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Rina K. Kusumaratna, Rina K.
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Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Impact of physical activity on quality of life in the elderly Kusumaratna, Rina K.
Universa Medicina Vol 27, No 2 (2008)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2008.v27.57-64

Abstract

The rapid growth of the elderly population is having an impact on the maintenance of a healthy mental and physical state. The aim of this study was to assess the correlation of physical activity and quality of life in the elderly. The participants in this study were 21 male and 80 female elderly persons (66.4 ± 6.3 years, mean ± SD) recruited from the community in 2 subdistricts in South Jakarta. Data were collected on the quality of life (QOL) using the WHOQOL-BREF questionnaire that contains 26 items, 24 of them making up the 4 domains of physical health, psychological health, social relationships, and environment. The Short Form (SF) International Physical Activity Questionnaire (IPAQ) was used to measure the habitual practice of physical activities of the elderly. Subjects were separated into groups with low (n = 25), moderate (n= 37) and high activity level (n = 39), according to their position on the physical activity scale. The QOL scores in all four domains were significantly higher (p < 0.05) in the group reporting a higher level of physical activity. After adjustment for age, the more active group had higher values in all four QOL domains as follows: physical health (p = 0.027), psychological health (p = 0.000), social relationships (p = 0.005), and environment (p = 0.000). Healthy older adults who had higher physical activity had higher QOL scores than those who were physically less active. Therefore, incorporating more physical activity into the lifestyles of sedentary or minimally active elderly persons may improve their QOL.
Health service needs of older persons: emerging findings from Tarakan City, East Kalimantan Kusumaratna, Rina K.; Mahmood, Mohammad Afzal; Soerjoasmoro, Maskito Asmadi; Khairul, Khairul
Universa Medicina Vol 30, No 3 (2011)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2011.v30.197-204

Abstract

As older persons are steadily increasing in number and there are no specialized comprehensive healthcare services for older persons in Indonesia, including East Kalimantan, the aim of the present study was to determine the extent of the problems facing healthcare staff and officials in Tarakan City, East Kalimantan, in providing comprehensive healthcare services attuned to the needs of older persons.This study was a qualitative interview-based survey with focus group discussions, involving heads and healthcare officials of seven puskesmas in Tarakan City, East Kalimantan district, with the addition of a number of district health planning officials. The results revealed a difference between daily hospital referral rate of older persons by puskesmas staff and actual daily hospital admission rate for the referrals. None of the consulted healthcare staff had any speciality education in geriatrics or older persons health. The older persons most frequently presented to the hospital with hypertension, diabetes, and myocardial insufficiency. On the other hand, at the health centers the presenting conditions were hypertension, gastroenteritis, rheumatism, sleep disorders, and upper respiratory tract infections. Improved access to healthcare for older persons should be achieved by improving knowledge and skills of human resources, including communication skills, and of supporting healthcare service infrastructure at puskesmas, specifically oriented towards the needs of and designed for use by older persons, such as ramps for wheelchairs, and handrails in corridors. Local governments should strengthen the appropriate service delivery to older persons, and provide support for the maintenance, sustainability and strengthening of community-based care for older persons.
Dietary zinc intake and zinc status differences between male and female elderls of South Jakarta community Kusumaratna, Rina K.; Salim, Oktavianus Ch.; Sudharma, Novia I
Universa Medicina Vol 26, No 4 (2007)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2007.v26.179-185

Abstract

IntroductionThe elderly have a greater risk of zinc deficiency compared to younger adults. This condition may be reflected by a lowered zinc intake and reduced zinc absorption in the elderly. The aim of the study was to explore the dietary zinc intake and zinc status differences between male and female elderly.MethodsA cross-sectional study was conducted included eighty-nine free-living subjects, aged above 60 years, apparently healthy and ambulatory. A two day and non consecutive diet record was used to assess energy and nutrient intake of the elderly. It was combined with a semi-quantitative food frequency questionnaire (SQ-FFQ), with food model that was also used to quantify the food pattern on each food frequency item. Serum zinc concentrations were measured by using atomic absorption spectrum photometry. ResultsThe total energy intake and normal serum zinc concentration in both genders of free-living elderly were mostly below the recommended dietary allowance. The mean serum zinc concentration did not differ significantly between female (13.7 µmo/l) and male elderly (13.9 µmo/l). Mostly the intake of zinc was below two thirds of the RDA it presented on intake of zinc in males was much less compared to female. Overall, the prevalence of zinc deficiency appeared low among the free-living elderly in South Jakarta.ConclusionsThe prevalence of zinc deficiency was relatively low in healthy elderly. Prevalence of zinc deficiency and zinc intake were lower in female compared to male elderly.
Protein intake as a determinant factor of physical activity in older persons Kusumaratna, Rina K.; Hidayat, Adi
Universa Medicina Vol 30, No 1 (2011)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2011.v30.36-44

Abstract

Worldwide, the proportion of people aged 60 and over is growing faster than any other age group. It has been well-established that the aging process can be associated with increased susceptibility to chronic conditions, disability, and co-morbidity, which however may be minimized or even partially reversed by physical activity. The assessment of physical activity is becoming an increasingly important component in the evaluation of elderly persons. Nutritional intake and status play an essential role in determining the physical activity level potentially capable of minimizing the health burden of older persons. The objective of this study was to find out whether nutritional intake and status were correlated with physical activity in community-dwelling older persons. The study population included 219 aged 60 to 69 years, of whom complete measures of socio-demographic characteristics, nutritional status, nutritional intake and physical activity were obtained. Serum total protein, albumin, globulin and hemoglobin concentration were measured as nutritional indicators (biomarkers). The nutrient content of food intakes was analyzed and calculated by “Nutrisurvey” software. Analysis indicated that there was a significant correlation between nutritional biomarkers [total protein (r=-0.211; p=0.002) and globulin (r=-0.247; p=0.000)] and physical activity. Compared to other food intakes, intakes of carbohydrate (r=0.241; p=0.001) and animal protein (r=0.149; p=0.027) were significantly correlated with physical activity. Our findings lend support to the existence among healthy older persons of a relationship between nutrional intake and status and physical activity.
Physical activity reduced hypertension in the elderly and cost-effective Gandasentana, Robert D.; Kusumaratna, Rina K.
Universa Medicina Vol 30, No 3 (2011)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2011.v30.173-181

Abstract

Sedentary lifestyle gives rise to important health problems in the world, such as cardiovascular disorders and hypertension. Hypertension is an important modifiable risk factor for cardiovascular disease and is the most significant risk factor for stroke. There is mounting evidence that physical activity is beneficial for the elderly, and may have positive effects on chronic disorders, such as hypertension. The purpose of the present study was to assess the effectiveness of physical activity for reducing hypertension and the healthcare costs of hypertension in the elderly. This cross-sectional study, conducted from August to October 2009, involved 237 community-dwelling elderly in one district of South Jakarta, comprising 86 males and 151 females aged 66.4 ± 6.3 years. Data on background characteristics were collected using a validated questionnaire, while physical activity was assessed using the short version of the International Physical Activity Questionnaire. Results showed that 32.9% elderly was physically active and 67.1 % less physically active. The overall prevalence of hypertension was 18.6%, while there was no significant difference of hypertension between male and female elderly (p=0.737). The risk for hypertension in the physically active group was 0.40 times lower than that in the less physically active group (OR = 0.40; 95% C.I. 0.16 – 0.97), leading to annual healthcare cost savings in the physically active group of 60%. In conclusion, physical activity reduces hypertension and the associated healthcare expenditure among community-dwelling elderly.
Gender differences in nutritional intake and status in healthy free-living elderly Kusumaratna, Rina K.
Universa Medicina Vol 27, No 3 (2008)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2008.v27.113-124

Abstract

Malnourishment in the older population is reported to be a consequence of inadequate food intake, underlying diseases, with females being at higher risk and economically more vulnerable. The objective of this study were to determine the patterns of gender differences in nutritional intake and status among free-living elderly in the Jakarta urban area. A cross sectional design was performed on free-living elderly people aged 60 years and older in South Jakarta. A total of 298 free-living elderly were interviewed on demography and social economic status, and assessed on anthropometric measures, two-day nonconsecutive dietary recall and biochemical indices using fasting blood samples. This study showed that most significant gender differences were in daily energy and nutrient intakes. Males had more energy intake 1246.6 kcal compared to female 1043.1 kcal and consumed more carbohydrate 168.1 g, protein 39.7 g, total vitamin A 12229.7 mg, vitamin C 22.3 mg, iron 6.87 mg, and zinc 4.9 mg food sources. Older males had better status indices for anemia than did older females (p=0.009). Older persons who co-resided with family had better dietary nutrient intakes than those living in nuclear families, except for protein, total vitamin A and zinc food sources. There are gender differences in energy, dietary nutrient intake, nutritional status and health status in free-living elderly. Both genders were deficient in all macronutrients and selected micronutrients, especially iron and zinc.
Body mass index and quality of life among the elderly Kusumaratna, Rina K.; Hidayat, Adi
Universa Medicina Vol 28, No 1 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.34-41

Abstract

Obesity in many countries is a major public health problem. The health problems associated with an increase in the proportion of elderly in the population are further compounded by the increasing prevalence of obesity and overweight in older people. The aimed of this study was to explore any difference of quality of life (QOL) attributable body mass index (BMI) categories using the WHOQOL-BREF instruments. An observational cross-sectional study was conducted in Mampang Prapatan district, South Jakarta. A total of 296 free-living elderly aged 60 years and above were participated in this study. BMI was calculated as the weight (kg) divided by the square of the height (m2). Quality of life was measured by WHOQOL-BREF questionnaire in the Indonesian language version. The results showed that the percentage of overweight subjects was 27.5% in male and 22.2% in female elderly, while the percentage of obese subjects was respectively 8.3 and 13.2.1% respectively. In males, the mean scores on each domain of the QOL were higher compared with females. The significant differences were in social relationship (p=0.000) and environment (p=0018) domains. Among male and female elderly the highest mean scores of each domain of QOL was observed in the environment domain, and mean scores of the environment domain was significantly higher in males compare with females (p=0.018). The results have practical implications for the health of older persons because they show that the overweight have a worse score in two QOL domains, namely psychological health and environment.
Co-Authors Adi Hidayat Khairul Khairul, Khairul Maskito Asmadi Soerjoasmoro, Maskito Asmadi Mohammad Afzal Mahmood, Mohammad Afzal Novia I. Sudharma, Novia I. Oktavianus Ch. Salim, Oktavianus Ch. Robert D. Gandasentana, Robert D.