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All Journal MAHESA : Malahayati Health Student Journal
Farell Christian Gunaidi
Program Studi Pasca Sarjana, Fakultas Kedokteran dan Ilmu kesehatan, Universitas Atmajaya
Dentistry Health Professions Nursing Public Health

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Peran Protektor Vitamin D Dalam Mempertahankan Massa Otot Pada Kelompok Lanjut Usia Ernawati Ernawati; Frisca Frisca; Alexander Halim Santoso; Edwin Destra; Farell Christian Gunaidi; Alicia Herdiman; Friliesa Averina
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.20718

Abstract

ABSTRACT The increase in the global elderly population increases the risk of sarkopenia, which can reduce activity capacity. Vitamin D deficiency is common in the elderly and plays an important role in musculoskeletal function. This study aims to evaluate the relationship between vitamin D levels and the incidence of sarcopenia in the elderly. This cross-sectional study with a total sampling method involved 93 elderly people aged ≥ 60 years who lived at the Bina Bhakti Nursing Home. Measurements were made on serum vitamin D levels, mid upper arm circumference and calf circumference. Spearman correlation analysis was used to evaluate the relationship between these variables. The results showed that the mean mid upper arm circumference was 23.61 cm (SD = 5.02) with a median of 23 cm, while the mean calf circumference was 28.72 cm (SD = 5.15) with a median of 29 cm. The mean serum vitamin D level was 9.78 ng/mL (SD = 4.47) with a median of 7.5 ng/mL. Spearman correlation analysis showed a significant relationship between mid upper arm circumference and calf circumference (r = 0.572; p 0.01), upper arm circumference and vitamin D levels (r = 0.254; p = 0.014), and calf circumference and vitamin D levels ( r = 0.218; p = 0.036). This research shows that there is a significant relationship between vitamin D levels and upper arm and calf circumference in the elderly. Vitamin D deficiency is common in the elderly and plays an important role in the prevention and treatment of sarcopenia. Further research is needed to understand the role of vitamin D in preventing muscle loss. Keywords: Calf Circumference, Mid Upper Arm Circumference, Sarkopenia, Vitamin D.  ABSTRAK Peningkatan populasi lanjut usia global meningkatkan risiko sarkopenia, yang dapat mengurangi kemampuan aktivitas. Kekurangan vitamin D umum terjadi pada lansia dan berperan penting dalam fungsi muskuloskeletal. Penelitian ini bertujuan untuk mengevaluasi hubungan kadar vitamin D dengan kejadian sarkopenia pada lansia. Penelitian ini menggunakan desain potong lintang dengan metode pengambilan sampel total dengan melibatkan 93 lansia berusia ≥ 60 tahun yang tinggal di Panti Werdha Bina Bhakti. Pengukuran dilakukan terhadap kadar vitamin D serum, lingkar lengan atas, dan lingkar betis. Analisis korelasi Spearman digunakan untuk mengevaluasi hubungan antara variabel-variabel tersebut. Hasil penelitian menunjukkan bahwa rerata lingkar lengan atas adalah 23,61 cm (SD = 5,02) dengan median 23 cm, sedangkan rerata lingkar betis adalah 28,72 cm (SD = 5,15) dengan median 29 cm. Rerata kadar vitamin D serum adalah 9,78 ng/mL (SD = 4,47) dengan median 7,5 ng/mL. Analisis korelasi Spearman menunjukkan hubungan signifikan antara lingkar lengan atas dan lingkar betis (r = 0,572; p  0,01), lingkar lengan atas dengan kadar vitamin D (r = 0,254; p = 0,014), serta lingkar betis dengan kadar vitamin D (r = 0,218; p = 0,036). Penelitian ini menunjukkan bahwa terdapat hubungan signifikan antara kadar vitamin D dengan lingkar lengan atas dan betis pada lansia. Kekurangan vitamin D umum terjadi pada lansia dan berperan penting dalam pencegahan dan pengobatan sarkopenia. Penelitian lebih lanjut diperlukan untuk memahami peran vitamin D dalam pencegahan penurunan massa otot. Kata Kunci: Lingkar Betis, Lingkar Lengan Atas, Sarkopenia, Vitamin D.
Hubungan Antara Kadar GDP, HBA1C, Insulin Puasa, Obesitas, dan Kondisi Kelemahan Otot terhadap Risiko Infeksi Saluran Kemih pada Kelompok Lanjut Usia Donatila Mano S.; Ernawati Ernawati; Alexander Halim Santoso; Edwin Destra; Farell Christian Gunaidi; Daniel Goh; Kanaya Fide Kusuma
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20717

Abstract

ABSTRACT Urinary tract infection (UTI) is a common disease among the elderly, especially in nursing homes. Knowing the individual risk factors that impact the incidence of UTIs is essential for the development of prevention strategies. This study aims to identify the relationship between fasting blood sugar (FBG), HbA1c, fasting insulin levels, upper arm circumference (MUAC), and calf circumference (CC) on the incidence of UTIs in the elderly group conducted at Bina Bhakti Nursing Home in 2024. A cross-sectional study was conducted using a total sampling method. UTI diagnosis was based on urinalysis findings of positive leukocytes, nitrites, or leukocyte esterase. HbA1c, fasting blood glucose, and insulin levels were measured from venous blood samples and analyzed in a laboratory. MUAC and calf circumference were measured using a measuring tape. Statistical analysis included descriptive statistics, and regression analysis was performed to evaluate the relationship between numerical variables. The study involved 93 respondents with an average age distribution of 74.19 years (61-97 years) and the majority were female (82.8%). Diagnosis of UTI was based on urine examination with findings of positive leukocytes, positive nitrite, or positive leukocyte esterase. The average HbA1c value of the respondents was 7.59% which was predominantly moderate as many as 52 respondents (55.9%), the average MUAC value was 23.61 cm, and the calf circumference was 28.72 cm. Most respondents had optimal insulin levels (mean 4.83 ng/mL) and normal FBG values (mean 86.54 mg/dL). Regression analysis showed a significant correlation (p0.05) between age and HbA1c values with the incidence of UTI. However, no significant correlation was found between gender, FBG, fasting insulin levels, MUAC, and calf circumference with the incidence of UTI. The results of this study conclude that increasing age and HbA1c values correlate with an increase in the incidence of UTIs in the elderly. Further research is needed to better understand the causal relationship between these factors and the incidence of UTI in nursing homes. Keywords: Calf Circumference, Fasting Blood Sugar, HbA1c, Nursing Home, Upper Arm Circumference, Urinary Tract Infection.  ABSTRAK Infeksi saluran kemih (ISK) merupakan penyakit yang umum terjadi pada kelompok lanjut usia, terutama di lingkungan panti werdha. Mengetahui faktor risiko individu yang berdampak terhadap kejadian ISK sangat penting untuk pengembangan strategi pencegahan. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara kadar gula darah puasa (GDP), HbA1c, kadar insulin puasa, lingkar lengan atas (LiLA), serta lingkar betis terhadap kejadian ISK pada kelompok lanjut usia yang dilakukan di Panti Werdha Bina Bhakti pada tahun 2024. Penelitian ini menggunakan desain potong lintang dengan metode pengambilan sampel total. Diagnosa ISK ditegakkan berdasarkan pemeriksaan urin dengan temuan leukosit positif, nitrit positif, atau leukosit esterase positif. Kadar HbA1c, gula darah puasa, dan insulin diukur melalui pengambilan darah vena dan diperiksa di laboratorium. Lingkar lengan atas dan lingkar betis diukur menggunakan pita pengukur. Analisis statistic mencakup penyajian deskriptif dan analisis regresi diterapkan untuk mengevaluasi hubungan antara variabel numerik. Penelitian ini melibatkan 93 responden dengan distribusi usia rata-rata 74,19 tahun (61-97 tahun) dan mayoritas berjenis kelamin perempuan (82,8%). Rata-rata nilai HbA1c responden adalah 7,59% yang didominasi derajat sedang sebanyak 52 responden (55,9%), Rata-rata nilai LiLA sebesar 23,61 cm dan lingkar betis sebesar 28,72 cm. Sebagian besar responden memiliki kadar insulin yang optimal (rata-rata 4,83 ng/mL) dan nilai GDP yang normal (rata-rata 86,54 mg/dL). Analisis regresi menunjukkan adanya korelasi signifikan (P0,05) antara usia dan nilai HbA1c dengan kejadian ISK. Namun, tidak ditemukan korelasi signifikan antara jenis kelamin, GDP, kadar insulin puasa, LiLA, dan lingkar betis dengan kejadian ISK. Hasil penelitian ini menyimpulkan bahwa peningkatan usia dan nilai HbA1c berkorelasi dengan peningkatan kejadian ISK pada lansia. Penelitian lanjutan diperlukan untuk memahami lebih dalam hubungan kausal antara faktor-faktor tersebut dengan kejadian ISK di panti werdha. Kata Kunci: Gula Darah Puasa, HbA1c, Infeksi Saluran Kemih, Lingkar Betis, Lingkar Lengan Atas, Panti Werdha.
Co-Authors Alexander Halim Santoso Alexander Halim Santoso Alicia Herdiman Daniel Goh Donatila Mano S. Edwin Destra Ernawati Ernawati Friliesa Averina Frisca Frisca Kanaya Fide Kusuma