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Exercise training decreases body mass index in subjects aged 50 years and over Haryono, Ignatio Rika
Universa Medicina Vol 29, No 3 (2010)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2010.v29.137-143

Abstract

Exercise training can improve blood pressure in normotensive, prehypertensive, and hypertensive subjects. One of the mechanisms of blood pressure reduction in hypertensive patients with obesity is through weight loss. This study aimed to examine the effect of exercise training on bodyweight and the relationship between weight loss and reduction of blood pressure. An experimental pre-post test design without controls was used to evaluate the effect of exercise training on weight loss. The study involved 89 elderly aged 50 years or more, consisting of 40 men and 49 women, who were members of Senayan Sport Fitness Club and had been exercising for at least three months. Exercise training was programmed and performed three times a week, consisting of aerobic (walking, jogging, static cycling), and resistance exercise. All exercise was performed for one to two hours with mild to moderate intensity. Blood pressure and body weight were obtained from medical records. Paired t-test showed that systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), pulse pressure (PP), and body mass index (BMI) were significantly lower after training [(systolic, 126.3 ± 2.9 vs 122.3 ± 2.7, p=0.02), (diastolic, 80.2 ± 3.1 vs 77.2 ± 2.4, p=0.00), (MAP, 95.6 ± 4.6 vs 92.2 ± 3.4, p=0.00), (PP, 46.1 ± 4.2 vs 45.1 ± 3.6, p=0.04), (BMI, 24.5 ± 2.9 vs 23.6 ± 2.9, p=0.04)]. Duration of training was the most influential factor affecting rBMI, (Beta = 0.38; p=0.00). Exercise training could lower BMI and the reduction in diastolic blood pressure was higher for the subjects aged 70 years and over.
Performance of osteoporosis self-assessment tool in detecting low bone mineral density in menopausal women Haryono, Ignatio Rika; Prastowo, Nawanto Agung
Universa Medicina Vol 36, No 2 (2017)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2017.v36.123-130

Abstract

BackgroundThe osteoporosis self-assessment tool (OST) is a simple screening tool to assess risk of osteoporosis and to select high risk women for dual-energy x-ray absorptiometry (DXA) examination. This study aimed to evaluate OST performance in detecting low bone mineral density (BMD) in menopausal women.MethodsA cross-sectional study involving 60 menopausal women aged 50-65 years. The OST score was calculated from: [weight (kg) – age (yr)] x 0.2. Subjects were classified by OST score into low risk (OST ³2) and high risk (OST< 2) groups. BMD was determined by DXA at 3 bone locations (L1-L4, femoral neck, and total hip). DXA T-scores were categorized into: normal BMD (T-score >-1) and low BMD (T-score £-1). Independent t-test was used to compare subject characteristics between OST groups. Diagnostic performance of OST was evaluated by measuring sensitivity, specificity, positive & negative predictive value (PPV, NPV), positive & negative likelihood ratio (PLR, NLR) and receiver-operating characteristic (ROC). Significance was set at p<0.05.ResultsSubject characteristics and BMD between groups were significantly different (p<0.05). Most subjects (44/73.3%) had high risk of low BMD (OST < 2). Low BMD (T score £-1) was found in 43 subjects (71.7%) at L1-L4, 41 subjects (68.3%) at femoral neck, and 37 subjects (61.7%) at total hip. Diagnostic performance of OST was significant at total hip BMD (sensitivity=0.946, AUC=0.777).Conclusion We conclude that use of the OST score in menopausal women is effective and has adequate sensitivity and specificity. The highest diagnostic performance of OST is on total hip BMD.
Correlation between Hemoglobin Concentration and Cardiorespiratory Fitness in Adolescent Sportsmen Billy Leoprayogo; Venna Venna; Ignatio Rika Haryono; Francisca Tjhay
Althea Medical Journal Vol 7, No 2 (2020)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v7n2.1847

Abstract

Background: Sport is a physical activity that increases human body oxygen demand. Hemoglobin has a major role to fulfill the oxygen demand. The body capacity to fulfill the increasing oxygen demand could be seen as cardiorespiratory fitness. Sportsmen have a high cardiorespiratory fitness due to the intensity and frequency of training. This study aimed to explore how hemoglobin concentration affects the cardiorespiratory fitness of adolescence sportsmen. Method: This study used a cross-sectional approach. The sampling started in October – November 2019. Sample of this study were 15-19 years old male badminton and basketball sportsmen at Jakarta and Bogor (n=72). Hemoglobin concentration measured with a digital hemoglobinometer which used an azide-methemoglobin method. VO2max estimated with a beep test. FITNESSGRAM® Performance Standard was used for the classification of cardiorespiratory fitness. All measurement’s ethical issues had been approved. The result of hemoglobin concentration and cardiorespiratory fitness was processed by SPSS program with Spearman and Kruskal-Wallis analysis method. Results: There was a correlation between hemoglobin concentration and cardiorespiratory fitness (p = 0.001, p < 0.05). Spearman analysis showed there was a weak correlation (r = 0.38) between hemoglobin concentration and cardiorespiratory fitness. Kruskal-Wallis analysis showed there was a meaningful mean difference in hemoglobin concentration on cardiorespiratory fitness groups (p = 0.005, p < 0.05). Conclusion: The mean of the hemoglobin concentration on the Healthy Fitness Zone (HFZ) cardiorespiratory group was higher than on the Need Improvement (NI) group and the Need Improvement within Health Risk (NI-HR) group. 
HUBUNGAN AKTIVITAS FISIK DENGAN WAIST/HIP RATIO, TEKANAN DARAH, DAN KOLESTEROL PADA MAHASISWA KEDOKTERAN YANG MENGALAMI OVERWEIGHT Aristo Constantine; Ignatio Rika Haryono
Bahasa Indonesia Vol 21 No 1 (2022): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v21i1.1879

Abstract

ABSTRACT Introduction: Cardiovascular disease has been a major health problem as of late, with over 17.5 million death per year. Accompanied with many risk factors such as hypercholesterolemia and abnormal body mass index, many researches have sought to find a way to alleviate the number of incidence. Physical activity then has been a well-known way to mitigate such symptoms and though many studies before have given insight on the relationship between physical activity and cardiovascular risk factors, this study aims to determine more closely on the relationship between physical activity in an overweight population with blood cholesterol, blood pressure and waist/hip ratio. Methods: It is a analytic comparative study with a cross-sectional method. The research subjects were 250 people divided into two groups. Physical activity data were obtained using the Global Physical Activity Questionnaire (GPAQ), blood cholesterol level was measured using capillary blood sampling on a easy touch device, blood pressure was measured using a mercury sphygmomanometer, waist/hip ratio was measured using an anthropometric band, body mass index (BMI) was measured by the way the weight divides the body in kilograms (kg) by height in meters squared (m2). Results: Among the overweight students of FKIK UAJ no significant relationship was found between physical activity with blood cholesterol, waist/hip ratio and blood pressure (p > 0.05). Conclusions: There is no significant relationship between physical activity in an overweight population with blood cholesterol, waist/hip ratio, and blood pressure. There is also no significant value differences between physical activity with blood cholesterol, waist/hip ratio, and blood pressure. Keywords: Blood Cholesterol, Blood Pressure, Overweight, Physical Activity, Waist/hip Ratio.
PENYULUHAN TEKNIK BERJALAN KAKI YANG BENAR BAGI KELOMPOK LANJUT USIA DI GEREJA KRISTEN INDONESIA NURDIN, JAKARTA Ignatio Rika Haryono; Nawanto A. Prastowo
Jurnal Bakti Masyarakat Indonesia Vol 3, No 1 (2020): Jurnal Bakti Masyarakat Indonesia
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat, Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (697.396 KB) | DOI: 10.24912/jbmi.v3i1.8056

Abstract

The prevalence of non-communicable diseases (PTM) is increasing rapidly. PTM prevention can be done by modifying risk factors such as increased physical activity (sports). Aside from prevention, physical activity has a therapeutic effect. However, choosing one type of exercise is apparently not simple. Many factors must be considered including the level of fitness, age, field conditions and others. Another factor to consider is exercise time. For people without the risk of heart attack, physical exercise (sports) can be done at any time. But it needs to be considered if the sport is done outdoors, it should be done at a safe temperature and humidity. For the high risk group for heart attack, the best exercise time is around 15.00 - 16.00 which is the highest fibrinolytic activity and the lowest coagulation activity, while the least good time is around 09.00 - 10.00 ie the highest coagulation activity and activity the lowest fibrinolytic. Among the many types of exercise, walking is one type of physical activity that is easy and inexpensive. Walking has good health benefits for the elderly. However, walking must be done with the right techniques in order to provide the expected benefits and prevent negative effects, which is minimizing the risks when walking. This counseling is done so that the participants can understand the correct and safe walking technique and do the walking according to the correct techniqueABSTRAK:Prevalensi penyakit tidak menular (PTM) meningkat dengan pesat. Pencegahan PTM dapat dilakukan dengan modifikasi faktor risiko antara lain peningkatan aktivitas fisik (olah raga). Disamping sebagai upaya  pencegahan, aktivitas fisik memiliki efek terapi. Namun demikian, memilih satu jenis latihan ternyata tidak sederhana. Banyak faktor harus dipertimbangkan antara lain tingkat kebugaran, usia, kondisi lapangan dan lain-lain. Faktor lain yang perlu dipertimbangkan adalah waktu ber olah raga. Bagi orang tanpa risiko serangan jantung, latihan fisik (olahraga) dapat dilakukan kapan saja. Namun perlu dipertimbangkan bila olahraga dilakukan outdoor, sebaiknya dilakukan pada suhu dan kelembaban yang aman. Bagi kelompok risiko tinggi terhadap serangan jantung, waktu latihan yang paling baik adalah sekitar pukul 15.00 – 16.00 yaitu saat aktivitas fibrinolitik paling tinggi dan aktivitas koagulasi paling rendah, sedangkan waktu yang kurang baik adalah sekitar pukul 09.00 – 10.00 yaitu saat aktivitas koagulasi paling tinggi dan aktivitas fibrinolitik paling rendah. Diantara banyak jenis latihan, jalan kaki adalah salah satu jenis aktivitas fisik yang mudah dan murah. Jalan kaki memiliki manfaat kesehatan yang baik bagi lansia. Namun demikian jalan kaki harus dilakukan dengan teknik yang benar agar memberikan manfaat yang diharapkan dan mencegah efek negatif, yaitu meminimalisir risiko saat melakukan jalan kaki. Penyuluhan ini dilakukan agar para peserta dapat memahami teknik jalan kaki yang benar dan aman serta melakukan jalan kaki sesuai teknik yang benar.
Comparing tools of balance tests in assessing balance of middle-aged women with or without exercises Nawanto Agung Prastowo; Michelle Olivia Budiarta; Kidyarto Suryawinata; Ignatio Rika Haryono
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 11, No 1, (2020)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol11.Iss1.art4

Abstract

Background: Fall risks among middle-aged women are relatively high. However, there is a lack of studies on tools of balance tests and their accuracy among middle-aged women. Objective: The aim of this study is to compare three tools of balance tests to predict falls of middle-aged women who exercise regularly and who do not. Methods: Eighty-five middle-aged women (50-64 years old) were included in this study, and 40 women of them (47.1%) exercised regularly. The Berg Balance Scale (BBS), Timed Up and Go Test (TUG), and 30-second Chair Stand Test (30-s CST) were the tools examined in this study. The numerical data of this study were analyzed by using a Mann-Whitney test. Those were significant if p<0.05. Accuracy of the tools of balance tests was evaluated by using Receiver Operating Characteristic (ROC) curve. Area under the curve (AUC) was significant if =0.70.Results: Based on this study, the middle-aged women (EG) indicated lower score of TU than sedentary (SG) test (6.9 ± 0.9 vs 8.3 ± 1.7, p = <0.000), and higher score of 30-s than sedentary (SG) test (20.1 ± 3.6 vs 17.2 ± 5.6, p = 0.026). Three participants (3.53%) reported history of falls. The TUG test had better accuracy to predict the falls (AUC 0.922, 95% CI 0.840 - 1.005, sensitivity 1.00, specificity 0.84, p=0.013). Mostly, the participants (˜70%) preferred to practice Tai Chi and Yoga. Conclusion: The middle-aged women who exercised could have a better score of the balance tests, and the TUG test could predict falls of them.
PELATIHAN PENGGUNAAN POSTURE RATING SCALE UNTUK PEMERIKSAAN POSTUR ATLET BULUTANGKIS REMAJA Ignatio Rika Haryono; Nawanto Agung Prastowo
Jurnal Bakti Masyarakat Indonesia Vol. 5 No. 2 (2022): Jurnal Bakti Masyarakat Indonesia
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat, Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jbmi.v5i2.18019

Abstract

Badminton is the most popular sport in Indonesia. Many children and adolescents engage in badminton at an early age. Sports injury in badminton is quite high. One of the risk factors of injury is posture abnormality. Posture abnormality is common in children and adolescent athletes. It can disturb musculoskeletal function, children's activities, and performance in sports. Early detection of posture abnormality is important to minimize the consequences and to give appropriate treatment. Early detection can be performed by a coach or assistant, sports teacher, or even parents. This activity was to train a coach and assistant in using a posture rating scale (PRS). Four participants attended the PRS usage training. Sixty-seven children and adolescent athletes were examined for their posture. Height and weight were measured according to the standard procedure. Body mass indexes were calculated with a standard formula. Posture was assessed using PRS with a maximal score of sixty-five. All activities were performed in a badminton club in Depok, West Java. The results showed all trainees passed the PRS usage training. The mean age of athletes was 10.1 years. The mean score of PRS was 59.7. Also, posture abnormality was quite a lot among adolescent badminton players. Scoliosis (34.3%), flat foot (34.3%), and lordosis (14.9%) were the most abnormalities found. PRS is quite an easy, beneficial, and convenient tool for posture examination in adolescent athletes   ABSTRAK: Bulutangkis adalah olahraga terpopuler di Indonesia. Banyak pemain mulai berlatih bulutangkis pada usia yang sangat muda. Prevalensi cedera olahraga pada bulutangkis cukup tinggi. Salah satu faktor risiko cedera adalah postur abnormal. Abnormalitas postur cukup banyak ditemukan pada atlet anak dan remaja. Abnormalitas postur dapat menimbulkan gangguan sistem muskuloskeletal sehingga dapat mengganggu aktivitas fisik dan kinerja olahraga. Deteksi dini merupakan tindakan penting untuk meminimalisir efek yang merugikan dan untuk memberikan terapi yang adekuat. Deteksi dini dapat dilakukan oleh pelatih/asisten, guru olahraga, bahkan orangtua. Kegiatan ini ditujukan untuk memberikan pelatihan singkat penggunaan posture rating scale (PRS) dan mengevaluasi postur atlet bulutangkis anak dan remaja. Empat orang mengikuti pelatihan penggunaan PRS. Enam puluh tujuh atlet remaja diperiksa postur nya menggunakan PRS. Tinggi dan berat badan diukur menggunakan metode standar. Indeks massa tubuh dihitung menggunakan rumus baku. postur dievaluasi menggunakan PRS dengan skor maksimal 65. Kegiatan dilakukan di sebuah klub bulutangkis di Depok, Jawa Barat. Sebanyak empat peserta pelatihan dinyatakan lulus. Hasil menunjukkan rerata usia atlet adalah 10.1 tahun, dan rerata skor PRS adalah 59.7. Kelainan postur cukup banyak ditemukan pada atlet bulutangkis anak dan remaja. Kelainan postur paling banyak ditemukan adalah skoliosis (34.3%), flat foot (34.3%), dan lordosis (14.9%). PRS adalah alat pemeriksaan yang cukup mudah, bermanfaat, dan nyaman bagi anak-anak dan remaja
Overuse Injury and Its Association with Possible Identified Risk Factors In College Athletes: a Pilot Study Nawanto Agung Prastowo; Ignatio Rika Haryono
JURNAL PENDIDIKAN JASMANI DAN OLAHRAGA Vol 8, No 1 (2023): Health Benefits of Exercise and Physical Activity
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpjo.v8i1.56086

Abstract

Participating in sporting competitions exposes college students to body collisions and complex movements, leading to a higher risk of musculoskeletal injury. If not appropriately treated, acute injuries could evolve into overuse injuries. It can interfere with student activities and academic performance. This study aimed to investigate the overuse injury rate and its association with possible identified risk factors in college athletes. This study is a cross-sectional study involving 100 college athletes from four different sports, including badminton (26 athletes), basketball (21 athletes), futsal (30 athletes), and volleyball (23 athletes). The injury rate was presented as a number of injuries/1000 athletes-exposure (A-E) and 1000 hour-exposure. Possible identified risk factors, gender, age, body mass index (BMI), sports type, and activity were documented. Data on injury rate and student identity were obtained using a questionnaire. Weight and height were measured. Chi-square was applied to analyze the relationship, while binary logistic regression was used to estimate the magnitude of the risk of overuse injury using a reference value. Significance was determined at p0.05. The incidence of overuse injury was 26.2% of all injuries (28 cases). The overall injury rate was 2.58/1000 A-E or 1.41 1000 h-exposure. According to A-E exposure, the highest overuse injury rate was in basketball (3.97/1000 A-E), while the lowest (1.8/1000 A-E) was in futsal. Meanwhile, based on 1000 h-exposure, volleyball was the highest (2.17/1000 h-exposure) and badminton was the lowest (0.85/1000 h-exposure). The overuse injury was mainly found in the lower limb (53.6%). No possible identified risk factors were found to have a relationship with overuse injury (gender, p=0.922; age, p=0.344; BMI, p=0.223; sport type (contact/non-contact), p=0.983; sport type (team/individual), p=0.364; and circumstance (training/competition), p=0.325). The overuse injury rate in college athletes varies depending on the type of sport, with the lower limb being the most affected site. No association was found between possible identified risk factors and overuse injury.   
The Association between Knowledge and Attitude of Ergonomic Sitting Position to Sitting Posture and Duration among Medical Students Gilbert Yavin Sutanto; Hadiyanto Usman; Ignatio Rika Haryono
Journal of Urban Health Research Vol. 1 No. 2 (2023): Journal of Urban Health Research
Publisher : School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/juhr.v1i2.4088

Abstract

Introduction: Medical students may spend more time sitting and learning. However, ignorance of the ergonomic sitting position and long sitting duration can lead them to an incorrect sitting position and high sedentary activity. Thus, this study investigated the association between knowledge and attitude towards ergonomic sitting position to sitting duration and posture among medical students. Methods: This cross-sectional study involved 30 students of the School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia. Data were obtained using a questionnaire. Questionnaires were distributed to participants and consisted of 2 parts, the first part included personal data, while the second part contained knowledge, attitude, and practice (sitting duration and posture). Fisher’s exact test and Fisher-Freeman-Halton were applied. The confidence interval was 95%, and the significance level (alpha) was 0.05. Results: 23.3% of the participants have good knowledge about ergonomics sitting position, 40% have adequate knowledge, and 56.7% have a positive attitude towards ergonomics sitting position. 60% of the participants spent sitting time more than 8 hours a day, and 43.3% of the participants had a straight sitting posture. Fisher’s test showed no significant association between ergonomic knowledge and chair sitting duration (p= 0.933) and ergonomic attitude and chair sitting duration (p= 0.711). Fisher-Freeman-Halton exact test showed no significant association between ergonomic knowledge and sitting posture on a chair (p= 0.699) and ergonomics attitude and chair sitting posture (p= 1.000). Conclusions: There was no association between knowledge of ergonomics sitting position with sitting duration and sitting posture and attitude of ergonomics sitting position with sitting duration and sitting posture. Keywords: knowledge – attitude - sitting duration - sitting posture - sitting ergonomics
The effect of Hatha Yoga on pain intensity in severe primary dysmenorrhea among students: A randomized controlled trials Ignatio Rika Haryono; Jessica Putri Sudarman; Nawanto Agung Prastowo; Lilis Lilis
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 1 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(1).95-105

Abstract

Background: Yoga has been known as an alternative therapeutic modality for reducing pain. The benefits of yoga for reducing pain have been proven. Women often suffer pain due to dysmenorrhea. The effect of Yoga on dysmenorrhea pain has not been widely studiedObjectives: This study aimed to investigate the effect of hatha yoga on pain in primary dysmenorrhea (PD). Methods: This was a randomized controlled study (RCT) involving 50 female students, 25 each in control (C) and yoga group (Y). PD was diagnosed by Working ability, Location, Intensity (Wong-Baker scale), and Days of the Pain of Dysmenorrhea (WaLIDD) questionnaire. Pain intensity was assessed by the Numeric Rating Scale (NRS). Hatha yoga training was conducted for 12 weeks. The unpaired t-test, ANOVA and Tukey post hoc, and Pearson correlation test was applied. Significance was set at p<0.05. Results: The characteristics between groups were not different. ANOVA indicated the NRS score in control was not changed, while yoga was diminished (p=0.02). Tukey post hoc showed that the second and third NRS were lower than basal NRS (p=0.038 and 0.01, respectively). The third was also lower than the second NRS (p=0.039). The second and the third NRS in yoga were lower than in control (p=0.027 and <0.01, respectively). The second magnitude of change of NRS was significantly different from the first in yoga (1.92 ±2.4 vs. 3.09 ± 2.8, p=0.018). The magnitude of NRS changes in the first (0.06±1.1 vs. 1.92±2.4, p=0.013) and second (0.02 ± 1.6 vs. 3.09 ± 2.8, p= 0.004) in yoga was significantly greater than the control. NRS score was not correlated with age, BMI, and age of menarche. Conclusions: Hatha yoga exercise ameliorate pain intensity in primary dysmenorrhea among female university students.