddlers with undernourished status, 8 toddlers with excess nutrition status and 8 toddlers with a balanced nutrition status with the highest SAW value with a value


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