Page 361 - Abstract Book KONIKA 18

Nutrition & Metabolic Diseases

P–NMD–007
Obesity in A 13-year-old boy with Periodic Paralysis Hypokalemia

Nur Ramdhani, Aidah Juliaty A. Baso, Ratna Dewi Artati, Hadia Angriani
Department of Pediatrics, Hasanuddin Universitas’s Faculty of Medicine/Dr. Wahidin Sudirohusodo Hospital,
Makassar, South Sulawesi, Indonesia

Abstract
Background Obesity is defined as a disorder characterized by accumulation of excess body fat tissue.
Increasing obesity prevalence is followed by increasing prevalence of comorbidities. Periodic Paralysis
Hypokalemia is characterized by acute episodic muscle weakness at irregular intervals, caused by acute
redistribution of potassium into the intracellular fluid. Paralysis is usually triggered by high carbohydrate
diet. Objective To show association between obesity and Periodic Paralysis Hypokalemia, monitor the
course of disease and outcome of interventions. Case We present a 13-year-old boy, with chief complaint
of recurrent weakness in extremities since 3 days before admitted to the hospital precipitated by vomiting
and eating high carbohydrate food. On physical examination, blood pressure was 130/70 mmHg with body
weight 87.9 kg, height 165 cm, and BMI 31.7. Acanthosis nigricans, adipomastia and buried penis were
observed. We also found a decrease in muscle tone and strength in both legs and arms. Laboratory findings
were leukocyte 20.900/uL, SGOT/SGPT 176/157U/L, potassium 1.6 mmol/L, HDL cholesterol 27 mg/dl,
and LDL cholesterol 133 mg/dl, calsium urine 38,4 mg, and metabolic alkalosis. Abdominal ultrasound
revealed fatty Liver Grade II. Electromyography did not provide a specific finding. We treated this patient
with intravenous potassium, antihypertensive drugs, antibiotics, and obesity management with food rules
method, physical activity, and behavior modification with parents as role models. On 9th day hospitalization,
the patient's paralysis resolved and discharged with no neurological deficits. Conclusion A case of obesity in
a 13-year-old boy with Periodic Paralysis Hypokalemia was presented. Therapy includes giving potassium,
diet and lifestyle modification.
Keywords: obesity; periodic paralysis hypokalemia

P–NMD–008
Nutritional Status and Associated Factors in Pediatric Patients
at RSUP Dr. M. Djamil Padang

Diyas Anugrah, Nice R. Masnadi
Department of Child Health, Faculty of Medicine Universitas Andalas/Dr. M. Djamil Hospital,
Padang, West Sumatera, Indonesia

Abstract
Background Children nutritional status is a highly focused problem in low and middle income countries.
Prevalence of undernutrition and malnutrition was around 13.8% and 3.9%, respectively. Many factors
considered to be an associated factors for nutritional status in children. Objective To describe nutritional
status and associated factors in pediatric patients at Dr. M. Djamil Hospital. Methods A descriptive study was
retrospectively conducted based on medical record at pediatric ward of Dr.M.Djamil Hospital from Januari
2020 - Maret 2021. Results A total of 43 children were included in this study, 6(14%) had birth weight of
<2.5 kg, 37 (86%) had birth weight of ≥2.5 kg. Distribution of gestational age in aterm group were found in
35 (81.4%), and 31 (72.1%) were exclusively breastfed. Children with birth weight <2.5kg had undernutrition
were found in 4 (26.7%), 2 (9%) with good nutrition and none suffer from malnutrition. Children with birth
weight ≥2.5 kg had good nutritional status were found in 20 (91%), 11(73.3%) with undernutrition. Most of
the children either good nutritional status, under nutrition, and malnutrition were found to get weaning food
at the age of > 6 months, respectively 90.9%, 93.3%, and 83.3%. Based on gestational age, 81.8% children
with good nutrition were born aterm and 66.7% children who did not exclusively breastfed had malnutrition.
Conclusion Nutritional status of children has affected by several associated factors, birth weight, exclusive
breastfeeding, and gestational age.

Keywords: birth weight; exclusive breastfeeding; gestational age; nutritional status; pediatric

KONIKA XVIII Abstract Book 313