Yulianti Wibowo - Academia.edu (original) (raw)

Papers by Yulianti Wibowo

Pediatric Gastroenterology, Hepatology & Nutrition, 2023

PurposeInformation regarding functional gastrointestinal disorders (FGIDs) in infants is currentl... more PurposeInformation regarding functional gastrointestinal disorders (FGIDs) in infants is currently lacking in Indonesia. This study aimed to describe the prevalence and risk factors of FGIDs in infants aged 6 weeks to 4 months in Indonesia.MethodsThis cross-sectional study of 433 infants was conducted between September 2018 and February 2020. Information on FGIDs was collected using the Infant Gastrointestinal Symptom Questionnaire and the Feeding Practice and Gut Comfort Questionnaire. Adapted Rome IV criteria were used to define the FGIDs.ResultsThe prevalence of regurgitation was 26.3%; 16.8% of the infants presented crying-related symptoms and 5.5% exhibited constipation. The statistical analyses revealed that constipation was associated with sex (odds ratio [OR], 2.74; 95% confidence interval [CI], 1.07–7.71; p=0.043), employment of the father (OR, 0.3; 95% CI, 0.12–0.77; p=0.01), and education of the mother (OR, 1.92; 95% CI, 1.07–3.51; p=0.031). Length at birth (OR, 0.74; 95% CI, 0.55–0.99; p=0.042) was associated with constipation. Length at visit (OR, 0.83; 95% CI, 0.76–0.91; p<0.001) was associated with regurgitation, and the weight at visit (OR, 0.58; 95% CI, 0.35–0.96; p=0.038) was associated with crying and/or colic. A history of parental FGIDs was associated with crying-related symptoms (OR, 2.12; 95% CI, 1.23–3.68; p=0.007).ConclusionRegurgitation, crying, and constipation are common FGIDs in infants. Some parental and infant characteristics may be predictors for FGIDs. Further investigations are needed to evaluate the clinical relevance of our findings. Understanding the determinants of FGIDs will benefit healthcare professionals and parents to improve infant’s quality of life and better manage these condition.

European Journal of Clinical Nutrition, 2009

Background: Plasma zinc and vitamin A concentrations have been reported to be low in tuberculosis... more Background: Plasma zinc and vitamin A concentrations have been reported to be low in tuberculosis (TB) patients in some studies, although it is not clear whether this constitutes a risk for a more severe clinical presentation among TB patients. The acute phase reaction may also deplete zinc and vitamin A in the plasma. Therefore, we further studied these associations. Methods: We carried out a cross-sectional study among newly diagnosed sputum smear-positive TB patients in East Nusa Tenggara. The patients were categorized as either mild TB when Karnofsky Score (KS) X80 or severe TB (KS o80). Body mass index (BMI), mid upper arm circumference (MUAC), chest radiograph, and the results of hemoglobin, erythrocyte sedimentation rate, albumin, C-reactive protein (CRP), zinc and vitamin A in plasma were correlated with TB category. Results: A total of 300 TB patients participated in the study (63% male and 37% female), and were categorized as mild TB (53%) or severe TB (47%). Vitamin A, hemoglobin and plasma albumin were significantly lower, and CRP was significantly higher, in severe TB than in mild TB, and the active lesion area on the chest radiograph was greater among severe TB patients. In a multiple regression analysis, after adjustment for CRP, low vitamin A (b ¼ 3.2, 95%CI (confidence interval) 1.6-4.9, P ¼ 0.000) but not zinc, correlated with the severity of TB. MUAC was better than BMI as a predictor of TB severity (b ¼ 1.3, 95%CI 0.6-6.2, P ¼ 0.000). Conclusions: Severe TB was associated with vitamin A deficiency. MUAC can be applied as a measure of TB severity.

Paediatrica Indonesiana, 2018

Background Play stimulates children’s growth and development. When mothers and their children pla... more Background Play stimulates children’s growth and development. When mothers and their children play, a positive attitude from the mother and adequate interest from the child is required. Little is known about the play activities that effectively stimulate such positive maternal attitude and child interest.Objective To assess for associations between various play activities with maternal attitude and child interest before and after mother-child play sessions.Methods Pre-post intervention questionnaires were distributed to mothers before and after playing with their children. Children were aged 1-5 years, from two play sites (in Surabaya and Makassar), and included using purposive sampling. Eight types of toys/play activities were provided. The allocated time for answering the 17-question survey was 15 minutes. Average scores before and after the mother-child play sessions were analyzed using paired T-test.Results We collected 264 valid questionnaires, 235 in Surabaya and 29 in Makassa...

World Nutrition Journal, 2017

Introduction: This study aims to use the Indonesian translation of modified couple satisfaction i... more Introduction: This study aims to use the Indonesian translation of modified couple satisfaction index (CSI) tool to evaluate parental happiness scores at before and after participating playing together activities that was designed for bonding development between parents and children.Methods: By using a serial pre-post intervention experimental design, to assess a minimal of 263 couples of mothers and fathers having underfive year old child at before after the intervention, and two weeks after. The intervention was playing activities in an interactive playground spent by parents and child for 1.5–2 hours that were located in Medan, Jakarta, Surabaya and Makassar. The validated CSI semi-structured questionnaire (by using Cronbach’s alpha of 60% or more) was used to collect data to explore factors contributing to parents’ happiness. A multiple measure analysis was used to analyse the parents’ happiness improvements.Results: The CSI tool was valid with the Cronbach’s alpha of 0.87 and 0...

Frontiers in Nutrition

BackgroundIndonesian children under-five have a high prevalence of micronutrient deficiencies. Im... more BackgroundIndonesian children under-five have a high prevalence of micronutrient deficiencies. Improving young child feeding practices may be the solution. Increasing the consumption of appropriate milk products could help to reduce nutrient inadequacy.MethodsThe objective of this study was to assess nutrient inadequacy in Indonesian children to evaluate the potential improvement using dietary modeling analysis. Data from children aged 1–5 years from the Indonesian Individual Dietary Consumption Survey in 2014 were used in this analysis (n = 11,020). Diet modeling was conducted in two scenarios, substitution volume to volume and calories to calories.ResultsThe proportion of children consuming young child milk (YCM) was the highest compared to other milk types across all age groups, followed by condensed milk and cow’s milk. YCM, also called “Growing-Up Milk” (GUM), are marketed as a product specifically formulated for the nutritional needs of young children. YCM consumers had lower ...

Pediatric Gastroenterology, Hepatology & Nutrition

Purpose: Information regarding functional gastrointestinal disorders (FGIDs) in infants is curren... more Purpose: Information regarding functional gastrointestinal disorders (FGIDs) in infants is currently lacking in Indonesia. This study aimed to describe the prevalence and risk factors of FGIDs in infants aged 6 weeks to 4 months in Indonesia. Methods: This cross-sectional study of 433 infants was conducted between September 2018 and February 2020. Information on FGIDs was collected using the Infant Gastrointestinal Symptom Questionnaire and the Feeding Practice and Gut Comfort Questionnaire. Adapted Rome IV criteria were used to define the FGIDs. Results: The prevalence of regurgitation was 26.3%; 16.8% of the infants presented cryingrelated symptoms and 5.5% exhibited constipation. The statistical analyses revealed that constipation was associated with sex (odds ratio [OR], 2.74; 95% confidence interval [CI], 1.07-7.71; p=0.043), employment of the father (OR, 0.3; 95% CI, 0.12-0.77; p=0.01), and education of the mother (OR, 1.92; 95% CI, 1.07-3.51; p=0.031). Length at birth (OR, 0.74; 95% CI, 0.55-0.99; p=0.042) was associated with constipation. Length at visit (OR, 0.83; 95% CI, 0.76-0.91; p<0.001) was associated with regurgitation, and the weight at visit (OR, 0.58; 95% CI, 0.35-0.96; p=0.038) was associated with crying and/or colic. A history of parental FGIDs was associated with crying-related symptoms (OR, 2.12; 95% CI, 1.23-3.68; p=0.007). Conclusion: Regurgitation, crying, and constipation are common FGIDs in infants. Some parental and infant characteristics may be predictors for FGIDs. Further investigations are needed to evaluate the clinical relevance of our findings. Understanding the determinants of FGIDs will benefit healthcare professionals and parents to improve infant's quality of life and better manage these condition.

International Journal of Environmental Research and Public Health, Apr 29, 2022

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Journal of Family Medicine and Primary Care

Relationship between intra-household food distribution and coexistence of dual forms of malnutrition

Dari berbagai masalah kekurangan zat gizi mikro di Indonesia, hanya kurang vitamin A (KVA), anemi... more Dari berbagai masalah kekurangan zat gizi mikro di Indonesia, hanya kurang vitamin A (KVA), anemia khususnya akibat kurang zat besi, dan gangguan akibat kurang iodium (GAKI) saja yang sudah banyak diteliti. Prevalensi kekurangan zat gizi mikro tersebut masih tinggi sehingga menjadi masalah kesehatan masyarakat. Akan tetapi penelitian kekurangan zat gizi mikro yang lain masih terbatas. Selain itu kekurangan zat gizi mikro khususnya pada keluarga miskin masih belum banyak diteliti. Penelitian ini bertujuan mengetahui besaran masalah kekurangan zat gizi mikro di Jakarta Utara pada 300 keluarga miskin dan 100 keluarga hampir miskin di 4 kelurahan yang mempunyai anak balita. Semua anak balita menjadi sampel penelitian, sedangkan untuk kelompok umur lain yaitu anak usia sekolah, remaja, dan dewasa hanya diambil sub-sampel. Data yang dikumpulkan adalah konsumsi makanan dan darah vena untuk dianalisis kadar hemoglobin, serum ferritin, zat seng (zinc), dan asam folat, dan data morbiditas. Ha...

Sari Pediatri, 2018

Latar belakang. Kualitas tumbuh kembang balita ditentukan oleh nutrisi, kasih sayang, stimulasi, ... more Latar belakang. Kualitas tumbuh kembang balita ditentukan oleh nutrisi, kasih sayang, stimulasi, dan perlindungan terhadap penyakit. Ibu sebagai pengasuh utama anak berperan penting mengoptimalkan pertumbuhan dan perkembangan anak, sehingga harus memiliki sikap yang baik tentang pemantauan tumbuh kembang saat kunjungan ke tenaga kesehatan. Peningkatan pengetahuan Ibu dapat dilakukan dengan edukasi dan pelatihan.Tujuan. Menganalisis efektivitas seminar pada perubahan sikap ibu dalam pemberian dukungan nutrisi dan stimulasi selama pemantauan tumbuh kembang. Metode. Penelitian desain potong lintang dengan kuesioner pre dan post intervensi dilakukan pada ibu dengan balita. Perubahan sikap ibu dievaluasi dalam pemantauan tumbuh kembang anaknya. Intervensi berupa seminar mengenai kesehatan anak yang diadakan di 6 kota besar di Indonesia dengan purposive sampling peserta yang mengisi lengkap kuesioner. Analisis data digunakan metode paired T-test dalam software IBM SPSS statistics versi 22...

Integrative Food, Nutrition and Metabolism, 2019

Purpose: To help pediatrician utilize probiotic use correctly, it is important for them to keep u... more Purpose: To help pediatrician utilize probiotic use correctly, it is important for them to keep updated about new knowledge through various sources and methods. This study aimed to evaluate clinical behavior and factors influencing pediatricians to consider probiotic recommendation in infants and toddlers patients. Patients and methods: A cross-sectional study conducted to 99 pediatricians attended Probiotic Summit in Jakarta on July 2018. Data collection aimed to gather characteristics of the subject's age, employment and affiliation status and years having pediatric practice through self-administered questionnaire. The current knowledge, clinical behavior and others factors influencing pediatricians to consider recommendation collected using modified 12-items questionnaire by Legare et al, 2014 Results: about 99 pediatricians participated in the study; of which 58 subjects worked in private hospital and 41 subjects were government hospital-based pediatricians. Majority of subjects were aged between 40-60 years old and 71% had been worked in pediatric clinical practice for more than 10 years. Almost all of subjects showed confident with scientific evidences (99%) and agreement on ethical importance of probiotic in infants and toddlers (98%), which was reflected to their positive prescribing consideration. From self-assurance perspective, 97% of subjects convinced with probiotic usage in infants and toddler, and hence consider to prescribe probiotic to their patients [OR (CI95%):0.50 (0.12-1.99); P=0.02). The multivariate analysis comparing the outcome variables to subject's consideration to prescribe found that knowledge (P=0.05), ethical consideration (P<0.001), self-assurance (P<0.001), clinical behavior (P<0.001), and attitude (P<0.001) were factors that strongly associated with subject's consideration to prescribing probiotic to their patients. Conclusion: Knowledge, scientific evidences and ethical point of view were key factors influencing pediatricians to recommend probiotic to their patients. and even direct information via interaction with representatives from nutrition companies [9,10]. CME interventions have limited impact [11]. Studies show that the prescribing pattern of physicians strongly depend on a series complex factors, including personal motivation as well as external factors such as requests from patients [12]. Doctors' prescription patterns are not standardized but are dynamic and individual [13-15]. This study aimed to evaluate the attitude of pediatricians to recommend probiotics, specifically to infants and toddlers. Material and methods Data were collected from 99 pediatricians attending a Probiotic Summit in Jakarta in July 2018. Data collection aimed to gather information on the age, employment and affiliation status, and years in pediatric practice through a questionnaire. Basrowi RW (2019) Factors influencing probiotics recommendation among pediatricians in Indonesia

Pediatric Gastroenterology, Hepatology & Nutrition, 2019

Human breast milk contains numerous biomolecules. Human milk oligosaccharides (HMOs) are the thir... more Human breast milk contains numerous biomolecules. Human milk oligosaccharides (HMOs) are the third most abundant component of breast milk, after lactose and lipids. Amongst the synthetized HMOs, 2′-fucosyllactose (2′-FL) and lacto-N-neotetraose (LNnT) are widely studied and are considered safe for infant nutrition. Several studies have reported the health benefits of HMOs, which include modulation of the intestinal microbiota, anti-adhesive effect against pathogens, modulation of the intestinal epithelial cell response, and development of the immune system. The amount and diversity of HMOs are determined by the genetic background of the mothers (HMO secretors or non-secretors). The non-secretor mothers secrete lower HMOs than secretor mothers. The breastfed infants of secretor mothers gain more health benefit than those of non-secretor mothers. In conclusion, supplementation of infant formula with 2′-FL and LNnT is a promising innovation for infant nutrition.

Nutrients, 2018

Early childhood nutritional interventions typically combine nutritional and psychosocial stimulat... more Early childhood nutritional interventions typically combine nutritional and psychosocial stimulation. Such combined interventions result in long-lasting improvements of cognitive abilities in children who are malnourished. Here, we investigated potential cognitive abilities in normally developing children in Indonesia who were, however, at risk for suboptimal cognitive development due to little psychosocial stimulation in their home environment. In a randomized controlled intervention, children of the experimental group received nutritional supplementation combined with cognitive stimulation. Pre- and post-intervention measurements included cognitive development and functioning, behavior, and mother⁻child interaction. The experimental and control group received nutritional supplementation in the form of a fortified or unfortified milk powder, respectively. Additionally, the children and parents of the experimental group jointly engaged in daily learning activities at home and perfor...

Breastfeeding Medicine, 2012

Exclusive breastfeeding practice is generally low because of multifaceted factors internally with... more Exclusive breastfeeding practice is generally low because of multifaceted factors internally within mothers themselves and also the surroundings. In addition, studies have consistently found that maternal employment outside the home is related to shorter duration of exclusive breastfeeding. With all these challenges, it is interesting that there are some mothers who manage to exclusively breastfeed their infants. Therefore, this report aims at exploring the characteristics of working mothers who are able to practice exclusive breastfeeding. The original study population was non-working and working mothers who have infants around 1 to 6 months old. The study design is an observational study with a mixed methods approach using a quantitative study (survey) and qualitative methods (in-depth interview) in sequential order. In addition, in-depth interviews with family members, midwives, supervisors at work, and community health workers were also included to accomplish a holistic picture of the situation. The study concludes that self-efficacy and confidence of the breastfeeding mothers characterize the practice of exclusive breastfeeding. Good knowledge that was acquired way before the mothers got pregnant suggests a predisposing factor to the current state of confidence. Home support from the father enhances the decision to sustain breastfeeding.

Current Developments in Nutrition

Objectives Dairy foods are an important food source of energy and nutrients for young children. W... more Objectives Dairy foods are an important food source of energy and nutrients for young children. We hypothesized that the intakes of energy and nutrients would be different in children aged 1–5 years who consumed different types of dairy foods in Indonesia. Methods In the current study, we analyzed dietary intake data of Indonesian children aged 1–5 years (n = 11,020) in the Survei Diet Total (SDT) survey conducted in 2014. First, energy and nutrient intakes of each child were estimated based on 1 day 24-hour dietary recall using Nutri-Survey software. Then we compared the energy and nutrient intakes of children who consumed different types of dairy foods. SDT 2014 classification approach of energy and protein intake status, and WHO estimated average requirements (EAR) were applied to defined inadequate intakes in this study. Results We found that 57.3% of Indonesian children aged 1–5 years consumed dairy foods, with the highest percentages of consumption in 36–47m (82.6%) and the lo...

Medical Journal of Indonesia

Background: Amongst the Health Care Professionals, midwife has a strategic role in taking care of... more Background: Amongst the Health Care Professionals, midwife has a strategic role in taking care of both mother and child in contributing to their survival, health, and wellbeing. The retaining midwife’s knowledge and quality of care through training on specific skills is strongly needed. This study aimed to evaluate the knowledge retention among midwives after the provision of digestive health, nutrition, and parenting education sessions at immediate and three months after the education.Methods: A serial pre-post intervention experimental study was conducted from January to July 2016 to evaluate the knowledge before (pre-test), immediate after (post-test), and three months after the provision of three sessions of digestion health, nutrition, and parenting (character building) topics by the experts which covered from several areas in Indonesia. The improvement of the sufficient knowledge proportion time by time was analyzed by using McNemar test.Results: The low immediate response rat...