Effect of fortified milk (calcium and vitamin D) and osteoporosis gymnastics toward bone density of pre elderly women in the working area of health center Banyuanyar in district Sampang

Desy Prasetya, Bambang Wirjatmadi, Merryana Adriani

Abstract


Disorders of bone density becomes a major public health problem, especially in women pre elderly. Besides due to low intake of essential nutrients for bone, also because of declining estrogen due to menopause. Low bone density can lead to osteoporosis and impact on risk of bone fracture. Fortified milk is one of strategy to provide the intake of calcium and vitamin D daily. In addition, osteoporosis gymnastics also plays a role to increase the absorption of calcium in the small intestine. The aim of this study was to analyzed the effect of fortified milk (calcium and vitamin D) and osteoporosis gymnastics on bone density in women pre elderly in the working area of health center Banyuanyar Sampang. Research design used Non equivalent Control Group Design. Samples were 45 pre elderly womens (age 50-59 years) which is composed of 15 people (treatment group I) in the form of gymnastics osteoporosis, 15 (treatment group II) in the form of osteoporosis gymnastics and fortified milk, and 15 people in the control group. Statistical test using paired T-test, Wilcoxon and Kolmogorov Smirnov. There was the influence of fortified milk (calcium and vitamin D) and osteoporosis gymnastics on bone density (p = 0.037). While in the first treatment group (p = 0.217) and showed no effect on controls groups (p = 0.157). There was the influence of fortified milk (calcium and vitamin D) and osteoporosis gymnastics on bone density. Some respondents have improvement or increase of T-score.


Keywords


fortified milk (calcium and vitamin D); osteoporosis gymnastics; bone density; pre elderly women

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References


Tandra, H. Osteoporosis, Mengenal, Mengatasi, dan Mencegah Tulang Keropos. 2009. Jakarta: Gramedia Pusaka Utama

IOF. The Breaking Spine. Available from http://www.iofbonehealth.org 2010

Sihombing, H.C. Karakteristik Kasus Menopause Osteoporosis di Makmal erpadu Imunoendokrinologi FK UI Tahun 2006-2008. Skripsi. 2009. Jakarta: Universitas Indonesia

Trihapsari, E. Faktor-faktor yang Berhubungan dengan Densitas Mineral Tulang Wanita ≥ Tahun di Departemen Pendidikan Nasional, Jakarta Pusat Tahun 2009. Skripsi. 2009. Jakarta: Universitas Indonesia

Kemenkes. Keputusan Menteri Kesehatan Republik Indonesia Nomor 1142/Menkes/SK/XII/2008 tentang Pedoman Pengendalian Osteoporosis. 2008.

Theobald, H.E. Dietary Calcium and Health. British Nutrition Foundation. 2005. London UK. Available from http://www.nutrition.org

Fatmah. Osteoporosis dan Faktor Risikonya pada Lansia Etnis Jawa. 2008. http://www.ejournal.undip.ac.id

Prihatini, S., Mahirawati, V.K., Jahari, A.B., Sudirman, H. Faktor Determinan Risiko Osteoporosis di Tiga Provinsi di Indonesia. Media Litbang Kesehatan. 2008. Vol XX. No. 2. hal. 91-99

Linder, M.C. Biokimia Nutrisi dan Metabolisme dengan Pemakaian Secara Klinis. 2006. Jakarta: UI Press

Muliani. Olahraga Meningkatkan Mekanisme Absorpsi Kalsium. Bagian Anatomi Fakultas Kedokteran Udayana. Medicina 2012. (43) : 103-107

Dinas Kesehatan Kabupaten Sampang. Profil Kesehatan. 2013. Dinas Kesehatan Kabupaten Sampang

Wirjatmadi, B dan Adriani, M. Pengantar Gizi Kesehatan Masyarakat. 2012. Jakarta: Kencana Prenada Media Group

Fatmah. Gizi Usia Lanjut. 2010. Jakarta : Erlangga

Murray, R.K., Granner, D.K., Rodwell, V.W. Biokimia Harper. 2009. Jakarta: Penerbit Buku Kedokteran EGC

Arifin Z, Hestiantoro A, Baziad A. Pemberian susu yang difortifikasi kalsium kadar tinggi dan vitamin D dalam memperbaiki turnover tulang perempuan pascamenopause. Majalah Obstetri dan Ginekologi Indonesia. 2010. 34: 31-38

Oemardi, M., Horoeitz M., Wishart JM, et al. The effect of Menopause on Bone Mineral Density and Bone Reated Biochemical Variables in Indonesia Woman. Journal Cinical Endocrinology. 2007 . 7(1) : 93 -100

Kuchuk, NO., NM. Van Schoor, SM. Plujim et al. Vitamin D Status, Parathyroid Function, Bone Turnover and BMD in Postmenopausal Women with Osteoporosis : Global Perspective. Journal of Bone and Mineral Research. 2009. 24 (4) : 693 – 701

Suroto. Pengertian Senam, Manfaat Senam dan Urutan Gerakan. Unit Pelaksana Teknis Mata Kuliah Umum Olahraga. 2004. Semarang: Universitas Diponegoro

Charoenphandhu, N. Physical Activity and Exercise Affect Intestinal Calcium Absorption: A Perspective Review. Journal of Sport Science and Technology 2007. 7 (1&2) : 171-181




DOI: http://dx.doi.org/10.30742/jikw.v4i1.14

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Jurnal Ilmiah Kedokteran Wijaya Kusuma 

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