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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  
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

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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

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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

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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

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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
Physicians' awareness and practice of home blood pressure measurement in Indonesia: Asia home blood pressure monitoring survey 2020 Yuda Turana; Noriko Matsushita; Ebtehal Salman; Arieska Ann Soenarta; Vidya Gani Wijaya; Bambang Widyantoro; Eka Harmeiwaty; Rarsari Soerarso; Tunggul Diapari Situmorang
Universa Medicina Vol. 42 No. 2 (2023)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2023.v42.182-194

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BackgroundHypertension is a significant mortality risk factor. The knowledge and practice among physicians of hypertension management and home blood pressure monitoring (HBPM) in blood pressure control is important. We aimed to investigate the awareness and practice of HBPM among physicians in Indonesia after publishing of the local 2019 HBPM guidelines. MethodsThis was a cross-sectional study involving 611 physicians in Indonesia that was conducted between February and October 2020. The questionnaire covered awareness, knowledge, and practice of HBPM. ResultsA total of 330 male physicians (54.0%) aged 20-49 years participated in the survey. More than half were specialists (51.6%) and recommended HBPM to their patients with hypertension (89.0%). The awareness of HBPM benefits was substantial among the physicians; however, the knowledge of the home blood pressure (HBP) reference values of was low (7.9%). Around 54% of the respondents thought that the barriers to low recognition of HBPM are lack of HBPM guidelines or lack of understanding of HBPM among physicians. A considerable percentage provided instruction on HBPM that aligned with the local guidelines, but between 7.5-29.5% gave no instruction on HBPM. ConclusionMost physicians recommend HBPM, but there is still a lack of knowledge and attitude toward HBPM. In Indonesia, local HBPM guidelines were published in 2019, but have not yet sufficiently penetrated the country, therefore robust dissemination of the published HBPM guidelines is still needed. For efficient utilization of HBPM by physicians in clinical practice, developing user-friendly educational tools such as physicians’ pocket guide on HBPM instructions is essential.
PENGARUH AKTIVITAS PENGASUHAN CUCU TERHADAP FUNGSI KOGNITIF PADA PEREMPUAN LANSIA Frederica Jovianti; Linda Suryakusuma; Yuda Turana; Yvonne Suzy Handajani
NEURONA Vol 35 No 3 (2018)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v35i3.6

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THE IMPACT OF GRANDPARENTING ACTIVITY ON COGNITIVE FUNCTION IN ELDERLY WOMANABSTRACT Introduction: Cognitive impairment is a neurodegenerative process which often experienced by the elderly. One of the factors associated with cognitive function is grandparenting which is common and has become a social norm in Indonesia.Aims: To determine the association between characteristics of the subjects and grandparenting activity with cognitive function in elderly woman.Methods: This study was conducted on July 2016–January 2017 in West Jakarta and as a part of Active Ageing Research in Atma Jaya University. The data were collected through grandparenting activity questionnaire and cognitive function assessment using Mini Mental State Examination (MMSE).Results: Based on 93 participants, the age mean was 67,51±5,058 and majority had education <9 years (54,8%). Data analysis showed that education, grandparenting, the quality of grandparenting, types of grandparenting activity specifically preparing food and/or feeding child and storytelling had a significant association with global cognitive function.Discussions: Physical, social activity, and cognitive stimulation while caring for grandchildren can prevent decline in cognitive function.Keywords: Elderly, cognitive function, grandparentingABSTRAK Pendahuluan: Penurunan fungsi kognitif merupakan suatu proses neurodegeneratif yang sering dialami oleh lansia. Salah satu faktor yang dianggap berpengaruh terhadap fungsi kognitif adalah aktivitas pengasuhan cucu yang masih umum dilakukan dan telah menjadi bagian dari norma masyarakat di Indonesia.Tujuan: Mengetahui hubungan antara karakteristik subjek dan aktivitas pengasuhan cucu terhadap fungsi kognitif pada perempuan lansia.Metode: Penelitian dilakukan pada bulan Juli 2016–Januari 2017 di Jakarta Barat dan merupakan bagian dari penelitian Active Ageing di Universitas Atma Jaya. Pengumpulan data dilakukan melalui pengisian kuesioner aktivitas pengasuhan cucu dan pengukuran fungsi kognitif menggunakan Mini Mental State Examination (MMSE).Hasil: Penelitian terhadap 93 subjek dengan rerata usia 67,51±5,058 dan sebagian besar berpendidikan <9 tahun (54,8%). Pendidikan, aktivitas pengasuhan cucu, kualitas pengasuhan cucu, serta jenis aktivitas pengasuhan cucu, yaitu menyiapkan dan/atau menyuapi makanan dan membacakan cerita memiliki hubungan yang bermakna dengan fungsi kognitif global.Diskusi: Aktivitas fisik, sosial dan stimulasi kognitif pada saat mengasuh cucu dapat mencegah terjadinya penurunanfungsi kognitif.Kata kunci: Aktivitas pengasuhan cucu, fungsi kognitif, lanjut usia 
HUBUNGAN STATUS PERKAWINAN, APOE ε4, DAN JENIS AKTIVITAS FISIK TERHADAP PENURUNAN KOGNITIF PADA LANSIA PEREMPUAN Nicholas Andrian Singgih; Yuda Turana; Yvonne Suzy Handajani; Nelly Tina Widjaja; Linda Suryakusuma
NEURONA Vol 36 No 2 (2019)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v36i2.61

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      RELATIONSHIP OF MARITAL STATUS, APOE ε4, AND TYPES OF PHYSICAL ACTIVITIES ON COGNITIVE DECLINE IN ELDERLY WOMENABSTRACTIntroduction: The number of elderly population in Indonesia continues to increase every year, especially women. Elderly women are at higher risk of experiencing decreased cognitive function.Aims: To determine the relationship between the characteristics  of the subject, vascular risk factors, APOE ε4 genotype, and the type of physical activity with the decline of cognitive function in elderly women.Methods: A cognitive cohort study of 114 elderly women who had been observed for a mean of ±2.5 years, as part of the Active Aging study at Atma Jaya Catholic University. The independent variables of this study included were age, education, marital status, vascular risk factors (hypertension, diabetes, dyslipidemia, and BMI), APOE ε4, and types of physical activity. Cognitive function is measured using Mini Mental State Examination (MMSE).Results: There were 114 subjects with mean age was 71.22±7.297 and 33.3% experienced a decline in cognitive function. There were 114 subjects with mean age was 71.22±7.297 and 33.3% experienced a decline in cognitive function. Age, marital status (single), and type of physical activity (cooking) have a significant relationship with Relative Risk (RR) of 4,45; 0,12; and 0,334.Discussions: Factors related to cognitive decline in elderly women were age. Marital status (single) and  cooking activities  were  protective factors.Keywords: APOE, cognitive decline, elderly, marital status, physical activityABSTRAKPendahuluan: Angka populasi lansia di Indonesia setiap tahunnya terus meningkat, terutama perempuan. Lansia perempuan berisiko lebih tinggi mengalami penurunan fungsi kognitif.Tujuan: Mengetahui hubungan antara karakteristik subjek, faktor risiko vaskuler, genotip APOE ε4, dan jenis aktivitas fisik terhadap penurunan fungsi kognitif pada lansia perempuan.Metode: Penelitian kohort terhadap 114 lansia perempuan >60 tahun yang diikuti fungsi kognitifnya selama rerata ±2,5 tahun, sebagai bagian dari penelitian Active Aging di Universitas Katolik Atma Jaya. Variabel bebas penelitian ini meliputi usia, pendidikan, status perkawinan, faktor risiko vaskuler (hipertensi, diabetes, dislipidemia, dan IMT), APOE ε4, dan jenis aktivitas fisik. Fungsi kognitif diukur menggunakan Mini Mental State Examination (MMSE).Hasil: Didapatkan 114 subjek dengan rerata usia 71,2±7,3 dan 33,3% mengalami penurunan fungsi kognitif. Analisis multivariat menunjukkan usia, status perkawinan (single) , dan jenis aktivitas fisik (memasak) memiliki hubungan bermakna dengan risiko relatif (RR) masing-masing 4,46; 0,12; dan 0,334.Diskusi: Faktor risiko gangguan fungsi kognitif pada lansia perempuan adalah usia. Status perkawinan (single) dan aktivitas memasak merupakan faktor protektif.Kata kunci: Status perkawinan, APOE, aktivitas fisik, penurunan kognitif, lanjut usia  
GANGGUAN PENGHIDU SEBAGAI FAKTOR RISIKO PENURUNAN FUNGSI KOGNITIF PADA LANSIA PENDIDIKAN RENDAH Yuda Turana
NEURONA Vol 37 No 1 (2019)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v37i1.95

Abstract

OLFACTORY IMPAIRMENT AS A RISK FACTOR OF COGNITIVE DECLINE IN THE ELDERLY WITH LOW EDUCATIONABSTRACTIntroduction: Olfactory function plays a role in cognitive decline. Olfactory disorders are known to predict faster cognitive decline and indicate nerve degeneration in the brain. Elderly people with lower assessment of olfactory function are associated with decreased memory function. While the elderly with low education are known to have a high risk of developing dementia. So far there has been no research on disorders of olfactory on cognitive function of elderly with low education.Aim: This study aimed to determine the role of olfactory function and other risk factors related to cognitive decline in the elderly with lower education.Method: A nested cohort study design was used in the fostered area of active age research (in the period 2015-2017) at North, West and Central Jakarta, in elderly with lower education. The cognitive function was assessed using the MMSE instrument. Subjects with a decrease of MMSE score more than 2 points compared to baseline were categorized as having cognitive decline. The olfactory assessment was tested using ten aromas that have been standardized, lipid profile, fasting glucose, and APOE were included.Results: There were 148 elderly subjects with lower education background, majority of the respondent was female 114 (77%) with mean of age 70.2±8.9 years old. Our study showed that 64 (43.2%) subjects had cognitive decline with a mean of decreased was -1.02±3.8 after a follow-up of 2 years, bivariate analyses showed smoking habit and olfactory impairment as a risk factor of cognitive decline (p<0.05; OR=3.1; OR=2.6). In multivariate analyses, subjects with olfactory impairment were 2,7 times more likely to have cognitive decline.Discussion: Olfactory disfunction is a risk factor for reduced cognitive function in the elderly with low education.Keywords: Cognitive, elderly, olfactoryABSTRAKPendahuluan: Fungsi penghidu berperan terhadap penurunan fungsi kognitif. Gangguan penghidu diketahui dapat memprediksi penurunan kognitif yang lebih cepat dan mengindikasikan degenerasi saraf di otak. Lansia dengan penilaian fungsi penghidu yang lebih rendah berkaitan dengan penurunan fungsi memori. Sementara lansia dengan pendidikan rendah diketahui mempunyai risiko tinggi terkena demensia. Sejauh ini belum ada penelitian tentang gangguan penghidu terhadap fungsi kognitif lansia berpendidikan rendah.Tujuan: Untuk mengetahui peranan fungsi penghidu dan faktor risiko lainnya terhadap penurunan fungsi kognitif pada lansia pendidikan rendah.Metode: Penelitian dengan desain nested cohort di wilayah binaan active ageing research (periode 2015-2017) yaitu di Jakarta Utara, Jakarta Barat, dan Jakarta Pusat pada lansia dengan pendidikan rendah. Pemeriksaan fungsi kognitif dinilai dengan menggunakan Mini Mental State Examination (MMSE). Subjek dengan penurunan skor MMSE lebih dari 2 poin dibandingkan baseline dikategorikan mengalami penurunan fungsi kognitif. Subjek dilakukan penilaian fungsi penghidu menggunakan 10 aroma yang telah distandarisasi, pemeriksaan profil lipid, gula darah puasa, dan APOE.Hasil: Didapatkan 148 subjek lansia berpendidikan rendah yang mayoritas perempuan (77%) dengan rerata usia 70,2±8,9 tahun. Sebanyak 43,2% lansia mengalami penurunan skor MMSE dengan rerata penurunan sebesar -1,02±3,8 pada pemantauan selama 2 tahun. Analisis bivariat menunjukkan perilaku merokok dan gangguan olfaktori memiliki risiko terhadap penurunan fungsi kognitif (RO=3,1dan RO=2,6; p<0,05). Analisis multivariat menunjukkan subjek dengan gangguan olfaktori memiliki risiko 2,7 kali untuk mengalami penurunan fungsi kognitif.Diskusi: Gangguan olfaktori merupakan faktor risiko penurunan fungsi kognitif pada lansia berpendidikan rendah.Kata kunci: Fungsi penghidu, kognitif, lansia, kognitif, olfaktori
Co-Authors Abigail Madeline Aditya Putra, Aditya Arieska Ann Soenarta Bambang Widyantoro Barus, Jimmy Fransisco Abadinta Beatus Bibang Budiharsana, Meiwita Paulina Budiyanti, Ecie Carissa Marvella Budhy Chandra, Kenly Clara Meliyanti Kusharto D. Y. Suharya David Reinaldo Sebastian Gunawan Devina Audrey Dhanasari Vidiawati Dian Purnomo Ebtehal Salman Eka Harmeiwaty Elisabeth Schröder-Butterfill Elsiandi, Caroline Alvina Fabian Sejati Frederica Jovianti Giovanny, Audrey Carissa Gunawan, David Reinaldo Sebastian Halim, Magdalena Surjaningsih Hardi, Nicholas Ika Suswanti Jessica Alysia Jimmy Barus Jimmy Fransisko Abadinta Barus Julia Rahadian Kevin Kristian Konny, Lisye Kristian, Kevin Latasya, Chelsea Destania Linda Suryakusuma Linda Suryakusuma Linda Suryakusuma Linda Suryakusuma Linda Suryakusuma Magistra Cylvia Margaretha Maria Dara Novi Handayani, Maria Dara Novi Martin, Juvenius Martina Wiwie Setiawan Nasrun Nelly Tina Widjaja Nelly Tina Widjaja Nelly Tina Widjaja Nelly Tina Widjaja Nicholas Andrian Singgih Noriko Matsushita Nunung Cipta Dainy Nur Rizqiyah Muhandis Piustan, Mas Eaufrat Prasetya, Virginia Geraldine Hanny Pricilya H. Wangi Rahmadanty, Nadiya Kamila Rarsari Soerarso Rayner Abdiwijaya Hariyanto Rohanah, Rohanah Rr Josephine Retno Widayanti Sagita Pratiwi Sugiyono sandy Ayu Monica Silalahi Sani, Tara Puspitarini Sasmita, Poppy Sasmita, Poppy K. Shalim, Christina Permata Siti Madanijah Sudharta, Harvey Suryakusuma, Linda Suwito, Michelle Margaretha Tanuwijaya, Melyana Thania Vinsalia Thiantoro, Benedicta Ann Clarabelle Tonny Sundjaya Tunggul Diapari Situmorang Vebriana, Gennesia Vidya Gani Wijaya Widyadharma, I Putu Wijaya, Kenneth Noah William William Woro Riyadina Yuliana Yosephine Yvonne S Handayani Yvonne Suzy Handajani Yvonne Suzy Handajani Yvonne Suzy Handajani Yvonne Suzy Handajani Yvonne Suzy Handajani Yvonne Suzy Handajani Yvonne Suzy Handajani