The effect of protein intake, physical activity and gender on cognitive function in the elderly at Surakarta Health Center

Indry Wulansari* -  The Study Program of Nutrition Science, Master’s Degree Program Universitas Sebelas Maret, Surakarta, Central Java, Indonesia
Brian Wasita -  The Study Program of General Medicine, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Central Java
Muthmainah Muthmainah -  The Study Program of General Medicine, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Central Java

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The prevalence of cognitive function impairment increased from 2010 to 2020. Cognitive function declines in the form of memory, language, and action disorders. Cognitive function can be prevented by consuming protein and engaging in physical activity. This study aimed to determine the effect of protein intake on neurotransmitter synthesis, physical activity to increase brain protein, and sex related to metabolism on cognitive function in the elderly at Surakarta Health Center. The research design used observational analytics, with a cross-sectional approach. The research location at several health centers namely in Pajang, Jayengan, Gajahan, Sibela and Gambirsari. This study was conducted from January to February 2024. The sample was obtained by purposive sampling of 110 elderly people at the Surakarta City Health Center. Research data were obtained through interviews with a protein intake questionnaire (SQFFQ), physical activity questionnaire (IPAQ), and cognitive function questionnaire using the Mini Mental State Examination questionnaire, which has been tested for validity and reliability. Data analysis was performed using the Ordinal Logistic Regression Test, with a 95% confidence interval (CI). The results showed that protein intake, physical activity, and sex had no effect on cognitive function (p>0,05). This was due to other factors that were not examined in this study. In conclusion, the decline in cognitive function can be improved by protein intake, which is related to neurotransmitters, and physical activity that is routinely performed can help proteins in the brain increase.

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Keywords : Cognitive function, gender, physical activity, protein intake

  1. Akbar, Z. A., & Dainy, N. C. (2023). Hubungan Status Gizi, Jenis Kelamin, Aktivitas Fisik, dan Asupan Serat Terhadap Fungsi Kognitif pada Pralansia di Kecamatan Cileungsi Kabupaten Bogor. Muhammadiyah Journal of Geriatric, 4(2), 99. https://doi.org/10.24853/mujg.4.2.99-109
  2. Amarya, S., Singh, K., & Sabharwal, M. (2018). Ageing Process and Physiological Changes. Gerontology, 3–24. https://doi.org/10.5772/intechopen.76249
  3. A
  4. mireault, S., Godin, G., Lacombe, J., & Sabiston, C. M. (2015). The use of the Godin-Shephard Leisure-Time Physical Activity Questionnaire in oncology research: a systematic review. BMC Medical Research Methodology, 15(1), 1–11. https://doi.org/10.1186/s12874-015-0045-7
  5. Coelho-Júnior, H. J., Calvani, R., Landi, F., Picca, A., & Marzetti, E. (2021). Protein Intake and Cognitive Function in Older Adults: A Systematic Review and Meta-Analysis. Nutrition and Metabolic Insights, 14. https://doi.org/10.1177/11786388211022373
  6. Di Liegro, C. M., Schiera, G., Proia, P., & Di Liegro, I. (2019). Physical activity and brain health. Genes, 10(9). https://doi.org/10.3390/genes10090720
  7. Dinas Kependudukan dan Pencatatan Sipil. (2020). Kota Surakarta 2020.
  8. Erickson, K. I., Hillman, C., Stillman, C. M., Ballard, R. M., Bloodgood, B., Conroy, D. E., Macko, R., Marquez, D. X., Petruzzello, S. J., & Powell, K. E. (2019). Physical Activity, Cognition, and Brain Outcomes: A Review of the 2018 Physical Activity Guidelines. Medicine and Science in Sports and Exercise, 51(6), 1242–1251. https://doi.org/10.1249/MSS.0000000000001936
  9. Gao, R., Yang, Z., Yan, W., Du, W., Zhou, Y., & Zhu, F. (2022). Protein intake from different sources and cognitive decline over 9 years in community-dwelling older adults. Frontiers in Public Health, 10(1), 1–12. https://doi.org/10.3389/fpubh.2022.1016016
  10. Henneges, C., Reed, C., Chen, Y. F., Dell’Agnello, G., & Lebrec, J. (2016). Describing the Sequence of Cognitive Decline in Alzheimer’s Disease Patients: Results from an Observational Study. Journal of Alzheimer’s Disease, 52(3), 1065–1080. https://doi.org/10.3233/JAD-150852
  11. Hooshmand, B., Refsum, H., Smith, A. D., Kalpouzos, G., Mangialasche, F., Von Arnim, C. A. F., Kåreholt, I., Kivipelto, M., & Fratiglioni, L. (2019). Association of Methionine to Homocysteine Status with Brain Magnetic Resonance Imaging Measures and Risk of Dementia. JAMA Psychiatry, 76(11), 1198–1205. https://doi.org/10.1001/jamapsychiatry.2019.1694
  12. Huang, J., Yu, Y., Li, H., Wei, Y., & Sun, M. (2023). Effect of dietary protein intake on cognitive function in the elderly with chronic kidney disease: analysis of the National Health and Nutrition Examination Survey 2011–2014. Renal Failure, 45(2). https://doi.org/10.1080/0886022X.2023.2294147
  13. Hutasuhut, A. F., Anggraini, M., & Angnesti, R. (2020). Analisis Fungsi Kognitif Pada Lansia Ditinjau Dari Jenis Kelamin, Riwayat Pendidikan, Riwayat Penyakit, Aktivitas Fisik, Aktivitas Kognitif, Dan Keterlibatan Sosial. Jurnal Psikologi Malahayati, 2(1), 60–75. https://doi.org/10.33024/jpm.v2i1.2428
  14. Irfan Permana, Asri Aprilia Rohman, & Tita Rohita. (2019). Faktor Faktor Yang Berhubungan Dengan Penurunan Fungsi Kognitif Pada Lansia. Bina Generasi : Jurnal Kesehatan, 11(1), 55–62. https://doi.org/10.35907/jksbg.v11i1.135
  15. Livana, Susanti, Y., Darwati, L. E., & Anggraeni, R. (2018). Gambaran Tingkat Depresi Lansia. Jurnal Keperawatan Dan Pemikiran IlMiah, 80–93.
  16. Małecki, J., Muszyński, S., & Sołowiej, B. G. (2021). Proteins in food systems—bionanomaterials, conventional and unconventional sources, functional properties, and development opportunities. Polymers, 13(15). https://doi.org/10.3390/polym13152506
  17. Mardiana, K., & Sugiharto. (2022). Gambaran fungsi kognitif berdasarkan karakteristik lansia yang tinggal di komunitas Cognitive Functions Based on the Characteristics of Elderly Indwelling-Community. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 8, 578–583. https://journal.stikespemkabjombang.ac.id/index.php/jikep/article/download/1283/822
  18. Masuoka, N., Lei, C., Li, H., & Hisatsune, T. (2021). Influence of imidazole-dipeptides on cognitive status and preservation in elders: A narrative review. Nutrients, 13(2), 1–18. https://doi.org/10.3390/nu13020397
  19. Mendonça, N. M. P., Hengeveld, L. M., Presse, N., Canhão, H., Simonsick, E., Kritchevsky, S. B., Farsijani, S., Gaudreau, P., Jagger, C., & Visser, M. (2023). Protein intake, physical activity and grip strength in European and North American community-dwelling older adults: A pooled analysis of individual participant data from four longitudinal ageing cohorts. British Journal of Nutrition, 129(7), 1221–1231. https://doi.org/10.1017/S0007114522002033
  20. Mu’alim, A., & Mufida. (2023). Faktor-Faktor Yang Berhubungan Dengan Fungsi Intelektual Lansia. Serambi Akademica: Jurnal Pendidikan, Sains, Dan Humaniora, 11(5), 511–520.
  21. Muzamil, M. S., Afriwardi, A., & Martini, R. D. (2014). Hubungan Antara Tingkat Aktivitas Fisik dengan Fungsi Kognitif pada Usila di Kelurahan Jati Kecamatan Padang Timur. Jurnal Kesehatan Andalas, 3(2), 202–205. https://doi.org/10.25077/jka.v3i2.87
  22. Noor, C. A., & Merijanti, L. T. (2020). Hubungan antara aktivitas fisik dengan fungsi kognitif pada lansia. Jurnal Biomedika Dan Kesehatan, 3(1), 8–14. https://doi.org/10.18051/jbiomedkes.2020.v3.8-14
  23. Park, K. S., Ganesh, A. B., Berry, N. T., Mobley, Y. P., Karper, W. B., Labban, J. D., Wahlheim, C. N., Williams, T. M., Wideman, L., & Etnier, J. L. (2020). The effect of physical activity on cognition relative to APOE genotype (PAAD-2): Study protocol for a phase II randomized control trial. BMC Neurology, 20(1), 1–15. https://doi.org/10.1186/s12883-020-01732-1
  24. Pragholapati, A., & Hidayati, E. (2023). Persepsi Caring Mahasiswa Keperawatan. Jurnal Keperawatan, 1(2), 36–41.
  25. Prahasasgita, M. S., & Lestari, M. D. (2023). Stimulasi Fungsi Kognitif Pada Lanjut Usia Di Indonesia: Tinjauan Literatur. Buletin Psikologi, 31(2), 247. https://doi.org/10.22146/buletinpsikologi.80371
  26. Qin, B., Plassman, B. L., Adair, L. S., Edwards, L. J., Popkin, B. M., & Mendez, M. A. (2014). Abstract P185: Fish Intake is Associated with Slower Cognitive Decline in Chinese Older Adults: a Longitudinal Study from the China Health and Nutrition Survey. Circulation, 129(suppl_1), 1579–1585. https://doi.org/10.1161/circ.129.suppl_1.p185
  27. Riskiana, N. E. P. N., & Mandagi, A. M. (2021). Tingkat Pendidikan Dengan Fungsi Kognitif Pada Lansia Dalam Periode Aging Population. Preventif : Jurnal Kesehatan Masyarakat, 12(2), 256. https://doi.org/10.22487/preventif.v12i2.194
  28. Septyani, R., Agustina, D., Achirda, N., Laitupa, A. M., Azzahra, A., Cahyani, I., & Mubarakh, N. Z. (2023). Peningkatan Pengetahuan Fungsi Kognitif Di Posbindu Kenanga Ii Jatimelati Pondok Melati Bekasi. Jurnal Pengabdian Masyarakat Fisioterapi Dan Kesehatan Indonesia, 2(01), 78–87. https://doi.org/10.59946/jpmfki.2023.205
  29. Sesar, D. M., Fakhrurrazy, F., & Panghiyangani, R. (2019). Hubungan Tingkat Aktivitas Fisik dengan Fungsi Kognitif pada Lansia di Panti Sosial Tresna Wredha Kalimantan Selatan. Mutiara Medika: Jurnal Kedokteran Dan Kesehatan, 19(1), 27–31. https://doi.org/10.18196/mm.190125
  30. Silalahi, S. L., Hastono, S. P., & Kridawati, A. (2016). Hubungan Aktivitas Fisik Dengan Fungsi Kognitif Pada Lansia Di Cita Sehat Yogyakarta Tahun 2016. Jurnal Bidang Ilmu Kesehatan, 9(1), 543–552. http://ejournal.urindo.ac.id/index.php/kesehatan/article/view/207
  31. Siotto, M., Germanotta, M., Santoro, M., Cipollini, V., Guardati, G., Papadopoulou, D., Bray, E., Mastrorosa, A., & Aprile, I. (2021). Serotonin levels and cognitive recovery in patients with subacute stroke after rehabilitation treatment. Brain Sciences, 11(5). https://doi.org/10.3390/brainsci11050642
  32. Widia, D. K., Novitasari, D., Sugiharti, R. K., & Sidik Awaludin. (2021). Mini-Mental State Examination Untuk Mengkaji Fungsi Kognitif Lansia Mini-Mental State Examination To Assess Cognitive Function In Elderly. Jurnal Keperawatan Malang, 6(2), 1–13. https://jurnal.stikespantiwaluya.ac.id/index.php/JPW/article/view/137
  33. Yeh, T. S., Yuan, C., Ascherio, A., Rosner, B. A., Willett, W. C., & Blacker, D. (2021). Author response: Long-term dietary flavonoid intake and subjective cognitive decline in US men and women. Neurology, 97(23), 1095. https://doi.org/10.1212/WNL.0000000000012963

Open Access Copyright (c) 2024 Indry Wulansari, Brian Wasita, Muthmainah
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