ASSOCIATION BETWEEN 25-HYDROXYVITAMIN D LEVELS AND GROWTH PARAMETERS IN THALASSEMIA WITH REPEATED BLOOD TRANSFUSION

Background. Blood transfusion is a therapeutic choice for thalassemia with anemia. Hemosiderosis is the side effects of blood transfusions which cause impaired liver function, leads to low vita­min D levels in plasma. The low level of vitamin D cause delay in physical growth. The aim is to determine...

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Main Authors: Najma Khairani Harahap, Mulyono Mulyono, Yetty Movieta Nency, Nyoman Suci Widyastiti
Format: Article
Language:English
Published: Faculty of Medicine, Universitas Diponegoro 2020-11-01
Series:Jurnal Kedokteran Diponegoro
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Online Access:https://ejournal3.undip.ac.id/index.php/medico/article/view/29325
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author Najma Khairani Harahap
Mulyono Mulyono
Yetty Movieta Nency
Nyoman Suci Widyastiti
author_facet Najma Khairani Harahap
Mulyono Mulyono
Yetty Movieta Nency
Nyoman Suci Widyastiti
author_sort Najma Khairani Harahap
collection DOAJ
description Background. Blood transfusion is a therapeutic choice for thalassemia with anemia. Hemosiderosis is the side effects of blood transfusions which cause impaired liver function, leads to low vita­min D levels in plasma. The low level of vitamin D cause delay in physical growth. The aim is to determine the relation between 25-hydroxyvitamin D levels and growth parameters in thalassemia with repeated blood transfusion history. Method. In this analytical cross-sectional study, thalassemia patients with repeated blood transfusion and ages 0-18 years old were recruited. This research was held in Semarang, Purwodadi, and Rembang from May to September 2019. Thalassemia patients who met the criteria were measured the 25-hydroxyvitamin D level, physical activity and the growth parameters (weight, height, and body mass index). Results. Forty thalassemia patients aged 6-18 years old were recruited in this study. The percentage of boys are 47.5% and girls are 52.5%. Most of subject had high ferritin serum (87.5%) and low vitamin D level (87.5%). Growth parameters from the patients were 52.5% weight-for-age <5 percentile, 45% height-for-age <5 percentile and 25% BMI-for-age underweight. There isn’t significant result in 25-hydroxyvitamin D with growth parameters, and a significant result between physical activity and height-for-age (p=0.027), but not with weight-for-age and BMI-for-age. Conclusion. The 25-hydroxyvitamin D do not associate with growth parameters significantly in thalassemia with repeated blood transfusion but physical activity has significant association with height-for-age.
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issn 2540-8844
language English
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record_format Article
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spelling doaj-art-69a628cdbe7043d59a22d4bd79b5460e2025-08-20T03:30:24ZengFaculty of Medicine, Universitas DiponegoroJurnal Kedokteran Diponegoro2540-88442020-11-019642242810.14710/dmj.v9i6.2932525346ASSOCIATION BETWEEN 25-HYDROXYVITAMIN D LEVELS AND GROWTH PARAMETERS IN THALASSEMIA WITH REPEATED BLOOD TRANSFUSIONNajma Khairani HarahapMulyono MulyonoYetty Movieta NencyNyoman Suci WidyastitiBackground. Blood transfusion is a therapeutic choice for thalassemia with anemia. Hemosiderosis is the side effects of blood transfusions which cause impaired liver function, leads to low vita­min D levels in plasma. The low level of vitamin D cause delay in physical growth. The aim is to determine the relation between 25-hydroxyvitamin D levels and growth parameters in thalassemia with repeated blood transfusion history. Method. In this analytical cross-sectional study, thalassemia patients with repeated blood transfusion and ages 0-18 years old were recruited. This research was held in Semarang, Purwodadi, and Rembang from May to September 2019. Thalassemia patients who met the criteria were measured the 25-hydroxyvitamin D level, physical activity and the growth parameters (weight, height, and body mass index). Results. Forty thalassemia patients aged 6-18 years old were recruited in this study. The percentage of boys are 47.5% and girls are 52.5%. Most of subject had high ferritin serum (87.5%) and low vitamin D level (87.5%). Growth parameters from the patients were 52.5% weight-for-age <5 percentile, 45% height-for-age <5 percentile and 25% BMI-for-age underweight. There isn’t significant result in 25-hydroxyvitamin D with growth parameters, and a significant result between physical activity and height-for-age (p=0.027), but not with weight-for-age and BMI-for-age. Conclusion. The 25-hydroxyvitamin D do not associate with growth parameters significantly in thalassemia with repeated blood transfusion but physical activity has significant association with height-for-age.https://ejournal3.undip.ac.id/index.php/medico/article/view/29325thalassemia, 25-hydroxyvitamin d, growth parameters, physical activity
spellingShingle Najma Khairani Harahap
Mulyono Mulyono
Yetty Movieta Nency
Nyoman Suci Widyastiti
ASSOCIATION BETWEEN 25-HYDROXYVITAMIN D LEVELS AND GROWTH PARAMETERS IN THALASSEMIA WITH REPEATED BLOOD TRANSFUSION
Jurnal Kedokteran Diponegoro
thalassemia, 25-hydroxyvitamin d, growth parameters, physical activity
title ASSOCIATION BETWEEN 25-HYDROXYVITAMIN D LEVELS AND GROWTH PARAMETERS IN THALASSEMIA WITH REPEATED BLOOD TRANSFUSION
title_full ASSOCIATION BETWEEN 25-HYDROXYVITAMIN D LEVELS AND GROWTH PARAMETERS IN THALASSEMIA WITH REPEATED BLOOD TRANSFUSION
title_fullStr ASSOCIATION BETWEEN 25-HYDROXYVITAMIN D LEVELS AND GROWTH PARAMETERS IN THALASSEMIA WITH REPEATED BLOOD TRANSFUSION
title_full_unstemmed ASSOCIATION BETWEEN 25-HYDROXYVITAMIN D LEVELS AND GROWTH PARAMETERS IN THALASSEMIA WITH REPEATED BLOOD TRANSFUSION
title_short ASSOCIATION BETWEEN 25-HYDROXYVITAMIN D LEVELS AND GROWTH PARAMETERS IN THALASSEMIA WITH REPEATED BLOOD TRANSFUSION
title_sort association between 25 hydroxyvitamin d levels and growth parameters in thalassemia with repeated blood transfusion
topic thalassemia, 25-hydroxyvitamin d, growth parameters, physical activity
url https://ejournal3.undip.ac.id/index.php/medico/article/view/29325
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AT yettymovietanency associationbetween25hydroxyvitamindlevelsandgrowthparametersinthalassemiawithrepeatedbloodtransfusion
AT nyomansuciwidyastiti associationbetween25hydroxyvitamindlevelsandgrowthparametersinthalassemiawithrepeatedbloodtransfusion