HUBUNGAN HIPERTIROTROPINEMIA TERHADAP TINGKAT KECERDASAN ANAK TK DI DESA SELOHARJO, KECAMATAN PUNDONG, BANTUL, DIY

Hyperthyrotropinemia indicate a saturation insufficiency T3 receptors in the brain and the potential risk of deficiency in the development of intelligence. Intelligence is part of quality determinant of Human Resources (HR). Future quality of human resources is formed from quality child built from n...

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Main Authors: , Indri Hapsari, , dr. S.Yudha Patria, Ph.D, Sp.A.
Format: Thesis
Published: [Yogyakarta] : Universitas Gadjah Mada 2014
Subjects:
ETD
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author , Indri Hapsari
, dr. S.Yudha Patria, Ph.D, Sp.A.
author_facet , Indri Hapsari
, dr. S.Yudha Patria, Ph.D, Sp.A.
author_sort , Indri Hapsari
collection UGM
description Hyperthyrotropinemia indicate a saturation insufficiency T3 receptors in the brain and the potential risk of deficiency in the development of intelligence. Intelligence is part of quality determinant of Human Resources (HR). Future quality of human resources is formed from quality child built from now. Child quality are formed by genetic and environmental factors (asah, asih asuh). Iodine is required for the production of thyroid hormones, which are essential for brain development and intelligence. The younger child has a deficiency of thyroid hormones, the more severe effects on brain disorders. Thyroid hormone secretion stimulated by the Thyroid Stimulating Hormone (TSH). Elevated TSH is used as the first filter in the detection of thyroid disorders. The objective of our study was to know the correlation of hyperthyrotropinemia to the level of intelligence of preschool children (TK) in iodine deficiency endemic area. The study design was cross sectional, 51 subjects with a number of two kindergartens in the Village of Seloharjo during December 2010. The assessment carried out of bloodspot TSH levels, level of intelligence and intelligence profile. Statistical analysis by chi-square and logistic regression. There were 39.2% hyperthyrotropinemia subject with a mean of TSH 5.59 μUI / ml (minimum 2.57 μUI/ml and maximum 14.24 μUI / ml). IQ points below the average was 25.5% with a mean IQ of 96.8 points. Hyperthyrotropinemia child with an IQ below the average was 6 children (30%) with a mean TSH 7.63 μUI / ml (increase of 1.38 ) and the mean IQ was 81 points. There were no significant correlation between TSH levels with a level of intelligence (p = 0.553, PR = 1.469, 95% CI 0.4 to 5.254) and six profile intelligence (p> 0.05). The result of logistic regression, there were not variables significant to affect the intelligence but only age less than 6 years were almost significant (p = 0.05, PR 3.759, 95% CI 1.002 to 14.104). Visual motorik profile was no significant influenced by the quality of care of family and social environment (p = 0.05, PR 3.857, 95% CI 1 to 14.87) and arithmetic reasoning profile was significant influenced by the presence of family members of goiter (p = 0.045, RP 8.448, 95% CI 1.050 to 67.977). Conclusion : Hyperthyrotropinemia was no statistically significant influence of preschool children�s intelligence. TSH increase of 1.38 times was already approaching the limit that could be affected the level of intelligence, so that required follow-up well and examination as well as the promotion of intensive iodization.
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spelling oai:generic.eprints.org:1302282016-03-04T07:57:38Z https://repository.ugm.ac.id/130228/ HUBUNGAN HIPERTIROTROPINEMIA TERHADAP TINGKAT KECERDASAN ANAK TK DI DESA SELOHARJO, KECAMATAN PUNDONG, BANTUL, DIY , Indri Hapsari , dr. S.Yudha Patria, Ph.D, Sp.A. ETD Hyperthyrotropinemia indicate a saturation insufficiency T3 receptors in the brain and the potential risk of deficiency in the development of intelligence. Intelligence is part of quality determinant of Human Resources (HR). Future quality of human resources is formed from quality child built from now. Child quality are formed by genetic and environmental factors (asah, asih asuh). Iodine is required for the production of thyroid hormones, which are essential for brain development and intelligence. The younger child has a deficiency of thyroid hormones, the more severe effects on brain disorders. Thyroid hormone secretion stimulated by the Thyroid Stimulating Hormone (TSH). Elevated TSH is used as the first filter in the detection of thyroid disorders. The objective of our study was to know the correlation of hyperthyrotropinemia to the level of intelligence of preschool children (TK) in iodine deficiency endemic area. The study design was cross sectional, 51 subjects with a number of two kindergartens in the Village of Seloharjo during December 2010. The assessment carried out of bloodspot TSH levels, level of intelligence and intelligence profile. Statistical analysis by chi-square and logistic regression. There were 39.2% hyperthyrotropinemia subject with a mean of TSH 5.59 μUI / ml (minimum 2.57 μUI/ml and maximum 14.24 μUI / ml). IQ points below the average was 25.5% with a mean IQ of 96.8 points. Hyperthyrotropinemia child with an IQ below the average was 6 children (30%) with a mean TSH 7.63 μUI / ml (increase of 1.38 ) and the mean IQ was 81 points. There were no significant correlation between TSH levels with a level of intelligence (p = 0.553, PR = 1.469, 95% CI 0.4 to 5.254) and six profile intelligence (p> 0.05). The result of logistic regression, there were not variables significant to affect the intelligence but only age less than 6 years were almost significant (p = 0.05, PR 3.759, 95% CI 1.002 to 14.104). Visual motorik profile was no significant influenced by the quality of care of family and social environment (p = 0.05, PR 3.857, 95% CI 1 to 14.87) and arithmetic reasoning profile was significant influenced by the presence of family members of goiter (p = 0.045, RP 8.448, 95% CI 1.050 to 67.977). Conclusion : Hyperthyrotropinemia was no statistically significant influence of preschool children�s intelligence. TSH increase of 1.38 times was already approaching the limit that could be affected the level of intelligence, so that required follow-up well and examination as well as the promotion of intensive iodization. [Yogyakarta] : Universitas Gadjah Mada 2014 Thesis NonPeerReviewed , Indri Hapsari and , dr. S.Yudha Patria, Ph.D, Sp.A. (2014) HUBUNGAN HIPERTIROTROPINEMIA TERHADAP TINGKAT KECERDASAN ANAK TK DI DESA SELOHARJO, KECAMATAN PUNDONG, BANTUL, DIY. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=70643
spellingShingle ETD
, Indri Hapsari
, dr. S.Yudha Patria, Ph.D, Sp.A.
HUBUNGAN HIPERTIROTROPINEMIA TERHADAP TINGKAT KECERDASAN ANAK TK DI DESA SELOHARJO, KECAMATAN PUNDONG, BANTUL, DIY
title HUBUNGAN HIPERTIROTROPINEMIA TERHADAP TINGKAT KECERDASAN ANAK TK DI DESA SELOHARJO, KECAMATAN PUNDONG, BANTUL, DIY
title_full HUBUNGAN HIPERTIROTROPINEMIA TERHADAP TINGKAT KECERDASAN ANAK TK DI DESA SELOHARJO, KECAMATAN PUNDONG, BANTUL, DIY
title_fullStr HUBUNGAN HIPERTIROTROPINEMIA TERHADAP TINGKAT KECERDASAN ANAK TK DI DESA SELOHARJO, KECAMATAN PUNDONG, BANTUL, DIY
title_full_unstemmed HUBUNGAN HIPERTIROTROPINEMIA TERHADAP TINGKAT KECERDASAN ANAK TK DI DESA SELOHARJO, KECAMATAN PUNDONG, BANTUL, DIY
title_short HUBUNGAN HIPERTIROTROPINEMIA TERHADAP TINGKAT KECERDASAN ANAK TK DI DESA SELOHARJO, KECAMATAN PUNDONG, BANTUL, DIY
title_sort hubungan hipertirotropinemia terhadap tingkat kecerdasan anak tk di desa seloharjo kecamatan pundong bantul diy
topic ETD
work_keys_str_mv AT indrihapsari hubunganhipertirotropinemiaterhadaptingkatkecerdasananaktkdidesaseloharjokecamatanpundongbantuldiy
AT drsyudhapatriaphdspa hubunganhipertirotropinemiaterhadaptingkatkecerdasananaktkdidesaseloharjokecamatanpundongbantuldiy