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DETERMINANTS OF QUALITY OF LIFE OF LOW BACK PAIN PATIENTS Julianti, Hari Peni; Hadisaputro, Soeharyo; Susanto, Hardhono; Tulaar, Angela Bibiana Maria; Athaya, Arina Rezky
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 15, No 3 (2026): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v15i3.54310

Abstract

Background: Low back pain (LBP) is a common condition that leads to significant physical and mental health challenges worldwide. It is the primary contributor to years lived with disability (YLDs) and adversely affects quality of life (QoL). In Indonesia, there is a lack of research on the factors affecting QoL among patients with LBP. Objective:  This study aims to investigate the factors that influence the QoL of LBP patients at William Booth Hospital in Semarang, Indonesia. Methods: An analytic observational study with a cross-sectional design was conducted from July to August 2023, involving 95 LBP patients. Data were collected using questionnaires, including the SF-36v1 for QoL assessment. The data were analyzed using chi-square tests and binary logistic regression to identify significant determinants. Results:  The study found that 82.1% of respondents reported poor physical health, while 87.4% indicated good mental health. Factors such as older age, subacute to chronic LBP, severe pain, low education levels, and dependency in daily living activities significantly impacted the physical health domains. No significant associations were observed between QoL and gender, BMI, or occupational risk. Severe pain and limited independence in daily tasks emerged as critical determinants of reduced QoL. Conclusion: The findings emphasize the need for targeted interventions, such as pain management, rehabilitation programs, and educational initiatives, to enhance the QoL of LBP patients—especially among older adults and those with low education levels. These measures are essential to reduce the socioeconomic burden of LBP in Indonesia.
COMPARISON OF NORDIC WALKING AND SENAM LANSIA ON FUNCTIONAL CAPACITY IN POSTMENOPAUSAL WOMEN Hakim, Hernanda Haudzan; Julianti, Hari Peni; Dewi, Novita Sari
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 15, No 3 (2026): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v15i3.53238

Abstract

Background: Functional capacity is the ability to perform physical activities without pain or fatigue. In postmenopausal women, there are significant changes in cardiovascular, musculoskeletal, and pulmonary functions, which can lead to a decrease in functional capacity. Regular and controlled physical activity can enhance muscle metabolism and cardiopulmonary fitness, thereby increasing functional capacity. Nordic walking and senam lansia are examples of popular physical activities in the Indonesian community, particularly among postmenopausal women. Objective: To compare the effect of Nordic walking and senam lansia on functional capacity of postmenopausal women. Methods: This study was a quasi experimental pretest-posttest control group design. There were 26 participants divided into two groups: group A (n=13) received Nordic walking training 3 times a week for 12 weeks, and group B (n = 13) received senam lansia 3 times a week for 12 weeks.  Functional capacity is obtained through the measurement of METs scores, converted from the result of 6-minute walking test (6MWT) using the Nury formula. Results: After twelve weeks, there was a significant improvement in METs scores in both the Nordic walking group (p=0.001) and the senam lansia group (p<0.001). There was a statistically significant difference in delta METs score between the Nordic walking group (0.98±0.12) and the senam lansia group (0.40±0.24) (p<0.001). Conclusion: Both Nordic walking and senam lansia improved functional capacity in postmenopausal women after 12 weeks, with Nordic walking producing a greater effect.