Page 237 - Abstract Book KONIKA 18

Hemato-Oncology

P-HO-019
Parents Knowledge about Types of Food for Children with Cancer in Manado

Hubert Tatara, Stefanus Gunawan, Max Mantik
Department of Child Health, Faculty of Medicine Universitas Sam Ratulangi/Prof. Dr. R.D. Kandou General Hospital,
Manado, North Sulawesi, Indonesia

Abstract
Background Parents of children with cancer are faced with various sources of information about foods are
allowed for their children to eat, and sources that discredit food as a cause of cancer. Objective To evaluate
parents' experiences about the types of foods that are related to cancer. Methods A cross-sectional descriptive
study using a structured questionnaire about diet and hygiene that has been modified, from March 2020 to
April 2021, in the Estella inpatient room, Prof. R.D. Kandou, Manado. Results From 82 participants, about
47 (57.3%) participants believed cancer was caused by food, especially those containing dyes (74.4%).
Information about this food is most often obtained by parents from the internet (81.7%). Seventy-one (86.6%)
participants changed their diet to prevent their child's disease from getting worse after being diagnosed
with cancer. Mineral water (81.7%), cooked meat (96.3%), boiled eggs (97.5%), and fresh fruit (90.2%),
are the participants most often chosen. Meanwhile, raw fish (78%), raw vegetables (75.6%), which contain
preservatives (74.4%) and unboiled water (73.1%) are not recommended. Likewise, street snacks are also
not allowed (91.4%). Seventy-nine (96.3%) participants need for special foods for their children, such as
green vegetables (93.9%), fruits (90.2%), milk (76.8%), and eggs (73.1%). Conclusion It is necessary to
introduce the types of foods that are allowed for parents of children with cancer, so that they can provide a
variety of healthy and nutritious foods for their children.
Keywords: types of food; children with cancer

P-HO-020
Relationship of Ferritin Status to The Event of Hypogonadism
in Children with Transfussion Dependent Thalassemia

Muchaimin Buntara, Olga Rasiyanti Siregar, Karina Sugih Arto
Department of Child Health, Medical Faculty, Universitas Sumatera Utara, Medan, North Sumatera, Indonesia

Abstract
Background Thalassemia is a genetic disease of blood disorders that have the most types and frequencies
in the world and occurs due to a lack of hemoglobin forming substances, that cause the body to be unable
to produce normal red blood cells. Hypogonadism is the most commonly reported endocrine complications
and caused by deposits of iron (ferritin) in the gonad, pituitary gland or both. Prolonged conditions in cases
of hypogonadism can cause puberty disorders in children. Objective To examine the relationship between
ferritin status and the incidence of hypogonadism in children with transfusion dependent thalassemia.
Methods This research is an analytical study with a cross-sectional approach in thalassemia children at Rumah
Sakit Umum Pusat Haji Adam Malik Medan from March 2021 to May 2021. Each child was interviewed
and the blood was drawn before transfusion for the laboratory examination. The analysis was carried out
using the Mann-Whitney test and the Fisher Exact test. Results From 31 samples of children who had met
the inclusion and exclusion criteria, ferritin levels showed an average of 1684,39 ng/mL. The results of
examination of the gonadal hormones, namely progesterone, estrogen, and testosterone showed as many as
17 children with hypogonads or the level of the gonadal hormone are below the normal levels (P=0.003).
Conclusion There is a significant relationship between the ferritin status and hypogonadism in B thalassemia
major children at Rumah Sakit Umum Pusat Haji Adam Malik Medan.
Keyword: thalassemia; ferritin status; hypogonadism

KONIKA XVIII Abstract Book 189