a b s t r a c tBackground/Purpose: The purpose of this study is to examine the association between age and metabolic disorders in the population of Bali. Method: A cross-sectional study was conducted on metabolic syndrome (MS) as defined on the basis of recommended parameters for diagnosis of the syndrome in the population of seven villages of Bali comprising six villages and one suburban area. At least three of the five parameters must be present for the diagnosis. Three hundred ten elderly people aged 60 years or more, with a male:female ratio of 168:142, of 1840 subjects were recruited in the study. The criteria for obesity were based on the 2000 World Health Organization recommendations for Asia Pacific population, for prediabetes [impaired fasting glycemia (IFG) and impaired glucose tolerance] and diabetes mellitus (Results: The prevalence of IFG and DM were twofold in the elderly as compared with those in the younger-aged groups (21.4 vs. 11.7; 11.7 vs. 4.8, respectively). Blood pressure and fasting blood sugar levels were higher in the elderly than in the younger-aged group (133/81 mmHg vs. 117/76 mmHg; 102.7 mg/dL vs. 93.0 mg/dL, respectively; p < 0.001). There was no statistically significant difference in triglyceride and high-density lipoprotein cholesterol levels between both groups. Waist circumferences were lower among the elderly than among younger-aged groups (75.8 cm vs. 80.9 cm; p < 0.001). The elderly, with lower waist circumference, revealed significantly higher prevalence of MS as compared with the younger-aged group {22.9% vs. 17.3%; p ¼ 0.026; prevalence risk 1.423 [confidence interval (CI) ¼ 1.043-1.944]}. The subjects who had 1, 2, 3, 4, and 5 components of MS were 34.6%, 23.8%, 13.0%, 4.3%, and 0.9%, respectively. The prevalence risk of each component of MS for the occurrence of MS were: elevated triglyceride [30.2 (CI ¼ 14.5-63.1)], elevated fasting blood sugar )], increased waist circumference [8.1 (CI ¼ 4.3-15.0)], reduced high-density lipoprotein cholesterol [4.4 (CI ¼ 2.4-7.9)], and elevated blood pressure [3.7 (CI ¼ 1.9-7.2)].Conclusions: It could be inferred that in comparison with the younger-age group, the elderly had higher (twice) prevalence of IFG and DM, lower prevalence of central obesity, but higher prevalence of MS. Old age (60 years and more) had 1.4-fold risk for MS as compared with that in the younger-aged group, and elevated triglyceride levels appeared to be the most important risk factor for MS.
Salah satu risiko akibat hipertensi adalah gangguan kognitif meskipun ada risiko lain. Tujuan penelitian ini adalah untuk mengetahui korelasi hipertensi terhadap gangguan kognitif. Penelitian menggunakan analitik observasional dengan pendekatan cross sectional. Subyek dalam penelitian ini adalah 46 lansia di Panti Werdha Wana Seraya Denpasar. Data dikumpulkan melalui kuesioner MMSE dan pengukuran tekanan darah. Prevalensi hipertensi dan gangguan kognitif adalah 47% (22/46) dan 47% (22/46). Di antara 39% (18/46) individu yang mengalami hipertensi, gangguan kognitif ditemukan perbedaan yang signifikan (p=0,000). Ada korelasi yang signifikan antara gangguan kognitif dengan hipertensi jika gangguan kognitif sebagai variable dependen (r = 0,636; p = 0,001). Kesimpulan terdapat korelasi antara gangguan kognitif dan hipertensi. Hipertensi mempengaruhi fungsi kognitif.
Background: Anemia is a symptom depending on the decrease of hemoglobin levels, the number of erythrocytes, and the volume of erythrocytes. The symptoms of anemia commonly occur in the elderly. In general, the common causes that often complained in the elderly are less efficient in absorbing some of the nutrients, decreased appetite due to illness, difficulty swallowing due to reducing of saliva, slow feeding, reduced teeth, and nausea. Anemia in the elderly should not be considered as an unavoidable consequence of aging. Treatment of this problem should start as early as possible. Aim: This study aims to determine the characteristics of anemia in the elderly in RSUP Sanglah from January to June 2017. Method: This research is a descriptive cross sectional study conducted at RSUP Sanglah Denpasar. Data obtained in the form of secondary data patient record period January-June 2017. Data were analyzed using Microsoft Excel 2010. Result: Of the 102 patients, the average age was 69.3 ± 7.1 years with the highest proportion of patients aged 60-70 years old is 56 people (54.9%). The proportion of male is 71 people (69,6%). Of the total samples, there were 75 patients anemia patients (73.5%) and 27 patients without anemia (26.5%). The highest proportion of anemia depend on their stages are 51 patients of mild anemia (68%). 47 patients (62.7%) were normochromic and normocitary anemia. The highest proportion is anemia with kidney disease (38,7%).
Background: Frailty is characterized by a decrease in multi-organ physiological functions. Sarcopenia and frailty have a significant impact on individuals and society so it is necessary to know the prevalence in the community. This study aimed to determine the prevalence of sarcopenia and frailty in rural areasMethod: The was a cross-sectional study in the elderly population in the villages of Pedawa, Mangupura, Serai and Songan. Measurement of muscle mass using bioelectrical impedance analysis (BIA) and categorized based on the recommendation of the Asian Working Group for Sarcopenia (AWGS). Frailty is established through a screening questionnaire based on the Cardiovascular Health Study. The study was chosen by simple random sampling and population register data.Results: The study involved 235 elderly people with 117 people in Pedawe village, 71 people in Mangupura village, 34 people in Serai village and 13 people in Songan village with a composition of 35.5% men and 64.5% women. In this study sarcopenia in women was 51% and men 49%, while frailty was experienced in 58.9% women and 41.02% men. The mean age is 67.7 years. The prevalence of total sarcopenia is 59% with the lowest percentage ranging from the villages of Mangupura (30%), Songan (53.8%), Pedawe (70.9%), and Serai (79.4%). The overall frailty prevalence in the four villages is 17% with the percentage starting from the lowest being Mangupura (1.4%), Serai (5.9%), Songan (22.2%) and Pedawe (29.1%).Conclusions: The prevalence of sarcopenia and frailty is most common among elderly women. The highest prevalence of sarcopenia was found in Serai village and frailty prevalence was highest in Pedawe village. Latar Belakang: Frailty ditandai dengan adanya penurunan fungsi fisiologis multi organ. Sarkopenia dan frailty memberikan dampak yang bermakna bagi individu dan bagi masyarakat sehingga perlu untuk mengetahui prevalensinya di masyarakat. Penelitian ini bertujuan untuk mengetahui prevalensi sarkopenia dan frailty di daerah pedesaanMetode: Penelitian menggunakan studi potong lintang pada populasi lansia di desa Pedawa, Mangupura, Serai dan Songan. Pengukuran massa otot menggunakan bioelectrical impedance analysis (BIA) dan dikategorikan berdasarkan rekomendasi Asian Working Group for Sarcopenia (AWGS). Frailty ditegakkan melalui kuesioner skrining berdasarkan Cardiovascular Health Study. Penelitian dipilih dengan cara simple random sampling dan data register penduduk.Hasil: Penelitian melibatkan 235 orang lanjut usia dengan jumlah 117 orang di desa Pedawe, 71 orang di desa Mangupura, 34 orang di desa Serai dan 13 orang di desa Songan dengan komposisi 35,5% laki-laki dan 64,5% perempuan. Pada penelitian ini sarkopenia pada perempuan adalah 51% dan laki-laki 49%, sedangkan frailty dialami 58,9% perempuan dan 41,02% laki-laki. Rerata usia adalah 67,7 tahun. Prevalensi sarkopenia total adalah 59% dengan persentase masing-masing mulai dari yang terendah adalah desa Mangupura (30%), Songan (53,8%), Pedawe (70,9%), dan Serai (79,4%). Prevalensi frailty keseluruhan di empat desa adalah 17% dengan persentase masing-masing mulai dari yang terendah adalah desa Mangupura (1,4%), Serai (5,9%), Songan (22,2%) dan Pedawe (29,1%).Kesimpulan: Prevalensi sarkopenia dan frailty paling banyak ditemukan pada lansia perempuan. Prevalensi sarkopenia paling tinggi didapatkan di desa Serai dan prevalensi frailty didapatkan paling tinggi di desa Pedawe.
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