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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Journal of Community Empowerment for Health Jurnal Pengabdian kepada Masyarakat Nusantara
Handayaningsih, Anastasia Evi
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Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Health measurement profile of older adults in Sleman District, Yogyakarta: its correlation with low-grade chronic inflammation in hypertension Adyarini, Dwita Dyah; Rohmah, Siti Nur Rohmah; Sattwika, Prenali Dwisthi; Handayaningsih, Anastasia Evi; Probosuseno, Probosuseno; Sinorita, Hemi
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 55, No 4 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19106/JMedSci005504202307

Abstract

The older adult often experiences a low-grade chronic inflammation that commonly manifests in various conditions without infection, including hypertension. The serum neutrophil-to-lymphocyte ratio (NLR) and hyperuricemia are important markers for various diseases including hypertension. Older adult accounts for 17.33% of the total population of Yogyakarta Special Province, which is the highest compared to other provinces. The study aimed to evaluate the relationship between NLR and hyperuricemia with hypertension among adult patients in Sleman District, Yogyakarta, Indonesia. It was a community-based cross-sectional nested study involving 90 older adults aged ≥70 y.o. living around of the Sleman Health and Demographic Surveillance System (HDSS). Data of demographic and health characteristics of the subjects were collected. Independent t test, and Mann Whitney test were used to analyze mean differences between normotensive and hypertensive groups.  Multivariate analysis with logistic regression was used to analyze correlation between all variables. The results showed 59 respondents (65%) suffered from hypertension and 31 (35%) respondents had normal and pre-hypertension. No significantly different in almost of the subject characteristics between the normotensive and the hypertensive groups was observed (p>0.05). However, significantly different between the normotensive group and the hypertensive group was observed in the history of hypertension, blood pressure/BP, mean arterial pressure/MAP, abdominal circumstance/AC, fasting blood glucose/FBG, triglyceride, and hemoglobin (p<0.05). No significantly different in the NLR and HsCRP levels of the normotensive group compared to the hypertensive groups were observed (p>0.05). However, the uric acid level of the hypertensive group [5.6 (2.9-9.4 mg/dL)] was significantly higher than that the normotensive group [4.7 (2.9-8.0 mg/dL)] (p=0.042), although it was no significantly relationship with hypertension (p>0.05). In conclusion, there is no relationship between NLR, HsCRP and uric acid with hypertension among middle old and oldest old in Sleman District.
Simplified AHA/ACC ASCVD risk score implementation in a community-driven approach to initiate statin primary prevention Adhikara, Imam Manggalya; Noviana, Uki; Thahadian, Harik Firman; Putra, Yasjudan Rastrama; Handayaningsih, Anastasia Evi; Adyarini, Dwita Dyah; Akhmadi, Akhmadi; Sujalmo, Puwardi; Widyaningsih, Andhika; Rachmawati, Annisa; Rahman, Rahma Azzalia; Meirizka, Fathina; Anggraeni, Vita Yanti
Journal of Community Empowerment for Health Vol 8, No 1 (2025)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.99182

Abstract

Introduction: One of the objectives of the third Sustainable Development Goal is to lower the prevalence of non-communicable diseases (NCD). Cardiovascular disease (CVD) is one of the NCDs that remains the primary cause of mortality in Indonesia and the rest of the world. The most common CVD is coronary artery disease (CAD). It is crucial to perform risk factor assessments on individuals to facilitate early intervention and prevention. A simple instrument to stratify the population's CVD risk factor is the atherosclerotic cardiovascular disease (ASCVD) Risk Score. This study aims to determine the CAD risk stratification through screening using the ASCVD Risk Score in the Sumberadi, Mlati, Sleman, Yogyakarta populations.Methods: A descriptive study screening for CAD was conducted in a population of Sumberadi aged >15 years, especially aged 40-75 years old. The instrument used in this study was the simplified ASCVD Risk Score. The risk factors for CAD, including blood pressure, blood glucose, and cholesterol, were measured with Indonesian-standard instruments. Data was collected by Posbindu cadres with the aid of the research team. Data was analyzed univariately and presented in the form of a descriptive table.Results: This study's sample is mainly female (87%), and the age average is 48.4 ± 9.6 years old. The samples mostly have normal random blood glucose(RBG) levels (82.6%) with a mean of 117.9 ± 55.2 mg/dL. Meanwhile, the total cholesterol level of the samples is mainly normal (51.6%) with a mean of 201.4 ± 40.2 mg/dL. Four samples of people aged>75 years old needed expert consultation. The remaining 403 samples were classified based on the statin requirements (no statin required, moderate-intensity statin, and high-intensity statin). The 148 samples require moderate-intensity statin, and 64 require high-intensity statin.Conclusion: Half of the subjects in this study were included in the statin-required group. And none of them received statin as CAD primary prevention strategy. Most CAD risk factors are conditions that have no symptoms and remain neglected in the population. Therefore, screening CAD risk in the population with simple and easy instruments is still needed to detect individual CAD-risk profiling early. The screening program enables delegates to the Posbindu's cadres who the expertise had trained. 
Penyuluhan Gangguan Psikis dan Kesehatan di Rumah Pelayanan Sosial Lanjut Usia Terlantar Budhi Dharma Putra Pidada, Ida Bagus Gede Surya; Handayaningsih, Anastasia Evi; Wiraagni, Idha Arfianti; Widagdo, Hendro; Tri Artanti, Martiana Suciningtyas; Basworo, Wikan; Poga, Adam Juan
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 6 No. 2 (2025): Jurnal Pengabdian kepada Masyarakat Nusantara Edisi April - Juni
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jpkmn.v6i2.5934

Abstract

Proses penuaan dapat menimbulkan masalah kesehatan secara fisik maupun psikologis pada lansia. Di Indonesia, masih banyak lansia terlantar yang tidak mampu memenuhi kebutuhan dasarnya akibat berbagai faktor sosioekonomi. Kegiatan ini bertujuan untuk meningkatkan kualitas hidup lansia terlantar melalui edukasi tentang deteksi dini gangguan psikologis serta perawatan kesehatan pada usia lanjut. Penyuluhan dan pemeriksaan kesehatan meliputi tekanan darah, indeks massa tubuh, kadar gula darah sewaktu, dan tingkat depresi dilakukan terhadap 29 lansia di Rumah Pelayanan Sosial Lanjut Usia Terlantar Budhi Dharma, Yogyakarta. Tidak ditemukan hubungan yang signifikan antara jenis kelamin dan data hasil pemeriksaan, namun analisis multivariat menunjukkan korelasi yang berarti antara jenis kelamin dengan indeks massa tubuh dan tingkat depresi secara bersamaan (p = 0,008). Diharapkan kegiatan kesehatan serupa dapat dilaksanakan secara rutin dan berkelanjutan, dengan hasil yang diperoleh menjadi dasar intervensi yang perlu ditindaklanjuti demi peningkatan kualitas hidup lansia terlantar.
Co-Authors Adhikara, Imam Manggalya Adyarini, Dwita Dyah Akhmadi Akhmadi Anggraeni, Vita Yanti Annisa Rachmawati Basworo, Wikan Hemi Sinorita Hendro Widagdo Meirizka, Fathina Poga, Adam Juan Prenali Dwisthi Sattwika Probosuseno Probosuseno, Probosuseno Putra Pidada, Ida Bagus Gede Surya Putra, Yasjudan Rastrama Rahman, Rahma Azzalia Rohmah, Siti Nur Rohmah Sujalmo, Puwardi Thahadian, Harik Firman Tri Artanti, Martiana Suciningtyas Uki Noviana Widyaningsih, Andhika Wiraagni, Idha Arfianti