scholarly journals Lingkar pinggang dan lingkar leher dengan kadar kolesterol total pada wanita usia subur obesitas

2019 ◽  
Vol 15 (3) ◽  
pp. 75
Author(s):  
Rifial Ramadhan Manik ◽  
Nurmasari Widyastuti ◽  
Choirun Nissa

Waist circumference, and neck circumference correlated to total cholesterol among reproductive-age women with obesityBackground: Dyslipidemia is a metabolic disorder condition that is closely related to cholesterol and obesity. The prevalence of obesity in reproductive-age women (>18 years) in Indonesia increased dramatically. Reproductive age women with obesity are at greater risk of hypercholesterolemia compared with non-obese. Waist circumference (WC), mid-upper arm circumference (MUAC), and neck circumference (NC) can be used as a marker of higher or low cholesterol levels. Objective: This study aimed to determine the relationship between WC, MUAC, and NC with total cholesterol. Methods: The study design was cross-sectional with several subjects were 54 women of reproductive-aged 18-29 years. Subject with obese category (BMI ≥25kg/m2) was measured the WC, MUA, and NC as an independent variable and total cholesterol as the dependent variable, and dietary intake (total fat, cholesterol, and saturated fat) as confounding variables. The bivariate analysis used the Pearson correlation test. Multivariate analysis used multivariate linear regression. Results: Bivariate analysis showed there was a significant relationship between WC and NC to total cholesterol (p=0.006 and p=0.001), but not on MUAC (p=0.063). In multivariate analysis, NC is the most significantly related to total cholesterol (β=0.367; p=0.004; Adjusted R Square 24%) than WC. Conclusions: There is a significant relationship between WC and NC to the total cholesterol in women of reproductive age obesity. NC more significantly related to total cholesterol.

2020 ◽  
Vol 10 (2) ◽  
pp. 101-110
Author(s):  
Yusri Kartika ◽  
Sudarto Ronoatmodjo

Abstract Background: Prevalence of obesity in adult females in Indonesia is 32,9% in 2013. Hormonal contraceptives (pills, injections and implants) are widely used by reproductive-age women in Indonesia, and the prevalence is 45%. Objective: The aim of this study is to identify whether reproductive-age women who use hormonal contraceptives are at risk of developing obesity compared to WUS who do not use hormonal contraceptives. Method: The design of this study is a cross sectional study using secondary data (5th Indonesia Family Life Survey, and the sample is reproductive-age women (15-49 years old) consisting of 6045 respondents. The variables of this study are obesity, hormonal contraceptive use, age, education, occupation, and duration of contraceptive use. Data were analysed by using Cox Regression. Result: The results of bivariate analysis showed that hormonal contaceptive use, age, education, occupation, and duration of contraceptive use were associated with obesity among reproductive-age womenand statistically significant (P-Value <0,05). Multivariate analysis showed that hormonal contraceptive use did not increase the risk of obesity among reproductive-age women in Indonesia (PR 0.939; CI 95% 0.869 - 1.013). Conclusion: The use of hormonal contraception did not increase the risk of obesity among reproductive-age women. Key words: Hormonal Contraception; Obesity; Reproductive Age-Women Abstrak Latar belakang : Prevalensi obesitas pada perempuan dewasa di Indonesia sebesar 32,9 persen pada tahun 2013. Kontrasepsi hormonal (pil, suntikan dan implan) merupakan jenis kontrasepsi yang paling banyak digunakan oleh wanita usia subur (WUS) di Indonesia, dengan prevalensi sebesar 45%. Tujuan : untuk mengetahui apakah wanita usia subur (WUS) yang menggunakan kontrasepsi hormonal berisiko mengalami obesitas dibandingkan WUS yang tidak menggunakan kontrasepsi hormonal.  Metode : Desain penelitian ini adalah studi cross- sectional dengan menggunakan data sekunder IFLS 5 tahun 2014. Sampel adalah WUS (15-49 tahun) sebanyak 6.045 responden. Variabel dalam penilitian ini adalah obesitas pada WUS, penggunaan kontrasepsi hormonal, umur, pendidikan, pekerjaan, serta lama penggunaan kontrasepsi. Analisis data yang digunakan adalah Cox Regression. Hasil : Hasil analisis bivariat menunjukkan bahwa variabel penggunaan kontrasepsi hormonal, umur, pendidikan dan status pekerjaan, serta  lama penggunaan kontrasepsi berhubungan dengan obesitas pada WUS (p-value <0,05). Analisis multivariat menunjukkan bahwa penggunaan kontrasepsi hormonal tidak meningkatkan risiko obesitas secara bermakna pada WUS di Indonesia (PR 0,939; CI 95% 0,869 – 1,013). Kesimpulan: Penggunaan kontrasepsi hormonal tidak meningkatkan risiko WUS untuk mengalami obesitas.   Kata kunci: Kontrasepsi Hormonal; Obesitas; Wanita Usia Subur


2016 ◽  
Vol 8 (02) ◽  
Author(s):  
Sri Wahyuni

ABSTRAKLatar Belakang:  Kanker serviks adalah kanker ke dua terbanyak  pada wanita  di  dunia. Memprihatinkan  lagi penderita  datang  sudah  dalam stadium lanjut. Hal ini disebabkan  karena persepsi fatalism yang   tinggi dan  tingginya  fatalism  tersebut  karena  pengetahuan   tentang  kanker serviks yang kurang. Beberapa penelitian menyebutkan persepsi fatalism terbanyak dijumpai pada wanita tua. Tujuan: Untuk mengetahui perbedaan hubungan pengetahuan tentang kanker serviks dengan kanker serviks fatalism antara wanita usia reproduksi dan pasca reproduksi. Metode :      Jenis  penelitian  observasional  dengan  rancangan  cross sectional. Subyek penelitian adalah wanita usia usia reproduksi dan pasca reproduksi  di Kabupaten Klaten. Jumlah sampel pada penelitian ini sebanyak 207 wanita. Pengambilan sampel menggunakan teknik multistage stratified random sampling. Analisis data dengan summary mean, standar deviasi, distribusi frekwensi,  Independent t Test, Pearson Correlation dan regresi linier. Hasil:  Hasil  analisis  didapatkan  bahwa  terdapat hubungan  bermakna antara pengetahuan  kanker  serviks dengan  kanker  serviks  fatalism  pada usia pasca reproduksi dengan  nilai  r -0,68  dan  p value 0,000.  Secara  keseluruhan  terdapat hubungan  yang bermakna antara pengetahuan  tentang  kanker serviks dengan kanker  serviks   fatalism dengan nilai r = - 0,371 dan p value 0,000. Pendidikan terutama pendidikan rendah mempengaruhi kanker serviks fatalism. Kesimpulan :  1. Pengetahuan kanker  serviks  semakin  rendah  akan meningkatkan  kanker serviks fatalism, 2.Tidak bermakna hubungan tingkat pengetahuan dengan kanker serviks fatalism berdasarkan strata usia.Kata kunci: Pengetahuan, Usia, Kanker serviks fatalism.THE RELATIONSHIP DIFFERENCE BETWEEN KNOWLEDGE ABOUT CERVICAL CANCER AND CERVICAL CANCER FATALISM AMONG REPRODUCTION AND PASCA REPRODUCTION AGE WOMANABSTRACTBackground:  Cervical  cancer  is  the  second  most  common  cancer  in women worldwide. Unfortunately, most patients are detected in having this cancer when it is in an advanced stadium. This is due to a perception on high  level  of  fatalism  and  the  perception  is  caused  by  the  lack  of knowledge  about cervical  cancer.  Some studies  have reported  that the perception on fatalism is most found in elderly women. Objective: To study the relationship difference between knowledge about cervical cancer and cervical cancer fatalism among reproduction and pasca reproduction age woman. Method: This was a descriptive and analytic study with a cross-sectional study design  using quantitative  and qualitative  methods.  Subjects  were age  reproductive and post reproductive age women in Klaten District.  Samples  were  207  women selected with a technique of multistage stratified random sampling. Data were analyzed  with summary  mean,  standard  deviation,  frequency  and distribution, Independent t Test, and Pearson Correlation and linear regression. Results:  The  findings  revealed  that  there  was  a  relationship  in post reproductive age with the value of r = - 0,68 and p value 0,000. There are a relationship in generality with value of r = - 0,371 and p value 0,000. Howeever, education was related to cervical cancer fatalism. Conclusion :1. The lower  level  of knowledge  about  cervical  cancer  would increase  cervical  cancer  fatalism. 2. The relationship of knowledge about cervical cancer fatalism in post reproductive age women more significant than in reproductive age women.Keywords: Knowledge, cervical cancer fatalism, reproductive and post reproductive age women.


2021 ◽  
Vol 3 (8) ◽  
pp. 630-641
Author(s):  
Yani Amaliah Hikma ◽  
Moch. Yunus ◽  
Anindya Hapsari

Abstract: Dysmenorrhea is a form of pain that occurs during menstruation and manifests as abdominal pain. 90 percent of the 1,769,425 women in the study had dysmenorrhea, with 10-15 percent of whom had serious dysmenorrhea. Endocrine conditions, organic, constitutional, allergies, age at first menstruation 12 years, long menstrual cycle (greater than 7 days), heavy menstrual bleeding, and so on are risk factors for primary dysmenorrhea. The aim of this study at the Sabilurrosyad Gasek Islamic Boarding School in Malang was to see how the menstrual cycle, sleep quality, and nutritional status affect primary dysmenorrhea in adolescent girls. The research tool used in this analysis is correlational research with a cross sectional design approach. Purposive sampling was used to select 75 young women. To collect research data, a questionnaire/questionnaire was distributed. Spearman's rho test was used as bivariate analysis, and logistic regression test was used as multivariate analysis. The results showed that the menstrual cycle and primary dysmenorrhea in adolescent girls had a significant relationship (0.000 0.05) with a strong relationship (0.771). Furthermore, there was a significant relationship between sleep quality and primary dysmenorrhea in adolescent girls (0.034 0.05) (0.246 is weak), but there is no relationship between nutritional status and primary dysmenorrhea in adolescent girls (0.364 greater than 0.05), (0.106 is very weak). However, there was no significant relationship between the three independent variables in the multivariate analysis, with an EXP (B) value of 0.012 menstrual cycles. Abstrak: Dismenore merupakan nyeri yang terjadi pada waktu menstruasi memiliki tanda seperti rasa sakit di abdomen perut. Kejadian dismenore di alami oleh 90 persen dari 1.769.425 wanita, dimana 10-15 persen wanita mengalami dismenore berat. Terdapat beberapa faktor risiko yang dapat menyebabkan dismenore primer yaitu kelainan endokrin, organik, konstitusi, alergi, usia saat menstruasi pertama kurang dari 12 tahun, periode lama menstruasi (lebih dari 7 hari), perdarahan menstruasi yang berlebihan, merokok, dan lain sebagainya. Penelitian ini bertujuan untuk mengetahui hubungan antara siklus menstruasi, kualitas tidur, dan status gizi terhadap dismenore primer pada remaja putri di Pondok Pesantren Sabilurrosyad Gasek Malang. Penelitian korelasional dengan pendekatan desain cross sectional merupakan metode penelitian yang dipilih dalam penelitian ini. Subjek pada penelitian ini merupakan remaja putri sebanyak 75 responden dengan menggunakan teknik purposive sampling. Penyebaran angket/kuesioner dilakukan untuk memperoleh data penelitian. Analisis bivariat menggunakan uji Spearman’x rho dan uji regresi logistik yang digunakan sebagai analisis multivariat. Hasil dari analisis tersebut membuktikan bahwa terdapat hubungan yang signifikan antara siklus menstruasi terhadap dismenore primer pada remaja putri (0,000 kurang dari 0,05) dengan kekuatan korelasi kuat (0,771). Selanjutnya terdapat hubungan yang signifikan antara kualitas tidur terhadap dismenore primer pada remaja putri (0,034 kurang dari 0,05) (0,246 yang berarti lemah), dan tidak terdapat hubungan yang signifikan antara status gizi terhadap dismenore primer pada remaja putri (0,364 lebih dari 0,05) (0,106 yang berarti sangat lemah). Untuk analisis multivariat tidak ada hubungan signifikan yang bersamaan dari ketiga variabel bebas, akan tetapi nilai EXP(B) siklus menstruasi yakni 0,012.


2015 ◽  
Vol 3 (2) ◽  
pp. 47-51
Author(s):  
B.B. Karki ◽  
M.D. Bhattarai ◽  
M.R. Bajracharya ◽  
S Karki ◽  
A.R. Devkota

Background and aims: Body mass index, waist and hip circumference have been using for measurement of obesity, however practically it’s difficult to get these measures accurately because of the various reasons, so an alternative to this could be neck and wrist circumference measurement. As there is scarce report on such anthropometric studies from Nepal, we aimed to find out the correlation between neck and wrist circumference with waist circumference for obesity measure.Method: A cross sectional observational study of total 297(147 male and 150 female) participants, aged above 18 years conducted on 2013 at Kathmandu valley. Anthropometric markers of obesity were measured, including body weight, height, waist, hip, neck and wrist circumferences.Results: A strong positive Pearson correlation of neck circumference with waist circumference was found in both male and females(r=0.64 in male and r=0.86 in female). Neck circumference had strong positive correlation with waist circumference in obese female than in male(r=0.5 in male and r=0.82 in female).Similarly, neck circumference had positive correlation with body mass index(r=0.53in male and r=0.79 in female),hip(r=0.54in male and r=0.76in female), weight(r=0.59in male and r=0.77in female) except waist hip ratio(r=0.59in male and r=0.10in female). Neck circumference cutoff for abnormal waist (>=90cm for male and >=80cm for female) was 34.4cm for male and 32.5 cm for female. Similarly wrist circumference had also positive correlation with waist circumference(r=0.58 and r=0.64 in female) and with weight(r>0.6) in both sexes.Conclusion: Neck circumference which can be relatively easily measured has shown strong correlation with waist.Journal of Advances in Internal Medicine 2014;3(2):47-51.


Jurnal NERS ◽  
2016 ◽  
Vol 9 (2) ◽  
pp. 187
Author(s):  
Ika Nur Pratiwi ◽  
Elsi Dwi Hapsari ◽  
Nuring Pangastuti

Introduction: Bacterial Vaginosis (BV) is a common vaginal condition produced by overgrowth of anaerobic bacteria. Stress can alter women’s reproductive health in many ways; one of them is increasing the risk for bacterial vaginosis. In facing stressful life conditions, resilience plays an important role to maintain optimal function and prevent traumatic experience. Methods: This research was an analytical observational study with cross sectional design. Questionnaires were given to 104 women in reproductive age between November 2013 and January 2014. Resilience and stress were assessed using The Connor-Davidson Resilience Scale (CD-RISC) and Self Reporting Questionnaire respectively, and bacterial vaginosis status was diagnosed using Amsel’s criteria. Statistical analysis was performed using chi square test and multiple logistic regressions. Results: Bivariate analysis showed significant relations between resilience (p=0,005), stress (p=0,002), frequency of sexual intercourse within 1 week (p= 0,015) and the bacterial vaginosis incidence. Multivariate analysis showed stress was the most influential factor OR=3,9 (95% CI=1,478–10,562). Discussion: Resilience and stress were significantly with increased risk of having bacterial vaginosisKeywords: resilience, stress, bacterial vaginosis, reproductive age women


Author(s):  
Rubiyati Rubiyati

ABSTRACT Antenatal Care is the care given to pregnant woman to monitor, support maternal health and maternal detect, whether normal or troubled pregnant women. Aki in Indonesia amounted to 359 in 100.000 live births. The purpose of the study was to determine the relationship between age and education in the clinic Budi Mulia Medika 2014. This study used a survey method whit cross sectional analytic. This is the overall study population of women with gestational age ≥36 weeks who come to visit the clinic Budi Mulia Medika Palembang on February 10 to 18. The study sample was taken in non-random with the technique of “accidental smapling “ with respondents who happens to be there or variable. The obtained using univariate and bivariate analysis using Chi-Square test statistic. The results of the univariate analysis showed that 83,3% of respondents did according to the standard prenatal care, high risk age 40,0 %, 60,0% lower risk of age, higher education 70,0%, 30,0% low education. Bivariate analysis showed that there was no significant relationship betwee age and pregnancy tests wit p value= 0,622, and significant relationship between education and prenatal care with p value= 0,019. From the results of this study are expected to need to increase outreach activities to the community about the importance of examination of pregnancy according to gestational age in an effort to reduse maternal mortality.   ABSTRAK Antenatal Care merupakan pelayanan  yang di berikan pada ibu hamil untuk memonitor, mendukung kesehatan ibu dan mendeteksi ibu, apakah ibu hamil normal atau bermasalah. Di Indonesia AKI berjumlah 359 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk mengetahui hubungan antara usia dan pendidikan dengan pemeriksaan kehamilan di klinik budi mulia medika tahun 2014. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalahseluruh ibu dengan usia kehamilan ≥ 36 minggu yang dating berkunjung ke Klinik Budi Mulia Medika pada tanggal 10-18 Februari. Sampel penelitian ini di ambil secara non random dengan tekhnik ‘’ Accidental Sampling’’ dengan responden yang kebetulan ada atau tersedia. Data yang di peroleh menggunakan analisis univariat dan bivariat menggunakan uji statistik Chi-Square. Hasil analisis univariat ini menunjukan bahwa 83,8% responden melakukan pemeriksaan kehamilan sesuai standar, 16,7% tidak melakukan pemeriksaan kehamilan sesuai standar, usia resiko tinggi 40,0%, usia resiko rendah 60,0%, pendidikan tinggi 70,0 %, pendidikan rendah 30,0 %. Analisis bivariat menunjukan bahwa tidak ada hubungan bermakna antara usia dengan pemeriksaan kehamilan dengan p value =0,622, ada hubunngan bermakana antara pendidikan dengan pemeriksaan kehamilan dengan p value = 0,019. Dari hasil penelitian ini di harapkan perlu meningkatkan kegiatan penyuluhan kepada masyarakat tentang pentingnya dilakukan pemeriksaan kehamilan sesuai dengan umur kehamilan sebagai upaya menurunkan angka kematian ibu.    


2021 ◽  
pp. 026010602098234
Author(s):  
Gizachew Worku Dagnew ◽  
Melash Belachew Asresie

Background: Overweight/obesity has become a global health problem for both developed and developing regions. Nowadays, overweight/obesity among childrearing-age women has become rapidly increasing in both urban and rural areas. Aim: This study aimed to assess the variation of overweight/obesity among urban and rural reproductive-age women in Ethiopia. Methods: For this study, the 2016 Ethiopia Demographic and Health Survey data were used. The survey was a community-based cross-sectional study, which used a two-stage stratified cluster sampling technique to select the participants. A total of 13,451 reproductive-age women were included in the analysis. Both descriptive and analytical analysis was performed. A p-value of less than 0.05 was used as the measure of statistical significance. Results: The prevalence of overweight/obesity among urban reproductive-age women was statistically higher ( p = 21.5%; 95% confidence interval (CI): 18.2–25.1) than the rural women ( p = 3.5%; 95% CI: 2.9%–4.2%). Women who attend secondary or above education, women in the age groups 25–34 and ≥ 35 years, and high wealth index (rich) had higher odds of overweight/obesity in both urban and rural women. Moreover, women who were married, who had a large family size, and who have a history of alcohol intake had higher odds of overweight/obesity among urban women. Conclusions: Overweight/obesity among reproductive-age women is a public health problem in Ethiopia, especially for women who are living in urban settings. Therefore, it is important to establish targeted overweight reduction programs with particular emphasis on urban, older aged, educated, and married women. Additionally, encouraging the limitation of the number of family size and alcohol intake can reduce women’s overweight/obesity.


2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Cipriano Do Rosario Pacheco ◽  
Intje Picauly ◽  
Mindo Sinaga

Stunting can affect the health of toddlers. The prevalence of stunting in Timor Leste in 2014 is 50.2%, whereas in Aileu District is 52.3%. Stunting can interfere intellectual growth and development. The purpose of this study was to analyze the relationship between stunting determinants. The research design was cross sectional. The population of this study was toddlers 24-59 months old, with a sample size of 102 people. Sampling technique used was simple random sampling. Data were analyzed bivariately using simple linear regression, while multivariate analysis was performed using multiple logistic regressions. Bivariate analysis revealed variables that have significant relationship with stunting: immunization (p=0.026), infectious disease (p=0.049), income (p=0.003), total family member (p=0.045). Multivariate analysis obtained two variables as determinant factor of stunting: infectious disease (p=0.025; OR=0.355; 95% CI=0.144-0.877), income (p=0.028; OR=0.332; 95% CI=0.124-0.887). The incidence of stunting in toddlers in Aileu District is very serious (54.9%). Toddlers with stunting demonstrated the adverse effects of stunting on growth, development, and the quality of human resources. Stunting is not only a health sector issue. It is necessary to have appropriate interventions with early and liable management through various related sectors.


2021 ◽  
Author(s):  
Mina Pooresmaeil ◽  
Masoumeh Aghamohammadi

Abstract Background Covid-19 is an emerging disease, which has confronted nurses with new moral distress. This study aims to determine the moral distress and its related factors among nurses working in the covid-19 wards of Ardabil city in Iran. Methods This cross-sectional descriptive study evaluated 159 nurses working in the covid-19 wards of Imam Khomeini hospital -as the only hospitalization center for the patients with covid-19 in Ardabil, 2021. The instruments used included a personal-occupational information form and Corley's moral distress scale. Data analysis was performed using descriptive and inferential statistics (Pearson correlation coefficient, independent t-test and one-way analysis of variance) in SPSS v22. Results The mean and standard deviation of the frequency and intensity of the nurses' moral distress were estimated 52.28 ± 5.24 and 51.54 ± 5.86, respectively, which indicated the moderate level of moral distress in the both dimensions. The item "I hesitate to tell the patient or the patient's family about his condition and treatment" (4.74 ± 0.75) showed the most moral distress based on the intensity and the phrase "too much work reduces the quality of my work” (4.81 ± 0.55) caused the most moral distress in the frequency dimension. The results indicated a significant relationship between the intensity and frequency of moral distress with the type of nurses' employment (P < 0.05). Moreover, a significant relationship was observed between the nurses’ position and the frequency (P = 0.04), and the nurses’ work experience and the intensity of moral distress (P = 0.02). Conclusions It seems that providing the necessary training for how to deal with the moral distress in new waves of the disease and using the experiences of the experienced nurses in this field are essential due to observing the moderate level of moral distress among nurses working in covid-19 wards.


2020 ◽  
Vol 5 (2) ◽  
pp. 101-106
Author(s):  
Dwi Saputri Mayang Sari

Asphyxia Neonatorum is a failure to start and continue breathing spontaneously and regularly when a new baby is born or some time after birth. Babies may be born in asphyxia or may be able to breathe but then experience asphyxia some time after birth. The purpose of this study was to determine the relationship between parity and old parturition with the incidence of asphyxia neonatorum in the pre-Sumatran city general hospital in 2019. This study uses an Analytical Survey using a Cross Sectional approach. The population of this research is the babies born in the prehumulih city general hospital in 2019 amounted to 1763 people. The number of samples in this study were 326 respondents. In the univariate analysis it was found that from 326 respondents it was found that parity of high risk mothers was 168 respondents (51.5%) while parity of low risk mothers was 158 respondents (48.5%) and mothers who were diagnosed with prolonged labor were 149 respondents (45.7 %) while mothers who were not diagnosed with prolonged labor were 177 respondents (54.3%). Bivariate analysis shows parity has a significant relationship with the incidence of asphyxia neonatorum (p value 0,000) and old parturition has a significant relationship with the incidence of asphyxia neonatorum (p value 0,000). The conclusion of this study is that there is a relationship between parity and old parturition with the incidence of asphyxia neonatorum.


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