scholarly journals GAMBARAN KEKUATAN OTOT PADA LANSIA DI BPLU SENJA CERAH PANIKI BAWAH

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Prisilia M. Pinontoan ◽  
Sylvia R. Marunduh ◽  
Herlina I. S. Wungouw

Abstract: The aim of this study was to find out the profile of muscle strength on elderly at BPLU Senja Cerah Paniki Bawah. This was a descriptive study with cross sectional design. There were 26 respondents who met the inclusion criteria, consisted of 10 elderly men and 16 elderly women. Respondents were selected by using purposive sampling method. The measurements of the muscle strength were done by using 1 RM method while doing elbow flexion, elbow extension, shoulder flexion, shoulder extension, shoulder abduction, knee flexion, knee extension and dorsoflexion. Data were analyzed manually and computerized then presented in tabular form. The result shows that the average muscle strength in elderly men were greater than women and the average muscle strength of respondents that were included in the age group 60-79 years old were greater than those in 80-99 years.Keywords: muscle strength, elderly.1 RMAbstrak: Tujuan dari penelitian ini yaitu untuk mengetahui gambaran kekuatan otot pada Lansia di BPLU Senja Cerah Paniki Bawah. Penelitian ini merupakan peneliltian deskriptif dengan rancangan potong lintang. Responden yang memenuhi kriteria inklusi terdiri dari 26 orang yang terdiri dari 10 orang laki-laki dan 16 orang perempuan. Sampel dipilih menggunakan cara purposive sampling. Kekuatan otot pada lansia diukur dengan menggunakan metode 1 RM yang diukur pada gerakan fleksi siku, ekstensi siku, fleksi bahu, ekstensi bahu, abduksi bahu, fleksi lutut, ekstensi lutut serta dorsofleksi. Data yang sudah didapatkan kemudian dikumpul dan diolah secara manual dan komputerisasi serta disajikan dalam bentuk tabel. Hasil penelitian menunjukkan rerata kekuatan otot responden laki-laki lebih besar dibanding perempuan dan rerata kekuatan responden yang termasuk dalam kelompok umur 60-79 tahun lebih besar dibanding kelompok umur 80-99 tahun.Kata kunci: kekuatan otot, lansia, 1 RM.

1970 ◽  
Vol 1 (1) ◽  
pp. 25
Author(s):  
Dedy Chandra Hariyono ◽  
Muhamad Hasan ◽  
Rony Prasetyo

Humerus fracture is a disruption of normal architecture in humerus bone . This study was conducted to identify The Range Of Motion (ROM), muscle strength of arm and analyze the comparison of the ROM and muscle strength on humerus fracture patients between operative and non-operative treatment. This research used non-experimental study with cross-sectional design. Observed variables were Range of Motion and muscle strength each measured by goniometer and muscle strength scale, respectively. Comparing to these circumstances, there were significant difference in shoulder abduction, shoulder flexion, shoulder extension, elbow extension and elbow flexion between operative treatment patients and non-operative treatment patients at dr. Soebandi Hospital Jember. Keywords : humerus fracture, range of motion, muscle strength.


Genes ◽  
2020 ◽  
Vol 11 (12) ◽  
pp. 1459
Author(s):  
Praval Khanal ◽  
Lingxiao He ◽  
Adam J. Herbert ◽  
Georgina K. Stebbings ◽  
Gladys L. Onambele-Pearson ◽  
...  

There is a scarcity of studies that have investigated the role of multiple single nucleotide polymorphisms (SNPs) on a range of muscle phenotypes in an elderly population. The present study investigated the possible association of 24 SNPs with skeletal muscle phenotypes in 307 elderly Caucasian women (aged 60–91 years, 66.3 ± 11.3 kg). Skeletal muscle phenotypes included biceps brachii thickness, vastus lateralis cross-sectional areas, maximal hand grip strength, isometric knee extension and elbow flexion torque. Genotyping for 24 SNPs, chosen on their skeletal muscle structural or functional links, was conducted on DNA extracted from blood or saliva. Of the 24 SNPs, 10 were associated with at least one skeletal muscle phenotype. HIF1A rs11549465 was associated with three skeletal muscle phenotypes and PTK2 rs7460 and ACVR1B rs10783485 were each associated with two phenotypes. PTK2 rs7843014, COL1A1 rs1800012, CNTF rs1800169, NOS3 rs1799983, MSTN rs1805086, TRHR rs7832552 and FTO rs9939609 were each associated with one. Elderly women possessing favourable genotypes were 3.6–13.2% stronger and had 4.6–14.7% larger muscle than those with less favourable genotypes. These associations, together with future work involving a broader range of SNPs, may help identify individuals at particular risk of an age-associated loss of independence.


2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Febriani Patandianan R. ◽  
Herlina I. S. Wungouw ◽  
Sylvia Marunduh

Abstract: Elderly are people who have biological systems changing both functional and structural due to the aging process. They experience a decline usphysical capacity, marked by the decrease. This study aimed to determine the effect of weight training on muscle strength of elderly. This was an experimental study with pre-post test group design. Results and Conclusion: In several movements which are showed a significant p value=0.000 (p<0.005) in muscle strength with elbow flexion, elbow extension, and shoulder extension. A significant value of p=0.001(p<0.005) is obtained on the movement of shoulder flexion, shoulder abduction, left foot flexion, and right foot extension, another results p value= 0.002 (p<0.005) in foot dorsoflexion, and p value 0.003 (p<0.005) on the movements of the left leg extension, leg flexion while dextra obtained significant p value=0.004 (p<0.005). As a conclusion weight training can strengthen the muscle of elderly.Keywords: weight training, muscle strength, elderlyAbstrak: Lansia merupakan orang yang sistem biologisnya mengalami perubahan-perubahan struktur dan fungsi dikarenakan usia yang sudah lanjut. Pada lansia terjadi penurunan kapasitas fisik yang ditandai dengan penurunan massa otot serta kekuatannya yang akan menjadi penghambat dalam melaksanakan aktivitas. Tujuan penelitian ini untuk mengetahui pengaruh latihan beban terhadap kekuatan otot lansia. Penelitian ini bersifat eksperimental dengan rancangan pre-post one group test. Hasil dan simpulan: Hasil penelitian menunjukkan nilai signifikan p=0,000 (p<0,05) pada kekuatan otot dengan gerakan fleksi siku, ekstensi siku dan ekstensi bahu. Nilai signifikan p=0,001 (p<0,05) pada gerakan fleksi bahu, abduksi bahu dan fleksi kaki sinistra, ekstensi kaki dextra, nilai p=0,002 (p<0,005) pada dorsofleksi kaki dan nilai p=0,003 (p<0,05) pada gerakan ekstensi kaki sinistra, sedangkan gerakan fleksi kaki dextra diperoleh nilai signifikan p=0,004 (p<0,05). Pada penelitian ini terdapat pengaruh latihan beban terhadap kekuatan otot lansia.Kata kunci: latihan beban, kekuatan otot, lansia


2021 ◽  
Vol 4 (1) ◽  
pp. 9
Author(s):  
Della Hestia Suyanto ◽  
Cindra Paskaria ◽  
Decky Gunawan

is a process of slowly losing the tissue's ability to maintain normal function and causing changes in muscle structure and function. A decrease in strength and muscle mass is a problem that often found in the elderly. Exercise is one of the factors that affect strength and muscle mass. The objective of the research is to compare the strength and muscle mass in elderly women who act and not actively exercise. This study is an observational analytic study with a cross-sectional design analyzed by an independent T-test. The research subjects were taken by purposive sampling, 20 elderly women aged over 60 years who met the inclusion and exclusion criteria were assessed for sports activity, muscle strength, and muscle mass so that it is obtained a sample of 13 elderly who are actively exercising and 7 elderly who are not actively exercising. Handheld muscle strength research data was measured using a handgrip dynamometer, muscle mass was measured using the Bioimpedance Analysis (BIA) method, and exercise habits were taken from the modification of the Baecke Physical Activity questionnaire. The results show that the elderly who were active in exercising with a mean score of muscle strength (10.59 ± 3.62) and muscle mass (34.22 ± 4.62) were higher than those who did not exercise (6.51 ± 3.42) and (29.81 ± 3.39) with p-values of 0.020 and 0.0125. There is a difference between strength and muscle mass in elderly women who are active and not actively exercising.


2000 ◽  
Vol 85 (9) ◽  
pp. 3276-3282 ◽  
Author(s):  
Annewieke W. van den Beld ◽  
Frank H. de Jong ◽  
Diederick E. Grobbee ◽  
Huibert A. P. Pols ◽  
Steven W. J. Lamberts

Abstract In the present cross-sectional study of 403 independently living elderly men, we tested the hypothesis that the decreases in bone mass, body composition, and muscle strength with age are related to the fall in circulating endogenous testosterone (T) and estrogen concentrations. We compared various measures of the level of bioactive androgen and estrogen to which tissues are exposed. After exclusion of subjects with severe mobility problems and signs of dementia, 403 healthy men (age, 73–94 yr) were randomly selected from a population-based sample. Total T (TT), free T (FT), estrone (E1), estradiol (E2), and sex hormone-binding globulin (SHBG) were determined by RIA. Levels of non-SHBG-bound T (non-SHBG-T), FT (calc-FT), the TT/SHBG ratio, non-SHBG-bound E2, and free E2 were calculated. Physical characteristics of aging included muscle strength measured using dynamometry, total body bone mineral density (BMD), hip BMD, and body composition, including lean mass and fat mass, measured by dual-energy x-ray absorptiometry. In this population of healthy elderly men, calc-FT, non-SHBG-T, E1, and E2 (total, free, and non-SHBG bound) decreased significantly with age. T (total and non-SHBG-T) was positively related with muscle strength and total body BMD (for non-SHBG-T, respectively, β = 1.93 ± 0.52, P &lt; 0.001 and β = 0.011 ± 0.002, P &lt; 0.001). An inverse association existed between T and fat mass (β = −0.53 ± 0.15, P &lt; 0.001). Non-SHBG-T and calc-FT were more strongly related to muscle strength, BMD, and fat mass than TT and were also significantly related to hip BMD. E1 and E2 were both positively, independently associated with BMD (for E2, β = 0.21 ± 0.08, P &lt; 0.01). Non-SHBG-bound E2 was slightly strongly related to BMD than total E2. The positive relation between T and BMD was independent of E2. E1 and E2 were not related with muscle strength or body composition. In summary, bioavailable T, E1, total E2, and bioavailable E2 all decrease with age in healthy old men. In this cross-sectional study in healthy elderly men, non-SHBG-bound T seems to be the best parameter for serum levels of bioactive T, which seems to play a direct role in the various physiological changes that occur during aging. A positive relation with muscle strength and BMD and a negative relation with fat mass was found. In addition, both serum E1 and E2 seem to play a role in the age-related bone loss in elderly men, although the cross-sectional nature of the study precludes a definitive conclusion. Non-SHBG-bound E2 seems to be the best parameter of serum bioactive E2 in describing its positive relation with BMD.


1992 ◽  
Vol 73 (3) ◽  
pp. 812-816 ◽  
Author(s):  
A. Aniansson ◽  
G. Grimby ◽  
M. Hedberg

Muscle strength and muscle morphology have been studied three times during a period of 11 yr in nine elderly men. On the last occasion the average age was 80.4 (range 79–82) yr. Body cell mass decreased by 6% and muscle strength for knee extension, measured by means of isometric and concentric isokinetic (30–60 degrees/s) recordings, declined by 25–35% over the 11-yr period. Between 76 and 80 yr of age only the isokinetic strength for 30 degrees/s decreased significantly. Muscle fiber composition in the vastus lateralis did not change between 69 and 76 yr of age, but there was a significant reduction in the proportion of type IIb fibers from 76 to 80 yr. The decrease in type II fiber areas was not significant between 69 and 76 yr of age (as in a larger sample from the same population), but a significant increase in both type I and type II fiber areas was recorded from 76 to 80 yr of age and biceps brachii showed similar tendencies. In the same period, the enzymatic activities of myokinase and lactate dehydrogenase subsided in the vastus lateralis, but there was no change for triose phosphate dehydrogenase, 3-hydroxy-CoA-dehydrogenase, and citrate synthase. The muscle fiber hypertrophy in this group of elderly men with maintained physical activity between 76 and 80 yr of age is interpreted as a compensatory adaptation for the loss of motor units. In addition, the adaptation with respect to oxidative capacities seems to be maintained at this age.


2021 ◽  
Vol 12 ◽  
Author(s):  
Dandan Guo ◽  
Xin Zhang ◽  
Changqing Zhan ◽  
Qiuxing Lin ◽  
Jie Liu ◽  
...  

Background: Obesity is a potentially modifiable risk factor for cognitive impairment. However, sex-specific relationships between obesity and cognitive impairment in late life remain unclear.Objective: We aimed to assess sex differences in the association between various obesity parameters and cognitive impairment in a low-income elderly population in rural China.Methods: A population-based cross-sectional study was conducted to collect basic information from elderly residents aged 60 years and older from April 2014 to August 2014 in rural areas of Tianjin, China. Obesity parameters, including body mass index (BMI) and waist circumference (WC), and Mini Mental State Examination scores were measured, and the relationships between these variables were assessed.Results: A total of 1,081 residents with a mean age of 67.70 years were enrolled in this study. After adjusting for age, educational attainment, smoking status, drinking status, physical exercise participation, and the presence of diabetes and hyperlipidemia, blood pressure group; a high BMI was found to be associated with an increased prevalence of cognitive impairment in elderly women. Each 1-unit increase in BMI was associated with a 5.9% increase in the prevalence of cognitive impairment. WC was related to the prevalence of cognitive impairment in elderly men, and each 1-cm increase in WC was associated with a 4.0% decrease in the prevalence of cognitive impairment. However, there were no significant associations between WC and cognitive function in women or between BMI and cognitive impairment in men.Conclusion: A greater WC was positively associated with better cognitive function in low-income elderly men in rural China, whereas a higher BMI was associated with an increased risk of cognitive impairment in elderly women, independent of sociodemographic, lifestyle, and health-related comorbid factors. Our results suggest weight management of elderly women in rural China may have cognitive benefits. However, randomized controlled trials would be needed to confirm causality.


2017 ◽  
Vol 5 (2) ◽  
Author(s):  
. Sumardiani ◽  
Glady I. Rambert ◽  
Arthur E. Mongan

Abstract: Creatinine is the end result of the metabolism of muscle creatine phosphate which was synthesized in the kidney. Serum creatinine level can normally decrease during pregnancy due to hyperfiltation of the renal glomeruli. Estimation of glomerular filtration rate (GFR) with CKD-EPI formula is beneficially used in populations with GFR >60 ml/min/1.73m2 especially in pregnant women. The creatinine levels of normal pregnant women are lower than of non-pregnant women and pregnant women with pre-eclampsia. This study was aimed to obtain the serum creatinine level and estimated GFR (eGFR) in normal pregnant women. This was a descriptive observational study with a cross sectional design. Samples were obtained by using non-probability sampling of purposive sampling method. Blood samples of 30 normal pregnant women were obtained at three Public Health Centers (Minanga, Sario, and Bahu Manado) from October to November 2017. The laboratory examinations revealed that all samples (100%) showed decreased serum creatinine levels with a mean of 0.53 mg/dL and increased eGRF >90 ml/min/1.73m2. Conclusion: During pregnancy, there was an increase in eGFR and a decrease in serum creatinine level in all trimesters.Keywords: normal pregnant women, serum creatinine, eGFR Abstrak: Kreatinin merupakan hasil akhir metabolisme dari kreatin fosfat otot, yang awalnya disintesis di ginjal. Pemeriksaan kreatinin sering digunakan untuk mengetahui fungsi ginjal. Kadar kreatinin serum normalnya dapat menurun selama kehamilan karena terjadi hiperfiltasi glomerulus ginjal. Estimasi Laju Filtrasi Glomerulus (eLFG) dengan formula CKD-EPI lebih baik digunakan pada populasi dengan laju filtrasi glomerulus >60 ml/min/1,73m2 khususnya wanita hamil. Kadar kreatinin wanita hamil normal lebih rendah daripada wanita tidak hamil dan wanita hamil dengan pre-eklampsi. Penelitian ini bertujuan untuk mengetahui gamabaran kreatinin serum dan eLFG pada wanita hamil normal. Jenis penelitian ialah deskriptif observasional dengan desain potong lintang. Sampel diambil dengan cara non-probability sampling jenis purposive sampling. Sampel penelitian ialah sampel darah dari 30 wanita hamil normal yang memeriksakan diri di Puskesmas Minanga, Sario, dan Bahu selama bulan Oktober-November 2017. Berdasarkan hasil pemeriksaan laboratorium didapatkan 30 orang (100%) wanita hamil normal mengalami penurunan kreatinin dengan rerata 0,53 mg/dL dan peningkatan laju filtrasi glomerulus dengan nilai eLFG >90 ml/min/1,73m2. Simpulan: Selama kehamilan terjadi peningkatan eLFG dan penurunan kreatinin serum pada semua trimester.Kata kunci: wanita hamil normal, kreatinin serum, eLFG


2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Michael B. Tawale ◽  
Lydia Tendean ◽  
Lusiana Setiawati

Abstract: Erectile dysfunction (ED) is an inability to achieve an erection sufficient for intercourse with his partner which causes dissatisfaction for both of them. The etiology of ED is classified as psychogenic, organic, drug abuse, and also by post-surgery. Benign prostatic hyperplasia (BPH) is a disease caused by aging. BPH clinical signs usually appear in more than 50% of men aged ≥50 years. This was a survey-descriptive study with a cross sectional design. Samples were obtained by using purposive sampling technique. Respondents were patients at Efrata Adventist Clinic in Manado. The instrument in this study was modified IIEF-5 questionnaire. The results showed that based on the duration of BPH, respondents who suffered from BPH >3 years were as many as 75.0% and <1 year were 7.1%. Based on the ages, respondents of 61-70 years were 46.5 and of 41-50 years were 7.1%. The erectile dysfunction of respondents was classified as moderate 42.9%, mild-moderate 32.1%, severe 17.9%, and mild 7.1%. Conclusion: Most of the erectile dysfunction with BPH >3 years was classified as moderate.Keywords: erectile dysfunction, BPH Abstrak: Disfungsi ereksi (DE) yaitu suatu ketidakmampuan untuk mencapai ereksi yang cukup untuk melakukan senggama bersama pasangannya sehingga menimbulkan ketidakpuasan diantara keduanya. Etiologi DE diklasifikasikan menjadi psikogenik, organik, penyalahgunaan obat-obatan dan juga oleh pasca tindakan bedah. Benign prostatic hyperplasia (BPH) adalah penyakit yang disebabkan oleh penuaan. Tanda klinis BPH biasanya muncul pada lebih dari 50% laki-laki yang berusia 50 tahun ke atas. Jenis penelitian ialah survei deskriptif-observasional dengan desain potong lintang. Pengambilan sampel dilakukan dengan teknik purposive sampling pada seluruh pasien di Klinik Advent Efrata Tikala Manado. Variabel penelitian ialah pasien BPH di Klinik Advent Tikala Manado. Instrumen penelitian menggunakan kuesioner IIEF-5 yang telah dimodifikasi. Hasil penelitian mendapatkan berdasarkan lama menderita BPH, responden yang menderita BPH >3 tahun sebesar 75,0%; 1-2 tahun sebesar 17,9%; dan <1 tahun sebesar 7,1%. Berdasarkan usia responden berusia 61-70 tahun sebesar 46,5% dan 41-50 tahun sebesar 7,1%. DE pada BPH paling banyak termasuk klasifikasi sedang (42,9%), diikuti ringan-sedang (32,1%), berat (17,9%) dan ringan (7,1%). Simpulan: Sebagian besar pasien DE dengan BPH >3 tahun termasuk dalam klasifikasi sedang. Kata kunci: disfungsi ereksi, BPH


2019 ◽  
Vol 1 (2) ◽  
pp. 50-54
Author(s):  
Masta Melati Hutahaean

Banyak wanita yang mengalami gangguan pada menstruasinya, diantaranya adalah nyeri haid atau sering disebut dismenore. Prevalensi kejadian dismenore pada remaja wanita diperkirakan antara 20-90% dan sekitar 15% remaja dilaporkan mengalami dismenore berat. Dismenore berat ini menyebabkan mereka tidak mampu untuk melakukan kegiatan apapun serta mempengaruhi kinerja akademik mahasiswi. Jenis penelitian ini adalah deskriptif analitik dengan desain cross sectional. Populasi dalam penelitian ini adalah seluruh mahasiswi angkatan 2017 dan 2018 yaitu sebanyak 135 orang mahasiswi. Sampel berjumlah 100 orang mahasiswi. Pengambilan sampel dilakukan dengan menggunakan purposive sampling. Dianalisa secara univariat dan bivariat dengan uji chi square. Dari hasil uji bivariat menunjukan bahwa ada hubungan antara dismenore dengan kinerja akademik mahasiswi STIKes Murni Teguh (p value 0,01) dengan OR sebesar 4,38 yang berarti bahwa mahasiswi yang tidak mengalami dismenore perkiraan peluangnya 4,38 kali memiliki kinerja akademik yang sangat memuaskan dibandingkan dengan mahasiswi yang mengalami dismenore. Disarankan agar STIKes Murni Teguh dapat mengaktifkan kegiatan olahraga rutin sebagai bentuk kegiatan kemahasiswaan bagi seluruh mahasiswi terutama mahasiswi yang mengalami dismenore mulai dari olahraga dengan gerakan fisik yang sederhana maupun olahraga aerobik yang dapat mengurangi nyeri haid yang dapat mengganggu aktifitas belajar mahasiswi.   Many women experience menstrual disorders, including menstrual pain or often called dysmenorrhea. The prevalence of dysmenorrhea in young women is estimated to be between 20-90% and around 15% of adolescents reported severe dysmenorrhea. This severe dysmenorrhea causes them to be unable to carry out any activities and influence the academic performance of female students. This type of research is descriptive analytic with cross sectional design. The population in this study were all female students of 2017 and 2018 namely 135 female students. The sample amounted to 100 female students. Sampling is done using purposive sampling. Analyzed by univariate and bivariate with chi square test.The results of the bivariate test showed that there was a relationship between dysmenorrhea and the academic performance of Murni Teguh STIKes students (p value 0.01) with an OR of 4.38 which means that students who did not experience dysmenorrhea estimated their chances of 4.38 times having very satisfying academic performance compared to female students who experience dysmenorrhea. It is recommended that Murni Teguh STIKes be able to activate regular sports activities as a form of student activities for all female students, especially female students who experience dysmenorrhea, from simple physical movements and aerobic exercise that can reduce menstrual pain which can interfere with the student's learning activities.


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