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All Journal Medika Kartika : Jurnal Kedokteran dan Kesehatan Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia World Nutrition Journal Jorpres (Jurnal Olahraga Prestasi) Respiratory Science Indonesian Journal of Public Health Nutrition (IJPHN) eJournal Kedokteran Indonesia Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute Cermin Dunia Kedokteran

Nani Cahyani Sudarsono Nani Cahyani Sudarsono

Departemen Ilmu Kedokteran Komunitas, Divisi Kedokteran Olahraga, Fakultas Kedokteran Universitas Indonesia

Author-ID : 511009

Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Social Sciences Veterinary Other

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TATALAKSANA HENTI JANTUNG DI LAPANGAN PERMAINAN Putra Rizki; Nani Cahyani
Jorpres (Jurnal Olahraga Prestasi) Vol 13, No 2 (2017)
Publisher : Departement of Sports Coaching, Faculty of Sports Sciences, Universitas Negeri Yogyakarta

Cardiac arrest is the most common cause of sudden death in athletes on the field of play. There are reports of cardiac arrest in athletes 1: 4000 to 1: 8000.Cardiac and non-cardiac causes have been implicated as a causes of death in the field of play. Pre-Participation Evaluation (PPE) has been recommended for primary prevention of cardiac arrest in athletes due to cardiac problems. Prevention of sudden cardiac death on the field of the play should be done by immediate, precise and correct treatment. Immediate, precise and correct treatment can be provided if medical management is well performed before and during the event. Medical management in sudden cardiac arrest treatment on the field of play consists of early preparation, emergency action plan, preparing equipment, personnel, training, communication, transportation and final preparation. An ideal treatment includes elements of the chain of survival from sudden cardiac arrest.ABSTRAK Henti jantung adalah penyebab kematian mendadak terbanyak pada atlet di lapangan permainan. Terdapat laporan kejadian henti jantung pada atlet 1:4000 sampai 1:8000. Penyebab kematian akibat henti jantung di lapangan permainan bisa karena masalah jantung dan masalah selain jantung. Untuk pencegahan primer terjadinya henti jantung pada atlet di lapangan permainan yang disebabkan masalah jantung direkomendasikan melakukan Pre-Participation Evaluation (PPE). Untuk pencegahan terjadinya kematian akibat henti jantung di lapangan permainan harus dilakukan tatalaksana yang cepat, tepat dan benar. Tatalaksana yang cepat, tepat dan benar dapat diberikan jika manajemen medis dilakukan dengan baik sebelum dan saat event berlangsung. Manajemen medis dalam tatalaksana henti jantung di lapangan permainan terdiri dari persiapan awal, rencana kegawatdaruratan, mempersiapkan peralatan, personel, pelatihan, komunikasi, transportasi dan persiapan akhir. Tatalaksana di lapangan permainan yang ideal mencakup elemen rantai keselamatan pada henti jantung. Kata kunci: henti jantung, lapangan permainan, manajemen medis, penanganan SCA

Prognostic of Recurrence of Ankle Sprain Injury in Athletes who Return to Sports Early Chikih Chikih; Nani Cahyani Sudarsono; Elina Widiastuti; Anggia Prathama Nasution
eJournal Kedokteran Indonesia Vol 9, No. 2 - Agustus 2021
Publisher : Faculty of Medicine Universitas Indonesia

Ankle sprains can occur in all athletes. The injuries are often considered minor but can occur repeatedly which can cause chronic complications. This evidence-based case report aims to determine the prognosis of recurrent ankle sprains resulting from returning to exercise too early. This report uses two databases for evidence collection, namely PubMed and Cochrane. Of the four articles, it was found that recurrent ankle sprains incidence rate was 33%, and neuromuscular training significantly reduced ankle sprain recurrence rates with relative risk 0.63 (95 % CI: 0.34-0.99) and hazard ratio 0.18 (95 % CI: 0.07-0.43). The healing time to the pre-injury state reached 93.8 ± 1.2 days for conventional therapy and 97.6 ± 1.5 days for a surgical procedure, and the time to return to exercise was 46.6 (95 % CI:15.4-70) days for conventional treatment and 55.2 ± 15.8 (95 % CI: 41.7 ± 9.8) days for surgical procedure. Using an ankle brace can help in healing and preventing recurrent injuries. Future more, proper handling and education about injuries and when is the optimal time to return to exercise can prevent relapse. Keywords: ankle sprain, return to sports, recurrence injury. Prognosis Kekambuhan Cedera Sprain Pergelangan Kaki Olahragawan Setelah Kembali Berolahraga Lebih Awal Abstrak Cedera sprain pergelangan kaki dapat terjadi pada semua atlet. Cedera tersebut sering dianggap ringan namun jika terjadi berulang dapat menyebabkan komplikasi kronik. Laporan kasus berbasis bukti ini bertujuan untuk mengetahui prognosis kejadian berulang cedera sprain pergelangan kaki akibat kembali berolahraga terlalu awal. Dua basis data digunakan dalam pengumpulan bukti, yakni PubMed dan Cochrane. Dari empat artikel didapati cedera sprain pergelangan kaki dapat terjadi berulang dengan incidence rate 33% dan menyatakan neuromuscular training secara signifikan mengurangi tingkat kekambuhan sprain pergelangan kaki dengan relative risk 0.63 (95% CI: 0.34-0.99) dan hazard ratio 0.18 (95% CI: 0.07-0.43). Waktu penyembuhan ke keadaan sebelum cedera 93.8±1.2 hari untuk terapi konvensional, 97.6±1.5 hari untuk tindakan operatif, waktu kembali berolahraga adalah 46.6 (95% CI:15.4-70) hari untuk tindakan konvensional dan 55.2 ± 15.8 (95 % CI: 41.7 ± 9.8) hari untuk tindakan operasi. Penggunaan penyangga pergelangan kaki dapat membantu proses penyembuhan dan pencegahan cedera berulang. Oleh karena itu penanganan dan edukasi yang tepat mengenai cedera dan menetapkan waktu yang tepat untuk kembali berolahraga dapat mencegah kekambuhan. Kata kunci: cedera pergelangan kaki, kembali berolahraga, cedera berulang.

Relationship Between Nutritional Status, Physical Activity, Type of Work and Smoking Activity with Fitness Level Measured by 6-Minute Walking Test on Non-staff Employees of Universitas Indonesia, Depok Menaldi Rasmin; Hilma Nur Faiza; Kemal Akbar Suryoadji; Neny Husnaini Zain; Sakinasha Siva Utami; Feni Fitriani Taufik; Dewi Friska; Nani Cahyani Sudarsono; Elisna Syahrudin
Respiratory Science Vol. 3 No. 2 (2023): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v3i2.70

Background: Fitness is inextricable to health and has a significant correlation with the habits and behaviour of individuals such as dietary practice, sedentary behaviour, physical activities, and smoking habits. Many ways can be used to assess an individual fitness level, one of them is using the 6-minute walking test. This study aims to find the correlation between smoking intensity, nutritional status, occupation, and physical activity with the fitness level of outdoor janitors in Universitas Indonesia, Depok. Method: The research method was the cross-sectional design. The determination of the subjects was carried out by a consecutive sampling method. The data obtained results from the assessment of nutritional status, occupation, physical activity, and smoking intensity, as well as result from the 6-minute walking test. Univariate data analysis was used to assess the distribution of subjects based on sociodemographics, nutritional status, physical activity, occupation, and smoking activity. Furthermore, categorical correlative tests used were Man-Whitney, Kruskal-Wallis, and Fisher's Exact test. Results: The subjects obtained are 109 outdoor janitors from UI, Depok in which 59.6% age 18-44 years old, and 56% are male. Based on the correlative test between the fitness level and the nutritional status, value of P=0.086, as value of P between the physical activity and the fitness level is 0.0523. No significant correlation between fitness level and occupation based on location of the job, duration of work and based on the work time (P=1.00; P=1.00; P=0.108) The correlation between smoking intensity with the fitness level has value of P=0.681. Conclusion: There is no significant correlation between nutritional status, physical activity, type of work, and smoking intensity with the fitness level as measured by the 6-minute walking test method for outdoor janitors of UI, Depok.

Analysis of Energy Balance in Obese Healthcare Workers Nani Cahyani Sudarsono; Ria Lestari; Tiffany Georgine T'sidkenu Widjaja
Indonesian Journal of Public Health Nutrition Vol 3, No 2 (2023)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/ijphn.v3i2.6636

Obesity is a global health challenge that seriously affects developing countries, including Indonesia. Although the determining factors of obesity are complex, energy balance and lifestyle play a very important role. Unbalanced dietary patterns and sedentary behavior are still the most important factors in the occurrence of obesity. Therefore, it is important to discover the energy balance calculated from energy intake and energy expenditure in obese patients. This study aimed to analyze the balance of energy intake and expenditure, body composition, and physical activity level in obese patients at Exercise Center IMERI FKUI. A cross-sectional study was held at Exercise Center IMERI FKUI. Study participants (patients) were screened by measuring body composition and obesity status was determined based on BMI data (≥25 kg/m2). The selected subjects were then administered to data collection on body composition using the MF-BIA instrument, energy intake using the MyFitnessPal (MFP) application, as well as energy expenditure and physical activity level using the IPAQ-SF tool. From a total of 12 patients with obesity at the Exercise Center, 11 (91.67%) patients had a negative energy balance and 1 (8.33%) patient had a positive energy balance during a 7-day period of data collection. A majority of the obese patients at the Exercise Center reported a negative energy balance.

Correlation of energy intake and physical activity with visceral fat in obese office Fika Dwi Sasri; Fiastuti Witjaksono; Nani Cahyani Sudarsono
World Nutrition Journal Vol. 7 No. 01 (2023): Volume 07 Issue 1, August 2023
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/10.25220/WNJ.V07.i1.0006

Background: Obesity is a global health problem with a continuing trend of increasing population. A positive energy balance, where energy intake is more remarkable than energy expenditure, will cause fat accumulation. Obesity due to the expansion of fat, especially visceral fat, is a risk factor for noncommunicable diseases. Office employees can become obese with a high-calorie diet and a sedentary lifestyle. This study aims to determine the correlation between energy intake and physical activity with visceral fat in obese office workers. Methods: This cross-sectional study was conducted on obese office staff at RSCM. Energy intake was assessed with 3 x 24-h food recalls. Physical activity was assessed with the GPAQ questionnaire, and visceral fat was considered with multifrequency BIA. Results: A total of 66 study subjects with an average age of 41 years were women and included in the category of obesity degree I. Almost all subjects had abnormal visceral fat volume with a median of 2.95 L (1.3 â€“ 8.5 L). Most have more energy intake, with an average intake of 2196 Â± 467 kcal. Most had moderate physical activity with a median value of 1850 MET (120 â€“ 4680 MET). There was a moderate correlation between energy intake and visceral fat (r=0.554, p<0.001) and a weak correlation between physical activity and visceral fat (r=-324, P=0.008). Conclusion: There was a moderate correlation between energy intake and visceral fat and a weak correlation between physical activity and visceral fat.

The Role of Cold Water Immersion as a Post-Exercise Recovery Method for Recreational Athlete Based on Creatine Kinase and Vertical Jump: A Randomised Trial Nurmansyach, Febianto; Sudarsono, Nani Cahyani; Yusra, Yusra
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 6 No. - (2022): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v6i-.125

Background: Recreational sports have a positive influence on health. However, there will be a concern if the training intensity and volume increase without proper recovery. Cold water immersion has been known as one of the post-exercise recovery methods. Assessment of creatine kinase and vertical jump can be used to monitor the condition of post-exercise recovery. Aim: To evaluate the role of cold water immersion based on creatine kinase and vertical jump. Method: Twenty subjects were randomized to the cold water immersion or passive recovery group. Creatine kinase and vertical jump were measured as a baseline, followed by fatigue protocol (circuit training in gym) and recovery protocol according to each group. The creatine kinase and vertical jump were monitored in three consecutive periods; post-exercise recovery, 24-hour, and 48-hour post-exercise. The mean difference within groups and between groups of creatine kinase and the vertical jump was analyzed using repeated Anova + post-hoc Bonferroni test and T-test, respectively. Results: The intervention group showed faster recovery than the control group at 24-hour post-exercise based on vertical jump. Intervention group had higher vertical jump (p = 0,039) at 24-hour assessment. The intervention group showed faster recovery at 48-hour post-exercise than the control group on creatine kinase. There were also lower (p <0,01) creatine kinase in the intervention group at 48-hour post-exercise measurement. Conclusion: The use of cold water immersion is recommended as a post-exercise recovery method for the recreational athlete after high-volume and high-intensity training.

Terapi Latihan Fisik Pada Pasien Cedera Meniskus Tanpa Tindakan Operatif: Laporan Kasus Berbasis Bukti Diczen, Diczen; Sudarsono, Nani Cahyani
Majalah Kedokteran Indonesia Vol 74 No 6 (2024): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.74.6-2024-1632

Introduction: Surgery for meniscus injuries has the potential to trigger osteoarthritis and early cartilage degeneration. This evidence-based case report aims to evaluate the effectiveness of physical exercise therapy compared to surgery in restoring knee function in a woman with a lateral discoid meniscus tear.Methods: A systematic literature search was conducted using databases such as PubMed, ScienceDirect, ProQuest, and Scopus. The focus of the search was on studies comparing the outcomes of physical exercise therapy and surgery for meniscus injuries.Result: Out of 737 identified articles, three relevant studies met the criteria and addressed the research question of this case report. These studies concluded that there was no significant difference between physical exercise therapy and surgery in restoring knee function in patients with meniscus injuries.Conclusion: Physical exercise therapy has proven effective as a safe alternative with the potential to reduce the risk of operative complications in patients with meniscus injuries. This non-invasive approach offers a viable option for maintaining knee function without increasing the risk of osteoarthritis or early cartilage degeneration.

Manfaat Adiponektin Dan Leptin Dalam Memantau Efek Latihan Fisik Terhadap Fungsi Adiposa Penderita Sindrom Metabolik Sudarsono, Nani Cahyani; Paramita, Bunga Listia; Diczen, Diczen; Nugroho, Dimas; Shabrina, Meisya
Majalah Kedokteran Indonesia Vol 73 No 4 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.4-2023-977

Introduction: The Prevalence of metabolic syndrome (MetS) in Indonesia is increasing, with the highest age in the 45 – 54 years old, and high mortality and morbidity rates complications and cost. Biomarkers such as adiponectin, leptin, and their ratios may be useful in monitoring and quantifying patient's body fat tissue function improvement after exercise training. This study aims to determine adiponectin, leptin, and their ratios benefits in monitoring physical exercise effects on adipose tissue function in pre-elderly (45-59 years old) and elderly (greater than 60 years old) patients with MetS.Methods: Literature review through hand searching and pubmed database related to the benefits of leptin and adiponectin test in monitoring physical exercise effect on adipose function in the pre-elderly and/or elderly population with MetS.Results: Physical exercise significantly increased adiponectin levels (mean difference (MD): 0.42 µg/mL; 95% CI 0.23, 0.60, p less than 0.0001), and reduced leptin levels (MD: -1.89 ng /ml; 95% CI, -2.64, -1.14, p less than 0.0001). High-intensity aerobic exercise can even reduce serum leptin levels by 6.29 ng/ml (p less than 0.001), and increase serum adiponectin levels by 0.74 μg/ml (p = 0.04). This significant change mainly occurs in men with a Body Mass Index (BMI) of 30 kg/m2 and 25.0-29. 9 kg/m2.Conclusion: Adiponectin/leptin ratio examination has potential future benefits in MetS management as an evaluation physiological biomarkers related to exercise interventions. There are only a few capable laboratories, and expensive cost, so that its current implementation is mostly devoted to research. Adopting a healthy lifestyle, balanced nutrition, physical activity habits and regular physical exercise are still the best suggestions for preventing MetS.

MANFAAT AEROBIC EXERCISE TERHADAP KADAR BRAIN-DERIVED NEUROTROPHIC FACTOR (BDNF) PADA STROKE SURVIVOR: SEBUAH TINJAUAN SISTEMATIS Sudarsono, Nani Cahyani; Hidayat, Mumtaz Maulana; Deasy, Gusti Ayu Sinta; Sanjaya, Ryan Maika; Leonarto, Enrico
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 8 No 2 (2025): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

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

Gangguan kognitif sering terjadi pada penyintas stroke, berdampak besar pada kualitas hidup. Aerobic exercise terbukti dapat meningkatkan kadar Brain-Derived Neurotrophic Factor (BDNF), protein penting untuk neuroplastisitas, fungsi kognitif, dan pemulihan motorik. Kajian ini menggunakan tinjauan sistematis pada PubMed®, Cochrane®, ScienceDirect®, dan hand search dengan kriteria inklusi: penyintas stroke yang mendapat aerobic exercise, pengukuran BDNF, dan studi eksperimental. Hasil menunjukkan latihan aerobik intensitas tinggi secara signifikan meningkatkan BDNF dibandingkan intensitas sedang, rendah, atau latihan lain. Peningkatan BDNF berkorelasi positif dengan perbaikan fungsi kognitif, motorik, dan neuroplastisitas, menjadikan BDNF biomarker potensial dalam evaluasi rehabilitasi pascastroke. Latihan intensitas tinggi mendukung neuroplastisitas melalui peningkatan aliran darah otak, metabolisme oksigen, dan neurogenesis. Aerobic exercise, terutama intensitas tinggi, efektif meningkatkan BDNF, neuroplastisitas, dan fungsi kognitif serta motorik pada penyintas stroke. Temuan ini mendukung integrasi latihan aerobik intensitas tinggi dalam program rehabilitasi stroke untuk meningkatkan pemulihan dan kualitas hidup pasien. Kata Kunci: aerobic exercise, Brain-Derived Neurotrophic Factor (BDNF), neuroplastisitas, rehabilitasi pascastroke, stroke DOI : 10.35990/mk.v8n2.p174-184

Analgesik dan Anti-Inflamasi pada Cedera Sprain Pergelangan Kaki: Evidence Based Case Report Chikih, Chikih; Sudarsono, Nani Cahyani
Majalah Kedokteran Indonesia Vol 72 No 6 (2022): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.72.6-2022-799

Introduction: Ankle sprain injury is an injury that often occurs in sports activities with an incidence up to 40%. The main management is by doing conservative management in the form of RICE and strengthening exercises. However, over time, many doctors and athletes use analgesics and anti-inflammatory drugs to treat the perception of pain and swelling. This article aims to find the latest evidence-based medicine on the use of analgesics and anti-inflammatory drugs relevant to ankle sprain injuries. Methods: The study was conducted by Evidence Base Medicine approach. Literature search from two digital databases; PubMed and Cochrane and selection based on Prism Flow Charts with inclusion and exclusion criteria. No statistical analysis was performed in this study. Results: The investigation was obtained six studies, consisting of 5 systematic review studies discussing the use of NSAIDs, Opioids, Acetaminophen and Cox-inhibitors in ankle sprain injury patients. The use of NSAIDs was less edible than the use of placebo and there was no significant difference between the use of NSAIDs and other analgesics. Topical use has a perceived better effectiveness than oral NSAID use. Conclusion: The use of analgesics in case of ankle sprain injury still needs further research; the main consideration is based on the patient’s pain perception. Conservative therapy remains the mainstay.

Co-Authors Anggia Prathama Nasution Chikih Chikih Chikih, Chikih Deasy, Gusti Ayu Sinta Dewi Friska Diczen, Diczen Dimas Nugroho Elina Widiastuti Elisna Syahrudin Fiastuti Witjaksono Fika Dwi Sasri Hidayat, Mumtaz Maulana Hilma Nur Faiza Kemal Akbar Suryoadji Leonarto, Enrico Menaldi Rasmin Natasa, Yose Neny Husnaini Zain Nurmansyach, Febianto Paramita, Bunga Listia Putra Rizki Ria Lestari Ria Lestari, Ria Sakinasha Siva Utami Sanjaya, Ryan Maika Shabrina, Meisya Taufik, Feni Fitriani Tiffany Georgine T'sidkenu Widjaja Yusra, Yusra

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