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Yuda Turana
Universitas Katolik Indonesia Atma Jaya
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History of Falls and The Use of Walking Aids on The Incidence of Depression in The Elderly in Indonesia Rahmadanty, Nadiya Kamila; Novi Handayani, Maria Dara; Turana, Yuda; Hardi, Nicholas; William, William
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.46202

Abstract

Depression is a prevalent concern, especially among the elderly who are at risk of falling and rely on walking aids. This study examines the relationship between falls, walking aid usage, and depression in the elderly using data from the Indonesian Family Life Survey 5 (IFLS-5). Conducted as a cross-sectional study, it included respondents aged ≥ 60 years. Among the 2909 respondents, the majority of respondents were aged below 75 years (13.4%), women (51.6%), and lower level of education (84.1%) with a prevalence of depression of 24,1%. The research revealed that age, education, and a history of falls were significantly associated with the occurrence of depression (p0.05). Age above 75 years old (OR: 0,653; 95% CI: 0,495-0,862) and higher education level (OR: 0,626; 95% CI: 0,483-0,811) was found to be a protective factor, while a history of falls was found to be a predictive factor to depression in elderly (OR: 1,996; 95%CI: 1,393-2,332). However, the use of walking aids showed no correlation with depression. These findings suggest that while age and education act as protective factors, a history of falls serves as a predictive factor for depression in the elderly.
Depresi dan Pendidikan Sebagai Determinan Utama Kualitas Hidup Pada Lansia Elsiandi, Caroline Alvina; Turana, Yuda; Handajani, Yvonne Suzy; Barus, Jimmy Fransisco Abadinta
Bahasa Indonesia Vol 23 No 3 (2024): 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.v23i3.4822

Abstract

Pendahuluan: Kualitas hidup mencerminkan status kesehatan dan kesejahteraan lansia, namun kualitas hidup cenderung menurun seiring dengan bertambahnya usia. Penelitian ini bertujuan untuk mengetahui faktor (faktor sosiodemografi, depresi, dan fungsi kognitif)  yang paling berpengaruh terhadap kualitas hidup lansia.  Metode: Penelitian ini merupakan penelitian deskriptif analitik dengan pendekatan studi potong lintang yang dilakukan pada 205 responden berusia ≥60 tahun di Pusat Santunan Keluarga (PUSAKA) Jelambar dan Kebon Jeruk, Jakarta Barat. Kualitas hidup dinilai dengan kuesioner World Health Organization Quality of Life – BREF (WHOQOL-BREF); depresi dinilai dengan Geriatric Depression Scale-15; fungsi kognitif dinilai dengan Montreal Cognitive Assessment versi Indonesia; variabel lainnya menggunakan kuesioner. Regresi logistik multivariat digunakan untuk menganalisis hubungan antara kualitas hidup dan faktor-faktor yang mempengaruhinya.  Hasil: Berdasarkan karakteristik sosiodemografi, sebagian besar responden adalah wanita (72,2%), dengan usia lebih dari sama dengan 70 tahun (57,1%), berpendidikan kurang dari sama dengan 12 tahun (56,1%), dan bertatus menikah (55,6%). Hasil analisis menunjukkan bahwa terdapat hubungan signifikan antara depresi dengan kualitas hidup secara keseluruhan (p=0,014; OR=2,566), kepuasan terhadap kesehatan (p=0,007; OR=2,869), domain fisik (p=0,003; OR=3,049), domain psikologis (p=0,000; OR=4,458), domain hubungan sosial (p=0,000; OR=3,967), dan domain lingkungan (p=0,001; OR=3,407). Pendidikan memiliki hubungan yang signifikan dengan kualitas hidup secara keseluruhan (p= 0,002), kepuasan terhadap kesehatan (p= 0,016), domain fisik (p= 0,004), domain psikologis (p= 0,012), dan domain lingkungan (p= 0,008). Selain itu, usia hanya memiliki hubungan yang signifikan dengan kualitas hidup secara keseluruhan (p= 0,004). Simpulan: Pendidikan rendah berpengaruh terhadap kualitas hidup secara keseluruhan, kepuasan terhadap kesehatan, domain fisik, domain psikologis, dan domain lingkungan, sedangkan depresi menjadi faktor yang paling berpengaruh terhadap kualitas hidup dan keempat domainnya serta lansia yang mengalami depresi lebih berisiko memiliki kualitas hidup yang buruk.
EFEK PEKERJAAN RUMAH TANGGA DALAM PENCEGAHAN PENURUNAN FUNGSI KOGNITIF PADA LANSIA PEREMPUAN BERPENDIDIKAN RENDAH Shalim, Christina Permata; Rahadian, Julia; Turana, Yuda
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 35 No 1 (2018)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v35i1.39

Abstract

   EFFECTS OF HOUSEWORK IN PREVENTION OF COGNITIVE DECLINE IN ELDERLY WOMEN WITH LOW EDUCATIONABSTRACTIntroduction: Physical activities have a role in preventing or slowing down cognitive decline. In Indonesia, physical activity in the elderly women is dominated with house work chores.Aims: This study was aimed to determine the relationship between house chores with cognitive function in elderly women.Methods: A cross sectional analytic descriptive of 65 women aged 60 years and over with highest education level of junior high school that live in Kalianyar, West Jakarta, between October to November 2014. Physical activity was measured by questionnaire about nine housework activities that Indonesian women usually do and cognitive function was assessed by Mini-Mental State Examination (MMSE).Results: In this study of 65 subjects with a mean age of 64.31 years and low education level, there was a significant relationship between the higher amount of physical activity and better cognitive level. The types of physical activity that had a significant relationship with better cognitive function was cooking, grocery shopping, and washing dishes, with the frequency of cooking and grocery shopping had a significant relationship.Discussion: Cooking and grocery shopping activity have a relationship with better cognitive function.Keywords: Cognitive function, daily physical activity, elderly, house choresABSTRAKPendahuluan: Aktivitas fisik dianggap memiliki peran dalam pencegahan atau perlambatan penurunan fungsi kognitif. Di Indonesia, aktivitas fisik pada lansia perempuan didominasi dengan pekerjaan rumah tangga.Tujuan:  Mengetahui  hubungan  aktivitas  fisik pekerjaan  rumah  tangga  terhadap  fungsi  kognitif  pada  lansia perempuan.Metode: Penelitian deskriptif analitik potong lintang terhadap lansia (>60 tahun) perempuan yang mengenyam pendidikanakhir paling tinggi tamat SMP dan tinggal di Kelurahan Kalianyar, Jakarta Barat, pada bulan Oktober-November 2014. Aktivitas fisik diukur menggunakan kuesioner sembilan aktivitas pekerjaan rumah tangga yang dilakukan lansia perempuan Indonesia dan penilaian fungsi kognitif menggunakan Mini-Mental State Examination (MMSE).Hasil: Pada penelitian terhadap 65 subjek dengan rerata usia 64,31 tahun berpendidikan rendah, terdapat hubungan bermakna antara jumlah aktivitas fisik yang dilakukan dengan fungsi kognitif yang lebih baik. Adapun jenis aktivitas fisik yang memiliki hubungan bermakna dengan fungsi kognitif yang lebih baik adalah memasak, berbelanja, dan mencuci piring, terutama frekuensi memasak dan berbelanja yang lebih sering memiliki hubungan secara bermakna.Diskusi: Aktivitas memasak dan berbelanja berhubungan dengan fungsi kognitif yang lebih baik.Kata kunci: Aktivitas fisik sehari-hari, fungsi kognitif, lansia, pekerjaan rumah tangga
Gangguan Fungsi Kognitif Sebagai Faktor Risiko Utama Kejadian Depresi Pada Lansia Latasya, Chelsea Destania; Turana, Yuda; Handajani, Yvonne Suzy; Barus, Jimmy Fransisco Abadinta
Bahasa Indonesia Vol 23 No 2 (2024): 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.v23i2.4356

Abstract

Latar Belakang: Peningkatan prevalensi depresi pada lansia dapat berdampak pada tingginya angka morbiditas dan mortalitas. Penelitian ini secara spesifik dilakukan untuk mengetahui persentase depresi beserta hubungannya dengan usia, jenis kelamin, pendidikan, sarkopenia, dan gangguan fungsi kognitif pada lansia yang memiliki latar belakang homogen di lingkungan perkotaan. Metode: Penelitian ini merupakan penelitian deskriptif analitik yang menggunakan metode cross-sectional. Penelitian dilaksanakan pada bulan Agustus 2022 s.d. Oktober 2022 di Pusat Santunan Keluarga (PUSAKA) Jelambar dan Kebon Jeruk, Jakarta Barat dengan subjek penelitian 203 lansia (≥60 tahun). Depresi dinilai dengan Geriatric Depression Scale-15; sarkopenia diukur menggunakan Bio-Impedance Analysis, handgrip dynamometer, dan stopwatch; fungsi kognitif dinilai menggunakan Montreal Cognitive Assessment versi Indonesia; variabel lainnya menggunakan kuisioner.  Hasil: Terdapat hubungan yang bermakna antara gangguan fungsi kognitif dengan kejadian depresi pada lansia (p≤0,05; OR=2,523). Responden yang mengalami gangguan fungsi kognitif memiliki persentase depresi yang lebih tinggi dibandingkan dengan responden yang tidak mengalami gangguan fungsi kognitif. Akan tetapi, tidak ditemukan hubungan yang bermakna antara usia, jenis kelamin, lama pendidikan, dan sarkopenia dengan kejadian depresi pada lansia. Simpulan: Lansia dengan gangguan fungsi kognitif 2,5 kali lipat lebih berisiko mengalami depresi. Oleh karena itu, peningkatan layanan kesehatan penting untuk mendeteksi dini kejadian depresi, terutama pada lansia dengan gangguan fungsi kognitif. Terlepas dari kenyataan saat ini, bahwa gangguan fungsi kognitif tidak dapat diobati, masih banyak gaya hidup dan faktor lingkungan yang dapat dimodifikasi untuk menurunkan risiko.
THE ROLE OF OLFACTORY FUNCTION AND MULTIMORBIDITY IN COGNITIVE IMPAIRMENT: Peranan Fungsi Penghidu dan Multimorbiditas Terhadap Fungsi Kognitif Kristian, Kevin; Vebriana, Gennesia; Hardi, Nicholas; Turana, Yuda; Handajani, Yvonne Suzy
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.193-200

Abstract

Background: As the population ages, the issue of cognitive impairment is becoming increasingly worrisome, especially with the rise in conditions like multiple chronic diseases and loss of smell among the elderly. Purpose: The goal of this research is to explore how multiple chronic diseases, sense of smell, and cognitive impairment are linked among the senior population. Methods: This study involved 128 individuals at a senior community in Jakarta with an average age of 68.34 years. The presence of multiple chronic diseases was determined by looking for highest prevalence of disease pairs, and the sense of smell was tested with an 8-smell test. Cognitive function was measured with the CERAD questionnaire, with a score below 52 indicating cognitive impairment. The analysis included Chi-square tests at a 95% confidence level. Results: The findings suggest a clear link between lower levels of education and cognitive impairment (p=0.018; OR=3.214), as well as between loss of smell and cognitive deterioration (p=0.049; OR=2.565). However, having more than three chronic diseases was found to significantly increase the risk of cognitive impairment (p=0.018; OR=2.678), but there was no significance to support that certain disease pairs were more likely to lead to cognitive impairment. Conclusion: This research underscores the significance of sense of smell and the presence of multiple chronic diseases, especially in greater numbers, as major risk factors for cognitive impairment in the elderly.
Hubungan Gangguan Penglihatan dan Faktor Lain Dengan Fungsi Kognitif Pada Lansia di Indonesia Thiantoro, Benedicta Ann Clarabelle; Turana, Yuda; Handajani, Yvonne Suzy
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 39 No 4 (2023): Vol 39 No 4 (2023)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v39i4.370

Abstract

Introduction: Vision impairment is one of the most common problems experienced by the elderly.Vision impairment may disturb an elderly’s well-being. Various studies have found significant correlationbetween hearing loss and cognitive function. Data is now available from the Indonesian Family Life Survey(IFLS). However, there is limited research in the association between vision impairment and cognitive functionand no studies have used IFLS-5 data on this topic.Aim: To evaluate the association between vision impairment and other factors with cognitive dysfunctionin Indonesia’s geriatric population.Methods: This study is a descriptive analytic study utilizing data from 2375 seniors of 60 years old andover from the fifth wave of Indonesian Family Life Survey (IFLS-5). Analysis is done through univariate, bivariate,and multivariate analysis.Results: The majority of respondents are male (82,7%), married (76,5%), living in urban areas (52,3%),and has <9 years of education (57,1%). 9,4% respondents experienced vision impairment, 13,4% experiencedADL impairment, 34,3% experienced IADL impairment, and 49,3% experienced cognitive impairment. Inbivariate analysis, marital status (p=0,004), residence (p<0,001), education (p<0,001), IADL (p<0,001), andvision impairment (p=0,049) are significantly correlated with cognitive function. In subanalysis, the use ofreading glasses in elderly with vision impairment is significantly correlated with cognitive function. Inmultivariate analysis, residence (p=0,002), education (p<0,001) and IADL (p=0,023) are significantly correlatedwith cognitive function.Discussion: Residence, education, and IADL is significantly associated with cognitive function. Visionimpairment is not significantly associated with cognitive function.Keywords: Cognitive Function, Geriatric, IFLS-5, Vision Impairment
PEKERJAAN SEBAGAI FAKTOR PROTEKTIF MEMORI PADA LANSIA Suwito, Michelle Margaretha; Handajani, Yvonne Suzy; Turana, Yuda; Kristian, Kevin
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 2 (2024): Vol 40 No 2 (2024): Volume 40, No 2 - Maret 2024
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i2.586

Abstract

Introduction: The risk of memory impairment increases with age, with a global prevalence of 20% of elderly experiencing difficulties in memory related activities.Aim: The aim of this study is to understand memory impairment and its associated factors in a community- dwelling setting in Kebon Jeruk, West Jakarta.Method: This cross-sectional study involved 98 participants aged over ≥60 years. Data was collected by interview using validated instruments. Statistical analysis was done using chi-square method for bivariate analysis and multiple logistic regression for multivariate analysis.Result: Majority of participants were women (71%), with ages of ≥65 years (81%), an education of >12 years (90%) and were unemployed (87%). Memory impairment was found in 82% of participants. Chi- square analysis showed that factors significant to memory impairment were age (p: 0.021; OR: 0.734; 95%CI: 0.515 – 1.046), occupation (p: 0.045; OR: 0.727; 95%CI: 0.486 – 1.127), and physical activity (p: 0.013; OR: 1.338; 95%CI: 0.998 – 1.794). Multiple logistic regression analysis showed that the most significant factor affecting memory impairment was age (OR: 3.766).Discussion: Memory impairment in the elderly is associated with age, occupation, and physical activity. Of these factors, age is the most significant factor, with a risk increase of 3.766 times in impairing memory of the elderly.Keywords: Age, elderly, memory impairment, occupation, physical activity.
The Association of Lipid Profile Especially Total Cholestrol With Hypertension of Urban Elderly in PUSAKA, Kalideres, West Jakarta David Reinaldo Sebastian Gunawan; Gunawan, David Reinaldo Sebastian; Handajani, Yvonne Suzy; Turana, Yuda
Bahasa Indonesia Vol 24 No 1 (2025): 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.v24i1.4749

Abstract

Pendahuluan: Peningkatan harapan hidup manusia berkontribusi pada peningkatan jumlah lansia, yang pada akhirnya dapat meningkatkan kejadian penyakit tidak menular termasuk penyakit kardivoaskular seperti hipertensi. Pencegahan dapat dilakukan dengan cara mengetahui faktor-faktor risiko yang dapat dimodifikasi. Metode: Penelitian ini merupakan penelitian deskriptif analitik dengan desain penelitian cross-sectional yang melibatkan 97 lansia PUSAKA di Kalideres, Jakarta Barat. Variabel yang diukur adalah aktivitas fisik, status gizi, dan profil lipid. Responden dinyatakan mengalami hipertensi apabila memiliki tekanan darah ≥140/90 mmHg ketika dilakukan pengukuran, atau pada responden yang memang sudah terdiagnosis mengalami hipertensi sebelumnya. Hasil: Hasil penelitian ini menunjukkan sebagian besar responden adalah perempuan (72,2%). Sebanyak 33% responden mengalami hipertensi. Hasil analisis multivariat menunjukkan bahwa terdapat hubungan yang bermakna antara usia (p=0,045; OR=2,571), LDL (p=0,045; OR=2,571), dan kolesterol total (p= 0,018; OR=3,279) terhadap hipertensi pada lansia. Sedangkan jenis kelamin, pendidikan, status gizi, aktivitas fisik, HDL, dan trigliserida tidak memiliki hubungan terhadap hipertensi pada lansia Simpulan: Usia, LDL, dan kolesterol total ditemukan sebagai faktor risiko kejadian hipertensi pada lansia.
Aktivitas Fisik Sebagai Penentu Frailty: Melampaui Indeks Massa Tubuh, Lingkar Pinggang, dan Body Fat Percentage. Sejati, Fabian; Turana, Yuda; Handajani, Yvonne Suzy; Kristian, Kevin
Bahasa Indonesia Vol 24 No 2 (2025): 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.v24i2.6138

Abstract

Pendahuluan: Proses penuaan meningkatkan risiko seseorang untuk mengalami masalah kesehatan, salah satunya adalah frailty. Sebuah penelitian studi potong lintang oleh Setiati, et al. di Indonesia pada tahun 2020, didapatkan prevalensi sebesar 66,20% pre-frail dan 18,70% frail. Tujuan: Mendapatkan gambaran mengenai frailty pada lansia dan faktor risikonya di Pusaka Kebon Jeruk, Jakarta Barat. Metode: Penelitian ini menggunakan metode potong lintang dan terdiri dari 100 subjek dengan usia ≥60 tahun yang telah memenuhi kriteria penelitian. Pengambilan data dilakukan melalui wawancara menggunakan instrumen yang sudah divalidasi. Hasil: Dari 100 responden, sebagian besar berusia 60-74 tahun (75%), perempuan (71%), pendidikan ≥12 tahun (90%). Terdapat 18% lansia yang mengalami frailty. Analisis bivariat menunjukkan faktor yang memiliki hubungan bermakna adalah usia (p<0,001; RO=7,633; 95%CI=2,519–23,127) dan aktivitas fisik (p=0,011; RO=3,857; 95%CI=1,308–11,370). Simpulan: Frailty memiliki hubungan bermakna dengan usia dan aktivitas fisik. Usia menjadi faktor yang paling memengaruhi dan meningkatkan risiko frailty pada lansia.
Gangguan Fungsi Bahasa Meningkatkan Risiko Kualitas Hidup Buruk pada Lansia Piustan, Mas Eaufrat; Turana, Yuda; Handajani, Yvonne Suzy; Kristian, Kevin
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 4 (2025): Volume 41 Nomor 4, September 2025
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v41i4.673

Abstract

Introduction: The quality of life of the elderly requires attention. Language function is closely related to identifying individuals who are vulnerable to a decline in quality of life. Aim: This study aims to examine the relationship between sociodemographic factors, language function, social engagement, and frailty with elderly’s quality of life. Methods: This study employed a cross-sectional method with 100 respondents aged ≥60 years. Quality of life was measured using the WHOQOL-BREF, language function was assessed using the CERAD Verbal Fluency Test, social engagement was evaluated using the Social Disengagement Index, frailty was measured using the Fried Frailty Index, and sociodemographic factors were assessed through interviews using validated instruments. Results: Chi-square analysis showed a significant relationship between language function and the psychological, social, and environmental domains (p<0.05). Gender was only significantly associated with the environmental domain. Frailty was associated with psychological, social, overall quality of life, and health satisfaction. Multiple logistic regression analysis shows that impaired language function is a risk factor for impairments in the psychological (OR=3.335; 95%CI=1.376-8.082), social (OR=3.473; 95%CI=1.376-8.763), and environmental domain (OR=4.649; 95%CI=1.057-20.442). Frailty was identified as risk factor for impairments in psychological domain (OR=3.274; 95%CI=1.069-10.022) and health satisfaction (OR=3.378; 95%CI=1.105-10.328). Being female served as protective factor against impairments in the environmental domain (OR=0.159; 95%CI=0.036-0.694). Discussion: Impaired language function increase the risk of psychological, social, and environmental impairments. Being female serves as protective factor against environmental domain impairment. Frailty increases the risk of psychological impairments and poor health satisfaction. Keywords: Age, elderly, frailty, language, quality of life
Co-Authors Barus, Jimmy Fransisco Abadinta Beatus Bibang Budiharsana, Meiwita Paulina Budiyanti, Ecie Clara Meliyanti Kusharto D. Y. Suharya David Reinaldo Sebastian Gunawan Dhanasari Vidiawati Dian Purnomo Elsiandi, Caroline Alvina Giovanny, Audrey Carissa Gunawan, David Reinaldo Sebastian Halim, Magdalena Surjaningsih Hardi, Nicholas Ika Suswanti Jimmy Barus Jimmy Fransisko Abadinta Barus Julia Rahadian Konny, Lisye Kristian, Kevin Latasya, Chelsea Destania Lim, Sebastian Magistra Cylvia Margaretha Maria Dara Novi Handayani, Maria Dara Novi Martina Wiwie Setiawan Nasrun Nelly Tina Widjaja Nunung Cipta Dainy Nur Rizqiyah Muhandis Piustan, Mas Eaufrat Prasetya, Virginia Geraldine Hanny Pricilya H. Wangi Rahmadanty, Nadiya Kamila Rohanah, Rohanah sandy Ayu Monica Silalahi Sani, Tara Puspitarini Sasmita, Poppy Sasmita, Poppy K. Schröder-Butterfill, Elisabeth Sejati, Fabian Shalim, Christina Permata Siti Madanijah Sudharta, Harvey Suryakusuma, Linda Suwito, Michelle Margaretha Tanuwijaya, Melyana Thiantoro, Benedicta Ann Clarabelle Tonny Sundjaya Vebriana, Gennesia Vinsalia, Thania Widyadharma, I Putu William William Woro Riyadina Yvonne Suzy Handajani