Result of the Research

66 Figure IV.12 BMD Based on the above data it is known that there are 3 categories of BMD, ie, Low, Moderate and High. From the data obtained that the high category at the level of osteoporosis of the sample were in the highest frequency, with 20 persons.

B. Result of the Research

Fifty individuals met the eligibility criteria for the study. Forty-three participants have given consent and participated in this study for a respond rate of 86. A 46.5 of the samples “20 participants” was collected from University Malaya Medical Center, while 53.5 “23 participants” was collected from University Kebangsaan Malaysia Medical Center. Data analysis was done on the 43 participants; all of them were women. A 58.1 were between 55-70 years old, 30.2 between 71-80 years old, and 11.6 were above 81 years old. In regards to race, 58.1 of the BMD 3.5 3 2.5 2 1.5 1 0.5 Frequency 25 20 15 10 5 BMD Mean =2.21 Std. Dev. =0.833 N =43 commit to user 67 sample were Malay, 25.6 Chinese, and 16.3 Indians. The social classes were different among the participants; 27.9 were from intermediate occupation class, 25.6 professionals, 18.6 unemployed, 16.3 industrial workers, and 11.6 service workers. As shown in Table 4.1, 44.2 of participants‟ level of education was classified as Tertiary, 27.9 finished primary school, 23.3 finished their secondary school, and 4.7 uneducated. Table IV.3 Characteristics of the Sample Variable n=43 Frequencies Percent Name of hospital UKMMC 23 53.5 UMMC 20 46.5 Race Malay 25 58.1 Chinese 11 25.6 Indian 7 16.3 Level of education Uneducated 2 4.7 Primary 12 27.9 Secondary 10 23.3 Tertiary 19 44.2 Social class Professional 11 25.6 Intermediate occupation 12 27.9 Service worker 5 11.6 Industrial worker 7 16.3 Unemployed 8 18.6 UMMC-University Malaya Medical Center UKMMC-Universiti Kebangsaan Malaysia Medical Center commit to user 68 BMI was measured by weight adjusted for height and was calculated as weight in kilograms divided by the square of height in meters kgm2. As shown by the samples, underweight participants with BMI of 16-18.5 were 15, normal participants with BMI of 18.5-25 were 9, and overweight participants with BMI of 25-35 were 19 Table 4.2. Table IV.4 BMI kgm2 Variable n=43 Frequencies Percent Underweight 16-18.5 15 34.9 Normal 18.5-25 9 20.9 Overweight 25-35 19 44.2 BMI-Body Mass Index A 73.4 of participants reported having early menopause before 45 years old and 25.6 reported as normal menopause that is after 45 years old. A 67.4 of participants reported that their menstrual cycles started to be irregular between 40-43 ages and 32.6 between 44-47 ages. A 58.1 of the samples reported that they had their last menstrual period between ages of 40- 43 and the rest reported between ages of 44-47 Table 4.3. Table IV.5 Menopause Stage Variable n=43 Frequencies Percent Menopause Early menopause before 45 Yrs. old 32 74.4 Normal menopause after 45 Yrs. old 11 25.6 commit to user 69 Irregular menstrual cycles 40-43 29 67.4 44-47 14 32.6 Last menstrual period 40-43 25 58.1 44-47 18 41.9 Medical history of the participants was measured by experiencing the following diseases; endocrine disease, Cushing‟s syndrome, hypogonadism, hyperthyroidism, hyperparathyroidism, renal failure, chronic liver disease, malabsorption syndromes or gastric surgery, rheumatoid arthritis, nutrition deficiency, cancer, multiple myeloma, and osteogenesis imperfect Table 4.4. Table IV.6 Medical History of the Sample Variable n=43 Frequencies Percent Endocrine disease Yes 18 41.2 No 25 58.1 Cushing’s syndrome Yes 22 51.2 No 21 48.8 Hypogonadism Yes 22 51.2 No 21 48.8 Hyperthyroidism Yes 25 58.1 No 18 41.9 commit to user 70 Hyperparathyroidism Yes 25 58.1 No 18 41.9 Renal failure Yes 13 30.2 No 30 69.8 Chronic liver disease Yes 14 32.6 No 29 67.4 Malabsorption syndromes Yes 20 46.5 No 23 53.5 Gastric surgery Yes 5 11.6 No 38 88.4 Rheumatoid arthritis Yes 29 67.4 No 14 32.6 Nutrition deficiency Yes 27 62.8 No 16 37.2 Cancer Yes 9 20.9 No 24 79.1 Multiple myeloma Yes 30 69.8 No 13 30.2 Osteogenesis imperfecta Yes 43 100 No 0.00 perpustakaan.uns.ac.id commit to user 71 Not listed disease Yes 9 20.9 No 31 72.1 Not suremaybe 3 7 Osteoporosis minor risk factors of the samples were presented by smoking and drinking habits among participants as shown in Table 4.5, however 70 of the participants reported that they never smoke, 18.6 light smoker, 9.3 moderate smokers, and 2.9 reported being heavy smoker. Moreover, 51.2 reported that they never drink alcohol while 25.6 reported having light level of drinking alcohol, 16.3 reported having moderate level of alcohol drink, and 7 reported having heavy drinking alcohol habit. Participants mentioned either they used or they are using Glucocorticoids, Antiplatelets Heparin, Warferin, Antiepileptic Phenytoin, Phenobarbital and Immunosuppressant Table IV.5. Table IV.7 Osteoporosis Minor Risk Factors of the Sample Smoking Drinking Variable n=43 Frequencies Percent Smoking habit Non-smoker 30 69.9 Light smoker 8 18.6 Moderate smoker 4 9.3 Heavy smoker 1 2.3 Drinking habit Never 22 51.2 Light 11 225.6 Moderate 7 16.3 Heavy 3 7 commit to user 72 Used drug Glucocorticoids 15 34.9 Antiplatelets Heparin, Warferin 10 23.3 Antiepileptic Phenytoin, Phenobarbital 9 20.9 Immunosuppressant 9 20.9 Osteoporosis was categorized by self-report in three levels; high, moderate, and low level. Eleven women of the participants “25.6” reported having low level of osteoporosis, 27.9 moderate level of osteoporosis, and 46.5 reported having high level of osteoporosis Table IV.6. Table IV.8 Level of Osteoporosis of the Sample Variable n=43 Frequencies Percent BMD Low 11 25.6 Moderate 12 27.9 High 20 46.5 BMD- Bone Mineral or Mass Density The mean, standard deviation SD, and reliability of the study scales were computed Table 4.7. As mentioned by Nunnally and Berstein 1994, scales with internal consistency reliabilities above 0.70 have acceptable reliability. However, for the test standardization, data were collected from 43 women who were diagnosed as osteoporotic patients in University Malaya Medical Center and Universiti Kebangsaan Malaysia Medical Center in Kuala Lumpur, Malaysia. The index of reliability of test was ascertained by perpustakaan.uns.ac.id commit to user 73 computing Cronbach‟s alpha coefficient, which was found to be 0.855; therefore, 3 of the scales employed in this study are considered reliable. In other words, physical activity questionnaire instrument that was used in this study, showed an internal consistency reliability of 0.855 in this study. Table IV.9 Reliabilities, Means, and Standard Deviations of Scales Scales Means SD Cronbach‟s Alpha Mild exercise 7.93 2.272 0.754 Moderate exercise 6.07 1.639 0.645 Vigorous exercise 2.26 0.819 0.894 Physical activity 16.26 4.129 0.855 Questionnaire

C. Discussion of Result Data Analysis