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All Journal journal of internal medicine Buletin Udayana Mengabdi E-Jurnal Medika Udayana Health Science Journal of Indonesia The Indonesian Biomedical Journal Jurnal Penyakit Dalam Udayana ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Penyakit Dalam Indonesia

Ida Bagus Putu Putrawan

Geriatric Division Of Internal Medicine Department, Sanglah General Hospital, Faculty Of Medicine Udayana University, Bali, Indonesia

Author-ID : 5391115

Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Kadar interleukin 6 serum sebagai prediktor luaran rawat inap pada lanjut usia di desa Pedawa Buleleng Bali Semaradana, Wayan Giri Putra; Suka Aryana, I Gusti Putu; Tuty Kuswardhani, RA; Astika, I Nyoman; Putrawan, Ida Bagus; Rai Purnami, Ni Ketut
Jurnal Penyakit Dalam Udayana Vol 2 No 1 (2018): Vol 2 No 1 (2018) January-June 2018
Publisher : PAPDI BALI

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Latar Belakang: Angka rawat inap semakin meningkat seiring pertambahan usia sehingga meningkatkan biaya kesehatan. Salah satu faktor risikonya adalah adanya immunosenescence. Inflamasi kronik merupakan penyebab dari immunosenescence dan dapat ditandai dengan peningkatan serum interleukin 6. Tujuan: Mengetahui apakah kadar interleukin 6 (IL-6) serum merupakan prediktor terjadinya luaran rawat inap pada lanjut usia. Metode: Penelitian ini merupakan studi prospektif analitik dengan jumlah sampel sebanyak 76 orang lanjut usia (usia â¥ 60 tahun) di Desa Pedawa Buleleng Bali yang diambil secara stratified random sampling. Pemeriksaan IL-6 kadar serum memakai reagen Quantikine HS Human IL-6 Immonoassay dengan satuan pg/mL. Luaran rawat inap diobservasi selama 6 bulan. Analisis data berupa deskriptif, bivariat (uji komparasi dan uji tabulasi silang) dan analisis multivariat yang menggunakan regresi logistik. Hasil: Rerata kadar IL-6 serum didapatkan 2,8 Â±4,09 pg/mL. Dari hasil observasi selama 6 bulan, didapatkan subyek yang mengalami luaran rawat inap sebanyak 12 orang (15,8%). Perbedaan rerata kadar IL-6 serum yang siginifikan didapatkan antara kelompok yang mengalami rawat inap (IK 95%; p <0,01) dibandingkan dengan yang tidak. Hasil regresi logistik menunjukkan bahwa kadar IL-6 serum tetap mempengaruhi terjadinya luaran rawat inap setelah mengendalikan variabel perancu (IK 95%; p <0,01). Uji chi-square menunjukkan subyek dengan kadar IL-6 serum tinggi mempunyai resiko relatif mengalami luaran rawat inap sebesar 18,8 (IK 95%; p <0,01). Simpulan: Kadar IL-6 serum yang tinggi merupakan prediktor luaran rawat inap lanjut usia.

TERAPI 2-ADRENERGIK KERJA PANJANG PADA TATALAKSANA PENYAKIT PARU OBSTRUKTIF KRONIK Putrawan, Ida Bagus; Ngurah Rai, Ida Bagus
journal of internal medicine Vol. 9, No. 2 Mei 2008
Publisher : journal of internal medicine

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Chronic obstructive pulmonary disease (COPD) is a preventable and treatable disease, characterized by airflow limitationthat is not fully reversible. The airflow limitation is usually progressive and associated with an abnormal inflammatory responseof the lung to noxious particle or gases. There is a chronic inflammation that leads to fixed narrowing of small airways andalveolar wall destruction (emphysema). This characterized by increased number of alveolar macrophages, neutrophils and cytotoxicT-lymphocytes, and the release of multiple inflammatory mediators. A high level of oxidative stress may amplify thisinflammation. There is also increased elastolysis and evidence for involvement of several elastolytic enzymes, including serineproteases, cathepsins and matrix metalloproteinasses. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelinesrecommend a stepwise approach to disease management, with bronchodilators being the mainstay of treatment. 2-Adrenergicagonists induce bronchodilatation through stimulation of 2-receptors, leading to an increase in cyclic adenosine monophosphate.In addition to prolonged bronchodilatation, long-acting 2-agonists (LABAs) exert other effects that may be of clinicalrelevance. These include inhibition of airway smooth-muscle cell proliferation and inflammatory mediator release, as well asnonsmooth-muscle effects, such as stimulation of mucociliary transport, cytoprotection of the respiratory mucosa, and attenuationof neutrophil recruitment and activation.

HUBUNGAN ANTARA KADAR ADIPONEKTIN PLASMA DAN RESISTENSI INSULIN PADA PENDUDUK ASLI DESA TENGANAN PEGRINGSINGAN - KARANGASEM Putrawan, Ida Bagus Putu; Suastika, Ketut
journal of internal medicine Vol. 10, No. 3 September 2009
Publisher : journal of internal medicine

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The association between plasma adiponectin level and insulin resistance (IR), diabetes mellitus (DM)-2, hypertension,and cardiovascular disease have been reported previously. Adiponectin is expressed and produced by adipocyte cells, and playscritical role in the glucose metabolism. IR in the adipose cells increases lipolysis and release free fatty acid (FFA). Furthermore,inactivation of mitochondrial pyruvat dehydrogenase and Þ nally decreases glucose uptake through disturbance of insulin receptorsignaling.To investigate the association between plasma adiponectin level and IR that was calculated by HOMA-IR, a cross sectionalanalytic study was conducted in Tenganan region, Bali from December 2007 to January 2008. As many as 80 participants whoseage was 18 ! 65 years old were involved.The study involved 38 (47.5%) males and 42 (52.5%) females whose mean of waist circumference (WC) was 78.03± 10.88 cm, mean of plasma glucosa was 91.73 ± 8.84 mg/dl, median of insulin was 2.70 (2.00 ! 17.90) IU/ml, median ofHOMA-IR was 0.67 (0.38 ! 3.71), mean of HDL cholesterol was 58.93 ± 13.73 mg/dl, and mean of triglycerides was 145.64± 67.97 mg/dl, systolic blood pressure (SBP) was 70 ! 180 mmHg, and diastolic blood pressure (DBP) was 50 ! 100 mmHg. Inthis study, we found signiÞ cant correlation between plasma adiponectin level and IR (r = -0.370; p < 0.001). IR also signiÞ cantlycorrelation with central obesity (r = 0.361; p < 0.001), body mass index (BMI) (r = 0.381; p < 0.001), plasma HDL level (r =-0.327; p= 0.002), TG (r = 0.255; p = 0.011), and SBP (r = 0.198; p = 0.039). On multivariate analysis with multiple logisticregression, only central obesity has independent association with IR (B = 1.641; p = 0.023). Central obesity and sex weresigniÞ cantly inß uential to the plasma adiponektin level (ß = -1.542; p = 0.035) dan (ß = 2.865; p < 0.001) respectively in whichmean of the plasma adiponectin level in female (5.610 ± 2.815) was signiÞ cantly higher than that of male (3.365 ± 2.365; MD= -2.245; p < 0.001). Mean difference to plasma adiponectin level was signiÞ cantly inß uential of the plasma HDL level dan TG(MD = -10.500; p < 0.001) and (MD = 35.075; p = 0.020) respectively

KORELASI ANTARA GERIATRIC NUTRITIONAL RISK INDEX DENGAN LAMA RAWAT PASIEN GERIATRI DI RUMAH SAKIT SANGLAH, DENPASAR Andriyasa, K; Kuswardhani, RA Tuty; Aryana, IGP Suka; Astika, N; Putrawan, IB
journal of internal medicine Vol. 12, No. 2 Mei 2011
Publisher : journal of internal medicine

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Patients at risk of malnutrition are associated with a poor outcome. There are several tools that we can use to assess thenutritional status. European Society of Parenteral and Enteral Nutrition (ESPEN) guidelines and the French Program NationalNutrition Sante (PNNS) recommend Mini Nutritional Assessment (MNA) to detect the risk of under nutrition among elderlysubjects. The MNA which based on a Questionnaire does not use biological indicators. It is more adapted to the elderly at homeor nursing home setting than hospitalization. We want to evaluate the new tool Geriatric Nutritional Risk Index (GNRI) that moresimple than MNA to assess nutritional status and predict hospitalization outcomes in geriatric patients.This is a cohort study to evaluated correlation between GNRI score with length of stay in elderly patients. We evaluatednutritional status using Geriatric Nutritional Risk Index (GNRI) and Mini Nutritional Assessment (MNA) for elderly patientsthat admitted in Sanglah Hospital (Internal Department, class III) between February 2010 and April 2010. The patients werenutritionally assessed within 48 hours of hospital admission and studied in correlation to length of stay and in-hospital mortality.Fifty complete assessments were available for analysis. There are 32 male (62%) and 18 female (38%) with mean age are67.2 (60 ? 82) years old. GNRI score and MNA correlated inversely with length of stay in elderly patients (r = -0.67; p < 0.000)and (r = -0.44; p = 0.004) respectively. There are three fatal outcome (death) and all of cases with GNRI score grade 4 (majorrisk, GNRI score < 82) . GNRI score has a significant correlation with MNA score (r = 0.72; p < 0.000).In conclusion: Poor nutritional status as measured by GNRI was associated with a longer length of stay and increased inhospitalmortality. GNRI is a simple tool and has more significant correlation with hospitalization outcomes than MNA.

FAKTOR-FAKTOR YANG MENENTUKAN KEKUATAN GENGGAMAN TANGAN PADA PASIEN LANJUT USIA DI PANTI WREDHA TANGTU DAN POLIKLINIK GERIATRI RSUP SANGLAH - DENPASAR Putrawan, IB Putu; Kuswardhani, RA Tuty
journal of internal medicine Vol. 12, No. 2 Mei 2011
Publisher : journal of internal medicine

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Handgrip strength is necessary for performing activities of daily living, which, in turn, are required to maintain functionalactivity. The purpose of this study was to determine anthropometric and personal factors that affect handgrip strength in groupsof nursing home and out patients of Sanglah Teaching Hospital Denpasar-Bali. Body weight and height, Waist Circumference(WC), Mid-Upper-Arm Circumference (MUAC) and triceps skinfold, scapula skinfold and supra iliaca skinfold were obtainedusing standard techniques. Body height was estimated from kneeheight. Handgrip was measured using a mechanical handgripdynamometer. A total of 38 male and 53 female aged 60 ? 82 years participated in the study. Both groups were statistically similarregarding all factors studied. Bivariate analyses showed that handgrip strength was associated with sex, age, WC, hemoglobin,albumin and body mass index in both of groups. Multiple linear regression analysis identified sex and WC (r = 0.39; p = 0.00),sex and age (r = 0.71; p = 0.00), as independent determinants of handgrip strength in both of groups. We conclude that womenhave a smaller handgrip strength than men. In addition, handgrip strength decreases with increasing age and decreasing WC.

PELAYANAN KESEHATAN LANJUT USIA DI WILAYAH KERJA PUSKESMAS I DENPASAR SELATAN I.G P.S. Aryana; R. A.T. Kuswardhani; I. N. Astika; I. B.P. Putrawan; N. K.R. Purnami; A. A.M.P. Triningrat; I.D. G.A.E. Putra; N. K.S. Diniari; K. Widyastuti
Buletin Udayana Mengabdi Vol 21 No 1 (2022): Buletin Udayana Mengabdi
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

The number of elderly reached 6146 elderly (23.44% of the total population) in South Denpasar sub-district. The complexity of the health problems experienced by the elderly and the special character possessed by the elderly, it is necessary to use a different method and approach by conducting a comprehensive health examination (bio-psycho-social aspect) which aims to provide an understanding for the elderly to their own health and improve their abilities and abilities. the role of family and community in overcoming the health of the elderly. The activities carried out include health services for the elderly with a comprehensive health examination including a plenary assessment of geriatric patients (P3G), physical examination, eyes, ENT, mental and nervous health). Community service is carried out for the elderly in Sesetan Village, South Denpasar. There are 130 seniors who participated in this service. The elderly with the age group 60 - 69 years amounted to 72 people (55.4%) who attended the most health services. 44 men (33.8%) and 86 people (66.2%) were female. The results of the examination showed that 75 people (57.7%) were suffering from infectious diseases, 8 people (6.2%) were malnourished, 49 people (37.7%) were obese, and 25 people (19.2%) had sarcopenia. (loss of muscle mass). Based on the results of the elderly health examination, this elderly health service activity is expected to provide benefits to the elderly and their families. Keywords: Elderly, medical examination, comprehensive, family role, quality of lif

HUBUNGAN STATUS GIZI DENGAN STATUS KOGNISI PADA LANSIA DI PANTI SOSIAL TRESNA WERDHA WANA SERAYA DENPASAR Dwi Kristian Adi Putra; Ida Bagus Putrawan; Ni Ketut Rai Purnami
E-Jurnal Medika Udayana Vol 9 No 6 (2020): Vol 9 No 06(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

ABSTRAKKetergantungan yang dialami oleh lansia dapat dipicu oleh kemunduran fisik maupun psikis yang mengarah pada perubahan negatif. Kondisi tersebut akan mempengaruhi aktivitas kehidupansehari-hari lanjut usia. Salah satu masalah yang dialami pada lansia adalah Terganggunya kapasitasintelektual yang berhubungan dengan fungsi kognitif pada lansia. Faktor nutrisi adalah faktor yangdapat menentukan keadaan kognitif lansia dan untuk mencegah potensi penurunan kognitif padalansia. Tujuan penelitian ini untuk mengetahui adanya hubungan antara status gizi dan status kognisipada lansia. Penelitian ini merupakan penelitian analitik dengan rancangan penelitian studi crosssectional. Penelitian dilaksanakan di Panti Sosial Tresna Werda Wana Seraya Denpasar. Pada statusgizi ditentukan dengan menggunakan penghitungan Indeks Massa Tubuh yang dilakukan pada lansiadengan pengukuran berat badan dan tinggi badan berdasarkan tinggi lutut dan Status kognisiditentukan dengan menggunakan kuisioner abbreviated mental test (AMT). Prevalensi penurunanfungsi kognitif lansia pada Panti Sosial Tresna Werda Wana Seraya sebesar 77,3%. Dari 17 lansiadengan penurunan fungsi kognitif, sebanyak 58,8% mengalami gizi kurang, 35,3% mengalami gizibaik dan 5,9% mengalami gizi lebih. Berdasarkan uji korelasi spearman, terdapat hubungan signifikanantara status gizi dan status kognisi (r =0,436). Hubungan antara status gizi dengan status kognisipada lansia dikarenakan adanya gangguan pada metabolisme dalam tubuh serta gangguan padahormon dalam tubuh pada lansia. Dari hasil penelitian yang didapatkan bahwa terdapat hubunganantara status gizi dengan status kognitif pada lansia dan hubungan yang diperoleh bersifat sedang. Kata kunci: lansia, status gizi, gangguan kognisi

HUBUNGAN TINGKAT INKONTINENSIA URIN DENGAN DERAJAT DEPRESI PADA PASIEN LANJUT USIA DI PANTI SOSIAL TRESNA WERDA WANA SERAYA DENPASAR Desak Made Cittarasmi Saraswati Seputra; Ida Bagus Putrawan; Ni Ketut Rai Purnami
E-Jurnal Medika Udayana Vol 8 No 8 (2019): Vol 8 No 8 (2019): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Salah satu penyakit yang sering dialami oleh lanjut usia adalah inkontinensia urin. Meskipun inkontinensia urin tidak termasuk dalam penyakit yang dapat mengancam nyawa, namun inkontinensia urin dapat berpengaruh terhadap kondisi psikologis seseorang. Salah satu dampak dari inkontinensia urin adalah depresi. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat inkontinensia urin dengan derajat depresi. Penelitian ini menggunakan metode potong lintang dengan 23 orang lanjut usia sebagai sampel (total sampling). Inkontinensia urin ditentukan dengan menggunakan kuesioner International Consultation on Incontinence Questionnaire-Urinary Incontinence (ICIQ-UI) Short Form dan depresi ditentukan melalui skoring kuisioner Geriatric Depression Scale (GDS) Short Form. Pada penelitian ini didapatkan bahwa prevalensi inkontinensia urin pada lansia di Panti Sosial Tresna Werda Wana Seraya sebesar 46%. Lansia yang mengalami inkontinensia urin dan depresi sebanyak 60,9% sedangkan lansia yang mengalami inkontinensia urin tetapi tidak mengalami depresi sebanyak 39,1%. Berdasarkan uji korelasi spearman, dapat disimpulkan bahwa semakin tinggi tingkat inkontinensia urin, maka semakin tinggi pula derajat depresi (r = 0,637, P = 0,01). Kata Kunci: tingkat inkontinensia urin, derajat depresi

The The relationship between IL-6 and CRP with Sarcopenia in indigenous elderly population at Pedawa Village, Buleleng, Bali, Indonesia Suka Aryana; AA Wiradewi Lestari; I.B. Putrawan; Ni Ketut Rai Purnami; I Nyoman Astika; R.A. Tuty Kuswardhani
Health Science Journal of Indonesia Vol 9 No 1 (2018)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v9i1.467

Abstrak Latar belakang: Sarkopenia adalah sindrom yang ditandai dengan penurunan massa otot disertai penurunan kekuatan otot dan atau fungsi otot. Stres oksidatif dan proses inflamasi dikenal sebagai faktor pemicu untuk sarkopenia dengan melepaskan rangsangan katabolik interleukin-6 (IL-6) dan protein C-reaktif (CRP). Penelitian ini bertujuan untuk menentukan hubungan antara IL-6 dan kadar CRP terhadap parameter sarkopenia seperti massa otot, kekuatan pegangan, dan kecepatan berjalan. Metode: Penelitian ini menggunakan desain cross-sectional analitik yang dilakukan di Desa Pedawa, Kabupaten Buleleng, Bali pada bulan Agustus 2016. Sekitar 79 responden berusia ≥ 60 tahun menggunakan teknik sampling acak stratifikasi. Variabel yang dinilai yaitu parameter sarkopenia (massa otot, kekuatan pegangan, dan kecepatan berjalan) termasuk IMT, serta IL-6 dan pemeriksaan tingkat CRP. Uji korelasi spearman dan parsial digunakan untuk menilai korelasi antara parameter IL-6, CRP, dan sarkopenia. Hasil: Kadar IL-6 dan CRP tidak berkorelasi signifikan dengan tiga parameter sarkopenia. Kadar CRP berkorelasi dengan IL-6 (r = 0.37; p = 0.001) dan IMT (r = 0.29; p = 0.009). Pada kelompok pria, IL-6 hanya berkorelasi dengan CRP (r = 0.40; p = 0.011). Sedangkan pada kelompok wanita, IL-6 berkolerasi dengan CRP (r = 0.38; p = 0.017), kecepatan berjalan (r = 0.33; p = 0.037) serta CRP berkorelasi dengan IMT (r = 0.32; p = 0.049) dan massa otot total (r = -0.32; p = 0.043). Setelah penyesuaian untuk variabel IMT, IL-6 berkorelasi dengan CRP (r = 0.43; p = 0,001) dan massa otot total (r = -0.25; p = 0.026) serta secara signifikan berkorelasi pada kelompok kurus (IMT<18.5 kg/m2) (r = -0.50; p = 0.026). CRP tidak berkorelasi secara signifikan dengan tiga parameter sarkopenia pada uji spearman, korelasi parsial, dan uji korelasi spesifik spearman berdasarkan pada kelompok IMT. Kesimpulan: Kadar IL-6 berhubungan dengan penurunan massa otot total pada keseluruhan lansia desa Pedawa setelah penyesuaian variabel IMT. Kata kunci: IL-6, Protein C-Reaktif (CRP), Sarkopenia, Lanjut usia, Desa Pedawa. Abstract Background: Sarcopenia is a syndrome characterized by decreased muscle mass with decreased muscle strength and or muscle function. Oxidative stress and inflammatory processes are known as triggering factors for sarcopenia by releasing catabolic stimuli of interleukin-6 (IL-6) and C-reactive protein (CRP).This study aims to determine the relationship between IL-6 and CRP levels to sarcopenia parameter such as muscle mass, grip strength, and walking speed. Methods: This study was an analytic cross-sectional design conducted at Pedawa Village, Buleleng District, Bali in August 2016. About 79 respondents aged ≥ 60 years using stratified random sampling technique. The assessed variables were sarcopenia parameter (muscle mass, grip strength, and walking speed) including BMI, as well as IL-6 and CRP levels examination. Spearman and partial correlation test were used to assess the correlation among IL-6, CRP, and sarcopenia parameters. Results: IL-6 levels and CRP were not significantly correlated with the three parameters of sarcopenia. CRP levels correlated with IL-6 (r = 0.37; p = 0.001) and BMI (r = 0.29; p = 0.009). In the male group, IL-6 was only correlated with CRP (r = 0.40; p = 0.011). While in the women group, IL-6 correlated with CRP (r = 0.38; p = 0.017), walking speed (r = 0.33; p = 0.037) and CRP correlated with BMI (r = 0.32; p = 0.049) and total muscle mass (r = -0.32; p = 0.043). After adjustment to BMI variable, IL-6 was correlated with CRP (r = 0,43; p = 0,001) and total muscle mass (r = -0.25; p = 0.026) and significantly correlated in underweight groups (BMI<18.5 kg/m2) (r=-0.50; p=0.026). CRP was not significantly correlated with the three parameters of sarcopenia on Spearman, partial correlation, and Spearman's specific correlation test based on BMI group. Conclusion: IL-6 levels were associated with total muscle mass loss after BMI adjustmentin Pedawa village’s elderly as a whole. Keywords: IL-6, C-Reactive Protein (CRP), Sarcopenia, Elderly, Pedawa village.

High Myostatin Serum Related with High Prevalence of Sarcopenia Among Elderly Population in Pedawa Village, Bali, Indonesia I Gusti Putu Suka Aryana; I Nyoman Astika; Raden Ayu Tuty Kuswardhani; Ida Bagus Putu Putrawan; Ni Ketut Rai Purnami; Wayan Giri Putra; Anak Agung Wiradewi Lestari; I Nyoman Wande
The Indonesian Biomedical Journal Vol 11, No 3 (2019)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v11i3.822

BACKGROUND: Sarcopenia is defined as a decrease in muscle mass accompanied by a decrease in muscle strength and performance. Sarcopenia arises from the disruption of the complex balance between anabolic and catabolic factors. Myostatin strongly influences muscle growth inhibition. Deletion and function loss of myostatin causes hyperplasia and skeletal muscle hypertrophy.METHODS: This study was an analytical cross-sectional study. Seventy respondents aged ≥60 years in Pedawa Village, Bali, Indonesia were selected by using the stratified random sampling technique. Sarcopenia status was assessed according to Asian Working Group for Sarcopenia (AWGS) criteria, including muscle mass, grip strength, and walking speed. While the myostatin serum levels was measured by enzyme-linked immunosorbent assay (ELISA).RESULTS: The incidence of sarcopenia in the elderly was 45 people (64.3%). Based on the analysis, there was a significant difference between myostatin levels in sarcopenia subjects (47.59 ng/mL) and non-sarcopenia subjects (39.7 ng/mL). Based on the statistical calculations, it was determined that the cut-off range of myostatin levels was 48.91 ng/mL. The prevalence ratio of sarcopenia incidence based on the myostatin levels in the elderly was 3.84, while based on the combination of age risk and myostatin levels was 9.75.CONCLUSION: Based of the data, there are significant differences of myostatin level between elderly people with and without sarcopenia. The prevalence of high myostatin levels in elderly is almost 4 times higher than low myostatin levels in the elderly.KEYWORDS: myostatin, sarcopenia, elderly

Co-Authors Alvi Laili Zahra Anak Agung Mas Putrawati Triningrat Anak Agung Wiradewi Lestari Aryana, I Gust Putu Suka Astika, I Nyoman Desak Made Cittarasmi Saraswati Seputra Dian Pritasari Jeger Dwi Kristian Adi Putra I Gusti Agung Wilaja Putra I Gusti Putu Suka Aryana I Ketut Suastika I Made Jawi I Made Jawi I Nyoman Astika I Nyoman Wande I Nyoman Wande I Nyoman Wande I Putu Gede Adiatmika I. N. Astika I.D. G.A.E. Putra Ida Bagus Ngurah Rai K Andriyasa Mia Felina Prasetya N Astika N. K.S. Diniari Ni Ketut Rai Purnami Purnami, Ni Ketut Rai Putu Shely Prihastuti Rudy R. A.T. Kuswardhani Semaradana, Wayan Giri Putra Sri Kayati Widyastuti Tjokorda Gde Dharmayuda Wayan Giri Putra Wira Gotera Yosef Samon Sugi

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