CORRELATION BETWEEN BLOOD TRANSFUSION COMPLIANCE AND ADEQUACY OF ENERGY AND MACRO NUTRIENT INTAKE WITH THE NUTRITIONAL STATUS OF THALASSEMIA PEDIATRIC PATIENTS AT THE BANYUMAS HOSPITAL Nadiatul Husniyah Sholhan(1), Hiya Alfi Rahmah(1,2), Pramesthi Widya Hapsari(1,2), Yovita Puri Subardjo(1), Katri Andini Surijati(1), Joko Setyono(2,3), Susilowati (4), Muhammad Basalamah(4)
1) Departement of Nutritional Science, Faculty of Health Science, Jenderal Soedirman University
2) Center of Excellence for Science and Technology, Center of Applied Sciences For Pharmaceutical And Health
3) Faculty of Medicine, Jenderal Soedirman University
4) Banyumas Hospital
Abstract
Thalassemia is a genetic disease and often found in children. Thalassemia patients have low hemoglobin levels due to abnormalities in hemoglobin synthesis so that red blood cells cannot produce sufficient amounts of hemoglobin so that require lifetime blood transfution. Inadequate nutritional intake will worsen and affect their growth and nutritional status. The aim of this study to determine correlation between blood transfusion compliance and adequacy of energy and macro nutrient intake with nutritional status of thalassemia pediatric patients at Banyumas Hospital. A cross sectional study design was conducted involving pediatric patients aged 8-12 years and did not suffer from complications were included in the study. Data was analyzed by rank spearman test. Result of this study were most of the respondent had normal nutritional status (86,8%), complied with blood transfusions (88,7%), adequacy of energy intake is normal (60,4%), carbohydrate is normal (47,2%), protein is less (83,0%) and fat is excess (45,3%). The results of bivariate analysis showed insignificant values between nutritional status and blood transfusion compliance (p=0,795), adequacy of energy intake (p=0,400), protein (p=0,206), fat (p=0,577), and carbohydrate (p=0,517). There was no correlation between blood transfusion compliance, adequacy of energy and macro nutrient intake with nutritional status of thalassemia patients.
Keywords: Thalassemia, blood transfusion compliance, adequacy of energy and macro nutrient intake, nutritional status
