Ignatio Rika
Department Of Physiology School Of Medicine And Health Sciences Atma Jaya Catholic University Of Indonesia

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Prevalence of Exercise-Induced Bronchospasm by laboratory exercise challenge among Ragunan Sport School athletes Rika, Ignatio; Budiman, Imam; Kurniarobbi, Jull; Mahmud, Noviar
Medical Journal of Indonesia Vol 17, No 1 (2008): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.521 KB) | DOI: 10.13181/mji.v17i1.297

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Exercise-induced bronchospasm (EIB) is a common condition among adolescent athletes. There has been no study examining the prevalence of EIB among adolescent athletes in Indonesia. This study aimed to get the prevalence of EIB among Ragunan Sport School athletes by laboratory exercise challenge. Subjects performed static cycle ergometer exercise (Monark, Sweden) to reach minimal workload of 90% maximal heart rate. Force expiratory ventilation (FEV₁) was examined by spirometry (Minato AS-PAL, Japan) at minute 0, 5, 10 and 20 post exercise. The EIB was defined as a decline of FEV₁ as much as 10% or more from baseline value. Room temperature and humidity were 28°C-31°C and 74%-82% respectively. There were 168 athletes from 12 sport types who participated in this study. Among them, 23 athletes (13.7%) were EIB positive. The highest percentage of EIB was in taekwondo (54.5%). Sixteen athletes with EIB (70%) were from less asthmogenic sports. Athletes with EIB consisted of 17 (17.5%) females and 6 (8.4%) males. In conclusion, the prevalence of EIB among adolescent athletes was moderately high, and was more prevalent in female. More over, laboratory exercise challenge could elicit EIB in less asthmogenic sport. (Med J Indones 2008; 17: 33-6)Keywords: adolescent athlete, asthmogenic sports
Exercise training decreases body mass index in subjects aged 50 years and over Haryono, Ignatio Rika
Universa Medicina Vol 29, No 3 (2010)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2010.v29.137-143

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Exercise training can improve blood pressure in normotensive, prehypertensive, and hypertensive subjects. One of the mechanisms of blood pressure reduction in hypertensive patients with obesity is through weight loss. This study aimed to examine the effect of exercise training on bodyweight and the relationship between weight loss and reduction of blood pressure. An experimental pre-post test design without controls was used to evaluate the effect of exercise training on weight loss. The study involved 89 elderly aged 50 years or more, consisting of 40 men and 49 women, who were members of Senayan Sport Fitness Club and had been exercising for at least three months. Exercise training was programmed and performed three times a week, consisting of aerobic (walking, jogging, static cycling), and resistance exercise. All exercise was performed for one to two hours with mild to moderate intensity. Blood pressure and body weight were obtained from medical records. Paired t-test showed that systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), pulse pressure (PP), and body mass index (BMI) were significantly lower after training [(systolic, 126.3 ± 2.9 vs 122.3 ± 2.7, p=0.02), (diastolic, 80.2 ± 3.1 vs 77.2 ± 2.4, p=0.00), (MAP, 95.6 ± 4.6 vs 92.2 ± 3.4, p=0.00), (PP, 46.1 ± 4.2 vs 45.1 ± 3.6, p=0.04), (BMI, 24.5 ± 2.9 vs 23.6 ± 2.9, p=0.04)]. Duration of training was the most influential factor affecting rBMI, (Beta = 0.38; p=0.00). Exercise training could lower BMI and the reduction in diastolic blood pressure was higher for the subjects aged 70 years and over.
Performance of osteoporosis self-assessment tool in detecting low bone mineral density in menopausal women Haryono, Ignatio Rika; Prastowo, Nawanto Agung
Universa Medicina Vol 36, No 2 (2017)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2017.v36.123-130

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BackgroundThe osteoporosis self-assessment tool (OST) is a simple screening tool to assess risk of osteoporosis and to select high risk women for dual-energy x-ray absorptiometry (DXA) examination. This study aimed to evaluate OST performance in detecting low bone mineral density (BMD) in menopausal women.MethodsA cross-sectional study involving 60 menopausal women aged 50-65 years. The OST score was calculated from: [weight (kg) – age (yr)] x 0.2. Subjects were classified by OST score into low risk (OST ³2) and high risk (OST< 2) groups. BMD was determined by DXA at 3 bone locations (L1-L4, femoral neck, and total hip). DXA T-scores were categorized into: normal BMD (T-score >-1) and low BMD (T-score £-1). Independent t-test was used to compare subject characteristics between OST groups. Diagnostic performance of OST was evaluated by measuring sensitivity, specificity, positive & negative predictive value (PPV, NPV), positive & negative likelihood ratio (PLR, NLR) and receiver-operating characteristic (ROC). Significance was set at p<0.05.ResultsSubject characteristics and BMD between groups were significantly different (p<0.05). Most subjects (44/73.3%) had high risk of low BMD (OST < 2). Low BMD (T score £-1) was found in 43 subjects (71.7%) at L1-L4, 41 subjects (68.3%) at femoral neck, and 37 subjects (61.7%) at total hip. Diagnostic performance of OST was significant at total hip BMD (sensitivity=0.946, AUC=0.777).Conclusion We conclude that use of the OST score in menopausal women is effective and has adequate sensitivity and specificity. The highest diagnostic performance of OST is on total hip BMD.
Correlation between Hemoglobin Concentration and Cardiorespiratory Fitness in Adolescent Sportsmen Billy Leoprayogo; Venna Venna; Ignatio Rika Haryono; Francisca Tjhay
Althea Medical Journal Vol 7, No 2 (2020)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v7n2.1847

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Background: Sport is a physical activity that increases human body oxygen demand. Hemoglobin has a major role to fulfill the oxygen demand. The body capacity to fulfill the increasing oxygen demand could be seen as cardiorespiratory fitness. Sportsmen have a high cardiorespiratory fitness due to the intensity and frequency of training. This study aimed to explore how hemoglobin concentration affects the cardiorespiratory fitness of adolescence sportsmen. Method: This study used a cross-sectional approach. The sampling started in October – November 2019. Sample of this study were 15-19 years old male badminton and basketball sportsmen at Jakarta and Bogor (n=72). Hemoglobin concentration measured with a digital hemoglobinometer which used an azide-methemoglobin method. VO2max estimated with a beep test. FITNESSGRAM® Performance Standard was used for the classification of cardiorespiratory fitness. All measurement’s ethical issues had been approved. The result of hemoglobin concentration and cardiorespiratory fitness was processed by SPSS program with Spearman and Kruskal-Wallis analysis method. Results: There was a correlation between hemoglobin concentration and cardiorespiratory fitness (p = 0.001, p < 0.05). Spearman analysis showed there was a weak correlation (r = 0.38) between hemoglobin concentration and cardiorespiratory fitness. Kruskal-Wallis analysis showed there was a meaningful mean difference in hemoglobin concentration on cardiorespiratory fitness groups (p = 0.005, p < 0.05). Conclusion: The mean of the hemoglobin concentration on the Healthy Fitness Zone (HFZ) cardiorespiratory group was higher than on the Need Improvement (NI) group and the Need Improvement within Health Risk (NI-HR) group. 
HUBUNGAN AKTIVITAS FISIK DENGAN WAIST/HIP RATIO, TEKANAN DARAH, DAN KOLESTEROL PADA MAHASISWA KEDOKTERAN YANG MENGALAMI OVERWEIGHT Aristo Constantine; Ignatio Rika Haryono
Bahasa Indonesia Vol 21 No 1 (2022): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v21i1.1879

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ABSTRACT Introduction: Cardiovascular disease has been a major health problem as of late, with over 17.5 million death per year. Accompanied with many risk factors such as hypercholesterolemia and abnormal body mass index, many researches have sought to find a way to alleviate the number of incidence. Physical activity then has been a well-known way to mitigate such symptoms and though many studies before have given insight on the relationship between physical activity and cardiovascular risk factors, this study aims to determine more closely on the relationship between physical activity in an overweight population with blood cholesterol, blood pressure and waist/hip ratio. Methods: It is a analytic comparative study with a cross-sectional method. The research subjects were 250 people divided into two groups. Physical activity data were obtained using the Global Physical Activity Questionnaire (GPAQ), blood cholesterol level was measured using capillary blood sampling on a easy touch device, blood pressure was measured using a mercury sphygmomanometer, waist/hip ratio was measured using an anthropometric band, body mass index (BMI) was measured by the way the weight divides the body in kilograms (kg) by height in meters squared (m2). Results: Among the overweight students of FKIK UAJ no significant relationship was found between physical activity with blood cholesterol, waist/hip ratio and blood pressure (p > 0.05). Conclusions: There is no significant relationship between physical activity in an overweight population with blood cholesterol, waist/hip ratio, and blood pressure. There is also no significant value differences between physical activity with blood cholesterol, waist/hip ratio, and blood pressure. Keywords: Blood Cholesterol, Blood Pressure, Overweight, Physical Activity, Waist/hip Ratio.
PENYULUHAN TEKNIK BERJALAN KAKI YANG BENAR BAGI KELOMPOK LANJUT USIA DI GEREJA KRISTEN INDONESIA NURDIN, JAKARTA Ignatio Rika Haryono; Nawanto A. Prastowo
Jurnal Bakti Masyarakat Indonesia Vol 3, No 1 (2020): Jurnal Bakti Masyarakat Indonesia
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat, Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (697.396 KB) | DOI: 10.24912/jbmi.v3i1.8056

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The prevalence of non-communicable diseases (PTM) is increasing rapidly. PTM prevention can be done by modifying risk factors such as increased physical activity (sports). Aside from prevention, physical activity has a therapeutic effect. However, choosing one type of exercise is apparently not simple. Many factors must be considered including the level of fitness, age, field conditions and others. Another factor to consider is exercise time. For people without the risk of heart attack, physical exercise (sports) can be done at any time. But it needs to be considered if the sport is done outdoors, it should be done at a safe temperature and humidity. For the high risk group for heart attack, the best exercise time is around 15.00 - 16.00 which is the highest fibrinolytic activity and the lowest coagulation activity, while the least good time is around 09.00 - 10.00 ie the highest coagulation activity and activity the lowest fibrinolytic. Among the many types of exercise, walking is one type of physical activity that is easy and inexpensive. Walking has good health benefits for the elderly. However, walking must be done with the right techniques in order to provide the expected benefits and prevent negative effects, which is minimizing the risks when walking. This counseling is done so that the participants can understand the correct and safe walking technique and do the walking according to the correct techniqueABSTRAK:Prevalensi penyakit tidak menular (PTM) meningkat dengan pesat. Pencegahan PTM dapat dilakukan dengan modifikasi faktor risiko antara lain peningkatan aktivitas fisik (olah raga). Disamping sebagai upaya  pencegahan, aktivitas fisik memiliki efek terapi. Namun demikian, memilih satu jenis latihan ternyata tidak sederhana. Banyak faktor harus dipertimbangkan antara lain tingkat kebugaran, usia, kondisi lapangan dan lain-lain. Faktor lain yang perlu dipertimbangkan adalah waktu ber olah raga. Bagi orang tanpa risiko serangan jantung, latihan fisik (olahraga) dapat dilakukan kapan saja. Namun perlu dipertimbangkan bila olahraga dilakukan outdoor, sebaiknya dilakukan pada suhu dan kelembaban yang aman. Bagi kelompok risiko tinggi terhadap serangan jantung, waktu latihan yang paling baik adalah sekitar pukul 15.00 – 16.00 yaitu saat aktivitas fibrinolitik paling tinggi dan aktivitas koagulasi paling rendah, sedangkan waktu yang kurang baik adalah sekitar pukul 09.00 – 10.00 yaitu saat aktivitas koagulasi paling tinggi dan aktivitas fibrinolitik paling rendah. Diantara banyak jenis latihan, jalan kaki adalah salah satu jenis aktivitas fisik yang mudah dan murah. Jalan kaki memiliki manfaat kesehatan yang baik bagi lansia. Namun demikian jalan kaki harus dilakukan dengan teknik yang benar agar memberikan manfaat yang diharapkan dan mencegah efek negatif, yaitu meminimalisir risiko saat melakukan jalan kaki. Penyuluhan ini dilakukan agar para peserta dapat memahami teknik jalan kaki yang benar dan aman serta melakukan jalan kaki sesuai teknik yang benar.
Comparing tools of balance tests in assessing balance of middle-aged women with or without exercises Nawanto Agung Prastowo; Michelle Olivia Budiarta; Kidyarto Suryawinata; Ignatio Rika Haryono
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 11, No 1, (2020)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol11.Iss1.art4

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Background: Fall risks among middle-aged women are relatively high. However, there is a lack of studies on tools of balance tests and their accuracy among middle-aged women. Objective: The aim of this study is to compare three tools of balance tests to predict falls of middle-aged women who exercise regularly and who do not. Methods: Eighty-five middle-aged women (50-64 years old) were included in this study, and 40 women of them (47.1%) exercised regularly. The Berg Balance Scale (BBS), Timed Up and Go Test (TUG), and 30-second Chair Stand Test (30-s CST) were the tools examined in this study. The numerical data of this study were analyzed by using a Mann-Whitney test. Those were significant if p<0.05. Accuracy of the tools of balance tests was evaluated by using Receiver Operating Characteristic (ROC) curve. Area under the curve (AUC) was significant if =0.70.Results: Based on this study, the middle-aged women (EG) indicated lower score of TU than sedentary (SG) test (6.9 ± 0.9 vs 8.3 ± 1.7, p = <0.000), and higher score of 30-s than sedentary (SG) test (20.1 ± 3.6 vs 17.2 ± 5.6, p = 0.026). Three participants (3.53%) reported history of falls. The TUG test had better accuracy to predict the falls (AUC 0.922, 95% CI 0.840 - 1.005, sensitivity 1.00, specificity 0.84, p=0.013). Mostly, the participants (˜70%) preferred to practice Tai Chi and Yoga. Conclusion: The middle-aged women who exercised could have a better score of the balance tests, and the TUG test could predict falls of them.
Hubungan Posisi Dan Durasi Duduk Terhadap Nyeri Punggung Bawah Pada Pekerja Kantor Di Jakarta Julia Rahadian Tanjung; Faradica Alda Hanarko; Ignatio Rika Haryono
Bahasa Indonesia Vol 22 No 1 (2023): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v22i1.3948

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Pendahuluan: Kejadian nyeri punggung bawah (NPB) sudah menjadi permasalahan global di dunia. Hal ini merupakan penyebab utama absensi kerja yang menimbulkan beban ekonomi yang tinggi. Data Kementerian Kesehatan Republik Indonesia tahun 2018, terdapat 18% nyeri punggung bawah di Indonesia. Pekerja kantor identik dengan aktivitas duduk lama dan statis yang mengandalkan kekuatan otot punggung, dimana posisi duduk yang salah dapat menyebabkan nyeri punggung. Hal tersebut yang menjadi dasar ketertarikan  penelitian ini. Metode: Penelitian analitik potong lintang dengan 100 responden pekerja kantor berusia 21 – 45 tahun. Data penelitian menggunakan kuesioner mengenai kebiasaan posisi duduk, lamanya durasi duduk dan aktivitas fisik. Oswestry Low Back Pain Disability Questionnaire untuk menilai NPB. Hubungan antara variabel diuji menggunakan chi-square dan Fisher-exact dengan p<0,05. Hasil: 72% responden mengalami NPB, 48% responden terbiasa dengan duduk membungkuk, 89% responden duduk dengan durasi ≥4 jam dalam sehari, 47% responden memiliki IMT berlebih, 68% responden dengan tingkat aktivitas fisik kategori tinggi. Tidak ditemukan hubungan yang bermakna antara posisi duduk, jenis kelamin, dan tingkat aktivitas fisik responden terhadap NPB (p>0,05). Terdapat hubungan yang bermakna antara durasi duduk, dan indeks massa tubuh dengan kejadian NPB (p<0,05). Kesimpulan: Tidak terdapat hubungan yang bermakna antara posisi duduk dengan kejadian nyeri punggung bawah. Durasi duduk dan IMT memiliki hubungan yang bermakna dengan NPB pada pekerja kantor di Jakarta. Kata kunci: durasi duduk, nyeri punggung bawah, pekerja kantor, posisi duduk