Yuda Turana
Atma Jaya Ageing Research Center, Atma Jaya Catholic University Of Indonesia; Department Of Neurology, Faculty Of Medicine And Health Sciences, Atma Jaya Catholic University Of Indonesia, Jakarta

Published : 51 Documents Claim Missing Document
Claim Missing Document
Check
Articles

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.
Association of Cognitive Function, Depression, and Social Engagement with Quality of Life among Community-Dwelling Elderly in West Jakarta, Indonesia Wijaya, Kenneth Noah; Suryakusuma, Linda; Handajani, Yvonne Suzy; Turana, Yuda
Althea Medical Journal Vol 12, No 4 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n4.4214

Abstract

Background: As Indonesia’s elderly population grows, quality of life (QoL) has become a critical indicator of healthy aging. Evidence regarding the influence of cognitive function, depression, and social engagement on QoL remains inconsistent and is often limited to institutionalized elderly. This study examined these associations among community-dwelling elderly in an urban setting.Methods: A cross-sectional study was conducted at PUSAKA Kebon Jeruk, West Jakarta, from March to November 2023. Ninety-eight participants aged ≥60 years were selected using simple random sampling. Cognitive function was assessed using the Montreal Cognitive Assessment–Indonesian version (MoCA-INA), depression using the Geriatric Depression Scale (GDS), social engagement using the Social Disengagement Index, and QoL using the WHO Quality of Life–Brief Version (WHOQOL-BREF). Data were analyzed using Chi-square, Fisher’s exact, and multivariate logistic regression.Results: Most respondents were female (71.4%), aged 60–74 years (74.5%). The majority demonstrated normal cognitive function (63.3%), good social engagement (90.8%), and no depression. Overall QoL satisfaction was high, particularly in the social relationship (71.4%) and environmental domains (90.8%). Bivariate analysis showed associations between education, cognitive function, social engagement, gender, depression and specific QoL domains (p<0.05). Multivariate analysis identified gender as the strongest predictor of the environmental QoL (OR=5.63, p=0.025), education for social relationship (OR=2.99, p=0.020), and depression for general health perception (OR=3.16, p=0.041).Conclusions: Cognitive function, depression, education, and social engagement are key determinants of QoL among community-dwelling elderly. Community-based interventions focusing on mental health, cognitive stimulation, and social participation may improve QoL and support healthy aging. 
HUBUNGAN PARAMETER KEBUGARAN FISIK DENGAN SINDROMA FRAILTY PADA LANSIA DI JAKARTA Rayner Abdiwijaya Hariyanto; Linda Suryakusuma; Yvonne Suzy Handajani; Yuda Turana
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 42 No 2 (2026): Volume 42, No 2 - Maret 2026
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Frailty is a multifactorial geriatric syndrome resulting from the loss of the body's ability to cope with stressors due to aging. According to a study conducted by Asenso et al., the global prevalence of frailty is 13.6%. Aim: This study is aimed to understand the relationship between physical fitness parameters and frailty syndrome in the elderly. Methods: This study uses a cross-sectional involving 98 respondents aged 60 years and above. ADL was measured using the Barthel Index. Balance was measured using the Berg Balance Scale. Physical activity was measured using the SQUASH questionnaire with cutoffs based on the GPAQ. Frailty status was assessed using the Fried frailty phenotype. Results: From 98 respondents, the majority were female (71.4%), aged 60-74 years (74.5%), with a higher education level (51%). A total of 18.4% of the elderly experienced frailty. Chi-square analysis showed that significant factors were age (p<0.001; OR: 7.408), ADL (p=0.019; OR: 3.944), Balance (p=0.042; OR: 7,800), and physical activity (p=0.014; OR: 3.714). Multiple logistic regression showed that age is the most influential factor in frailty (p=0.002; OR: 6,209) and followed by physical activity (p=0.030; OR: 3.834). Discussion: Age, ADL, balance, and physical activity were found to have a significant relationship with frailty. Among these factors, age was identified as the most influencing factor. Keywords: ADL, age, balance, elderly, frailty, physical activity
Dependency in Older People with Sarcopenia Sebastian Lim; Yvonne Suzy Handajani; Yuda Turana; Kevin Kristian
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.
Analysis of Vowel Formants and Frequencies for Cognitive Health Assessment: A Preliminary Study Kevin Kristian; Bryan Santoso; Novelya Indrawan; Nicholas Hardi; Djoko Setyanto; Hadi Sutanto; Yvonne Suzy Handajani; Yuda Turana
AKSONA Vol. 6 No. 2 (2026): JULY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v6i2.91890

Abstract

Highlight: Voice parameters did not differ between cognitive impairment groups Combined speech analysis may better assess cognition than voice alone.   ABSTRACT Introduction: Recent studies have shown that, in addition to being cost-effective and non-invasive, voice and speech analysis may play an important role in detecting cognitive impairment, such as dementia. Although numerous studies have investigated this topic, the relationship between voice-related abnormalities and cognitive impairment has not been completely captured. Objective: To investigate the relationship between voice-related abnormalities and cognitive impairment. Methods: A total of 100 participants aged >60 years were selected through purposive sampling. Cognitive function was assessed using the Indonesian version of the Montreal Cognitive Assessment (MoCA-INA), and participants were divided into cognitive impairment and non-cognitive-impairment groups. Acoustic analysis of sustained vowels was conducted using audio analysis software, focusing on formant frequencies, formant centralization ratio, fundamental frequency, and amplitude. Data were analyzed using an independent-samples t-test. Results: The cognitive impairment group demonstrated lower mean values for most formant frequencies. However, no statistically significant differences (p > 0.05) were observed between the groups in formant frequencies, formant centralization ratio, fundamental frequency, or amplitude. Conclusion: No significant association was found between voice-related abnormalities and cognitive impairment. However, subtle variations in voice parameters may still indicate other underlying neurological problems.
Aktivitas Fisik Sebagai Penentu Frailty: Melampaui Indeks Massa Tubuh, Lingkar Pinggang, dan Body Fat Percentage. Fabian Sejati; Yuda Turana; Yvonne Suzy Handajani; Kevin Kristian
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.
Pengaruh Fungsi Kognitif Spesifik terhadap Risiko Frailty pada Lansia Carissa Marvella Budhy; Yuda Turana; Yvonne Suzy Handajani; Kevin Kristian
Bahasa Indonesia Vol 24 No 3 (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.v24i3.6155

Abstract

Pendahuluan: Penuaan populasi menyebabkan beban kesehatan meningkat, salah satunya adalah frailty. Berdasarkan systematic review dan meta-analysis pada 2023 prevalensi frailty pada lansia di Indonesia adalah 26,8%, sedangkan 55,5% mengalami pre-frail. Penelitian ini bertujuan untuk memeroleh gambaran tentang frailty serta faktor risikonya di Pusaka Kebon Jeruk, Jakarta Barat. Metode: Penelitian ini menggunakan rancangan potong-lintang dan melibatkan 100 responden berusia ≥60 tahun. Pengumpulan data dilakukan melalui wawancara dengan menggunakan, seperti Fried Fraily Index, MoCA-Ina, dan CERAD-NB. Analisis data dilakukan dengan metode chi-square dan multiple logistic regression. Hasil: Dari 100 responden, terdapat 75 (75% subjek) berusia 60-74 tahun dengan rerata usia 70,13 tahun, perempuan (71%), durasi pendidikan ≥12 tahun (90%). Terdapat 18 (18% subjek) lansia yang mengalami frailty. Analisis bivariat menunjukkan bahwa faktor yang memiliki hubungan signifikan adalah usia (p: <0,001; RO: 7,633; 95%CI: 2,519 – 23,127) dan constructional praxis (p: 0,037; RO: 3,162; 95%CI: 1,032 – 9,685). Simpulan: Frailty memiliki hubungan bermakna dengan usia dan fungsi kognitif constructional praxis. Dengan usia menjadi faktor yang paling memengaruhi dan meningkatkan risiko frailty pada lansia.
THE ROLE OF FUNCTIONAL ABILITY, MULTIMORBIDITY, AND DEPRESSION TO QUALITY OF LIFE OF INDONESIAN OLDER ADULTS Yvonne Suzy Handajani; Thania Vinsalia; Elisabeth Schröder-Butterfill; Yuda Turana
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 Abigail Madeline Arieska Ann Soenarta Bambang Widyantoro Beatus Bibang Bryan Santoso Budiharsana, Meiwita Paulina Carissa Marvella Budhy Clara Meliyanti Kusharto D. Y. Suharya David Reinaldo Sebastian Gunawan Devina Audrey Dhanasari Vidiawati Dian Purnomo Djoko Setyanto Ebtehal Salman Ecie Budiyanti Eka Harmeiwaty Elisabeth Schröder-Butterfill Elsiandi, Caroline Alvina Fabian Sejati Frederica Jovianti Giovanny, Audrey Carissa Gunawan, David Reinaldo Sebastian Hadi Sutanto Ika Suswanti Jessica Alysia Jimmy Fransisco Abadinta Barus Jimmy Fransisko Abadinta Barus Julia Rahadian Kevin Kristian Konny, Lisye Latasya, Chelsea Destania Linda Suryakusuma Magdalena Surjaningsih Halim Magistra Cylvia Margaretha Maria Dara Novi Handayani, Maria Dara Novi Martina Wiwie Setiawan Nasrun Nelly Tina Widjaja Nicholas Andrian Singgih Nicholas Hardi Noriko Matsushita Novelya Indrawan 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 Sasmita, Poppy Sasmita, Poppy K. Sebastian Lim Shalim, Christina Permata Siti Madanijah Sudharta, Harvey Suwito, Michelle Margaretha Tanuwijaya, Melyana Tara Puspitarini Sani 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