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All Journal Manuju : Malahayati Nursing Journal Jurnal Medika Hutama Community Development Journal: Jurnal Pengabdian Masyarakat Jurnal Bakti Masyarakat Indonesia Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) Prosiding Seri Seminar Nasional Jurnal Suara Pengabdian 45 KREATIF: Jurnal Pengabdian Masyarakat Nusantara Tarumanagara Medical Journal Jurnal Pengabdian Masyarakat Nusantara Sewagati: Jurnal Pengabdian Masyarakat Indonesia Sejahtera: Jurnal Inspirasi Mengabdi Untuk Negeri Jurnal Kesehatan Amanah Perigel: Jurnal Penyuluhan Masyarakat Indonesia Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan Jurnal Muara Medika dan Psikologi Klinis KREATIF: Jurnal Pengabdian Masyarakat Nusantara Jurnal Pengabdian Masyarakat Indonesia Jurnal Pengabdian Ilmu Kesehatan
Alexander Halim Santoso
Bagian Gizi, Fakultas Kedokteran Universitas Tarumanagara
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Peran Biomarker Darah terhadap Distribusi Lemak Tubuh pada Perempuan Dewasa : Analisis Korelasi Hematologis dan Metabolik Christian Wijaya; Alexander Halim Santoso; Bryan Anna Wijaya
Jurnal Kesehatan Amanah Vol. 9 No. 1 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i1.928

Abstract

Introduction: Subcutaneous fat distribution in adult women changes significantly with age, particularly during menopausal transition. This modulation is closely linked to hormonal alterations and may be reflected through blood biomarkers. Methods: A cross-sectional study was conducted to analyze the relationship between age and blood biomarkers (hemoglobin, fasting glucose, HDL, and uric acid) with subcutaneous fat thickness at three body sites (biceps, triceps, and suprailiac) in adult women. Pearson correlation tests were used to assess associations between variables. Results: A significant positive correlation was found between age and biceps fat thickness (r = 0.112; p = 0.044). Hemoglobin showed a consistent positive correlation with fat thickness across all sites. Fasting glucose correlated positively with triceps fat (r = 0.109; p = 0.050), and uric acid was positively associated with triceps and suprailiac fat. HDL exhibited a significant negative correlation with suprailiac fat (r = -0.180; p = 0.001). Conclusion: Blood biomarkers hold potential as non-invasive indicators for tracking age-related subcutaneous fat redistribution. This approach could enhance early detection of metabolic risk in adult women and support preventive and integrative clinical strategies.
Modulasi Usia terhadap Deposisi Lemak Subkutan dan Kaitannya dengan Biomarker Darah pada Perempuan Dewasa Fadil Hidayat; Alexander Halim Santoso; Bryan Anna Wijaya
Jurnal Kesehatan Amanah Vol. 9 No. 1 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i1.929

Abstract

Introduction: Subcutaneous fat distribution in adult women changes significantly with age, particularly during menopausal transition. This modulation is closely linked to hormonal alterations and may be reflected through blood biomarkers. Methods: A cross-sectional study was conducted to analyze the relationship between age and blood biomarkers (hemoglobin, fasting glucose, HDL, and uric acid) with subcutaneous fat thickness at three body sites (biceps, triceps, and suprailiac) in adult women. Pearson correlation tests were used to assess associations between variables. Results: A significant positive correlation was found between age and biceps fat thickness (r = 0.112; p = 0.044). Hemoglobin showed a consistent positive correlation with fat thickness across all sites. Fasting glucose correlated positively with triceps fat (r = 0.109; p = 0.050), and uric acid was positively associated with triceps and suprailiac fat. HDL exhibited a significant negative correlation with suprailiac fat (r = -0.180; p = 0.001). Conclusion: Blood biomarkers hold potential as non-invasive indicators for tracking age-related subcutaneous fat redistribution. This approach could enhance early detection of metabolic risk in adult women and support preventive and integrative clinical strategies.
Hubungan Kadar HBA1C dan Insulin Puasa Terhadap Infeksi Saluran Kemih Pada Kelompok Lanjut Usia di Panti Santa Anna Donatila Mano S; Zita Atzmardina; Alexander Halim Santoso; Fernando Nathaniel; Joshua Kurniawan; Dean Ascha Wijaya; Eric Raditya Kaminto; Andini Ghina Syarifah; Pasuarja Jeranding Ezra; Agnes Marcella; Rifi Nathaznya Syachputri
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.13510

Abstract

ABSTRACT Urinary tract infection (UTI) poses a serious concern in the elderly population, with approximately 25% of total infection cases in the geriatric group being UTIs. Diabetes mellitus stands as a leading cause of global morbidity and is associated with severe complications, including an increased risk of infections impacting the quality of life. Patients with diabetes face a twofold higher risk of mortality due to infections. Advanced age is also a risk factor for UTIs, influenced by factors such as uncontrolled diabetes. Measuring parameters such as fasting insulin and HbA1c levels is crucial for understanding correlation between diabetes and UTIs. HbA1c can reflect long-term glycemic control in diabetic patients. This cross-sectional study aims to investigate relationship between HbA1c and fasting insulin levels concerning the occurrence of UTIs in the elderly population, conducted at the Santa Anna Nursing Home in 2023. The study included 33 respondents with an average age of 72.88 years, predominantly comprising 24 female respondents (72.7%). The mean fasting insulin level was 12.46 mIU/mL, and HbA1c level was 5.97%. UTIs were diagnosed in 11 respondents (33.3%). The correlation analysis between these variables indicated no significant difference in the mean HbA1c levels between groups with or without UTIs (p = 0.955). However, a significant difference was observed in the mean fasting insulin levels between the two groups (p 0.001). This finding is noteworthy as fasting insulin levels have a direct correlation with circulating blood glucose levels and formation of red blood cells, potentially influencing HbA1c levels. Further clarification is needed on how these three variables interact. Keywords: Elderly, Fasting Insulin, HbA1c, Urinary Tract Infection  ABSTRAK Infeksi saluran kemih (ISK) adalah masalah serius pada populasi lanjut usia, sekitar 25% dari total kasus infeksi pada kelompok geriatri adalah ISK. Diabetes melitus adalah penyebab utama morbiditas global dan berhubungan dengan komplikasi serius, termasuk risiko infeksi yang berdampak pada kualitas hidup. Pasien diabetes memiliki risiko dua kali lipat lebih tinggi untuk kematian akibat infeksi. Peningkatan usia juga merupakan faktor risiko untuk ISK, yang dipengaruhi oleh faktor-faktor seperti diabetes yang tidak terkontrol. Pengukuran parameter seperti insulin puasa dan HbA1c adalah kunci dalam memahami korelasi antara diabetes dan ISK. HbA1c dapat mencerminkan kontrol glikemik jangka panjang pada pasien diabetes. Penelitian potong lintang ini bertujuan untuk mengetahui hubungan antara kadar HbA1c dan insulin puasa terhadap kejadian ISK pada kelompok lanjut usia yang dilakukan di Panti Lansia Santa Anna pada tahun 2023. Penelitian mengikutsertakan 33 responden dengan rata-rata usia 72,88 tahun dan didominasi oleh jenis kelamin perempuan  sebanyak 24 responden (72,7%). Rerata kadar insulin puasa sebesar 12,46 mIU/mL dan kadar HbA1c sebanyak 5,97%. Sebanyak 11 responden (33,3%) terdiagnosis ISK. Hasil korelasi antara kedua variabel tersebut menunjukkan bahwa tidak ada perbedaan signifikan dalam rerata kadar HbA1c antara kelompok dengan atau tanpa ISK (p = 0,955). Meskipun demikian, terdapat perbedaan signifikan dalam rerata kadar insulin puasa antara kedua kelompok (p 0,001). Hal ini menjadi sebuah pertimbangan karena kadar insulin puasa memiliki korelasi langsung dengan jumlah gula yang beredar bebas dalam darah dan pembentukan sel darah merah yang dapat meningkatkan tingkat HbA1c. Diperlukan penjelasan lebih lanjut tentang bagaimana ketiga variabel ini berinteraksi. Kata Kunci: HbA1c, Infeksi Saluran Kemih, Insulin Puasa, Lanjut Usia
Hubungan Kadar Vitamin D dengan Kejadian Insomnia Pada Kelompok Lanjut Usia di Panti Santa Anna Anastasia Ratnawati Biromo; Noer Saelan Tadjudin; Alexander Halim Santoso; Yohanes Firmansyah; William Gilbert Satyanegara; Dean Ascha Wijaya; Joshua Kurniawan; Ayleen Nathalie Jap; Fladys Jashinta Mashadi; Melkior Michael Fransisco; Linginda Soebrata
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.13516

Abstract

ABSTRACT Vitamin D deficiency is a public health problem that affects everyone regardless of their age. It is linked to various health problems, and one of them is sleep problem. Nearly 60% of elderly have sleep problems, with insomnia being the most frequently reported symptom. Insomnia can lead to physical, mental, behaviour problems, and increasing risk of having diabetes and cardiovascular disease. To find the association between vitamin D and insomnia in elderly. This research uses cross sectional study to find association between vitamin D and insomnia in elderly who live in Santa Anna’s nursing home. Respondents who met the inclusion criterias were measured for vitamin D and then filling out Insomnia Severity Index (ISI) questionnaire. Statistical analysis used is the Mann-Whitney test. Twenty-seven participants met the inclusion criteria, with the mean age of 75,59 (SD 7,42) years and vitamin D level 19,93 (SD 6,87) ng/ml. There was no significant difference in vitamin D level between non-insomnia and insomnia (p-value 0,979). However, from this study we found that lower vitamin D serum was associated with the increasing risk of insomnia. Vitamin D deficiency should be taken into account when treating elderly with sleep disorder. Health practitioners should consider Vitamin D supplementation as adjunctive treatment in sleep problems. Keywords: Insomnia, Elderly, Vitamin D  ABSTRAK Defisiensi vitamin D merupakan masalah kesehatan umum yang dapat terjadi pada semua orang tanpa memandang usia. Defisiensi vitamin D dihubungkan dengan berbagai macam masalah kesehatan, salah satunya adalah gangguan tidur. Gangguan tidur pada lansia merupakan masalah yang sering ditemui, dimana hampir 60% lansia mengalami gangguan tidur. Insomnia dapat menyebabkan gangguan fisik, mental, perilaku, dan meningkatkan risiko penyakit diabetes serta kardiovaskular. Meneliti hubungan vitamin D dengan kejadian insomnia pada lansia. Penelitian ini merupakan studi potong lintang yang mencari hubungan antara kadar vitamin D dengan kejadian insomnia pada orang lanjut usia di Panti Lansia Santa Anna. Responden yang memenuhi kriteria inklusi dilakukan pengukuran kadar vitamin D dan pengisian kuesioner Insomnia Severity Index (ISI) untuk insomnia. Analisis statistik dilakukan dengan menggunakan uji Mann-Whitney. Sebanyak 27 responden memenuhi kriteria inklusi dengan rerata usia 75,59 (SD 7,42) tahun, dengan kadar vitamin D 19,93 (SD 6,87) ng/ml. Hasil analisis statistik tidak mendapatkan perbedaan rerata kadar vitamin D yang bermakna antara kelompok dengan atau tanpa insomnia (p-value 0,979), meski demikian pada penelitian ini didapatkan bahwa defisiensi vitamin D berisiko meningkatkan terjadinya insomnia. Defisiensi vitamin D harus dipertimbangkan dalam manajemen lanjut usia dengan gangguan tidur. Suplementasi vitamin D dapat dipertimbangkan sebagai terapi tambahan pada lanjut usia yang mengalami gangguan tidur. Kata Kunci: Insomnia, Lansia, Vitamin D
Hubungan Kadar 25(OH)D3 dengan Lingkar Betis Pada Kelompok Lanjut Usia di Panti Santa Anna: Studi Potong-Lintang Alexander Halim Santoso; Susi Olivia Lontoh; Yohanes Firmansyah; Giovanno Sebastian Yogie; Daniel Goh; Andini Ghina Syarifah; Stanislas Kotska Marvel Mayello Teguh; Anthon Eka Prayoga Khoto
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.13124

Abstract

ABSTRACT The research on vitamin D is still developing until its role in the immune system, the absorption of phosphate from the intestine, and preventing its excretion in the kidneys are known. The prevalence of low levels of vitamin D is high, and recently, it was discovered that there was a relationship between vitamin D deficiency and the incidence of sarcopenia in the elderly. Determining vitamin D levels and the incidence of sarcopenia in the elderly at the Santa Anna Nursing Home. This study was an analytical study with a cross-sectional design conducted on elderly residents of the Santa Anna Nursing Home in July 2023 to assess vitamin D levels and calf circumference to assess sarcopenia. The data obtained were analyzed using Mann-Whitney. Result Of the 32 respondents, the average age was 72.66 years, and 22 (68.7%) respondents were women. It was found that 30 (93.8%) respondents experienced vitamin D deficiency, and 15 (46.9%) respondents experienced sarcopenia. The results of statistical tests showed that there was no difference in the mean levels of vitamin D between the sarcopenic and non-sarcopenic groups. However, the group of patients with sarcopenia had vitamin D levels that tended to be lower compared to the group without sarcopenia (18 vs. 21 ng/mL; MR 15.50 vs. 17.38). There was no statistically significant difference in mean vitamin D levels between the groups with and without sarcopenia. However, there is a tendency for groups of patients with sarcopenia to have vitamin D levels that tend to be lower than those in groups without sarcopenia. Keywords: Vitamin D, Sarcopenia, Elderly  ABSTRAK Hingga saat ini, penelitian terhadap vitamin D terus berkembang hingga diketahui perannya dalam sistem imun, absorpsi fosfat dari usus dan mencegah terekskresinya pada ginjal. Tingginya prevalensi kurangnya kadar vitamin D dan baru-baru ini, diketahui ada hubungan defisiensi vitamin D dengan kejadian sarkopenia pada lansia. Mengetahui kadar vitamin D dengan kejadian sarkopenia pada lansia di Panti Werda Santa Anna. Penelitian ini adalah analitik dengan desain potong lintang yang dilakukan pada lansia penghuni Panti Werdha Santa Anna pada Juli 2023 untuk menilai kadar vitamin D dan lingkar betis untuk menilai sarkopenia. Data yang didapat kemunian dianalisis menggunakan Mann-Whitney. Didapat 32 responden dengan rerata usia 72,66 tahun dan sebanyak 22 (68,7%) responden adalah perempuan. Didapat 30 (93,8%) responden mengalami defisiensi vitamin D dan 15 (46,9%) responden mengalami sarkopenia. Hasil uji statistic didapat hasil tidak terdapat perbedaan rerata kadar vitamin D antara kelompok sarkopenia dan tidak. Namun dapat terlihat bahwa kelompok pasien dengan sarkopenia memiliki kadar vitamin D yang cenderung lebih rendah dibandingan dengan kelompok tanpa sarkopenia (18 vs 21 ng/mL; MR 15,50 vs 17,38). Tidak terdapat perbedaan rerata kadar vitamin D yang bermakna secara statistik antara kelompok dengan atau tanpa sarkopenia. Namun terdapat kecenderungan kelompok pasien dengan sarkopenia memiliki kadar vitamin D yang cenderung lebih rendah dibandingan dengan kelompok tanpa sarkopenia. Kata Kunci: Vitamin D, Sarkopenia, Lanjut Usia
Hubungan Kadar Insulin Puasa dengan Indeks Massa Tubuh Pada Kelompok Lanjut Usia di Panti Lanjut Usia Olivia Charissa; Alexander Halim Santoso; Joshua Kurniawan; Dean Ascha Wijaya; Fernando Nathaniel; Yohanes Firmansyah; Bryan Anna Wijaya; Gracienne Gracienne; Yovian Timothy Satyo; Steve Vallery Ranonto
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.13126

Abstract

ABSTRACT Elderly population is increasing globally. One of the global adversity is obesity. Prevalence of obesity in the elderly population is growing over time and has become a global threat. Obesity also affect insulin level and resistancy, becoming the foundation for diabetes melitus, the unending global health problem. This will bring various health risks for elderly. This study aims to find out the correlation between fasting insulin level with body mass index in the elderly population. This cross-sectional study was done in Santa Anna Nursing Home. The sampling method is total sampling. Body mass index data collection was carried out according to standard physical examination protocols and insulin level analysis was carried out according to standard laboratory protocols. Statistic analysis used in the study is Spearman correlation, with hoped significance level of 5% and power of 80%. We found 31 respondents with mean age of 73.1 (±9.55) years with female as the dominant gender. The median of insulin level were 10 (5,4 – 29,,5) uIU/mL, with mean BMI of 22,24 (3,95) kg/m2. Statistical analysis found no significant correlation between fasting insulin level with BMI (p-value : 0.179), but clinically could be seen that increase of fasting insulin level will affect the increase of BMI though its only a weak correlation (r-spearman : 0.248). Fasting insulin level plays a role and could affect body mass index in the elderly body.  Keywords: Body Mass Index, Elderly, Fasting Insulin, Nursing Home  ABSTRAK Jumlah penduduk lanjut usia secara global akan terus meningkat. Salah satu permasalahan yang mendunia adalah obesitas. Prevalensi obesitas pada populasi lanjut usia kian meningkat dan menjadi ancaman global. Obesitas juga memengaruhi kadar dan resistensi insulin yang menyebabkan diabetes melitus menjadi masalah kesehatan yang tak kunjung berakhir di dunia. Hal ini menjadi dasar berbagai risiko kesehatan pada lansia. Studi ini dilakukan untuk mengetahui apakah terdapat hubungan yang bermakna antara kadar insulin puasa dengan indeks massa tubuh pada kelompok lanjut usia. Studi cross-sectional ini dilaksanakan di Panti Lanjut Usia Santa Anna. Metode pengambilan sampel berupa total sampling. Pengambilan data indeks massa tubuh dilakukan sesuai protokol pemeriksaan fisik standar dan analisa kadar insulin dilaksanakan sesuai protokol laboratorium standar. Analisa statistik yang digunakan pada penelitian ini berupa analisa korelasi spearman, dengan nilai signifikansi yang diharapkan pada penelitian ini adalah sebesar 5% dengan kekuatan penelitian sebesar 80%.  Didapatkan 31 responden dengan rerata usia sebesar 73,1 (±9,55) tahun dengan dominan berjenis kelamin perempuan (71,0%). Rerata kadar insulin puasa adalah 10 (5,4 – 29,,5) uIU/mL, dengan rerata IMT 22,24 (3,95) kg/m2. Pada uji statistik tidak didapatkan korelasi yang bermakna antara kadar insulin puasa dengan IMT (p-value : 0.179), tetapi secara klinis dapat terlihat bahwa peningkatan kadar insulin puasa akan berdampak terhadap peningkatan IMT walaupun tergolong dalam korelasi lemah (r-spearman : 0.248). Kadar insulin puasa tampak memegang peranan dan dapat berdampak terhadap indeks massa tubuh pada lansia. Kata Kunci: Indeks Massa Tubuh, Insulin Puasa, Lanjut Usia, Panti Lanjut Usia
Perbandingan Indeks Massa Tubuh pada Siswa dan Siswi Konsumsi Ultra-Processed Food di SMA Xaverius 1 Jambi Heri Yanto Putra; Alexander Halim Santoso
Malahayati Nursing Journal Vol 6, No 12 (2024): Volume 6 Nomor 12 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i12.15823

Abstract

ABSTRACT According to the World Health Organization's European Regional Obesity Report 2022, obesity is a complex multifactorial condition caused by excess adiposity and is linked to an elevated risk of noncommunicable diseases. Riskesdas Jambi Province in 2018 reported that 7.8% of adolescents were overweight and 2.7% were obese. Ultra-processed food undergoing extensive processing is considered obesogenic due to its high calorie, sugar, and salt content. This study aims to determine the mean difference of body mass index (BMI) among students who ate frequent and infrequent in Xaverius 1 senior high school students in Jambi City. This study was a cross-sectional design with a sample size of 143 students. Data collection was carried out using a consecutive sampling technique and were analyzed using Mann-Whitney. In this study, there was no significant difference in mean of body mass index between students who frequently consumed UPF and those who rarely consumed UPF (p0,05). Further researches are recommended with more precise method to see more association of risk factor toward obesity in adolescent. The difference in Mean Body Mass Index between Frequent and Infrequent Ultra Processed Food Consumption Groups was 0,68 (-0,76 – 2,12) points.  Keywords: Ultra-Processed Food, Body Mass Index, Obesity, Adolescent  ABSTRAK Menurut Laporan WHO European Regional Obesity 2022, obesitas adalah kondisi multifaktorial kompleks yang disebabkan oleh kelebihan adipositas dan terkait dengan peningkatan risiko penyakit tidak menular. Riskesdas Provinsi Jambi tahun 2018 melaporkan sebanyak 7,8% remaja gemuk (overweight) dan 2,7% remaja obesitas. Ultra-Processed Food adalah jenis makanan yang mengalami pengolahan ekstensif dan dianggap sebagai penyebab obesitas karena kandungan kalori, gula, dan garam yang tinggi. Penelitian ini bertujuan untuk mengetahui perbedaan rerata indeks massa tubuh (IMT) antara siswa yang sering dan yang jarang mengonsumsi Ultra-Processed Food pada siswa SMA Xaverius-1 Kota Jambi. Penelitian ini merupakan penelitian potong lintang dengan jumlah sampel sebanyak 143 responden. Pengumpulan data dilakukan dengan menggunakan teknik consecutive sampling dan dianalisis dengan menggunakan Mann-Whitney. Hasil penelitian ini menunjukkan bahwa tidak terdapat perbedaan rerata indeks massa tubuh yang bermakna antara siswa yang sering dan yang jarang mengonsumsi Ultra-Processed Food (p0,05). Penelitian lebih lanjut dengan metode yang lebih tepat disarankan untuk melihat lebih jauh hubungan faktor risiko terhadap obesitas pada remaja. Kata Kunci: Ultra-Processed Food, Indeks Massa Tubuh, Obesitas, Remaja
Hubungan Kadar Vitamin D Dengan Kadar Albumin Pada Kelompok Lanjut Usia di Panti Santa Anna Ernawati Ernawati; Olivia Charissa; Alexander Halim Santoso; Yohanes Firmansyah; Dean Ascha Wijaya; Fernando Nathaniel; William Gilbert Satyanegara; Hans Sugiarto; Jonathan Hadi Warsito; Valentino Gilbert Lumintang; Angel Sharon Suros
Malahayati Nursing Journal Vol 6, No 2 (2024): Volume 6 Nomor 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i2.13123

Abstract

ABSTRACT Low albumin and vitamin D levels in the elderly are often due to factors such as malnutrition, inflammation, and illness. A deficiency in albumin can affect the availability of vitamin D because it binds to albumin. Maintaining normal levels of albumin and vitamin D in the elderly has positive impacts on nutrition, healing, infection prevention, and metabolic function. This cross-sectional study aimed to investigate the relationship between vitamin D levels and albumin levels in the elderly. It was conducted at Santa Anna Elderly Care Home in November 2023. The variables in this study were vitamin D levels and albumin levels. Statistical analysis was performed using the Mann-Whitney test. Out of 47 respondents, the average age was 77.55 years. Mann-Whitney test results indicated no significant relationship between 25-hydroxyvitamin D levels and albumin levels in blood serum (p-value: 0.770). The correlation between these two variables showed a negative correlation, meaning that lower levels of 25-hydroxyvitamin D were associated with higher albumin levels. This is interesting because it contradicts the research hypothesis, suggesting that albumin levels may be influenced by factors outside the variables being studied. The correlation result of 0.044 falls into the category of very weak and cannot be considered a determining variable between two variables. Further analysis using the Mann-Whitney test revealed that there was no significant relationship or difference in mean values between 25-hydroxyvitamin D levels in the hypoalbuminemia and normal groups (p-value: 0.919), and there was no significant relationship or difference in mean values between albumin levels in the vitamin D deficiency and normal groups. Keywords: Albumin, Elderly, Vitamin D  ABSTRAK Albumin dan vitamin D yang rendah pada lanjut usia dapat terjadi karena faktor malnutrisi, inflamasi, dan penyakit. Kekurangan albumin dapat memengaruhi ketersediaan vitamin D, hal ini disebabkan vitamin D terikat pada albumin. Memiliki kadar albumin dan kadar vitamin D yang normal pada lanjut usia berdampak positif pada status nutrisi, penyembuhan, pencegahan infeksi, dan fungsi metabolik. Penelitian potong lintang ini bertujuan mengetahui hubungan kadar vitamin D dengan kadar albumin pada lanjut usia yang dilakukan di Panti Lansia Santa Anna pada November 2023. Variabel dalam penelitian ini adalah kadar vitamin D dan kadar albumin. Analisis statistik menggunakan uji Mann Whitney. Dari 47 responden, rata-rata usia adalah 77,55 tahun. Hasil uji Mann Whitney menyatakan tidak terdapat hubungan yang bermakna antara kadar 25-hidroksi vitamin D dengan kadar albumin dalam serum darah (p-value: 0,770). Hasil korelasi antara kedua variabel tersebut menunjukan korelasi negatif yang berarti semakin rendah kadar 25-hidroksi vitamin D maka akan semakin tinggi kadar albumin. Hal ini cukup menarik dikarenakan berlawanan dengan hipotesis penelitian yang berarti pula sebenarnya kadar albumin disebabkan oleh banyak faktor di luar variabel yang diteliti. Hasil korelasi 0,044 masuk dalam kategori sangat lemah dan tidak dapat diperhitungkan sebagai variabel penentu antara kedua variabel. Hasil analisis lanjutan dengan uji Mann Whitney didapatkan hasil bahwa tidak terdapat hubungan atau perbedaan rerata yang bermakna antara kadar 25-hidroksi vitamin D pada kelompok hipoalbumin maupun kelompok yang normal (p-value: 0,919) serta tidak terdapat hubungan atau perbedaan rerata yang bermakna antara kadar albumin pada kelompok defisiensi vitamin D dan kelompok normal. Kata Kunci: Albumin, Lanjut Usia, Vitamin D
Hubungan Kadar Insulin Puasa dengan Tekanan Darah Pada Kelompok Lanjut Usia: Studi Potong Lintang di Panti Santa Anna Robert Kosasih; Frisca Frisca; Alexander Halim Santoso; Yohanes Firmansyah; William Gilbert Satyanegara; Fernando Nathaniel; Joshua Kurniawan; Friliesa Averina; Daniel Goh; Ribkha Anggeline Hariesti Sitorus; Brian Albert Gaofman
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.13127

Abstract

ABSTRACT Hypertension is one of the most common causes of death in the world. Insulin is a hormone that has been studied for a long time, and hyperinsulinemia is a condition where the body requires large amounts of insulin to achieve normal sugar levels. It was found that hypertensive patients with metabolic syndrome disorders have higher insulin levels with or without obesity which makes it considered as a risk factor. Finding the correlation between fasting insulin and blood pressure in nuring home. Cross-sectional study research on the correlation of fasting insulin levels with blood pressure in the elderly group at Santa Anna Nursing house. Respondents who meet the inclusion criteria will follow a series of data collection according to applicable physical and laboratory examination standards. Statistical analysis using spearman correlation analysis. There were 30 respondents who met the inclusion criteria with an average age of 73 (56 - 88) years, systolic blood pressure (SBP) 120 (105-150) mmHg, diastolic blood pressure (DBP) 70 (55-80) mmHg, and fasting insulin levels 9.45 (5.4-29.5) μIU / ml. the results of the analysis did not find a significant correlation between fasting insulin levels and blood pressure (p-value = 0.590 and 0.898). In this study, it was found that the higher the fasting insulin level, the lower the systolic blood pressure (r-systolic = -0.102). Fasting insulin is one of the tests that can be carried out as an early detection of metabolic disease, especially as a prevention of hypertension. Keywords: Fasting Insulin, Elderly, Blood Presure  ABSTRAK Hipertensi merupakan salah satu penyebab kematian tersering di dunia. Insulin merupakan hormon yang telah dipelajari sejak lama, dan hiperinsulinemia merupakan suatu kondisi dimana tubuh membutuhkan jumlah insulin yang banyak untuk mencapai kadar gula darah yang normal. Ditemukan bahwa pada penderita hipertensi dengan gangguan sindroma metabolik memiliki kadar insulin yang lebih tinggi baik itu dengan atau tanpa obesitas yang membuatnya dipertimbangkan sebagai faktor risiko. Meneliti bagaimana korelasi kadar insulin puasa dengan tekanan darah di panti lansia. Penelitian studi potong lintang mengenai korelasi kadar insulin puasa dengan tekanan darah pada kelompok lanjut usia di Panti Lansia Santa Anna. Responden yang memenuhi kriteria inklusi akan mengikuti rangkaian pengambilan data sesuai standar pemeriksaan fisik dan labotorium yang berlaku. Analisis statistik menggunakan analisis korelasi spearman.  Terdapat 30 responden yang memenuhi kriteria inklusi dengan rerata usia 73 (56 – 88) tahun, tekanan darah sistolik (TDS) 120 (105-150) mmHg, tekanan darah diastolik (TDD) 70 (55-80) mmHg, dan kadar insulin puasa 9,45(5,4-29,5)μIU/ml. hasil analisis tidak didapatkan korelasi yang bermakna antara kadar insulin puasa dengan tekanan darah (p-value= 0,590 dan 0,898). Pada penelitian ini didapatkan semakin tinggi kadar insulin puasa maka akan semakin rendah tekanan darah sistolik (r-sistolik=-0,102). Insulin puasa merupakan salah satu pemeriksaan yang dapat dilakukan sebagai deteksi dini penyakit metabolik, khususnya sebagai pencegahan terhadap hipertensi.   Kata Kunci: Insulin Puasa, Lansia, Tekanan Darah
Implementation of Integrated Health Services for Post-Disaster Communities in Agam Regency, West Sumatra, Indonesia Shirly Gunawan; Noer Saelan Tadjudin; Alexander Halim Santoso; Yohanes Firmansyah; Daniel Goh; Belinda Angie; Anggita Tamaro; Irvan Baharits Al Basith; Djulia Djulia; RA Rengganis Ularan; Hetty Karunia Tanjungsari; Mei Ie; Alicia SariJuwita
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 4 No. 1 (2026): Jurnal Ilmiah Pengabdian Kepada Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v4i1.647

Abstract

Background of study: The natural disaster in Agam Regency, West Sumatra, have disrupted access to health services and increased the risk of acute illness, exacerbating chronic illnesses, and causing psychosocial problems. This situation demands a rapid, integrated, and adaptive health response to the limitations of post-disaster facilities. This community service activity aims to improve access and quality of health services for disaster- affected communities through an integrated approach to medical services and logistics distribution. Methods: The program was implemented over three days at several locations and health posts in Agam Regency. Activities included cross-sector coordination, implementation of health services, daily evaluation, reporting, and planning for sustainability. Interventions included basic and advanced medical services, post-operative wound care, chronic disease management, home-visits, and medical assistance. Result: Health services were provided for more than 200 patients, predominantly with cases of hypertension, upper respiratory tract infections, dermatitis, musculoskeletal disorders, and diabetes mellitus. The home visit approach successfully reached vulnerable groups with limited mobility. Conclusion: The use of simple health technology and family involvement improved continuity of care and community empowerment. This program has supported physical health recovery in post-disaster communities and has the potential to be replicated in other disaster-affected areas.
Co-Authors Agnes Marcella Alfred Sutrisno Sim Alicia Herdiman Alicia Herdiman Alicia Sarijuwita Alicia Sarijuwita Anak Agung Ngurah Putrayoga Amertha Anastasia Ratnawati Biromo Andini Ghina Syarifah Andrew Philo Angel Sharon Suros Angel Sharon Suros Anggita Tamaro Anggita Tamaro Anthon Eka Prayoga Khoto Astin Mandalika Axsel Harsono Ayleen Nathalie Jap Ayleen Nathalie Jap Ayunda Vidya Karmelia BR Harahap Belinda Angie Bobby Marshel Ancheloti Waltoni Brian Albert Gaofman Bruce Edbert Bryan Anna Wijaya Bryan Anna Wijaya Chalishah Shifa Martiana Christian Wijaya Daniel Goh David Limanan Dean Ascha Wijaya Djulia Djulia Donatila Mano S Dorna Yanti Lola Silaban Edwin Destra Edwin Destra Edwin DESTRA Eric Raditya Kaminto Ernawati Ernawati Fadil Hidayat Farell Christian Gunaidi Farell Christian Gunaidi Farell Christian Gunaidi Farell Christian Gunaidi Fernando Nathaniel Fiona Valencia Setiawan Fiona Valencia Setiawan Firmansyah Firmansyah Fladys Jashinta Mashadi Freddy Ciptono Friliesa Averina Friliesa Averina Frilliesa Averina Frisca Frisca Frisca Frisca Frisca Frisca Frisca Frisca Geoffrey Christian Lo Giovanno Sebastian Yogie Gracelya Liwanto Gracienne Gracienne Hans Sugiarto Harfi Rif’ani Apriansyah Helen Limarda Hendsun Hendsun Heri Yanto Putra Hetty Karunia Tanjungsari Irvan Baharits Al Basith Jasmine Syabania Noviantri Jeffrey Jeffrey Jeffry Luwito Jonathan Hadi Warsito Joshua Kurniawan Joshua Kurniawan Karjadidjaja, Idawati Kasvana Kenzie Rafif Ramadhani Linda Julianti Linginda Soebrata Louise Audrey Sukianto Lysandro Tommy Lay Marcella E. Rumawas Mei Ie Meilani Kumala Melkior Michael Fransisco Muhammad Rifat Umar Alwini Naufal Rayhan Nicholas Albert Tambunan Nicholas Setia Noer Saelan Tadjudin Novendy Novendy Olivia Charissa Olivia Charissa Pasuarja Jeranding Ezra RA Rengganis Ularan Ribkha Anggeline Hariesti Sitorus Rifi Nathaznya Syachputri Robert Kosasih Ryan Daffano Putra Mahendri Shirly Gunawan Sidarta, Erick Siufui Hendrawan Stanislas Kotska Marvel Mayello Teguh Stanislas Kotska Marvel Mayello Teguh Stephanie Amadea Steve Vallery Ranonto Steven Hizkia Lucius Sukmawati Tansil Tan Sukmawati Tansil Tan Sung Chian Susi Olivia Lontoh Susy Olivia Susy Olivia Lontoh Susy Olivia Lontoh Susy Olivia Lontoh Tamia Asri Jeser Tiffany Valeri Alexandra Tjie Haming Setiadi Triyana Sari Twidy Tarcisia Valentino Gilbert Lumintang William Gilbert Satyanagara William Gilbert Satyanegara William Gilbert Satyanegara Yohanes Firmansyah Yohanes Firmansyah Yohanes Yohanes Yovian Timothy Satyo Yulfitra Soni Zita Atzmardina