scholarly journals The Association between Urine Elements and Fasting Glucose Levels in a Community-Based Elderly People in Beijing

2021 ◽  
Author(s):  
Liu Liu ◽  
Ang Li ◽  
Qun Xu ◽  
Qin Wang ◽  
Feng Han ◽  
...  
Keyword(s):  
Elderly People ◽  
Fasting Blood Glucose ◽  
Epidemiological Studies ◽  
Two Phase ◽  
Cross Sectional ◽  
Glucose Levels ◽  
Element Concentrations ◽  
Inclusion Probabilities ◽  
Cross Sectional Design ◽  
Nonlinear Correlations

Abstract Epidemiological studies have demonstrated that various kinds of urinary element concentrations were different between healthy, prediabetes, and diabetes patients. Meanwhile, many studies have explored the relationship between element concentration and fasting blood glucose (FBG), but the association between joint exposure to co-existing elements and FBG level has not been well understood. The study explored the associations of joint exposure to co-existing urinary elements with FBG level in a cross-sectional design. 275 retired elderly people were recruited from Beijing, China. The questionnaire survey was conducted, and biological samples were collected. The generalized linear model (GLM) and two-phase Bayesian kernel machine regression (BKMR) model were used to perform in-depth association analysis between urinary elements and FBG. The GLM analysis showed that Zn, Sr, and Cd were significantly correlated with the FBG level, under control potential confounding factors. The BKMR analysis demonstrated 8 elements (Zn, Se, Fe, Cr, Ni, Cd, Mn, and Al) had a higher influence on FBG (Posterior inclusion probabilities >0.1). Further intensive analyses result of the BKMR model indicated that the overall estimated exposure of 8 elements was positively correlated with the FBG level and was statistically significant when all element concentrations were at their 65th percentile. Meanwhile, the BKMR analysis showed that Cd and Zn had a statistically significant association with FBG levels when other co-existing elements were controlled at different levels (25th, 50th or 75th percentile), respectively. The results of the GLM and BKMR model were inconsistent. The BKMR model could flexibly calculate the joint exposure to co-existing elements, evaluate the possible interaction effects and nonlinear correlations. The meaningful conclusions were found that it was difficult to get by traditional methods. This study will provide methodological reference and experimental evidence for the association between joint exposure to co-existing elements and FBG in elderly people.

scholarly journals Pengaruh Self-Care terhadap Kadar Glukosa Darah Puasa Pasien Diabetes Melitus Tipe-2

2019 ◽  
Vol 9 (2) ◽  
Author(s):  
Syahrizal Ramadhani ◽  
Arie Fidiawan ◽  
Tri Murti Andayani ◽  
Dwi Endarti
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Fasting Blood Glucose ◽  
Self Care ◽  
Chi Square ◽  
Cross Sectional ◽  
Control Blood Glucose ◽  
Glucose Levels ◽  
Chi Square Test ◽  
Cross Sectional Design

Diabetes Mellitus (DM) is a chronic hyperglycemic condition which may affect all aspects of life of the sufferer, and it can be life threatening. This problem can be minimized by doing self-care. Self-care has an influence on glycemic control, prevention of complications due to uncontrolled blood glucose and improving the quality of life for people with diabetes mellitus. This study aimed to determine the effect of self-care on fasting blood glucose of type 2 diabetics. This type of research was observational with cross-sectional design. The inclusion criteria for the study were patients with a diagnosis of diabetes mellitus aged > 18-year-old, treatment at a health center >8 weeks, had records of the last blood glucose fasting ≤1 month before the interview, while the exclusion criteria were patients who refused to participate and patients who could not communicate. Self-care measurement uses the Diabetes Self-Care Management Question (DSMQ) instrument. The number of respondents from this study was 115 people where 79,1% of respondents had a good level of self-care and 47% of respondents with fasting glucose levels that had not been achieved. The data were analyzed using Chi-square test. From this study, it was found that self-care had an effect on fasting blood glucose (OR=3,349, P<0,05). The lowest value of self-care in this study is the domain of physical activity and health-care, therefore patient motivation needs to be improved by exercise and routine check-up because self-care is one of the important factors that could control blood glucose levels.

HUBUNGAN DUKUNGAN KELUARGA, PENGETAHUAN, DENGAN KEAKTIFAN LANJUT USIA (Lansia) MENGIKUTI KEGIATAN POSYANDU LANSIA DI WILAYAH PUSKESMAS GADING SURABAYA

2020 ◽  
Vol 4 (1) ◽  
pp. 1-6
Author(s):  
NINDY VARA MEIGIA
Keyword(s):  
Health Center ◽  
Family Support ◽  
Elderly People ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Design Data ◽  
Cross Sectional ◽  
Bivariate Data ◽  
Quality Regulation ◽  
Cross Sectional Design

Minimum Standards Service is basic service quality regulation that is entitled to be obtained by every citizen. Elderly people must obtain 100% health services. Various factors can lead to low visits to the elderly posyandu in the Gading Puskesmas area in 2017. Objective: to find out the relationship between family support, knowledge, and elderly activities in the elderly posyandu in Gading Surabaya puskesmas. Method: The type of research is observational analytic with a cross-sectional design. Data processing and analysis is done by univariate and bivariate. Data collection techniques by conducting simple random sampling with a sample of 94 elderly people. Location and time of research from December 2018 at the posyandu in the Gading Surabaya health center area. Results: There is a significant value of 0,000 <0,05, so it can be concluded is have a relationship with family support, knowledge of elderly with activity following the elderly posyandu at Gading Surabaya health center

scholarly journals Status kesehatan dan asupan mikronutrien vegetarian dan nonvegetarian di Bali

2021 ◽  
Vol 17 (4) ◽  
pp. 157
Author(s):  
Ni Ketut Sutiari ◽  
Ali Khomsan ◽  
Hadi Riyadi ◽  
Faisal Anwar ◽  
Desak Putu Yuli Kurniati ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Fasting Blood Glucose ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Micronutrient Intake ◽  
The Mean ◽  
Vegetarian Diets ◽  
Sugar Levels

Health status and micronutrient intake among vegetarian and non-vegetarian in BaliBackground: Several studies have reported that vegetarian diets have health benefits for those adopting the diets.Objective: This study aimed to compare anemia status and micronutrient intake between vegetarians and non-vegetarians in Bali.Methods: This cross-sectional study was conducted in Bali. A total of 240 samples consisting of 160 vegetarians and 80 non-vegetarians were randomly selected. Hemoglobin (Hb) and fasting blood sugar levels were measured using the cyanmethemoglobin method and enzymatic colorimetric, respectively. Meanwhile, the data on micronutrient intakes were collected by interviews using the semi-quantitative food frequency questionnaire (SQFFQ). The data were analyzed using descriptive statistics, and the Mann-Whitney test was performed to analyze the differences.Results: The study’s results showed that the mean Hb levels in the vegetarian group were significantly lower than non-vegetarians (p=0.002; p<0.05), and the anemia status in vegetarian women were higher (22.5%) than non-vegetarian women (2.5%). The mean fasting blood glucose level in non-vegetarians was significantly higher than in the vegetarian group (p=0.000; p<0.05). There were no differences in zinc (Zn) intake between vegetarians and non-vegetarians, but there were significant differences (p<0.05) in vitamin C, vitamin D, vitamin B12, folic acid, magnesium (Mg), calcium (Ca), and iron (Fe) intakes.Conclusions: There were differences in anemia status and fasting blood glucose levels between vegetarians and non-vegetarians. The fasting blood glucose levels of non-vegetarians were higher than vegetarians, and there were differences in the intake of certain micronutrients between vegetarians and non-vegetarians.

scholarly journals Hubungan kadar glukosa darah puasa dengan obesitas pada remaja di Kecamatan Bolangitang Barat Kabupaten Bolaang Mongondow Utara

2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Reiner C. Polii ◽  
Billy J. Kepel ◽  
Widdhi Bodhi ◽  
Aaltje E. Manampiring
Keyword(s):  
Blood Sugar ◽  
Blood Sugar Level ◽  
Analytical Study ◽  
Fasting Blood Glucose ◽  
Fasting Blood Sugar ◽  
Weak Correlation ◽  
Cross Sectional ◽  
Obese Adolescent ◽  
Spearman Correlation Test ◽  
Cross Sectional Design

Abstract: Obesity has become a serious problem world-wide. Obesity occurs due to the imbalance of intake and output energy. Thus, it is related with the incidence of insulin resistance and the disruption of glucose metabolism. This study was aimed to obtain the correlation between fasting blood sugar level and obesity in adolescents. This was an analytical study with a cross-sectional design. The results showed that the major category of subjects was obese I (38.33%). The highest percentage was normal blood sugar which was found in non-obese adolescent (96.8%). The Spearman correlation test showed a sweak correlation between obesity and fasting blood sugar level in adolescent (r=0.386; p=0.004). Conclusion: There was a significant weak correlation between fasting blood sugar level and obesity in adolescents.Keywords: obesity, fasting blood glucose, adolescent. Abstrak: Obesitas menjadi masalah di seluruh dunia baik di negara maju maupun negara berkembang, prevalensinya pun meningkat begitu pesat. Obesitas terjadi karena adanya ketidakseimbangan antara energi yang masuk dengan energi yang keluar. Obesitas berkaitan dengan terjadinya resitensi insulin dan gangguan metabolisme glukosa.Penelitian ini bertujuan untuk mengetahui hubungan kadar glukosa darah puasa dengan obesitas pada remaja di Kecamatan Bolangitang Barat Kabupaten Bolaang Mongondow Utara. Jenis penelitian ialah analitik dengan desain potong lintang. Hasil penelitian menunjukkan bahwa subjek penelitian terbanyak dalam kategori obes I (25,0-29,9 kg/m2) sebesar 38,33%. Kadar gula darah normal pada remaja non-obes dengan persentasi tertinggi (96,8%). Analisis korelasi Spearman pada kedua variabel memperoleh nilai koefisien korelasi r = 0,368 (p = 0,004). Simpulan: Terdapat hubungan bermakna yang lemah antara kadar gula darah puasa dan obesitas pada remaja. Kata kunci: obesitas, gula darah puasa, remaja

Biochemical measures in a population-based study: effect of fasting duration and time of day

2002 ◽  
Vol 39 (5) ◽  
pp. 493-501 ◽  
Author(s):  
JR Emberson ◽  
PH Whincup ◽  
M Walker ◽  
M Thomas ◽  
KGMM Alberti
Keyword(s):  
Ldl Cholesterol ◽  
Epidemiological Studies ◽  
Population Based ◽  
Time Of Day ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Glucose Levels ◽  
Heart Study ◽  
Biochemical Measurements ◽  
Fasting Duration

Background: Epidemiological studies generally aim to make simple but unbiased measurements of individuals. For this reason measurements of metabolic variables (including blood lipids, glucose and insulin) are usually carried out after a period of fasting. Few studies have examined the extent to which the use of a defined protocol for fasting in epidemiological studies abolishes the influence of fasting duration and time of day on biochemical measurements. Methods: Cross-sectional survey of British Regional Heart Study participants (4252 men aged 60-79 years), in which men without diabetes were asked to provide a blood sample after fasting for at least 6 h. Serum total, HDL and LDL cholesterol, triglyceride and insulin, and plasma glucose concentrations were measured between 08:00 h and 18:00 h. Results: Non-fasting men had lower mean LDL cholesterol and higher glucose, insulin and triglyceride levels than fasting men; these differences were more marked among diabetics. Among fasting men without diabetes, insulin and glucose levels were strongly related to time of day, falling gradually throughout the morning and remaining stable in the afternoon. Because of these relationships and the dependence of fasting duration on time of day, insulin and glucose displayed a periodic relation with fasting duration above 6 h. These associations were largely abolished by adjustment for time of day; associations with time of day were unaffected by adjustment for fasting duration. Triglyceride concentrations fell with increasing fasting duration. This relationship was also mediated through a gradual increase in triglyceride levels throughout the day. Adjustments to compensate for these variations are described. Discussion: Even after fasting, biochemical measurements may still differ in relation to fasting duration and time of day. In epidemiological studies, it is important to standardize both the period of fasting and the time of day as much as possible, and make adjustments where necessary.

scholarly journals Status of serum uric acid in diabetic and non-diabetic subjects.

2020 ◽  
Vol 27 (11) ◽  
pp. 2458-2462
Author(s):  
Naveed Ahsan ◽  
Fasiha Fatima ◽  
Sarwat Jahan ◽  
Shahid Zafar ◽  
Jai Kershan
Keyword(s):  
Diabetes Mellitus ◽  
Uric Acid ◽  
Serum Uric Acid ◽  
Medical Center ◽  
Fasting Blood Glucose ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Glucose Levels ◽  
Relative Deficiency

Diabetes Mellitus is a chronic metabolic disorder which occurs due to absolute or relative deficiency of insulin hormone and the diabetic patients are more prone to develop stroke, heart attack, kidney failure, blindness, coronary artery disease, neuropathy and gangrene. Increased uric acid levels in serum are one of the metabolic abnormalities associated with diabetes mellitus type 2. Objectives: The purpose of the research is to assess the status of serum uric acid in non-diabetic and diabetic subjects. Study Design: Cross Sectional Comparative study. Setting: Department of Medicine Jinnah Postgraduate Medical Center, Karachi. Period: Feb 2018 till September 2018. Material & Methods: A total of 80 subjects of both sexes were taken and divided into two groups. Fasting glucose levels, serum uric acid were performed by enzymatic method. Results: This study showed significantly raised levels of serum uric acid and Fasting blood glucose (FBS) in diabetic type 2 subjects when compared to non-diabetic subjects(p<0.01). Conclusion: The results of the present study suggests that compared to non‐diabetic subject’s diabetic subjects have significantly higher level of uric acid.

scholarly journals BEYOND RESEARCH COOPERATION ON SUCCESSFUL AGING: COMPARATIVE ANALYSIS OF THE COGNITIVE PERFORMANCE OF ELDERLY PEOPLE IN BRAZIL AND FINLAND

2019 ◽  
Vol 3 ◽  
pp. 79
Author(s):  
Geraldine Alves dos Santos ◽  
Päivi Sanerma
Keyword(s):  
Elderly People ◽  
Cognitive Performance ◽  
Successful Aging ◽  
Descriptive Analysis ◽  
Rio Grande ◽  
Pathological Process ◽  
Rio Grande Do Sul ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
Quantitative Descriptive

ABSTRACTMany studies have been carried out, mainly in the last decades, to understand the normal and pathological process of aging in the different areas of knowledge. However, many gaps still remain in the progress of science. In this sense, the overall objective of the present study was to evaluate the comparison between the performance of congruent elderly people in Brazil and Finland. The study method had a quantitative, descriptive cross - sectional design. The sample consisted of 194 subjects of both sexes, aged between 60 and 79 years, residing in the municipality of Ivoti / Rio Grande do Sul / Brazil and 93 subjects, both genders aged 65 to 85 years residing in Riihimäki / Finland. The instrument used was the Mini Mental State Examination (MMSE). Data were analyzed statistically in SPSS version 25.0 through descriptive analysis of frequency and comparison of means by the Mann Whitney test (p≤0.05). The results showed that the cognitive performance of elderly people in the Ivoti group was significantly higher than those of Riihimäki. It can be concluded that cultural variables influenced outcomes, such as experiences in the early stages of human development and current interpersonal relationships.Keywords: Cognitive performance. Successful aging. Elderly. RESUMOMuitos estudos têm sido realizados, principalmente nas últimas décadas, para compreender o processo normal e patológico de envelhecimento, nas diferentes áreas do conhecimento. Entretanto, muitas lacunas ainda se mantêm presentes no progresso da ciência. Neste sentido, o objetivo geral do presente estudo foi avaliar a comparação entre o desemepnho congitivo de pessoas idosas residentes no Brasil e na Finlândia. O método do estudo teve um delineamento quantitativo, descritivo e transversal. A amostra compreendeu 194 sujeitos, de ambos os sexos, com idade entre 60 e 79 anos, residentes no município de Ivoti/Rio Grande do Sul/Brasil e 93 sujeitos, de ambos os sexos com idade entre 65 e 85 anos residentes em Riihimäki/Finlândia. O instrumento utilizado foi o Mini Exame do Estado Mental (MEEM). Os dados foram analisados estatisticamente no programa SPSS versão 25.0 através de análises descritivas de frequência e de comparação de médias pelo teste Mann Whitney (p≤0,05). Os resultados demonstraram que o desempenho cognitivo das pessoas idosas do grupo de Ivoti foi significativamente maior que os de Riihimäki. Pode-se concluir que variáveis culturais influenciaram os resultados, tais como experiências nas fases iniciais do desenvolvimento humano e as relações interpessoais atuais.Palavras-chave: Desempenho cognitivo. Velhice. Idosos.

scholarly journals The Role of Angiopoietin-like Protein 3 and Fibroblast Growth Factor 21 to Lipolysis, Inflammation and Insulin Resistance in Indonesian Non-Diabetic Obese Male

2010 ◽  
Vol 2 (2) ◽  
pp. 33
Author(s):  
Yani Lina ◽  
Gatot Susilo Lawrence ◽  
Andi Wijaya ◽  
Suryani As'ad
Keyword(s):  
Insulin Resistance ◽  
Fasting Blood Glucose ◽  
Feedback Mechanism ◽  
Fibroblast Growth Factor 21 ◽  
Low Grade ◽  
Cross Sectional ◽  
Negative Feedback Mechanism ◽  
Two Factors ◽  
Cross Sectional Design

BACKGROUND: Obesity is commonly associated with a systemic low grade inflammation and insulin resistance state. Although it is still being debated, increased lipolysis is known as one of the risk factors for inflammation and insulin resistance. Two factors already known to affect lipolysis are Angptl3, known as prolipolytic factor, and FGF21, known as antilipolytic factor. The aim of this study was to observe the role of Angptl3 and FGF21 to lipolysis, inflammation and insulin resistance in non diabetic obese male.METHODS: This was an observational study with cross sectional design. One hundred and thirty male subjects aged 30-60 years with non diabetic abdominal obesity characterized by waist circumference 97.32±5.63 cm and fasting blood glucose 90.19±8.78 mg/dL.RESULTS: The results of this study showed a correlation between Angptl3-FFA (r=0.203; p=0.021; R square=0.041; p=0.021), Angptl3-FABP4 (r=0.330; p=0.000; R square=0.109; p=0.000) and Angptl3-TNFα (r=0.288; p=0.001; R square=0.049; p=0.011). There was a correlation between FGF21-FABP4 (r=0.218, p=0.013; R square=0.047, p=0.013) and FGF21 HOMA-IR (r=0.308, p=0.000; R square=0.046, p=0.014).CONCLUSIONS: We conclude that Angptl3 may affect lipolysis and inflammation while FGF21 may affect lipolysis and insulin resistance. The increased FGF21 concentration might occur as a compensation (negative feedback mechanism) to reduce lipolysis and increase insulin sensitivity in non diabetic obese males. Further studies might be needed to observe Angptl3 and FGF21 profile in more severe obese population in Indonesia.KEYWORDS: obesity, lipolysis, inflammation, insulin resistance

scholarly journals Association between Dietary Magnesium Intake and Glycemic Markers in Ghanaian Women of Reproductive Age: A Pilot Cross-Sectional Study

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4141
Author(s):  
Helena J. Bentil ◽  
Alyssa M. Abreu ◽  
Seth Adu-Afarwuah ◽  
Joseph S. Rossi ◽  
Alison Tovar ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Fasting Blood Glucose ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Magnesium Intake ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Dietary Magnesium ◽  
Glycemic Markers

Low magnesium intake has been shown to be associated with an increased risk of type 2 diabetes mellitus (T2DM) in several studies conducted in high-income countries. However, very few studies have been performed in Africa, where many countries have a growing rate of T2DM. We conducted a pilot cross-sectional study among 63 women in Ghana to investigate the association between magnesium intake and glycemic markers. We assessed dietary magnesium using a food frequency questionnaire and glycemic markers using fasting blood glucose and glycated hemoglobin A1c (HbA1c). Our findings showed that the mean magnesium intake was 200 ± 116 mg/day. The prevalence of T2DM was 5% by measuring fasting blood glucose and 8% by measuring HbA1c. Unadjusted linear regression models revealed that higher magnesium intake significantly predicted higher fasting blood glucose levels (β = 0.31; 95% CI: 0.07, 0.55; p = 0.01) and HbA1c levels (β = 0.26; 95% CI: 0.01, 0.51; p = 0.04). In adjusted analyses, magnesium intake was no longer significantly associated with either fasting blood glucose levels (β = 0.22; 95% CI: −0.03, 0.46; p = 0.08) or HbA1c levels (β = 0.15; 95% CI: −0.08, 0.39; p = 0.20). In conclusion, our study did not show a significant association between magnesium intake and glycemic markers in women of reproductive age in Ghana. The results of this study need to be further substantiated because this was the first study to examine magnesium intake and glycemic markers in this population in Africa.

scholarly journals Persepsi pengguna gigi tiruan lepasan terhadap fungsi estetik dan fonetik di komunitas lansia Gereja International Full Gospel Fellowship Manado

e-GIGI ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Joshua D.G. Tulandi ◽  
Lydia Tendean ◽  
Krista V. Siagian
Keyword(s):  
Oral Cavity ◽  
Elderly People ◽  
Sampling Method ◽  
Human Life ◽  
The Elderly ◽  
Descriptive Study ◽  
Cross Sectional ◽  
Full Gospel ◽  
Cross Sectional Design ◽  
The Aesthetic

Abstract: Elderly is the final step of evolution in human life in which the function of oral cavity starts to degrade and impact life, as well as to reduce the aesthetic and phonetic functions. However, the loss of aesthetic and phonetic functions in the elderly stage can be restored by using dentures. This study was aimed to assess the perception about denture aesthetic and phonetic functions among elderly people at International Full Gospel Fellowship Church in Manado. This was a descriptive study with a cross sectional design. There were 73 respondents in this study obtained by using total sampling method and consisted of elderly people who used dentures and agreed to fill the questionnaires. Data were analyzed descriptively and presented in tables. The results showed that based on satisfaction of using denture, the perception of the respondents had the highest score of 361 points (good category). Based on the aesthetic function, the perception of the respondents had the score of 330.3 points (good category); and based on the phonetic function, the perception of the respondents had the score of 334 points (good category). Conclusion: The perception of aesthetic and phonetic functions of dentures among the elderly people at International Full Gospel Fellowship Manado belonged to good category.Keywords: elderly, perception, denture, aesthetics, phonetics Abstrak: Lansia (lanjut usia) merupakan tahap akhir perkembangan dalam kehidupan manusi dimana mulai terjadinya penurunan fungsi pada rongga mulut yang berdampak pada kehidupan lansia dan penurunan fungsi estetik dan fonetik. Kehilangan fungsi estetik dan fonetik pada lansia dapat dikembalikan dengan pemasangan gigi tiruan. Penelitian ini bertujuan untuk mengetahui persepsi lansia terhadap fungsi estetik dan fonetik gigi tiruan lepasan di komunitas Gereja International Full Gospel Fellowship Manado. Jenis penelitian ialah deskriptif dengan desain potong lintang. Pada penelitian ini digunakan 73 responden yaitu lansia yang memakai gigi tiruan, diperoleh dengan metode total sampling, dan bersedia mengisi kuesioner. Data yang diperoleh diolah secara deskriptif kemudian disajikan berdasarkan distribusi dalam bentuk tabel. Hasil penelitian menunjukkan persepsi lansia berdasarkan kepuasan pada penggunaan gigi tiruan memiliki skor tertinggi yaitu 361 termasuk kategori baik, persepsi lansia berdasarkan fungsi estetik memiliki skor sebanyak 330,3 termasuk kategori baik,dan persepsi lansia terhadap fungsi fonetik sebanyak 334 termasuk kategori baik. Simpulan: Persepsi lansia terhadap fungsi estetik dan fonetik gigi tiruan lepasan di komunitas Gereja International Full Gospel Fellowship Manado termasuk kategori baik.Kata kunci: persepsi, lansia, gigi tiruan, estetik, fonetik

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