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Journal : Althea Medical Journal

Physical Fitness Is Correlated with Quality of Life among Elderly Gymnastics Club from Haji General Hospital Surabaya, Indonesia Hasan Hasan; Rita Vivera Pane
Althea Medical Journal Vol 9, No 4 (2022)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v9n4.2791

Abstract

Background: Indonesia is the fourth most populated country, of whom 10.8% are elderly people. The quality of life (QOL), which includes physical health, psychological health, social relationships, and the environment, is crucial as physical fitness may reflect the ability to perform daily activities without significant fatigue. The objective of this study was to explore the correlation of physical fitness with the QOL among the elderly.Methods: This was an analytic observational study with a cross-sectional approach, including members of the elderly gymnastics club of the Haji General Hospital Surabaya. The physical fitness value was measured based on VO2max using a 6-minute walk test (6MWT). The VO2max (0.03 x mileage(m) + 3.98 cc/kilogram body weight/minute) was categorized into poor, moderate, and good. The QOL was assessed with WHOQOL-100 and grouped into poor, moderate, and good QOL. Data were analyzed by the Spearman correlation test.Results: In total, 33 elderly were recruited, with an average age was 67.85±6.11 years (range 60–78), mean height was 1.49±0.09 m, mean weight was 57.65±10.53 kg, and mean BMI was 24.92±3.69. The mean VO2max was 16.96±2.37, and the QOL was 64.61±6.82 mL/kg/minute. The 6MWT resulted in the physical fitness of poor (15%; n=5), moderate (36%; n12), and good (48%; n16). The WHOQOL assessment showed moderate (30%; n=10) and good (61%; n=23) QOL. Spearman correlation test results showed a correlation between physical fitness and the QOL (coefficient 0.356 and p= 0.042).Conclusions: There is a correlation between physical fitness and QOL among the elderly, suggesting that increasing physical fitness among the elderly, adjusted to their physical health condition, is important to get a good quality of life.
Clinical Outcomes of Hypertonic Dextrose Prolotherapy Injection in Obese Patients with Knee Osteoarthritis: A Quasi-Experimental Study Pane, Rita Vivera; Al Hajiri, Aufar Zimamuz Zaman
Althea Medical Journal Vol 12, No 4 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n2.4307

Abstract

Background: Obesity is a major risk factor for knee osteoarthritis (KOA), contributing to pain, reduced joint function, and decreased quality of life. Hypertonic dextrose prolotherapy (HDP) has emerged as a potential treatment to lessen pain and improve function in KOA. This study aimed to observe the clinical outcomes of HDP injections in obese patients with KOA.Methods: A quasi-experimental study was conducted in 2023, involved obese patients diagnosed with KOA. Participants were divided into two groups: an intervention group receiving HDP injections and a control group receiving normal saline (NS) injections. Clinical outcomes were assessed using the Numeric Rating Scale (NRS) for pain and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) before intervention, and at two and six weeks after intervention. Intergroup and intragroup mean differences were analyzed, with a significance value of p<0.05.Results: A total of 38 participants were included, with 20 assigned to the HDP group and 18 to the control group. Intragroup analysis showed a significant reduction in NRS scores in both groups (p<0.001), whereas no significant intragroup change was observed in WOMAC scores. Intergroup analysis showed significantly greater improvement in both NRS and WOMAC scores in the HDP group compared with the control group at two and six weeks after intervention (p<0.001).Conclusions: HDP injections improve clinical outcomes in obese patients with KOA, particularly in reducing pain intensity and improving functional status. Pain reduction may support participation in exercise and weight management programs, although persistent obesity may increase the risk of KOA recurrence.