Food consumption and nutritional and biochemical status of 0·5–12-year-old Indonesian children: the SEANUTS study

Sandjaja, Sandjaja; Budiman, Basuki; Harahap, Heryudarini; Ernawati, Fitrah; Soekatri, Moesijanti; Widodo, Yekti; Sumedi, Edith; Rustan, Effendi; Sofia, Gustina; Syarief, Sainstiani N.; Khouw, Ilse

doi:10.1017/s0007114513002109

Cited by 119 publications

(152 citation statements)

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“…The sampling procedures followed in each one of the four SEANUTS countries are described in detail elsewhere (17,(19)(20)(21)(22) . In brief, both Indonesia and Thailand used population-based sampling approaches, whereas Malaysia and Vietnam performed their sampling in nurseries, kindergartens and primary schools.…”

Section: Samplingmentioning

confidence: 99%

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Length and height percentiles for children in the South-East Asian Nutrition Surveys (SEANUTS)

Rojroongwasinkul¹,

Bao²,

Sandjaja³

et al. 2015

Public Health Nutr.

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Objective: Health and nutritional information for many countries in the South-East Asian region is either lacking or no longer up to date. The present study aimed to calculate length/height percentile values for the South-East Asian Nutrition Survey (SEANUTS) populations aged 0·5-12 years, examine the appropriateness of pooling SEANUTS data for calculating common length/height percentile values for all SEANUTS countries and whether these values differ from the WHO growth references. Design: Data on length/height-for-age percentile values were collected. The LMS method was used for calculating smoothened percentile values. Standardized site effects (SSE) were used for identifying large or unacceptable differences (i.e. j SSE j > 0·5) between the pooled SEANUTS sample (including all countries) and the remaining pooled SEANUTS samples (including three countries) after weighting sample sizes and excluding one single country each time, as well as with WHO growth references. Setting: Malaysia, Thailand, Vietnam and Indonesia. Subjects: Data from 14 202 eligible children were used. Results: From pair-wise comparisons of percentile values between the pooled SEANUTS sample and the remaining pooled SEANUTS samples, the vast majority of differences were acceptable (i.e. j SSE j ≤ 0·5). In contrast, pair-wise comparisons of percentile values between the pooled SEANUTS sample and WHO revealed large differences. Conclusions: The current study calculated length/height percentile values for South East Asian children aged 0·5-12 years and supported the appropriateness of using pooled SEANUTS length/height percentile values for assessing children's growth instead of country-specific ones. Pooled SEANUTS percentile values were found to differ from the WHO growth references and therefore this should be kept in mind when using WHO growth curves to assess length/height in these populations. KeywordsNutrition Survey Length/height Percentiles Children SEANUTSThe economic transition due to rapid industrialization observed over the last decades in South-East Asian countries has coincided with marked changes in dietary habits and lifestyle patterns that may have a significant impact on several health indices in these populations (1)(2)(3)(4) . Because of these lifestyle changes, growth and physical development in infants, children and adolescents can be influenced and this is reflected mainly in changes recorded over time in certain anthropometric indicators, namely body weight, stature (or recumbent length in infants) and BMI. In this context, according to data from the WHO (5,6) , the decreasing trend in the prevalence of stunting (by 43·4 million) and underweight (by 35·6 million) and the increasing prevalence of overweight and obesity (by 4·4 million) observed over the last two decades among children in South-East Asia (including Thailand, Indonesia and Malaysia) provide a strong indication of this impact.

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Section: Samplingmentioning

confidence: 99%

“…More information on the algorithm used for the power analysis and sample size calculation in the present study is provided elsewhere (17,(19)(20)(21)(22) .…”

Section: Power Analysismentioning

confidence: 99%

Length and height percentiles for children in the South-East Asian Nutrition Surveys (SEANUTS)

Rojroongwasinkul¹,

Bao²,

Sandjaja³

et al. 2015

Public Health Nutr.

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“…Dealing with short-latency deficiency diseases is in principle relatively straightforward, the main difficulties usually being establishing the deficiencies at the population level. Recent, nationally representative studies in Indonesia and Malaysia reported vitamin D deficiency (using the cutoff of 50 nmol/L; 20 ng/mL) in over 60% of girls 7-12 years old [17][18][19], which had never been measured before. Fortification has proven to be an effective way to increase intakes of selected nutrients in both developed and developing countries [9], although sub-optimal data is often found in estimating population deficiencies and food intakes of potentially fortified foods.…”

Section: "Conflicts" Of Evidencementioning

confidence: 99%

Reconciling the Irreconcilable: Micronutrients in Clinical Nutrition and Public Health

J¹

2015

Vitam Miner

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“…20 Perbedaan ini terjadi karena prevalensi anak yang kekurangan vitamin D di Indonesia lebih besar (44%) dibandingkan dengan di Mesir (15%). 21,22 Pada penelitian di India 23 (2013), rerata dari usia pasien anak dengan sepsis adalah 4,2 tahun dan median kadar calcifediol 19,7 ng/mL dengan prevalensi pasien sepsis yang mempunyai kadar calcifediol <20 ng/mL lebih tinggi (51%) dibandingkan dengan kontrol (17%). Penelitian di Mesir 20 (2015) menunjukkan rerata dari usia pasien anak dengan sepsis adalah 8 tahun dan rerata dari kadar calcifediol 24,5 ng/mL.…”

Section: Pembahasanunclassified

Kadar 25-hydroxyvitamin D sebagai penanda sepsis pada anak

Tjowanta¹,

Yoel²,

Lubis³

2018

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Latar belakang. Sepsis merupakan penyebab tersering morbiditas dan mortalitas pada anak. Vitamin D memiliki peran penting dalam mengoptimalkan sistem imun bawaan serta memodulasi respon imun adaptif pada sepsis. Tujuan. Untuk mengevaluasi nilai diagnostik dari kadar 25-hydroxyvitamin D sebagai penanda sepsis pada anak. Metode. Penelitian diagnostik dengan desain potong lintang dilakukan terhadap 50 anak di PICU RSUP Haji Adam Malik dari Februari sampai Maret 2016. Duapuluh lima anak didiagnosis sepsis dan 25 non sepsis. Kriteria inklusi adalah pasien anak berusia 1 bulan sampai <18 tahun. Sensitivitas, spesifisitas, nilai duga positif, nilai duga negatif, rasio kemungkinan positif dan negatif dinilai pada penelitian ini. Hasil. Rerata kadar 25-hydroxyvitamin D pada kelompok sepsis (24 ng/mL) relatif lebih rendah dibandingkan dengan kelompok non sepsis (29,7 ng/mL). Nilai batas ambang kadar 25-hydroxyvitamin D 24 ng/mL. Kami menemukan 15 orang dengan sepsis dan 2 orang non sepsis dengan nilai batas ambang ini. Dari uji diagnostik diperoleh sensitivitas 60%, spesifisitas 92%, nilai duga positif 88%, nilai duga negatif 70%, rasio kemungkinan positif 7,5 dan rasio kemungkinan negatif 0,43. 25-Hydroxyvitamin D Level as a Marker of Sepsis in ChildrenAustin Simon Tjowanta, Chairul Yoel, Munar Lubis Background. Sepsis is the major cause of morbidity and mortality among children. Vitamin D plays an important roles in optimazing the innate immune system and the adaptive immune response in sepsis. Objective. To evaluate diagnostic values of 25-hydroxyvitamin D level as a marker for sepsis in children. Methods. A diagnostic study with cross-sectional design was conducted in 50 children, 25 with sepsis and 25 without sepsis in the PICU, Haji Adam Malik Hospital from February to March 2016. Children aged 1 month to <18 years were included. Sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, and negative likelihood ratio were evaluated in this study. Results. The mean level of 25-hydroxyvitamin D in the sepsis group (24 ng/mL) was lower than in the non-sepsis group (29.7 ng/ mL). The 25-hydroxyvitamin D level had a cut-off point of 24 ng/mL. Using this cut-off point, we identified 15 patients with sepsis and 2 patients without sepsis. The diagnostic study showed 60% sensitivity, 92% specificity, 88% positive predictive value, 70% negative predictive value, 7.5 positive likelihood ratio, and 0.43 negative likelihood ratio. Conclusion. The 25-hydroxyvitamin D level has high specificity but low sensitivity, for it can be used as additional sepsis marker in children. Sari Pediatri 2017;19(3):150-5

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Food consumption and nutritional and biochemical status of 0·5–12-year-old Indonesian children: the SEANUTS study

Cited by 119 publications

References 11 publications

Length and height percentiles for children in the South-East Asian Nutrition Surveys (SEANUTS)

Length and height percentiles for children in the South-East Asian Nutrition Surveys (SEANUTS)

Reconciling the Irreconcilable: Micronutrients in Clinical Nutrition and Public Health

Kadar 25-hydroxyvitamin D sebagai penanda sepsis pada anak

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