Vol. 25 No. 4, Page 148-197

October 1, 2006

Isoflavones consumption related to age of menopause

By Sri Mulyati, Agus Triwinarto dan Basuki Budiman

            Life expectancy of Indonesian grew up in the last 25 years and on the other side the total number of women sharply increased. It is predicted that number of people will be 262.6 million by the year 2020 and number of women in the menopause period will be reached as much as 30.3 million. During this two decade beginning menopausal age delayed from 46 years of age in 1980 to 49 in the year 2000. Isoflavones have benefit effect on menopause syndrome and Indonesian people consume much source plant food containing isoflavones. This study elaborates the relationship between isoflavones and age of beginning menopause. A cross-sectional study was conducted in the district of Tanah Datar, the province of West Sumatra and the district of Bantul, the province of Yogyakarta. Respondents were 360 women who had menopause. Food consumption was collected by food frequency questionnaire (FFQ) method; age of menopause was measured by asking the women experience. Weight was measured  using digital balance Secca and height using microtoise. The study revealed that  education, working mother, and isoflavone consumption from soy food were correlated with age of menopause. Mothers consumed isoflavones as much as 118 ± 98.6 mg/week,  which is lower than Department of Health recomendation (80 mg/day). It is needed to disseminate about the benefit of isoflavones for all women especially for menopause women.

Language : Indonesia

Profil elektrokardiogram pada penduduk lanjut usia di DKI Jakarta

By Jemmy Hermawan dan Eveline Margo

            The objective of this study was to describe the resting electrocardigram (ECG) profiles of elderly in DKI Jakarta and renewing interest in the primary prevention of cardiovascular disease. Across-sectional study was held in April – June 2004. Subjects are 307 elderly (age 60 years and above) from 15 districts in DKI Jakarta. The data were collected using questionnaire, and physical examination, anthropometrics measuring and recording resting ECG. The ECG results are categorized according to The Minnesota Code Classification System for ECG finding. This study showed that 38.11% of subjects have normal resting ECG profiles compares to 61.89% with abnormal profiles. The most frequent finding of the abnormal ECG result was ST segment depression (26.72%). Another frequent findings are: high R wave (23.78%), T wave abnormalities (21.17%) and arrhythmias (15.96%). The frequency of ECG profiles that matched to the criteria of ischemic was 38.76%. Majority of elderly in DKI Jakarta has abnormal ECG profiles in which dominated by ST segment depression, high R wave and T wave abnormalities. Almost every ECG abnormality increases in prevalence with the increasing age. The finding of ECG abnormalities in elderly should be considered as an early sign for further examination because of the increased risks for cardiovascular problems that could present without specific symptoms.

Language : Indonesia

The prevalence of chronic disease and quality of life in elderly people

By Yenny dan Elly Herwana

            The increasing population of elderly has recently become a focus of interest in developing countries because of increasing life expectancy. The aims of our study were to identify chronic diseases and measure the quality of life of eldery people in Jakarta. A cross-sectional study was conducted between December 2005 dan January 2006. Location of study was Mampang Prapatan, Jakarta Selatan. Three-hundred and six eldery participated in this study. This study showed that prevalence of chronic disease was 87.3% (267/306). The prevalence of musculosceletal, cardiovascular, urogenital and respiratory diseases were higher in male elderly compared with female elderly. While prevalence of digestive and metabolic diseases were higher in female elderly conpared with male elderly. Quality of life score will be lower in older age group. Among those aged 75 and older the mean scores of quality of life social domain was significantly lower compared with others aged groups. Physical and environment domain scores were significantly different between elderly who suffer of chonic diseases and those who were not. Chonic diseases significantly decreased quality of life in the elderly.

Language : Indonesia

Small density low density lipoprotein as a predictor of quality of life in elderly people

By Pusparini*, Rita Khairani** dan Danny Wiradharma*

        Increasingly life expectancy age caused increasing elderly population in the world. These phenomenon must be followed by improve healthy quality of life (QOL) among elderly people. The objective of this study was to explore whether lipid profile can be used as a predictor of QOL in elderly peoplle. One hundred and three elderly people from one district in South Jakarta was recruited into this study. The mean aged among women elderly were 65.64 ± 6.17 years and among men elderly were 66.70 ± 5.86 years. The result showed that the mean scores QOL among elderly in this study were physical capacity domain 13.18 ± 1.72, psychological well-being domain 12.91 ± 1.89, and social relationship domain 13.69 ± 2.74 and environment domain 14.05 ± 1.76. Percentage elderly who had score of QOL under the median score are 42.7% for physical capacity domain, 39.8% for psychological well-being domain, 35% for social relationship domain and 48.5% for environment domain. So, QOL in this study showed that more 50% elderly in this study had a good QOL. Total cholesterol, low densety lipoprotein (LDL) cholesterol apo B, and small dense LDL were predictors for QOL in elderly people.

Language : English

Musculoskelatal pain and its relationship with functional physical ability in the elderly

By M.R. Rachmawati, Diana Samara, Purnamawati Tjhin, dan Magdalena Wartono

            Chronic pain is the most common problem in older people. There is evidence that many older people do not receive adequate pain management. The objective of this study were to describe the characterisric of pain and its relationship with functional physical capacity. A cross sectional design was conducted in subdistrict Mampang Prapatan South Jakarta. The study sample consisted of 225 elderly in the period from December 2005 to January 2006. Participants were interviewed using questionnaires on respondent characteristics, symptom of pain, and physical examination to determine the localization of pain. Pain intensity was measured using the visual analogue scale (VAS) and functionality by the functional independence measure (FIM) scale in the physical domain. The study showed that the prevalence of musculoskeletal pain was 80%. The average score for musculoskeletal pain assessed using VAS was 2.7 ± 1.9 and the most location for pain was in the knee area (41%). The mean score of FIM was 6.9 ± 0.4, categorized as modified independent. Posture of the body was correlated significantly with musculoskeletal pain. There was a weak relationship between pain and functional physical ability in function of bed transfer, chair transfer, wheel-chair transfer, toilet transfer, tub transfer and problem solving. Pain management in the elderly presents several challenges, including the discrepancy between the high prevalence of pain in the elderly and the limited attention to this group.

Language : Indonesia

Practice of geriatric medicine towards healthy ageing

By Kris Pranarka

            Clinical presentation of disease in old age is oftenly different from that in younger patients. This and the fact that old people also show the changes of ageing and of multiple pathology, make clinical assessment, treatment, and rehabilitation all the more challenging. Geriatric medicine is a branch of general internal medicine, concerned with the clinical, preventive, remedial and psycho-social aspects of disease and health in the elderly. The aims of geriatric medicine are: (i) maintenance of health in old age, by avoidance of disease and continuing social engagement; (ii) maintenance of maximum independence; (iii) early detection and appropriate treatment of disease; and (iv) sympathetic care and support during terminal illness. Health according to WHO refers to physical, mental and social well being. Healthy ageing is commonly used as a synonym for disability-free life expectancy towards ageing. In its development, healthy ageing will be much influenced by endogenic as well as exogenic factors. Logically, healthy ageing must be followed by active ageing, continuing participation in social, cultural, spiritual, economic and civic affairs. A well organized geriatric medicine service has a major role in healthy ageing.

Language : Indonesia