Sosio-Ekonomi, Sindrom Metabolik terhadap Kekuatan Genggaman Tangan Lansia di Komunitas

Sumandar Sumandar; Rohmi Fadhli; Eva Mayasari

doi:10.22146/jkesvo.60813

Sosio-Ekonomi, Sindrom Metabolik terhadap Kekuatan Genggaman Tangan Lansia di Komunitas

https://doi.org/10.22146/jkesvo.60813

Sumandar Sumandar^(1*), Rohmi Fadhli⁽²⁾, Eva Mayasari⁽³⁾

(1) Geriatric Nursing Departemen, Nursing program STIKes Al Insyirah Pekanbaru
(2) Family Nursing Department, Nursing program STIKes Al Insyirah Pekanbaru
(3) Health Promotion Departemen, Public Health program STIKes Al Insyirah Pekanbaru
(*) Corresponding Author

Abstract

Latar Belakang: Kekuatan genggaman tangan pada lansia merupakan indikasi kesehatan fisik dan mobilitas. Faktor penyebab penurunan kondisi ini adalah karakteristik lansia serta kondisi penyakit yang diderita. Kondisi ini pun dapat meningkatkan risiko keterbatasan mobilitas serta dapat memprediksi kerugian bagi lansia seperti ketergantungan dalam pelaksanaan aktivitas sehari-hari

Tujuan: Untuk menganalisis hubungan jenis kelamin, status pekerjaan, dan sindrom metabolik dengan kekuatan genggaman tangan pada lansia.

Metode: Penelitian ini bersifat observasional analitik dengan pendekatan cross sectional. Data dikumpulkan berdasarkan jenis kelamin, status pekerjaan, sindrom metabolik, dan kekuatan pegangan tangan. Sampel sebanyak 102 lansia yang berada komunitas kota Pekanbaru dengan teknik cluster sampling.

Hasil: Penelitian menunjukkan bahwa kekuatan genggaman tangan rendah sebanyak 60,8%, jenis kelamin perempuan sebanyak 66,7%, tidak bekerja sebanyak 70,6%, dan prevalensi sindrom metabolik sebanyak 20,6%. Terdapat kaitan antara jenis kelamin, status pekerjaan, dan kejadian sindrom metabolik terhadap kekuatan genggaman tangan lansia ( p = 0,000; OR = 6,27; 95% CI = 2,540-15,493 ; ), p = 0,008; OR = 3,4; 95% CI = 1,406- 8,268, p = 0,045; OR = 0,29; CI 95% = 0,91-0,95)

Kesimpulan: Faktor yang mempengaruhi kekuatan genggaman tangan pada lansia pada penelitian ini adalah jenis kelamin, status pekerjaan, dan sindrom metabolik.

Keywords

jenis kelamin; kekuatan genggaman tangan; lansia di komunitas; sindrom metabolik; status pekerjaan

Full Text:

PDF

References

Aartolahti, E., Lönnroos, E., Hartikainen, S., & Häkkinen, A. (2020). Long-term strength and balance training in prevention of decline in muscle strength and mobility in older adults. Aging Clinical and Experimental Research, 32(1), 59–66. https://doi.org/10.1007/s40520-019-01155-0_

AzarII, A. M. (2018). Physical Activity Guidelines for Americans 2nd Edition. In ACSM’S Health & Fitness Journal (2nd ed.). U.S Department of Health and Human Services. https://health.gov/sites/default/files/2019-09/Physical_Activity_Guidelines_2nd_edition.pdf_

Chang, W., Chen, K., Chen, M., Yang, L., & Hsu, H. (2020). Prevalence and demographic characteristics of high‐need community‐dwelling older adults in Taiwan. Health & Social Care in the Community, 28(6), 2382–2389. https://doi.org/10.1111/hsc.13059_

Christijani, R. (2019). Penentuan Diagnosis Sindrom Metabolik Berdasarkan Penilaian Skor Sindrom Metabolik Dan NCEP ATP-III Pada Remaja [Penelitian Di Beberapa SMA Di Kota Bogor]. Penelitian Gizi Dan Makanan (The Journal of Nutrition and Food Research), 42(1), 21–28. https://doi.org/10.22435/pgm.v42i1.2418_

Confortin, S. C., Ono, L. M., Meneghini, V., Pastorio, A., Barbosa, A. R., & D’orsi, E. (2018). Factors associated with handgrip strength in older adults residents in Florianópolis, Brazil: EpiFloripa Aging Study. Revista de Nutrição, 31(4), 385–395. https://doi.org/10.1590/1678-98652018000400004_

Fitriana, L. A., Ufamy, N., Anggadiredja, K., Amalia, L., Setiawan, S., & Adnyana, I. K. (2020). Demographic Factors and Disease History Associated with Dementia among Elderly in Nursing Homes. Jurnal Keperawatan Padjadjaran, 8(2). https://doi.org/10.24198/jkp.v8i2.1361_

Franke, A. L., & Suplicy, H. (2007). Síndrome metabólica. Revista Brasileira de Medicina, 64(SPEC. ISS.), 161–168. https://www.scielo.br/scieloOrg/php/similar.php?lang=en&text=Síndrome metabólica_

Gray, C. A., Sims, O. T., & Oh, H. (2020). Prevalence and Predictors of Co-occurring Hypertension and Depression Among Community-Dwelling Older Adults. Journal of Racial and Ethnic Health Disparities, 7(2), 365–373. https://doi.org/10.1007/s40615-019-00665-x_

Halaweh, H., Dahlin-Ivanoff, S., Svantesson, U., & Willén, C. (2018). Perspectives of Older Adults on Aging Well: A Focus Group Study. Journal of Aging Research, 2018, 1–9. https://doi.org/10.1155/2018/9858252_

Kim, S. Y., Lee, J. S., & Kim, Y. H. (2020). Handgrip Strength and Current Smoking Are Associated with Cardiometabolic Risk in Korean Adolescents: A Population-Based Study. International Journal of Environmental Research and Public Health, 17(14), 5021. https://doi.org/10.3390/ijerph17145021_

Kristiana, T., Widajanti, N., & Satyawati, R. (2020). Association between Muscle Mass and Muscle Strength with Physical Performance in Elderly in Surabaya. Surabaya Physical Medicine and Rehabilitation Journal, 2(1), 24. https://doi.org/10.20473/spmrj.v2i1.2020.24-34_

Makizako, H., Kubozono, T., Kiyama, R., Takenaka, T., Kuwahata, S., Tabira, T., Kanoya, T., Horinouchi, K., Shimada, H., & Ohishi, M. (2019). Associations of social frailty with loss of muscle mass and muscle weakness among community-dwelling older adults. Geriatrics & Gerontology International, 19(1), 76–80. https://doi.org/10.1111/ggi.13571_

McGrath, R., Johnson, N., Klawitter, L., Mahoney, S., Trautman, K., Carlson, C., Rockstad, E., & Hackney, K. J. (2020). What are the association patterns between handgrip strength and adverse health conditions? A topical review. SAGE Open Medicine, 8, 2050312120910358. https://doi.org/10.1177/2050312120910358_

McGrath, R. P., Kraemer, W. J., Snih, S. Al, & Peterson, M. D. (2018). Handgrip Strength and Health in Aging Adults. Sports Medicine (Auckland, N.Z.), 48(9), 1993–2000. https://doi.org/10.1007/s40279-018-0952-y_

Merchant, R. A., Chan, Y. H., Lim, J. Y., & Morley, J. E. (2020). Prevalence of Metabolic Syndrome and Association with Grip Strength in Older Adults: Findings from the HOPE Study. Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy, 13, 2677–2686. https://doi.org/10.2147/DMSO.S260544_

Mesinovic, J., McMillan, L., Shore-Lorenti, C., De Courten, B., Ebeling, P., & Scott, D. (2019). Metabolic Syndrome and Its Associations with Components of Sarcopenia in Overweight and Obese Older Adults. Journal of Clinical Medicine, 8(2), 145. https://doi.org/10.3390/jcm8020145_

Montes, M. C., Bortolotto, C. C., Tomasi, E., Gonzalez, M. C., Barbosa-Silva, T. G., Domingues, M. R., & Bielemann, R. M. (2020). Strength and multimorbidity among community-dwelling elderly from southern Brazil. Nutrition, 71, 110636. https://doi.org/10.1016/j.nut.2019.110636_

Ng, C. W. L., Luo, N., & Heng, B. H. (2014). Health status profiles in community-dwelling elderly using self-reported health indicators: a latent class analysis. Quality of Life Research, 23(10), 2889–2898. https://doi.org/10.1007/s11136-014-0723-7_

Ong, H. L., Abdin, E., Chua, B. Y., Zhang, Y., Seow, E., Vaingankar, J. A., Chong, S. A., & Subramaniam, M. (2017). Hand-grip strength among older adults in Singapore: a comparison with international norms and associative factors. BMC Geriatrics, 17(1), 176. https://doi.org/10.1186/s12877-017-0565-6_

Purnanto, N. T., & Khosiah, S. (2018). Hubungan antara usia, jenis kelamin, pendidikan dan pekerjaan dengan Activity Daily Living (ADL) pada lansia di Puskesmas Gribig Kabupaten Kudus. THE SHINE CAHAYA DUNIA D-III KEPERAWATAN, 3(1), 47–53. http://ejournal.annurpurwodadi.ac.id/index.php/TSCD3Kep/article/view/95_

Saad, M. A. N., Cardoso, G. P., Martins, W. de A., Velarde, L. G. C., & Cruz Filho, R. A. da. (2014). Prevalência de Síndrome Metabólica em Idosos e Concordância entre Quatro Critérios Diagnósticos. Arquivos Brasileiros de Cardiologia, 102(3), 263–269. https://doi.org/10.5935/abc.20140013_

Song, P., Zhang, Y., Wang, Y., Han, P., Fu, L., Chen, X., Yu, H., Hou, L., Yu, X., Wang, L., Yang, F., & Guo, Q. (2020). Clinical relevance of different handgrip strength indexes and metabolic syndrome in Chinese community-dwelling elderly individuals. Archives of Gerontology and Geriatrics, 87, 104010. https://doi.org/10.1016/j.archger.2020.104010_

Sumandar. (2019). Pengantar Keperawatan Gerontik Dengan Pendekatan Asuhan Keperawatan. Deepublish._

Sumandar, S. (2018). Predictors of Prediabetic Insidencee among Elderly in Keritang District Indragiri Hilir Riau. Jurnal Keperawatan Soedirman, 13(3), 138. https://doi.org/10.20884/1.jks.2018.13.3.775_

Sumandar, Wati, Y. S., & Rahayu, A. S. O. (2020). The Anxiety Among Menopause Period : Study About Level , Precipitation Factors And Coping Mechanism. Enudrance, 3(3), 227–232. http://ejournal.lldikti10.id/index.php/endurance/article/download/v5i2-4802/1770_

U.S. Department of Health and Human Services. (2020). Older Adults. Healthypeople.Gov; Office of Disease Prevention and Health Promotion. https://www.healthypeople.gov/2020/topics-objectives/topic/older-adults_

United Nations Department of Economic and Social Affairs Population Division. (2020). World Population Ageing 2019. https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Report.pdf_

Utomo, A. S. (2019). Status Kesehatan Lansia Berdayaguna. Media Sahabat Cendikia._

Van Ancum, J. M., Jonkman, N. H., van Schoor, N. M., Tressel, E., Meskers, C. G. M., Pijnappels, M., & Maier, A. B. (2018). Predictors of metabolic syndrome in community-dwelling older adults. PloS One, 13(10), e0206424. https://doi.org/10.1371/journal.pone.0206424_

Wagner, P. R., Ascenço, S., & Wibelinger, L. M. (2014). Hand grip strength in the elderly with upper limbs pain. Revista Dor, 15(3), 182–185. https://doi.org/10.5935/1806-0013.20140040_

Wearing, J., Konings, P., Stokes, M., & de Bruin, E. D. (2018). Handgrip strength in old and oldest old Swiss adults – a cross-sectional study. BMC Geriatrics, 18(1), 266. https://doi.org/10.1186/s12877-018-0959-0_

Wu, S.-W., Wu, S.-F., Liang, H.-W., Wu, Z.-T., & Huang, S. (2009). Measuring factors affecting grip strength in a Taiwan Chinese population and a comparison with consolidated norms. Applied Ergonomics, 40(4), 811–815. https://doi.org/10.1016/j.apergo.2008.08.006_

Yan, H. M., Zhang, M., Zhang, X., Xia, Y. T., Shen, T., Zhao, Z. P., Chen, Z. H., Huang, Z. J., & Wang, L. M. (2019). [Study of epidemiological characteristics of metabolic syndrome and influencing factors in elderly people in China]. Zhonghua Liu Xing Bing Xue Za Zhi = Zhonghua Liuxingbingxue Zazhi, 40(3), 284–289. https://doi.org/10.3760/cma.j.issn.0254-6450.2019.03.006_

Zhang, Y., Miyai, N., Abe, K., Utsumi, M., Uematsu, Y., Terada, K., Nakatani, T., Takeshita, T., & Arita, M. (2020). Muscle mass reduction, low muscle strength, and their combination are associated with arterial stiffness in community-dwelling elderly population: the Wakayama Study. Journal of Human Hypertension, 0–1. https://doi.org/10.1038/s41371-020-0355-z

DOI: https://doi.org/10.22146/jkesvo.60813