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Deteksi Dini Penurunan Fungsi Ginjal Melalui Pemeriksaan eGFR dan Kreatinin pada Masyarakat Kelurahan Tanjung Duren Selatan Soni, Yulfitra; Santoso, Alexander Halim; Destra, Edwin; Wijaya, Bryan Anna; Setiawan, Fiona Valencia
Jurnal Masyarakat Mengabdi Nusantara Vol. 4 No. 2 (2025): Jurnal Pengabdian Kepada Masyarakat
Publisher : STIPAS Tahasak Danum Pambelum Keuskupan Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58374/jmmn.v4i2.341

Abstract

Kidney dysfunction often remains undetected in its early stages due to minimal clinical symptoms. Serum creatinine and estimated glomerular filtration rate (eGFR) examinations are the main parameters to assess kidney filtration function. Lifestyle factors such as a high-sodium diet play a role in accelerating the decline in kidney function. Creatinine and eGFR examinations were performed by taking venous blood from 104 adult participants. Samples were analyzed in the laboratory, while education was provided directly to all participants after blood sampling, focusing on reducing sodium consumption and improving diet. The examination showed that the average creatinine level was still within normal limits, but the eGFR value of some participants showed a decline in kidney function. The agreement between the two parameters reinforces the importance of laboratory examinations in detecting the risk of declining kidney function. Education successfully conveyed information about the effect of salt consumption on kidney health. eGFR and creatinine examinations are effective steps to detect the risk of kidney dysfunction in asymptomatic populations. Education about reducing sodium and improving diet plays an important role in preventing progressive kidney damage.
Exploring The Potential of Diabetes Panel and Albumin as Predictors on Urinary Incontinence in Elderly Soni, Yulfitra; Tambunan, Nicholas Albert; Santoso, Alexander Halim; Wijaya, Bryan Anna; Suros, Angel Sharon; Waltoni, Bobby Marshel Ancheloti
Jurnal Kesehatan Amanah Vol. 9 No. 1 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i1.857

Abstract

Urinary incontinence (UI) is a significant health issue among the elderly, affecting their quality of life. While its etiology is multifaceted, metabolic and nutritional markers such as diabetes panel parameters and albumin levels may play a role in its severity. However, the relationship between these biomarkers and UI remains underexplored. This study aims to investigate the association of diabetes panel components and albumin levels with the severity of UI in elderly individuals to identify potential predictors. A cross-sectional analytic study was conducted involving 93 elderly participants from Bina Bhakti Nursing Home. UI was assessed using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF). Metabolic markers were analysed using validated methods, including fasting glucose, HbA1c, fasting insulin, HOMA-IR, and albumin. Data were statistically analyzed using Spearman’s Rho and multiple regression analyses to determine correlations and predictive relationships. Significant correlations were observed between HbA1c (r = -0.284, p = 0.006) and albumin (r = -0.259, p = 0.012) with UI severity. Multiple regression analysis confirmed that HbA1c and albumin are significant predictors of UI, with lower levels associated with increased UI severity. Diabetes panel parameters, particularly HbA1c and albumin levels, are valuable predictors of UI severity in elderly individuals. These findings emphasize the importance of metabolic and nutritional health monitoring in managing and mitigating UI symptoms. Future longitudinal studies and intervention trials are recommended to validate these findings and explore therapeutic implications.
Lipid Panel Predictors of Urinary Incontinence in Elderly in Bina Bakti Nursing Tambunan, Nicholas Albert; Soni, Yulfitra; Santoso, Alexander Halim; Teguh, Stanislas Kotska Marvel Mayello; Alifia, Tosya Putri; Raharjo, Anthony Jason
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 1 (2025): Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i1.6055

Abstract

Urinary incontinence (UI) significantly impacts the quality of life in older adults, often resulting from multifactorial causes, including age-related changes and systemic health issues. Emerging evidence highlights the role of lipid metabolism in influencing bladder and pelvic floor function through vascular integrity, inflammation control, and tissue repair. Lipid parameters, such as apolipoproteins, HDL, LDL, total cholesterol, triglycerides, and their ratios, provide insights into metabolic health and its association with UI. This study aims to identify specific lipid-related predictors, advancing the understanding of metabolic factors in UI and informing targeted prevention and management strategies for aging populations. This study used multiple linear regression analysis to assess the relationship between lipid panel predictors and urinary incontinence in 93 elderly respondents at Bina Bakti Nursing Home. The analysis identifies apolipoprotein B, Apo B/Apo A ratio, total cholesterol, and triglyceride-to-HDL ratio as significant predictors. These variables actively influence urinary incontinence through metabolic and vascular pathways, with both positive and negative associations. Apolipoprotein B, Apo B/Apo A ratio, total cholesterol, and triglyceride-to-HDL ratio predict urinary incontinence, highlighting lipid-related impacts on vascular health, inflammation, and tissue integrity for improved risk stratification.
Korelasi Usia, International Prostate Symptom Score, Benign Prostatic Hyperplasia Impact Index, Kualitas Hidup, dan Tingkat Keparahan Pada Penderita Benign Prostatic Hyperplasia di RSUD Ciawi Soni, Yulfitra; Firmansyah, Yohanes; Kurniawan, Joshua; Satyanegara, William Gilbert
MAHESA : Malahayati Health Student Journal Vol 3, No 10 (2023): Volume 3 Nomor 10 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i10.11272

Abstract

ABSTRACT Benign prostatic hyperplasia (BPH) is one of the common diseases in old male and is the common cause of lower urinary tract symptoms. The prevalence of this disease is not to be underestimated, reaching up to 80% in the age of 90 years. This disease also affects the quality of life of the patients. To find out the correlation of age, International Prostate Symptom Score (IPSS), Benign Prostatic Hyperplasia Impact Index (BII), quality of life, and severity of BPH patients. The study is done in urology clinic in Ciawi General Hospital on the period of June-July 2023. The samples are gathered with total sampling method, covering all the male patients with BPH that fulfilled the criteria. Data gathered through interview. Normality of the data is tested with Shapiro-wilk test. The correlation is tested with Pearson Correlation test or alternative of Spearman Correlation test. The study found a correlation of IPSS and BII (p-value = 0.005; r = 0.495), but no significance of age with IPSS and BII (p-value > 0.05). Strong correlation is found from quality of life with BII (p-value: < 0,001; r: 0,629), quality of life with severity based from IPSS (p-value: < 0,001; r: 0,655), and correlation between severity with IPSS and BII (p-value: 0,006; r: 0,487). Using IPSS and BII scores in clinical practice is valuable for describing a patient's severity and quality of life. We can use the results to assess the effectiveness of the treatment and measure the results. Keywords : BII, BPH, IPSS, Quality of Life  ABSTRAK Pembesaran jinak prostat atau benign prostatic hyperplasia (BPH) adalah salah satu penyakit paling umum pada pria lanjut usia dan penyebab paling umum dari gejala saluran kemih bagian bawah. Angka prevalensi penyakit ini juga tidak dapat dipandang sebelah mata, mencapai 80% pada usia 90 tahun. Penyakit ini juga mempengaruhi kualitas hidup penderitanya. Mengetahui korelasi usia, skor International Prostate Symptom Score (IPSS), Benign Prostatic Hyperplasia Impact Index (BII), kualitas hidup, dan tingkat keparahan pada penderita BPH. Penelitian ini dilakukan di Poli Urologi RSUD Ciawi pada periode Juni – Juli 2023. Sampel pada penelitian ini diambil dengan metode total sampling, mencakup seluruh laki-laki yang menderita BPH yang memenuhi kriteria. Data diperoleh melalui wawancara. Uji normalitas data dilakukan dengan menggunakan uji Shapiro-Wilk. Uji korelasi pada penelitian ini menggunakan uji Pearson Correlation atau uji alternatif Spearman Correlation. Didapatkan bahwa terdapat korelasi cukup yang bermakna antara IPSS dengan BII (p-value : 0,005 dan r: 0,495), tetapi tidak terdapat korelasi yang bermakna secara statistik antara usia dengan IPSS dan BII (p-value > 0,05). Terdapat korelasi kuat yang bermakna secara signifikan antara kualitas hidup dengan BII (p-value: < 0,001; r: 0,629), kualitas hidup dengan tingkat keparahan menurut IPSS (p-value: < 0,001; r: 0,655), dan korelasi cukup pada tingkat keparahan menurut IPSS dengan BII (p-value: 0,006; r: 0,487).Penggunaan skor IPSS dan BII dalam praktik klinis membantu menggambarkan tingkat keparahan pasien, dan kualitas hidup pasien. Penelian ini membantu kita dalam mengobati dan mengevaluasi keberhasilan terapi. Kata Kunci: BII, BPH, IPSS, Kualitas Hidup