scholarly journals Profile of Muscle Strength and Physical Performance with the Incidence of Urinary Incontinence in Elderly Women

2021 ◽  
Vol 5 (3) ◽  
pp. 91-95
Author(s):  
Jihan Nabila Pranjasdhina ◽  
Novira Widajanti ◽  
Rwahita Satyawati Dharmanta

Introduction: The 200 million people in the world experience urinary incontinence. In general, with increasing age, the capacity of the bladder decreases. The remaining urine in the bladder tends to increase and irregular contraction of the bladder muscles becomes more frequent. This situation often makes the elderly experience problems with the fulfillment of urine elimination needs, namely urinary incontinence. Efforts to overcome urinary incontinence in the form of bladder training programs are aimed at developing muscle tone and bladder sphincter so that it can function optimally. Objective: Knowing the profile of muscle strength and physical performance with the incidence of urinary incontinence in elderly women. Methods: This research was a retrospective descriptive study based on the results of filling out the questionnaire and evaluating it directly. Based on tabulated data, 38 elderly women were selected as the study sample. Results: There were (42.1%) urinary incontinence on elderly with very poor left hand muscle strength and (50%) urinary incontinence on elderly with very poor right hand muscle strength. In physical performance with urinary incontinence as many as (57.8%) were normal and (42.1%) were poor. Conclusions: Muscle strength and physical performance can be used as a measurement to early detection of the urinary incontinence. Keywords: urinary incontinence; muscle strength; physical performance; descriptive retrospective study

Author(s):  
Titin Kristiana ◽  
Novira Widajanti ◽  
Rwahita Satyawati

ABSTRACTBackground: Sarcopenia is a decrease in muscle mass and strength that mostly happens in the elderly. Sarcopenia is a problem that is often found in the elderly who are at risk of disability, hospitalization and death. This data on muscle mass and strength with physical performance is expected to support the theory of sarcopenia and as a reference in promoting and preventing sarcopenia in elderly.Aims: To analyze the association between muscle mass and strength (handgrip strength) with physical performance assessed using Short Physical Performance Battery (SPPB) in an elderly community.Methods: This study was a cross-sectional observational analytic study involving 203 sample of elderly (age >60 years old). The subjects were categorized as the strong and weak muscle mass and muscle strength, also the high, moderate and low physical performance. We used Bioimpedance Analysis (BIA) and hand dynamometer to measure muscle mass and muscle strength (handgrip strength). SPPB was used to assess physical performance.The association between muscle mass and strength with physical performance was displayed in bivariate analysis with chi square.Result: Of all 203 subjects, 57 were males and 146 were females. Chi square test showed association between muscle strength (handgrip strength) with physical performance (SPPB) (p=0.001), with a weak correlation (r=0.26) and no association between muscle mass and physical performance (SPPB) (p=0.517).Conclusion: There is a positive association between muscle strength with physical performance, with a weak correlation and no association between muscle mass and physical performance in the elderly community in Surabaya.


2020 ◽  
Vol 18 (Suppl.1) ◽  
pp. 148-152
Author(s):  
P. Penev

PURPOSE: The knowledge for the disease sarcopenia among the elderly population in Bulgaria is insufficient. Whole-body dual-energy X-ray (DXA) scans, anthropometric and clinical tests are used to diagnose it. Early screening of sarcopenia is an important strategy for the timely detection of this disease. The aim of the current study is to identify sarcopenia in the elderly through SARC-F questionnaire. METHODS: Data were obtained based on a questionnaire conducted by the student nurses in the Faculty of Public Health and Health Care of the University "Prof. Dr. Assen Zlatarov"-Burgas. A five-component SARC-F questionnaire was used to assess muscle strength. A sum equal to or greater than 4 is predictive of sarcopenia. 113 women aged ≥65 with a mean age of 74.6 ± 6.7 years were included in the study. RESULTS: 37% of the women had a total score corresponding to the risk of sarcopenia. The most common signs were a lack of muscle strength and an increased number of falls. The assessment of SARC-F might facilitate the physicians in the clinical practice to detect sarcopenia in the elderly population. CONCLUSIONS: SARC-F is a reliable method for the assessment of sarcopenia in elderly women.


2004 ◽  
Vol 52 (5) ◽  
pp. 719-724 ◽  
Author(s):  
Brenda W. J. H. Penninx ◽  
Marco Pahor ◽  
Matteo Cesari ◽  
Anna Maria Corsi ◽  
Richard C. Woodman ◽  
...  

2021 ◽  
Vol 9 (B) ◽  
pp. 55-59
Author(s):  
Nur Riviati ◽  
Taufik Indrajaya ◽  
Erial Bahar ◽  
Dobi Saputra Burni

BACKGROUND: Geriatric problem characterized by reduced functional ability and impaired adaptation function caused by the decline in various body systems, as well as increased vulnerability to various kinds of stressors, which reduce a person’s functional performance. AIM: This study was aimed to explore the effect of omega-3 supplementation on muscle mass, muscle strength, and physical performance in the elderly community in Palembang, Indonesia. METHODS: This study is an open clinical trial, to assess the potential of omega-3 supplementation on muscle mass, handgrip strength, and physical activity of elderly community. Omega-3 is given as much as 1.2 g once a day for 12 weeks orally. Muscle strength was assessed using Bioelectrical Impedance Analysis. Meanwhile, the muscle strength was assessed with a muscle dynamometer. RESULTS: Omega-3 supplementation has only shown potent efficacy in improving muscle strength in geriatrics patients (before omega-3 supplementation 25.1 + 5.11; after omega-3 supplementation 26.2 + 5.16; p < 0.05). Omega 3 supplementation did not show significant improvement in muscle mass and gait ability in elderly patients. CONCLUSIONS: Omega-3 supplementation improves handgrip strength but does not increase muscle mass and physical performance for geriatrics.


2021 ◽  
Vol 5 (9) ◽  
pp. 862-870
Author(s):  
Muhammad Erfin ◽  
Nur Riviati ◽  
Nova Kurniati ◽  
Erial Bahar ◽  
Erwin Sukandi ◽  
...  

Introduction. Old age is related to geriatric syndrome where there are several health problems that often occur related to a decrease in body function and an increase in the inflammatory process. Decrease in muscle mass, muscle strength and physical performance will cause a condition of sarcopenia and frailty syndrome in the elderly. The importance of prevention so that sarcopenia does not occur in the elderly by evaluating the factors that can cause it, one of which is controlling interleukin 6 (IL-6) as proinflammatory. The purpose of this study was to determine the correlation between serum IL-6 levels with muscle mass, muscle strength and physical performance in the elderly gymnastics-community in Mohammad Hoesin General Hospital, Palembang. Methods. This research is an observational analytic study with a cross-sectional approach which was conducted at the Integrated Geriatric Clinic Internal Medicine RSMH Palembang from November 2019 to November 2020. A sample of 31 people aged > 60 years was examined for muscle mass, muscle strength, physical performance and IL-levels. 6 serum. All data processing and analysis in this study used the SPSS version 25 for Windows program. Results. of the 31 subjects, 27 were female (87.1%) and 4 male (12.9%). The mean value of muscle mass is37.9 kg/m2, muscle strength 23 kg, and physical performance 6.1 m/sec.There were 28 (90.3%) samples with elevated serum IL-6 levels, while 3 (9.7%) samples had normal levels. There was a significant negative correlation (p = 0.000) with a strong correlation strength (r = -0.722) between serum IL-6 levels and muscle mass and a significant negative correlation (p = 0.050) with a weak correlation strength (r = -0.354) between IL levels -6 serums with physical performance. Conclusions. There was a significant negative correlation between serum IL-6 levels and muscle mass and physical performance. So, it is very important to prevent an increase in serum IL-6 levels so that the elderly do not fall into a state of sarcopenia.


2020 ◽  
Vol 3 (1) ◽  
pp. 10
Author(s):  
Aulia Ramadhani ◽  
Taufan Bramantoro ◽  
Fridaniyanti Khusnul Khotimah ◽  
Lintang Maudina Santosa ◽  
Nancy Cynthia Sudiartha ◽  
...  

Background: An epidemiological study on elderly conducted by the PKL group number 6 in Jagir Health Public HealthCenter showed that periodontitis was linked hypertension, low muscle strength, and low physical activity, and carieswere linked to low muscle strength and low physical activity. Purpose: To create an informational health video aboutdental and oral health and physical performance in the elderly because there was none. Methods: The program wasconducted on Monday, 22 July 2019, at the Jagir Public Health Center using individual interviews. Results: Of the 20respondents, 5% of them disagreed, 5% quite agreed, 20% agreed, 70% strongly agreed that SEIMUT PERSIA helpedthem learn about dental and oral health and physical performance in the elderly. Out of the 20 respondents, 5% of themquite agreed, 15% agreed, and 80% strongly agreed that the SEIMUT PERSIA video was interesting to watch. Out of the20 respondents, 5% of them quite agreed, 20% agreed, and 75% strongly agreed that the SEIMUT PERSIA video was easyto digest. Conclusion: The respondents were interested in the information about dental and oral health and the physicalperformance of the elderly, and the video was easy to understand.


2021 ◽  
Vol 1 (3) ◽  
pp. 284-296
Author(s):  
Elsa Refany ◽  
Resmi Pangaribuan ◽  
Jemaulana Tarigan

ABSTRACT: FULFILLMENT OF URINE INCONTINENCE NEEDS FOR ELIMINATION WITH KEGEL EXERCISE AT BINJAI ELDERLY SOCIAL SERVICE UPT Background: Urinary incontinence means the spontaneous expulsion of urine at any time against the will (involuntary). Elderly is the process of slowly losing the ability of tissues to repair themselves/replace and maintain their normal function.Purpose: Kegel exercises are exercises to strengthen the pelvic muscles or exercises that aim to strengthen the pelvic floor muscles, especially the pubococcygeal muscles so that a woman can strengthen the urinary tract muscles.Methods: This research method is descriptive with a nursing process approach. The subject of the study was conducted on 2 patients with the same case, namely in patients who experienced urinary incontinence.Results: The results of the urinary incontinence assessment were associated with decreased bladder and detrusor muscle tone. The nursing interventions and implementation are monitoring the pattern and ability to urinate, identifying the causes of urinary incontinence, explaining the definition, types, and causes of urinary incontinence, recommending limiting fluid consumption 2-3 hours before bedtime, encouraging clients to do Kegel exercises and collaborating with medical and physiotherapists to overcome urinary incontinence. Kegel exercises were carried out in stages to the patient 2 days a day, morning and evening.Conclusion: The evaluation was carried out for 3 days and the results were that the patient was able to urinate and was controlled. The research is expected that the elderly UPT Binjai will improve more skills and always coordinate with other health teams in providing nursing care in accordance with Standard Operating Procedures (SOP). Keywords: Elimination Needs, Urinary Incontinence, Kegel Exercises INTISARI: PEMENUHAN KEBUTUHAN ELIMINASI PADA INKONTINENSIA URINEDENGAN KEGEL EXERCISE DI UPT PELAYANAN SOSIAL LANJUT USIA BINJAI Latar Belakang: Inkontinensia urin berarti pengeluaran urin secara spontan pada sembarang waktu diluar kehendak (involunter). Lansia adalah proses hilangnya secara perlahan-lahan kemampuan jaringan untuk memperbaiki diri/mengganti dan mempertahankan fungsi normalnya.Tujuan: Senam kegel adalah senam untuk menguatkan otot panggul atau senam yang bertujuan untuk memperkuat otot-otot dasar panggul terutama otot pubococcygeal sehingga seorang wanita dapat memperkuat otot-otot saluran kemih.Metode: Metode penelitian ini adalah deskriptif dengan pendekatan proses Keperawatan. Subjek penelitian dilakukan pada 2 orang pasien dengan kasu yang sama yaitu pada pasien yang mengalami inkontinensia urin.Hasil: Hasil pengkajian inkontinensia urin berhubungan dengan penurunan tonus kandung kemih dan otot detrusor. Intervensi dan implementasi keperawatanya itu memonitor pola dan kemampuan berkemih, mengidentifikasi penyebab inkontinensia urine, menjelaskan definisi, jenis dan penyebab inkontinensia urine, menganjurkan membatasi konsumsi cairan 2-3 jam menjelang tidur, menganjurkan klien untuk senam kegel dan melakukan kolaborasi dengan medis dan fisioterapi untuk mengatasi inkontinensia urine. Senam kegel dilakukan secara bertahap kepada pasien 2 hari sehari pagi dan sore hari.Kesimpulan: Evaluasi dilakukan selama 3 hari dan  didapatkan hasil yaitu pasien dapat berkemih dan dikontrol. Penelitian diharapkan UPT lanjut usia Binjai meningkatkan keterampilan yang lebih dan selalu berkoordinasi dengan tim kesehatan lainnya dalam memberikan asuhan keperawatan sesuai dengan Standart Operasional Prosedur (SOP). Kata Kunci: Kebutuhan Eliminasi, InkontinensiaUrin, Senam Kegel


2019 ◽  
Vol 4 (2) ◽  
pp. 112
Author(s):  
Susanti Susanti ◽  
Susanti Susanti ◽  
Difran Nobel BIstara

Background: The weakness muscle is the biggest impact on patients with stroke, to the practice Range Of Motion with the aim is to maintain or preserve muscle strength, to maintain mobility joints and simulate circulation. With an increase in the incidence of stroke and disability, if the practice Range Of Motion is not implemented it will be a significant decrease in muscle strength, cause muscle kontraktur and a decubitus. Objective: The study aims to find his Range of Motion of muscle strength in patients with stroke in the Puskesmas Bulak Banteng Surabaya. Methods: This study uses Pra-eksperimental One Grup Pra-Post Test Design. Population in this study is a stroke patient who live in the Puskesmas Bulak Banteng Surabaya and sampels 32 of responden. The sample by using techniques simple random sampling. Variables independent in this study is Range Of Motion and the variables dependent is muscle strength. The instrument used in the collection of data is an observation to the strength of muscle and Range of Motion. Result: Wilcoxon test results show the significance level p value = 0.00 with α = 0.05 (p <α) on the right hand while in the left hand shows a significant level p value = 0.00 with α = 0.02 (p<α ).Conclusion:  H0 is rejected that there is influence between ROM exercises gripping the ball against the muscle tone in the right hand and left hand that suffered a stroke.Keywords: Range Of Motion, muscle strength.


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