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All Journal Althea Medical Journal
Ronny Lesmana
Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran

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Effects of Moderate-Intensity Treadmill Training on Cardiac Mitochondrial Mitophagy and Dynamics in Young and Aged Wistar Rats Julia Windi Gunadi; Difa Hidayat Ramadhan; Bernike Tirsa Safira; Andra Alifya Ramadhan; Roro Wahyudianingsih; Yenni Limyati; Hanna Goenawan; Ronny Lesmana
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.v13n1.4553

Abstract

Background: Cardiac aging is closely associated with mitochondrial dysfunction and impaired quality control mechanism. Exercise has been shown to modulate mitochondrial homeostasis, however, its effects on cardiac mitophagy and mitochondrial dynamics during aging remain unclear. This study investigated the effects of moderate-intensity treadmill training on mitochondrial maintenance-related gene expression in the hearts of young and aged Wistar rats.Methods: Young and aged rats were divided into four groups: young control, young exercise, aged control, and aged exercise (n=6 per group). Exercise groups performed treadmill running at 20 m/min for 30 minutes/day, 5 days/week for 8 weeks. Cardiac gene expression levels of Pink1, Parkin, Mfn1, Mfn2, Opa1, Drp1, and Fis1 were analyzed using semi-quantitative polymerase chain reaction (PCR). Data were analyzed using one-way ANOVA or Kruskal–Wallis test followed by appropriate post hoc analyses.Results: Exercise significantly increased Mfn2 expression in aged exercise rats compared with aged controls (p=0.029), suggesting partial restoration of age-related decline. Expression of Mfn1 and Drp1 varied among groups but showed no significant pairwise differences. Expression levels of Opa1, Fis1, Pink1, and Parkin remained unchanged. These results indicate that moderate exercise selectively enhances mitochondrial fusion capacity while maintaining balanced fission and basal mitophagy activity.Conclusion: Moderate-intensity treadmill training promotes mitochondrial  fusion-related adaptation in aging cardiac tissue. Regular moderate exercise may represent a potential non-pharmacological strategy to support mitochondrial function and mitigate cardiovascular aging.  
Correlation between Nicotine Dependence and Cardiorespiratory Fitness within the Wellness Matrix Framework among University Students Muhammad Ikhsan Ghaifazzari Ghafar; Ronny Lesmana; Setiawan Setiawan
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.v13n1.4505

Abstract

Background: The increasing use of tobacco and electronic nicotine delivery systems (ENDS) among youth represents a significant public health concern. In Indonesia, nicotine use among university students may contribute to long-term health risks. This study evaluated the correlation between nicotine dependence, measured using the Hooked-on Nicotine Checklist (HONC), and cardiorespiratory fitness assessed through maximal oxygen uptake (VO₂max) within the Wellness Matrix Framework.Methods: A cross-sectional study was conducted among 40 male undergraduate students aged 18–24 years at Universitas Padjadjaran who actively used cigarettes, e-cigarettes, or vape products. Participants were selected using purposive sampling. Nicotine dependence was assessed using a modified HONC questionnaire, whereas VO₂max was estimated using the YMCA 3-Minute Step Test. Descriptive statistics, the Shapiro-Wilk tests, and Pearson correlations analysis were applied (α=0.10).Results: Participants showed moderate nicotine dependence (mean HONC score: 5.6 ± 2.37) and moderate fitness (mean VO₂max: 44.31±3.86 mL/kg/min). A weak inverse correlation was found between HONC scores and VO₂Max (r=-0.275, p=0.085). Body mass index showed a strong negative correlation with VO₂max (r=-0.824, p<0.001). Subgroup analysis showed consistent negative trends between nicotine dependence and VO₂max across single, dual, and triple product users. Duration of nicotine use showed negligible correlation with VO₂max (r=0.041, p=0.802). Conclusion: Higher nicotine dependence is associated with lower cardiorespiratory fitness and affects multiple wellness dimensions. These findings underscore the importance of holistic interventions targeting physical and psychosocial wellness among young adults.