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STUDI KOHOR ATMA JAYA ACTIVE AGING RESEARCH: GANGGUAN KOGNITIF LANJUT USIA Suswanti, Ika; Budiharsana, Meiwita Paulina; Turana, Yuda; Handajani, Yvonne Suzy
Jurnal Publikasi Kesehatan Masyarakat Indonesia Vol 7, No 1 (2020): Jurnal Publikasi Kesehatan Masyarakat Indonesia
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpkmi.v7i1.8789

Abstract

ABSTRAK Gangguan kognitif merupakan bagian dari proses neurodegeneratif, saat ini belum ada  perawatan atau pengobatan untuk mencegah progresifitas. Tujuan penelitian ini adalah untuk mengetahui faktor risiko gangguan kognitif dalam studi prospektif. Penelitian dengan desain studi kohort prospektif pada 110 subjek dengan pengambilan sampel  dilakukan secara purposive sampling berdasarkan kriteria memiliki kognitif normal, pendidikan lebih dari 9 tahun dan berusia di atas 60 tahun yang berasal dari wilayah binaan Atma Jaya Active Aging Research yaitu Penjaringan, Cideng dan Cengkareng pada tahun 2014-2015 sebagai baseline studi. Fungsi kognitif diperiksa ulang setelah follow-up 2,5 tahun. Subjek diidentifikasi gangguan kognitif jika memiliki skor Mini Mental State Examination kurang dari 24. Penelitian kami menemukan bahwa 16,4% subjek mengalami gangguan kognitif dengan rerata usia  68,6 ± 6,3 tahun, dan 63 perempuan (57,3%). Skor Instrumental Activity Daily Living yang lebih rendah di awal studi memprediksi penurunan kognitif setelah 2,5 tahun follow up secara independen (13,9 ± 2,6 vs 15,3 ± 1,4; p-value= 0,001). Analisis multivariat menggunakan regresi logistik menunjukkan bahwa skor Instrumental Activity Daily Living yang lebih rendah memprediksi 1,47 kali untuk mengalami gangguan kognitif pada lanjut usia dengan pendidikan diatas 9 tahun setelah 2,5 tahun follow up. Nilai Instrumental Activity Daily Living yang lebih rendah ditemukan sebagai prediktor gangguan kognitif pada lansia setelah 2,5 tahun follow up. Kata-kata kunci: Neurodegeneratif, penilaian, fungsional, klinis, kohor  ABSTRACT Cognitive impairment is a part of neurodegenerative process, currently there was no treatment or medication to prevent the progressivity. The aims of the study was to investigate the risk factors of cognitive impairment in prospective study. The study was a prospective cohort study design on 110 subjects with sampling conducted by purposive sampling based on the criteria of having normal cognitive, education more than 9 years and aged over 60 years. The study based from the Atma Jaya Active Aging Research in Penjaringan, Cideng dan Cengkareng in 2014-2015 as the study baseline. The cognitive function was re-examined after a follow up 2.5-year. Subjects identified cognitive impairment if had Mini Mental State Examination score less than 24. Our study found that 16.4% subjects was cognitive impairment with mean of age 68.6±6.3 years, and 63 (57.3%) female. Lower Instrumental Activity of Daily Living score at baseline predicted cognitive impairment at the present (13.9±2.6vs15.3±1.4; p-value= 0.001). Multivariat analyses using regression logistic showed that lower Instrumental Activity Daily Living score predicting 1.47 more likely to progress cognitive impairment in elderly after follow up 2.5 years. Lower of Instrumental Activity Daily Living score found as a risk factor of worse cognitive funtion in elderly after 2.5-year prospective study.   Keywords: Neurodegenerative, functional, assessment, clinical, follow up  
Nutritional Status, Physical Activity, Oxidative Stress, and Cognitive Function in Pre Elderly and Elderly Nunung Cipta Dainy; Clara Meliyanti Kusharto; Siti Madanijah; Martina Wiwie Setiawan Nasrun; Yuda Turana
Jurnal Gizi dan Pangan Vol. 13 No. 3 (2018)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (285.238 KB) | DOI: 10.25182/jgp.2018.13.3.117-122

Abstract

This study aimed to analyse the relation of nutritional status, physical activity or oxidative stress with cognitive function of pre-elderly and elderly. A comparative cross-sectional study was conducted on 40 pre-elderly and 35 elderly subjects who were admitted to the Integrated Development Post Program (Posbindu) between September 2014 and January 2015. Anthropometric measurements (weight and height), physical activity, and biochemical data (oxidized low-density lipoprotein[Ox-LDL] and serum malondialdehyd [MDA]) were obtained. Nutritional status was assessed through body mass index (BMI), while the cognitive function was measured by Rey Osterrieth Complex Figure (ROCF) and Digit Span Backward. The data were analysed using an independent t-test and Spearman’s test with a confidence level of 95%. The study showed that the prevalence of malnutrition among the pre-elderly and elderly were 60.0% and 80.0%, respectively. Concerning physical activity, those who belonged to inactive-sedentary activity based on physical activity level (PAL) ratio were 55.0% and 45.7%, respectively. There were no significant differences in Ox-LDL, MDA levels and cognitive function (p>0.05). Significant negative correlations existed between Ox-LDL and immediate visual memory function (r=-0.289; p<0.05), as well as between Ox-LDL and delayed visual memory function (r=-0.288; p<0.05). The conclusion that visual memory function was only correlated with Ox-LDL.
HUBUNGAN GANGGUAN FUNGSI PENGHIDU DAN STATUS GIZI PADA LANSIA DI PUSAT SANTUNAN KELUARGA DI JAKARTA BARAT Beatus Bibang; Jimmy Fransisko Abadinta Barus; Yuda Turana
Bahasa Indonesia Vol 19 No 1 (2020): 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.v19i1.1155

Abstract

Introduction: The prevalence of individuals who experience an impaired olfactory function increases with age. Impaired olfactory function is considered as one of the risk factors for malnutrition in the elderly. The purpose of this study was to examine whether there was a relationship between impaired olfactory function and nutritional status in the elderly. Methods: Comparatives analytical study with a cross-sectional approach to the elderly group. Subjects were recruited from Pusat Santunan Keluarga/PUSAKA (in the period May-June 2016) at Jakarta Barat. Subjects were chosen by random sampling. The nutritional status, cognitive, and olfactory function were assessed with MNA assessment, MMSE instrument, and olfactory assessment. Result: 207 people participated in this study; 67.1% were women. Impaired olfactory function and malnourished were found in 46.5% and 42.5%, respectively. The bivariate analysis found that there was a relationship between olfactory function and nutritional status (p=0,006), olfactory function and MMSE score (p=0,001). Logistic regression analysis demonstrated that there were no significant associations between olfactory function and nutritional status with the variables examined in this study. Conclusion: Olfactory function is not directly associated with nutritional status in the elderly.
HUBUNGAN KADAR GULA DARAH DAN TEKANAN DARAH TERHADAP FUNGSI KOGNITIF LANSIA DI KELURAHAN MERUYA, JAKARTA BARAT Magistra Cylvia Margaretha; Yuda Turana; Jimmy Barus; Nelly Tina Widjaja
Bahasa Indonesia Vol 19 No 2 (2020): 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.v19i2.1248

Abstract

Introduction: A decline in cognitive function in the elderly occurs in the body due to aging. Internal and external factors influence the decline in cognitive function in the elderly. This research focuses on blood sugar, blood pressure, and the elderly's characteristics as a factor in decreasing the cognitive function of the elderly.Methods: This research uses the descriptive-analytic method with a cross-sectional design of 101 respondents. The independent variables of this study are blood sugar, blood pressure, and demographic characteristics. The dependent variable is the cognitive function of the elderly. Data obtained were analyzed both univariate and bivariate using the Chi-square test.Results: Blood pressure has a significant relationship with the impaired cognitive function in the elderly (p<0.05). Other factors, such as blood sugar, age, sex, and education level did not show any relationship with the cognitive function of the elderly (p>0.05).Conclusion: Blood pressure has a relationship with cognitive function in the elderly. In contrast, blood sugar does not have a relationship with cognitive function.
HUBUNGAN OBESITAS, HIPERGLIKEMIA DAN HIPERTENSI TERHADAP SARKOPENIA PADA LANSIA DI PUSAKA KALIDERES, JAKARTA BARAT 2019-2020 sandy Ayu Monica Silalahi; Yuda Turana; Yvonne Suzy Handajani
Bahasa Indonesia Vol 20 No 2 (2021): 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.v20i2.2037

Abstract

Introduction: Aging and physical disability are often associated with hypertension, obesity and blood sugar levels which are important factors in the development of metabolic syndrome and cardiovascular disease.This study aims to determine the relationship between obesity, hyperglycemia, hypertension and sarcopenia among the elderly at PUSAKA Kalideres, West Jakarta. Methods: This study used a cross-sectional analytical descriptive study consisting of 107 respondents aged ≥ 60 years at PUSAKA Kalideres, West Jakarta from September 2019 to November 2019. The dependent variable studied was sarcopenia, while the independent variables of the study were obesity, hyperglycemia and hypertension. The criteria for sarcopenia are based on the 2019 Asian Working Group for Sarcopenia (AWGS). Obesity is categorized if the BMI is ≥ 25 kg, hyperglycemia if the fasting blood sugar level is ≥100 mg / dL, hypertension if the blood pressure is ≥140 / 90 mmHg. Results: Based on 107 respondents, most of them were aged  65 years (62.6%) and most of them were female (70.1%). The results showed 30 respondents (28%) sarcopenia, 51 respondents (47.7%) obesity, 24 respondents (22.4%) hyperglycemia, and 31 respondents (29%) hypertension. Based on bivariate analysis, it shows that age and obesity have a significant relationship with sarcopenia p = 0.006 (p> ) and obesity p = 0.022 (p> ). The results of multivariate analysis showed that age and non-obesity were associated with sarcopenia (p = 0.005; OR = 4.734; CI = 1.587 - 14.122 and obesp = 0.015; OR = 0.309; CI = 0.120 - 0.796). Conclusion: Age is a risk factor for sarcopenia in the elderly and those who are not obese have a greater risk of developing sarcopenia.
Remember Me Film Festival : An Education Efforts to Increase Dementia Awareness in Young Generations Yuda Turana; D. Y. Suharya; Dian Purnomo
MITRA: Jurnal Pemberdayaan Masyarakat Vol 4 No 1 (2020): MITRA: Jurnal Pemberdayaan Masyarakat
Publisher : Institute for Research and Community Services

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/mitra.v4i1.793

Abstract

The role of film as one of the effective educational media is fundamental, especially in promoting awareness of the early symptoms of Alzheimer's disease. In Indonesia, there have not been many productions that specifically aim to escalate knowledge and awareness of Alzheimer's disease. The purpose of this activity was to increase public awareness of dementia and Alzheimer's, promote prevention and dementia risk reduction, produce short films on dementia and Alzheimer's with Indonesian cultural background as well as encouraging people toward elderly-friendly behavior. The event was held as a collaboration between FKIK Unika Atma Jaya, Alzheimer's Indonesia, and Eagle Institute titled Remember Me Film Festival (RMFF). In disseminating the information, The RMFF activities were publicized via YouTube and mass media. The aims of this study was to discuss the Remember Me Film Festival (RMFF) meetings as part of the tridharma institutions (community service), evaluation of benefits to the community, and qualitative assessment of the contents of dementia research for viewers on social media (YouTube) at three time points of observation (1 year after being downloaded on YouTube). The results of RMFF revealed that for each point of observation there was an increase in the number of views from September 2017 to October 2018. The RMFF activity can thus be employed as a model of increasing health promotion using digital/online platform for the younger generation.
The Role of Primary Health Care Toward Healthy Aging Dhanasari Vidiawati; Yuda Turana; Tonny Sundjaya
Amerta Nutrition Vol. 4 No. 1SP (2020): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v4i1SP.2020.10-14

Abstract

Background: According to the World Health Organization, healthy aging is the process of developing and maintaining functional abilities that make the elderly happy. The increase in the elderly population requires more attention. In particular, health services at the primary health care level face problems related to the limited capacity of overall health services, especially in terms of health promotion and preventive health issues. It is necessary to improve the quality of health care services for the elderly to prevent greater health problems among the elderly population.Objectives: Understand the need to provide holistic health services for healthy aging and use their capabilities, and strengthen cooperation among health professionals in achieving healthy aging.Discusion: Primary health care is pointed out that primary health care should provide comprehensive services in a holistic manner to support a healthy aging process. Therefore, a well-structured, integrated, and cross-industry collaborative primary care system is needed. The system should include changes in professional behavior, coordination of care, and participation of patients' families and communities in comprehensive health care. This can be achieved through inter-professional education, continuous training and education of primary health care professionals, as well as primary health care services and cross-level health care technology innovation.Conclusions: Healthy aging is not just the absence of disease. Everyone in health and social care at all levels can play a role to help improve healthy aging. To make the elderly healthy, starting from the prevention of young health problems, it requires collaboration between health workers, primary health care and other health service levels, and health care that cooperates with patients, families, and communities.Keywords: healthy aging, primary care, preventive, health worker
VERBAL FLUENCY SEBAGAI DOMAIN KOGNITIF YANG PALING MEMENGARUHI AKTIVITAS FUNGSIONAL LANSIA DI PULAU JAWA Pricilya H. Wangi; Yvonne Suzy Handajani; Yuda Turana
NEURONA Vol 39 No 1 (2021)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v39i1.313

Abstract

Introduction: The prevalence of cognitive impairment and functional disability increases with age. Decreases in cognitive subdomains increase the risk of functional disability in the elderly. Aim: Obtain an overview of the ability of the elderly in carrying out functional activities as well as risk factors, especially cognitive disorders in the elderly community on the island of Java. Method: A cross-sectional study using secondary data from the 2014-2015 Indonesian Family Live Survey (IFLS-5) was conducted on respondents aged 60 years or older. Impaired cognitive function was assessed using the Telephone Survey of Cognitive Status (TICS) method. There are several cognitive domains in the TICS with a total score of 0-34, with the possibility of experiencing global cognitive impairment if the score is ≤13. Verbal fluency is said to be impaired with a value of <16. Elderly independence was assessed using the Instrumental Activity of Daily Living (IADL). Result: Obtained 1688 respondents, mostly aged 60-74 years (88.7%), women (54.3%), with less than nine years of education (72.8%), and living in urban areas (58.4%). A total of 26.7% of respondents experienced global cognitive impairment, 73.6% of respondents with impaired verbal fluency, and 28.6% needed assistance doing IADL. The analysis result shows a relationship between several domains of cognitive function and IADL in the elderly on the island of Java. Discussion: Based on multivariate analysis, the most influencing factor for IADL was age, while the cognitive domain that most influenced IADL was verbal fluency. Respondents over 75 years old and impaired verbal fluency were 2,2 and 1,7 times, respectively, at greater risk of developing IADL dependence. Keywords: Cognitive, elderly, instrumental activity of daily living, verbal fluency.
Faktor-Faktor yang Memengaruhi Kejadian Depresi pada Lansia Berpendidikan Rendah Berdasarkan Indonesian Family Life Survey 5 Tanuwijaya, Melyana; Suryakusuma, Linda; Turana, Yuda; Handajani, Yvonne Suzy
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 1 (2023): Vol 40 No 1 (2023)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i1.371

Abstract

Introduction: The prevalence of depression increases with age and a high level of education is a protective factor from depression among elderly. However, majority of elderly in Indonesia are low educated which have an increased risk of depression. Aim: To determine the factors influencing the incidence of depression in low educational attainment elderly. Method: A cross-sectional study using secondary data from the 2014-2015 Indonesian Family Life Survey 5 (IFLS-5) which was conducted on respondents aged 60 years or older with low educational attainment. Depression was assessed using the Center for Epidemiologic Studies Depression Scale-10 (CESD-10), cognitive function was assessed using the Telephone Interview for Cognitive Status (TICS), the intensity of physical activity using the International Physical Activity Questionnaire (IPAQ) short-form, functional disability was assessed using 6 items of Katz Activity Daily Living (ADL) and the Lawton Instrumental Activity of Daily Living (IADL), and other variables using questions in the IFLS questionnaire. Result: Among 3481 respondents in this study, mostly aged 60-74 years (86,4%), women (55,3%), married (63,3%), working (54,9%), doing moderate-high intensity physical activity (64,6%), independent in performing ADL (87,3%), and normal in IADL (73,5%). Addition, most of them did not experience decrease in cognitive function (79,9%), had no history of hypertension (74,1%), diabetes mellitus (95%), arthritis/rheumatism (87,2%), and physical disability (99,2%), also not depressed (83,8%). Based on bivariate analysis, there was a significant relationship between age (p=0,042; RO=0,737), hypertension (p=0,005; RO=1,332), arthritis/rheumatism (p=0,000; RO=1,681), physical disability (p=0,001; RO=3,716), ADL (p=0,000; RO=1,632), and IADL (p=0,000; RO=1,907) with depression in low educational attainment elderly. However, there was no significant relationship between gender (p= 0,091), marital status (p=0,227), occupation (p=0,328), cognitive function (p=0,304), diabetes mellitus (p=0,704), and physical activity (p=0,525) with depression in low educational attainment elderly. In the multivariate analysis it was found that IADL to be the most contributing factor to the incidence of depression among low educated elderly based on IFLS-5 (p=0,000; RO=1,896). Discussion: There was a significant relationship between age, hypertension, arthritis/rheumatism, physical disability, ADL, and IADL with the incidence of depression in low educational attainment elderly with IADL being the most significant factor. Respondents with dependency (IADL) were 1,8 times, respectively, at greater risk of experiencing depression.
Comorbidities, social, and psychological factors associated with headache in adult Indonesians: data from the 5th Indonesian Family Life Survey (IFLS-5) Barus, Jimmy Fransisco Abadinta; Sudharta, Harvey; Suswanti, Ika; Sasmita, Poppy; Widyadharma, I Putu; Turana, Yuda
Universa Medicina Vol. 43 No. 2 (2024)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2024.v43.148-156

Abstract

BackgroundHeadache is a significant health problem worldwide, but national data on headaches in Indonesia are unavailable. Various risk factors have been identified as triggers or factors affecting its occurrence and severity. This study aimed to identify factors associated with headache occurrence in Indonesians aged 20 to 65 years. MethodsA cross-sectional study was conducted involving 26,263 participants aged 20 to 65 years. We covered any social, psychological, and comorbidity variables found in the fifth Indonesian Family Life Survey (IFLS) that could be linked to headaches. A multivariate-adjusted logistic regression model was used to estimate the odds ratios (ORs) and 95% confidence intervals (CI).  ResultsThe prevalence of those who had headache once in the past four weeks was 62.1%. Headache was associated with sleep disturbances (OR 2.24; CI 95% 2.11 – 2.36; p<0.001), depression (OR 1.79; CI 95% 1.67-1.92; p<0.001), hypertension (OR 1.79; CI 95% 1.64 – 1.96; p<0.001), female sex (OR 1.64; CI 95% 1.55 – 1.73; p<0.001), early adulthood (OR 1.32; CI 95% 1.24 – 1.42; p<0.001), hypercholesterolemia (OR 1.33; CI 95% 1.15 – 1.52; p = 0.001), poor/moderate sleep quality (OR 1.22; CI 95% 1.15 – 1.29; p<0.001), and low income (OR 1.12; CI 95% 1.05 – 1.19; p = 0.001). ConclusionsThis study demonstrated that sleep disturbances were the dominant risk factor of headache in subjects aged 20 to 65 years. Furthermore, sleep disturbance treatment should especially be considered in patients with a high level of headache.