dr Bagus Putu Putra Suryana, SpPD-KR, Ketua Umum Perhimpunan Osteoporosis Indonesia (PEROSI), mengatakan, "Menurut penelitian, lansia dengan usia ≥60 tahun yang aktif secara fisik, memiliki risiko lebih rendah terhadap penyakit kardiovaskular, kanker payudara dan prostat, patah tulang, jatuh berulang, cacat ADL (Activity Daily Living SriAndarini* , Bagus Putu Putra Suryana**, Dewangga Wahyu Praja*** Abstrak Clinic of Public Hospital Dr. Saiful Anwar Malang in 2012 as many as 154 patients. The results showed the relationship of age with osteoporosis at the lumbar spine (L1-L4) (p = 0.018), but BMI had a relationship Haltersebut juga akan memengaruhi emosinya yang menjadi tidak stabil sehingga mereka tidak memikirkan konsekuensi kelakuannya,' ujarnya kepada Surya dr Putu Bagus Surya Witantra Giri, Sp.Ak, CHt adalah Acupuncturist di Kota Jakarta Pusat. Ambil antrian online atau konsultasi virtual dengan mudah hanya di okadoc.id Vay Tiền Nhanh Ggads. Main Article Content Abstract Introduction Rheumatoid arthritis RA is an autoimmune rheumatic disease which often found in daily practice and requires certain considerations in recognizing clinical appearance also managing the disease as it often causes permanent joint damage, disability, even premature death. This recommendation is expected to become the latest reference for diagnosis and management of RA in Indonesia. Methods The steering committee was formed by the Indonesian Rheumatology Association IRA to formulate key questions; conduct literature search, selection, and review; then formulate recommendation statements for diagnosis, therapy, and monitoring of RA. Furthermore, the steering committee determined the level of evidence and grades of the recommendations. After that, the level of agreement LOA was determined for each item by panelists including rheumatology consultants who have been appointed by IRA to represent Indonesia regions. Results The steering committee established 30 recommendations including diagnosis, the role of laboratory and radiology tests, general treatment, the use of glucocorticoids, sDMARD, bDMARD, and tsDMARD. This recommendation also discusses guidelines on monotherapy, combination therapy, treatment strategies treat-to-target, tapering, and continuous clinical remission. Treatment on co-morbidities and complications are also included in brief. Conclusion IRA recommendations regarding the diagnosis and management of RA was made by considering various aspects such as the availability of drugs and supporting facilities, socioeconomic and cultural conditions in Indonesia, as well as the latest research that can be applied to Indonesian population. Article Details How to Cite Hidayat, R., Bagus Putu Putra Suryana, Linda Kurniaty Wijaya, Anna Ariane, Rakhma Yanti Hellmi, Endy Adnan, & Sumariyono. 2021. Indonesian Rheumatology Association IRA Recommendations for Diagnosis and Management of Rheumatoid Arthritis. Indonesian Journal of Rheumatology, 131, 322-443. Clinical and Research Journal in Internal Medicine Department of Internal Medicine Faculty of Medicine Universitas Brawijaya e-mail crjim P-ISSN 2723-5130 E-ISSN 2723-5122 This work is licensed under a Creative Commons Attribution International License Jakarta ANTARA - Ketua Umum Perhimpunan Osteoporosis Indonesia PEROSI dr. Bagus Putu Putra Suryana, SpPD-KR mengatakan perubahan gaya hidup saat pandemi COVID-19 turut mempengaruhi risiko osteoporosis. "Pandemi ini, jelas dilaporkan bahwa kita mengalami keterbatasan aktivitas, lalu pola makan juga berubah, dan perhatian banyak fokus kepada pandemi. Itu menyebabkan risiko osteoporosis karena adanya perubahan tersebut," kata dr. Bagus dalam jumpa pers daring, dikutip pada Rabu. Saat disinggung mengenai apakah kurang aktif bergerak, terutama di masa pandemi di mana mobilitas dibatasi, menjadi faktor utama dalam kenaikan risiko tersebut, dr. Bagus mengatakan, memang penting bagi manusia terlepas dari usianya untuk aktif menggerakkan tubuh demi meminimalisir kemungkinan tersebut. "Mobilitas terhambat, tapi usahakan kita untuk bergerak di rumah atau di dalam ruangan. Olahraga teratur tidak hanya memperkuat tulang, mencegah kemungkinan osteoporosis, tapi juga memperbaiki keseimbangan tubuh," ujar dokter yang menamatkan pendidikannya di Universitas Brawijaya, Malang tersebut. Baca juga Kemenkes sebut pentingnya pencegahan osteoporosis dimulai sejak dini Lebih lanjut, dr. Bagus mengingatkan bahwa osteoporosis tidak hanya berisiko bagi mereka yang sudah lanjut usia. Penting bagi masyarakat terutama generasi muda untuk memahami bahwa osteoporosis dan penyakit tulang lainnya bisa dicegah sedari dini dengan gaya hidup sehat. "Osteoporosis bisa dicegah jika kita memulai gaya hidup sehat sejak dini. Mulai dari masa kanak-kanak, dimana kita harus mencapai massa tulang puncak yang tinggi. Kalau nutrisi tidak bagus, dan kita jarang bergerak, kebiasaan itu perlu diubah. Biasakan untuk hidup sehat dan asup diri dengan nutrisi yang baik," papar dia. dr. Bagus melanjutkan, semua orang memiliki takaran dan cara olahraga yang tepat dan teratur. "Rutin latihan fisik dengan intensitas sedang sampai berat selama 30-60 menit dalam 3-5 kali dalam seminggu, untuk mengurangi risiko osteoporosis terutama di bagian yang paling mudah keropos yaitu pergelangan tangan, pangkal paha, dan yang di tulang belakang bagian bawah," jelasnya. "Selain olahraga, osteoporosis dapat dicegah dengan mengonsumsi kalsium yang cukup yaitu mg per hari mg/hari untuk lansia, Vitamin D 600 IU, protein, kalium, kolagen dan mineral," ujarnya menambahkan. Baca juga Tiingkatkan kesehatan tulang dengan senam dan jaga asupan nutrisi Baca juga Proses osteoporosis bisa terjadi di usia 30 tahun Baca juga Hari Osteoporosis Nasional, Anlene adakan rangkaian program virtualPewarta Arnidhya Nur ZhafiraEditor Alviansyah Pasaribu COPYRIGHT © ANTARA 2021 Jakarta ANTARA - The COVID-19 pandemic has led to an increase in the number of people suffering from osteoporosis, according to the head of the Indonesian Osteoporosis Association Perosi, Dr. Bagus Putu Putra Suryana, SpPD-KR. "Patients with fractures and osteoporosis have increased after this two-year pandemic," he noted at a virtual seminar entitled "Let's Improve Bone Health, Prevent Osteoporosis" here on Thursday. The increase occurred because, during the pandemic, people's mobility reduced, and people tended to eat without control and did not take care of their bone health. For that reason, he appealed to the public to take good care of their bone health from an early age by consuming milk and Vitamin D. Foods such as tofu, tempeh, nuts, vegetables, and fruits can be consumed from a young age to strengthen bones. In addition, drinking milk and sunbathing in the morning are also essential to improve bone health. According to him, by taking care of their bone health from a young age, people can achieve maximal bone growth and a greater peak bone mass. People with a greater peak bone mass will have a "bank" of bones for when they are older. "They will not have a major decrease in bone mass," he added. During Thursday's seminar, he further noted that the number of people suffering from osteoporosis is higher than the number of people with other non-communicable diseases. "There are far more people with osteoporosis than diabetes, more than people with hypertension, more than people with cancer," he pointed out. He said that 30 percent of women aged above 50 have osteoporosis. Meanwhile, 20 percent of men aged above 50 have the condition. However, people are often not aware of osteoporosis because it is asymptomatic and does not cause pain. Therefore, the disease is called a silent disease. Related news Ministry promotes active lifestyle for preventing osteoporosis Related news Early marriage causes child disability, osteoporosis in mothers BKKBN

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