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All Journal Damianus Journal of Medicine Universa Medicina JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia) Majalah Kedokteran Neurosains Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Cermin Dunia Kedokteran Neurona
Yvonne Suzy Handajani
Departemen Ilmu Kesehatan Masyarakat Dan Gizi, Fakultas Kedokteran Universitas Katolik Indonesia Atma Jaya, Jakarta, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : Neurona

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VERBAL FLUENCY SEBAGAI DOMAIN KOGNITIF YANG PALING MEMENGARUHI AKTIVITAS FUNGSIONAL LANSIA DI PULAU JAWA Pricilya H. Wangi; Yvonne Suzy Handajani; Yuda Turana
NEURONA Vol 39 No 1 (2021)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v39i1.313

Abstract

Introduction: The prevalence of cognitive impairment and functional disability increases with age. Decreases in cognitive subdomains increase the risk of functional disability in the elderly. Aim: Obtain an overview of the ability of the elderly in carrying out functional activities as well as risk factors, especially cognitive disorders in the elderly community on the island of Java. Method: A cross-sectional study using secondary data from the 2014-2015 Indonesian Family Live Survey (IFLS-5) was conducted on respondents aged 60 years or older. Impaired cognitive function was assessed using the Telephone Survey of Cognitive Status (TICS) method. There are several cognitive domains in the TICS with a total score of 0-34, with the possibility of experiencing global cognitive impairment if the score is ≤13. Verbal fluency is said to be impaired with a value of <16. Elderly independence was assessed using the Instrumental Activity of Daily Living (IADL). Result: Obtained 1688 respondents, mostly aged 60-74 years (88.7%), women (54.3%), with less than nine years of education (72.8%), and living in urban areas (58.4%). A total of 26.7% of respondents experienced global cognitive impairment, 73.6% of respondents with impaired verbal fluency, and 28.6% needed assistance doing IADL. The analysis result shows a relationship between several domains of cognitive function and IADL in the elderly on the island of Java. Discussion: Based on multivariate analysis, the most influencing factor for IADL was age, while the cognitive domain that most influenced IADL was verbal fluency. Respondents over 75 years old and impaired verbal fluency were 2,2 and 1,7 times, respectively, at greater risk of developing IADL dependence. Keywords: Cognitive, elderly, instrumental activity of daily living, verbal fluency.
Hubungan Gangguan Penglihatan dan Faktor Lain Dengan Fungsi Kognitif Pada Lansia di Indonesia Benedicta Ann Clarabelle Thiantoro; Yuda Turana; Yvonne Suzy Handajani
NEURONA Vol 39 No 4 (2022): Vol 39 No 4 (2022)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v39i4.370

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Introduction: Vision impairment is one of the most common problems experienced by the elderly.Vision impairment may disturb an elderly’s well-being. Various studies have found significant correlationbetween hearing loss and cognitive function. Data is now available from the Indonesian Family Life Survey(IFLS). However, there is limited research in the association between vision impairment and cognitive functionand no studies have used IFLS-5 data on this topic.Aim: To evaluate the association between vision impairment and other factors with cognitive dysfunctionin Indonesia’s geriatric population.Methods: This study is a descriptive analytic study utilizing data from 2375 seniors of 60 years old andover from the fifth wave of Indonesian Family Life Survey (IFLS-5). Analysis is done through univariate, bivariate,and multivariate analysis.Results: The majority of respondents are male (82,7%), married (76,5%), living in urban areas (52,3%),and has <9 years of education (57,1%). 9,4% respondents experienced vision impairment, 13,4% experiencedADL impairment, 34,3% experienced IADL impairment, and 49,3% experienced cognitive impairment. Inbivariate analysis, marital status (p=0,004), residence (p<0,001), education (p<0,001), IADL (p<0,001), andvision impairment (p=0,049) are significantly correlated with cognitive function. In subanalysis, the use ofreading glasses in elderly with vision impairment is significantly correlated with cognitive function. Inmultivariate analysis, residence (p=0,002), education (p<0,001) and IADL (p=0,023) are significantly correlatedwith cognitive function.Discussion: Residence, education, and IADL is significantly associated with cognitive function. Visionimpairment is not significantly associated with cognitive function.Keywords: Cognitive Function, Geriatric, IFLS-5, Vision Impairment
Faktor-Faktor yang Memengaruhi Kejadian Depresi pada Lansia Berpendidikan Rendah Berdasarkan Indonesian Family Life Survey 5 Melyana Tanuwijaya; Linda Suryakusuma; Yuda Turana; Yvonne Suzy Handajani
NEURONA Vol 40 No 1 (2022): Vol 40 No 1 (2022)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i1.371

Abstract

Introduction: The prevalence of depression increases with age and a high level of education is a protective factor from depression among elderly. However, majority of elderly in Indonesia are low educated which have an increased risk of depression. Aim: To determine the factors influencing the incidence of depression in low educational attainment elderly. Method: A cross-sectional study using secondary data from the 2014-2015 Indonesian Family Life Survey 5 (IFLS-5) which was conducted on respondents aged 60 years or older with low educational attainment. Depression was assessed using the Center for Epidemiologic Studies Depression Scale-10 (CESD-10), cognitive function was assessed using the Telephone Interview for Cognitive Status (TICS), the intensity of physical activity using the International Physical Activity Questionnaire (IPAQ) short-form, functional disability was assessed using 6 items of Katz Activity Daily Living (ADL) and the Lawton Instrumental Activity of Daily Living (IADL), and other variables using questions in the IFLS questionnaire. Result: Among 3481 respondents in this study, mostly aged 60-74 years (86,4%), women (55,3%), married (63,3%), working (54,9%), doing moderate-high intensity physical activity (64,6%), independent in performing ADL (87,3%), and normal in IADL (73,5%). Addition, most of them did not experience decrease in cognitive function (79,9%), had no history of hypertension (74,1%), diabetes mellitus (95%), arthritis/rheumatism (87,2%), and physical disability (99,2%), also not depressed (83,8%). Based on bivariate analysis, there was a significant relationship between age (p=0,042; RO=0,737), hypertension (p=0,005; RO=1,332), arthritis/rheumatism (p=0,000; RO=1,681), physical disability (p=0,001; RO=3,716), ADL (p=0,000; RO=1,632), and IADL (p=0,000; RO=1,907) with depression in low educational attainment elderly. However, there was no significant relationship between gender (p= 0,091), marital status (p=0,227), occupation (p=0,328), cognitive function (p=0,304), diabetes mellitus (p=0,704), and physical activity (p=0,525) with depression in low educational attainment elderly. In the multivariate analysis it was found that IADL to be the most contributing factor to the incidence of depression among low educated elderly based on IFLS-5 (p=0,000; RO=1,896). Discussion: There was a significant relationship between age, hypertension, arthritis/rheumatism, physical disability, ADL, and IADL with the incidence of depression in low educational attainment elderly with IADL being the most significant factor. Respondents with dependency (IADL) were 1,8 times, respectively, at greater risk of experiencing depression.
Co-Authors Benedicta Ann Clarabelle Thiantoro Budiharsana, Meiwita Paulina Christy, Kezia Kezia Christy Linda Suryakusuma Lusia Gani Maria Anggi Sylvani Melyana Tanuwijaya Nelly Tina Widjaja Pricilya H. Wangi sandy Ayu Monica Silalahi Suswanti, Ika Tanumihardja, Tommy Vinsalia, Thania Yuda Turana Yuda Turana