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Papers by woro riyadina

Osong public health and research perspectives, Jun 30, 2024

Vektora: Jurnal Vektor dan Reservoir Penyakit, 2009

IJHN : Indonesian Journal of Human Nutrition, Dec 30, 2022

Diet quality assessment using the Healthy Eating Index (HEI) version Indonesian method has not be... more Diet quality assessment using the Healthy Eating Index (HEI) version Indonesian method has not been widely applied. The HEI method is important to use to see the quality of a person's diet in a sick or healthy state in the future to show the current and future health status in terms of nutrition. This study aims to analyze the factors that influence changes in the quality of diet in adults with coronary heart disease (CHD). The Cohort Study on the Non-Communicable Disease Risk Factor year 2013 to 2016 data was used. There were 124 new cases of CHD based on ECG measurements. The 24hour dietary was performed once before CHD and once after CHD. The US-HEI was modified based on the serving amount of Indonesian Dietary Guidelines. Changes in the diet quality score were calculated based on the difference between the final score a year after CHD and the initial score a year before CHD. There was a significant difference in changes most subjects show diet quality improvement of 7.9% in some components, such as fruits 51.9%, nuts 16.9%, and sodium 10.6%. The diet quality improvement was affected by family income and physical activity. While the factors that affect the decline in diet quality are high levels of HDL cholesterol. These results confirmed that CHD program prevention could be followed by increasing physical activity and adequate income support.

Media Penelitian dan Pengembangan Kesehatan, 2009

Carpal tunnel syndrome (CTS) is a disorder caused of medianus n... more Carpal tunnel syndrome (CTS) is a disorder caused of medianus nerve entrapment in carpal tunnel in the wrist and give many symptoms as pain, numbness, and hyperesthesia at nerve medianus area. CTS is related to repetitive biomechanical movement in hand at work. The scope of this study was development of an educational model to prevent carpal tunnel syndrome among workers at several garment factories in Jakarta. The objectives were to identify effects and the best model of 4 intervention models to increase knowledge, attitude and practice (KAP) on CTS and repetitive biomechunical movement in hand and wrist. The study was a quasi-experimental study, conducted at 4 garment factories in Jakarta 2004. The education models were direct education with educational book model, direct education without book model, educational book only model, and control model. Result of the study toward 498 workers who met inclusion and exclusion criteria showed that KAP of intervention groups increased significantly after intervention (p=0.0001), but in control group only knowledge increase significantly. (p=0.04). The direct education without book model was the best model for increasing the knowledge and practice on repetitive biomechanical movement in hand and wrist. (p=0.0001). The direct education models with and without book were better for increasing the attitude on repetitive biomechanical movement in hand and wrist. (p=0.0001) Key words: Knowledge attitude practice, carpal tunnel syndrome, worker.

The global pandemic of COVID-19 has greatly affected the lives of People Living with Non-Communic... more The global pandemic of COVID-19 has greatly affected the lives of People Living with Non-Communicable Diseases (PLWNCDs), which in Indonesia are known as Orang yang Hidup dengan Penyakit Tidak Menular. Cardiovascular disease and other major NCDs share similar modifiable risk factors, namely lifestyle and metabolic factors. This study aims to determine whether people living with NCDs have the ability to monitor their blood pressure and cholesterol level to maintain healthy metabolism at the beginning of the pandemic. Data were collected using an online survey in September-October 2020 from Bogor cohort NCD study respondents with Coronary heart disease, Stroke, Hypertension, and comorbidity between those NCDs. These data were collected from the study baseline until 2019 (referred to as "old cases"), with additional NCD cases from respondent information in 2020 (referred to as "new cases"). SPSS was used to conduct cross-sectional analyses of univariate, bivariate, and multivariate for descriptive and analytical purposes. Dependent variables in this analysis are nominal variables with three categories. Therefore, logistic multinomial regression analysis is used to conduct the statistical analysis. Over half of the 1460 respondents with at least one NCD stated that they did not do regular blood pressure and cholesterol checks during the pandemic (62%). Only a small percentage of respondents (10.6%) checked their blood pressure and cholesterol at least once a month. This means that for every ten people with cardiovascular disease, only one checked their blood pressure and cholesterol levels during the pandemic. The multivariate regression analysis revealed that NCD survivors with hypertension had the highest odds and did not monitor blood pressure and cholesterol (OR adj = 3.34; 1.833-6.095) compared to non-hypertension NCD survivors. Additionally, people living with NCDs who lack health insurance, have a low level of education and are young (>50 years old) contribute to non-monitoring behaviour. Only one in ten people living with NCDs (CHD, stroke, hypertension, and a combination of the three diseases) monitored their blood pressure and cholesterol regularly during the COVID-19 pandemic. Those who monitor blood

Background: During the pandemic of Corona Virus Disease (COVID-19), restriction on in the communi... more Background: During the pandemic of Corona Virus Disease (COVID-19), restriction on in the community and in health facilities has led to changes in treatment behavior, especially among coronary heart disease (CHD) sufferers. Many people did not take their medication even though they had CHD diagnosed. This study aimed to define the factors associated with changes in medication-taking behavior among female CHD sufferers during the COVID-19 pandemic. Subjects and Method: This was a longitudinal study using secondary data from a study entitled "The impact of the Covid-19 pandemic on mental health and seeking health services for NCD comorbid patients" which was conducted in October 2020 using "Lime Survey" online application to the respondents of Non-Communicable Disease (NCD) Risk Factors Cohort Study at 5 villages at Central Bogor District, Bogor City. A total of 433 CHD patients was selected purposively. The inclusion criteria of this research was female. The exclusion was incomplete data. The dependent variable was changes in medication-taking behavior before and during the pandemic of COVID-19. The independent variables including (1) age, (2) education, (3) job status, (4) comorbidity, (5) mental/emotional disorder (MED). The data were analyzed by logistic regression. Results: The results of multivariate analysis showed that the odds ratio were 3.47-fold (OR= 3.46; 95% CI= 1.075 to 11.167; p= 0.037) higher for MED and 2.10-fold (OR=2.09; 95% CI= 0.88 to 4.99; p= 0.094) higher for age ≥55 years to change their medicationtaking in the COVID-19 pandemic. Conclusion: CHD women with MED and age ≥55 years tend to change their medicationtaking behavior in the COVID-19 pandemic. The health providers should be more proactive to educate and service the people (especially CHD sufferers) relating to medication-taking behavior to raise public awareness to maintain their health.

Bulletin of Health Research, Dec 1, 2021

Changes in Body Mass Index (BMI) are the main predictors in controlling blood pressure, especiall... more Changes in Body Mass Index (BMI) are the main predictors in controlling blood pressure, especially during the COVID-19 pandemic. This article aims to measure changes in BMI before and during COVID-19 for controlling obesity in hypertensive. This is a further analysis data from the Bogor Cohort Study on NCD Risk Factor and the study of the Impact of the COVID-19 Pandemic Period on Health and Mental Health Service Efforts in 2020 conducted 750 hypertension cases during 2011-2018. The dependent variable is the change in BMI which is categorized stable, decreasing, increasing based on the cut off of the mean difference in BMI. The independent variables include demographic characteristics, ownership of Health Insurance, behavior, disease status, monitoring of blood pressure, height and body weight and therapy. Data were analyzed by multinomial logistic regression. The proportion of hypertensive who experienced changes in BMI was stable, decreased and increased, respectively by 24.5 percent, 49 percent and 26.5 percent. Factors associated with changes in BMI decreased in hypertensive patients were obesity with a risk of 1.7 times (95% CI 1.1–2.6) and stress 4.8 times (95% CI 1.4–16). The factor of increased BMI changes were obesity with a protective risk of 0.6 times (95% CI 0.4 -0.9), sitting more than 5.5 hours had a risk of 1.6 (95 % CI 1.1 – 2.6), and smoking ≥200 cigarettes/day has a 4.2 times risk (95% CI 1.4 – 13.0). Suggestions need efforts to maintain a stable BMI by doing physical activity, managing stress and not smoking. Key words: changes in BMI, hypertension, COVID-19 pandemic Abstrak Perubahan Indeks Massa Tubuh (IMT) merupakan prediktor utama dalam pengendalian tekanan darah khususnya di masa pendemi COVID-19. Artikel bertujuan mengukur perubahan IMT sebelum dan pada masa COVID-19 untuk pengendalian obesitas pada penderita hipertensi. Artikel ini merupakan hasil analisis lanjut dari sumber data Studi Kohor Faktor Risiko PTM Bogor dan studi Dampak Masa Pandemi COVID-19 pada Upaya Pelayanan Kesehatan dan Kesehatan Mental tahun 2020 pada 750 kasus hipertensi periode 2011-2018. Variabel dependen adalah perubahan IMT yang dikategorikan menjadi 3 yaitu stabil, turun, naik berdasarkan cut off rerata perbedaan IMT. Variabel independen meliputi karakteristik demografi (umur, jenis kelamin, pekerjaan), kepemilikan Jaminan Kesehatan Nasional (JKN), perilaku (merokok, olahraga, lama duduk), status penyakit (gangguan mental emosional, komorbid), pemantauan (tekanan darah, tinggi badan, berat badan) dan perilaku pengobatan. Data dianalisis dengan regresi logistik multinomial. Proporsi penderita hipertensi yang mengalami perubahan IMT stabil, turun dan naik, masing-masing sebesar 24,5 persen, 49 persen dan 26,5 persen. Faktor-faktor yang berhubungan bermakna dengan perubahan IMT turun pada penderita hipertensi adalah obesitas dengan risiko 1,7 kali (95% CI 1,1– 2,6) dibanding normal dan stress 4,8 kali (95% CI 1,4 – 16,0), sedangkan faktor perubahan IMT naik yang berhubungan bermakna adalah obesitas risiko protektif 0,6 kali (95% CI 0,4 -0,9) dibandingkan tidak obese, lama duduk lebih dari 5,5 jam berisiko 1,6 (95% CI 1,1 – 2,6), serta merokok ≥200 batang/hari berisiko 4,2 kali (95% CI 1,4 – 13,0) dibandingkan bukan perokok. Saran perlu upaya menjaga IMT tetap stabil dengan cara melakukan aktifitas fisik, mengelola stres dan tidak merokok. Kata kunci : perubahan IMT, hipertensi, pandemic COVID-19

Gizi Indonesia, Dec 31, 2018

Central obesity is one of the public health problems in developing countries. This study aims to ... more Central obesity is one of the public health problems in developing countries. This study aims to analyze the dynamic risk factors for central obesity in adults. This study used secondary data "Cohort Study of Non-Communicable Diseases Risk Factors" observing period for six years. The study design was a prospective cohort. The subjects were all household members aged 25 years and above with the criteria remaining in the study area, healthy, non-physically disabled, non-pregnant, having normal abdominal circumference (male ≤ 90 cm and female ≤80 cm) on baseline study, not suffering from noncommunicable diseases (hypertension, diabetes mellitus, cancer, stroke, chronic obstructive pulmonary disease) at the baseline of the study, and completeness of the data. The number of subjects at the baseline of the study were 1510, consisting of 613 men and 897 women. The results showed that a cumulative incidence of central obesity during the 6-year observation period of 837 (55.4%). Multivariate cox regression analysis showed that the risk factors for central obesity in adults were gender, age group, marital status, and physical activity. This study concluded that female subjects with physical inactivity had more central obesity compared to male subjects with physical inactivity.

Buletin Penelitian Kesehatan, 2003

Health promotion to control acute respiratory infection (ARI) is one of Indramayu District Health... more Health promotion to control acute respiratory infection (ARI) is one of Indramayu District Health Office program. The methods used posters on the street side and health center. The aim of this study are (1) to obtain information of knowledge, attitude, and practise of mothers about pneuonia and ARI, (2) to obtain information of communities perception about CC and ARI, and (3) to determine CC and ARI prevalence in the community. The study was carried out in Indramayu District, West Jawa with cross sectional design. Data collected from 340 mothers who have a child under 5 years old and they were not health official or wives of health official by questionaire s. Also data collected from the communities by focus group discussion, and sick child report at 30 health centers. Data were analyzed by descriptive analysis, regression and logistic regression analysis. The results showed that the knowledge of mothers about CC/ ARI are low, most of them didn't know about CC/ARI and corelation betwen common cold and accute respiratory infection. Education has corelation with knowledge of mothers. The attitude of mothers about CC/ ARI are positive. Knowledge and employee status have corelation with attitude of mothers. The health seeking behavior of mothers about CC/ARI mostly self medication. Knowledge and attitude have no corelation with practice of mothers. The communities have locally and culturally specific preventive and curative measure toward sick children. During the last one month, CC prevalence was 27.1% and ARI 6.3% among children under five years old in the community. Based on 30 health centers report during 2001,the proportion of CC case was 22.5% and ARI was 5.5% of sick children.

Media Penelitian dan Pengembangan Kesehatan, Mar 1, 1997

Alat-alat telekomunikasi, peralatan industri, dan rumah tangga ... more Alat-alat telekomunikasi, peralatan industri, dan rumah tangga yang menggunakan tenaga radiasi elektromagnetik, ternyata dari berbagai hasil penelitian dan studi berbagai literatur menunjukkan adanya dampak buruk terhadap kesehatan. Hal ini akibat dari paparan radiasi elektromagnetik bagi pemakai. Seberapa jauh efek biologis yang terpengaruh oleh paparan radiasi elektromagnetik, akan penulis kemukakan dalam makalah ini.

Universa Medicina, Aug 27, 2007

LATAR BELAKANG Proporsi disabilitas dan case fatality rate cedera akibat kecelakaan lalu lintas m... more LATAR BELAKANG Proporsi disabilitas dan case fatality rate cedera akibat kecelakaan lalu lintas masih tinggi (25%). Cedera akibat kecelakaan lalu lintas merupakan penyebab utama disabilitas dan mortalitas di negara berkembang. Tujuan penelitian ini adalah untuk menggambarkan profil keparahan cedera yang dialami oleh korban kecelakaan lalu lintas sepeda motor yang masuk ke bagian Instalasi Gawat Darurat Rumah Sakit Umum Pusat (IGD RSUP) Fatmawati. METODE Penelitian ini merupakan bagian dari penelitian "Pengembangan Surveilans Cedera Akibat Kecelakaan Lalu Lintas pada Pengendara Sepeda Motor." Pengumpulan data dilakukan selama 1 bulan yaitu selama bulan Oktober 2005. Responden adalah pengendara sepeda motor baik sebagai pengemudi maupun penumpang yang mengalami kecelakaan lalu lintas dan masuk ke IGD rumah sakit. Pengumpulan data dilakukan dengan metode wawancara terhadap korban kecelakaan maupun pengantar dengan menggunakan formulir register cedera. HASIL Korban kecelakaan sepeda motor yang masuk ke IGD RSUP Fatmawati selama kurun waktu 1 bulan sebanyak 138 orang. Karakteristik korban adalah mayoritas laki-laki 73,9%, berumur sekitar 21-30 tahun 43,5%, pendidikan setingkat SMU 59,4% dan bekerja sebagai pegawai swasta 55,8%. Kondisi korban yang mengalami cedera ringan sekitar 52,2%, cedera parah 47,8%. Daerah cedera meliputi kepala 55,1% dengan commotio cerebri 6,5%, kaki 12,3% dan lutut/tungkai bawah 9,4%. Jenis luka meliputi luka terbuka 42,0%, patah tulang 18,0% dan luka lecet 14,5%. Faktor-faktor yang berbeda bermakna dengan keparahan cedera adalah waktu terjadinya kecelakaan (malam hari) dan kecepatan kendaraan ≥ 60 km/jam (p<0,05). KESIMPULAN Korban kecelakaan sepeda motor yang masuk ke IGD RSUP Fatmawati kebanyakan mengalami cedera di bagian kepala dengan luka terbuka, dan kondisi korban yang parah cukup besar yaitu 47,8%.

Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Dec 30, 2022

Latar Belakang: Asupan gula, garam, dan lemak yang berlebih merupakan salah satu faktor risiko te... more Latar Belakang: Asupan gula, garam, dan lemak yang berlebih merupakan salah satu faktor risiko terjadinya obesitas dan penyakit tidak menular. Perubahan asupan gula, garam, dan lemak pada orang dewasa dengan kasus obesitas baru belum diteliti di Indonesia. Tujuan: Menganalisis pola asupan dan besaran perubahan asupan gula, garam, lemak pada orang dewasa obese selama dua tahun pemantauan. Metode: Desain pada penelitian ini yaitu studi longitudinal dengan menggunakan data sekunder dari Studi Kohor Faktor Resiko Penyakit Tidak Menular oleh Kementerian Kesehatan Republik Indonesia. Subjek pada penelitian ini yaitu penyandang obesitas baru sebesar 138 subjek. Nilai cutoff obesitas yang digunakan dalam penelitian yaitu IMT ≥25.00 kg/m 2. Asupan gula, garam, dan lemak diperoleh dari food recall 1x24 jam dan FFQ. Pola asupan gula, garam, dan lemak dikategorikan menjadi meningkat atau menurun berdasarkan perbandingan asupan pada akhir penelitian dengan asupan GGL di T2 (tertile sedang) pada awal penelitian. Besar perubahan asupan gula, garam, dan lemak adalah selisih asupan gula, garam, dan lemak subjek penelitian di dua tahun pengamatan. Hasil: Mayoritas penyadang obesitas yaitu perempuan dengan rentang usia 35-44 tahun dan mempunyai kadar LDL yang tergolong tinggi. Adanya perubahan pada asupan gula, garam, dan lemak pada penyandang obesitas yang meningkat secara signifikan khususnya pada gula, dan lemak. Besar perubahan asupan gula, garam, dan lemak pada orang dewasa obese sebesar 10,5 g (p<0,05), 0,02 g (p>0,05), dan 10,7 g (p<0,05) selama dua tahun. Asupan pangan sumber gula, garam lemak seperti kue manis, minuman berpemanis, dan minuman sachet dengan penambahan gula, makanan kaleng, kecap, dan gorengan serta daging juga meningkat selama dua tahun pemantauan. Kesimpulan: Asupan gula, garam, dan lemak pada orang dewasa yang obesitas cenderung meningkat, dan kemungkinan besar dapat meningkatkan prevalensi obesitas dan penyakit tidak menular di Indonesia.

Journal of Public Health and Development, 2023

A higher level of physical activity is widely recommended for the prevention of several Non-Commu... more A higher level of physical activity is widely recommended for the prevention of several Non-Communicable Diseases (NCDs), such as diabetes and cardiovascular disease, and leads to a reduction of blood pressure in resistant hypertension as well. This study aimed to measure the estimated effect of altered physical activity on hypertension over the course of three years of observation. This longitudinal study was conducted on 3109 adults at baseline using The Cohort Study of NCDs Risk Factors. The investigation was conducted through interviews, selfreports and observations. Data were analyzed using the Generalized Estimating Equation. The results show that the highest proportion of hypertension based on observation time occurred among those with low physical activity and experienced a delta change of less than 100 METmin/week, which was 24% at the third follow-up. The risk of hypertension was higher among those with low physical activity and unchanged in the second (RR=1,642; 0,922-8,224) and third years of follow-up (RR=3,607; 95% CI: 0,923-7,993) compared to those who had moderate-vigorous activity. A longer follow-up period led to higher risk estimation. Given the significant impact of inactivity, regular physical activity should therefore be recommended for all individuals at risk of hypertension, including office workers. A firm policy is needed to encourage workplace physical activity breaks, in both government and private sectors.

Debu yang setiap harinya kita hirup (dari udara luar baik di j... more Debu yang setiap harinya kita hirup (dari udara luar baik di jalan, rumah, kantor maupun di tempat-tempat umum lainnya), dalam konsentrasi tinggi dan jangka waktu yang cukup lama akan membahayakan kesehatan manusia. Akibat penghirupan debu yang langsung dapat kita rasakan adalah rasa sesak dan keinginan untuk bersin atau batuk dikarenakan adanya gangguan pada saluran pernafasan. Ternyata paparan debu di udara selain mengganggu pernafasan, dapat pula memberikan dampak negatif lain apabila ditinjau dari aspek biologisnya.

Buletin penelitian sistem kesehatan, 2009

Media of Health Research and Development, Dec 31, 2020

Salah satu komplikasi buruk dari penderita diabetes melitus (DM), penyakit jantung koroner (PJK),... more Salah satu komplikasi buruk dari penderita diabetes melitus (DM), penyakit jantung koroner (PJK), dan strok yang berkepanjangan adalah munculnya gangguan fungsi ginjal dan akan membebani ekonomi bagi penderitanya. Gambaran prognosis gangguan fungsi ginjal pada insiden DM, PJK, dan strok selama pemantauan Studi Kohor Faktor Risiko PTM (FRPTM) Bogor belum diketahui. Tujuan penelitian untuk mendapatkan gambaran gangguan fungsi ginjal pada kasus baru DM, PJK, dan strok yang muncul selama pemantauan Studi Kohor FRPTM. Artikel ini merupakan hasil analisis lanjut secara potong lintang dari data sekunder kasus baru (insiden) DM, PJK, dan strok pada Studi Kohor FRPTM sebanyak 370 subjek yang diperiksa kadar kreatinin darah dan dihitung eLFG pada tahun 2018 dan 2019. DM didiagnosis dari kadar gula darah puasa ≥126 mg/dl atau post prandial ≥200mg/dl. PJK dari hasil pemeriksaan EKG dan validasi dokter spesialis jantung dan strok hasil anamnesis oleh spesialis saraf dan sudah mengalami rawat jalan. Variabel utama adalah eLFG merupakan indikator terjadinya gangguan fungsi ginjal yang merupakan hasil hitung kadar kreatinin dalam darah dengan CKD-epi. Variabel lain adalah umur, jenis kelamin, jenis penyakit (DM, PJK, dan strok). Data dianalisis dengan uji chi-square. Hasil menunjukkan temuan gangguan fungsi ginjal pada penderita DM, PJK, strok, dan komorbid di Bogor berumur 48,2 ± 8,6 tahun dan proporsi masing-masing 59,5%, 56,7%, 66,7%, dan 50%. Subjek yang mengalami gangguan fungsi ginjal menunjukkan lebih banyak pada umur lebih tua dan perempuan. Tingginya proporsi gangguan fungsi ginjal pada penderita strok, DM, PJK, dan komorbid diperlukan pencegahan komplikasi sejak awal terdiagnosis PTM dengan memantau fungsi ginjal dengan pemeriksaan kadar kreatinin secara teratur, serta menghindari penggunaan obat yang menimbulkan kerusakan ginjal.

Jurnal Ekologi Kesehatan, Mar 11, 2019

Half of the women (48%) had hypertension at the age of menopause and the majority of hypertension... more Half of the women (48%) had hypertension at the age of menopause and the majority of hypertension was uncontrolled. For hipertensive patients, behavioral factors (knowledge, attitude and practice) and environment related to the prevention and control of blood pressure. This study explored further from the research data " The Dynamics of Change in Body Mass Index and Blood Pressure in Postmenopausal Women in Bogor on 2011-2014, focus on knowledge, attitude and practice of preventing and controlling hypertension in Bogor City. Data collection was carried out with indepth interviews on key informants responsible for health program and Focus Group Discussion (FGD) for 4 groups of hypertensive and normotensive informants, respectively. The qualitiative data analyzed using theme analysis, triangulation was carried out for data validation. Analysis of drinking water quality data was done by independent t test. The majority of postmenopausal women were 55 years old and senior high school education. Most of them already have good knowledge and attitudes in the prevention and control of blood pressure, but are still lacking in practice. Aluminum and lead (Pb) contamination in drinking water has exceeded the standard value and has the potential to increase blood pressure. For hypertensive patient, health workers should have a strategy to increase the motivation to practice the prevention and control of blood pressure with various counseling methods that are more innovative and applicative to specific local potential and routine monitoring of drinking water sources to maintain good drinking water quality.