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Relationship between Serum 25-Hydroxyvitamin D Levels and Cardiovascular Disease Risk among Road Sanitations Workers Wartono, Magdalena; Samara, Tjam Diana; Kosasih, Adrianus; Mediana, Dian
Althea Medical Journal Vol 13, No 1 (2026)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v13n1.4570

Abstract

Background: Road sanitation workers are frequently exposed to sunlight during outdoor work, which may influence vitamin D status. Although several studies suggest that outdoor workers have a lower risk of vitamin D deficiency than indoor workers, evidence regarding the association between 25-hydroxy vitamin D [25-(OH)D] levels and cardiovascular disease (CVD) risk among sanitation workers remains limited. This study aimed to examine the relationship between serum 25(OH)D levels and CVD risk among road sanitation workers. Methods: This analytical cross-sectional study included 105 road sanitation workers in West Cengkareng District, Jakarta, Indonesia selected using consecutive random. The 10-year cardiovascular risk was calculated using the World Health Organization/International Society of Hypertension (WHO/ISH) risk charts. Serum 25-(OH)D levels were measured from peripheral venous blood samples. Data were analyzed using the chi-Square test and Fisher's exact test, with statistical significance defined as p<0.05.Results: Vitamin D deficiency was observed in 59.05% of participants, whereas 85.7% had low-to-moderate CVD risk.  No significant association was found between 25(OH)D levels and CVD risk (p=0.582). However, significant associations were identified between age (p=0.001), body mass index (p=0.003), blood pressure (p=0.037), smoking status (p=0.037) and cardiovascular disease risk.Conclusions: Vitamin D deficiency is not associated with increased CVD risk among road sanitation workers. However, regular monitoring of vitamin D status may support occupational health and overall well-being.
HUBUNGAN ANTARA KEMAMPUAN FUNGSIONAL DAN TINGKAT DEPRESI PADA PASIEN STROKE ISKEMIK Pencalang, Nasrullah Wahid; Wartono, Magdalena
Jurnal Kesehatan Tambusai Vol. 7 No. 1 (2026): MARET 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i1.54792

Abstract

Stroke iskemik merupakan penyebab utama disabilitas jangka panjang yang sering disertai gangguan psikologis, salah satunya depresi. Penurunan kemampuan fungsional akibat stroke dapat memengaruhi kemandirian pasien dan berpotensi meningkatkan risiko depresi. Namun, hubungan antara kemampuan fungsional dan tingkat depresi pada pasien stroke iskemik masih menunjukkan hasil yang tidak konsisten. Penelitian ini bertujuan untuk mengetahui hubungan antara kemampuan fungsional dan tingkat depresi pada pasien stroke iskemik. Penelitian observasional analitik dengan desain cross-sectional pada 79 pasien stroke iskemik. Kemampuan fungsional dinilai menggunakan Barthel Index dan tingkat depresi diukur dengan Beck Depression Inventory-II (BDI-II). Analisis hubungan dilakukan menggunakan Likelihood ratio. Sebagian besar responden berusia 46–55 tahun dan berjenis kelamin perempuan. Mayoritas responden memiliki kemampuan fungsional dependen ringan dan tingkat depresi minimal. Hasil analisis menunjukkan tidak terdapat hubungan yang signifikan antara kemampuan fungsional dan tingkat depresi pada pasien stroke iskemik (p = 0,404). Penelitian ini menyimpulkan bahwa tidak terdapat hubungan yang signifikan secara statistik antara kemampuan fungsional dan tingkat depresi pada pasien stroke iskemik.
Autonomic Response to Face-Mask-Wearing in Individuals with Anxiety Disorders Kosasih, Adrianus; Istriana, Erita; Khaerani, Rita; Widowati, Henie; Samara, Tjam Diana; Wartono, Magdalena; Hidayat, Adi
Jurnal Biomedika dan Kesehatan Vol 9 No 1 (2026)
Publisher : Fakultas Kedokteran Universitas Trisakti

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

Abstract

Background. This study aims to see the relationship between the use of N95 masks and the autonomic responses of individuals with anxiety disorders. Methods. This study is an analytic experimental study on 140 respondents. Assessment of anxiety disorders was carried out by completing the DASS 42 questionnaire and psychiatric interviews by a psychiatristt. Autonomic responses are measured by measuring heart rate variability (HRV). Short-term root mean square of successive differences (RMSSD) HRV parameters were measured using the Polar H10. HRV was measured when the respondent was not wearing a mask, when wearing an N95 mask and when wearing an N95 mask with a valve that had been opened (sham). Results. HRV in respondents with anxiety disorders had a significantly lower value than respondents without anxiety disorders. Both at baseline (median: 16.33 vs 23.35, p=0.004), when using an N95 (median: 16.47 vs 22.01, p=0.008) and when using a sham N95 (median: 16.94 vs 22.24, p=0.005). However, there was no relationship between the use of N95 masks and HRV in respondents with anxiety disorders (RMSSD baseline vs N95: median 16.33 vs 16.47, p=0.979). Conclusion. There is no relationship between the use of N95 masks and HRV in individuals with anxiety disorders. Keywords: anxiety disorders; heart rate variability; N95 mask.