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Destra, Edwin
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Hubungan Antara Kadar GDP, HBA1C, Insulin Puasa, Obesitas, dan Kondisi Kelemahan Otot terhadap Risiko Infeksi Saluran Kemih pada Kelompok Lanjut Usia S., Donatila Mano; Ernawati, Ernawati; Santoso, Alexander Halim; Destra, Edwin; Gunaidi, Farell Christian; Goh, Daniel; Kusuma, Kanaya Fide
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 Adhim, Laudza Al Aditya Pratama Aditya, Vincent Adjie, Eko Kristanto Kunta Afladhanti, Putri Mahirah Alexandro, Cristian Alexin, Corry Calista Alifia, Khalisya Alifia, Tosya Putri Alvianto, Fidelia Alwini, Muhammad Rifat Umar Amanda, Shelma Tria Amertha, Anak Agung Ngurah Putrayoga Andria Priyana Anggraeni, Natasha Angtoni, Miranda Anthony, Louis Ashil , Rafidah Hanina Astari, Pristia Averina, Friliesa Averina, Frilliesa Bachri, Fiqi Afrizal Biromo, Anastasia Ratnawati Cahyadi, Stanley Surya Christian, Farell Dewanto, Naomi Esthernita F. Dewanto, Paulus Gegana Thery Edbert, Bruce Edbert, Juan Emilda, Emilda Enike, Syilvia Cendy Ernawati , Ernawati Ernawati Ernawati Evelyn EVELYN EVELYN Fadhila, Arni Ismi Fajarivaldi, Kresna Bambang Febriastuti, Abebi Felicia, Ivana Frisca Frisca Gaofman, Brian Albert Ghina, Andini Goh, Daniel Gracienne Gracienne Gracienne, Gracienne Gunaid, Farell Christian Gunaidi, Farell Christian Gunawan, Paskalis Andrew HalimSantoso, Alexander Hari Sutanto, Hari Hariesti, Ribka Anggeline Harjono, Johan Lucas Harsono, Axsel Hartono, Eric Hartono, Vincent Aditya Budi Haryanto, Ines Hawari, Irawati Hendsun Herdiman, Alicia Herdiman, Julia Herlina Uinarni Hidayat, Fadil Ismi, Arni Istikanto, Ferdian Harum Jamaludin , Jamaludin Jamaludin . Jap, Ayleen Nathalie Jaya, I Made Satya Pramana Jeffrey ., Jeffrey Jeffrey Jeffrey Johan Johan Johan, Richver Framanto JuliantiWijayadi, Linda Juliastina , Mika Jaya Kasvana Kasvana, Kasvana Khatimah, Gita Khusnul Khoto, Anthon Eka Prayoga Kosasih, Robert Kurniawan, Joshua Kurniawan, Junius Kusuma, Kanaya Fide Lontoh, Susy Olivia Lumintang, Valentino Gilbert Mahendri, Ryan Daffano Putra Martin, Alfianto Mashadi, Fladys Jashinta Mayvians, Tizander Moniaga, Catharina Sagita Noer Saelan Tadjudin Normala, Ajeng Permatasari, Nabila Jingga Peter Ian Limas Philo, Andrew Prakoso, Ariel Bagoes Pranata, Catherine Christiana Pratama, Muhammad Kevin Dava Pratomo, Farhan Purnomo, Yonathan Adi Putra, Feri Yanto Putra, Muhammad Dzakwan Dwi Rafi, Muhammad Adam Abizar Ramadhani, Kenzie Rafif Ramadhanty, Prajnya Kamila Rayhan , Naufal Riadi, Seravin Janet Ruslim, Daniel Ruslim, Welly Hartono S., Donatila Mano Santoso, Alexander Halim Sari, Anna Rahmania Sarijuwita, Alicia Sartono, Stefanny Satyanagara, William Gilbert Satyanegara, William Gilbert Satyo, Yovian Timothy Septrisya, Shiera Setia, Nicholas Setiawan, Fiona Valencia Sidarta, Erick Sim, Alfred Sutrisno Singh, Arwinder Sitorus, Ribka Angeline Hariesti Sitorus, Ribka Anggelline Hariesti Siufui Hendrawan Soebrata, Linginda Soeltanong, Dianova Soni, Yulfitra Sugiarto, Hans Sugiharto, Hans Sukianto, Louise Audrey Suros, Angel Sharon Susilo, Muhammad Farhan Pratama Sutedja, Gina Triana Syarifah, Andini Ghina Tamaro, Anggita Tan, Sukmawati Tansil Tara, Audina Alianda Dimas Teguh, Stanislas Kotska Marvel Mayello Triyana Sari Ulinuha, Ulinuha Valdes, Angeline Florencia W., Linda Julianti Waltoni, Bobby Marshel Ancheloti Warsito, Jonathan Hadi Wijaya, Bryan Anna Wijaya, Christian Wijaya, Dean Ascha Wijayadi, Linda Julianti yanto, heri YantoPutra, Heri Yeni Wulandari Yogie, Giovanno Sebastian Yohanes Firmansyah Yulishaputra, Muhammad Daffa Alghifari Yunita, Fenny