I Dewa Putu Pramantara
Geriatric Department, RSUP DR. Sardjito Hospital,Yogyakarta, Indonesia.

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Differences of lung function in elderly patients with and without hypertension in RSUP Dr. Sardjito Yogyakarta Sutriningsih, Bungsu Wahyu; Sumardi, Sumardi; Pramantara, I Dewa Putu
Acta Interna The JOurnal of Internal Medicine Vol 3, No 2 (2013): Acta Interna The Journal of Internal Medicine
Publisher : Acta Interna The JOurnal of Internal Medicine

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ABSTRACTBackground: In the elderly, there is a decrease in lung vital capacity to 68%. The prevalence of hypertension is at the age above 65 years with 13% of the population. The Incidence of lung function decline in chronic heart failure and hypertension was found mainly in the elderly.Aims: The aim of the study was to know the differences ilung function in elderly patients with and without hypertension.Methods: The Study was cross-sectional, a study in November 2012 until January 2013 of the elderly population over 60 years of research with a sample of 58 people (29 people and 29 groups of hypertensive people without hypertension). Inclusion criteria for the study subjects were elderly patients over 60 years of signing the informed consent, can perform spirometry maneuvers correctly. Data were analyzed by T-test to examine some differences in the mean or median, between the two groups.Results: In this research, there were no signifi cant difference in lung function as measured by FVC and FEV1 in the elderly with hypertension and without hypertension (p = 0.984, 95% CI-0, 13-0,139 for FVC and p = 0.83, 95 IK-0, 14-0,116% for FEV1).Conclusion: There is no signifi cant difference in lung function in the elderly with and without hypertension.Keywords: elderly, hypertension, pulmonary function1Speciality
Correlation between Depressive Symptom Score and Geriatric Handgrip Strength at Nursing Home Province of Yogyakarta Syahri, Ahmad; Siswanto, Agus; Pramantara, I Dewa Putu
Acta Interna The Journal of Internal Medicine Vol 4, No 1 (2014): Acta Interna The Journal Of Internal Medicine
Publisher : Acta Interna The Journal of Internal Medicine

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ABSTRACTBackground: By the year of 2020, Indonesia’s elderly population will be expected to the fourth highest number in the world after China, India and USA. Special Region of Yogyakarta has the highest percentage that is equal to 13.72%. Depression may increase the risk of mortality, disability and motivation of physical Low grip strength would increase mortality and morbidity in the elderly.Objective: This study aimed to assess the correlation between depressive symptoms and handgrip strength in the elderly population in nursing homes at province of Yogyakarta.Methods: This study was a cross-sectional study that conducted in October 2010 at the nursing home residents. Depression was assessed by the Geriatric Depression Scale Cronbach’s alpha 0.88. Handgrip strength was measured by a handgrip dynamometer. Data of age, education and gender was collected by questionnaire. The study performed statistical tests to assess the correlation of symptoms depression and grip strength.Results: The mean age of subjects was 73.84 ± 8.36 years with 36 subjects (35.3%) were between 60-69 years and 66 subjects (64.7%) were over 70 years. There were 33 men (32.4%) and 69 women (67.6%). MeanGDS score was 12.76 ± 3.22. Handgrip strength in the depression group 16.94 ± 6.96 kg was higher than the non-depressed group 15.23 ± 6.79. There was correlation between severity of depression symptom byhandgrip strength with r = 0.235 (weak correlation) and statistically signifi cant with p = 0.017.Conclusion: The severity of depressive symptom scores was correlated significantly to the handgrip strength in elderly nursing homes in the province of Yogyakarta.Keywords: elderly, nursing homes, depression, handgrip strength.confi dent interval.
ANEMIA AS RISK FACTOR OF HANDGRIP STRENGTH DECREASED ON ELDERLY IN YOGYAKARTA PROVINCE’S PANTI WERDHA Hidayat, Ganda; Kurnianda, Johan; Pramantara, I Dewa Putu
Acta Interna The Journal of Internal Medicine Vol 1, No 1 (2011): Acta Interna The Journal of Internal Medicine
Publisher : Acta Interna The Journal of Internal Medicine

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ABSTRACTBackground: According to the WHO, by the end of 20 th century, the more the world population grow, the more the elderly population will be. Yogyakarta province has a 13.72% of Indonesian elderly. The anemia prevalence increased as the age added. Aging process resulted in strength muscle reduced. Handgrip strength test is a valid and consistent as well as simple alternative to value the muscle strength decreased advanced age. Purpose of this study is to know whether anemia is a risk factor against muscle strength decreased measured by handgrip strength test on elderly population in nursing house.Method: This study used cross sectional study design to the advanced ages in DIY province’s nursing house. The study time was in August 2010. The advance ages fullfilling the inclusion and exclusion criteria were conducted physical examination, routine blood test and handgrip strength measurement.Result: This study involved 118 elderly participants. There was difference of mean handgrip strenght in: age (14.52 kg vs 19.64 kg; p=0.001), gender (13.39 kg vs 22.47 kg; p=0.001), activity level (7.94 kg vs 16.75 kg; p=0.001) and anemia status (13.60 kg vs 17.84 kg; p=0.001); for women even in mild anemia group, there was difference with non anemia group (12.36 kg vs 14.68 kg ; p=0.027). Conclusion: According to multivariable analysis,. There are 3 factors involving of handgrip strength in elderly, namely; Age, activity levels, and anemia which are statistically significant. In this study, it was conclude anemia is a risk factor of handgrip strength decreased in elderly, for women even in mild anemia, there was statistically significant different with non anemia group. Keywords : Elderly, anemia, handgrip strength
HUBUNGAN ANTARA KUALITAS DIET, SOSIO-DEMOGRAFI, DAN DUKUNGAN KELUARGA TERHADAP PENGENDALIAN GULA DARAH PADA PENDERITA DIABETES MELITUS TIPE 2 DI RUMAH SAKIT KANUJOSO DJATIWIBOWO (RSKD) BALIKPAPAN Gardiarini, Praseptia; Sudargo, Toto; Pramantara, I Dewa Putu
GIZI INDONESIA Vol 40, No 2 (2017): September 2017
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v40i2.237

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Pengendalian gula darah yang buruk, dapat memperparah terjadinya penyakit. Kualitas diet merupakan faktor penting dalam pengendalian gula darah, pengendalian gula yang baik dapat menghindarkan penderita diabetes dari kemungkinan komplikasi lebih lanjut. Kualitas diet, sosio-demografi dan dukungan keluarga akan berdampak terhadap manajemen penyakit DM, hubungan diantara ketiga hal tersebut belum pernah diteliti sebelumnya. Penelitian ini bertujuan untuk mengetahui kaitan kualitas diet, faktor sosio-demografi dan dukungan keluarga dengan pemeliharaan gula darah pada pasien Diabetes Melitus Tipe 2 di Rumah Sakit Kanujoso Djatiwibowo Balikpapan. Studi Cross-sectional digunakan untuk mengetahui kaitan antara kualitas diet, faktor sosio-demografi dan dukungan keluarga terhadap pengedalian gula darah. Diet Quality Index- International (DQI-I) digunakan untuk menilai kualitas diet, kuesioner Hensarling Diabetes Family Support Scale (HDFSS) digunakan untuk mengetahui dukungan keluarga. Path regression digunakan untuk mengetahui pengaruh kualitas diet, sosio-demografi dan dukungan keluarga terhadap HbA1c. Hasil penelitian menunjukkan skor kualitas diet yang dicapai subjek penelitian mencapai rata-rata 55.97 ± 6.1. Pendapatan dan pendidikan memiliki pengaruh yang signifikan pada kualitas diet yaitu 6,55 persen dan 7,11 persen (p0,05). Tidak ditemui hubungan yang signifikan antara pendidikan pendapatan dan kualitas diet pada kadar HbA1c. Kesimpulan dari penelitian bahwa pendidikan dan pendapatan memiliki pengaruh pada skor kualitas diet. Tidak ditemukan hubungan yang signifikan antara kualitas diet, faktor sosio demografi dan dukungan keluarga terhadap kadar HbA1c.ABSTRACT  The Association of Diet Quality, Sosiodemography, Family Support with Blood Glucose Control among Type 2 Diabetes Patients at RS. Kanujoso Djatiwibowo (RSKD) in BalikpapanDiet Quality is an important factor to control blood glucose and it could avoid the patient of DM type 2 from complication. Socio-demography factors and family support could help patients in managing DM type 2. The objective of the study is to understand the relationship of diet quality, socio-demography factors, and family support for controlling blood glucose in patients with Diabetes Mellitus Type 2 at Kanujoso Djatiwibowo Hospital. A cross-sectional study was used in this study to know the relationship of diet quality, socio-demography factors, and family support to control blood glucose. Diet Quality Index-International (DQI-I) was used to assess diet quality of all subjects. Hensarling Diabetes Family Support Scale (HDFSS) questionnaire was used to know family support. Data were analyzed using regression path to know the relationship of diet quality, socio-demography factors, and family support to HbA1c. The result showed that all subjects had scores of diet quality approximately 55.97 ± 6.1. Income and education level factors had a significant relationship with diet quality, i.e 6.55 percent and 7.11 percent (p0.05). There was an inverse relationship between family support and HbA1c level. Income and education level factors have affected on diet quality. No correlation found between diet quality, socio-demography factors and family support with HbA1c level. Keywords: Diet quality, family support, DM type 2, HbA1c
PENGARUH HASIL SKRINING BERDASARKAN METODE MNA (MINI NUTRITIONAL ASSESTMENT) TERHADAP LAMA RAWAT INAP DAN STATUS PULANG PASIEN LANJUT USIA DI RSUP DR. SARDJITO YOGYAKARTA Prasetyo, Wahyu Hardi; Pramantara, I Dewa Putu; Budiningsari, R. Dwi
Berkala Kedokteran Vol 13, No 1 (2017)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v13i1.3442

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Abstract: The number of elderly people (over 60 years old) is growing rapidly in this 21th century, reaching as many as 425 millions (+ 6,8%) worldwide in 2000. This figure is estimated almost twice in 2025. In Indonesia, percentage the elderly people in 1995 was as much as 7.5%. In line with the increasing of live expectancy the number of the elderly will grow bigger. This is related to greater need of health service for the elderly. In older people, nutrition problem is closely associated with disease. One factor that causes nutrition problem in the elderly is the increase of morbidity. Increased risk for disease and nutrition problem in the elderly requires early identification of risk for malnutrition in the elderly. Routine assessment of preliminary nutrition status of patients being hospitalized is essential in order to get an overview of nutrition status patients at a time, detect high risk patients and help to identify nutrition treatment specifically for each patient so that appropriate nutrition support can be given to improve nutrition status of patient. The study aimed to identify impact of result screening nutrition based on MNA  method to length of stay and discharge status of elderly patients at inpatient ward of internal medicine and neurology of Dr Sardjito Hospital Yogyakarta. The study was observational that used prospective cohort design and was undertaken at inpatient ward of internal in medicine and neurology of Dr. Sardjito,  Yogyakarta in August-November 2009. Data were collected by the researcher with the help of an enumerator, i.e. nutritionist at inpatient ward. The result of study showed that impact of result screening during initial hospitalization to length of stay of elderly patients based on MNA method was RR 1.63. This indicated that malnourished patients were at risk for being hospitalized > 7 days 1.63 times longer than those not malnourished. Impact  of  result screening during initial hospitalization to discharge status  of elderly patients based on MNA method was RR 1.29. This indicated that malnourished patient were at risk for uncovered discharged as much as 1.29 greater than those not malnourished. There was impact of result screening in admission to length of stay. There was impact of nutrition status to length of discharged status.  Keywords: discharge home, length of stay, nutritional status in initial admission   Abstrak: Pertumbuhan penduduk lanjut usia (umur ≥60 tahun) meningkat secara cepat pada abad 21 ini, yang pada 2000 di seluruh dunia telah mencapai 425 juta jiwa (± 6,8%). Jumlah ini diperkirakan akanmengalami peningkatan hampir dua kali lipat pada 2025. Di Indonesia, persentase lanjut usia pada 1995 mencapai 7,5%. Dengan meningkatnya angka harapan hidup, jumlah lanjut usia pun akan bertambah banyak. Hal ini terkait dengan perlunya peningkatan pelayanan kesehatan lanjut usia. Pada lanjut usia, masalah gizi erat kaitannya dengan penyakit. Salah satu faktor yang menyebabkan lanjut usia menjadi rawan gizi yaitu peningkatan morbiditas penyakit (Darmojo, 2006). Dengan meningkatnya risiko penyakit dan disertai gangguan nutrisi pada lanjut usia, sehingga perlu dilakukan identifikasi risiko malnutrisi pada lanjut usia sedini mungkin. Penilaian status gizi awal pasien masuk rumah sakit sangat penting  dilakukan secara rutin karena dapat menggambarkan status gizi pasien saat itu, mendeteksi pasien-pasien yang beresiko tinggi dan membantu mengidentifikasi perawatan gizi secara spesifik pada masing-masing pasien sehingga dukungan nutrisi yang tepat dapat diterapkan untuk meningkatan status gizi pasien. Untuk mengetahui pengaruh hasil skrining awal berdasarkan metode MNA (Mini Nutritional Assessment) terhadap lama rawat inap dan status pulang pasien lanjut pada ruang rawat inap penyakit dalam dan saraf di RSUP Dr.Sardjito Yogyakarta. Jenis penelitian ini adalah penelitian observasional dengan menggunakan rancangan kohort prospektif. Penelitian ini dilakukan di ruang rawat inap penyakit dalam dan  saraf pada pasien lanjut usia  di Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta. Penelitian dilaksanakan pada bulan Agustus-November 2009. Pengumpulan data dilakukan oleh peneliti dengan bantuan enumerator yaitu  ahli gizi yang bertugas di ruang rawat inap. Berdasarkan hasil skrining dengan metode MNA pada  pasien lanjut usia terhadap lama rawat inap, maka diketahui bahwa nilai RR=1,63. Hal ini menunjukkan bahwa pasien yang terpapar (malnutrisi) berisiko dirawat selama ≥ 7 hari adalah 1,63 kali lebih besar daripada pasien yang tidak terpapar (tidak malnutrisi). Berdasarkan hasil regresi logistik tidak ada pengaruh antara hasil skrining dengan lama rawat inap. Ada pengaruh secara statistik antara usia, jenis penyakit dan kelas perawatan terhadap lama rawat inap. Berdasarkan hasil regresi logistik, jenis penyakit memiliki pengaruh yang paling dominan dengan nilai RR  3,88 terhadap lama rawat inap.Berdasarkan hasil skrining awal masuk rumah sakit terhadap status pulang pasien lanjut usia berdasarkan metode MNA, maka diketahui nilai RR=1,29. Hal ini menunjukkan bahwa pasien yang terpapar (malnutrisi) berisiko keluar dalam keadaan tidak sembuh sebesar 1,29 kali lebih besar daripada pasien yang tidak terpapar (tidak malnutrisi). Berdasarkan hasil uji regresi logistik ada pengaruh antara hasil skrining dengan status pulang dengan nilai OR 9,21. Demikian pula ada pengaruh antara usia dan jenis kelamin dengan status pulang (p< 0,05). Tidak ada pengaruh antara hasil skrining dengan lama rawat inap. Ada pengaruh antara usia, jenis penyakit dan kelas perawatan terhadap lama rawat inap. Ada pengaruh antara hasil skrining dengan status pulang. Kata-kata kunci: skrining, lama rawat inap, status pulang pasien
Konsumsi fast food dan soft drink sebagai faktor risiko obesitas pada remaja Rafiony, Ayu; Purba, Martalena Br; Pramantara, I Dewa Putu
Jurnal Gizi Klinik Indonesia Vol 11, No 4 (2015): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (771.055 KB) | DOI: 10.22146/ijcn.23311

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Background: Recently, obesity has become health problem which was frequently associated with an increased occurrence of non-communicable diseases. The prevalence of obesity has been increasing in both developed and developing countries. The increasing prevalence of obesity was marked by a shift in eating pattern composition containing high fat, cholesterol, but low in fiber such as consumption of fast food and soft drinks. The imbalance of nutrient intake was one of the risk factors for the emergence of obesity in adolescents. Obesity in adolescents at risk of becoming obese in adulthood and potentially can lead to cardiovascular and metabolic diseasesObjective: This study aimed to find out the prevalence of obesity and to investigate risk factors for energy intake and frequency of consumption of fast food and soft drinks on the incidence of obesity in high school students in Pontianak.Method: This research was an observational study which involves case-control design. The samples in this study are 160 students consisting of 80 obese high school teenagers and 80 non-obese high school teenagers. The choice for a subject of research used proportional stratified random sampling. Measurement of obesity status subject was taken by the measurement of weight and height based on the reference standard WHO / NCHS. It also involves data intake of fast food and soft drinks based on interviews with SQFFQ. Data were analyzed by chi-square test, t-test, and logistic regression.Results: The prevalence of obesity in high school teenagers in Pontianak was 9.29%. The bivariate test result showed no association  between total  energy intake of fast food and obesity (p<0.05; OR=2.27; 95% CI: 1.12-4.64). The relationship between the consumption of modern energy intake of fast food, fast food and soft drink with the local obesity was not statistically significant (p>0.05). There was a relationship between the frequency of total  fast food and of the local fast food consumption with obesity (p<0.05; OR=2.03; 95% CI: 1.03-4.00), (p<0.05; OR=2.63; 95% CI: 1.33-5.25). The relationship between the frequency of fast food consumption in total modern fast food and soft drinks and obesity was not statistically significant (p>0.05). Multivariable analysis showed that the total energy intake was the most dominant factor to the onset of obesity (p<0.05; OR=5.27; 95% CI: 1.64-16.97).Conclusion: Consumption of fast food was a risk factor for obesity in high school teenagers in Pontianak. On the other hand,  soft drink consumption did not become the risk factor for obesity in teens high school in Pontianak.
Pemberian suplemen seng sulfat dan pengaruhnya terhadap kadar seng serum dan jumlah CD4+ pada wanita usia lanjut sehat Sari, Yang Rusfinda; Juffrie, Muhammad; Pramantara, I Dewa Putu
Jurnal Gizi Klinik Indonesia Vol 5, No 3 (2009): Maret
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (424.801 KB) | DOI: 10.22146/ijcn.17558

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Background: Aging is a natural process which happens to all living creatures. Aging is followed by declining physiological function. Elderly is a risk factor of micronutrient deficiency including zinc which has an important role in the immune system. This condition causes declining cellular immunity functions through reduced amount of CD4 .Objective: To identify the effect of zinc sulphate supply to serum zinc level and amount of CD4  among the elderly.Method: The study used clinical test research design, one group pre-post test design (before and after trial). Subject of the study were “healthy” elderly individuals of more than 60 years old, willing to be studied. Assessment on nutritional status, physical examination and zinc level were made to the subjects. Next, subjects were supplied with 15 mg of zinc supplement once a day for 28 days. Then, re-examination was made to identify zinc level and the amount of CD4  lymphocyte. Statistical analysis used paired t-test.Results: Average age of the elderly observed (n = 30) was 64.43 ± 3.10 years. Average zinc level before the study was 5.85 ± 1.95 μmol/L, as many as 26 subjects (86%) had zinc under normal level, 4 subjects (14%) had normal zinc level + + + and no subject had zinc above normal level. Zinc level at the end of the study increased in as many as 27 subjects (90%) with average as 4.54 ± 3.84 μmol/L (p < 0.001). The amount of CD4  lymphocyte increased in 11 subjects (36%) with + average increase 26.83 ± 137.46 (/mm) (p = 0.29). Factors affecting increase of CD4 lymphocyte were age, weight, score of mini nutritional assessment and upper arm circle, and preliminary zinc level.Conclusion: The supply of 15 mg zinc for 28 days among the elderly could elevate serum zinc level significantly and could increase the amount of CD4  lymphocyte only in 11 subjects (36%).
Faktor-faktor yang mempengaruhi tingkat kebugaran lanjut usia penghuni Panti Budi Agung Kupang di Kota Kupang Setia, Agustina; Pramantara, I Dewa Putu; Pangastuti, Retno
Jurnal Gizi Klinik Indonesia Vol 3, No 2 (2006): November
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.655 KB) | DOI: 10.22146/ijcn.17488

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Background: A major physiological change during aging is decreasing need of energy which occurs as a consequence of decreasing lean body mass and physical activity. This process affects absorption level. Nutrition has an important role in improving physical fitness, preventing degenerative diseases, and minimizing dependence. Decreasing fitness among the elderly may be overcome through physical exercise, sufficient nutrient intake, autonomy and mobility in undertaking daily activities.Objective: To find out factors related to fitness of the elderly at Budi Agung Charitable House, Kupang.Method: The study was observational with cross sectional design. Subject of the study based on inclusion criteria were the elderly aged more than 60 years old, could do daily activities, had no acute diseases. Exclusion criteria were those who had heart disease, lung disease, cognitive disorder, and mobility disorder. Data of nutrient intake were obtained from food record processed with computer program. Data of nutrition status were measured with body mass index, haemoglobin level with cyanmethemoglobin, and daily activities with functional independence measurement. Fitness level was measured using 6 minute-walk test. Data were analyzed using Pearson correlation and multiple regression test.Results: The study showed that there were 10 variables significantly related to physical fitness of the elderly, i.e. energy intake (p=0.009, r=0,368), protein intake (p=0.012, r=0.354), carbohydrate intake (p=0.036, r=0.297), vitamin B  intake (p=0.000, r=0.691), vitamin D intake (p=0.001, r=0.455), folic acid intake (p=0.005, r=0.394), iron intake (p=0.000, r=0.540), age (p=0.002, r=-0.428), haemoglobin level (p=0.003, r=0.410), activities of daily living (p=0.000, r=0.800), but intake of  fat and vitamin B  were not. Body mass index statistically had no significant relationship (p>0.05) with elderly fitness level. Multiple regression analysis showed that the most influential variables that made the elderly unfit were protein intake (p=0.012 and B= -3.730), vitamin B  intake (p=0.000 and B=10.352), folic acid intake (p=0.045 and B=7.085), activities of daily living (p=0.000 and B=8.014).Conclusion: High protein intake, vitamin B  intake, folic acid intake, and activities of daily living increased physical fit- ness of the elderly at Budi Agung Charitable House, Kupang.
Pola makan berhubungan dengan sindrom metabolik pada lanjut usia di Poliklinik Geriatri RSUP Sanglah Denpasar Dewi, IGA Sagung Kusuma; Pramantara, I Dewa Putu; Pangastuti, Retno
Jurnal Gizi Klinik Indonesia Vol 6, No 3 (2010): Maret
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5652.632 KB) | DOI: 10.22146/ijcn.17718

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Background: Food intake is a factor determining health status and risk for degenerative diseases including metabolic syndrome. The fundamental function of someone’s nutritional status in the process of the emergence of generative disease and metabolic syndrome can be identified through the effect of food to the prevalence of obesity, hypertension, dyslipidemia or glucose tolerance disorder.Objective: To identify the association between eating pattern and the prevalence of metabolic syndrome among the elderly at Geriatric Polyclinic of Sanglah Hospital Denpasar.Method: The study was analytic observational with matched case control study design using ratio 1:1. There were 80 samples consisting of 40 as control group and 40 as cases matched by age and gender. Eating pattern was identified through food frequency questionnaire and calculated and compared to the need. Statistical analysis used chi square and risk factors were measured using odds ratio (OR). Multivariate analysis used double logistic regression to find out risk factors dominantly affected metabolic syndrome.Result: The result of bivariate statistical test showed significant difference in the prevalence of metabolic syndrome (p < 0.05) for energy intake (OR: 9.1; CI95%: 1.9-43.8), protein (OR: 3.8; CI95%: 1.5-9.7), fat (OR: 3.8; CI95%: 1.1-13.2), carbohydrate (OR:11.4; CI95%: 2.3-54.2). The result of multivariate analysis showed that the variables having dominant risk and significant difference in the prevalence of metabolic syndrome were carbohydrate consumption (OR: 8.1; CI95%: 1.29–50.89), fat consumption (OR: 4.9; CI95%: 1.17-20.61) and protein consumption (OR: 3.9; CI95%: 1.27-12.30).Conclusion: There was difference in eating pattern, i.e. high consumption of carbohydrate, fat and protein which became risk factor for the prevalence of metabolic syndrome among the elderly at Geriatric Polyclinic of Sanglah Hospital Denpasar.
Status kesehatan oral dan asupan zat gizi berhubungan dengan status gizi lansia Wijaya, Akhdrisa Mura; Pramantara, I Dewa Putu; Pangastuti, Retno
Jurnal Gizi Klinik Indonesia Vol 8, No 3 (2012): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (279.864 KB) | DOI: 10.22146/ijcn.18211

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Background: Central Bureau of Statistics data in 2006, showed that the average life expectancy of the population living in Yogyakarta (DIY) was 73 years, and 73.8 years for those living in Sleman. This was higher than the average national life expectancy of 68.5 years. National Health Survey in 2007 showed that the prevalence of oral and dental problems in DIY was 23.6%, while the pulp and periapical tissue diseases in the elderly in Sleman districts was approximately 1704 cases. Hence, it was classified as one of the 10 most prevalent diseases in Public Health Centre. In addition, there were 406 older adults who were underweight.Objectives: To investigate the relationship between oral health status, nutrient intake and nutritional status in older adults.Methods: This study is an observational study with cross sectional design. Subjects were 310 patients aged 60-74 years old in Sleman district. Data obtained by interview, examination of the oral health status, measurement of body weight and arm span. Data were analyzed with Chi-square test.Results: There was a significant association between oral health status and protein intake (RP=2.38; 95%CI:1.42-3.970). Energy, fat and carbohydrates intake were not associated with oral health status (p>0,05). Nutritional status was significantly associated with the intake of the energy (RP=2.98, 95%CI:1.58-5.58), protein (RP=2.44, 95%CI:1,05-5.67), fat (RP=3.68, 95%CI:1.93-7.03) and carbohydrates (RP=4.89, 95%CI:2.54-9.4). However, there were no relationship found between oral health and nutritional status (RP=1.79, 95%CI:0.94-3.43.)Conclusion: There was a significant association between oral health status and protein intake. The intake of nutrients (energy, protein, fat, and carbohydrate) was significantly associated with nutritional status. However, there was no significant relationship found between oral health and nutritional status in older adults.