Indian Journal of Public Health Research & Development

Leersia Yusi Ratnawati ¹, Bambang Wirjatmadi ², Merryana Adriani ², Soenarnatalina ³

Affiliations
1 Doctoral Student at Health Science, Airlangga University, ID
2 Departement of Nutrition School of Public Health, Airlangga University, Surabaya, ID
3 Departement of Bioastatistic and Population, Airlangga University, Surabaya, ID

Abstract

High prevalence of childhood obesity increases risk of insulin resistance in pre-pubertal children. The purpose of this study is to identify the presence of insulin resistance in pre-pubertal obese children and compare with children who had normal nutritional status. Observational analytic study with a cross sectional design is used for this research. There are 60 elementary school students aged 6-9 years involved in this study, 30 obese students and 30 students with normal nutritional status based on BMI for Age. Fasting insulin, fasting blood glucose and HOMA IR index were carried out in Parahita Laboratory at Sidoarjo. Statistical analysis using independent t-test was used to determine differences in fasting blood glucose, fasting insulin and HOMA IR between two groups and linear regression to analyze the effect of obesity on insulin resistance with a significance value < 0.05.The results showed mean scores of BMI obese and non-obese group were 25.6 and 15.96 respectively, the mean value of BMI z score among obese group and non-obese was 3.7 and-0.6 respectively; the abdominal circumference value of obese and non obese group consist of 84.95 and 59.48 cm. Statistical analysis showed no significant difference in fasting blood glucose levels, but fasting insulin levels and HOMA IR between 2 groups differed significantly. Obesity (BMI and abdominal circumference) influenced incidence of insulin resistance. Furthermore, obese and non-obese groups have different sensitivity of insulin response but had the same blood glucose level; obese group had higher HOMAIR than non-obese group. So, there needs an intervention to reduce obesity at an early age to reduce the risk of insulin resistance in pre-pubertal age.

Keywords

Insulin Resistance, Obesity, Pubertal Pre.

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Nurul Arifah ¹, Merryana Adriani ¹, N. Hanik Endang ¹

Affiliations
1 Airlangga University, C Campus Mulyorejo, Surabaya, ID

Abstract

The concept of mental health enforcement in the community makes mental health policies which are part of the national and regional health systems seek health implementation activities that are integrated in crosssectoral programs and involve society participation. Mental health nurses and community leaders play main roles in implementing the mental health enforcement in society started from the family. The objective was to briefly describe the phenomenology study of mental health nurses and community leaders’ roles in mental health enforcement in Surabaya urban society. This study used a qualitative research design with a phenomenological study approach. There were 7 representatives of authorized community leaders and health workers related to the mental health enforcement in the community which was taken by purposive technique. Data were taken using forum group discussion (FGD). Data were analyzed using the Colaizzi Analysis Method. The research findings obtained 7 themes and 12 sub-themes related to the roles of mental health nurses and community leaders in mental health enforcement. The mental health nurses and community leaders’ roles in mental health enforcement are important in handling several cases of mental disorders within a family in the society.

Keywords

Mental Health Nurse, Community Leader, Role, Enforcement, Phenomenology Study.

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Sahriana ¹, Merryana Adriani ¹, Hanik Endang Nihayati ¹

Affiliations
1 Airlangga University Surabaya, IN

Abstract

Mental health cadres have an important position in public health programs because cadres as part of the community have easier access to reach other community members. Cadres play a role in improving the degree of public health both physically and mentally. The active role of mental health cadres helps to prevent an increase in mental disorders through early handling in the community. This study aims to explore the supporting factors that influence mental health cadres in carrying out roles in Wonokromo Surabaya. Used a qualitative approach with phenomenological studies, 18 participants were interviewed and observed. Data were analyzed using the Colaizzi analysis method. The research findings obtained 4 themes namely 1) cadre characteristics, 2) knowledge, 3) motivation and 4) expectations. Supporting factors are important factors that influence the role of mental health cadres in carrying out their roles.

Keywords

Mental Health Cadre, Qualitative, Role.

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Suhartatik ¹, Veni Hadju ², Masyita Muis ³, Hasanuddin Ishak ⁴, Merryana Adriani ⁵

Affiliations
1 Doctoral Student in Public Health, Hasanuddin University of Indonesia, Poltekkes Kemenkes Makassar, ID
2 Department of Nutrition, Public Health Faculty of Hasanuddin University, ID
3 Department of Occupational Health and Safety, Public Health Faculty of Hasanuddin University, ID
4 Department of Environmental Health, Public Health Faculty of Hasanuddin University, ID
5 Department of Nutrition, Faculty of Public Health, Airlangga University, ID

Abstract

Background: Moringa oleifera is one of the vegetable food sources which has many nutritional content (minerals, vitamin A, vitamin C and vitamin B, sources of calcium, protein, potassium, and iron, amino acids such as methionine and cystine) which are very important to prevent disease.

Aims: To assess the large difference in infant morbidity from groups of mothers who received Moringa oleifera flour and groups who received iron tablets.

Method: Experimental with Randomized Double Blind design, Controlled design. The population in this study were community groups of pregnant and lactating women, a large sample of 20 pregnant women each group (Moringa Oleifera flour (GTK, n = 20) and received iron folate capsules (GBF, n = 20). Bivariate analysis uses chi-square and multivariate logistic regression to see the value of OR.

Results: There is a significant effect of moringa flour intervention on Morbidity of Infants aged 3 months (ρ = 0.018) and 6 months (ρ = 0.006). Based on the Odds Ratio test, the use of Moringa flour 5,500 times better for infant morbidity compared to the use of iron (Fe) tablets at 3 months of age and the use of Moringa flour 7.857 times better for infant morbidity than the use of iron (Fe) tablets at the age of infants 6 months are measured based on the morbidity of children in the last 3 months.

Conclusion: There is an effect of the intervention of Moringa flour on infant morbidity, the use of Moringa flour is better than the use of iron tablets (Fe). Moringa flour provides the same benefits as Fe and can be an alternative fulfillment of nutrition to maintain the health of children in order to avoid disease.

Keywords

Moringa oleifera, Iron Tablets, Morbidity.

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