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All Journal Jurnal Gizi dan Pangan Jurnal Kesehatan Masyarakat Jurnal Berkala Epidemiologi Damianus Journal of Medicine The Indonesian Journal of Public Health Universa Medicina JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia) Berkala Ilmiah Kedokteran Duta Wacana MITRA: Jurnal Pemberdayaan Masyarakat Amerta Nutrition Majalah Kedokteran Neurosains Indonesian Journal of Global Health research Edu Dharma Journal: Jurnal penelitian dan pengabdian masyarakat Berita Kedokteran Masyarakat Neurona
Yuda Turana
Universitas Katolik Indonesia Atma Jaya
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Depression as a predominant factor for activities of daily living among elderly Giovanny, Audrey Carissa; Handajani, Yvonne Suzy; Turana, Yuda; Kristian, Kevin
BKM Public Health and Community Medicine Vol 41 No 04 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i04.19266

Abstract

Purpose: This study aims to provide an overview of the ability to perform activities of daily living (ADL) in the elderly population and to identify associated factors. Methods: A cross-sectional study was conducted with 100 community-dwelling participants aged 60 and older in West Jakarta. Sociodemographic data, the Barthel Index, the Berg Balance Scale, the Fried Frailty Index, and the Geriatric Depression Scale were collected by interview. Chi-Square and multiple logistic regression analyses were used for the bivariate and multivariate analyses. Results: The majority of participants were women (71%), aged 60-74 years (75%), with education levels of 12 years or more (90%). Fifteen percent of elderly participants experienced problems with ADL. Chi-square analysis showed significant associations between ADL impairment with age (p=0.006; OR=4.57; 95%CI: 1.454-14.368), balance (p=0.023; OR=10.38; 95%CI: 1.567-68.595), and depression (p=0.006; OR=5.00; 95%CI: 1.468-17.033). Multiple logistic regression analysis identified depression as the most dominant risk factor affecting ADL, increasing the risk by 4.02 times. Conclusion: This study highlights age, body balance, and depression as potential contributors to ADL impairment, with depression emerging as the predominant risk factor. Both physical and mental health should be considered essential for preserving ADL function in the elderly.
Dependency in Older People with Sarcopenia Lim, Sebastian; Handajani, Yvonne Suzy; Turana, Yuda; Kristian, Kevin
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.4338

Abstract

The risks of sarcopenia tends to increase as the age increase and also low physical activity, dependency in activity of daily living, and obesity may lead to decrease in skeletal muscle mass that impact to muscle strength and decreasing physical performance. This study aimed to determine the association between physical activity, activity of daily living, and obesity in older people. Determining the association of physical activity, activity of daily living, and obesity with sarcopenia among older people in West Jakarta. This was an analytical descriptive study with cross-sectional design of 207 subjects aged > 70 years in West Jakarta. The variable were assessed by using a guidelines from Asian Working Group of Sarcopenia (AWGS), cut-off points from World Health Organization (WHO) and Barthel Index for assessment of sarcopenia, physical activity and activity of daily living, and also using cut-off points from World Health Organization (WHO) for assessment of obesity. Multivariate logistic regression was used to analyze the association between sociodemographic factors, physical activity, activity of daily living, and obesity on sarcopenia. Based on sociodemographic characteristics, the respondents were mostly woman (71.5%) with more than 70 years (58%), had more than 12 years of education (74.4%). The analysis showed that activity of daily living has a meaningful relationship with sarcopenia (p= 0.021; OR= 3.595; 95% CI= 1.208 – 10.696). Furthermore, sex was also found as a risk factor for sarcopenia (p= 0.002; OR= 5.484; 95% CI= 1.899 – 15.836). This study showed that activity of daily living played a significant role in the incidence of sarcopenia in older people. In addition, older men are known to have higher risk of developing sarcopenia.
Faktor – Faktor yang Memengaruhi Kejadian Depresi pada Lansia Wanita dengan Pendidikan Rendah Berdasarkan Indonesian Family Life Survey 5 Nur Rizqiyah Muhandis; Turana, Yuda; Sasmita, Poppy K.; Budiyanti, Ecie
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.v24i1.6022

Abstract

Pendahuluan: Depresi pada lansia menjadi kekhawatiran berbagai pihak karena berkaitan dengan berbagai aspek kehidupan, dengan wanita lebih rentan mengalami depresi dan lebih banyaknya jumlah wanita yang berpendidikan rendah di Indonesia. Oleh karena itu, menyelidiki faktor-faktor yang berkontribusi terhadap depresi dapat membantu mencegah depresi pada generasi mendatang, serta penelitian di masa depan. Metode: Penelitian potong lintang ini menggunakan data Indonesian Family Life Survey 5 untuk mengukur depresi pada wanita lanjut usia dengan status pendidikan rendah. Hasil: Prevalensi depresi pada wanita lanjut usia dengan pendidikan rendah sebesar 21%. Pada regresi logistik multivariat, faktor-faktor yang berhubungan secara signifikan antara lain usia lansia muda (60-69 tahun) (p=0,012; OR=1,946; IK 95%=1,159-3,266), Instrumental Activity Daily Living (IADL) (p=0,003; OR=2,096; IK 95%=1,277-3,439), dan disabilitas fisik (p=0,037; OR=2,158; IK 95%=1,047-4,450). Simpulan: Kejadian depresi pada lansia wanita dengan pendidikan rendah berkaitan dengan usia, disabilitas fisik, dan status fungsional (IADL).
Effect of cognitive stimulation therapy in combination with other intervention modalities on cognitive ability in elderly with cognitive impairment: a quasi-experimental study Turana, Yuda; Sani, Tara Puspitarini; Prasetya, Virginia Geraldine Hanny; Suswanti, Ika; Konny, Lisye; Halim, Magdalena Surjaningsih; Handajani, Yvonne Suzy
Universa Medicina Vol. 43 No. 1 (2024)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2024.v43.13-19

Abstract

BackgroundCognitive stimulation therapy (CST) has been proven to be beneficial in improving cognition and quality of life in people with mild cognitive impairment (MCI) and mild dementia (MD). This study investigates the benefit of more frequent exclusively CST intervention compared to less-frequent CST-exercise combination on cognitive ability among elderly people with cognitive impairment. MethodsA quasi-experimental controlled study involving 22 subjects aged = 60 years with cognitive impairment. They were divided into three groups: group A (6 months, weekly CST + exercise sessions, n=13), Group B (3 months, twice-weekly CST-only sessions, n=5), group C (3 months, no intervention, n=4) as control. The Modified Mini Mental State Examination Indonesian Version was used for evaluating the cognitive ability of the elderly subjects. Data were analyzed using one-way Anova and Kruskal-Wallis tests ResultsAll participants completed the study, the majority being female with mean age of 70.43 ± 6.97 years and differences in education level distribution across the three groups. The scores before and after the intervention showed a significant difference in the registration and construction domains (p<0.005). However, there was a greater improvement of the mean difference in cognitive scores in groups A and B compared to the control group, although the difference was not statistically significant (p >0.05). ConclusionA twice-weekly CST-only intervention and a once-a-week CST-exercise combination provide better cognitive improvement than no intervention (control). Therefore, elderly people with cognitive impairment should be encouraged to engage in physical activities, brain training, and group activities for promoting the brain’s ability.
PREVALENSI DAN FAKTOR YANG MEMENGARUHI KEJADIAN HIPERTENSI TIDAK TERKONTROL: DATA SEKUNDER INDONESIAN FAMILY LIFE SURVEY 5 Suswanti, Ika; Turana, Yuda; Riyadina, Woro; Rohanah, Rohanah
Edu Dharma Journal :Jurnal penelitian dan pengabdian masyarakat Vol 9, No 2 (2025): Edu Dharma Journal: Jurnal Penelitian Dan Pengabdian Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Widya Dharma Husada Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52031/edj.v9i2.1133

Abstract

                                                     ABSTRACTBackground: Hypertension remains one of the main health problems in Indonesia. Low awareness, inadequate hypertension treatment, and increasing risk factors contribute to the rising incidence of uncontrolled hypertension in the country. This study aimed to determine the prevalence of uncontrolled hypertension and associated factors from the Indonesian Family Life Survey Wave 5. Methods: A cross-sectional study design using secondary data from the Indonesian Family Life Survey Wave 5, conducted in 9 provinces, involving 4,566 weighted subjects. Uncontrolled blood pressure was defined as individuals diagnosed with hypertension by a health worker but who still had high blood pressure based on the average of three blood pressure measurements, according to the JNC 8 guidelines. Demographic characteristics, mental health, lifestyle factors, and disease comorbidities were examined as independent variables. Data were analyzed using the chi-square test and multiple logistic regression to identify determinants of uncontrolled hypertension. Results: The prevalence of uncontrolled hypertension was 64.5%. In the multivariate analysis, older age, female gender, lack of formal education, smoking, depression, low physical activity, obesity, and the presence of comorbid diabetes mellitus and hypercholesterolemia were significantly associated with uncontrolled hypertension (p 0.05). Among these factors, obesity was identified as the most dominant risk factor (p 0.05; Odds Ratio: 1.844).Conclusion: Obesity was identified as the most dominant risk factor associated with the prevalence of uncontrolled hypertension.                                                  ABSTRAKLatar Belakang: Hipertensi masih menjadi salah satu masalah kesehatan utama di Indonesia. Rendahnya kesadaran, pengobatan hipertensi yang tidak memadai, dan meningkatnya faktor risiko berkontribusi terhadap meningkatnya insiden hipertensi yang tidak terkontrol di negara ini. Penelitian ini bertujuan untuk menentukan prevalensi hipertensi yang tidak terkontrol dan faktor-faktor terkait dari Survei Kehidupan Keluarga Indonesia Gelombang 5.Metode: Desain penelitian cross sectional menggunakan data sekunder Indonesian Family Life Survey 5, yang dilakukan di 9 provinsi, melibatkan 4.566 subjek tertimbang. Tekanan darah yang tidak terkontrol didefinisikan sebagai individu yang didiagnosis hipertensi oleh tenaga kesehatan tetapi masih memiliki tekanan darah tinggi berdasarkan rata-rata tiga pengukuran tekanan darah, menurut pedoman JNC 8. Karakteristik demografi, kesehatan mental, faktor gaya hidup, dan komorbiditas penyakit diperiksa sebagai variabel independen. Data dianalisis menggunakan uji chi-square dan regresi logistik ganda untuk mengidentifikasi determinan hipertensi yang tidak terkontrol. Hasil: Prevalensi hipertensi yang tidak terkontrol adalah 64,5%. Analisis multivariat menunjukkan usia lanjut, jenis kelamin perempuan, kurangnya pendidikan formal, merokok, depresi, aktivitas fisik rendah, obesitas, serta adanya komorbiditas diabetes melitus dan hiperkolesterolemia secara signifikan berhubungan dengan hipertensi yang tidak terkontrol (p 0,05). Di antara faktor-faktor tersebut, obesitas diidentifikasi sebagai faktor risiko paling dominan (p 0,05; Rasio Odds: 1,844). Kesimpulan: Obesitas diidentifikasi sebagai faktor risiko paling dominan yang berhubungan dengan prevalensi hipertensi yang tidak terkontrol.
Nutritional Status, Physical Activity, Oxidative Stress, and Cognitive Function in Pre Elderly and Elderly Dainy, Nunung Cipta; Kusharto, Clara Meliyanti; Madanijah, Siti; Nasrun, Martina Wiwie Setiawan; Turana, Yuda
Jurnal Gizi dan Pangan Vol. 13 No. 3 (2018)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

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.
THE ROLE OF FUNCTIONAL ABILITY, MULTIMORBIDITY, AND DEPRESSION TO QUALITY OF LIFE OF INDONESIAN OLDER ADULTS Handajani, Yvonne Suzy; Vinsalia, Thania; Schröder-Butterfill, Elisabeth; Turana, Yuda
The Indonesian Journal of Public Health Vol. 20 No. 3 (2025): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v20i3.2025.538-551

Abstract

Introduction: Multimorbidity significantly affects older adults' quality of life (QoL). Its prevalence among adults aged ≥60 years ranges from 24% to 83%, increases with age and is closely linked to progressive physical and functional decline. A|ims: To investigate the determinants of QoL among community-dwelling older adults in urban Jakarta, Indonesia. Methods: A cross-sectional study was conducted in several community-based home care centers in West Jakarta, Indonesia, in 2023. From a database of 2,000 older adults, 600 individuals were selected using simple random sampling for screening. After applying inclusion and exclusion criteria, 501 older adults aged ≥60 years were included in the analysis. Sociodemographic and health-related data were collected using structured interviews and direct measurements. Mult|ivar|iate log|ist|ic regress|ion analysis was performed to identify factors associated with QoL. Results: A total of 501 older adults were analyzed; most were female (67.1%) and had multimorbidity (85.6%). The mean WHOQOL-BREF scores exceeded 60, with the highest score in the psychological domain (66.8). Physical health was significantly associated with multimorbidity (OR=2.08; p=0.013), exercise (OR=1.51; p=0.029), IADL (OR=3.54; p=0.007), ADL (OR=1.69; p=0.021), and balance (OR=1.92; p=0.044). Exercise increased the likelihood of better QoL (OR=1.47; p=0.037), while depression predicted poorer quality of life (OR=1.75; p=0.020). Conclusion: Multimorbidity, functional disability, balance impairment, depression, age, and exercise were significantly associated with QoL. Improving chronic disease management, maintaining independence, promoting regular exercise, and supporting mental health can enhance older adults’ well-being. Community-based programs encouraging active lifestyles and balance training may further improve QoL in this population.
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