Page 93 - Abstract Book KONIKA 18

Nutrition & Metabolic Diseases

O–NMD-003
The Relationship between Vitamin D Levels in Children with Overweight
and Obese Nutritional Status and Its Correlation with Calcium Levels
in Saiful Anwar Hospital Malang

2
Hanna Tetty¹, Anik Puryatni , Harjoedi Adji Tjahjono , Irfan Agus Salim , Fadilah Mutaqin 3
3
3
2
1
¹Pediatric Department , Nutrition and Metabolic Division, Pediatric Department , Endokrin Division, Pediatric Depart-
3
ment , Faculty of Medicine, Universitas Brawijaya, Malang, East Java, Indonesia
Abstract
Background Obesity is a state of excessive accumulation of body fat tissue which occurs due to excessive
energy stored in the form of fat tissue. Obesity is also often associated with a long history of steroid use
which has an effect on increasing appetite and weight gain and adipose tissue absorbs fat-soluble vitamin D.
Objective To determine the relationship between levels of vitamin D (25(OH)D), calcium with overweight
and nutritional status of children with obesity. Methods We conducted analytic cross-sectional study in
overweight and obesity pediatric patients with prolonged use of steroid or without steroid used that was
hospitalized from January to June 2021 in Saiful Anwar Hospital Malang. We conducted Vitamin D and
calcium examination. Demography, clinical and laboratory data were obtained from medical records.
The data were analyzed by using chi-square study analysis using SPSS. Results Forty-five children
with overweight and obesity nutritional status were admitted during study period. 21 of 45 patients were
overweight, 24 obese patients and ten patients with leukemia with prolonged use of steroid; fourteen patients
with kidney disease, five patients with autoimmune diseases with prolonged used of steroid, twelve patients
without steroid used. Six of 45 patients had insufficient vitamin D and 31 of 45 patients with deficient
vitamin D. Six of 45 patients with hypocalcemia. Deficiency of vitamin D was significantly related with
hypocalcemia (P=0.009), overweight and obesity were significantly related to vitamin D deficiency (P=0.003).
Conclusion The deficiency levels of 25 (OH) D were significantly related to overweight and obese children,
and vitamin D deficiency was significantly related with hypocalcemia.
Keywords: vitamin D; Calsium; children; overweight; obesity
O–NMD–004
Relationship between Level of Burn Out and Level of Knowledge
on Infant Feeding Practices Children Aged of 6-36 Months
of Pediatrics Residents at Dr. Moewardi Hospital Surakarta

Sandi Nugraha, Aisya Fikritama
Department of Child Health, Faculty of Medicine Sebelas Maret Universitas/Dr. Moewardi General Hospital,
Surakarta, Central Java, Indonesia

Abstract
Background Improper feeding practices can inhibit growth and affect the nutritional status. Level of
knowledge and level of burn out impact to the success of infant feeding practices. The aim of this study was
to determine the relationship between level of burn out and level of knowledge on infant feeding practices.
Methods This experimental quantitative with cross-sectional and simple random sampling was conducted
in February 2021. Samples were 32, consist ofpediatrics resident aged of 28-35 years, have children aged of
6-36 months. The questionnaire tested with Cronbach's Alpha values 0.687 and 0.794 on questionnaires 1 and
2. Data analyzed by bivariate analysis, Spearman rank correlation and Eta test, while multivariate analysis
using linear regression. Results This study showed that the level of knowledge was associated with infant
feeding practices with r value 0.565. Level of burn out has negative correlation with infant feeding practices
with r value of 0.450. Multivariate analysis showed that the level of knowledge was the most dominant
factor with r value 0.488, P value < 0.05. Conclusion There is a significant relationship between level of
knowledge and infant feeding practices and a significant negative correlation between level of burn out and
infant feeding practices. The level of knowledge is the most dominant factor.

Keywords: level of knowledge; level of burn out; infant feeding practice

KONIKA XVIII Abstract Book 47