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"TujuanMengetahui hubungan antara asupan energi, protein, kalsium, vitamin D dan aktivitas fisik dengan resorpsi tulangTempatMalang, Jawa TimurMetodologiStudi potong lintang terhadap 109 lansia sehai. Data yang dikumpulkan meliputi karakteristik subyek penelitian berdasarkan umur, jenis kelamin, data antropometri (berat badan, tinggi badan, indeks massa tubuh), analisis asupan zat gizi derigan FFQ semikuantitatif dan recall 1 x 24 jam, analisis aktivitas fisik dengan kuesioner aktivitas fisik, dan data laboratorium (CTx serum dan rasio kalsium kreatinin dalam urin 24 jam). Data dianalisis dengan uji korelasi Pearson dan analisis multivariat regresi multiple.HasilSubyek penelitian terdiri dari 49 laki-laki dan 60 perempuan dengan rerata usia 68,19 ± 5,91 tahun. Sebagian besar subyek penelitian berpendidikan sedang sampai tinggi, dan berpenghasilan menengah rendah. Rerata IM£ subyek penelitian ialah 23,86 ± 3,08 kglm2. Rcrata asupan energi ialah 1548 ± 416,23 kkal; rerata asupan protein 59,14 + 11,37 g; rerata asupan kalsium 928,62+ 360,79 mg, dan rerata asupan vitamin D 9,85 ± 5,09 pg. Indeks aktivitas fisik sebagian besar subyek penclitian mencngah sampai tinggi. Didapatkan korelasi negatif yang berrnakna anlara CTx dengan asupan energi, protein, kalsium, dan aktivitas fisik. Korelasi negatif berrnakna juga didapatkan antara rasio kalsium kreatinin dengan asupan energi, protein dan kalsium, sedangkan korelasi positif bermakna didapatkan dengan variabel umur. Pada analisis multivariat, CTx berhubungan secara negatif bcrrnakna dengan protein, kalsium dan aktivitas fisik. Sedangkan rasio kalsium kreatinin berhubungan secara positif bermakna dengan umur dan kalsium.KesimpulanRerata asupan energi subyek penelitian lebih rendah daripada AKG VIII, narnun dengan tingkat asupan tersebut, IMT dalam batasan normal sampai obes. Rerata asupan protein, kalsium dan vitamin D subyek penelitian lebih besar dibandingkan dengan AKG VIII. Didapatkan hubungan yang bermalma antara asupan protein, kalsium dan aktivitas fisik dengan resorpsi tulang. Didapatkannya hubungan yang bermakna, namun dengan derajat rendah, menunjukkan adanya pcngaruh faktor lain dalam bahan makanan.

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Objective

To determine the relationship between nutritional intake and physical activity with bone resorption of Indonesian elderly

Place

Malang, East Java

Method

A cross-sectional study in 109 community dwelling elderly (>60 y) free of medication know to affect bone. Semiquantitative FFQ, validated with 1x24 hour food recall was used to assess energy, protein, calcium, and vitamin D. Assessment of physical activity was done with a questionnaire based on the Dutch questionnaire modified by Josten. Bone resorption were measured by its collagen degradation product, C-telopeptide in serum. Bivariate and multivariate analysis was done to assess relationship between nutrients and physical activity with biomarker of bone resorption.

Results

Subject were 49 men and 60 women with mean age of 68,19 +/- 5,91 years old. Most subject had moderate high education, and a middle low income. Based on the Physical Acticity Index, most subjects has moderate to highphysical activity. The body mass index of most subjects were normal to obese. Mean intake of energy in subjects were 1548 +/- 416,23 kcal. Mean intake of protein were 59,14 +/- 11,37 g/d, mean Calcium intake were 928,62 mg/d and mean vitamin D intake were 9,85 +/- 5,09 µg. There were significant negative correlation between intakes of energy, protein, calcium, and physical activity with CTx. Significant negative correlation were also found between intakes of energy, protein, calcium with calcium creatinine ratio, while positive significant correlation were found with age. Multiple regression analysis showed significant relationship between protein and calcium intakes and physical activity with CTx and between calcium intake and age with calcium creatinine ratio.

Conclusion

Mean intake of energy were lower than the Indonesian RDA. But at this level BMI were normal to obese. Mean intakes of protein, calcium and vitamin D were well above the Indonesian RDA. Significant relationship were found between intakes of protein and calcium and physical activity with bone resorption. The rather low but statistically significant relationship, shows that the other factors in food sources, that may play role in bone resorption, such as osteoprotegerin/OPG, IGF-1, potassium, vitamin K, zinc and magnesium."

"Lanjut usia di Jawa Barat tahun 2002 yang terbina hanya 162.548 dari jumlah 2.333.782 orang, Kelurahan Garuda merupakan salah satu kelurahan di kecamatan Andir yang mempunyai jumlah Ianjut usia cukup besar yaitu : 295 orang, tersebar di 6 RW. Jumlah tersebut membawa konsekuensi munculnya permasalahan yang cukup kompleks baik dari aspek fisik, psikologis maupun sosial ekonomi. Permasalahan tersebut antara lain adalah penurunan kemampuan melakukan aktivitas sehari-hari yang dapat berdampak terhadap penurunan kualitas hidup. Salah satu program preventif dan promotif pada penurunan status fungsionaI adalah kegiatan latihan fisik melalui olahraga. Tujuan penelitian diketahuinya kontribusi waktu, frekuensi, dan intensitas olah raga terhadap kemampuan melakukan aktivitas fisik sehari-hari pada lanjut usia di kelurahan Garuda kecamatan Andir kota Bandung. Penelitian dilakukan dengan desain cross sectional, teknik sampling yang digunakan, proporsional random sampling dengan jumlah sampel 118. Teknik pengumpulan data dilakukan dengan cara wawancara kepada responder menggunakan kuesioner. Analisis data pertama secara univariat kemudian bivariat dengan regresi linier sederhana dan multivariat untuk melihat faktor yang paling dominan.Hasil penelitian bahwa waktu olahraga dapat menerangkan kemampuan melakukan aktivitas sehari-hari pada lanjut usia sebesar 47,9 %, frekuensi olahraga 28,2 %, sedangkan intensitas olahraga 69,5 % dan menjadi faktor yang paling dominan. Kesimpulan adanya kontribusi yang kuat dari waktu, frekuensi dan intensitas olahraga terhadap kemampuan melakukan aktivitas fisik sehari-hari pads lanjut usia. Saran bahwa kegiatan olahraga yang sudah berjalan dengan baik perlu ditingkatkan dalam segi intensitas/kualitas olahraga yang dilakukan. Pendidikan kesehatan tentang olahraga kepada lanjut usia dan masyarakat luas perlu lebih gencar melalui berbagai cara dan media agar cakupan kegiatan olahraga meningkat.

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Aging in West Java of year 2002 constructive only 162.548 from amount 2.333.782 people. Kelurahan Garuda represent one of chief of village in kecamatan Andir having amount continue the big enough aging that is : 295 people, the round of in 6 RW. That is bring the consequence of complex problems appearance from physical aspect, psychological and also economic and social. The problems for example is functional status reduction which can affect to decline quality of live. One of program of prevention and promotion is activity of physical practice of through physical exercises. Research aim knowing of time contribution, frequency, and sport intensity to ability conduct activity of daily livings the aging in kelurahan Garuda of kecamatan Andir of Bandung city. Research conducted by cross sectional desain , sampling technics used proporsional random sampling with the amount sampel 118. Data collecting conducted by interview to responder use the kuesioner. Analyse the first data by univariat later then bivariate by simple regression linier and multivariat to see the most dominant factor.

Result of research that sport time can explain the ability to conduct ADLs at the aging equal to 47,9 %, sport frequency 28,2 %, while sport intensity 69,5 % and become the most dominant factor. Conclusion is existence of strong contribution from time, sport intensity and frequency to ability conduct the ADLs at the aging. Suggestion that sport activity walk better require to be improved in intensity/quality facet. Health education about sport to continuing wide society and aging need more intensively through various means and media so that sport activity coverage increase."

"The aim of this book is to stimulate research on the topic of the Social Internet of Things, and explore how Internet of Things architectures, tools, and services can be conceptualized and developed so as to reveal, amplify and inspire the capacities of people, including the socialization or collaborations that happen through or around smart objects and smart environments.From new ways of negotiating privacy, to the consequences of increased automation, the Internet of Things poses new challenges and opens up new questions that often go beyond the technology itself, and rather focus on how the technology will become embedded in our future communities, families, practices, and environment, and how these will change in turn."