Calcium and vitamin D intake, knowledge, and osteoporosis risk factors among pre-elderly and elderly women in Bangunjiwo, Yogyakarta
DOI:
https://doi.org/10.22236/argipa.v10i2.20047Keywords:
Calcium intake, Elderly, Knowledge, Osteoporosis risk, Vitamin D intakeAbstract
Osteoporosis commonly occurs among pre-elderly and elderly women, characterized by decreased bone mass and changes in the microarchitecture of bone tissue, leading to bone fragility and an increased risk of fractures. The study aimed to analyze the association between calcium intake, vitamin D intake, and osteoporosis-related knowledge with the risk of osteoporosis among pre-elderly and elderly women. A cross sectional study was conducted involving 127 pre-elderly and elderly women in Bangunjiwo, Bantul, selected through purposive sampling. Data collected included subject characteristics, calcium, and vitamin D intake (measured using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ)), osteoporosis knowledge (measured using a structured questionnaire), and osteoporosis risk (assessed using the OPAQ-PF questionnaire). Data were analyzed using the chi-square test with a significance level of α<0,05. The results showed that more than 90% of both pre-elderly and elderly subjects were at risk of osteoporosis. A significant association was found between calcium intake and osteoporosis risk (p<0,001), as well as between knowledge and osteoporosis risk (p=0,041). However, no significant association was found between vitamin D intake and osteoporosis risk (p=0,071). In conclusion, this study identified calcium intake and knowledge as factors associated with the risk of osteoporosis among pre-elderly and elderly women, while vitamin D intake was not significantly associated with osteoporosis risk.
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Abdulameer, S. A., Sulaiman, S. A., Hassali, M. A., Subramaniam, K., & Sahib, M. N. (2012). Osteoporosis and type 2 diabetes mellitus: what do we know, and what we can do? Patient Preference and Adherence, 6, 435-448.
Akter, S., Netzel, M., Tinggi, U., Fletcher, M., Osborne, S., dan Sultanbawa, Y. (2020). Interactions between phytochemicals and minerals in Terminalia ferdinandiana and implications for mineral bioavailability. Front. Nutr., 7:598219. https://doi.org/10.3389/fnut.2020.598219
Al Anouti, F., Taha, Z., Shamim, S., Khalaf, K., Al Kaabi, L., & Alsafar, H. (2019). An insight into the paradigms of osteoporosis: from genetics to biomechanics. Bone Reports, 11, 100216.
Andrean, D., Najirman, N., & Kurniawan, E. (2023). Pathophysiology and management of primary osteoporosis: a narrative literature review. Bioscientia Medicina: Journal of Biomedicine and Translational Research, 7(8), 3548–3555.
Biki, E. A., Febriyona, R., & Sudirman, A. N. (2023). Hubungan asupan kalsium dengan tingkat risiko osteoporosis pada lansia di LKS Beringin. Jurnal Kesehatan Tambusai, 4(4), 6538–6546.
Booth, A. & Camacho, P. (2013). A closer look at calcium absorption and the benefits and risks of dietary versus supplemental calcium. Postgraduate Medicine, 125(6), 73–81.
Bourassa, M. W., Abrams, S. A., Belizán, J. M., Boy, E., Cormick, G., Quijano, C. D., Gibson, S., Gomes, F., Hofmeyr, G. J., Humphrey, J., Kraemer, K., Lividini, K., Neufeld, L. M., Palacios, C., Shlisky, J., Thankachan, P., Villalpando, S., & Weaver, C. M. (2022). Interventions to improve calcium intake through foods in populations with low intake. Annals of the New York Academy of Sciences, 1511(1), 40–58.
Cotter, E. J., Klosterman, E. L., Winzenried, A. E., Greiner, J. J., & Grogan, B. F. (2021). Osteoporosis screening is often indicated but overlooked prior to rotator cuff repair. Arthroscopy, Sports Medicine, and Rehabilitation, 3(3), e659–e665.
Dostan, A., Dobson, C. A., & Vanicek, N. (2023). Relationship between stair ascent gait speed, bone density and gait characteristics of postmenopausal women. PLOS ONE, 18(3), e0283333.
Gibson, R. S. (2005). Principles of Nutritional Assessment (3rd ed.). New York: Oxford University Press.
[Kemenkes RI] Kementerian Kesehatan RI. (2019). Angka Kecukupan Gizi.
[Kemenkes RI] Kementerian Kesehatan RI. (2020a). Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 Tahun 2020.
[Kemenkes RI]. Kementerian Kesehatan RI. (2020b). Tabel Komposisi Pangan Indonesia.
[Kemenkes RI]. Kementerian Kesehatan RI. (2024). Laporan Survei Kesehatan Indonesia Tahun 2023.
Khairiah, M. (2017). Hubungan pengetahuan wanita usia tentang osteoporosi premenopause dengan perilaku pencegahan osteoporosis. Skripsi. Jombang: STIKES Insan Cendikia Medika.
Mamasta, K F. A. & Maulina, B. (2021). Hubungan antara derajat perilaku merokok dengan indeks bone mineral density (bmd) di RS Murni Teguh Medan tahun 2020. Jurnal Kedokteran Ibnu Nafis, 10(1), 39–48.
Mansoben, N., Gurning, M., & Soka, VT. (2021). Hubungan pengetahuan dengan pencegahan osteoporosis pada wanita premenopause di wilayah kerja Puskesmas Malawei kota Sorong. Journal of Nursing and Health, 6(2), 104–114.
Marfianti, E., Kasyiva, M., & Sabila, A. B. (2024). Deteksi dini dan peningkatan pengetahuan penyakit osteoporosis pada calon jamaah haji di Yogyakarta. Jurnal Abdimas Madani dan Lestari (JAMALI), 6(1), 1–8.
Nixon, A., Kerr, C., Doll, H., Naegeli, A. N., Shingler, SL., Breheny, K., Burge, R., Gold, D. T., & Silverman, S. (2014). Osteoporosis assessment questionnaire-physical function (opaq-pf): a psychometrically validated osteoporosis-targeted patient reported outcome measure of daily activities of physical function. Osteoporosis International, 25(6), 1775–1784.
Nurmaliza, N., Ratih, R. H., Yusmaharani, Y., & Siagian, D. S. (2021). Hubungan asupan kalsium terhadap status kepadatan mineral tulang pada wanita usia subur di kota Pekanbaru. Jurnal SMART Kebidanan, 8(2), 176.
Nursalam, N. (2016). Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis. Jakarta: Salemba Medika.
Octavius, G. S., Shakila, A., Meliani, M., & Halim, A. (2023). Vitamin D deficiency is a public health emergency among Indonesian children and adolescents: a systematic review and meta-analysis of prevalence. Annals of Pediatric Endocrinology & Metabolism, 28(1), 10–19. https://doi.org/10.6065/apem.2244170.085
Peacock, M. (2010). Calcium metabolism in health and disease. Clinical Journal of the American Society of Nephrology, 5(Supplement_1), S23–S30.
Pickering, M. E., Souberbielle, J. C., Boutten, A., Breuil, V., Briot, K., Chapurlat, R., Fardellone, P., Javier, R. M., Koumakis, E., & Cortet, B. (2025). Daily or intermittent vitamin D supplementation in patients with or at risk of osteoporosis: position statement from the GRIO. Joint Bone Spine, 92(3), 105858.
Poiana, C. & Capatina, C. (2017). Fracture risk assessment in patients with diabetes mellitus. Journal of Clinical Densitometry, 20(3), 432–443. https://doi.org/10.1016/j.jocd.2017.06.011
Purwaningsih, P. & Khairani, A. I. (2018). Hubungan kebiasaan makan dengan kejadian osteoporosis pada lansia di puskesmas kutalimbaru kecamatan kutalimbaru kabupaten deli serdang. Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan, 3(1), 82-91.
[Pusdatin Kemenkes RI] Pusat Data dan Informasi Kementerian Kesehatan RI. (2020). Situasi Osteoporosis di Indonesia. Kementerian Kesehatan RI.
https://Pusdatin.Kemkes.Go.Id/Resources/Download/Pusdatin/Infodatin/Infodatin-Osteoporosis2020.Pdf.
Rauf, S., Malawat, R., & Makayaino, Z. (2021). Panduan Lansia: Buku Pegangan bagi Kader Posyandu. Pidie: Yayasan Penerbit Muhammad Zaini.
Sani, N., Yuniastini, Y., Putra, A., & Yuliyana, Y. (2020). Tingkat pengetahuan osteoporosis sekunder dan perilaku pencegahan mahasiswa universitas malahayati. Jurnal Ilmiah Kesehatan Sandi Husada, 11(1), 159–163.
See, H., Gowling, E., Boswell, E., Aggarwal, P., King, K., Smith, N., Lim, S., Baxter, M., & Patel, H. P. (2025). Treatment considerations for severe osteoporosis in older adults. Drugs & Aging, 42(5), 395–412.
Setiati, S. (2008). Vitamin D status among indonesian elderly women living in institutionalized care units. Acta Media Indonesia, 40(2), 78-83.
Stromsnes, K., Fajardo, C. M., Soto-Rodriguez, S., Kajander, E. R. U., Lupu, R. I., Pozo-Rodriguez, M., Boira-Nacher, B., Font-Alberich, M., Gambini-Castell, M., Olaso-Gonzalez, G., Gomez-Cabrera, M.-C., & Gambini, J. (2024). Osteoporosis: causes, mechanisms, treatment and prevention: role of dietary compounds. Pharmaceuticals, 17(12), 1697.
Suarni, L. (2017). Faktor-faktor penyebab terjadinya penyakit osteoporosis pada lansia di UPT Pelayanan Sosial Lansia di wilayah Binjai tahun 2017. Jurnal Riset Hesti Medan, 2(1), 60-65.
Tantri, A. R., Soenarto, R. F., Firdaus, R., Theresia, S., & Anakotta, V. (2022). Low incidence of vitamin d levels deficiency in anesthesiology residents. Bali Journal of Anesthesiology, 6(4), 210–214.
Vos, T., Lim, S. S., Abbafati, C., Abbas, K. M., Abbasi, M., Abbasifard, M., Abbasi-Kangevari, M., Abbastabar, H., Abd-Allah, F., Abdelalim, A., Abdollahi, M., Abdollahpour, I., Abolhassani, H., Aboyans, V., Abrams, E. M., Abreu, L. G., Abrigo, M. R. M., Abu-Raddad, L. J., Abushouk, A. I., Murray, C. J. L. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1204–1222.
Voulgaridou, G., Papadopoulou, S. K., Detopoulou, P., Tsoumana, D., Giaginis, C., Kondyli, F. S., Lymperaki, E., & Pritsa, A. (2023). Vitamin D and calcium in osteoporosis, and the role of bone turnover markers: a narrative review of recent data from RCTs. Diseases, 11(1), 29.
Wildawati, R., Anggreny, Y., & Putri, DK. (2020). Determinan pencegahan osteoporosis pada wanita menopause. Jurnal Ners Indonesia, 10(2), 229-237.
Yildirim, T. (2021). The frequency and relationship of osteoporosis and vitamin D deficiency in the female geriatric population in Central Anatolia. J Health Sci Med / JHSM, 4(2), 223-227. https://doi.org/10.32322/jhsm.889207.
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