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All Journal Althea Medical Journal Jurnal Berkala Epidemiologi Damianus Journal of Medicine Berkala Ilmiah Kedokteran Duta Wacana Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Oto Rhino Laryngologica Indonesiana Indonesian Journal of Global Health research Berita Kedokteran Masyarakat Journal of Urban Health Research Neurona Jurnal Kedokteran Meditek Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Mitramas Jurnal Pengabdian dan Pemberdayaan Masyarakat Mitramas Jurnal Pengabdian dan Pemberdayaan Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Kristian, Kevin
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health

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Dari Lemak ke Sendi: Bahaya Proporsi Lemak Tubuh sebagai Penyebab Osteoartritis Lutut Kwok, Lyvia Ariella; Kristian, Kevin; Handajani, Yvonne Suzy; Barus, Jimmy Fransisco Abadinta
Jurnal Kedokteran Meditek Vol 31 No 5 (2025): SEPTEMBER
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v31i5.3495

Abstract

Introduction: As individuals age, the incidence of osteoarthritis increases. Globally, it is reported that approximately 300 million individuals, particularly the elderly, are affected by osteoarthritis. Metabolic disorders related to lipid pathways have been associated with the development of osteoarthritis in the elderly. Purpose: This study aims to provide an overview of the relationship between haematological indicators, lipid profiles, and body fat proportion with osteoarthritis in the elderly population in Pusaka Kebon Jeruk, West Jakarta. Methods: This study used a cross-sectional design involving an elderly population, with 100 respondents aged ≥60 years who were willing to participate. Data were collected through interviews using an osteoarthritis questionnaire, blood draws, and measurements using BIA. The chi-square test (p<0.05) and multiple logistic regression (p<0.25) were used in this study. Results: Of the 100 respondents, it was found that 28% of the elderly respondents experienced osteoarthritis. Bivariate analysis showed a significant relationship between body fat proportion and osteoarthritis (p: 0.006; OR: 3.519; 95% CI: 1.394–8.878). Multivariate analysis indicated that body fat proportion was the dominant factor associated with osteoarthritis (p: 0.006; OR: 3.814; 95% CI: 1.475–9.865). Conclusions: We concluded that body fat proportion has a significant relationship with the incidence of osteoarthritis. However, this study did not find any significant associations between hemoglobin, white blood cells, RDW, LDL, HDL, triglycerides, and cholesterol.
Profil Pengobatan Infeksi Saluran Napas Atas Akut (ISPA) dan Hubungannya dengan Kunjungan Ulang Pasien Sombuk, Carl Ray Kalla; Astiarani, Yunisa; Kristian, Kevin
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 05 (2024): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v13i05.2326

Abstract

ISPA merupakan salah satu permasalahan yang sering dijumpai di masyarakat. ISPA diakibatkan oleh virus dan bakteri. ISPA menyerang berbagai golongan usia, mulai dari balita, anak, maupun dewasa. Golongan obat antibiotik, kortikosteroid, vitamin, dan obat simptomatik digunakan untuk mengobati ISPA. Timbul permasalahan penggunaan obat yang kurang sesuai sehingga menimbulkan kunjungan ulang pasien untuk berobat lagi pada layanan kesehatan primer. Tujuan penelitian ini untuk mengetahui profil pengobatan ISPA dan hubungannya dengan kunjungan ulang pada pasien ISPA di Klinik A, Kediri, Jawa Timurenggunakan desain penelitian potong lintang dengan pendekatan retrospektif mengguanakan telaah rekam medis. Pengambilan sampelon-random berupa whole population sampling pada penderita ISPA pada periode bulan Januari-Maret 2021 dan jumlah populasi beserta sampel sebesar 127 responden usia > 18 tahun. Menggunakan data rekam medis dan dianalisis menggunakan uji Chi-Square. Sebesar 65,5% usia > 18 tahun, 50,4% obesitas, 14,2% komorbid. Sebesar 20,5% menggunakan antibiotik, 35,4% kortikosteroid, 100% obat simtomatik, dan 52,8% vitamin. Sebesar 17,6% pasien ISPA menggunakan antibiotik, faringitis 26,7%, sinusitis 25%, common cold 15%, dan tonsilofaringitis akut 100%. Sebesar 10,2% melakukan kunjungan ulang 2 dan 6,3% >2. Tidak ada hubungan kunjungan ulang dengan penggunaan kortikosteroid (p=0,201) vitamin (0,162). Dengan uji Fisher-Exact, hasilnya signifikan antara kunjungan ulang dengan penggunaan antibiotik (p=0.014).
Pengaruh Fungsi Kognitif Spesifik terhadap Risiko Frailty pada Lansia Budhy, Carissa Marvella; Turana, Yuda; Handajani, Yvonne Suzy; Kristian, Kevin
Bahasa Indonesia Vol 24 No 3 (2025): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v24i3.6155

Abstract

Pendahuluan: Penuaan populasi menyebabkan beban kesehatan meningkat, salah satunya adalah frailty. Berdasarkan systematic review dan meta-analysis pada 2023 prevalensi frailty pada lansia di Indonesia adalah 26,8%, sedangkan 55,5% mengalami pre-frail. Penelitian ini bertujuan untuk memeroleh gambaran tentang frailty serta faktor risikonya di Pusaka Kebon Jeruk, Jakarta Barat. Metode: Penelitian ini menggunakan rancangan potong-lintang dan melibatkan 100 responden berusia ≥60 tahun. Pengumpulan data dilakukan melalui wawancara dengan menggunakan, seperti Fried Fraily Index, MoCA-Ina, dan CERAD-NB. Analisis data dilakukan dengan metode chi-square dan multiple logistic regression. Hasil: Dari 100 responden, terdapat 75 (75% subjek) berusia 60-74 tahun dengan rerata usia 70,13 tahun, perempuan (71%), durasi pendidikan ≥12 tahun (90%). Terdapat 18 (18% subjek) lansia yang mengalami frailty. Analisis bivariat menunjukkan bahwa faktor yang memiliki hubungan signifikan adalah usia (p: <0,001; RO: 7,633; 95%CI: 2,519 – 23,127) dan constructional praxis (p: 0,037; RO: 3,162; 95%CI: 1,032 – 9,685). Simpulan: Frailty memiliki hubungan bermakna dengan usia dan fungsi kognitif constructional praxis. Dengan usia menjadi faktor yang paling memengaruhi dan meningkatkan risiko frailty pada lansia.
Adaptasi Kultural dan Data Normatif Pemeriksaan Olfaktori pada Populasi Lansia Indonesia Martin, Juvenius; Chandra, Kenly; Vebriana, Gennesia; Putra, Aditya; Kristian, Kevin; Handajani, Yvonne Suzy; Turana, Yuda
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 2 (2025): VOLUME 55, NO. 2 JULY - DECEMBER 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i2.736

Abstract

Background: The olfactory sense plays a vital role in well-being and cognitive health, particularly in the older adults. Olfactory dysfunction is linked to neurodegenerative diseases, and geriatric syndromes like frailty. Existing cognitive tests are education-biased, limiting their applicability. Cultural adaptation of olfactory tests enhances diagnostic accuracy, necessitating region-specific normative data for Indonesia. Purpose: To establish normative olfactory scores for Indonesia’s older adult population using a culturally adapted odor identification test. Method: A descriptive study was conducted on 205 healthy participants aged 60 and above, in Jakarta. Eight culturally familiar odors were used in a forced-choice identification test. Normative data were generated based on percentiles, with the 10th percentile serving as the cut off for hyposmia. Data were analyzed using Statistical Package for the Social Sciences (SPSS). Result: Olfactory function was found to decline with age. Hyposmia thresholds were determined: individuals aged 60-64 years were considered hyposmic if they identified fewer than five odors, while those aged 80+ were hyposmic if they identified fewer than two odors. No significant differences were found between education levels, as both groups shared the same hyposmia thresholds. Conclusion: The study provided normative olfactory data specific to the Indonesia’s older adult population. These results supported the use of culturally adapted tests in clinical practice to detect olfactory dysfunction, which might indicate early cognitive decline. Further research should include longitudinal studies to capture changes over time.
Cognitive Function and Nutritional Status in Pre-Elderly Individuals with Human Immunodeficiency Virus Putri, Felicia Cahyadi; Vetinly, Vetinly; Ayu, Astri Parawita; Hardi, Nicholas; Kristian, Kevin
Althea Medical Journal Vol 12, No 4 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n4.4179

Abstract

Background: Human immunodeficiency virus (HIV) infection remains a global health issue, particularly in Africa and Asia. Cognitive impairment may early develop in individuals living with HIV and can therefore potentially impact nutritional status. This study aimed to assess the correlation between cognitive function and nutritional status in pre-elderly individuals with HIV.Methods: A cross-sectional study was conducted from March 2023 to October 2024 among individuals living with HIV aged 45–59 years in Jakarta, Indonesia. Cognitive function was measured using the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina) and nutritional status was evaluated using body mass index (BMI). Data were analyzed using the Chi-square test with Jeffrey’s Amazing Statistics Program (JASP).Results: Of the 157 respondents, most were male (75.2%) with a mean age of 49±4.17 years. The majority were unmarried (44.6%), employed (70.1%), had incomes below the Jakarta minimum wage (74.5%), and had completed senior high school education (56.0%). Mild cognitive impairment was found in 70.7% of participants, whereas normal nutritional status was the most common (45.9%). However, no significant relationship was found between cognitive function and nutritional status (p=0.161).  Conclusion: Mild cognitive impairment is prevalent among pre-elderly individuals with HIV, most of whom have normal nutritional status. Although no significant relationship is observed between cognitive function and nutritional status, these findings highlight the importance of incorporating early cognitive screening into routine HIV care to support healthy aging and timely identification and management of cognitive decline.
Co-Authors Adhitya, Paskalis Aditya Putra, Aditya Astri Parawita Ayu, Astri Parawita Azalia, Xarisa Barus, Jimmy Fransisco Abadinta Budhy, Carissa Marvella Chandra, Kenly Denish Djuanda, Stephanie Deborah Engelina, Helen Felicia Kurniawan, Felicia Felicia, Tesya Giovanny, Audrey Carissa Hadiyanto Hardi, Nicholas Hendri, Gabriel Anetta Ika Suswanti Indrajaya, Feryandinata Indrawan, Novelya Kwok, Lyvia Ariella Lim, Sebastian Margareta, Revi Martin, Juvenius Mutiara Putri, Marcelvina Nelly Tina Widjaja Odhena, Enda Piustan, Mas Eaufrat Prayogo, Danniel Loogman Putri, Felicia Cahyadi Putri, Giovani Indah Giantoro Regina Satya Wirahardja Renata, Brigita Salama, Ngabila Santi, Bryany Titi Sari, Gabriella Aninda Puspita Sejati, Fabian Shalsamir Cotto, Nadjoua Sombuk, Carl Ray Kalla Suwito, Michelle Margaretha Tanumihardja, Tommy Tirta Wening, Andrea Vebriana, Gennesia Vetinly, Vetinly Vionnetta, Sharren Shera Yauw, Michael Yuda Turana Yunisa Astiarani Yvonne Suzy Handajani