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All Journal Mutiara Medika: Jurnal Kedokteran dan Kesehatan Universa Medicina Health Notions Amerta Nutrition Indonesia Journal of Physical Medicine and Rehabilitation

Angela BM Tulaar

Department Of Physical Medicine And Rehabilitation, Faculty Of Medicine, Universitas Indonesia, Jakarta

Author-ID : 2179022

Decision Sciences, Operations Research & Management Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Other

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Towards Healthy Aging with Physical Activity and Nutrition Listya Tresnanti Mirtha; Angela Tulaar; I Dewa Putu Pramantara
Amerta Nutrition Vol. 4 No. 1SP (2020): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v4i1SP.2020.15-20

Background. Indonesia has become the country with the highest elderly population in Southeast Asia which around 27 million people within 2020. Demographic bonus, where the productive age is higher than the non-productive age, should be optimized so that it becomes an opportunity to decrease the dependency ratio of the elderly over 65 years. However, increasing life expectancy has other implications which as the increase in health problems associated with the aging process, including the emergence of degenerative diseases. The concept of healthy aging formed due to the increase of public awareness to live within quality life and maintaining a healthy lifestyle through physical activity and good nutrition. Healthy aging is the process of developing and maintaining the functional ability that enables wellbeing in older age. Lifestyle improvement from the early stage will have a better effect on a person's lifelong health. Unfortunately, it is not widely known by the public, so awareness is not yet evident and benefits cannot be obtained optimally.Objectives. Healthy aging is the process of developing and maintaining the functional ability that enables wellbeing in older age. The aim of this review is to raise awareness among the adult age group about the important role of physical activity and nutrition in achieving a healthy aging condition.Discussion. American College of Sports Medicine (ACSM) and Centers for Disease Control and Prevention (CDC) recommend adults aged 18–65 year to participate in moderate-intensity aerobic physical activity for a minimum of 30 minutes on five days per week, or vigorous-intensity aerobic activity for a minimum of 20 minutes on three days per week. Moreover, recent WHO (2020) guideline towards physical activity and sedentary behavior recommend all adults to have moderate-intensity for 150 – 300 min or vigorous-intensity for 75 – 150 min per week. But this recommendation has not been able to reduce physical inactivity number in Indonesian society, especially adult and senior adult. There are some nutrition elements related to mobility health, mainly are protein, vitamin D, calcium, antioxidant and omega-3, and many studies report that Indonesian adults suffer deficiencies on these nutrition elements and cause health problems related to mobility. Health interventions should involved many stakeholders, e.g government, private sectors, NGO, mass media, and many more.Conclusions: The concept of healthy aging and interventions related to this need to be recognized and implemented as early as possible to get optimal results, and preferably starting from adulthood. Health interventions carried out must be holistic and synergize between physical activity, nutrition, mental health and other factors that play a role. A community-based approach is the easiest and fastest way to change mindsets and behavior patterns, and can be implemented in the work environment or other communities.

Foot Posture Characteristics in Medial Knee Osteoarthritis Patients Leni Kopen; Angela BM. Tulaar; Nyoman Murdana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 02 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: Alteration of foot posture may influence the knee loading, particularly in medial compartment. The purpose of this study was to find the relation of foot postures with clinical finding in medial knee osteoarthritis (KOA).Methods: Subjects with medial KOA who met inclusion criteria were recruited consecutively, in Nursing home on August to October 2018. The foot posture has determined by Foot Posture Index (FPI). The severity of KOA has measured by Kelgreen-Lawrence (KL) grading system, and pain level using numeric rating score (NRS).Results: There were 37 subjects consisted of male and female with normal foot subsequently 17(8.5%) and 3(15%), male and female with abnormal food subsequently 3(15%) and 1(16%). There were 12 (32.43%) of pronated foot, 5 (13.51%) of supinated foot, and 20 (54.06%) of normal foot subjects. The subjects with abnormal foot posture have severe medial KOA (p<0.001), while the pain sensation similar between groups (p=0.321, p=0.688).Conclusion: There was a correlation between foot posture and the severity of medial KOA.Keywords: Foot posture, Knee osteoarthritis, Foot posture index, Numeric rating score

Correlation Between Gender and Knowledge, with Practice and Referral Rate of Continuum Rehabilitation Cases by General Practitioners Hari Hari Peni Julianti; Angela BM Tulaar BM Tulaar; Tirza Z Tamin; Tanti Ajoe Kesoema,; Endang Ambarwati,; Sri Wahyudati
Indonesian Journal of Physical Medicine & Rehabilitation Vol 8 No 01 (2019): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: Indonesian Health Ministry had a strategy to make the primary care, including rhabilitation program by continuum of care. The purpose of this study was to determine factors related to the levelof knowledge, practice, and referral for continuum care cases that required rehabilitation services in Primary Health Care Doctors.Methods: The study design was cross-sectional. Participants were 23 Primary Health Care Doctors in Wonosobo District. Data collection was conducted in December 2017. The independent variablesconsist of gender, length of work, employment status, while the dependent variables were the level of knowledge, practice and referral cases of maternal, infants and toddlers, adolescents, adults and elderly.The measuring instrument was a questionnaire. Data were tested with chi-square, significance level <0.05.Results: Gender has correlation with the level of knowledge in maternal cases (PR = 0.121, 95% CI = 0.017-0.087, p = 0.026). Gender has correlation to the level of practice in maternal case (PR = 0.121,95% CI = 0.017-0.867, p = 0.026). Employment status has correlation to the referral rate of elderly cases(PR = 10.500, 95% CI = 1.015-108.577, p = 0.029).Conclusion: Gender has correlation with the level of knowledge and practice of maternal cases. Employment status has correlation with the level of referral rate of elderly cases.Keywords: Primary care doctors, Knowledge, Referral, Continuum Rehabilitation

Co-Authors Achmad, Harry R. Amendi Nasution Andy Martahan Andreas Anita Ratnawati Aria Kekalih Arif Wicaksono Chozie, Novie A. Corrie Wawolumaya Deswaty Furqonita Dharma, Rahayuningsih Djajadiman Gatot Elida Ilyas Endang Ambarwati, Faisal Yunus Fanny Aliwarga Ferial Hadipoetro Ferial Hadipoetro Idris Ferius Soewito Hari Hari Peni Julianti Helda Helda Helena Turnip Hindun Saadah, Hindun I Dewa Putu Pramantara Ismail Ismail Jusuf Kristianto Leni Kopen Listya Tresnanti Mirtha Lugyanti Sukrisman Marcel Prasetyo Maria Regina Rachmawati Mira Muhammad Muchtaruddin Mansyur Muctarudin Mansyur Nuryani Sidarta, Nuryani Nyoman Murdana Ratna Darjanti Haryadi Ratna Djuwita Rini Sekartini Ronald Pakasi Rosiana Pradanasari Saptawati Bardosono Saptawati Bardosono Sari, Teny T. Sarwono Waspadji Sasanthy Kusumaningtyas Siti Annisa Nuhonni Sri Hartati R. Suradijono Sri Wahyudati Sumariyono Surjanto H Surjanto Hartono, Surjanto Surjanto M.A Suryanto Suryanto Tanti Ajoe Kesoema, Thjin Wiguna Tirza Z Tamin Wahju Hidajati1, Yefta Daniel Bastiana, Yefta Daniel Yoga Iwanoff Kasjmir Zuljasri Albar

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