ANEMIA AS RISK FACTOR OF HANDGRIP STRENGTH DECREASED ON ELDERLYIN YOGYAKARTAPROVINCE'S PANTI WERDHA

https://doi.org/10.22146/acta%20interna.3859

Ganda Hidayat(1*), Johan Kurnianda(2), I Dewa Putu Pramantara(3)

(1) 
(2) 
(3) 
(*) Corresponding Author

Abstract


Background: According to the WHO, by the end of 20 th century, the more the world population grow, the more the elderly population will be. Yogyakarta province has a 13.72% of Indonesian elderly. The anemia prevalence increased as the age added. Aging process resulted in strength muscle reduced. Handgrip strength test is a valid and consistent as well as simple alternative to value the muscle strength decreased advanced age. Purpose of this study is to know whether anemia is a risk factor against muscle strength decreased measured by handgrip strength test on elderly population in nursing house. Method: This study used cross sectional study design. The study time was in August 2010. The advance ages fullfilling the inclusion and exclusion criteria followed physical examination, routine blood test and handgrip strength measurement. Result: This study involved 118 elderly participants. There was difference of mean handgrip strenght in: age (14.52 kg vs 19.64 kg; p=0.001), gender (13.39 kg vs 22.47 kg; p=0.001), activity level (7.94 kg vs 16.75 kg; p=0.001) and anemia status (13.60 kg vs 17.84 kg; p=0.001); for women even in mild anemia group, there was difference with non anemia group (12.36 kg vs 14.68 kg ; p=0.027). Conclusion: According to multivariable analysis,. There are 3 factors affecting handgrip strength in elderly, namely; Age, activity levels, and anemia which are statistically significant. In this study, it was concluded that anemia is a risk factor of handgrip strength decreased in elderly, for women even in mild anemia, there was statistically significant different with non anemia group. Keywords : Elderly, anemia, handgrip strength

Full Text:

PDF


References

Darmojo, B. Melalui Menua Sehat dan Aktif Menuju Masa Usia Lanjut yang Berhasil, Naskah Lengkap KONAS III & TINAS II Pergemi, Yogyakarta.2004.

Guralnik, J.M., Eisensstaedt, R.S., Ferrucci, L., Klein, H.G., & Woodman, R.C.Prevalence of Anemia in Persons 65 Years and Older in the United States: Evidence for a High Rate of Unexplained Anemia. Blood. 2004; 104:2263- 2268

Panjaitan, S. Beberapa Aspek Anemia pada Penyakit Kronik pada Lanjut Usia. Penelitian Cross Sectional di Bagian / SMF Ilmu Penyakit Dalam Fakultas Kedokteran USU / RSUP H. Adam Malik Medan.2003

Penninx, B.W., Guralnik, J.M., Onder, G. Anemia and decline in physical performance among older persons. Am J Med. 2003; 115: 104–110

Penninx, B.W., Pahor, M., Cesari, M., Corsi, A.M., Woodman, R.C., Bandinelli, S., et al. Anemia Is Associated with Disability and Decreased Physical Performance and Muscle Strength in the Elderly. J Am Geriatri Soc 2004;52: 719–724

Patel, K.V., Guralnik, J.M. Prognostic Implications of Anemia in Older Adults. haematologica. 2009; 94: 1-2

Chaves, P.H., Semba, R.D., Leng, S.X., Woodman, R.C., Ferrucci, L., Guralnik, J.M., et al. Impact of Anemia and Kardiovascular Disease on Frailty Status of Community Dwelling Older Women: The Women’s Health and Aging Studies I and II. (Abstracts). J Gerontol A Biol Sci Med Sci. 2005; 60:729-35

Shechtman, O., Mann, W.C., Justiss, M.D., Tomita, M. Grip Strength in The Frail Elderly. (Abstracts). Am J Phys Med Rehabil. 2004.; 83: 819-826

Ranganathan, V.K., Siemionow, V., Sahgal, V., Yue, G.H. Effects of Aging on Hand Function. American Geriatrics Society. 2001; 49: 1478-1484

Pieterse, S., Manandhar, M., Ismail, S. The Association between Nutritional Status and Handgrip Strength in Older Rwanda Refugees. European Journal of Clinical Nutrition. 2002; 56: 933-939

Lier, A.M.V., Payette, H. Determinants of Handgrip Strength in Free- Living Elderly at Risk of Malnutrition. disability and rehabilitation. 2003; 25 (20): 1181–1186

Kamarul, T .,Ahmad, T.S., Loh. W.Y.C. Hand Grip Strength in The Adult Malaysian Population. Journal of Orthopaedic Surgery. 2006; 14(2): 172-177



DOI: https://doi.org/10.22146/acta%20interna.3859

Article Metrics

Abstract views : 1025 | views : 814

Refbacks

  • There are currently no refbacks.




Copyright (c) 2011 Acta Interna The Journal of Internal Medicine

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Acta Interna The Journal of Internal Medicine Indexed by:

 

 Indonesia Onesearch Google Scholar IPI Indonesian Publication Index

 website statistics View My Stats  

 

 

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.