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Correlation of Urine Albumin Creatinine Ratio And C-Reactive Protein Levels on Carotid Artery Intima-Media Thickness And Flow-Mediated Dilatation Response In Children and Adolescent with Type 1 Diabetes Mellitus At Dr Saiful Anwar Hospital Malang

Heart Science Journal · Vol. 3 No. 4 (2022) · hlm. 9–15

DOI
10.21776/ub.hsj.2022.003.04.3
ISSN
2721-9984, 2721-9976
Terbit
2022-11-14
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Background:Early and accelerated atherosclerosis is a major cause of cardiovascular disease and often causes premature death in T1DM patients. In DMT1, atherosclerosis can be detected since adolescence. The initial association between urinary albumin to creatinine ratio (ACR) and c-reactive protein (hs-CRP) with subclinical cardiovascular disease in children and adolescents with T1DM supported findings from previous studies. Imaging tests using ultrasound can detect subclinical atherosclerosis in this patient population. Carotid artery intima-media thickness (cIMT) and flow-mediated dilatation response (FMD) have been frequently used to detect subclinical atherosclerosis.Objective: To find correlation between ACR and hsCRP on the thickness values of cIMT and FMD in children and adolescent DMT1 patients at Dr Saiful Anwar Hospital MalangMethods: This is a cross-sectional study with 82 subjects of DMT1 patients who routinely control the pediatric outpatient clinic of RSUD Dr. Saiful Anwar Malang, with the research period January – July 2019 and December 2021 – March 2022.Results: There was correlation between ACR with FMD and cIMT (r=-0.593; p=0.000 and r=0.339; p=0.002, respectively). There was also correlation between hsCRP with FMD and cIMT (p=-0.375; p=0.001 and r= 0.414; p=0.023, respectively).Conclusion: ACR and hsCRP have a correlation with increasing CIMT values and decreasing FMD values in children and adolescents with DMT1 patients.

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  • University of Brawijaya
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Mohammad Saifur RohmanAfiliasi tidak diketahui65
Setyasih AnjarwaniAfiliasi tidak diketahui38
Anna Fuji RahimahAfiliasi tidak diketahui38
Sasmojo WiditoAfiliasi tidak diketahui31
Heny MartiniAfiliasi tidak diketahui29
Ardian RizalAfiliasi tidak diketahui28
Djanggan SargowoAfiliasi tidak diketahui27
Wella KarolinaAfiliasi tidak diketahui7
Valerinna YogibuanaAfiliasi tidak diketahui7
Putri Annisa KamilaUniversity of Brawijaya6
Muhammad Rizki FadlanAfiliasi tidak diketahui6
Yoga WaranugrahaAfiliasi tidak diketahui5
Saskia Dyah HandariAfiliasi tidak diketahui5
Dea Arie KurniawanAfiliasi tidak diketahui5
Ayu Asri Devi AdityawatiAfiliasi tidak diketahui5
Lutfi Hafiz ZunardiAfiliasi tidak diketahui5
Adhika Prastya WikanandaAfiliasi tidak diketahui4
Sawitri SatwikajatiAfiliasi tidak diketahui4
Hayla Iqda MillisaniAfiliasi tidak diketahui4
Danti Utami SetyowatiAfiliasi tidak diketahui4
Oktafin Srywati PamunaAfiliasi tidak diketahui4
Zainal FathurohimAfiliasi tidak diketahui4
Nikhen NoverikeAfiliasi tidak diketahui4
Teguh AryanugrahaAfiliasi tidak diketahui4
Ratna PancasariAfiliasi tidak diketahui4
Imelda KrisnasariAfiliasi tidak diketahui4
Dadang HendrawanAfiliasi tidak diketahui3
Evit RuspionoAfiliasi tidak diketahui3
Imam Mi'raj SuprayogaAfiliasi tidak diketahui3
Yuri AfifahAfiliasi tidak diketahui3
Muhammad Saifur RohmanAfiliasi tidak diketahui3
Nisa Amnifolia NiaztaAfiliasi tidak diketahui3
Tonny AdriyantoAfiliasi tidak diketahui2
Yoseph Budi UtomoAfiliasi tidak diketahui2
Dedy IrawanAfiliasi tidak diketahui2

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Correlation of Urine Albumin Creatinine Ratio And C-Reactive Protein Levels on Carotid Artery Intima-Media Thickness And Flow-Mediated Dilatation Response In Children and Adolescent with Type 1 Diabetes Mellitus At Dr Saiful Anwar Hospital Malang</dc:title>
	<dc:creator xml:lang="en">Widasmara, Seprian</dc:creator>
	<dc:creator xml:lang="en">Kurnianingsih, Novi</dc:creator>
	<dc:creator xml:lang="en">Prasetya, Indra</dc:creator>
	<dc:creator xml:lang="en">Tjahjono, Cholid Tri</dc:creator>
	<dc:creator xml:lang="en">Satrijo, Budi</dc:creator>
	<dc:subject xml:lang="en">ACR</dc:subject>
	<dc:subject xml:lang="en">hsCRP</dc:subject>
	<dc:subject xml:lang="en">CIMT</dc:subject>
	<dc:subject xml:lang="en">FMD</dc:subject>
	<dc:subject xml:lang="en">DMT1</dc:subject>
	<dc:description xml:lang="en">Background:Early and accelerated atherosclerosis is a major cause of cardiovascular disease and often causes premature death in T1DM patients. In DMT1, atherosclerosis can be detected since adolescence. The initial association between urinary albumin to creatinine ratio (ACR) and c-reactive protein (hs-CRP) with subclinical cardiovascular disease in children and adolescents with T1DM supported findings from previous studies. Imaging tests using ultrasound can detect subclinical atherosclerosis in this patient population. Carotid artery intima-media thickness (cIMT) and flow-mediated dilatation response (FMD) have been frequently used to detect subclinical atherosclerosis.Objective: To find correlation between ACR and hsCRP on the thickness values of cIMT and FMD in children and adolescent DMT1 patients at Dr Saiful Anwar Hospital MalangMethods: This is a cross-sectional study with 82 subjects of DMT1 patients who routinely control the pediatric outpatient clinic of RSUD Dr. Saiful Anwar Malang, with the research period January – July 2019 and December 2021 – March 2022.Results: There was correlation between ACR with FMD and cIMT (r=-0.593; p=0.000 and r=0.339; p=0.002, respectively). There was also correlation between hsCRP with FMD and cIMT (p=-0.375; p=0.001 and r= 0.414; p=0.023, respectively).Conclusion: ACR and hsCRP have a correlation with increasing CIMT values and decreasing FMD values in children and adolescents with DMT1 patients.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2022-11-14</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1361</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2022.003.04.3</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 3 No. 4 (2022): Prevention, Screening dan Rehabilitation : The Back Bone of Quality Care Improvement in CVD Management; 9-15</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2022.003.04</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1361/242</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2022 Seprian Widasmara, Novi Kurnianingsih, Indra Prasetya, Cholid Tri Tjahjono, Budi Satrijo</dc:rights>
</oai_dc:dc>