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All Journal Althea Medical Journal 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 Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Oto Rhino Laryngologica Indonesiana Majalah Kedokteran Neurosains Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Indonesian Journal of Global Health research Cermin Dunia Kedokteran Berita Kedokteran Masyarakat Neurona Jurnal Kedokteran Meditek Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Cermin Dunia Kedokteran
Yvonne Suzy Handajani
Departemen Ilmu Kesehatan Masyarakat Dan Gizi, Fakultas Kedokteran Universitas Katolik Indonesia Atma Jaya, Jakarta, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : Neurona

 1 
VERBAL FLUENCY SEBAGAI DOMAIN KOGNITIF YANG PALING MEMENGARUHI AKTIVITAS FUNGSIONAL LANSIA DI PULAU JAWA Pricilya H. Wangi; Yvonne Suzy Handajani; Yuda Turana
NEURONA Vol 39 No 1 (2021)
Publisher : PERDOSNI

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

Abstract

Introduction: The prevalence of cognitive impairment and functional disability increases with age. Decreases in cognitive subdomains increase the risk of functional disability in the elderly. Aim: Obtain an overview of the ability of the elderly in carrying out functional activities as well as risk factors, especially cognitive disorders in the elderly community on the island of Java. Method: A cross-sectional study using secondary data from the 2014-2015 Indonesian Family Live Survey (IFLS-5) was conducted on respondents aged 60 years or older. Impaired cognitive function was assessed using the Telephone Survey of Cognitive Status (TICS) method. There are several cognitive domains in the TICS with a total score of 0-34, with the possibility of experiencing global cognitive impairment if the score is ≤13. Verbal fluency is said to be impaired with a value of <16. Elderly independence was assessed using the Instrumental Activity of Daily Living (IADL). Result: Obtained 1688 respondents, mostly aged 60-74 years (88.7%), women (54.3%), with less than nine years of education (72.8%), and living in urban areas (58.4%). A total of 26.7% of respondents experienced global cognitive impairment, 73.6% of respondents with impaired verbal fluency, and 28.6% needed assistance doing IADL. The analysis result shows a relationship between several domains of cognitive function and IADL in the elderly on the island of Java. Discussion: Based on multivariate analysis, the most influencing factor for IADL was age, while the cognitive domain that most influenced IADL was verbal fluency. Respondents over 75 years old and impaired verbal fluency were 2,2 and 1,7 times, respectively, at greater risk of developing IADL dependence. Keywords: Cognitive, elderly, instrumental activity of daily living, verbal fluency.
Faktor-Faktor yang Memengaruhi Kejadian Depresi pada Lansia Berpendidikan Rendah Berdasarkan Indonesian Family Life Survey 5 Tanuwijaya, Melyana; Suryakusuma, Linda; Turana, Yuda; Handajani, Yvonne Suzy
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 1 (2023): Vol 40 No 1 (2023)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i1.371

Abstract

Introduction: The prevalence of depression increases with age and a high level of education is a protective factor from depression among elderly. However, majority of elderly in Indonesia are low educated which have an increased risk of depression. Aim: To determine the factors influencing the incidence of depression in low educational attainment elderly. Method: A cross-sectional study using secondary data from the 2014-2015 Indonesian Family Life Survey 5 (IFLS-5) which was conducted on respondents aged 60 years or older with low educational attainment. Depression was assessed using the Center for Epidemiologic Studies Depression Scale-10 (CESD-10), cognitive function was assessed using the Telephone Interview for Cognitive Status (TICS), the intensity of physical activity using the International Physical Activity Questionnaire (IPAQ) short-form, functional disability was assessed using 6 items of Katz Activity Daily Living (ADL) and the Lawton Instrumental Activity of Daily Living (IADL), and other variables using questions in the IFLS questionnaire. Result: Among 3481 respondents in this study, mostly aged 60-74 years (86,4%), women (55,3%), married (63,3%), working (54,9%), doing moderate-high intensity physical activity (64,6%), independent in performing ADL (87,3%), and normal in IADL (73,5%). Addition, most of them did not experience decrease in cognitive function (79,9%), had no history of hypertension (74,1%), diabetes mellitus (95%), arthritis/rheumatism (87,2%), and physical disability (99,2%), also not depressed (83,8%). Based on bivariate analysis, there was a significant relationship between age (p=0,042; RO=0,737), hypertension (p=0,005; RO=1,332), arthritis/rheumatism (p=0,000; RO=1,681), physical disability (p=0,001; RO=3,716), ADL (p=0,000; RO=1,632), and IADL (p=0,000; RO=1,907) with depression in low educational attainment elderly. However, there was no significant relationship between gender (p= 0,091), marital status (p=0,227), occupation (p=0,328), cognitive function (p=0,304), diabetes mellitus (p=0,704), and physical activity (p=0,525) with depression in low educational attainment elderly. In the multivariate analysis it was found that IADL to be the most contributing factor to the incidence of depression among low educated elderly based on IFLS-5 (p=0,000; RO=1,896). Discussion: There was a significant relationship between age, hypertension, arthritis/rheumatism, physical disability, ADL, and IADL with the incidence of depression in low educational attainment elderly with IADL being the most significant factor. Respondents with dependency (IADL) were 1,8 times, respectively, at greater risk of experiencing depression.
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.
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 Aditya Putra, Aditya Barus, Jimmy Fransisco Abadinta Budhy, Carissa Marvella Budiharsana, Meiwita Paulina Chandra, Kenly Christy, Kezia David Reinaldo Sebastian Gunawan Elsiandi, Caroline Alvina Felicia, Tesya Giovanny, Audrey Carissa Gunawan, David Reinaldo Sebastian Halim, Magdalena Surjaningsih Hardi, Nicholas Ika Suswanti Kezia Christy Konny, Lisye kridawati, atik Kristian, Kevin Kwok, Lyvia Ariella Latasya, Chelsea Destania Lim, Sebastian Lusia Gani Maria Anggi Sylvani Martin, Juvenius Nelly Tina Widjaja Pakpahan, Hotmaria Agustina Piustan, Mas Eaufrat Prasetya, Virginia Geraldine Hanny Pricilya H. Wangi Rahardjo, Tri Budi sandy Ayu Monica Silalahi Sani, Tara Puspitarini Schröder-Butterfill, Elisabeth Sejati, Fabian Suryakusuma, Linda Suwito, Michelle Margaretha Tanumihardja, Tommy Tanuwijaya, Melyana Thiantoro, Benedicta Ann Clarabelle Vebriana, Gennesia Vinsalia, Thania Wijaya, Kenneth Noah Yuda Turana