scholarly journals DEFISIENSI BESI PADA WANITA USIA SUBUR PRANIKAH OBESITAS

2019 ◽  
Vol 10 (2) ◽  
pp. 101-110
Author(s):  
Fillah Fithra Dieny ◽  
Nurmasari Widyastuti ◽  
Deny Yudi Fitranti ◽  
Choirun Nissa ◽  
Fahmy Arif Tsani ◽  
...  

Latar Belakang. Wanita usia subur (WUS) terutama di Indonesia saat ini menghadapi masalah gizi ganda yang kompleks. Obesitas merupakan salah satu masalah gizi yang paling banyak dialami oleh WUS. Anemia merupakan satu sisi lain dari masalah gizi ganda yang banyak dialami di negara berkembang. Obesitas diketahui memiliki hubungan dengan anemia pada WUS. Tujuan. Menganalisis status besi pada WUS pranikah dengan status gizi obesitas dan non obesitas. Metode. Penelitian ini merupakan penelitian observasional dengan desain cross-sectional yang dilakukan pada 50 mahasiswi Universitas Diponegoro, Semarang. Subjek berusia 18-25 tahun dan dipilih dengan metode systematic random sampling. Subjek terdiri dari 25 mahasiswi obesitas dan 25 mahasiswi non obesitas. Status besi diukur melalui serum besi, serum Transferrin Saturation (TSAT), dan Total Iron Binding Capacity (TIBC). Status obesitas dilihat melalui pengukuran antropometri persen lemak tubuh. Uji T tidak berpasangan digunakan untuk mengetahui perbedaan status besi pada WUS pranikah obesitas dan non obesitas. Hasil. Ada perbedaan kadar serum besi (p=0,027), TIBC (p=0,034), dan TSAT (p=0,004) antara kelompok obesitas dan non obesitas. Kadar serum besi kelompok obesitas lebih rendah, ditunjukkan dengan rerata sebesar 83,99±20,66 μg/dl pada kelompok obesitas, sedangkan kelompok non obesitas sebesar 99,2±26,03 μg/dl. Kadar TIBC kelompok obesitas lebih tinggi dilihat dari reratanya sebesar 420,98±47,22 μg/dl, sedangkan kelompok non obesitas 389,94±53,35 μg/dl. Pengukuran TSAT menunjukkan kelompok obesitas memiliki kadar yang lebih rendah ditunjukkan dengan reratanya 20,13±5,27%, sedangkan kelompok non obesitas memiliki rerata sebesar 25,99±7,92%. Kesimpulan. Kelompok obesitas memiliki rata-rata kadar serum besi dan TSAT lebih rendah serta rata-rata kadar TIBC lebih tinggi.

1981 ◽  
Vol 27 (2) ◽  
pp. 276-279 ◽  
Author(s):  
F Peter ◽  
S Wang

Abstract Ferritin values for 250 selected sera were compared with values for iron, total iron-binding capacity (TIBC), and transferrin saturation, to assess the potential of the ferritin assay for the detection of latent iron deficiency. The specimens were grouped (50 in each group) according to their values for iron and TIBC. In Group 1 (low iron, high TIBC) the saturation and ferritin values both indicated iron deficiency in all but one. In the 100 specimens of Groups 2 (normal iron, high TIBC) and 4 (normal iron, high normal TIBC), the saturation values revealed 16 iron-deficient cases, the ferritin test 55. For Groups 3 (low iron, normal TIBC) and 5 (low iron, low TIBC), the ferritin test revealed fewer cases of iron deficiency than did the saturation values (37 cases vs 51 cases, in the 100 specimens). Evidently the ferritin test detects iron deficiency in many cases for whom the serum iron and TIBC tests are not positively indicative. The correlation of serum ferritin with iron, TIBC, and transferrin saturation in the five groups was good only in the case of specimens for which the TIBC was normal; if it was abnormal the correlation was very poor.


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Bryan J. Silaban ◽  
Cerelia Sugeng ◽  
Bradley J. Waleleng

Abstract: Chronic kidney disease (CKD) is a pathological condition with a variety of etiology, resulting in progressively decreased renal function which is often ended with kidney failure. Chronic kidney disease has a global prevalence of 800 per million of population and the incidence of end-stage renal disease ranges from 150 to 200 per million of population. Complications often occur at the end-stage renal disease inter alia anemia with a rate of 80-90%. This study was aimed to obtain the profile of stage-5 CKD patients with anemia and regular hemodialysis was performed on them. This was a descriptive-retrospective study using data of medical records at Prof. Dr. R. D. Kandou General Hospital from January 2015 to October 2016. There were six observed variables as follows: age, gender, serum iron (SI), total iron binding capacity (TIBC), transferrin saturation, and ferritin. The results showed that of the 48 CKD patients with anemia, there were 24 males and 24 females. The majority were aged 60-69 years (33%) and had normal SI level in 30 patients (67%); decreased TIBC in 35 patients (75%); normal transferrin saturation in 26 patients (54%); and increased ferritin level in 38 patients (81%). Conclusion: Majority of the patients were 60-69 years old and had normal level of SI, decreased TIBC, normal transferrin saturation, and increased levels of ferritin. There was no difference in case number of both sexes.Keywords: serum iron, total iron binding capacity, transferrin saturation, ferritin Abstrak: Penyakit Ginjal Kronik (PGK) adalah suatu keadaan patologis dengan etiologi yang beragam, terjadi penurunan fungsi ginjal secara progresif, dan biasanya berakhir dengan gagal ginjal. Penyakit ginjal kronik merupakan salah satu masalah kesehatan di dunia dengan prevalensi 800 per juta populasi dan insidensi end-stage renal disease (ESRD) 150-200 per juta populasi di dunia. Komplikasi sering terjadi pada PGK stadium akhir antara lain anemia dengan persentase mencapai 80-90%. Penelitian ini bertujuan untuk mendapatkan profil pasien PGK stadium 5 dengan anemia dan menjalani hemodialisis reglular. Jenis penelitian ialah deskriptif-retrospektif menggunakan data sekunder dari catatan rekam medik periode Januari 2015 – Oktober 2016 di RSUP Prof. Dr. R. D. Kandou Manado dengan enam variabel penelitian, yaitu usia, jenis kelamin, serum iron (SI), total iron binding capacity (TIBC), saturasi transferin, dan feritin. Dari 48 data rekam medik pasien yang memenuhi kriteria inklusi ditemukan bahwa mayoritas pasien berumur 60-69 tahun (33%), laki-laki maupun perempuan berjumlah sama, mayoritas pasien memiliki kadar SI normal berjumlah 30 pasien (67%), kadar TIBC menurun berjumlah 35 pasien (75%), saturasi transferin normal berjumlah 26 pasien (54%), dan kadar feritin meningkat berjumlah 38 pasien (81%). Simpulan: Mayoritas pasien PGK stadium 5 yang menjalani hemodialisis reguler berusia 60-69 tahun, laki-laki dan perempuan berjumlah sama, serta memiliki kadar SI normal, penurunan TIBC, saturasi transferin normal, dan peningkatan kadar feritin. Kata kunci: serum iron, total iron binding capacity, saturasi transferin, feritin


1997 ◽  
Vol 43 (12) ◽  
pp. 2413-2417 ◽  
Author(s):  
Hachiro Yamanishi ◽  
Shigeki Kimura ◽  
Shigeru Iyama ◽  
Yoshihisa Yamaguchi ◽  
Takehiko Yanagihara

Abstract We established a method for fully automated measurement of total iron-binding capacity (TIBC) in serum without separation of the unbound excess iron after saturating serum transferrin. After saturation of serum transferrin with an excess amount of iron (first step), the unbound iron was eliminated by formation of a complex with ferrozine, which was used as a chromogenic reagent (second step). For the TIBC assay, iron dissociated from transferrin by shifting the pH to acidic was reacted with ferrozine, and the increase in the absorbance at 570 nm was measured (third step). Because the iron used as a calibrator, which was added to saturate transferrin, reacted completely with ferrozine in the second step (elimination of unbound iron), the change in the absorbance to generate a calibration factor could not be monitored in the third step. To solve this problem, we used N-(2-hydroxyethyl)ethylenediamine-N,N′,N′-triacetic acid (HEDTA) to complex with the iron added to saturate transferrin in the second step. This made it possible to form an iron–ferrozine complex at acidic pH because iron was dissociated from HEDTA at acidic pH. The within-run CVs of this method were 0.66–2.43% at 17.7–77.0 μmol/L, and the day-to-day CVs were 1.06–1.57% at 29.9–60.4 μmol/L (n = 10). The correlation between the values obtained with this method (y) and those from the direct TIBC assay, which involved removal of unbound iron by ion-exchange resin (x), was: y = 0.963x + 0.29 μmol/L (r = 0.973, Sy|x = 2.83, n = 59), and with the TIBC values calculated from the serum iron concentrations and the unbound iron-binding capacities measured by a direct colorimetric method (x) was: y = 1.01x − 1.06 μmol/L (r = 0.994, Sy|x = 1.66, n = 51).


1989 ◽  
Vol 11 (1) ◽  
pp. 40-41 ◽  
Author(s):  
Luc Cynober ◽  
Jacques Le Boucher ◽  
Jacqueline Giboudeau

The Kone Progress, a multiparametric discrete analyser, was used to determine serum transferrin with a kit supplied by Kone. Assays recommended by the French Society of Clinical Chemistry were performed in order to assess the suitability of the test. Repeatability was assessed using serum pools with low (L), medium (M) and high (H) concentrations of transferrin. The coeffcients of variation (CV) were 5.4, 3.2 and 2.0% respectively for 30 determinations (within-batch). Reproducibility on 15 consecutive days (between-batch) was also satisfactory (CV for L = 7.3%, M = 6.3% and H = 3.8%). There was no serum-to-serum contamination. Results correlated closely with those obtained using radial immunodiffusion (RID) (r = 0.942) and total iron-binding capacity (r = 0.954)for 90 determinations.Transferrin measurement by immunoturbidimetry on the Kone Progress emerges as a well-suited, rapid and inexpensive alternative to other time-consuming (RID) and sophisticated (laser immunonephelemeter) techniques.


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