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All Journal Jurnal Kedokteran Diponegoro Jurnal Kesehatan Andalas Biomedical Journal of Indonesia Syntax Literate: Jurnal Ilmiah Indonesia Majalah Kedokteran Andalas Human Care Journal Jurnal Ners Indonesian Journal of Health Sciences Research and Development (IJHSRD) Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal Ilmu Kesehatan Indonesia (JIKSI) Eduvest - Journal of Universal Studies Jurnal Penyakit Dalam Indonesia Jurnal Mahasiswa Ilmu Kesehatan Jurnal Riset Ilmiah Jurnal Sains, Teknologi dan Kesehatan Media Penelitian dan Pengembangan Kesehatan
Roza Mulyana
Division Of Geriatric, Department Of Internal Medicine, Faculty Of Medicine, Universitas Andalas/Dr. M. Djamil General Hospital, Padang, Indonesia
Aerospace Engineering Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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The Gut-Muscle Axis in Sarcopenia: A Meta-Analysis of Gut Microbiome Compositional Features and Their Correlation with Muscle Mass, Strength, and Physical Performance in Older Adults Vyora Ulvyana; Roza Mulyana; Rose Dinda Martini
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 9 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i9.1384

Abstract

Background: Sarcopenia, the age-related decline in muscle mass and function, is a major geriatric syndrome. The gut-muscle axis has emerged as a key area of investigation, yet the association between gut microbiome composition and sarcopenic parameters in humans remains quantified by a collection of studies with varied methodologies. This meta-analysis aimed to synthesize the existing correlational evidence linking gut microbiome features to the core components of sarcopenia in older adults. Methods: We performed a systematic search of PubMed, Scopus, Web of Science, and Embase for observational studies published between January 2015 and July 2025 that assessed gut microbiome composition and sarcopenia metrics in adults aged ≥60. Correlation coefficients (r) were pooled using a random-effects model. We assessed heterogeneity using the I² statistic, conducted pre-specified subgroup and sensitivity analyses, and evaluated study quality with the Newcastle-Ottawa Scale (NOS). Results: Six cross-sectional studies (N=1,189) met the inclusion criteria. The methodological quality was high (median NOS score = 8). The pooled analysis revealed a significant, small positive correlation between gut microbial alpha diversity and muscle strength (handgrip strength) (pooled r = 0.19, 95% CI: 0.11-0.27; I² = 41%). The relative abundance of the genus Faecalibacterium, known for its potential to produce butyrate, was significantly correlated with physical performance (pooled r = 0.24, 95% CI: 0.16-0.32; I² = 28%). A non-significant negative correlation was found between the family Enterobacteriaceae and muscle mass (pooled r = -0.14, 95% CI: -0.29-0.01; I² = 62%). Subgroup analysis suggested this heterogeneity was partly explained by the diagnostic criteria used for sarcopenia. Conclusion: This meta-analysis provides quantitative evidence of a modest but significant association between gut microbiome composition and muscle health in older adults. A microbial profile with higher diversity and greater abundance of putative beneficial taxa is correlated with better muscle function. These associative findings, while limited by the cross-sectional nature of the data and the potential for reverse causality, reinforce the clinical relevance of the gut-muscle axis and underscore the need for longitudinal, multi-omic studies to elucidate mechanisms and test microbiome-targeted therapies.
The Lethal Nexus: Sarcopenic Obesity and the Prospective Risk of All-Cause and Cardiovascular Mortality in Older Adults-A Systematic Review and Meta-Analysis of Longitudinal Cohort Studies Muhammad Ridho Azhari; Roza Mulyana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 11 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i11.1431

Abstract

Background: The concurrent presence of excess adiposity and low muscle mass, termed sarcopenic obesity (SO), is an emerging geriatric syndrome hypothesized to confer a greater mortality risk than either condition alone. However, the precise magnitude of this risk remains poorly quantified. This systematic review and meta-analysis aimed to synthesize evidence from longitudinal cohort studies to determine the association between SO in older adults and the risk of all-cause and cardiovascular mortality. Methods: A systematic search was conducted in PubMed, Embase, and Scopus for longitudinal cohort studies published between January 2015 and August 2025 that evaluated mortality risk in older adults (mean age ≥60 years) with SO. The primary outcomes were all-cause and cardiovascular mortality. A random-effects model was used to pool Hazard Ratios (HRs) and 95% Confidence Intervals (CIs). Heterogeneity was assessed using the I2 statistic. Results: From 2,450 records identified, eight cohort studies met the inclusion criteria, encompassing 45,280 community-dwelling older adults with a mean follow-up of 8.2 years. Compared to a reference group of non-sarcopenic, non-obese individuals, sarcopenic obesity was associated with a significantly increased risk of all-cause mortality (Pooled HR: 1.58, 95% CI: 1.42–1.76, p < 0.0001). The risk for cardiovascular mortality, assessed in six studies, was even more pronounced (Pooled HR: 1.75, 95% CI: 1.55–1.98, p < 0.0001). Moderate heterogeneity was observed for the all-cause mortality analysis (I2 = 55%), which was partially explained by differences in diagnostic criteria. Conclusion: Sarcopenic obesity is a potent predictor of both all-cause and cardiovascular mortality in older adults, conferring a risk substantially greater than a healthy state. These findings underscore the critical need for routine screening and targeted interventions to address this lethal combination of poor body composition in aging populations.
Correlation Of Neutrophil Lymphocyte Ratio And Platelet Lymphocyte Ratio With Severity Of COVID-19 Warman, Fadil Ahmadhia; Yulia, Dwi; Kadri, Husnil; Mulyana, Roza; Yusri, Elfira; Putra, Syandrez Prima
Majalah Kedokteran Andalas Vol. 48 No. 2 (2025): MKA April 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v48.i2.p125-137.2025

Abstract

The neutrophil lymphocyte ratio (NLR) and platelet lymphocyte ratio (PLR) tests are simple tests can be done before a COVID-19 patient hospitalized. This examination is useful for determining the diagnosis and prognostic of the patient. The aim of the study was to determine the correlation between NLR and PLR with the severity of COVID-19. This research was an analytical study with a cross-sectional approach using secondary data from 289 medical records of patients with confirmed COVID-19 for the period June-August 2021. The total sampling technique was used and processed with the chi-square test. Most of the research subjects were in the range of 26-45 years (28.4%). More than half of the subjects were female (61.6%). There were 99 patients (34.3%) with severe conditions. Less than half of the patients had abnormal leukocyte and platelet examination results, namely 64 (22.1%) and 56 (19.4%). Patients with abnormal NLR and PLR examinations were 135 (46.7%) and 123 (42.6%). There was a significant correlation between NLR and the severity of COVID-19 inpatients (p<0.001, OR=9.452). There is a significant correlation between PLR and the severity of COVID-19 inpatients (p<0.001, OR=7.268). This study concludes a significant correlation between NLR and PLR with the severity of COVID-19.
Hubungan Indeks Massa Tubuh dengan Tekanan Darah pada Lansia di Nagari Sumaniak Arief, Muhammad; Pertiwi, Dian; Mulyana, Roza
Jurnal Ilmu Kesehatan Indonesia Vol. 5 No. 1 (2024): Maret 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v5i1.1085

Abstract

Latar Belakang: Salah satu jenis penyakit tidak menular yang risikonya meningkat seiring pertambahan usia, yaitu hipertensi. Hipertensi dapat terjadi akibat proses yang dipengaruhi oleh banyak faktor yang salah satunya adalah indeks massa tubuh.Objektif: Penelitian ini bertujuan untuk mengetahui hubungan antara indeks massa tubuh dengan tekanan darah pada lansia di Nagari Sumaniak, Kabupaten Tanah Datar.Metode: Penelitian ini adalah penelitian cross sectional menggunakan data sekunder lansia di Nagari Sumaniak, Kabupaten Tanah Datar pada bulan Oktober 2021 dengan jumlah responden sebanyak 41 responden. Uji analisis yang digunakan adalah Spearman Rank Correlation.Hasil: Hasil penelitian menunjukkan hubungan indeks massa tubuh dan tekanan darah (p = 0,708) dengan rerata indeks massa tubuh 24,4426±4,362 kg/m2, tekanan darah sistolik 146,83±23,406 mmHg, dan tekanan darah diastolik 90,32±12,168 mmHg.Kesimpulan: Tidak terdapat hubungan yang bermakna antara indeks massa tubuh dengan tekanan darah pada lansia di Nagari Sumaniak, Kabupaten Tanah Datar. Kata Kunci: indeks massa tubuh, tekanan darah, lansia
Gambaran Fungsi Kognitif pada Pasien Pasca Stroke di Poliklinik RS Otak Dr. Drs. M. Hatta Bukittinggi Tahun 2022 Zaffarsyah, Muhammad Irsyad; Permana, Hendra; Yanis, Amel; Nurhayati, Nurhayati; Mulyana, Roza
Jurnal Ilmu Kesehatan Indonesia Vol. 5 No. 1 (2024): Maret 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v5i1.1154

Abstract

Latar belakang: troke merupakan penyakit neurologis yang menyerang otak secara langsung. Stroke menjadi penyebab kematian dan kecacatan nomor dua di dunia. Kecacatan dapat terjadi tidak hanya pada fungsi motorik dan sensorik, tetapi juga dapat terjadi gangguan pada fungsi kognitif yang terjadi akibat adanya perkembangan Cerebral Small Vessel Disease. Penelitian ini bertujuan untuk mengetahui gambaran fungsi kognitif pada pasien pasca stroke di poliklinik neurologi RS Otak Dr. Drs. M. Hatta Bukittinggi berdasarkan karakteristik, fungsi kognitif, dan distribusi frekuensi gangguan fungsi kognitif pada pasien pasca stroke iskemik dan stroke hemoragik. Objektif: Penelitian ini merupakan penelitian deskriptif yang dilakukan di RS Otak Dr. Drs. M. Hatta Bukittinggi pada tahun 2022. Sampel diambil dengan menggunakan teknik consecutive sampling dengan total berjumlah 65 subjek. Sampel penelitian ini adalah pasien pasca stroke di Poliklinik Neurologi RS Otak Dr. Drs. M. Hatta, Bukittinggi. Sampel diambil dengan data primer menggunakan MMSE dan data sekunder dari rekam medis pasien. Hasil: Penelitian ini menunjukan dari 65 sampel didapatkan 53 pasien iskemik dan 12 pasien hemoragik dengan fungsi kognitif normal pasien iskemik 37,7% dan iskemik 33,3%, gangguan kognitif ringan pasien iskemik 37,7% dan pasien hemoragik 33,3%, dan gangguan kognitif berat pasien iskemik 24,5% dan hemoragik 33,3%. Kesimpulan: Penelitian ini mendapati hasil kejadian stroke iskemik lebih banyak daripada stroke hemoragik. Hasil karakteristik pasien pasca stroke ditemukan variatif karena perbedaan tingkat keparahan dan faktor risiko. Ditemukan frekuensi tingkat gangguan fungsi kognitif terbanyak pada pasien tanpa gangguan kognitif dan ringan. Kata kunci: fungsi kognitif, stroke, iskemik, hemoragik, MMSE
Diagnosis and Management of Osteosarcopenia Jersivindo Ranazeri; Rose Dinda Martini; Mulyana, Roza; Fandi Triansyah
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 1 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i1.904

Abstract

Osteosarcopenia is a syndrome defined as a combination of low bone density and muscle mass as well as decreased strength and/or functional capacity. Osteoporosis and sarcopenia often coexist in the elderly, leading to a significantly worse prognosis. The epidemiology of osteosarcopenia is quite limited because the term is still new. Osteosarcopenia is more common in women than men and in malnutrition. Age-related immunological changes such as hormonal imbalance, chronic inflammation, increased oxidative stress, imbalance in protein metabolism, increased fat deposition, decreased physical activity, and poor nutritional status contribute to sarcopenia. Decreased bone density in osteoporosis can occur due to an imbalance between osteoblasts and osteoclasts. The diagnosis of osteosarcopenia is made based on the presence of osteoporosis and sarcopenia. Instrument strength, assistance with walking, rising from a chair, climbing stairs, and falls (SARC–F) are recommended for assessing sarcopenia and the fracture risk assessment tool (FRAX) for the risk of osteoporotic fracture. Management of osteosarcopenia is carried out holistically, including management of osteoporosis and sarcopenia both non-pharmacologically and pharmacologically.
Analysis of Risk Factors for Cognitive Frailty: A Meta-Analysis Hendriani, Nani; Roza Mulyana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 10 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i10.1086

Abstract

Background: Cognitive frailty (CF) is a syndrome characterized by cognitive and physical decline in older adults, which increases the risk of disability, dependency, and mortality. This study aims to identify and analyze risk factors for CF incidence through a systematic review and meta-analysis. Methods: A literature search was conducted on PubMed, Scopus, and Web of Science databases until June 2024. Observational studies reporting associations between potential risk factors and CF incidence in the elderly population were included. Two independent researchers performed study selection, data extraction, and risk of bias assessment. Meta-analysis was performed using a random effects model, and heterogeneity between studies was evaluated. Results: A total of 25 studies (n=45,678 participants) met inclusion criteria. Meta-analysis showed that advanced age (OR=1.89; 95% CI 1.65-2.16), female gender (OR=1.38; 95% CI 1.19-1.60), history of cardiovascular disease (OR=1.52; 95% CI 1.23-1.87), diabetes mellitus (OR=1.45; 95% CI 1.18-1.78), depression (OR=2.08; 95% CI 1.72-2.51), and low physical activity (OR=1.63; 95% CI 1.35-1.97) are risk factors significant for the incidence of CF. Low educational level (OR=1.71; 95% CI 1.43-2.04), low socioeconomic status (OR=1.58; 95% CI 1.29-1.93), and smoking history (OR=1.31; 95% CI 1.05-1.64) were also associated. with an increased risk of CF. Conclusion: This study identified several modifiable and nonmodifiable risk factors for CF occurrence. Interventions targeting these risk factors may help prevent or delay the development of CF in older adults.
Handgrip Strength: An Early Warning Sign for Mobility Decline? A Meta-Analysis of Diagnostic Accuracy Studies R. Ifan Arief Fahrurozi; Rose Dinda Martini; Roza Mulyana; Fandi Triansyah
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 1 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i1.1160

Abstract

Background: Mobility limitations significantly impact the quality of life of older adults. Early identification of individuals at risk is crucial for timely intervention. This meta-analysis investigates the diagnostic accuracy of handgrip strength (HGS) in predicting future mobility decline in older adults. Methods: A systematic search of PubMed, Scopus, and Web of Science was conducted for diagnostic accuracy studies published between 2018 and 2024, evaluating the ability of baseline HGS to predict incident mobility limitations in older adults (≥60 years). Mobility limitations were defined as difficulties in performing activities of daily living (ADLs) or instrumental activities of daily living (IADLs). The primary outcomes were sensitivity, specificity, and diagnostic odds ratio (DOR) of HGS for predicting mobility decline. A bivariate random-effects model was used to pool data. Results: Seven diagnostic studies with a total of 3,870 participants were included. The pooled sensitivity of HGS for predicting mobility decline was 0.72 (95% CI: 0.65-0.78), and the pooled specificity was 0.70 (95% CI: 0.66-0.74). The pooled DOR was 4.85 (95% CI: 3.21-7.32), indicating good discriminatory ability. Conclusion: This meta-analysis demonstrates that HGS has moderate sensitivity and specificity for predicting future mobility decline in older adults. HGS assessment can be a valuable tool for identifying individuals at risk, although further research is needed to determine optimal cut-off points and combine HGS with other risk factors for improved prediction.
THE DIFFERENCE IN TOTAL IMMUNOGLOBULIN E LEVELS AND EOSINOPHIL COUNTS AMONG ELDERLY INDIVIDUALS WITH AND WITHOUT ALLERGIC DISEASES Mulyana, Roza; Rio, Yugo Berri Putra; Raveinal, Raveinal; Martini, Rose Dinda; Harun, Harnavi; Asir, Taufik Rizkian; Fadrian, Fadrian; Murni, Arina Widya
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 4 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i4.3114

Abstract

Penyakit alergi dapat terjadi pada lansia dengan gejala yang dapat memburuk akibat adanya proses imunosenesens. Kadar IgE total dan jumlah eosinofil dapat digunakan sebagai pemeriksaan tambahan untuk penyakit alergi. Penelitian ini bertujuan untuk mengetahui perbedaan kadar IgE total dan jumlah eosinofil pada lansia dengan dan tanpa penyakit alergi. Penelitian observational analitik ini dilakukan pada lansia usia 60-80 tahun di RSUP DR. M. Djamil Padang selama Januari–Juni 2024. Sampel dikelompokkan menjadi kelompok lansia dengan penyakit alergi dan kelompok lansia tanpa penyakit alergi. Pengambilan sampel dilakukan secara consecutive sampling, melibatkan 52 partisipan (masing-masing 26 dengan dan tanpa penyakit alergi).  Kadar IgE total dan jumlah eosinofil diperiksa dengan menggunakan sampel darah vena. Analisis data menggunakan uji Mann-Whitney. Hasil penelitian menunjukkan median kadar IgE total pada kelompok alergi sebesar 1.741,1 kIU/L (minimum 517,7 kIU/L; maksimum 4843 kIU/L), sedangkan kelompok non-alergi 177,1 kIU/L (minimum 14 kIU/L; maksimum 800 kIU/L). Median jumlah eosinofil pada kelompok alergi sebesar 378 sel/µL (min: 100; maks: 950), sedangkan kelompok non-alergi 61,5 sel/µL (min: 17; maks: 189). Terdapat perbedaan signifikan kadar IgE total dan jumlah eosinofil antara lansia dengan dan tanpa penyakit alergi (p<0,001). Lansia yang mengalami Alergi menunjukkan kadar IgE  dan jumlah eosinofil lebih tinggi dibandingkan lansia yang tidak  alergi.  
Gambaran Hasil MCQ Blok Angkatan 2019 dan 2020 Pada Program Studi Kedokteran Fakultas Kedokteran Universitas Andalas Putri, Rauffi Hayatul; Firdawati; Yulistini; Mulyana , Roza; Amir , Arni; Rahmatini
Jurnal Ilmu Kesehatan Indonesia Vol. 6 No. 4 (2025): Desember 2025
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v6i4.1428

Abstract

Latar Belakang: Multiple Choice Question (MCQ) merupakan salah satu bentuk penilaian sumatif yang dilakukan tiap akhir blok pada pendidikan kedokteran. Penilaian ini berguna untuk mengetahui sejauh mana kemampuan mahasiswa sehingga dapat menghasilkan dokter yang kompeten. Objektif: Untuk mengetahui gambaran hasil MCQ blok angkatan 2019 dan 2020 pada program studi kedokteran Fakultas Kedokteran Universitas Andalas. Metode: Jenis penelitian ini berupa deskriptif dengan studi cross-sectional. Penelitian ini dilakukan dengan pengambilandata sekunder yaitu nilai MCQ blok. Teknik pengambilan data dengan total sampling sebanyak 466 orang. Hasil: Nilai rata-rata MCQ tertinggi Angkatan 2019 yaitu blok 4.1 Gangguan Neonatus, Anak, Remaja, dan Lansia serta Angkatan 2020 yaitu blok 4.2 Kegawatdaruratan. Sedangkan, nilai rata-rata terendah pada kedua angkatan terdapat pada blok 1.3 Hormon dan Persarafan. Nilai rata-rata tertinggi pada kedua angkatan terdapat pada jalur masuk SNMPTN. Kesimpulan: Kesimpulan pada penelitian ini nilai rata-rata MCQ tertinggi diperoleh ketika mahasiswa berada pada tingkat akhir dan terendah pada tahun pertama.
Co-Authors Afriwardi Afriwardi Ajat Sudrajat Almurdi Almurdi Amatullah, Afifah Amel Yanis Amir , Arni Arief, Muhammad Arina Widya Murni Asir, Taufik Rizkian Auliangi Tamayo Beni Indra, Beni Bobby Indra Utama Deka Viotra Delmi Sulastri Dian Pertiwi Drajad Priyono Dwitya Elvira, Dwitya Edo Yudistira Elfira Yusri Elmatris Sy Erlina Rustam Ety Yerizel Eva Decroli Fadrian, Fadrian Fahrurozi, R. Ifan A. Fahrurozi, R. Ifan Arief Fandi Triansyah Fandi Triansyah Fika Tri Anggraini Firdawati Firdawati Haegha Satya Negara Harun Harnavi Hendra Permana Husna Fauziah Husnil Kadri Iqbal Muhammad Helmi Jersivindo Ranazeri Kuntjoro Harimurti Laksono Trisnantoro Malinda Meinapuri Martini, Rose D Martini, Rose D Muhammad Bintang Alvinanda Muhammad Imam Arrasyid Muhammad Ridho Azhari Murni, Arina W Nani Hendriani, Nani Natasya Alamanda Martias Netti Suharti Nidya Angryni Noto Dwimartutie Noverika Windasari Nur Indrawaty Lipoeto Nurhayati Nurhayati Nurhayati, Nurhayati Nurul Fadila Putri, Rauffi Hayatul R. Ifan Arief Fahrurozi R. Ifan Arief Fahrurozi Rahmani Welan Rahmatini . Raveinal Raveinal RAVEINAL RAVEINAL Rika Susanti Rivani Sintia Suratman Rose Dinda Martini Rose Dinda Martini Roza Kurniati Rudy Afriant Saptino Miro Saptino Miro, Saptino Sasqia Trizolla Sisi Ermoniza Siti Setiati Syahrul, Muhammad Zulfadli Syandrez Prima Putra Tamayo, Auliangi Triansyah, Fandi Vesri Yoga Vyora Ulvyana Warman, Fadil Ahmadhia Willya Eka Putri Yorencia Akmal yossa tamia marisa Yudistira, Edo Yugo Berri Putra Rio Yulia, Dwi Yuliarni Syafrita Yulistini Yunia Habsari Yusri, Elfira Zaffarsyah, Muhammad Irsyad Zahara Findi