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All Journal Indonesian Journal of Tropical and Infectious Disease Health Notions SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Indian Journal of Forensic Medicine & Toxicology Jurnal Ilmiah Kesehatan (JIKA) Jurnal Keperawatan BSI The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Jurnal Penyakit Dalam Indonesia Journal Medical Informatics Technology
Novira Widajanti, Novira
Departemen Ilmu Penyakit Dalam, RSUD Dr. Soetomo
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Dentistry Earth & Planetary Sciences Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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In-Hospital Mortality Risk Factors among Hospitalized Geriatric Patients: A Cohort Study on Tertiary Referral Hospital in Indonesia Yofi, Fadhil Abiyyu; Damayanti, Arlia Ayu; Widajanti, Novira
Jurnal Penyakit Dalam Indonesia Vol. 8, No. 3
Publisher : UI Scholars Hub

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Introduction. Decreasing fertility rates and increasing life expectancy cause an increase in the population of the elderly, with the number of elderly in the world is estimated to increase from 9.3% in 2020 to 16.0% in 2050. 24.35% of the elderly in Indonesia experience illness, and 8.71% have been hospitalized in one year. This study aimed to determine the risk factors for the death of elderly who were hospitalized.
The Relationship between Serum Calcidiol Deficiency and The Degree of Sarcopenia in Elderly Communities in Surabaya Indirayani, Hemma Wahyuda; Widajanti, Novira; Firdausi, Hadiq
Jurnal Penyakit Dalam Indonesia Vol. 7, No. 1
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Correlation between History of Fall and Timed Up and Go Test in Geriatric Nurmalasari, Mifta; Widajanti, Novira; Dharmanta, Rwahita Satyawati
Jurnal Penyakit Dalam Indonesia Vol. 5, No. 4
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Introduction. Fall is the global major problem in geriatrics as it causes physical and physicological impairment, even leads to mortality. Timed up and go test (TUG) is the screening method which commonly used in medical practice as standard examination to assess mobility, balance, and fall risk.This study aimed to determine the correlation between TUG and history of falls in geriatric patients at General Hospital Dr. Soetomo Surabaya, Indonesia. Methods. A cross-sectional study was conducted among geriatric patients in Dr. Soetomo hospital with criteria ≥ 60 years old, mini mental state examination (MMSE) score ≥ 17, did not suffer from hemiplegic stroke, and did not use walking aids. Subjects with these criteria were interviewed to know the fall history from the past 12 months, level of education, and comorbidity. Then the subjects carried out MMSE assessment, BMI (body mass index) measurement, and TUG assessment. Statistical analysis was done with Fisher exact test.. Results. A total of 73 subjects participated in this study of which 56.16% were women. Among 73 subjects, 18 subjects had a history of falls and 72.22% of them were women. The Fisher test results showed a significant relationship between history of falls and TUG with p value= 0.048 and a contingency coefficient= 0.305. Conclusion. There was weak correlation between history of falls and TUG. Subsequent studies need to add and select samples with uniform distribution of characteristics, so that the results could represent the entire elderly population at General Hospital Dr. Soetomo Surabaya, Indonesia.
The Relationship between Age and Activity of Daily Living withthe Fall Risk of Patients in Geriatric Outpatient Installation Deniro, Agustin Junior Nanda; Sulistiawati, Nuniek Nugraheni; Widajanti, Novira
Jurnal Penyakit Dalam Indonesia Vol. 4, No. 4
Publisher : UI Scholars Hub

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Introduction. Fall is one of the physical problems that happened quite frequently and resulted in morbidity and mortality of old people. There are several factors related to fall risk, among others are age and independence in activity of daily living. Methods. This research is an observational analytical study with cross sectional approach, by collecting free variable data (age and activity of daily living) through interview and Barthel index score, dependent variable (fall risk) by direct observation using Timed Up and Go test that analyzed by Rank Spearman correlation test. The number of samples with incidental sampling technique was 55 patients in Geriatric Outpatient Installation RSUD Dr Soetomo Surabaya for the period of August – October 2017. Results. Bivariate analysis showed that there was a correlation between age and fall risk (r = 0.334, p <0.05) and there was a relationship between activity of daily living with fall risk (r = - 0.460, p <0.05 ) of patient in Geriatric Outpatient Installation RSUD Dr Soetomo Surabaya period August - October 2017. Conclusion. There is a significantly low and equivalent relationship between age and fall risk and significantly low and unequal relationship between activity of daily living and fall risk of patients in Geriatric Outpatient Installation RSUD Dr Soetomo Surabaya for the period of August – October 2017.
Correlation of Sun Exposure Score and Vitamin D Intake withSerum 25(OH)D Levels in Older Women Husna, Kholidatul; Widajanti, Novira; Sumarmi, Sri; Firdaus, Hadiq
Jurnal Penyakit Dalam Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

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Introduction. Indonesia is a tropical country, but the prevalence of vitamin D deficiency in older women is high due to the lack of sun exposure and low vitamin D intake. Some previous studies have reported that people from rural areas have higher serum 25(OH)D levels compared to those from urban areas. This study was conducted to analyze the correlation between sun exposure score and vitamin D intake with serum 25(OH)D levels of older women from rural areas. Methods. This was an analytic cross-sectional study involving older women in two villages from Wonorejo and Kraton Districts, Pasuruan Regency, in June 2020 during the dry season. The sun exposure score was calculated using a sun exposure questionnaire, vitamin D intake was obtained using the 2 x 24-h food recall, and serum 25(OH)D levels were measured using the chemiluminescent immunoassay. The data was analyzed using the Spearman and Pearson correlation test. Results. A total of 40 post-menopausal women aged 60 to 93 years (median age 70 years) were included in this study. The median sun exposure score was 14. The median time spent outdoors was 40 minutes, 90% of subjects wore longsleeved and long skirts, and all of the subjects never put on sunscreen. The mean value of vitamin D intake was 1.73 μg/day (SD 3.21 μg/day), all of the subjects had low vitamin D intake. The primary source of their vitamin D intake was fish (67.5%), predominantly freshwater fish. The mean value of serum 25(OH)D levels was 27.75 ng/mL (SD 13.25 ng/mL), and 30% of them had vitamin D deficiency. The sun exposure score was positively correlated with serum 25(OH)D levels (r=0.425; p=0.006). Meanwhile, there was a correlation between vitamin D intake and serum 25(OH)D levels (p=0.246). Conclusion. There is a significant positive correlation between sun exposure score and serum 25(OH)D levels, but no correlation between vitamin D intake and serum 25(OH)D levels.
Association of Comprehensive Geriatric Assessments Component and Sarcopenia in Elderly Wardhana, Diar Meitha; Widajanti, Novira; Ichwani, Jusri
Jurnal Penyakit Dalam Indonesia Vol. 6, No. 4
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Introduction. Sarcopenia is defined as a declined in skeletal muscle mass and strength along with its function may causes an increase in hospitalization, mortality, and health burden. Multi-factorial conditions of the aging process may cause sarcopenia. To assess those multi-factorial conditions in the elderly, a comprehensive geriatric assessment (CGA) method should be used, in which comprises of socio-demographic, medical, psychological, and functional domains. This research aims to analyze the components of CGA, including age, gender, nutritional status, mental status, and functional status as factors associated to sarcopenia in the elderly community in Surabaya. Methods. This community research was a cross sectional designed analytic observational study. The subjects were all elderly people visiting five chosen Posyandu, an integrated health service post, that meet the inclusion and exclusion criteria. A total of 308 data were collected and then bivariate and multivariate analyzes were performed to determine the components related to sarcopenia. Bivariate analysis was performed on components of age, sex, nutritional status, comorbidities, cognitive status, mental status, and functional status. Variables included in multivariate analysis were age, sex, nutritional status, comorbidities, cognitive status, and functional status. Results. The subjects were dominated by elderly females (74.7%). The median of age were 63 years (range 60-100 years). After performing multivariate analysis, three variables had the association to sarcopenia which were nutritional status assessed by MNA score ≤23.5 (OR 3.61, 95% CI 2.11–6.19), age ≥70 years old (OR 2.82, 95% CI 1.58–5.04), and male (OR 1,83, 95% CI 1,04–3,24). An area under curve (AUC) of 66.2% was obtained from the prediction model. Conclusion. The method of CGA has the power to predict sarcopenia of the elderly in the community as much as 66.2%
RELATIONSHIP BETWEEN LEVEL OF SERUM ADIPONECTIN AND FRAILTY IN ELDERLY PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE Marfiani, Erika; Ichwani, Jusri; Widajanti, Novira; Maranatha, Daniel; Amin, Muhammad
Indonesian Journal of Tropical and Infectious Disease Vol. 8 No. 2 (2020)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v8i2.16027

Abstract

Elderly are especially prone to the adverse health effects of chronic obstructive pulmonary disease (COPD). COPD is a typical aging disease which is found to be about 12% in the age group more than 64 years old. Frailty is an important geriatics syndrome, while adiponectin is an important adipokine that regulate homeostasis of energy. Adiponectin is affected by age, especially in males. Adiponectin levels increases as subcutaneous fat cells in older men decreases. Increased adiponectin can lead to muscle wasting which will further reduce body weight and body mass index (BMI), which indirectly also increases the degree of frailty. Until now the relationship between adiponectin with frailty degree in advanced COPD is still unknown.The aims of this study was to investigate the relationship between plasma adiponectin level and frailty in COPD elders. This was an observational analytic cross-sectional study. All anthropometric parameters, including weight, height, and body mass index (BMI), were measured. Adiponectin was measured by ELISA methods obtained from venous blood samples. Aged more than or equal to 60 years old, the patients underwent spirometry to determine the degree of airflow limitation and the degree of frailty defined by the Fried criteria. Statistic analysis used Rank Spearman. Thirty-eight male COPD patients became the subject of the study. The average age was 70-74 years, with a total of 13 robust, 12 prefrails and 13 frail patients. Level of adiponectin (mean and SD) in robust, prefrail, and frail were 6.84+ 2.66 , 6.58 + 4.27, and 11.62 + 4.90 respectively, p=0.015. Further analysis showed that level of adiponectin rose progresively with an increasing number of components of frailty. The degree of obstruction mostly with mild (42.1%), and no subjects with very severe. There were an increase in serum adiponectin levels in all subjects. In conclusion, level of adiponectin serum correlates positively with the degree of frailty.
Risk Factors and Prevalence of Urinary Incontinence in Elderly Women, a Case Study in Japan and Taiwan Hewiz, Alya Shafira; Widajanti, Novira; Hakim, Lukman; Satyawati, Rwahita
Journal Medical Informatics Technology Volume 1 No. 2, June 2023
Publisher : SAFE-Network

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37034/medinftech.v1i2.9

Abstract

Knowledge of the conditions of elderly women in Japanese and Taiwanese communities, particularly in relation to risk factors and their association with urinary incontinence, is of interest. This study aimed to identify risk factors and prevalence of urinary incontinence in elderly women in the community of the Japanese and Taiwanese case study areas. The research method used was a systematic review based on PRISMA guidelines. Data sources were obtained from PubMed and Science Direct for the period 2000-2020 using specific inclusion and exclusion criteria. Evaluation was conducted for quality and bias risk using a standardized assessment system. Results showed that the prevalence of urinary incontinence in elderly women in Japanese and Taiwanese communities ranged from 29.8% to 31.3%. Many factors influenced urinary incontinence, such as age, body mass index (BMI), and smoking habits. From the two selected articles in Japan and Taiwan, it was concluded that urinary incontinence was commonly experienced by elderly women in the community, and awareness of this condition could help improve management.
TWO-YEAR MORTALITY PROFILE IN ELDERLY WITH FRAILTY : Observational Descriptive Study in Elderly Health Community in Surabaya, Indonesia Faizah, Ummi Ziyadatul; Widajanti, Novira; Ichwani, Jusri
Journal of Community Medicine and Public Health Research Vol. 3 No. 1 (2022): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.452 KB) | DOI: 10.20473/jcmphr.v3i1.30283

Abstract

Indonesia in the next few years will face problems related to the increasing population of the elderly. Frailty becomes one of the most common health problems in the elderly. The prevalence of frailty in the Indonesian elderly range from 17% to 36.5%. Frailty raises the risk of death and health care costs, as well as functional disability, hospitalization, and fall risk. This was an observational descriptive study conducted in the elderly health community in Surabaya. This study aimed to determine the proportion and describe the associated factors of 2-year mortality in the elderly with frailty, so it can help determine appropriate preventive and intervention ways to prevent mortality and increase the quality of life in the elderly. There were 113 subjects. Most of the subjects had elementary school grade, married, had an income of less than 1.5 million rupiah/month, financially dependent, regularly exercised, did not use walking aids, and had no history of falls in the last year. The mortality rate within 2 years was 8.8% with the characteristics of older than 70 years old, had sarcopenia, decreased functional status, were at risk of malnutrition, CIRS score > 5, moderate cognitive impairment, probably depression, and had components of exhaustion, slowness, and low physical activity based on the CHS Frailty
Association between Muscle Mass and Muscle Strength with Physical Performance in Elderly in Surabaya Kristiana, Titin; Widajanti, Novira; Satyawati, Rwahita
Surabaya Physical Medicine and Rehabilitation Journal Vol. 2 No. 1 (2020): SPMRJ, Februari 2020
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (573.533 KB) | DOI: 10.20473/spmrj.v2i1.16313

Abstract

ABSTRACTBackground: Sarcopenia is a decrease in muscle mass and strength that mostly happens in the elderly. Sarcopenia is a problem that is often found in the elderly who are at risk of disability, hospitalization and death. This data on muscle mass and strength with physical performance is expected to support the theory of sarcopenia and as a reference in promoting and preventing sarcopenia in elderly.Aims: To analyze the association between muscle mass and strength (handgrip strength) with physical performance assessed using Short Physical Performance Battery (SPPB) in an elderly community.Methods: This study was a cross-sectional observational analytic study involving 203 sample of elderly (age >60 years old). The subjects were categorized as the strong and weak muscle mass and muscle strength, also the high, moderate and low physical performance. We used Bioimpedance Analysis (BIA) and hand dynamometer to measure muscle mass and muscle strength (handgrip strength). SPPB was used to assess physical performance.The association between muscle mass and strength with physical performance was displayed in bivariate analysis with chi square.Result: Of all 203 subjects, 57 were males and 146 were females. Chi square test showed association between muscle strength (handgrip strength) with physical performance (SPPB) (p=0.001), with a weak correlation (r=0.26) and no association between muscle mass and physical performance (SPPB) (p=0.517).Conclusion: There is a positive association between muscle strength with physical performance, with a weak correlation and no association between muscle mass and physical performance in the elderly community in Surabaya.
Co-Authors Agustin Junior Nanda Deniro Agustin Junior Nanda Deniro, Agustin Junior Nanda Alvin Hartanto Kurniawan Alya Shafira Hewiz Arlia Ayu Damayanti Damayanti, Arlia Ayu Diar Meitha Wardhana Dwi Setyawan Erika Marfiani Fadhil Abiyyu Yofi Faizah, Ummi Ziyadatul Firdaus, Hadiq Gatot Sugiarto Glazydia Juwita Rachma Hadiq Firdaus Hadiq Firdausi Hemma Wahyuda Indirayani Hewiz, Alya Shafira husna, kholidatul Ichwani, Jusri Indirayani, Hemma Wahyuda Jihan Nabila Pranjasdhina Jusri Ichwani Kholidatul Husna Konginan, Agustina Kristiana, Titin Lukman Hakim Lukman Hakim Maranatha, Daniel Mia Ratwita Andarsini Mifta Nurmalasari Muhammad Amin Nuniek Nugraheni Nuniek Nugraheni Sulistiawati Nurmalasari, Mifta Rhani, Salma Maha Rwahita Satyawati Rwahita Satyawati Dharmanta Salma Maha Rhani Sri Sumarmi Sri Sumarmi Ugroseno Yudho Bintoro Ulfa Kholili Wardhana, Diar Meitha Yahya Taqiuddin Robbani Yhan Batista Yhan Batista Yofi, Fadhil Abiyyu Zurriyani Zurriyani