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Journal : WMJ (Warmadewa Medical Journal)

ASSOCIATION BETWEEN OSTEOPOROSIS AND AGE, PHYSICAL ACTIVITY, AND OBESITY IN ELDERLY OF TULIKUP VILLAGE, GIANYAR Ratna Juwita
WMJ (Warmadewa Medical Journal) Vol 3 No 2 (2018): November 2018
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.3.2.684.33-42

Abstract

The proportion of elderly population in Tulikup Village, Gianyar Regency is 0.72%. One of the potential disease affecting this aging population is osteoporosis. Morbidity of osteoporosis could impose future burden to community and government in term of medical, social and financial implications. The present study determined prevalence and risk factors of osteoporosis to provide solid basis for the development of screening model. Cross sectional study was conducted and 221 of 649 people aged ≥45 were randomly sampled by multi-stage random sampling method. Examined variables were osteoporosis treated as dependent variable and several independent variables: age groups, gender, personal history of fracture, dietary calcium intake, physical activity, alcohol & phosphorus intake, body mass index (BMI), parental history of fracture, diabetes mellitus, and smoking habit. Data was analyzed statistically by univariate, bivariate (chi square), and multivariate (logistic regression) analysis. The prevalence of osteoporosis in eldery was 28.1% (26.0% in women and 30.6% in men) and the rest was osteopenia (54.3%). Multivariate analysis showed that prevalence ratio (PR) of osteoporosis in relation to obesity, elderly group, post elderly group, and vigorous physical activity were 0.3 (CI 95%: 0.1-0.9), 4.5 (CI 95%: 1.4-1.9), 6.2 (CI 95%: 1.8-20.9), and 0.5 (CI 95%: 0.2-0.9), respectively. In general, obesity and vigorous physical activity significantly decreased the risk of osteoporosis. Obesity decreased the risk of having osteoporosis by 70% and vigorous physical activity deceased the risk of osteoporosis by 50% . Being elderly and post elderly increased the risk of having osteoporosis significantly. Elderly group was 4.5 times more likely to have osteoporosis, furthermore post elderly group increased the risk of by 6.2 times.
Empowering Groups of Farmer Exposed to Pesticides Pollution in Jembrana District Ratna Juwita
WMJ (Warmadewa Medical Journal) Vol 4 No 1 (2019): May 2019
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.4.1.971.30-38

Abstract

Pesticides are chemicals that are regularly used by farmers to manage pests. The adverse effects of pesticides affect not only pests but also farmers working without proper and correct personal protective equipment (PPE). The Eastern (Kangin) and Western (Kauh) groups of local farmer association, called the Tegal Wani Subak, in the Jembrana sub-district are farmer the groups that use pesticides regularly. Several health symptoms related to pesticides/ organophosphates exposure such as skin redness, eye irritation, dry throat and dizziness have frequently occurred. Based on field observation and discussion with participants, none of the farmers completely equipped with PPE and the farmers was exposed to pesticides contamination. Occupational Health and Safety (OHS) induction program was conducted to increase awareness, knowledge and practices of the farmers on the hazards of pesticides, early detection of pesticide poisoning and preventive interventions based on OHS approach. This program was an interventional study with a pre-post test approach which was participated by seven farmers and evaluated for one month. The pre-test results showed an improvement in the participants’ knowledge from 28.7 %, to 84.3 %. The general results of Focused Group Discussion (FGD) revealed that participants had a good understanding of pesticides; however, the understanding of PPE remained low. Weekly observations and assessments showed that the use of PPE had increased by 100%, except for boots use (71% ); all health symptoms decreased to 0%, except those related to nervous systems which actually increased from 71% to 76% (45% reported of hyperhydration/hypersalivation and 71% reported of headaches). The sustainable and active involvement of OHS officers in primary health centre (Puskesmas) is very important to overcome the problem of organophosphate use in a wider population of farmers.