Page 358 - Abstract Book KONIKA 18

Nutrition & Metabolic Diseases

P–NMD–001
Anthropometric Profiles of Down Syndrome Childern with or without Congenital
Heart Disease in Dr. Chasbullah Abdulmadjid Hospital Bekasi City

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St. Rahmah Rahim , Rosdianah Rahim , Rochmatunnisa Candra Mustika , Tri Yanti Rahayuningsih ,
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Mas Wishnuwardhana , Dina Siti Daliyanti , Thommy Harry Adoe , Mira , Charles Antoni , Adrienta 1
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Pediatric Division Chasbullah Abdulmadjid Hospital Bekasi, West Java , Faculty of Medicine, Universitas Kristen
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Indonesia, Jakarta , Faculty of Medicine and Health Sciences UIN Alauddin Makassar, South Sulawesi , Indonesia
Abstract
Background Down's Syndrome (DS) is a congenital disorder on chromosome 21. Children with DS have
distinctive physical characteristics and growth patterns. Often malnutrition in children with DS occurs
because of the anatomical structure and also the presence of other accompanying comorbidities, such as
congenital heart disease (CHD). Anthropometric measurement is a simple way to determine nutritional status
by using parameters of age, weight and height. Objective To determine the anthropometric features of DS
children with or without CHD. Methods This is descriptive research with a cross sectional study design,
using data from medical records from September 2020 to July 2021 and analyzed using SPSS. The sample
is 58 children with DS who come to pediatric outpatient of Dr. Chasbullah Abdulmadjid Hospital, Bekasi
City. DS was established based on physical criteria, nutritional status using a growth chart for DS and the
presence of cardiac abnormalities on echocardiography. Results From 73 DS children, 49 children (67.1%)
suffer from CHD with the age mostly range from 12 to 59 months (49%). The highest classification of CHD
was acyanotic CHD (87.8%) with the most type of abnormality being Atrial Septal Defect (ASD) 42.1%. It
was found that 20% of DS children had several type of CHD. Conclusion DS children have a greater risk
being diagnosed from CHD with the most type of abnormality being ASD. Cardiac examination should be
used as a routine examination in all children with DS.
Keywords: child down's Syndrome; congenital heart disease

P–NMD–002
Approaching of Calory Restriction Diet and Modified Sedentary Life Style for
Treatment A 14-year-old Boy with 3 Grade Obesity with Metabolic Syndrome:
rd
A Case Report
Yasmin Musfirah, P. Kusuma Ningtyas, Indra WidjayaHimawan, Arief Budiarto
Department of Child Health, Faculty of Medicine Universitas Lambung Mangkurat/.Ulin General Hospital,
Banjarmasin, South Borneo, Indonesia

Abstract
Background Obesity is considered as world health problem. A systemic review of 1769 cases, shows
the prevalence of overweight and obesity reach 50% over three decades. An increase in obesity
prevalence leads to other comorbidities such as hypertension, type-2 diabetes, and metabolic syndrome.
Objective To describe the treatment of 3rd-grade obesity Case A 14-year-old boy, weighed 115 kg, who had
history of obesity since childhood. The patient’s body weight was 35 kg at 5 years old, 10 kg at 10 years
old, and 115 kg at the first time came to our hospital. Patient’s blood pressure increased (P90-95). There’re
round face, double chin, short neck, acanthosis nigricans, buffalo humps, fat accumulation, and multiple
striae. Patient had a rounded belly and buried penile. Anthropometric status showed BW/Age >P97, BL/Age
P5-10, BW/BL 250%, BMI/Age >P97 (BMI 47.9). There’s increase in blood fasting sug
ar, 2 hours postprandial, LDL, triglyceride, and decrease HDL. The patient was given progressive calory
restriction diet, with a target 20% above ideal body weight. Calory was decreased 10% every 3 days based
on diet tolerance. The patient was educated to modify a sedentary lifestyle also given medication based on
symptoms and comorbidities. After 6 months patient’s weight was 89 kg, BW/Age >P97, BW/BL 193%,
BMI/Age >P97 (BMI 36.5). Obesity state was decreased to 2nd grade and patient can walk properly.
Conclusion Calory restriction diet and modified sedentary life style approach has had positive outcomes
in obese children and adolescents.
Keywords: adulthood obesity; calory restriction; metabolic syndrome

310 KONIKA XVIII Abstract Book