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Abstrak :
Pradiabetes adalah kadar glukosa darah individu lebih tinggi dari normal, tetapi belum mencapai batas diagnosis diabetes. Perilaku perawatan kesehatan keluarga merupakan upaya promosi kesehatan keluarga dalam pencegahan pradiabetes. Penelitian ini bertujuan untuk mengetahui hubungan karakteristik keluarga dan perilaku perawatan kesehatan keluarga dengan kejadian pradiabetes pada usia dewasa menengah. Desain penelitian deskriptif observasional dengan pendekatan cross sectional. Sampel penelitian sebanyak 156 orang dewasa menengah, diambil menggunakan teknik cluster sampling. Hasil penelitian menunjukkan bahwa ada hubungan antara tipe keluarga (OR= 2,070; 95% CI 0,957-4,478), penghasilan keluarga (OR= 0,512; 95% CI 0,243-1,079), pengetahuan keluarga (OR= 7,025; 95% CI 3,109-15,876), dan praktik perawatan kesehatan keluarga (OR= 2,863; 95% CI 1,285-6,379) dengan kejadian pradiabetes. Upaya untuk meningkatkan perilaku perawatan kesehatan keluarga yang lebih efektif perlu disusun oleh tim di pelayanan kesehatan primer melalui program promosi kesehatan seperti pendidikan kesehatan, pembentukan kelompok pendukung, pemberdayaan masyarakat, kemitraan, dan intervensi keperawatan (penyusunan menu makanan sehat, aktivitas fisik, dan perawatan kaki).

Prevalence of Prediabetes at Middle-Aged Adults Based on Family Characteristics and Family Health Care Behaviors. Prediabetes is a situation where glucose level higher than normal level, but does not satisfy the criteria for diabetes. Family health care behaviors are health promotion efforts in the family to prevention of prediabetes. The aim of the research was to determine the association between family characteristics and family health care behaviors, and prediabetes at middle-aged adults. The research used observational descriptive design with cross sectional approach. Total sample of 156 people were taken using a cluster sampling technique. The results showed that the type of family (OR= 2.070), family knowledge (OR= 7.025), and practice of family health care (OR= 2.863) are the dominant factors in the incidence of prediabetes. It is important to improve the behavior of family health care through developing health promotion program such as health education, the establishment of support groups, community empowerment, partnership, and nursing interventions.

Abstrak :
As part of CRONOS , this study, with cross-sectional design, aimed to observe nutritional and health status and some of their determinants, both nutritional and non-nutritional, of free-living elderly and middle-aged people in poor area of Ho Chi Minh city, Vietnam. Data on dietary intake, anthropometry, socio-economic psychological stains and health assessment were collected hom 100 Vietnamese elderly men and women between 60-74 years and 100 middle-aged men and women aged 35-44 years old living during 2 months January and February, 1996 in village 2, district 4, Ho Chi Minh city, Vietnam. Findings of this study showed that both age groups had low energy and nutrient intakes assessed by single 24-hour recall. Median energy intakes were 8.2 MJ and 4 MJ for middle-aged and elderly rwpectively, which was suggested to be due to real energy intake deficiency in study population and underrestimation in the recalls. Anthropometric Endings demonstrated that the elderly had lower nutritional status as compared to the middle-aged (40% of elderly versus 26% of middle-aged were classified as chronic energy deficiency). This study also confirmed that the Vietnamese elderly had higher prevalence of abdominal fairness than their younger conterparts, as evidenced by having higher abdomen-to-hip ratio. Socio-economic and psychological data suggested that Vietnamese elderly received both socio-economic and psychological support nom family substantially. Only one third of elderly people self-perveived health as good. Discrepancy between self-reported hypertension and observed hypertension suggested that medical care in the elderly population is not of concern. High prevalence of hypertension (40%) and smoking (78%) indicated that Cardiovascular disease risk factors merits consideration in the geriatric care System in Vietnam.

Abstrak :
Peningkatan kasus diabetes melitus tipe 2 (DMT2) dengan berbagai komplikasinya memberikan dampak gangguan fungsional seseorang dalam bentuk gangguan kognitif dan kapasitas fisik. Keduanya masih reversibel dan baru diketahui berhubungan sehingga disebut sebagai PhysioCognitive Decline Syndrome (PCDS). Kondisi PCDS baru dipelajari pada lansia dan belum spesifik pada penyandang DMT2. Tujuan Mengetahui korelasi antara kendali glikemik dengan komponen physiocognitive decline syndrome pada penyandang DMT2 dewasa usia pertengahan. Metode Studi potong lintang menggunakan consecutive sampling dari pasien di poliklinik metabolik endokrin dan poli jantung terpadu sejak Januari 2021 – November 2022. Subjek DMT2 berusia 40 – 59 tahun diinklusi. Pemeriksaan kekuatan genggam tangan, dan kecepatan berjalan 6-meter diperiksakan di ruangan standar. MoCA-Ina dilakukan oleh dokter yang telah dilatih. Data HbA1c subjek yang diperiksa adalah HbA1c 3 bulan terakhir. Analisis korelasi Pearson’s atau Spearman’s pada SPSS 20.0 dilakukan sesuai sebaran data. Hasil Sebanyak 133 subjek telah dianalisis. Usia median mencapai 53 tahun dengan proporsi laki-laki dan perempuan serta komplikasi pada masing-masing kateori kendali glikemik (batas HbA1c 7,0%) serupa. Subjek didominasi dengan pendidikan SMA dan Sarjana/Diploma. Median durasi terdiagnosisnya diabetes melitus mencapai 7 tahun dengan HbA1c median 7.6%. Nilai MoCA-Ina pada subjek mencapai nilai median 24 dengan kecepatan berjalan rerata 1.02 + 0.23 m/detik dan median kekuatan genggam tangan 24 kg. Terdapat korelasi bermakna hanya pada HbA1c dengan kekutan genggam tangan (r = -0.24, R2 = 0.06, p value <0.01), terutama pada perempuan Kesimpulan Terdapat korelasi bermakna antara kendali glikemik dan kekuatan genggam tangan. ......Increasing cases of type 2 diabetes melitus (T2DM) including its complication have caused functional dysfunction consisted of cognitive decline and physical incapacity. Both cognitive decline and physical incapacity had been just known to be reversible and related to each other, so it is termed as PhysioCognitive Decline Syndrome (PCDS). However, it had been just evaluated in geriatric and not specific to T2DM patient. To investigate the correlation between glycaemic correlation and component of physiocognitive decline syndrome in middle-aged adult with T2DM. A cross sectional study with consecutive sampling in our metabolic and endocrine clinic and integrated heart centre in January 2021 – November 2022 had been conducted. Inclusion criteria was 40 – 59 years old subjects with T2DM. Measurement of HbA1c in the last 3 month were analysed, while hand grip strength and gait speed were done in standard room. MoCA-Ina had been conducted by trained doctor. Correlation analysis using Pearson’s or Spearman’s in SPSS 20.0 was done according to data distribution. 133 subjects were analysed. Median age was 53 years old with both sex and complication within each glycaemic control category (HbA1c 7,0% cut off) were similar. Subjects were dominated by high school and undergraduate/diploma education level. Most subjects were diagnosed in up to 7 years of T2DM. Median of HbA1c levels in our study was 7.6%. MoCA-Ina score was 24 in median with mean of gait speed was 1.02 + 0.23 m/s. Our median for hand grip was 24 kg. Significant correlation was only found in relationship of HbA1c and hand grip strength (r = -0.24, R2 = 0.06, p value <0.01). There was significant correlation between glycaemic control and hand grip strength.

Abstrak :
ABSTRAK
Penelitian ini bertujuan untuk mengetahui hubungan antara kepuasan citra tubuh dan psychological well-being pada wanita usia dewasa madya. Di usia dewasa madya, wanita mengalami perubahan fisik yang dapat mempengaruhi kepuasan citra tubuhnya (Koch, Mansfield, Thurau, dan Carey, 2005). Walaupun ketidakpuasan terhadap citra tubuh dapat mempengaruhi psychological well-being secara negatif (Cash & Pruzinsky, 2002), wanita memiliki kegiatan-kegiatan lainnya yang lebih diutamakannya yang bisa memperkaya hidupnya (Lachman, 2004). Penelitian kuantitatif ini dilakukan pada 61 wanita berusia dewasa madya antara usia 40 hingga 64 yang berdomisili di Jabodetabek. Kepuasan citra tubuh diukur dengan Multidimensional Body-Self Relations Questionnaire (MBSRQ), sedangkan psychological well-being diukur dengan Psychological Well-Being Scales (SPWB). Kesimpulan yang diperoleh adalah kepuasan citra tubuh berhubungan positif secara signifikan dengan psychological well-being (r = 0,289; p = 0,028, signifikan pada L.o.S. 0,05).

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ABSTRACT
This study is aimed to investigate the correlation between body image satisfaction and psychological well-being of middle-aged women. During midlife, women experience physical changes that affect their body image satisfaction (Koch, Mansfield, Thurau, dan Carey, 2005). Although body image dissatisfaction can negatively affect psychological well-being (Cash & Pruzinsky, 2002), women have other activities that have become their priorities that will further enrich their lives (Lachman, 2004). This is a quantitative study of 61 middle-aged women between the age of 40 and 64 who are living in Jabodetabek. Body image satisfaction is measured using Multidimensional Body-Self Relations Questionnaire (MBSRQ), whereas psychological well-being is measured using Psychological Well-Being Scales (SPWB). This study concludes that there is a significant positive correlation between body image satisfaction and psychological well-being (r = 0,289; p = 0,028, significant at L.o.S. 0,05).

Abstrak :
Prevalensi gangguan mental emosional atau distres psikologik di Indonesia semakin bertambah seiring dengan semakin tuanya kelompok umur. Salah satu penyakit yang dapat ditimbulkan dari adanya gangguan mental emosional ini adalah hipertensi. Penelitian ini bertujuan untuk melihat ada tidaknya hubungan gangguan mental emosional dengan hipertensi antara pra-lansia dan lansia di Indonesia setelah dikontrol variabel kovariat. Desain studi potong lintang, dengan menggunakan data riskesdas 2013. Sampel penelitian pra-lansia (45-59 tahun) dan lansia (≥60 tahun) yang memiliki data variabel lengkap sebesar 149175 sampel. Variabel kovariat penelitian umur, jenis kelamin, status perkawinan, pekerjaan, pendidikan, perilaku merokok. Hubungan variabel dinilai dengan analisis bivariat dan multivariat. Hasil penelitian menunjukkan persentase penduduk dengan gangguan mental emosional yang mengalami hipertensi 44,2%. Faktor-faktor terbesar yang berhubungan dengan hipertensi gangguan mental emosional (OR = 1,604; CI=1,539-1,672), Kelompok Umur Lansia (OR = 2,684; CI = 2,624-2,745), Cerai (OR=2,153; CI=2,093-2,215), tidak bekerja (OR=2,472; CI=2,365-2,583) dan tingkat pendidikan rendah (OR=1,626; CI=1,543-1,715). Pra-lansia dan lansia dengan gangguan mental emosional memiliki peluang 1,297 kali lebih tinggi untuk mengalami hipertensi dibandingkan pra-lansia dan lansia yang tidak mengalami gangguan mental emosional setelah dikontrol dengan variabel kovariat. Diperlukan penelitian lebih lanjut dengan memasukkan lebih banyak variabel kovariat. ......The prevalence of mental emotional disorders or psychological distress in Indonesia is increasing along with the older age groups. One of the diseases that can be caused by this mental emotional disorder is hypertension. This study aims to see whether there is an Associated between Mental Emotional Disorders and Hypertension Among Middle-aged and Elderly in Indonesia after controlled by covariate variables. Cross-sectional study design, using data from riskesdas 2013. The samples are Middle-aged (45-59 years) and elderly (≥60 years) who have complete variable data. The total samples are 149175 samples. Research covariate variables were age, sex, marital status, employment, education, smoking behavior. The association between each variables were assessed by bivariate and multivariate analysis. The results showed the percentage of residents with mental emotional disorders who experienced hypertension 44.2%. The biggest factors associated with hypertension were mental emotional disorders (OR = 1,604; CI = 1,539-1,672), Elderly Age Group (OR = 2,684; CI = 2,624-2,745), Divorce (OR = 2,153; CI = 2,093-2,215), not working (OR = 2.472; CI = 2.365-2,583) and low education level (OR = 1,626; CI = 1,543-1,715). Middle-aged and elderly with mental emotional disorders have a chance 1,297 times higher for hypertension than middle-aged and elderly people who do not experience mental emotional disorders after being controlled by covariate variables. Further research is needed by including more covariate variables.