Anemia decreases quality of life of the elderly in Jakarta

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Meiyanti Meiyanti
Joice Viladelvia Kalumpiu
Julius I Mulia


Anemia is a very common disorder both in clinical practice and in the community. The recent rise in the population of the elderly has become the focus of attention in developing countries, because of the increasing longevity of the elderly, whilst the prevalence of anemia increases with age. The objective of this study was to determine the prevalence of anemia and its association with the quality of life in the elderly. A cross-sectional study was conducted from April to June 2008, located in the Mampang Prapatan district, South Jakarta. A total of 298 elderly persons participated in this study, comprising 109 (36.6%) males and 189 (63.4%) females. Anemia was measured by the parameters of hemoglobin and quality of life was assessed by the WHOQOL-BREF instrument, a short version of the WHOQOL-100 instrument. The results of the study showed the prevalence of anemia to be 26.2%, with a higher prevalence rate in females compared with males. The quality of life in the physical, psychological, social and environmental domains differed significantly with decreasing hemoglobin levels, whereas the physical and mental quality of life declined significantly with age. Anemia is thus indicative of a reduction in the quality of life of the elderly.

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How to Cite
Meiyanti, M., Kalumpiu, J. V., & Mulia, J. I. (2016). Anemia decreases quality of life of the elderly in Jakarta. Universa Medicina, 28(3), 152–160.
Review Article


Steensma, Teffani A. Anemia in elderly: how should we define it, when does it matter, and what can be done? Mayo Clin Proc 2007;82:958-66.

Badan Pusat Statistik. Proyeksi penduduk Indonesia per propinsi 1995-2005. Jakarta: Badan Pusat Statistik;1998.

Smith DL. Anemia in elderly. Am Fam Physician 2000;62:1565-72.

Guralnik JM, Eisentaedt RS, Ferruci L, Klein HG, Woodman RC. Prevalence of anemia in persons 65 year and older in the United States: evidence for a high role of unexplained anemia. Blood 2004;104:2263-68.

Choi CW, Lee J, Park KH, Yoon SY, Choi IK, Oh SC, et al. Prevalence and characteristics of anemia in the elderly: cross sectional study of three urban Korean population samples. Am J Hematol 2004;77:26-30.

Spivak JL. Anemia in elderly: a growing health concern. Available at: http// Accessed Nov 10, 2009.

The WHOQOL Group. The World Health Organization Quality of Life Assesment (WHOQOL) development and general psychometric properties. Soc Sci Med 1998;46: 1569-85.

Riva E, Tettamanti M, Masconi P, Apolone G, Gandini F, Nobili A, et al. Association of mild anemia with hospitalization and mortality in elderly: the health and anemia population-based study. Hematologica 2009;94:22-8.

Departemen Sosial Republik Indonesia. Pedoman rencana aksi nasional untuk kesejahteraan lanjut usia. Jakarta: DEPSOS-RI-YEL-UNFPA-Help Age International;2003.

Salim OC, Sudharma NI, Rina K. Kusumaratna RK, Hidayat A. Validity and reliability of World Health Organization Quality of Life-BREF to assess the quality of life in the elderly. Univ Med 2007;26:27-38

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. The seventh report of the joint national committee on prevention, detection, evaluation and treatment of high blood pressure: The JNC 7 report. JAMA 2003;289:2460-72.

Thomas DR. Anemia: it’s all about quality of life. JAMDA 2007;8:80-2.

Kane RTL, Ouslander JG, Abras IB, editors. Essentials of clinical geriatrics. New York: Mc Graw-Hill;2004.p.305-33.

Wilson MMG, Morley JE. Aging and energy balance. J Appl Physiol 2003;95:1728-36.

Meneilly GS, Tessier D. Diabetes in elderly adults. J Gerontol A Biol Sci Med Sci 2001;56A:5-13.

Yenny, Herwana E. Chronic disease dan quality of life elderly. Universa Medicina 2006;25:164-70.

Nauman VJ, Byrne GJ. WHOQOL-BREF as a measure of quality of life in older patients with depression. Int Psychogeriatr 2004;16:159-73.

Wittert GA, Chapman JM, Haren RT, Mackintosh S, Coates P, Morley JE. Oral testosterone supplementation increase muscle and decrease fat mass in healthy elderly males with low-normal gonadal status. J Gerontol Sci 2003;58A:618-25.

Morley JE, Perry HM. Androgens and women at the menopause and beyond. J Gerontol Med Sci 2003;58A:409-16.

Penninx B, Pahor M, Caseri M, Corsi AM, Woodman RC, Bandinelli S, et al. Anemia is associated with disability and decreased physical performance and muscle strength in the elderly. J Am Ger Soc 2004;52:719-24.

Penninx B, Pahor M, Woodman R, Guralnik JM. Anemia in old age associated with increased mortality and hospitalization. J Gerontol Med Sci 2006;61A:474-9.

Lucca U, Tettamanti M, Mosconi P, Apolone G, Gandini F, Nobili A, et al. Association of mild anemia with cognitive, functional, mood and quality of life outcome in elderly: the “health and anemia” study. Available at: http// Accessed Nov 17, 2009.

Denny SD, Kuchibhatia MN, Cohen HJ. Impact of anemia on mortality, cognition, and function in community-dwelling elderly. Am J Med 2006; 119:327-34.

Thomas DR. Anemia and quality of life: unrecognized and undertreated. J Gerontol Med Sci 2004;59A:238-41.

Canbaz S, Sunter AT, Dabak S, Peksen Y. The prevalence of chronic disease and quality of life in elderly people in Samsun. Turk J Med Sci 2002; 33:335-40.

Alfons R, Palmi J, Sigurbjom B, Inga T. Anemia, nutritional status and inflammation in hospitalized elderly. Nutrition 2008;24:1116-22.

Agarwal R, Davis JL, Smith L. Serum albumin is strongly associated with erythropoietin sensitivity in hemodialysis patients. Clin J Am Soc Nephrol 2008;3:9801-4.