Summary: | Background: Dengue Haemorrhagic Fever (DHF) is the most important viral
disease in the world. Anually there are an estimated 500.000 cases and 22.000
deaths of DHF in the world. In 2011 occured an outbreak in Kupang (915 cases)
and most of the cases was the children aged 1-9 years (644 cases). It also caused
10 deaths in children aged 1-9 years. Overweight children have higher severity of
DHF than normal or thin children, because autoimmune make DHF more difficult
to treat.
Objective: To describe correlation between DHF severity and body size among
children aged 1-9 years in Kupang.
Methods: This study used a hospital-based case control design. The samples were
children aged 1-9 years as DHF patient at the hospital of Prof. Dr. W.Z. Johannes.
Data analysis used Mantel-Haenszel test and multiple conditional logistic
regression with value of 0.05 and Confidence Interval (CI) 95%.
Results: Total sample is 100 children that consist of 25 children with DSS (DHF
grade III and IV) and 75 children with DHF (DHF grade I dan II). Obese/
overweight children is 11 children and children who had been breastfed less than
6 months is 31 children. Bivariable and multivariable analysis showed body size
and breastfeeding duration were significantly related to severity of DHF (p
value=0,002 dan OR=6,4 and p value=0,006 dan OR=5,1). But, breastfeeding
duration is the most dominant variabel related to DHF severity (third model).
Conclusion: There was a correlation between body size, breastfeeding duration,
and DHF severity. The increasing size of children's body correlates with
increasing level of DHF severity.
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