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All Journal JURNAL GIZI INDONESIA Jurnal Kedokteran Diponegoro Media Ilmu Keolahragaan Indonesia Medica Hospitalia
Yuswo Supatmo
Department Of Physiology, Faculty Of Medicine, Diponegoro University. Jl. Prof. Sudarto,SH, Tembalang Semarang, Central Java, Indonesia, 50275
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Relationship Of Serum Hemoglobin And Vitamin D Levels With Posutral Balance Ngestiningsih, Dwi; Wicaksono, Maulana Akbar; Wicaksono, Muhammad Agung Wibowo; Probosuseno, Probosuseno; Supatmo, Yuswo; Rachmawati, Banundari
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 2 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i2.948

Abstract

Background: The population of the elderly in Indonesia has increased significantly in recent years. The incidence of falls is influenced by postural balance. Vitamin D and hemoglobin deficiency are associated with decreased muscle function and postural balance. This study is to investigate the relationship between vitamin D and hemoglobin levels with postural balance in the elderly. Methods: The study used a cross-sectional design with the participation of 33 patients (aged 64.94±5.42 years). The study sample was elderly individuals who fulfilled the inclusion criteria at Semarang Elderly Posyandu. Patients performed postural balance test, with Sharpened romberg and tandem gait test. The examination of vitamin D and hemoglobin was taken from the patient's venous blood. Vitamin D was measured using ELISA. Results: The results of the independent sample t-test analytic test revealed a P value of vitamin D (0.007) and a P value of hemoglobin of (0.021) (p<0.05). There is a meaningful relationship between vitamin D and hemoglobin levels with postural balance in the elderly.. Conclusion: Decreasing Haemoglobine and Vitamin D impair the postural balance.
THE EFFECTIVENESS OF FOOT EXERCISE AND HYDROTHERAPY ON BLOOD SUGAR LEVELS IN THE ELDERLY Putra, Edy Nuswantara; Setiawati, Erna; Marijo, Marijo; Supatmo, Yuswo
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 1 (2024): 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.v13i1.41031

Abstract

Background: Elderly are susceptible to health problems due to decreased organ function such as increased blood sugar levels that are at risk for diabetes mellitus, so proper management is needed with physical activity. Foot exercise and hydrotherapy can be an alternative to physical activity for elderly to lower blood sugar levels.Objective: To determine the effectiveness of the combination of foot exercise with and without hydrotherapy on blood sugar levels in the elderly.Methods: Experimental study with parallel 3 groups pre and post-test design. Research subjects were 21 elderly, divided into control group (n=7), combination of foot exercises and hydrotherapy intervention group (n=7), and foot exercise intervention group (n=7). The intervention was done 3 times a week for 5 weeks. Blood sugar levels were measured using POCT.Results: There is no significant decrease in blood sugar levels from control group (p>0.05). There is significant decrease in blood sugar levels from foot exercise and hydrotherapy intervention group (p<0.05) and foot exercise intervention group (p<0.05). The difference in blood sugar levels showed significant results between foot exercise and hydrotherapy intervention group and control group (p=0.000) and between foot exercise intervention group and control group (p=0.004). There is no significant differences in blood sugar levels between foot exercise and hydrotherapy intervention group and foot exercise intervention group (p=0.112).Conclusion: Both foot exercise and hydrotherapy are effective in lowering blood sugar levels in the elderly.
Additional vitamin D supplementation does not affect muscle strength in the older women: A double-blind randomized controlled trial Nurahmatika, Prisma; Noer, Etika Ratna; Ngestiningsih, Dwi; Susanto, Hardhono; Pramono, Adriyan; Supatmo, Yuswo
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 12, No 2 (2024): June
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.12.2.101-107

Abstract

Background: The elderly, aged 60 and above, are expected to increase in number in the coming years. Aging brings about various changes, impacting both physical and mental health. Proper protein intake and exercise can boost muscle protein synthesis, while maintaining optimal vitamin D levels is crucial. Research is necessary to explore vitamin D's impact on elderly muscle mass.Objective: This study aims to investigate the effect of adding vitamin d supplementation to protein and exercise on handgrip strength in healthy elderly.Materials and Methods: 24 participants were randomized in a double-blinded, pilot study ages 60- 80 years Subjects were divided into two groups. Group 1 was given interventions of vitamin D supplementation 1000 UI/day combining soy + oats milk as a protein and exercise. The second group was given intervention of soy+ oats milk protein, and exercise. The intervention program was administered for 8 weeks. Data comparison whitin and between groups were analyzed by Independent T-test, Mann-Whitney, and Paired T-testResults: Data from all participants was analyzed, before and after interventions of handgrip was increased in both of groups from a mean of 17.18kg to 18.06kg for the right hand and 15.17kg to 18.26kg for the left hand in Group 1, 13.80kg to 16.86kg for the right hand and 15.45kg to 17.32kg for the left hand in Group 2. Results of the difference test analysis between the two groups (ANOVA t = 0.548, P= 0172) showed no difference between group 1 and group 2.Conclusion: In this study, there was no effect of adding vitamin D supplementation on handgrip at healthy elderly participants. 
Co-Authors Adhyaksa, Afif Fauzi Adji, Raden Mas Soerjo Adriyan Pramono Banundari Rachmawati Djuara P Lubis Endang Ambarwati, Endang Endang Kumaidah Erna Setiawati Erna Setiawati Erna Setiawati, Erna Etika Ratna Noer Fahrezi, Andhwika Afif Hardhono Susanto Hardhono Susanto Marijo Marijo, Marijo Mas Soerjo Adji, Raden Niken Ayu Dewi Masitoh Nugrahani Wiraningrum Nurahmatika, Prisma Probosuseno Probosuseno, Probosuseno Putra, Edy Nuswantara Putri, Alda Aulia Rahma Ananto Rahmi Isma Asmara Putri Ruberto, Sandro S.Pd. M Kes I Ketut Sudiana . Tanti Ajoe Kesoema Triyuliani, Liliana Evita Wicaksono, Maulana Akbar Wicaksono, Muhammad Agung Wibowo Yudha Hasya Ardana