Background: Currently, schizophrenia is associated with many health problems due to weight changes caused by lifestyle changes and consumption of antipsychotic drugs (APDs). Nutritional status assessment is needed in order to lower the comorbidity through early detection of risk factors. Methods: This descriptive cross-sectional study involved 94 schizophrenic patients selected using consecutive sampling in October 2012 in Psychiatry Outpatient Department, Dr. Hasan Sadikin General Hospital, Bandung. An anthropometric measurement was verified (body mass index and waist circumference), physical activity level, type of antipsychotic drugs (APDs) used and duration of treatment acquired from medical records. Results: Among the subjects, 29.8% were 28-37 years old, with 69.1% males and 30.9% females. Most of them suffered from paranoid schizophrenia (71.3%). The body mass index (BMI) of 46.8% subjects were normal, 45.74% were overweight, whereas 7.45% were underweight. Male subjects mostly had smaller waist circumference (78%) compared to females who were dominantly above normal (52%). Physical activity levels were mostly sedentary (76%). Single typical APD were dominantly prescribed (46%). Subjects with normal BMI were mostly found among single typical APDs prescribers (53.5%), whereas the majority of atypical APDs users were overweight (61.9%). A total of 63% subjects had been prescribed APDs for 1-5 years, dominated by subjects with normal body mass index (78%). Conclusions: The majority of study subjects (46.8%) were found normal in terms of the body mass index. Male subjects mostly had normal waist circumference (78%) while females have a higher risk with measurement above normal as a more dominant finding (52%).
Prevalensi lansia (60-74 tahun) di Indonesia tahun 2050 diperkirakan melebihi prevalensi di dunia. Depresi pada lansia menempati urutan kedua setelah penyakit jantung coroner yang mempengaruhi morbiditas lansia. Peningkatan depresi pada lansia harus menjadi perhatian khusus semua elemen kesehatan agar berkontribusi maksimal dalam pelayanan preventif maupun kuratif. Fungsi kognitif secara bertahap akan menurun pada lansia seiring dengan bertambahnya usia. Kondisi depresi akan mempercepat penurunan fungsi kognitif lansia. Pengabdian Pada Masyarakat (PPM) ini bertujuan untuk melalukan pendidikan kesehatan mengenai deteksi dini depresi dan penurunan fungsi kognitif pada lansia .Realisasi pemecahan masalah untuk mendeteksi adanya gejala depresi dan penurunan fungsi kognitif pada lansia melalui kegiatan pendidikan kesehatan kepada semua eleman yang terkait di Balai Perlindungan Sosial Tresna Whreda (BPSTW) Ciparay Bandung. Elemen yang terkait meliputi pejabat panti, pramuwheda, perawat dan lansia. Setelah hasil pengkajian Mini Mental State Examination (MMSE) dan Geriatric Depression Scale (GDS-15) didapatkan 20 orang lansia depresi tingkat ringan dan sedang. Lansia yang mengalami depresi tingkat ringan dan sedang mendapatkan informasi mengenai gejala depresi dan bagi petugas panti,pramuwhreda mendapatkan informasi mengenai gejala umum yang dirasakan lansia ketika depresi dan upaya yang dapat dilakukan untuk mencegah terjadinya depresi. Perawat panti diberikan pelatihan dan pendampingan dalam menggunakan instrumen MMSE dan GDS-15Kegiatan berlangsung sesuai rencana dan semua sasaran mengalami peningkatan partisipasi saat kegiatan penyuluhan berlangsung dan dilanjutkan dengan diskusi kecil diluar kegiatan penyuluhan. Kata kunci: Deteksi dini depresi pada Lansia, Fungsi Kognitif, Pendidikan Kesehatan.
Latar belakang. Dampak gangguan tidur yang melibatkan beberapa aspek dan angka kejadian gangguan tidur yang cukup tinggi masih kurang mendapatkan perhatian dari orang tua anak maupun tenaga medis. Gangguan tidur dikaitkan dengan fungsi kognitif dan keberhasilan akademik anak. Tujuan. Menggambarkan prevalensi gangguan tidur pada anak usia sekolah dasar serta mengetahui pengaruh gangguan tidur dan faktor sosiodemografi terhadap prestasi akademik di kawasan Jatinangor. Metode. Desain penelitian potong lintang dilakukan di tiga sekolah dasar kelas 3, 4, dan 5 di kawasan Jatinangor pada bulan Agustus-September 2019. Orang tua mengisi lembar kuesioner skala gangguan tidur untuk anak (SDSC) dan kuesioner karakteristik subjek. Prestasi akademik dinilai dengan membandingkan nilai rata-rata individu terhadap nilai rata-rata satu kelas. Hasil. Subjek yang dapat dianalisis berjumlah 101 anak. Sebanyak 65,3% subjek mengalami gangguan tidur dan 49,5% subjek memiliki nilai di bawah nilai rata-rata kelas. Hasil analisis menunjukkan adanya hubungan berarti antara gangguan tidur dengan hasil prestasi akademik anak (p=0,044). Terdapat juga hubungan yang berarti antara pendidikan orang tua (p=0,042) dan jenis kelamin (p=0,037) dengan hasil prestasi akademik anak. Kesimpulan. Penelitian menunjukkan adanya hubungan bermakna antara gangguan tidur dan prestasi akademik. Faktor sosiodemograsi yang berpengaruh terhadap prestasi akademik adalah jenis kelamin dan pendidikan orang tua anak. Sari Pediatri 2020;21(5):310-16Kata kunci: prestasi akademik, gangguan tidur, siswa sekolah dasar, sekolah dasar Background. The impact of sleep disorders involving several aspects and a high incidence rate of sleep disorders still receive less attention from the parents and the medical personnel. Sleep disorders may influence cognitive function and academic performance of children. Objective. To know the prevalence of sleep disorders in elementary school age children and to find the effects of sleep disorders and sociodemographic factors on academic achievement in the Jatinangor. Methods. The cross-sectional study design was carried out in three elementary schools grade 3, 4, and 5 in the Jatinangor on August-September 2019. Parents were instructed to complete the sleep disturbance scale for children and subject characteristics questionnaire. Academic achievement obtained by comparing the average score of an individual and the average score of each class. Result. 101 subjects can be analyzed. As many as 65.3% of subjects had sleep problems and 49.5% of subjects had scored lower than the class average. The results showed a correlation between sleep disorder and academic achievement (p=0.044). There was correlation between gender (p=0.037) and parental education (p=0.042) with academic achievement. Conclusion. Research showed a correlation between sleep disorder and academic achievement. Sociodemographic factors that influence academic achievement were sex and parental education. Sari Pediatri 2020;21(5):310-16
Physical activity in the elderly will improve cognitive function. Biomolecular changes to see an increase in elderly cognitive function are characterized by an increase in the expression of plasma protein Brain Derived Nerve Factor (BDNF). Efforts to improve cognitive function can be done in Indonesian Cardio Gymnastic Serie-I. In this study the aim was to analyze the influence of Indonesian Cardio Gymnastic Serie-I three times a week for 6 weeks to Plasma Protein Expression of BDNF in Elderly. This study used a pre-experiment with the design of one group pre and post test for 27 samples of healthy elderly aged >60 years and routinely conduct Indonesian Cardio Gymnastic Serie-I 3 times a week for 6 weeks. To determine BDNF levels taken from elderly plasma blood then measured using the Enzime Link Immunosorbent Assay method. To analyze the influence of Indonesian Cardio Gymnastic Serie-I to plasma protein expression of BDNF, a paired t-test was used so that the mean differences between before and after gymnastics were known. There were differences in the mean BDNF plasma protein expression before and after Indonesian Cardio Gymnastic Serie-I (2174.52 ± 700.79 VS 1981.17 pg/mL, p = 0.40; p >0.05) with the mean difference was 192.69 which means Indonesian Cardio Gymnastic Serie-I 3 times a week for 6 weeks had no influence to plasma protein expression of BDNF because the level has decreased by 91.14% after exercising. ABSTRAKAktivitas fisik yang aktif pada lansia akan meningkatkan fungsi kognitif. Perubahan biomolekuler untuk melihat peningkatan fungsi kognitif lansia ditandai dengan peningkatan ekspresi protein plasma Plasma Brain Derived Nerve Factor (BDNF). Upaya untuk meningkatkan fungsi kognitif dapat dilakukan senam jantung sehat seri-I. Dalam penelitian ini bertujuan untuk menganalisis pengaruh senam jantung sehat seri-I 3 kali seminggu selama 6 minggu terhadap ekspresi protein plasma BDNF lansia. Penelitian ini menggunakan pre-eksperimen dengan rancangan one group pre and post test terhadap 27 sampel lansia sehat yang berusia >60 tahun dan rutin melakukan senam jantung sehat seri-I 3 kali seminggu selama 6 minggu. Untuk mengetahui kadar BDNF diambil dari darah plasma
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