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TUGAS

MEMILIH JURNAL DAN MEMPUBLIKASIKAN ARTIKEL

Oleh:
ATIKAH RAHAYU
NIM 20708261007

Disertasi ini ditulis untuk memenuhi Sebagian persyaratan


untuk mendapatkan gelar Doktor Olahraga

PROGRAM STUDI ILMU KEOLAHRAGAAN


PROGRAM PASCASARJANA
UNIVERSITAS NEGERI YOGYAKARTA
2020
Jawaban 1
Siapkan satu artikel yang pernah anda tulis
RISK OF PHYSICAL ACTIVITY THAT ARE LESS ACTIVE RELATED
TO BONE DENSITY IN ADOLESCENTS

Atikah Rahayu

Student of study program doctoral of sports science, Faculty of Sports Sciences,


Universitas Negeri Yogyakarta

Correspondence:
Atikah Rahayu
Student of study program doctoral of sports science, Faculty of Sports Sciences,
Universitas Negeri Yogyakarta, Indonesia
Jl.Colombo Yogyakarta 55281, Indonesia
Tel/Fax: +62-81225331538
E-mail: atikahrahayu.2020@student.uny.ac.id

Abstract

Density of bone mass can be changed by physical activity, due to the formation of enzymes
in bone, resulting in enlargement/compaction of bones (hypertrophy). For new bone
formation to occur, continuous design is needed on the bone through muscle training. Low
bone mass density illustrates low bone quality. The study design used cross sectional design.
The subjects of the study were all teenagers in junior high schools selected along the
Martapura riverbank, Banjar Regency, South Borneo. Sampling by measuring physical
activity, level of knowledge, and protein intake as well as family characteristics such as
mother and father education, family income, and number of family members. The research
instrument used quantitative ultrasound bone densitometry to measure bone mass density,
Baecke questionnaire to measure physical activity, 24-hour food recall form to measure
protein intake and structured questionnaire to determine the characteristics of respondents
and families. The results showed a relationship between low bone mass density and physical
activity p=0,001, with Exp (B) =12,981. It can be concluded that less active physical activity
is at risk of causing low bone mass density.

Keywords: adolescents, less active physical activity, bone mass density.

Introduction

Low bone mass density is a description of the state of bone with low quality can be
identified after a period of perfect development. An early sign of low bone mass density is
low is osteopenia, while further osteoporosis. Osteoporosis is bone loss, especially in the
spine, upper arm and pelvis. The symtomatic of osteoporosis are difficult to detect, most are
only realized when there has been a swelling of the spine, cracks or broken bones, pinched
nerves. Some risks of osteopenia and osteoporosis are lack of protein intake in physical
activity. Lack of consumption of fish-sourced protein in adolescents will be related to bone
mass density, this is because teenagers often limit their consumption of food, and their
consumption patterns often violates the rules of nutrition (1).
These results are supported from the results of previous studies that the majority of
adolescents with low protein intake causes low bone mass density, which is 53,7%. When a
person reaches the peak of growth, the body's protein needs become stable. Protein in
adolescence is relatively high, because muscular, skeletal/skeletal acceleration and endocrine
development are greater than childhood and adulthood (2,3).
Bone mass density can be altered by physical activity. This occurs because physical
activity causes the formation of enzymes in bone, so enlargement/compaction of bones
(hypertrophy). For new bone formation to occur, continuous design is needed on the bone
through muscle training. Based on national data and data in South Kalimantan aged ≥10 years
included in the category of lack of physical activity. The less category is defined as
cumulative physical activity less than 150 minutes a week. The amount of age that lacks
physical activity is 33,5% (4). It is important to keep physical activity active so that bone
mass density is maintained (5,6).

Materials And Methods

Study design participants


This research is an observational analytic study. The study design uses cross sectional
design. The subjects of the study were all teenagers in 3 selected junior high schools along
the Martapura River, Banjar Regency, South Kalimantan Province, while the sample
determination was chosen 3 (one) schools which had the largest number of adolescents who
experienced osteopenia by screening results. Then samples will be taken with the inclusion
criteria as follows: 1) Adolescents are family members who live permanently as residents on
the banks of the Martapura river. 2) When researching teenagers are not fasting. 4) When the
study of adolescents was not experiencing pain that caused a decrease in appetite 5) Willing
to be a respondent in this study by filling out informed consent.

Measurement and Procedures


This research used the following research instruments:1) quantitative ultrasound bone
densitometry for bone mass density,2) Baecke questionnaire,3) 2x24 hour recall form to
measure protein intake, 5) questionnaire to determine the level of knowledge of respondents.
The independent variables in this study are physical activity, protein intake, number of family
members, respondent knowledge level, father and mother education level, family income,
while the dependent variable is bone mass density. Primary data collected includes:(1)
Family characteristics using structured questionnaires such as the level of education of fathers
and mothers, number of family members, family income using structured questionnaires;(2)
Physical activity data using the Baecke questionnaire;(3) Knowledge level data using
knowledge level questionnaire about bone mass density;(4) Protein intake data using 2x24
hour recall form.
Physical activity is categorized as being less active and active. Categorized as less active,
if cumulative physical activity is less than 150 minutes a week and active if cumulative
physical activity reaches ≥150 minutes a week referring to germas, the Ministry of Health.
Protein intake consists of 3 categories according to the recommended nutritional adequacy
rate (RDA), which is less if <80%, normal if 80-100% and more if>100%. Furthermore, for
the needs of the test analysis data are categorized into 2 categories: less, if less if <80% RDA
and sufficient, if 80-≥100% RDA. The level of knowledge using 2 categories is less if <mean
and good category if≥mean. The father and mother education level category uses 2 categories
referring to the education law namely Not Graduated from Junior High School and High
School- college, the family income category is categorized into 2 namely <employee
minimum wage and ≥ employee minimum wage refers to employee minimum wage Regency
of Banjar, and the number of family members has 2 categories namely ≥5 people and <5
people. Bone mass density is categorized in 3 categories: normal if>-1SD, osteopenia if -1SD
to -2,5SD, and osteoporosis if<-2,5SD, then for the needs of the data analysis test, the bone
mass density category is categorized into 2, namely low and normal bone mass density. The
bone mass density category is low if -1 SD to -2,5SD, and osteoporosis if<-2,5SD and the
normal category, if>-1SD.

Ethics Approval
This study was approved by the Ethics Committee faculty of Medical (ethic code 4/56).

Statistical Analysis
The data obtained were analyzed using univariate, bivariate, and multivariate. The results
of the univariate analysis are presented in the form of a frequency distribution table
(percentage) to find out the distribution of low bone mass density risk, bivariate analysis
using Chi-Square if not met followed by using the Fisher's Exact Test to find out the
relationship between risk factors and bone mass density and multivariate analysis using
logistic regression to find out the most dominant risk factor associated with low bone mass
density in adolescents.
.

Results
Univariate Analysis
Table 1 shows the distribution of variables according to categories that are likely related
to low bone mass density of respondents.
Table 1. Frequency distribution of respondent and family characteristics
Bone mass density categories Frequency (people) Percentage (%)
a. Low Bone mass
65 79,3
density/osteopenia/osteoporosis
b. Normal 17 20,7
Physical activity
a. Less active 51 62,2
b. Active 31 37,8
Father's Education Level
a. Not graduated from Junior High
62 74,6
School
b. High school - college 20 24,4
Mother's Education Level
a. Not graduated from Junior High
61 74,4
School
b. High school - college 21 25,6
Level of Family Income
a. < employee minimum wage 62 75,6
b. ≥ employee minimum wage 20 24,4
Number of Family Members
a. ≥ 5 people 54 65,9
b. < 5 people 28 34,1
Knowledge Level
a. Low 20 24,4
b. Good 62 75,6
Protein Intake
a. Inadequate 52 63,4
b. Adequate 30 35,6
Employment status of head of household
a. Does not work 10 12,2
b. Work 72 87,8
Source: Primary Data, 2019
Table 1 shows that the majority of respondents had osteopenia, 65 people (79,3%). Some
other potential variables have a relationship with the incidence of osteopenia in respondents,
namely physical activity, father's education level, mother's education level, family income,
number of family members, protein intake, level of knowledge, work status of parents. Table
1 shows that adolescents who have less active physical activity categories are more numerous
than adolescents with active physical activity that is equal to 51 people (62,2%), fathers and
mothers who have not completed primary education until junior high school are greater in
number each a total of 61 people (74,6%) and 62 people (74,4%). With the level of education
of parents low category resulted in incomes earned by parents/family also became inadequate
to meet the needs of family food consumption.
The results of this study indicate that the majority of family income is still below the
employee minimum wage of 60 people (75,6%). This employee minimum wage refers to the
employee minimum wage Regency of Banjar in the amount of Rp.2,248,000.00. In addition,
a factor that contributes to the incidence of osteopenia is the number of family members. The
results of this study found that the majority of respondents had a relatively large number of
family members (>5 people) namely 54 people (65,9%). It is likely that the relatively large
number of family members will affect the food distribution of family members.
The results of this study indicate that the level of knowledge of respondents still have
knowledge of less than 24,4%. It is potential that most of the protein intake is lacking due to
the low level of respondents' knowledge to meet their body's need for protein. The number of
respondents who have low protein intake is equal to 63,4%. The magnitude of the frequency
distribution between each of these variables has not been able to show the relationship
between the variable characteristics of respondents and families with low bone mass density,
so it needs bivariate analysis so that the relationship between the two variables (free and
bound) is known for their significance, in detail can be seen in Table 2.

Bivariate Analysis
Table 2. Relationship between respondent and family characteristics with Bone Mass Density
Bone Mass Density
Low Bone Mass Normal PR
Characteristics Category
Density (95% CI)
p

n % n %
Physical activity Less active 47 90,4 5 9,6 1,506 0,000*
Active 18 60,0 12 40,0 (1,110-2,044)
Father's Education Level Not graduated from 52 83,9 10 16,1 1,290 0,110
Junior High School- 13 65,0 17 35,0 (0,919-1,812)
Mother's Education Level college
52 85,2 9 14,8 3,556 0,032*
Not graduated from
Junior 13 61,9 8 38,1 (1,15-7,005)
Level of Family Income
High School- college 53 85,5 9 14,5 3,396 0, 024*
< employee minimum wage 12 60,0 8 40,0 (1,126-6,258)
Number of Family Members
> employee minimum wage 42 77,8 12 22,2 0,947 0,644
> 5 people 23 82,1 5 17,9 (0,757-1,185)
Protein intake
< 5 people 48 66,3 3 33,7 1,716 0,001*
inadequate 17 33,7 14 66,3 (1,238-2,380)
Knowledge Level
adequate 16 80,0 4 20,0 1,012 1,000
Employment status of head of Low 49 79,0 13 21,0 (0,785-1,305)
household Good 9 90,0 1 10,0 1,157 0,679
Does not work 56 77,8 16 22,2 (0,909-1,472)
Work

*p value (<0,05)

Table 2 shows that several variables show a relationship with bone mass density in
respondents. These variables are physical activity with p=0,000 and PR=1,506 (1,110-2,044),
mother's education level with p=0,032 and PR=3,556 (1,15-7,005), number of family
members with p=0,024 and PR=3,396 (1,126-6,258), protein intake with p=0,001. This
analysis uses the Che-Square test with a 95% confidence level. The results of the analysis
resulted in physical activity having the greatest relationship compared to other variables
(p=0,000).
This means that the results of this relationship test show the closeness between the
relationship of physical activity with the risk of low bone mass density in respondents. This
can be seen from Table 2 which shows that a total of 47 people (90,4%) of respondents with
less active physical activity have low bone mass density. Although the closeness of the
relationship between physical activity and bone mass density is greater, the risk of family
income that has a <employee minimum wage is greater, causing respondents to experience
low bone mass density (PR=3,556), which is 53 people (85,5%).
The close relationship between variables using bivariate analysis has not shown the risk
of dominant factors associated with low bone mass density in respondents. Further analysis is
needed in order to find out which variable is most associated with low bone mass density in
respondents, namely multivathic logistic regression analysis.

Multivariate Analysis
The statistical analysis used is multiple logistic regression analysis. Variables that are
candidates for the multivariate model are independent variables with bivariate results
resulting in ps<0,25, then these variables directly enter the multivariate stage. For
independent variables whose bivariate results produce p>0,25 but substantially important,
these variables can be included in the multivariate model. The variables included in the
multivariate model can be seen in Table 3.

Table 3. Modeling the most dominant factors related to low bone mass density
Variables B SE Wald Sig Exp (B)
Protein intake 2,272 885 6,586 0,010 9,696
Father's Education -168 1,466 1,164 0,281 0,206
Level
Mother's Education -1,582 1,716 0,010 0,922 0,845
Level
Level of Family Income -2,256 1,717 1,727 0,189 9,549
Knowledge level 1, 354 998 4,797 0,032 6, 685
Physical activity 2,257 0,747 11,708 0,001 12,981

Table 3 shows that the variable calcium intake is the most dominant risk factor associated
with low bone mass density in adolescents with p=0,001, with Exp (B)=12,981 which means
that adolescents with physical activity less active risk of 12,981 times greater experience
osteopenia and can continue to become osteoporosis compared to adolescents with active
physical activity.

Discussion

Less physical activity can be reduced bone mass density. This occurs because physical
activity causes the formation of enzymes in bone, so enlargement/compaction of bones
(hypertrophy). For new bone formation to occur, continuous design is needed on the bone
through muscle training. Exercise regularly. With a frequency of 3-5 x/week not on
consecutive days with a time of 20-60 minutes and can properly increase low bone density
and reduce the risk of osteopenia. In addition, continuous activities and heavy loads may
quickly increase bone mass density, but must be adjusted to the load because the bone mass
density is not ocollegeimal compared to regular physical exercise and the appropriate load.
Certainly, it is supported by nutritional intake. such as protein, calcium, vitamin D which
meet the body's needs. With nutritional intake that matches the body's needs, the risk of
osteoporosis in old age can be minimized (7).
This is in line with this study which found that protein intake less than RDA is associated
with bone mass density. In multivariate analysis, Exp (B) 9,696, which means that protein
intake that is less than RDA causes respondents to experience low bone mass density.
Respondents whose protein intake is less than the RDA are 9,696 times more likely to
experience low bone mass density compared to respondents whose protein intake is
sufficient. Increased nutritional needs in adolescence are related to the accelerated growth
they experience. Bone mass density increases during puberty, its peak is reached at ages
above 10 to the beginning of 20 years (8). Bone is a complex network of cells and a matrix.
The bone matrix is formed by fibers and basic substances containing mineral salts. The mass
and thickness of the bones at any time always experience the dynamics of addition and
reduction through the process of remodeling (the bone matrix is absorbed and reshaped
(9,10). The process of forming and absorbing the bone, it is necessary to try to maintain bone
mass density from an early age, so as to avoid bone mass density such as osteopenia or
osteoporosis (9,11). In addition, osteoporosis is a systemic bone disease characterized by a
decrease in bone mass density and deterioration of bone microarchitecture, so bones become
brittle and break easily. Osteoporosis occurs when the process of bone erosion and bone
formation becomes unbalanced (12,13).
A high bone mass means strong and healthy bone, so it is not easy to get loose and
brittle. The cause or etiology comes from the risk factors that can be controlled and cannot be
controlled which is owned by an individual. Risk factors that can be controlled include lack
of activity or exercise. Previous studies have proven that physical exercise is carried out
regularly and with certain doses causing an increase in bone mass density, bone size and bone
shape (14,15,16). Statistical analysis showed that there was a significant relationship between
respondents whose physical activity was less active with low bone mass density (p<0,05) and
PR 1,506 which meant that respondents with less active physical activity had a risk of 1,506
times greater risk of experiencing low bone mass density compared to respondents whose
active physical activity. Sport is a repetitive physical activity and aims to maintain, improve
and express fitness. Several studies were conducted to determine the effect of physical
exercise on bones (17,18).
Exercise can play a role in the process of increasing bone mass density. High bone
density and mass are expected to be reached when the peak of bone mass, so that when the
process of decreasing bone remodeling will take a long time to reach the low point of bone
mass density which is at risk of osteoporosis. Therefore, regular and well-programmed
exercise in the age before 30 years is highly recommended in an effort to prevent early
osteoporosis. The volume of training is not only related to the duration of the exercise but
also includes aspects of distance or load per unit of time and aspects of the number of reps of
the exercise, so volume is the implication of the total quantity of training activity
performance or training phase. When referring to the training volume, the amount of time, the
number of training days, and the number of exercises must be specified (19,20).

Conclusion

Most of the bone mass density of respondents was low, amounting to 65 people (79,3%)
out of 82 total respondents. The most dominant risk factor for low bone mass density in these
respondents is due to the lack of active adolescents doing physical activity. With less active
physical activity, respondents had a greater risk of 12,981 times having osteopenia and could
continue to develop osteoporosis compared to respondents with active physical activity.
Acknowledgements
We thank all participants in this research.

Competing Interest
The authors declare that they have no competing interests.

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Jawaban 2
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2. Jurnal Luar Negeri Terindek Scopus


a. Journal Of Sport And Health Science
https://www.journals.elsevier.com/journal-of-sport-and-health-science/
b. Journal of Preventive Medicine and Hygiene
https://www.jpmh.org/index.php/jpmh
Jawaban 3

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Jawaban 6

Synopsis Jurnal Tersebut Berdasarkan Status Jurnal, Petunjuk Bagi


Penulis, dan Template Jurnal

Jurnal Kemas merupakan merupakan jurnal nasional terindeks scopus. Jurnal ini
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Jawaban 7
ONLINE SUBMISSION GUIDELINES
A. PORTAL UNNES JOURNALS (http://journal.unnes.ac.id)
B. NATIONAL SCIENTIFIC JOURNALS OF UNNES (http://journal.unnes.ac.id/nju/)
C. JURNAL KESEHATAN MASYARAKAT (http://journal.unnes.ac.id/nju/index.php/kemas)
* Denote Reguired Field

REGISTER AS AUTHOR
D. NEW SUBMISSION
Upload article
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Jawaban 7
b. Bagaimana anda mengirim artikel anda, dan editor yang bisa dihubungi

Editorial contact
TUGAS

MEMILIH JURNAL DAN MEMPUBLIKASIKAN ARTIKEL

Oleh:
ATIKAH RAHAYU
NIM 20708261007

Disertasi ini ditulis untuk memenuhi Sebagian persyaratan


untuk mendapatkan gelar Doktor Olahraga

PROGRAM STUDI ILMU KEOLAHRAGAAN


PROGRAM PASCASARJANA
UNIVERSITAS NEGERI YOGYAKARTA
2020
Jawaban 1
Siapkan satu artikel yang pernah anda tulis
RISK OF PHYSICAL ACTIVITY THAT ARE LESS ACTIVE RELATED
TO BONE DENSITY IN ADOLESCENTS

Atikah Rahayu

Student of study program doctoral of sports science, Faculty of Sports Sciences,


Universitas Negeri Yogyakarta

Correspondence:
Atikah Rahayu
Student of study program doctoral of sports science, Faculty of Sports Sciences,
Universitas Negeri Yogyakarta, Indonesia
Jl.Colombo Yogyakarta 55281, Indonesia
Tel/Fax: +62-81225331538
E-mail: atikahrahayu.2020@student.uny.ac.id

Abstract

Density of bone mass can be changed by physical activity, due to the formation of enzymes
in bone, resulting in enlargement/compaction of bones (hypertrophy). For new bone
formation to occur, continuous design is needed on the bone through muscle training. Low
bone mass density illustrates low bone quality. The study design used cross sectional design.
The subjects of the study were all teenagers in junior high schools selected along the
Martapura riverbank, Banjar Regency, South Borneo. Sampling by measuring physical
activity, level of knowledge, and protein intake as well as family characteristics such as
mother and father education, family income, and number of family members. The research
instrument used quantitative ultrasound bone densitometry to measure bone mass density,
Baecke questionnaire to measure physical activity, 24-hour food recall form to measure
protein intake and structured questionnaire to determine the characteristics of respondents
and families. The results showed a relationship between low bone mass density and physical
activity p=0,001, with Exp (B) =12,981. It can be concluded that less active physical activity
is at risk of causing low bone mass density.

Keywords: adolescents, less active physical activity, bone mass density.

Introduction

Low bone mass density is a description of the state of bone with low quality can be
identified after a period of perfect development. An early sign of low bone mass density is
low is osteopenia, while further osteoporosis. Osteoporosis is bone loss, especially in the
spine, upper arm and pelvis. The symtomatic of osteoporosis are difficult to detect, most are
only realized when there has been a swelling of the spine, cracks or broken bones, pinched
nerves. Some risks of osteopenia and osteoporosis are lack of protein intake in physical
activity. Lack of consumption of fish-sourced protein in adolescents will be related to bone
mass density, this is because teenagers often limit their consumption of food, and their
consumption patterns often violates the rules of nutrition (1).
These results are supported from the results of previous studies that the majority of
adolescents with low protein intake causes low bone mass density, which is 53,7%. When a
person reaches the peak of growth, the body's protein needs become stable. Protein in
adolescence is relatively high, because muscular, skeletal/skeletal acceleration and endocrine
development are greater than childhood and adulthood (2,3).
Bone mass density can be altered by physical activity. This occurs because physical
activity causes the formation of enzymes in bone, so enlargement/compaction of bones
(hypertrophy). For new bone formation to occur, continuous design is needed on the bone
through muscle training. Based on national data and data in South Kalimantan aged ≥10 years
included in the category of lack of physical activity. The less category is defined as
cumulative physical activity less than 150 minutes a week. The amount of age that lacks
physical activity is 33,5% (4). It is important to keep physical activity active so that bone
mass density is maintained (5,6).

Materials And Methods

Study design participants


This research is an observational analytic study. The study design uses cross sectional
design. The subjects of the study were all teenagers in 3 selected junior high schools along
the Martapura River, Banjar Regency, South Kalimantan Province, while the sample
determination was chosen 3 (one) schools which had the largest number of adolescents who
experienced osteopenia by screening results. Then samples will be taken with the inclusion
criteria as follows: 1) Adolescents are family members who live permanently as residents on
the banks of the Martapura river. 2) When researching teenagers are not fasting. 4) When the
study of adolescents was not experiencing pain that caused a decrease in appetite 5) Willing
to be a respondent in this study by filling out informed consent.

Measurement and Procedures


This research used the following research instruments:1) quantitative ultrasound bone
densitometry for bone mass density,2) Baecke questionnaire,3) 2x24 hour recall form to
measure protein intake, 5) questionnaire to determine the level of knowledge of respondents.
The independent variables in this study are physical activity, protein intake, number of family
members, respondent knowledge level, father and mother education level, family income,
while the dependent variable is bone mass density. Primary data collected includes:(1)
Family characteristics using structured questionnaires such as the level of education of fathers
and mothers, number of family members, family income using structured questionnaires;(2)
Physical activity data using the Baecke questionnaire;(3) Knowledge level data using
knowledge level questionnaire about bone mass density;(4) Protein intake data using 2x24
hour recall form.
Physical activity is categorized as being less active and active. Categorized as less active,
if cumulative physical activity is less than 150 minutes a week and active if cumulative
physical activity reaches ≥150 minutes a week referring to germas, the Ministry of Health.
Protein intake consists of 3 categories according to the recommended nutritional adequacy
rate (RDA), which is less if <80%, normal if 80-100% and more if>100%. Furthermore, for
the needs of the test analysis data are categorized into 2 categories: less, if less if <80% RDA
and sufficient, if 80-≥100% RDA. The level of knowledge using 2 categories is less if <mean
and good category if≥mean. The father and mother education level category uses 2 categories
referring to the education law namely Not Graduated from Junior High School and High
School- college, the family income category is categorized into 2 namely <employee
minimum wage and ≥ employee minimum wage refers to employee minimum wage Regency
of Banjar, and the number of family members has 2 categories namely ≥5 people and <5
people. Bone mass density is categorized in 3 categories: normal if>-1SD, osteopenia if -1SD
to -2,5SD, and osteoporosis if<-2,5SD, then for the needs of the data analysis test, the bone
mass density category is categorized into 2, namely low and normal bone mass density. The
bone mass density category is low if -1 SD to -2,5SD, and osteoporosis if<-2,5SD and the
normal category, if>-1SD.

Ethics Approval
This study was approved by the Ethics Committee faculty of Medical (ethic code 4/56).

Statistical Analysis
The data obtained were analyzed using univariate, bivariate, and multivariate. The results
of the univariate analysis are presented in the form of a frequency distribution table
(percentage) to find out the distribution of low bone mass density risk, bivariate analysis
using Chi-Square if not met followed by using the Fisher's Exact Test to find out the
relationship between risk factors and bone mass density and multivariate analysis using
logistic regression to find out the most dominant risk factor associated with low bone mass
density in adolescents.
.

Results
Univariate Analysis
Table 1 shows the distribution of variables according to categories that are likely related
to low bone mass density of respondents.
Table 1. Frequency distribution of respondent and family characteristics
Bone mass density categories Frequency (people) Percentage (%)
a. Low Bone mass
65 79,3
density/osteopenia/osteoporosis
b. Normal 17 20,7
Physical activity
a. Less active 51 62,2
b. Active 31 37,8
Father's Education Level
a. Not graduated from Junior High
62 74,6
School
b. High school - college 20 24,4
Mother's Education Level
a. Not graduated from Junior High
61 74,4
School
b. High school - college 21 25,6
Level of Family Income
a. < employee minimum wage 62 75,6
b. ≥ employee minimum wage 20 24,4
Number of Family Members
a. ≥ 5 people 54 65,9
b. < 5 people 28 34,1
Knowledge Level
a. Low 20 24,4
b. Good 62 75,6
Protein Intake
a. Inadequate 52 63,4
b. Adequate 30 35,6
Employment status of head of household
a. Does not work 10 12,2
b. Work 72 87,8
Source: Primary Data, 2019
Table 1 shows that the majority of respondents had osteopenia, 65 people (79,3%). Some
other potential variables have a relationship with the incidence of osteopenia in respondents,
namely physical activity, father's education level, mother's education level, family income,
number of family members, protein intake, level of knowledge, work status of parents. Table
1 shows that adolescents who have less active physical activity categories are more numerous
than adolescents with active physical activity that is equal to 51 people (62,2%), fathers and
mothers who have not completed primary education until junior high school are greater in
number each a total of 61 people (74,6%) and 62 people (74,4%). With the level of education
of parents low category resulted in incomes earned by parents/family also became inadequate
to meet the needs of family food consumption.
The results of this study indicate that the majority of family income is still below the
employee minimum wage of 60 people (75,6%). This employee minimum wage refers to the
employee minimum wage Regency of Banjar in the amount of Rp.2,248,000.00. In addition,
a factor that contributes to the incidence of osteopenia is the number of family members. The
results of this study found that the majority of respondents had a relatively large number of
family members (>5 people) namely 54 people (65,9%). It is likely that the relatively large
number of family members will affect the food distribution of family members.
The results of this study indicate that the level of knowledge of respondents still have
knowledge of less than 24,4%. It is potential that most of the protein intake is lacking due to
the low level of respondents' knowledge to meet their body's need for protein. The number of
respondents who have low protein intake is equal to 63,4%. The magnitude of the frequency
distribution between each of these variables has not been able to show the relationship
between the variable characteristics of respondents and families with low bone mass density,
so it needs bivariate analysis so that the relationship between the two variables (free and
bound) is known for their significance, in detail can be seen in Table 2.

Bivariate Analysis
Table 2. Relationship between respondent and family characteristics with Bone Mass Density
Bone Mass Density
Low Bone Mass Normal PR
Characteristics Category
Density (95% CI)
p

n % n %
Physical activity Less active 47 90,4 5 9,6 1,506 0,000*
Active 18 60,0 12 40,0 (1,110-2,044)
Father's Education Level Not graduated from 52 83,9 10 16,1 1,290 0,110
Junior High School- 13 65,0 17 35,0 (0,919-1,812)
Mother's Education Level college
52 85,2 9 14,8 3,556 0,032*
Not graduated from
Junior 13 61,9 8 38,1 (1,15-7,005)
Level of Family Income
High School- college 53 85,5 9 14,5 3,396 0, 024*
< employee minimum wage 12 60,0 8 40,0 (1,126-6,258)
Number of Family Members
> employee minimum wage 42 77,8 12 22,2 0,947 0,644
> 5 people 23 82,1 5 17,9 (0,757-1,185)
Protein intake
< 5 people 48 66,3 3 33,7 1,716 0,001*
inadequate 17 33,7 14 66,3 (1,238-2,380)
Knowledge Level
adequate 16 80,0 4 20,0 1,012 1,000
Employment status of head of Low 49 79,0 13 21,0 (0,785-1,305)
household Good 9 90,0 1 10,0 1,157 0,679
Does not work 56 77,8 16 22,2 (0,909-1,472)
Work

*p value (<0,05)

Table 2 shows that several variables show a relationship with bone mass density in
respondents. These variables are physical activity with p=0,000 and PR=1,506 (1,110-2,044),
mother's education level with p=0,032 and PR=3,556 (1,15-7,005), number of family
members with p=0,024 and PR=3,396 (1,126-6,258), protein intake with p=0,001. This
analysis uses the Che-Square test with a 95% confidence level. The results of the analysis
resulted in physical activity having the greatest relationship compared to other variables
(p=0,000).
This means that the results of this relationship test show the closeness between the
relationship of physical activity with the risk of low bone mass density in respondents. This
can be seen from Table 2 which shows that a total of 47 people (90,4%) of respondents with
less active physical activity have low bone mass density. Although the closeness of the
relationship between physical activity and bone mass density is greater, the risk of family
income that has a <employee minimum wage is greater, causing respondents to experience
low bone mass density (PR=3,556), which is 53 people (85,5%).
The close relationship between variables using bivariate analysis has not shown the risk
of dominant factors associated with low bone mass density in respondents. Further analysis is
needed in order to find out which variable is most associated with low bone mass density in
respondents, namely multivathic logistic regression analysis.

Multivariate Analysis
The statistical analysis used is multiple logistic regression analysis. Variables that are
candidates for the multivariate model are independent variables with bivariate results
resulting in ps<0,25, then these variables directly enter the multivariate stage. For
independent variables whose bivariate results produce p>0,25 but substantially important,
these variables can be included in the multivariate model. The variables included in the
multivariate model can be seen in Table 3.

Table 3. Modeling the most dominant factors related to low bone mass density
Variables B SE Wald Sig Exp (B)
Protein intake 2,272 885 6,586 0,010 9,696
Father's Education -168 1,466 1,164 0,281 0,206
Level
Mother's Education -1,582 1,716 0,010 0,922 0,845
Level
Level of Family Income -2,256 1,717 1,727 0,189 9,549
Knowledge level 1, 354 998 4,797 0,032 6, 685
Physical activity 2,257 0,747 11,708 0,001 12,981

Table 3 shows that the variable calcium intake is the most dominant risk factor associated
with low bone mass density in adolescents with p=0,001, with Exp (B)=12,981 which means
that adolescents with physical activity less active risk of 12,981 times greater experience
osteopenia and can continue to become osteoporosis compared to adolescents with active
physical activity.

Discussion

Less physical activity can be reduced bone mass density. This occurs because physical
activity causes the formation of enzymes in bone, so enlargement/compaction of bones
(hypertrophy). For new bone formation to occur, continuous design is needed on the bone
through muscle training. Exercise regularly. With a frequency of 3-5 x/week not on
consecutive days with a time of 20-60 minutes and can properly increase low bone density
and reduce the risk of osteopenia. In addition, continuous activities and heavy loads may
quickly increase bone mass density, but must be adjusted to the load because the bone mass
density is not ocollegeimal compared to regular physical exercise and the appropriate load.
Certainly, it is supported by nutritional intake. such as protein, calcium, vitamin D which
meet the body's needs. With nutritional intake that matches the body's needs, the risk of
osteoporosis in old age can be minimized (7).
This is in line with this study which found that protein intake less than RDA is associated
with bone mass density. In multivariate analysis, Exp (B) 9,696, which means that protein
intake that is less than RDA causes respondents to experience low bone mass density.
Respondents whose protein intake is less than the RDA are 9,696 times more likely to
experience low bone mass density compared to respondents whose protein intake is
sufficient. Increased nutritional needs in adolescence are related to the accelerated growth
they experience. Bone mass density increases during puberty, its peak is reached at ages
above 10 to the beginning of 20 years (8). Bone is a complex network of cells and a matrix.
The bone matrix is formed by fibers and basic substances containing mineral salts. The mass
and thickness of the bones at any time always experience the dynamics of addition and
reduction through the process of remodeling (the bone matrix is absorbed and reshaped
(9,10). The process of forming and absorbing the bone, it is necessary to try to maintain bone
mass density from an early age, so as to avoid bone mass density such as osteopenia or
osteoporosis (9,11). In addition, osteoporosis is a systemic bone disease characterized by a
decrease in bone mass density and deterioration of bone microarchitecture, so bones become
brittle and break easily. Osteoporosis occurs when the process of bone erosion and bone
formation becomes unbalanced (12,13).
A high bone mass means strong and healthy bone, so it is not easy to get loose and
brittle. The cause or etiology comes from the risk factors that can be controlled and cannot be
controlled which is owned by an individual. Risk factors that can be controlled include lack
of activity or exercise. Previous studies have proven that physical exercise is carried out
regularly and with certain doses causing an increase in bone mass density, bone size and bone
shape (14,15,16). Statistical analysis showed that there was a significant relationship between
respondents whose physical activity was less active with low bone mass density (p<0,05) and
PR 1,506 which meant that respondents with less active physical activity had a risk of 1,506
times greater risk of experiencing low bone mass density compared to respondents whose
active physical activity. Sport is a repetitive physical activity and aims to maintain, improve
and express fitness. Several studies were conducted to determine the effect of physical
exercise on bones (17,18).
Exercise can play a role in the process of increasing bone mass density. High bone
density and mass are expected to be reached when the peak of bone mass, so that when the
process of decreasing bone remodeling will take a long time to reach the low point of bone
mass density which is at risk of osteoporosis. Therefore, regular and well-programmed
exercise in the age before 30 years is highly recommended in an effort to prevent early
osteoporosis. The volume of training is not only related to the duration of the exercise but
also includes aspects of distance or load per unit of time and aspects of the number of reps of
the exercise, so volume is the implication of the total quantity of training activity
performance or training phase. When referring to the training volume, the amount of time, the
number of training days, and the number of exercises must be specified (19,20).

Conclusion

Most of the bone mass density of respondents was low, amounting to 65 people (79,3%)
out of 82 total respondents. The most dominant risk factor for low bone mass density in these
respondents is due to the lack of active adolescents doing physical activity. With less active
physical activity, respondents had a greater risk of 12,981 times having osteopenia and could
continue to develop osteoporosis compared to respondents with active physical activity.
Acknowledgements
We thank all participants in this research.

Competing Interest
The authors declare that they have no competing interests.

References

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H. Vegetarian-Style Dietary Pattern During Adolescence Has Long-Term Positive
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Health. 2009;1(4): 341-346.
Jawaban 2
Dua Jurnal Dalam Negeri Dan 2 Jurnal Luar Negeri

1. Jurnal Dalam Negeri Terindek Sinta


a. Jurnal Medikora (terindeks sinta 3)
http://journal.uny.ac.id/index.php/medikora
b. Jurnal KEMAS (Jurnal Kesehatan Masyarakat) (terindeks sinta 2)
http://journal.unnes.ac.id/nju/index.php/kemas

2. Jurnal Luar Negeri Terindek Scopus


a. Journal Of Sport And Health Science
https://www.journals.elsevier.com/journal-of-sport-and-health-science/
b. Journal of Preventive Medicine and Hygiene
https://www.jpmh.org/index.php/jpmh
Jawaban 3

Status Jurnal

Jurnal MEDIKORA merupakan jurnal nasional terindek sinta 3. Jurnal ini telah
TERAKREDITASI oleh Badan Akreditasi Jurnal Nasional (ARJUNA) yang Dikelola oleh
Kementerian Riset dan Teknologi. Badan Riset dan Inovasi Nasional Republik Indonesia
Peringkat III (Peringkat 3 Sinta 3) sejak tahun 2018 sampai dengan 2023 sesuai dengan Keputusan
Nomor 148 / M / KPT / 2020. MEDIKORA adalah jurnal ilmiah kesehatan olahraga terbitan
Program Studi Ilmu Olah Raga Fakultas Ilmu Keolahragaan Universitas Negeri Yogyakarta yang
memuat hasil kajian dan penelitian analisis kritis di bidang kesehatan olahraga, terapi jasmani,
kebugaran jasmani, terapi olahraga, manajemen olahraga, adaptif, psikologi olahraga, biomekanik
olahraga, dan sosiologi olahraga. Jurnal diterbitkan dua kali setahun (April dan Oktober).
JAWABAN 4: Petunjuk bagi Penulis
Jawaban 5

Template Jurnal Medikora


Available online at https://journal.uny.ac.id/index.php/medikora
MEDIKORA, Vol. xxxx No. x Bulan Tahun, Hal xxx-xxx

JUDUL ARTIKEL MEDIKORA SINGKAT DAN JELAS TIMES


NEW ROMAN BOLD 15 PT UPPERCASE MAKSIMAL 16 KATA

Nama Penulis Pertama1, Nama Penulis Kedua2*, Tanpa Gelar Akademis (11pt)1
1
Ilmu Keolahragaan, Fakultas Ilmu Keolahragaan, Universitas Negeri Yogyakarta, Jl. Colombo No. 1,
Karangmalang, Depok, Sleman, Daerah Istimewa Yogyakarta, Indonesia.
2
Program Studi, Fakultas, Universitas, Alamat Lengkap, Jalan, Kabupaten, Propinsi, Negara, (10pt).
penulis_pertama@uny.ac.id, penuliskedua@uny.ac.id, ditulis_miring_10pt@instansi.ac.id

Abstrak
Abstrak berbahasa Indonesia ditulis menggunakan Times New Roman 11, rata kanan kiri. Jarak
antarbaris 1 spasi. Abstrak berisi 150-250 kata dan hanya terdiri atas 1 paragraf, menunjukkan tujuan
dan lingkup penelitian/kajian, memberikan gambaran metode yang digunakan, merangkum temuan
penelitian, menyatakan kesimpulan utama penelitian.
Kata kunci : 1 kata, tidak lebih dari 5 kata, frase yang penting, spesifik, representatif.

ENGLISH VERSION BRIEF AND CLEAR TIMES NEW ROMAN


BOLD 15 ALIGN LEFT UPPERCASE MAX 16 WORDS

Abstract
Abstract english version, written using Times New Roman 11, italic, justify. Abstract contains 150-250
words. Abstract contains research aim/purpose, method, and reseach results; written in 1 paragraph,
single space among rows, using past tense sentences.
Keywords: 1 word, no more than 5 words, important, specific, representative phrase.

PENDAHULUAN (BOBOT PANJANG 20%)


Panjang keseluruhan artikel antara 5000-8000 kata atau sekitar 6-12 halaman. Artikel
yang diterima ditulis dalam Bahasa Indonesia atau bahasa Inggris.
Pendahuluan berisi latar belakang, rasional, dan atau urgensi penelitian. Referensi
(pustaka atau penelitian relevan dari sebuah jurnal), perlu dicantumkan dalam bagian ini,
hubungannya dengan justifikasi urgensi penelitian, pemunculan permasalahan penelitian,
alternatif solusi, dan solusi yang dipilih. Cara penulisan sumber dalam teks perlu menunjukkan
secara jelas nama author dan sitasi sumber, yang berupa tahun terbit dan halaman tempat naskah
berada. Sebagai contoh adalah: ........ hasil penelitian menunjukkan bahwa lebih dari 70% siswa
tidak mampu mengenali permasalahan otentik..... (Retnawati, 2014, p.6).
Derajat kemutakhiran bahan yang diacu dengan melihat proporsi 10 tahun terakhir dan
mengacu pustaka primer. Permasalahan dan tujuan, serta kegunaan penelitian ditulis secara
naratif dalam paragraf-paragraf, tidak perlu diberi subjudul khusus. Demikian pula definisi
operasional, apabila dirasa perlu, juga ditulis naratif.
Pendahuluan ditulis dengan Times New Roman 12 tegak, dengan spasi 1. Tiap paragraf
diawali kata yang menjorok ke dalam 1 cm dari tepi kiri tiap kolom. Ukuran kertas
menggunakan A4 (210x297 mm), menggunakan Margins Top: 3 cm, Left: 3 cm, Bottom: 2
cm, Right: 2 cm.

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METODE (BOBOT PANJANG 10%)


Berisi jenis penelitian, waktu dan tempat penelitian, target/sasaran, subjek penelitian,
prosedur, instrumen dan teknik analisis data serta hal-hal lain yang berkait dengan cara
penelitiannya. target/sasaran, subjek penelitian, prosedur, data dan instrumen, dan teknik
pengumpulan data, serta teknik analisis data serta hal-hal lain yang berkait dengan cara
penelitiannya dapat ditulis dalam sub-subbab, dengan sub-subheading. Sub-subjudul tidak
perlu diberi notasi atau numbering, namun ditulis dengan huruf kapital, Times New Roman 12
bold, rata kiri, dengan spasi atas dan bawah masing-masing 6pt.
Khususnya untuk penelitian kualitatif, waktu dan tempat penelitian perlu dituliskan
secara jelas (untuk penelitian kuantitatif, juga perlu). Target/subjek penelitian (untuk penelitian
kualitatif) atau populasi-sampel (untuk penelitian kuantitatif) perlu diurai dengan jelas dalam
bagian ini. Perlu juga dituliskan teknik memperoleh subjek (penelitian kualitatif) dan atau
teknik samplingnya (penelitian kuantitatif).
Prosedur perlu dijabarkan menurut tipe penelitiannya. Bagaimana penelitian dilakukan
dan data akan diperoleh, perlu diuraikan dalam bagian ini.
Untuk penelitian eksperimental, jenis rancangan (experimental design) yang digunakan
sebaiknya dituliskan di bagian ini. Macam data, bagaimana data dikumpulkan, dengan
instrumen yang mana data dikumpulkan, dan bagaimana teknis pengumpulannya, perlu
diuraikan secara jelas dalam bagian ini.
Bagaimana memaknakan data yang diperoleh, kaitannya dengan permasalahan dan
tujuan penelitian, perlu dijabarkan dangan jelas.
(Catatan: Sub-subbab bisa berbeda, menurut jenis atau pendekatan penelitian yang
digunakan. Jika ada prosedur atau langkah yang sifatnya sekuensial, dapat diberi notasi (angka
atau huruf) sesuai posisinya).
HASIL DAN PEMBAHASAN (BOBOT PANJANG 60%)
Hasil penelitian disajikan dalam bentuk grafik, tabel, atau deskriptif. Analisis dan
interpretasi hasil ini diperlukan sebelum dibahas. Tabel dituliskan di tengah atau di akhir setiap
teks deskripsi hasil/perolehan penelitian. Bila lebar Tabel tidak cukup ditulis dalam setengah
halaman, maka dapat ditulis satu halaman penuh. Judul Tabel ditulis dari kiri rata tengah, semua
kata diawali huruf besar, kecuali kata sambung. Kalau lebih dari satu baris dituliskan dalam
spasi tunggal. Sebagai contoh, dapat dilihat Tabel 1.
Tabel 1. Style dan Fungsinya

No. Nama Style Fungsi


1. JK_Title Judul
2. JK_Author Penulis
3. JK_AbstractBody Abstrak
4. JK_AbstractTitle Judul Abstrak
Dan seterusnya

Hasil berupa gambar, atau data yang dibuat gambar/skema/grafik/diagram/sebangsa-nya,


pemaparannya juga mengikuti aturan yang ada; judul atau nama gambar ditaruh di bawah
gambar, rata tengah, dan diberi jarak spasi 6pt dari gambar. Sebagai contoh, dapat dilihat pada
Gambar 1.

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Gambar 1. Sebaran Nilai Post Test A


Pembahasan difokuskan pada mengaitkan data dan hasil analisisnya dengan
permasalahan atau tujuan penelitian dan konteks teoretis yang lebih luas. Dapat juga
pembahasan merupakan jawaban pertanyaan mengapa ditemukan fakta seperti pada data.
Pembahasan ditulis melekat dengan data yang dibahas. Pembahasan diusahakan tidak terpisah
dengan data yang dibahas.
SIMPULAN (BOBOT PANJANG 10%)
Simpulan tidak sekadar mengulangi data, tetapi berupa substansi pemaknaan. Dapat
berupa pernyataan tentang apa yang diharapkan, sebagaimana dinyatakan dalam bab
"Pendahuluan" yang akhirnya dapat menghasilkan bab "Hasil dan Pembahasan" sehingga ada
kompatibilitas. Selain itu, dapat juga ditambahkan prospek pengembangan hasil penelitian dan
prospek aplikasi penelitian selanjutnya ke depan (berdasarkan hasil dan pembahasan).
DAFTAR PUSTAKA (MINIMAL 15 REFERENSI)
Daftar pustaka diurutkan sesuai dengan alfabet. Semua yang dirujuk dalam artikel harus tertulis
dalam daftar pustaka dan semua yang tertulis dalam daftar pustaka harus dirujuk dalam artikel.
Contoh Penulisan Daftar Pustaka sebagai berikut.

(Jenis: buku author sama dengan penerbit)


American Psychological Association. (2010). Publication manual of the American
Psychological Association (6 ed.). Washington, DC: Author.

(Jenis: e-book)
Bransford, J. D., Brown, A. L., & Cocking, R. R. (2005). How people learn: Brain, mind,
experience and school. from https://www.nap.edu/catalog/9853/how-people-learn-
brain-mind-experience-and-school-expanded-edition.

(Jenis: edited book dengan dua editor atau lebih)


Tobias, S., & Duffy, T. M. (Eds.). (2009). Constructivist instruction: Success or failure? New
York, NY: Routledge.

(Jenis: book section)


Sahlberg, P. (2012). The most wanted: Teachers and teacher education in Finland. In L.
Darling-Hammond & A. Lieberman (Eds.), Teacher education around the world:
changing policies and practices. London: Routledge.

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ISSN: 0216-9940
MEDIKORA, Vol. xxxx No. x Bulan Tahun - 4
Nama Penulis Pertama, Nama Penulis Kedua, Nama Penulis Ketiga

(Jenis: buku satu pengarang)


Schunk, D. H. (2012a). Learning theories an educational perspective. Boston, MA: Pearson
Education, Inc.

(Jenis: buku yang diterjemahkan)


Schunk, D. H. (2012b). Learning theories an educational perspective (E. Hamdiah & R. Fajar,
Trans.). Yogyakarta: Pustaka Pelajar. (Original work published 2012).

(Jenis: buku dua pengarang)


Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (Fifth ed.). Needham
Heights, MA: Allyn & Bacon.

(Jenis: artikel jurnal daring/online)


Nurgiyantoro, B. & Efendi, A. (2017). Re-Actualization of Puppet Characters in Modern
Indonesian Fictions of the 21st Century. 3L: The Southeast Asian Journal of English
Language Studies. 23 (2), 141-153, from http://doi.org/10.17576/3L-2017-2302-11.

(Jenis: artikel jurnal tiga pengarang)


Retnowati, E., Fathoni, Y., & Chen, O. (2018). Mathematics Problem Solving Skill
Acquisition: Learning by Problem Posing or by Problem Solving? Cakrawala
Pendidikan, 37(1), 1-10, from doi: http://dx.doi.org/10.21831/cp.v37i1.18787.

(Jenis: artikel jurnal dengan lebih dari 3 pengarang)


Janssen, J., Kirschner, F., Erkens, G., Kirschner, P. A., & Paas, F. (2010). Making the black
box of collaborative learning transparent: Combining process-oriented and cognitive
load approaches. Educational Psychology Review, 22(2), 139-154. doi:
10.1007/s10648-010-9131-x.

(Jenis: prosiding)
Retnowati, E. (2012, 24-27 November). Learning mathematics collaboratively or individually.
Paper presented at the The 2nd International Conference of STEM in Education, Beijing
Normal University, China. Retrieved from
http://stem2012.bnu.edu.cn/data/short%20paper/stem2012_88.pdf.

(Jenis: dokumen buku pedoman/laporan institusi pemerintah/organisasi)


NCTM. (2000). Principles and standards for school mathematics. Reston, VA: Author.

(Jenis: dokumen hukum perundangan)


Permendiknas 2009 No. 22, Kompetensi Dasar Pendidikan Pancasila dan Kewarganegaraan
Sekolah Dasar Kelas I-VI.

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ISSN: 0216-9940
Jawaban 6

Synopsis Jurnal Tersebut Berdasarkan Status Jurnal, Petunjuk Bagi


Penulis, dan Template Jurnal

Jurnal MEDIKORA merupakan jurnal nasional terindek sinta 3. Jurnal ini telah
TERAKREDITASI oleh Badan Akreditasi Jurnal Nasional (ARJUNA) yang Dikelola oleh
Kementerian Riset dan Teknologi. Badan Riset dan Inovasi Nasional Republik Indonesia
Peringkat III (Peringkat 3 Sinta 3) sejak tahun 2018 sampai dengan 2023 sesuai dengan Keputusan
Nomor 148 / M / KPT / 2020. MEDIKORA adalah jurnal ilmiah kesehatan olahraga terbitan
Program Studi Ilmu Olah Raga Fakultas Ilmu Keolahragaan Universitas Negeri Yogyakarta yang
memuat hasil kajian dan penelitian analisis kritis di bidang kesehatan olahraga, terapi jasmani,
kebugaran jasmani, terapi olahraga, manajemen olahraga, adaptif, psikologi olahraga, biomekanik
olahraga, dan sosiologi olahraga. Jurnal diterbitkan dua kali setahun (April dan Oktober).
Medikora menerbitkan penelitian yang melaporkan praktik pendidikan dalam semua
konteks yang sesuai termasuk, namun tidak terbatas pada, pendidikan jasmani sekolah, olahraga
klub, dan program rekreasi aktif. Jurnal ini mempertimbangkan makalah yang membahas berbagai
kegiatan fisik, termasuk akuatik, tari, olahraga, senam, kegiatan luar ruangan dan petualangan,
meditasi dan seni bela diri dan olahraga.
Aturan pengiriman naskah yaitu Sebelum pengiriman,penulis harus memastikan bahwa
kertas Anda disiapkan menggunakan TEMPLATE Kertas MEDIKORA, telah dikoreksi dan
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Jawaban 7
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review.

b. Editor yang bisa dihubungi


TUGAS

MEMILIH JURNAL DAN MEMPUBLIKASIKAN ARTIKEL

Oleh:
ATIKAH RAHAYU
NIM 20708261007

Disertasi ini ditulis untuk memenuhi Sebagian persyaratan


untuk mendapatkan gelar Doktor Olahraga

PROGRAM STUDI ILMU KEOLAHRAGAAN


PROGRAM PASCASARJANA
UNIVERSITAS NEGERI YOGYAKARTA
2020
Jawaban 1
Siapkan satu artikel yang pernah anda tulis
RISK OF PHYSICAL ACTIVITY THAT ARE LESS ACTIVE RELATED
TO BONE DENSITY IN ADOLESCENTS

Atikah Rahayu

Student of study program doctoral of sports science, Faculty of Sports Sciences,


Universitas Negeri Yogyakarta

Correspondence:
Atikah Rahayu
Student of study program doctoral of sports science, Faculty of Sports Sciences,
Universitas Negeri Yogyakarta, Indonesia
Jl.Colombo Yogyakarta 55281, Indonesia
Tel/Fax: +62-81225331538
E-mail: atikahrahayu.2020@student.uny.ac.id

Abstract

Density of bone mass can be changed by physical activity, due to the formation of enzymes
in bone, resulting in enlargement/compaction of bones (hypertrophy). For new bone
formation to occur, continuous design is needed on the bone through muscle training. Low
bone mass density illustrates low bone quality. The study design used cross sectional design.
The subjects of the study were all teenagers in junior high schools selected along the
Martapura riverbank, Banjar Regency, South Borneo. Sampling by measuring physical
activity, level of knowledge, and protein intake as well as family characteristics such as
mother and father education, family income, and number of family members. The research
instrument used quantitative ultrasound bone densitometry to measure bone mass density,
Baecke questionnaire to measure physical activity, 24-hour food recall form to measure
protein intake and structured questionnaire to determine the characteristics of respondents
and families. The results showed a relationship between low bone mass density and physical
activity p=0,001, with Exp (B) =12,981. It can be concluded that less active physical activity
is at risk of causing low bone mass density.

Keywords: adolescents, less active physical activity, bone mass density.

Introduction

Low bone mass density is a description of the state of bone with low quality can be
identified after a period of perfect development. An early sign of low bone mass density is
low is osteopenia, while further osteoporosis. Osteoporosis is bone loss, especially in the
spine, upper arm and pelvis. The symtomatic of osteoporosis are difficult to detect, most are
only realized when there has been a swelling of the spine, cracks or broken bones, pinched
nerves. Some risks of osteopenia and osteoporosis are lack of protein intake in physical
activity. Lack of consumption of fish-sourced protein in adolescents will be related to bone
mass density, this is because teenagers often limit their consumption of food, and their
consumption patterns often violates the rules of nutrition (1).
These results are supported from the results of previous studies that the majority of
adolescents with low protein intake causes low bone mass density, which is 53,7%. When a
person reaches the peak of growth, the body's protein needs become stable. Protein in
adolescence is relatively high, because muscular, skeletal/skeletal acceleration and endocrine
development are greater than childhood and adulthood (2,3).
Bone mass density can be altered by physical activity. This occurs because physical
activity causes the formation of enzymes in bone, so enlargement/compaction of bones
(hypertrophy). For new bone formation to occur, continuous design is needed on the bone
through muscle training. Based on national data and data in South Kalimantan aged ≥10 years
included in the category of lack of physical activity. The less category is defined as
cumulative physical activity less than 150 minutes a week. The amount of age that lacks
physical activity is 33,5% (4). It is important to keep physical activity active so that bone
mass density is maintained (5,6).

Materials And Methods

Study design participants


This research is an observational analytic study. The study design uses cross sectional
design. The subjects of the study were all teenagers in 3 selected junior high schools along
the Martapura River, Banjar Regency, South Kalimantan Province, while the sample
determination was chosen 3 (one) schools which had the largest number of adolescents who
experienced osteopenia by screening results. Then samples will be taken with the inclusion
criteria as follows: 1) Adolescents are family members who live permanently as residents on
the banks of the Martapura river. 2) When researching teenagers are not fasting. 4) When the
study of adolescents was not experiencing pain that caused a decrease in appetite 5) Willing
to be a respondent in this study by filling out informed consent.

Measurement and Procedures


This research used the following research instruments:1) quantitative ultrasound bone
densitometry for bone mass density,2) Baecke questionnaire,3) 2x24 hour recall form to
measure protein intake, 5) questionnaire to determine the level of knowledge of respondents.
The independent variables in this study are physical activity, protein intake, number of family
members, respondent knowledge level, father and mother education level, family income,
while the dependent variable is bone mass density. Primary data collected includes:(1)
Family characteristics using structured questionnaires such as the level of education of fathers
and mothers, number of family members, family income using structured questionnaires;(2)
Physical activity data using the Baecke questionnaire;(3) Knowledge level data using
knowledge level questionnaire about bone mass density;(4) Protein intake data using 2x24
hour recall form.
Physical activity is categorized as being less active and active. Categorized as less active,
if cumulative physical activity is less than 150 minutes a week and active if cumulative
physical activity reaches ≥150 minutes a week referring to germas, the Ministry of Health.
Protein intake consists of 3 categories according to the recommended nutritional adequacy
rate (RDA), which is less if <80%, normal if 80-100% and more if>100%. Furthermore, for
the needs of the test analysis data are categorized into 2 categories: less, if less if <80% RDA
and sufficient, if 80-≥100% RDA. The level of knowledge using 2 categories is less if <mean
and good category if≥mean. The father and mother education level category uses 2 categories
referring to the education law namely Not Graduated from Junior High School and High
School- college, the family income category is categorized into 2 namely <employee
minimum wage and ≥ employee minimum wage refers to employee minimum wage Regency
of Banjar, and the number of family members has 2 categories namely ≥5 people and <5
people. Bone mass density is categorized in 3 categories: normal if>-1SD, osteopenia if -1SD
to -2,5SD, and osteoporosis if<-2,5SD, then for the needs of the data analysis test, the bone
mass density category is categorized into 2, namely low and normal bone mass density. The
bone mass density category is low if -1 SD to -2,5SD, and osteoporosis if<-2,5SD and the
normal category, if>-1SD.

Ethics Approval
This study was approved by the Ethics Committee faculty of Medical (ethic code 4/56).

Statistical Analysis
The data obtained were analyzed using univariate, bivariate, and multivariate. The results
of the univariate analysis are presented in the form of a frequency distribution table
(percentage) to find out the distribution of low bone mass density risk, bivariate analysis
using Chi-Square if not met followed by using the Fisher's Exact Test to find out the
relationship between risk factors and bone mass density and multivariate analysis using
logistic regression to find out the most dominant risk factor associated with low bone mass
density in adolescents.
.

Results
Univariate Analysis
Table 1 shows the distribution of variables according to categories that are likely related
to low bone mass density of respondents.
Table 1. Frequency distribution of respondent and family characteristics
Bone mass density categories Frequency (people) Percentage (%)
a. Low Bone mass
65 79,3
density/osteopenia/osteoporosis
b. Normal 17 20,7
Physical activity
a. Less active 51 62,2
b. Active 31 37,8
Father's Education Level
a. Not graduated from Junior High
62 74,6
School
b. High school - college 20 24,4
Mother's Education Level
a. Not graduated from Junior High
61 74,4
School
b. High school - college 21 25,6
Level of Family Income
a. < employee minimum wage 62 75,6
b. ≥ employee minimum wage 20 24,4
Number of Family Members
a. ≥ 5 people 54 65,9
b. < 5 people 28 34,1
Knowledge Level
a. Low 20 24,4
b. Good 62 75,6
Protein Intake
a. Inadequate 52 63,4
b. Adequate 30 35,6
Employment status of head of household
a. Does not work 10 12,2
b. Work 72 87,8
Source: Primary Data, 2019
Table 1 shows that the majority of respondents had osteopenia, 65 people (79,3%). Some
other potential variables have a relationship with the incidence of osteopenia in respondents,
namely physical activity, father's education level, mother's education level, family income,
number of family members, protein intake, level of knowledge, work status of parents. Table
1 shows that adolescents who have less active physical activity categories are more numerous
than adolescents with active physical activity that is equal to 51 people (62,2%), fathers and
mothers who have not completed primary education until junior high school are greater in
number each a total of 61 people (74,6%) and 62 people (74,4%). With the level of education
of parents low category resulted in incomes earned by parents/family also became inadequate
to meet the needs of family food consumption.
The results of this study indicate that the majority of family income is still below the
employee minimum wage of 60 people (75,6%). This employee minimum wage refers to the
employee minimum wage Regency of Banjar in the amount of Rp.2,248,000.00. In addition,
a factor that contributes to the incidence of osteopenia is the number of family members. The
results of this study found that the majority of respondents had a relatively large number of
family members (>5 people) namely 54 people (65,9%). It is likely that the relatively large
number of family members will affect the food distribution of family members.
The results of this study indicate that the level of knowledge of respondents still have
knowledge of less than 24,4%. It is potential that most of the protein intake is lacking due to
the low level of respondents' knowledge to meet their body's need for protein. The number of
respondents who have low protein intake is equal to 63,4%. The magnitude of the frequency
distribution between each of these variables has not been able to show the relationship
between the variable characteristics of respondents and families with low bone mass density,
so it needs bivariate analysis so that the relationship between the two variables (free and
bound) is known for their significance, in detail can be seen in Table 2.

Bivariate Analysis
Table 2. Relationship between respondent and family characteristics with Bone Mass Density
Bone Mass Density
Low Bone Mass Normal PR
Characteristics Category
Density (95% CI)
p

n % n %
Physical activity Less active 47 90,4 5 9,6 1,506 0,000*
Active 18 60,0 12 40,0 (1,110-2,044)
Father's Education Level Not graduated from 52 83,9 10 16,1 1,290 0,110
Junior High School- 13 65,0 17 35,0 (0,919-1,812)
Mother's Education Level college
52 85,2 9 14,8 3,556 0,032*
Not graduated from
Junior 13 61,9 8 38,1 (1,15-7,005)
Level of Family Income
High School- college 53 85,5 9 14,5 3,396 0, 024*
< employee minimum wage 12 60,0 8 40,0 (1,126-6,258)
Number of Family Members
> employee minimum wage 42 77,8 12 22,2 0,947 0,644
> 5 people 23 82,1 5 17,9 (0,757-1,185)
Protein intake
< 5 people 48 66,3 3 33,7 1,716 0,001*
inadequate 17 33,7 14 66,3 (1,238-2,380)
Knowledge Level
adequate 16 80,0 4 20,0 1,012 1,000
Employment status of head of Low 49 79,0 13 21,0 (0,785-1,305)
household Good 9 90,0 1 10,0 1,157 0,679
Does not work 56 77,8 16 22,2 (0,909-1,472)
Work

*p value (<0,05)

Table 2 shows that several variables show a relationship with bone mass density in
respondents. These variables are physical activity with p=0,000 and PR=1,506 (1,110-2,044),
mother's education level with p=0,032 and PR=3,556 (1,15-7,005), number of family
members with p=0,024 and PR=3,396 (1,126-6,258), protein intake with p=0,001. This
analysis uses the Che-Square test with a 95% confidence level. The results of the analysis
resulted in physical activity having the greatest relationship compared to other variables
(p=0,000).
This means that the results of this relationship test show the closeness between the
relationship of physical activity with the risk of low bone mass density in respondents. This
can be seen from Table 2 which shows that a total of 47 people (90,4%) of respondents with
less active physical activity have low bone mass density. Although the closeness of the
relationship between physical activity and bone mass density is greater, the risk of family
income that has a <employee minimum wage is greater, causing respondents to experience
low bone mass density (PR=3,556), which is 53 people (85,5%).
The close relationship between variables using bivariate analysis has not shown the risk
of dominant factors associated with low bone mass density in respondents. Further analysis is
needed in order to find out which variable is most associated with low bone mass density in
respondents, namely multivathic logistic regression analysis.

Multivariate Analysis
The statistical analysis used is multiple logistic regression analysis. Variables that are
candidates for the multivariate model are independent variables with bivariate results
resulting in ps<0,25, then these variables directly enter the multivariate stage. For
independent variables whose bivariate results produce p>0,25 but substantially important,
these variables can be included in the multivariate model. The variables included in the
multivariate model can be seen in Table 3.

Table 3. Modeling the most dominant factors related to low bone mass density
Variables B SE Wald Sig Exp (B)
Protein intake 2,272 885 6,586 0,010 9,696
Father's Education -168 1,466 1,164 0,281 0,206
Level
Mother's Education -1,582 1,716 0,010 0,922 0,845
Level
Level of Family Income -2,256 1,717 1,727 0,189 9,549
Knowledge level 1, 354 998 4,797 0,032 6, 685
Physical activity 2,257 0,747 11,708 0,001 12,981

Table 3 shows that the variable calcium intake is the most dominant risk factor associated
with low bone mass density in adolescents with p=0,001, with Exp (B)=12,981 which means
that adolescents with physical activity less active risk of 12,981 times greater experience
osteopenia and can continue to become osteoporosis compared to adolescents with active
physical activity.

Discussion

Less physical activity can be reduced bone mass density. This occurs because physical
activity causes the formation of enzymes in bone, so enlargement/compaction of bones
(hypertrophy). For new bone formation to occur, continuous design is needed on the bone
through muscle training. Exercise regularly. With a frequency of 3-5 x/week not on
consecutive days with a time of 20-60 minutes and can properly increase low bone density
and reduce the risk of osteopenia. In addition, continuous activities and heavy loads may
quickly increase bone mass density, but must be adjusted to the load because the bone mass
density is not ocollegeimal compared to regular physical exercise and the appropriate load.
Certainly, it is supported by nutritional intake. such as protein, calcium, vitamin D which
meet the body's needs. With nutritional intake that matches the body's needs, the risk of
osteoporosis in old age can be minimized (7).
This is in line with this study which found that protein intake less than RDA is associated
with bone mass density. In multivariate analysis, Exp (B) 9,696, which means that protein
intake that is less than RDA causes respondents to experience low bone mass density.
Respondents whose protein intake is less than the RDA are 9,696 times more likely to
experience low bone mass density compared to respondents whose protein intake is
sufficient. Increased nutritional needs in adolescence are related to the accelerated growth
they experience. Bone mass density increases during puberty, its peak is reached at ages
above 10 to the beginning of 20 years (8). Bone is a complex network of cells and a matrix.
The bone matrix is formed by fibers and basic substances containing mineral salts. The mass
and thickness of the bones at any time always experience the dynamics of addition and
reduction through the process of remodeling (the bone matrix is absorbed and reshaped
(9,10). The process of forming and absorbing the bone, it is necessary to try to maintain bone
mass density from an early age, so as to avoid bone mass density such as osteopenia or
osteoporosis (9,11). In addition, osteoporosis is a systemic bone disease characterized by a
decrease in bone mass density and deterioration of bone microarchitecture, so bones become
brittle and break easily. Osteoporosis occurs when the process of bone erosion and bone
formation becomes unbalanced (12,13).
A high bone mass means strong and healthy bone, so it is not easy to get loose and
brittle. The cause or etiology comes from the risk factors that can be controlled and cannot be
controlled which is owned by an individual. Risk factors that can be controlled include lack
of activity or exercise. Previous studies have proven that physical exercise is carried out
regularly and with certain doses causing an increase in bone mass density, bone size and bone
shape (14,15,16). Statistical analysis showed that there was a significant relationship between
respondents whose physical activity was less active with low bone mass density (p<0,05) and
PR 1,506 which meant that respondents with less active physical activity had a risk of 1,506
times greater risk of experiencing low bone mass density compared to respondents whose
active physical activity. Sport is a repetitive physical activity and aims to maintain, improve
and express fitness. Several studies were conducted to determine the effect of physical
exercise on bones (17,18).
Exercise can play a role in the process of increasing bone mass density. High bone
density and mass are expected to be reached when the peak of bone mass, so that when the
process of decreasing bone remodeling will take a long time to reach the low point of bone
mass density which is at risk of osteoporosis. Therefore, regular and well-programmed
exercise in the age before 30 years is highly recommended in an effort to prevent early
osteoporosis. The volume of training is not only related to the duration of the exercise but
also includes aspects of distance or load per unit of time and aspects of the number of reps of
the exercise, so volume is the implication of the total quantity of training activity
performance or training phase. When referring to the training volume, the amount of time, the
number of training days, and the number of exercises must be specified (19,20).

Conclusion

Most of the bone mass density of respondents was low, amounting to 65 people (79,3%)
out of 82 total respondents. The most dominant risk factor for low bone mass density in these
respondents is due to the lack of active adolescents doing physical activity. With less active
physical activity, respondents had a greater risk of 12,981 times having osteopenia and could
continue to develop osteoporosis compared to respondents with active physical activity.
Acknowledgements
We thank all participants in this research.

Competing Interest
The authors declare that they have no competing interests.

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Jawaban 2
Dua Jurnal Dalam Negeri Dan 2 Jurnal Luar Negeri

1. Jurnal Dalam Negeri Terindek Sinta


a. Jurnal Medikora (terindeks sinta 3)
http://journal.uny.ac.id/index.php/medikora
b. Jurnal KEMAS (Jurnal Kesehatan Masyarakat) (terindeks sinta 2)
http://journal.unnes.ac.id/nju/index.php/kemas

2. Jurnal Luar Negeri Terindek Scopus


a. Journal Of Sport And Health Science
https://www.journals.elsevier.com/journal-of-sport-and-health-science/
b. Journal of Preventive Medicine and Hygiene
https://www.jpmh.org/index.php/jpmh
Jawaban 3

Status Jurnal

Journal of Sport and Health Science (JSHS) adalah jurnal multidisiplin, internasional, dan
peer-review yang didedikasikan untuk kemajuan olahraga, olahraga, aktivitas fisik, dan ilmu
kesehatan. JSHS menerbitkan penelitian asli dan berdampak, ulasan topik, editorial, opini, dan
makalah. Impact Factor 2019: 5.200 © Clarivate Analytics Journal Citation Reports 2020. 5-Year
Impact Factor: 4.687, Source Normalized Impact per Paper (SNIP): 1.880, SCImago Journal Rank
(SJR): 1.136. Adapun Abstrak dan indeks: Science Citation Index, Social Sciences Citation Index,
PubMed/Medline, PubMed Central, Scopus, Embase, Cambridge Scientific Abstracts, Directory
of Open Access Journals (DOAJ), ProQuest, EBSCO SPORTDiscus, EBSCO, ehabilitation &
Sports Medicine Source, Hinari.
JAWABAN 4
Petunjuk Bagi Penulis
JOURNAL OF SPORT AND HEALTH SCIENCE

AUTHOR INFORMATION PACK

TABLE OF CONTENTS XXX


. .

• Description p.1
• Impact Factor p.1
• Abstracting and Indexing p.2
• Editorial Board p.2
• Guide for Authors p.5

ISSN: 2095-2546

DESCRIPTION
.

The Journal of Sport and Health Science (JSHS) is a peer-reviewed, international, multidisciplinary
journal dedicated to the advancement of sport, exercise, physical activity, and health sciences. JSHS
publishes original and impactful research, topical reviews, editorials, opinion, and commentary papers
relating physical and mental health, injury and disease prevention, traditional Chinese exercise,
and human performance. Through a distinguished, carefully selected international editorial board,
JSHS has adopted the highest academic standards, impeccable integrity, and an efficient publication
platform.

Fields of particular interest to the journal include (but are not limited to):
• Sport and exercise medicine
• Injury prevention and clinical rehabilitation
• Sport and exercise physiology
• Public Health Promotion
• Physical activity epidemiology
• Biomechanics and motor behavior
• Sport and exercise biochemistry and nutrition
• Sport and exercise psychology
• Exercise and brain health
• Physical education
• Traditional Chinese sports, exercise and health

Please contact us if you have questions about subscriptions:


Editorial Office
E-mail: jshs@sus.edu.cn
Tel: +86-21-65506293, 65506299
Fax: +86-21-65506293
Address: 650 Qingyuanhuan Road, Shanghai 200438, China

IMPACT FACTOR
.

2019: 5.200 © Clarivate Analytics Journal Citation Reports 2020

AUTHOR INFORMATION PACK 20 Dec 2020 www.elsevier.com/locate/jshs 1


ABSTRACTING AND INDEXING
.

Science Citation Index


Social Sciences Citation Index
PubMed/Medline
PubMed Central
Scopus
Embase
Cambridge Scientific Abstracts
Directory of Open Access Journals (DOAJ)
ProQuest
EBSCO SPORTDiscus
EBSCO Rehabilitation & Sports Medicine Source
Hinari

EDITORIAL BOARD
.

Editors-in-Chief
Peijie Chen, Shanghai University of Sport, Shanghai, China
Sport medicine, Diagnosis and evaluation of exercise-induced immunosuppression, Sport and
medicine integrated rehabilitation, and Physical fitness evaluation and surveillance
Walter Herzog, University of Calgary, Calgary, Alberta, Canada
Muscle contraction mechanisms, Mechanical properties of muscles, growth, healing, and adaptation
of soft (ligament, tendon, muscle, and articular cartilage) and hard (bone) tissues
Deputy Editors-in-Chief
Barbara E. Ainsworth, Arizona State University, Tempe, Arizona, United States
Physical activity and public health with focus on the assessment of physical activity in populations,
the Evaluation of physical activity questionnaires, and Physical activity in women
Lijuan Mao, Shanghai Municipal Education Commission, Shanghai, China
Sports biochemistry, Exercise stress, Oxidation and antioxidant
Yu Liu, Shanghai University of Sport, Shanghai, China
Neuromotor control of human movement, Biomechanics of sports injury
Jian Wu, Shanghai University of Sport, Shanghai, China
Physical Education, Sport information and communication
Associate Editors
Ralph Beneke, University of Marburg, Marburg, Germany
Modeling and computer-simulated analysis of energetics, Regulation and kinetics of physiological
measurements, Cellular integrity and function with special attention to event, training, environmental
conditions, age, health and clinical intervention
Chetwyn C.H. Chan, The Hong Kong Polytechnic University, Hong Kong, China
Applied cognitive neuroscience, Attention and working memory, Cognitive ergonomics, Evidence
based practice and clinical program evaluation
Yu-Kai Chang, National Taiwan Normal University, Taipei, Taiwan, China
Sport and exercise psychology, Sport and exercise cognitive neuroscience
Ang Chen, University of North Carolina at Greensboro, Greensboro, North Carolina, United States
Pedagogical studies in kinesiology
Sulin Cheng, University of Jyväskylä, Jyväskylä, Finland
Anatomy, Public health, Nutrition, Physiology, Physical activity assessment
J. Larry Durstine, University of South Carolina, Columbia, South Carolina, United States
Lipid and lipoprotein metabolism, Exercise management for chronic diseases and disabilities physical
activity, Physical fitness and health, Cardiac rehabilitation
Zan Gao, University of Minnesota, Minneapolis, Minnesota, United States
Promoting health with emerging technology through population-based physical activity interventions
Fuzhong Li, Oregon Research Institute, Eugene, Oregon, United States
Postural control, Cognitive function, Balance training, and Falls prevention in older adults and people
with movement disorders
Li Li, Georgia Southern University, Statesboro, Georgia, United States
Gait and balance of patients with peripheral neuropathy, The dynamics and neuromuscular control of
human gait transition, Locomotion stability and variability with different age groups

AUTHOR INFORMATION PACK 20 Dec 2020 www.elsevier.com/locate/jshs 2


Rena Li, Capital Medical University, Beijing, China
Molecular neuroendocrinology, Behavioral science
Ping Xiang, Texas A&M University, College Station, Texas, United States
Achievement-related cognitions and behaviors in physical education, Cross-cultural comparisons,
Physical activity and health promotion, Physical education teacher education
Bing Yu, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States
Musculoskeletal system modeling, Biomechanics of sports injury, Biomechanics of sports techniques
Songning Zhang, The University of Tennessee Knoxville Department of Kinesiology Recreation and Sport
Studies, Knoxville, Tennessee, United States
Gait biomechanical characteristics and management of knee osteoarthritis, Gait characteristics of
total knee replacement, Impact loading attenuation in dynamic activities, Injury mechanisms and
prevention, Biomechanical functions of footwear, and ankle sprain mechanism and effects of ankle
orthoses, and Human performance mechanisms
Editorial Board
Ruopeng An, Washington University in St Louis, Saint Louis, Missouri, United States
Environmental influences and population-level interventions on weight-related behaviors and
outcomes throughout the life course
Thomas Buckley, University of Delaware, Newark, Delaware, United States
Concussion and postural control, Age of first exposure to sports and neurological outcomes
Greet Cardon, Ghent University, Gent, Belgium
Prevalence and measuring physical activity across the lifespan, understanding its determinants,
identifying the most effective ways to promote more physical activity and less sitting
Jennifer L. Etnier, University of North Carolina at Greensboro, Greensboro, North Carolina, United States
Uses a life-span approach to explore mechanisms and moderators of the effects of acute and chronic
exercise on cognitive performance
Li Li Ji, University of Minnesota Laboratory of Physiological Hygiene and Exercise Science, Minneapolis,
Minnesota, United States
Exercise physiology, Biochemistry, Nutrition
Tiemin Liu, Fudan University, Shanghai, China
Anti-obesity neurocircuitry in the brain and the brain regulation of peripheral tissues using conditional,
neuron-specific genetic engineering techniques to regulate gene expression in the mouse brain
Seppo Meri, University of Helsinki, Helsinki, Finland
Diseases related to disturbances in complement regulation, The role of complement in kidney
disorders, Pregnancy complications, Vascular damage and reasons for increased susceptibility to
microbial infections
Erich Müller, University of Salzburg, Salzburg, Austria
Biomechanics, Rehabilitation, Sports science, Sports injuries, Exercise science, Injury prevention,
Exercise performance
David C. Nieman, Appalachian State University, Boone, North Carolina, United States
Unique nutritional products as countermeasures to exercise- and obesity-induced immune
dysfunction, Inflammation, Illness, and Oxidative stress
Hidetsugu Nishizono, Kyushu Sangyo University, Fukuoka, Japan
Biomechanics, Exercise physiology, Training sciences
Scott K. Powers, UNIVERSITY OF FLORIDA, United States
Exercise physiology, skeletal muscle, diaphragm, mechanical ventilation, proteolysis
Zsolt Radák, University of Physical Education, Budapest, Hungary
Molecular Medicine, Therapeutics, Translational research, Internal medicine, Medical care
Anthony Rosenzweig, MASSACHUSETTS GENERAL HOSPITAL, Boston, Massachusetts, United States
Heart failure, Heart disease, Exercised heart as a model to keep heart healthy
Jo Salmon, Deakin University, Burwood, Victoria, Australia
Children's physical activity and sedentary behaviour, including interventions targeting these
behaviours, and implementation of interventions at-scale
Stefan Schneider, German Sport University Cologne, Koln, Germany
Neurociences, Neurocognitive and neuro-affective performance in extreme environments, Correlation
between brain activity, exercise and health
Mark S. Tremblay, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
Pediatric exercise science, Childhood obesity, Physical literacy and health, Physical activity, Fitness
and health measurement, Sedentary physiology; Health surveillance; and Knowledge translation and
mobilization
Catrine Tudor-Locke, University of Massachusetts Amherst, Amherst, United States

AUTHOR INFORMATION PACK 20 Dec 2020 www.elsevier.com/locate/jshs 3


Walking, gait speed, personal monitoring, step counting, ambulation objective physical activity
assessment and promotion, specifically focused on pedometer or accelerometer-determined
ambulatory activity captured as steps/day across the lifespan
Tzyy-Yuang Shiang, National Taiwan Normal University, Taipei, Taiwan, China
Sports equipment design, Biomechanics, Exercise technology
Ying Wu, Shanghai University of Sport, Shanghai, China
Physical education, General methods and theory of sports training, Track and field teaching and
training theories and methods, Acupuncture and exercise training
Junjie Xiao, Shanghai University, Shanghai, China
Exercise, Heart failure, Non-coding RNA
Minhao Xie, China Institute of Sports Medicine, General Administration of Sport of China, Beijing, China
Exercise and regulation of endocrine
Chenglin Zhou, Shanghai University of Sport, Shanghai, China
Theory and application of competitive sports psychology, and exercise psychology
Weimo Zhu, University of Illinois at Urbana-Champaign Department of Kinesiology and Community Health,
Champaign, Illinois, United States
Physical activity and public health, Kinesiology and community health
Founding Editor-in-Chief
Jiancheng Zhang, Shanghai University of Sport, Shanghai, China
Founding Deputy Editor-in-Chief
Qianghui Ran, Shanghai University of Sport, Shanghai, China

AUTHOR INFORMATION PACK 20 Dec 2020 www.elsevier.com/locate/jshs 4


GUIDE FOR AUTHORS
.

INTRODUCTION
Aims and Scope
The Journal of Sport and Health Science (JSHS) is a peer-reviewed, international, multidisciplinary
journal dedicated to the advancement of sport, exercise, physical activity, and health sciences. JSHS
publishes original and impactful research, topical reviews, editorials, opinion, and commentary papers
relating physical and mental health, injury and disease prevention, traditional Chinese exercise,
and human performance. Through a distinguished, carefully selected international editorial board,
JSHS has adopted the highest academic standards, impeccable integrity, and an efficient publication
platform.
Fields of particular interest to JSHS include (but are not limited to): Sport and exercise medicine
Injury prevention and clinical rehabilitation Sport and exercise physiology Public health promotion
Physical activity epidemiology Biomechanics and motor behavior Sport and exercise biochemistry
and nutrition Sport and exercise psychology Exercise and brain health Physical education Traditional
Chinese sports, exercise and health
Types of Paper
Contributions falling into the following categories will be considered for publication: Research
highlight, Commentary, Opinion, Review, Original article,Case study, Letter to the editor

Please ensure that you select the appropriate article type from the list of options when making your
submission. Authors contributing to special topic/section/issue should ensure that they select the
special issue article type from this list.

Research Highlight

Research Highlights are by invitation only and present short updates on new progress in the field of
sport and health. They should be no more than 900 words.

Commentary

Commentary articles comment on articles that have been published in JSHS and other top journals
or hot topics. They should contain no more than 1000 words of text, 1 display item (figure or table)
and a maximum of 20 references. Commentary articles do not contain an abstract.

Opinion

Opinion pieces cover a wide variety of topics that are of current interest in sport and health and
highlight their interaction with society. They may discuss policy, ethics, science, or society and should
be written in an accessible, non-technical style. They can be written with authority, color, vivacity,
and personal voice. Opinion pieces should be 1500 - 2500 words and should contain no more than 25
references. They do not contain primary research data, although they may present "sociological" data
(funding trends, demographics, bibliographic data, scientific and social development, etc.). Opinion
pieces do not contain an abstract, and keywords. In all other respects, the directions for full papers
should be followed.

Review

Review articles survey recent developments in a topical area of sport and health. Reviews have a
word limit of 6000 words including abstract but excluding references, tables, and figures. In JSHS,
review articles are usually invited by the Editor or Associate Editor. Self-invited manuscripts would
be considered only if the authors are highly reputable demonstrated by a track record of productivity
in the relevant field being reviewed.

Original Article

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Studies that are of high scientific quality and that are of interest to the diverse readership of the
journal. Manuscripts should include an abstract and appropriate experimental details to support the
conclusions. Original Articles should be no more than 5000 words and should not normally include
more than 6 display items (tables and/or figures).

Case Study

A Case study should report on specific cases that are unique, exciting, and current to exercise and
sport science, sports medicine, health, and other relevant fields of study. Case studies should make
a distinct contribution to the scientific field and/or question existing paradigms. A case could be an
individual or a community depending on the nature of the study. We expect most case studies to
include an abstract, an introduction, a brief case report, and a discussion.

Letter to the Editor

Letters to the Editor present preliminary reports of unusual urgency, significance and interest, whose
subjects may be republished in expanded form. They should contain no more than 900 words of text,
1 display item (figure or table) and a maximum of 10 references. Letters to the Editor do not contain
an abstract and keywords. In all other respects, the directions for full papers should be followed.
Peer review
This journal operates a single blind review process. All contributions are typically sent to a minimum of
two independent expert reviewers to assess the scientific quality of the paper. The Editor is responsible
for the final decision regarding acceptance or rejection of articles. The Editor's decision is final. More
information on types of peer review.
Referees
Please submit the names and institutional e-mail addresses of several potential referees. For more
details, visit our Support site. Note that the editor retains the sole right to decide whether or not the
suggested reviewers are used.
Submission
Submission to this journal proceeds totally online. Use the following guidelines to prepare your article.
Via the homepage of this journal (https://mc03.manuscriptcentral.com/jshs) you will be guided
stepwise through the creation and uploading of the various files. The system automatically converts
source files to a single Adobe Acrobat PDF version of the article, which is used in the peer-review
process. Please note that even though manuscript source files are converted to PDF at submission
for the review process, these source files are needed for further processing after acceptance. All
correspondence, including notification of the Editor's decision and requests for revision, takes place
by e-mail and via the author's homepage, removing the need for a hard-copy paper trail. If you are
unable to provide an electronic version, please contact the editorial office prior to submission (E-
mail: jshs@sus.edu.cn).
Submission checklist
You can use this list to carry out a final check of your submission before you send it to the journal for
review. Please check the relevant section in this Guide for Authors for more details.

Ensure that the following items are present:

One author has been designated as the corresponding author with contact details:
• E-mail address
• Full postal address (with phone number)

All necessary files have been uploaded:


Manuscript:
• Ethical requirement
• Include keywords
• All figures (include relevant captions 300 dpi resolution at least)
• All tables (including titles, description, footnotes)
• Ensure all figure and table citations in the text match the files provided
• Indicate clearly if color should be used for any figures in print
Highlights files (where applicable)

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Supplemental files (where applicable)

Further considerations
• Manuscript has been 'spell checked' and 'grammar checked'
• All references mentioned in the Reference List are cited in the text, and vice versa
• Permission has been obtained for use of copyrighted material from other sources (including the
Internet)
• A competing interests statement is provided, even if the authors have no competing interests to
declare
• Journal policies detailed in this guide have been reviewed
• Referee suggestions and contact details provided, based on journal requirements

For further information, visit our Support Center.

BEFORE YOU BEGIN


Ethical requirement
All materials must adhere to high ethical and animal welfare standards. Any use of animals must be
based on ethological knowledge and respect for species-specific requirements for health and well-
being. For investigations of human subjects, an appropriate institutional review board approved the
project and the informed written consent was obtained from the study participants or guardians. For
detailed information on Ethics in Publishing and Ethical guidelines for journal publication see https://
www.elsevier.com/publishingethics and https://www.elsevier.com/ethicalguidelines.
Declaration of Interest
All authors must disclose any financial and personal relationships with other people or organizations
that could inappropriately influence (bias) their work. Examples of potential competing interests
include employment, consultancies, stock ownership, honoraria, paid expert testimony, patent
applications/registrations, and grants or other funding. Authors must disclose any interests in two
places: 1. A summary declaration of interest statement in the title page file (if double-blind) or at
the end of the manuscript file (if single-blind). If there are no interests to declare then please state
this: 'The authors declare that they have no competing interests'. This summary statement will be
ultimately published if the article is accepted. 2. Detailed disclosures as part of a separate Declaration
of Interest form, which forms part of the journal's official records. It is important for potential interests
to be declared in both places and that the information matches. More information.
Submission Declaration
Submission of an article implies that the work described has not been published previously (except in
the form of an abstract, a published lecture or academic thesis, see 'Multiple, redundant or concurrent
publication' for more information), that it is not under consideration for publication elsewhere, that
its publication is approved by all authors and tacitly or explicitly by the responsible authorities where
the work was carried out, and that, if accepted, it will not be published elsewhere in the same form, in
English or in any other languages, including electronically without the written consent of the copyright-
holder.
Use of inclusive language
Inclusive language acknowledges diversity, conveys respect to all people, is sensitive to differences,
and promotes equal opportunities. Articles should make no assumptions about the beliefs or
commitments of any reader, should contain nothing which might imply that 1 individual is superior
to another on the grounds of race, sex, culture, or any other characteristic, and should use inclusive
language throughout. Authors should ensure that writing is free from bias, for instance by using 'he
or she', 'his/her' instead of 'he' or 'his', and by making use of job titles that are free of stereotyping
(e.g., 'chairperson' instead of 'chairman' and 'flight attendant' instead of 'stewardess').
Changes to Authorship
Authors are expected to consider carefully the list and order of authors before submitting their
manuscript and provide the definitive list of authors at the time of the original submission. Any
addition, deletion or rearrangement of author names in the authorship list should be made only
before the manuscript has been accepted and only if approved by the journal Editor. To request such
a change, the Editor must receive the following from the corresponding author: (a) the reason for
the change in author list,(b) written confirmation (e-mail, letter) from all authors that they agree

AUTHOR INFORMATION PACK 20 Dec 2020 www.elsevier.com/locate/jshs 7


with the addition, removal or rearrangement, and (c) written confirmation (email or letter) from all
authors' affliations. In the case of addition or removal of authors, this includes confirmation from the
author being added or removed.
Only in exceptional circumstances will the Editor consider the addition, deletion, or rearrangement of
authors after the manuscript has been accepted. While the Editor considers the request, publication
of the manuscript will be suspended. If the manuscript has already been published in an online issue,
any requests approved by the Editor will result in a corrigendum.
Elsevier supports responsible sharing
Find out how you can share your research published in Elsevier journals.
Role of the funding source
You are requested to identify who provided financial support for the conduct of the research and/or
preparation of the article and to briefly describe the role of the sponsor(s), if any, in study design; in
the collection, analysis and interpretation of data; in the writing of the report; and in the decision to
submit the article for publication. If the funding source(s) had no such involvement then this should
be stated.
Open access
Please visit our Open Access page for more information.
Elsevier researcher academy
Researcher Academy is a free e-learning platform designed to support early and mid-career
researchers throughout their research journey. The "Learn" environment at Researcher Academy
offers several interactive modules, webinars, downloadable guides and resources to guide you through
the process of writing for research and going through peer review. Feel free to use these free resources
to improve your submission and navigate the publication process with ease.
Language (usage and editing services)
Please write your text in good English (American or British usage is accepted, but not a mixture of
these). Authors who feel their English language manuscript may require editing to eliminate possible
grammatical or spelling errors and to conform to correct scientific English may wish to use the English
Language Editing service available from Elsevier's Author Services.
Additional information
Tables and figures may be presented with captions at the end of the main body of the manuscript; if
so, figures should additionally be uploaded as high resolution files(at least 300 dpi)

PREPARATION
Submission Sample
Manuscript format sample (click here to download)
use of word processing software
It is important that the file be saved in the native format of the word processor used. The text should
be in 1.5-space format. Keep the layout of the text as simple as possible. Most formatting codes will be
removed and replaced on processing the article. In particular, do not use the word processor's options
to justify text or to hyphenate words. However, do use bold face, italics, subscripts, superscripts etc.
When preparing tables, if you are using a table grid, use only 1 grid for each individual table and not
a grid for each row. If no grid is used, use tabs, not spaces, to align columns. The electronic text
should be prepared in a way very similar to that of conventional manuscripts (see also the Guide to
Publishing with Elsevier). Note that source files of figures, tables, and text graphics will be required
whether or not you embed your figures in the text. See also the section on Electronic artwork.
To avoid unnecessary errors you are strongly advised to use the 'spell-check' and 'grammar-check'
functions of your word processor.
Article structure
Subdivision - numbered sections
Divide your article into clearly defined and numbered sections. Subsections should be numbered
1.1 (then 1.1.1, 1.1.2, ...), 1.2, etc. (the abstract is not included in section numbering). Use this
numbering also for internal cross-referencing: do not just refer to 'the text'. Any subsection may be
given a brief heading. Each heading should appear on its own separate line.
Introduction
State the objectives of the work and provide an adequate background, avoiding a detailed literature
survey or a summary of the results.

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Material and methods
Provide sufficient details to allow the work to be reproduced by an independent researcher. Methods
that are already published should be summarized, and indicated by a reference. If quoting directly
from a previously published method, use quotation marks and also cite the source. Any modifications
to existing methods should also be described.
Results
Results should be clear and concise.
Discussion
This should explore the significance of the results of the work, not repeat them. Avoid extensive
citations and discussion of published literature.
Conclusion
The main conclusions of the study may be presented in a short Conclusions section, which may stand
alone or form a subsection of a Discussion section.
Appendices
If there is more than 1 appendix, they should be identified as A, B, etc. Formula and equations in
appendices should be given separate numbering: Eq. (A.1), Eq. (A.2), etc.; in a subsequent appendix,
Eq. (B.1) and so on. Similarly for tables and figures: Table S1A; Fig. S1A, etc.
Essential title page information
• Title. Concise and informative. Titles are often used in information-retrieval systems. Avoid
abbreviations and formula where possible.
• Author names and affiliations. Please clearly indicate the given name(s) and family name(s)
of each author and check that all names are accurately spelled. You can add your name between
parentheses in your own script behind the English transliteration. Present the authors' affiliation
addresses (where the actual work was done) below the names. Indicate all affiliations with a lower-
case superscript letter immediately after the author's name and in front of the appropriate address.
Provide the full postal address of each affiliation, including the country name and, if available, the
e-mail address of each author.
• Corresponding author. Clearly indicate who will handle correspondence at all stages of refereeing
and publication, also post-publication. This responsibility includes answering any future queries
about Methodology and Materials. Ensure that the e-mail address is given and that contact
details(postal address and phone numbers) are kept up to date by the corresponding
author.
• Present/permanent address. If an author has moved since the work described in the article was
done, or was visiting at the time, a 'Present address' (or 'Permanent address') may be indicated as
a footnote to that author's name. The address at which the author actually did the work must be
retained as the main, affiliation address. Symbols (like ?,?) are used for such footnotes.
Abstract
A concise and factual abstract is required. The abstract should state briefly the purpose of the
research, the principal results, and major conclusions. An abstract is often presented separately from
the article, so it must be able to stand alone. For this reason, References should be avoided, but if
essential, then cite the author(s) and year(s). Also, non-standard or uncommon abbreviations should
be avoided, but if essential they must be defined at their first mention in the abstract itself.
Keywords
Authors are invited to submit 3-5 keywords associated with their paper.
Abbreviations
Define abbreviations that are not standard in this field in a footnote to be placed on the first page
of the article. Such abbreviations that are unavoidable in the abstract must be defined at their first
mention there, as well as in the footnote. Ensure consistency of abbreviations throughout the article.
Acknowledgments
Collate acknowledgments in a separate section at the end of the article before the references and do
not, therefore, include them on the title page, as a footnote to the title or otherwise. List here those
individuals who provided help during the research (e.g., providing language help, writing assistance
or proof reading the article, etc.)and funding. List funding sources in this standard way to facilitate
compliance to funder's requirements:

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Funding: This work was supported by the National Institutes of Health [grant numbers xxxx, yyyy];
the Bill & Melinda Gates Foundation, Seattle, WA [grant number zzzz]; and the United States Institutes
of Peace [grant number aaaa].

It is not necessary to include detailed descriptions on the program or type of grants and awards. When
funding is from a block grant or other resources available to a university, college, or other research
institution, submit the name of the institute or organization that provided the funding.

If no funding has been provided for the research, this section can be ignored.
Authors' Contributions
Authors are required to state their contributions to the manuscript. The statement can be of several
sentences, describing the tasks of individual authors referred to by their initials. Use the following
format: JDE carried out the genetic studies, participated in the proteomic analysis and
drafted the manuscript; JSR carried out the immunoassays and performed the statistical
analysis; JMP conceived of the study, and participated in its design and coordination and
helped to draft the manuscript. Add a statement that all authors have read and approved the
final version of the manuscript, and agree with the order of presentation of the authors.
Competing Interests
State if there is any competing interest of any sort. If there is no financial interest, use the following
format: The authors declare that they have no competing interests.
Math formula
Please submit math equations as editable text and not as images. Present simple formulae in
line with normal text where possible and use the solidus (/) instead of a horizontal line for small
fractional terms, e.g., X/Y. In principle, variables are to be presented in italics. Powers of e are often
more conveniently denoted by exp. Number consecutively any equations that have to be displayed
separately from the text (if referred to explicitly in the text).
Footnotes
Footnotes should be used sparingly. Number them consecutively throughout the article. Many word
processors can build footnotes into the text, and this feature may be used. Otherwise, please indicate
the position of footnotes in the text and list the footnotes themselves separately at the end of the
article. Do not include footnotes in the Reference list.
Artwork
Electronic artwork
General points
• Make sure you use uniform lettering and sizing of your original artwork.
• Embed the used fonts if the application provides that option.
• Aim to use Arial font in your illustrations
• Number the illustrations according to their sequence in the text.
• Use a logical naming convention for your artwork files.
• Provide captions to illustrations separately.
• Size the illustrations close to the desired dimensions of the published version.
• Submit each illustration as a separate file.
A detailed guide on electronic artwork is available.
You are urged to visit this site; some excerpts from the detailed information are given here.
Formats
If your electronic artwork is created in a Microsoft Office application (Word, PowerPoint, Excel) then
please supply 'as is' in the native document format , at the same time, save the image(s) in .jpg
and .tiff files.
Regardless of the application used other than Microsoft Office, when your electronic artwork is
finalized, please 'Save as' or convert the images to one of the following formats (note the resolution
requirements for line drawings, halftones, and line/halftone combinations given below):
EPS (or PDF): Vector drawings, embed all used fonts.
TIFF (or JPEG): Color or grayscale photographs (halftones), keep to a minimum of 300 dpi.
TIFF (or JPEG): Bitmapped (pure black & white pixels) line drawings, keep to a minimum of 1000 dpi.
TIFF (or JPEG): Combinations bitmapped line/half-tone (color or grayscale), keep to a minimum of
500 dpi.
Please do not:

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• Supply files that are optimized for screen use (e.g., GIF, BMP, PICT, WPG); these typically have a
low number of pixels and limited set of colors;
• Supply files that are too low in resolution;
• Submit graphics that are disproportionately large for the content.
Color artwork
Please make sure that artwork files are in an acceptable format (TIFF, EPS, or MS Office files) and
with the correct resolution. If, together with your accepted article, you submit usable color figures
then Elsevier will ensure, at no additional charge, that these figures will appear in color on the Web
(e.g., ScienceDirect and other sites) regardless of whether or not these illustrations are reproduced
in color in the printed version.
Tables
Please submit tables as editable text and not as images. Tables should be placed on separate page(s)
at the end of the text. Number tables consecutively in accordance with their appearance in the text
and place any table notes below the table body. Be sparing in the use of tables and ensure that the
data presented in them do not duplicate results described elsewhere in the article. Please avoid using
vertical rules and shading in table cells.
References
American Medical Association style format
(http://www.biomedicaleditor.com/ama-style.html) is used for reference citation.
To download Endnote JSHS citation style: https://endnote.com/wp-content/uploads/plugins/styles/J
%20Sport%20Health%20Sci.ens
Example of journal citations:
1) Lippi G, Sanchis-Gomar F, Favaloro EJ. Cycling: to race or to live - reflections on skewed priorities?
Int J Sports Med 2011;32:648-9.
2) Palisano RJ, Orlin M, Chiarello LA, Oeffinger D, Polansky M, Maggs J, et al. Determinants of intensity
of participation in leisure and recreational activities by youth with cerebral palsy. Arch Phys Med
Rehabil 2011;92:1468-76.
Example of a book citation:
3) Armitage P. Statistical Methods in Medical Research. Oxford: Blackwell Scientific Publishers; 1971.
p.239.
Example of citation in other language:
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Jawaban 5

Template Journal of Sport and Health Science (JSHS)


1. Authors are requested to carefully prepare the submission according to the following essential
format and element. However, please do not make any typesetting.

Available online at www.sciencedirect.com

Journal of Sport and Health Science3.7 (2018)


Author's affiliation should include:
339345
Department, University, City, Postcode, www.jshs.org.cn
2. Please use American spelling throughout. Country.
Original article
Reliability and validity of the French version of the global
physical activity questionnaire
Fabien Riviere a,*,y, Fatima Zahra Widad a,y, Elodie Speyer a,b,c, Marie-Line Erpelding b,c,
Helene Escalon d, Anne Vuillemin a
a
4. Corresponding author EA 4360 APEMAC, University of Lorraine, Paris Descartes University, Nancy 54505, France
b
should be superscripted c Inserm, CIC-1433 Clinical Epidemiology, Nancy F-54000, France
as*, and his/here E-mail University Hospital Center of Nancy, Pole S2R, Epidemiology and Clinical Evaluation, Nancy F-54000, France
d
The French Public Health Agency, Saint-Maurice 94410, France
address should be
provided. Received 13 January 2016; revised 7 April 2016; accepted 19 June 2016
Available online 15 August 2016
5. The Abstract of Original Article should
include: Background/Purpose, Methods,
Results, and Conclusion.
Abstract
Background: The Global Physical Activity Questionnaire (GPAQ) has been used to measure physical activity (PA) and sedentary time in France,
but no study has assessed its psychometric properties. This study aimed to compare the reliability as well as criterion and concurrent validity of
the French version of the GPAQ with the French International Physical Activity Questionnaire long form (IPAQ-LF) and use of an accelerometer
in a general adult population.
Methods: We included 92 participants (students or staff) from the Medicine Campus at the University of Lorraine, Nancy (north-eastern France).
The French GPAQ was completed twice, 7 days apart, to study testretest reliability. The IPAQ-LF was used to assess concurrent validity of the
GPAQ, and participants wore an accelerometer (ActiGraph GT3X+) for 7 days to study criterion validity. Reliability as well as concurrent and crite-
rion validity of the GPAQ were tested by the intraclass correlation coefficient (ICC), Spearman correlation coefficient for quantitative variables, and
Kappa and Phi coefficients for qualitative variables. Both concurrent and criterion validity of GPAQ were assessed by Bland-Altman plots.
Results: The GPAQ showed poor to good reliability (ICC = 0.370.94; Kappa = 0.500.62) and concurrent validity (Spearman r = 0.410.86),
but only poor criterion validity (Spearman r = ¡0.220.42). Limits of agreement for the GPAQ and accelerometer were wide, with differences
between 286.5 min/week and 601.3 min/week.
Conclusion: The French version of the GPAQ provides limited but acceptable reliability and validity for the measurement of PA and sedentary
time. It may be used for assessing PA and sedentary time in a French adult population.
Ó 2018 Published by Elsevier B.V. on behalf of Shanghai University of Sport. This is an open access article under the CC BY-NC-ND license.
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
6. Three to five keywords are required which should be arranged
Keywords: Measurement; Physical activity; Psychometric analysis; Questionnaire;
alphabetically, and the wordsReliability;
appeared Self-report; Sitting
in the Title time;
should beValidity
avoided.

1. Introduction In this context, the measurement of PA is essential to assess


strategies promoting PA and to survey and compare PA levels
Physical activity (PA) surveillance is a public health preoc-
between countries. Questionnaires are the most commonly
cupation and is considered by the World Health Organisation
used instrument in epidemiologic studies to assess PA because
(WHO) as a protective factor for non-communicable diseases.1
they are relatively
7. References must inexpensive and easy to use both for a large
A high PA level is associated with reduced mortality and the
population
be cited as and
a in a short time. They can be self-administered,
occurrence of diseases or their consequences and improved
superscript in
completed order an interview or administered by phone.
during
quality of life.2,3 Because of its therapeutic role, PA is also
of its first
Many mention.
different questionnaires have been developed and used
used as adjuvant treatment in chronic diseases.4,5 Brackets are PA,
not so international comparison is difficult, and
to measure
needed. their development lacked methodological quality.6
overall,
Peer review under responsibility of Shanghai University of Sport.
In the late 1990s, the International Physical Activity Ques-
* Corresponding author.
E-mail address: fbn.riviere@gmail.com (F. Riviere). tionnaire (IPAQ) was developed in 2 forms (short form (IPAQ-
y These two authors equally contributed to this work. SF) and long form (IPAQ-LF)) to create national and
https://doi.org/10.1016/j.jshs.2016.08.004 8. Numbers under 10 should not be spelled out,
unless
2095-2546/Ó 2018 Published by Elsevier B.V. on behalf of Shanghai University of Sport. This is an open those
access articleare used
under theat
CCthe begin oflicense.
BY-NC-ND sentence,
(http://creativecommons.org/licenses/by-nc-nd/4.0/) special set phrase, or literature quotation, etc.
340 F. Riviere et al.

international comparable and standardized measures of PA. The Each subject was invited to participate in a face-to-face
long form of the IPAQ (31 items) was developed to capture interview on Day 0 (D0) and received all explanations about
information about domains of PA but has been considered too the study and its purpose from an interviewer. After giving
long and too complex to be used in surveillance studies, while consent, participants answered sociodemographic and anthro-
the short form (9 items) does not take into account the domains pometric questions, then completed the GPAQ and IPAQ-LF.
of PA.7,8 For PA surveillance, the measurement of PA domains Then, the interviewer gave the participant an accelerometer
is needed to understand the patterns of PA and to develop inter- and explained its use. Participants were asked to wear the
ventions. Thus, in order to provide an instrument that would accelerometer for 7 consecutive days. Eight days after the first
address the limits of these questionnaires, the Global Physical interview (D8), participants returned the accelerometer and
Activity Questionnaire (GPAQ) has been developed by the completed the GPAQ and IPAQ-LF a second time. They were
WHO, as part of the WHO STEPwise approach to survey also asked if they had changed their activity during the week
chronic disease risk factors. It is now recommended by the of the study as compared to a typical week.
WHO for national surveillance of PA.1 Since its development,
the GPAQ has been translated into and tested in many languages
2.2. Instruments
and is used in many countries.916 In France, the GPAQ has
been used to describe and analyse PA and sedentary time of the We used the French translation of the GPAQ (Version
general population.17 However, it has not been validated in the 2.0)21 to gather information on the time spent in moderate and
9. Endash should be
French language. Evidence for the validity and reliability of the vigorous PA and in sedentary behavior. At the WHO level, the
used when more than
French version of the GPAQ is needed because the results may GPAQ has been translated in French by a professional transla-
3 consecutive
country.18
be affected by the sociocultural specificities of thereferences were cited. tor, and back-translated by 2 independent technical experts.
Rigorous methodology is needed to examine the degree in The versions were then compared, and where discrepancies
which an instrument is affected by measurement error (reliabil- existed, these were discussed and a consensus was found. The
ity) and measures the construct it intends to measure (validity).19 GPAQ contains 16 items designed to assess the frequency and
Concurrent validity refers to the degree to which the GPAQ duration of PA in 3 domains: during work, transportation, and
measures what it purports to measure, and criterion validity is leisure time as well as time spent sitting during a typical week.
the degree to which the results of the questionnaire are an ade- It distinguishes PA duration by min/day and min/week for
quate reflection of a “gold standard”. Because of no satisfying each PA domain, which allows for calculating the energy
available gold standard measurement for PA behavior, objective expenditure scored in metabolic equivalent tasks (METs). One
measures such as accelerometers and pedometers are commonly MET corresponds to resting energy expenditure. According to
used. To appraise the concurrent validity of the GPAQ, a ques- duration and energy expenditure, PA level was classified as
tionnaire measuring the same construct and with similar structure low, moderate, and high.
is considered relevant. Even if the IPAQ-LF is more detailed The French IPAQ-LF was used to test the concurrent valid-
than the GPAQ, it is the most similar in its construct and its ity of the GPAQ. It contains 27 items designed to assess the
structure. For this reason, the IPAQ-LF has been considered rele- frequency and duration of PA in 4 domains: during work,
vant to examine the concurrent validity of the GPAQ. transportation, household activities, and leisure time, then
This study aimed to assess the testretest reliability as well time spent sitting.11.
22 The company information of
The IPAQ-LF scores PA in terms of
as criterion and concurrent validity of the French version of energy expenditure (MET), including
instrument intensity"product model,
(low, moderate, high,
company name, city, country" is required.
the GPAQ by comparison with the IPAQ-LF and use of an and sedentary), and duration (min/day, min/week).
accelerometer in a general adult population in France. The ActiGraph accelerometer, model GT3X+ (ActiGraph,
Pensacola, FL, USA), was used as the criterion measure. The
2. Methods device is worn at the waist and measures and records the
10. IRB and informed
changes in acceleration and deceleration movements in 3 axes
2.1. Patients and study design consent satement are
necessary for original (antero-posterior, superio-inferior, and medial side). Data for
A convenient sample was recruited
articles. from January 20, 2015 measuring acceleration and deceleration are stored in non-vola-
to April 20, 2015, from the Medicine Campus, University of tile flash memory and can be read by using ActiLife software.
Lorraine, Nancy (north-eastern France), by posting an adver- Accelerometer data were scored using ActiLife 6 Data Analysis
tisement on campus and by e-mailing students and staff. Par- Software (ActiGraph) to assess time spent at various PA inten-
ticipants had to be 18 years old, working or studying at the sity levels (moderate and vigorous in min/day). Freedson’s
Medicine Campus, able to read and understand French, and Adult VM3 (2011) cut-off points were used to determine several
willing to participate in the study. The study protocol was PA levels: light: 02690 counts per minute (cpm); moderate:
approved by the Legal representative of the French data pro- 26916166 cpm; vigorous: 61679642 cpm; and very vigor-
tection authority (Commission Nationale Informatique et Lib- ous: 96431 cpm. Minutes spent at each intensity level were
ertes) of the University of Lorraine, France. All participants averaged across valid days. Non-wear periods were identified as
were asked to read and sign a consent form. A ratio of 5 sub- 60 consecutive minutes with no movement data (0 counts).23
jects per item was used to determine the number of partici- All calculations were based on 60 s epochs; an epoch is a user-
pants to include.20 Because the GPAQ contained 16 items, a defined time-sampling interval used to filter the acceleration
minimum number of 80 participants was required. signal. In this study, we used 7-day PA questionnaires, so only
12. A running head (short title) under 6
words is necessary.
French version of the GPAQ 341

data with 10 h of wear time per day for 7 days were consid- 0.000.20; fair: 0.210.40; moderate: 0.410.60; substantial:
ered valid and included in the analysis.24,25 0.610.80; and almost perfect: 0.811.00. ICC and Spearman
Sociodemographic data such as age, sex, and education correlation <0.50 were considered as poor, 0.500.75 were
(high school or higher education) and socioprofessional status considered as moderate, and >0.75 were as good.29
(student or staff) were collected. Anthropometric data including
height (in m) and weight (in kg) were reported by each partici- 3. Results 14. KEY point to be noted: all the data
pant for calculating body mass index (BMI, kg/m2), then partic- presentation should be consistent throughout
3.1. Participant
the characteristics
article including the Abstract, text of the
ipants were classified by BMI level: underweight (BMI
Results, Tables and Figures.
<18.5 kg/m2), normal weight (18.524.9 kg/m2), overweight In total, 92 subjects participated in the study (age
25.029.9 kg/m2), and obese (30 kg/m2). All data (except 30.1 § 10.7 years, range 1958 years; 67 (72.8%) females);
accelerometer data directly transferred into ActiLife software) 56.5% were students, 95.6% had higher education, 9.8% had
were entered into an electronic case report form (CRF) created chronic disease, and 76.9% had normal BMI (Table 1). Over-
13. TheAssociation,
with Epidata 3.1 (The EpiData company information
Odense, of software
Denmark). all, 25% of participants declared having changed their activity
including "product model, company name, between the 2 visits, but the difference between the total PA
city, country" is required. means measured by the GPAQ was not statistically significant
2.3. Statistical analysis (p = 0.49).
Data analysis involved use of SAS Version 9.4 (SAS Inst.,
Cary, NC, USA). Qualitative variables were reported as rela- 3.2. Descriptive statistics for the GPAQ, IPAQ, and
tive frequency and quantitative variables as mean § SD or accelerometer
median. The Kolmogorov-Smirnov test was used to assess the All descriptive statistics for GPAQ, IPAQ, and accelerome-
normality of data distribution. For participants who declared ter are presented in Table 2.
changing their PA, paired Student’s t test was used to evaluate
the difference in total PA between the 2 visits. Because the 3.3. Testretest reliability
activity measured by the GPAQ includes work and household
The ICCs ranged from 0.37 to 0.94, with the highest ICC for
activities, it was compared to the sum of work and household
vigorous leisure PA. Only total vigorous and vigorous leisure
PA measured by the IPAQ-LF.
PA showed good reliability, whereas all other PA scores were
Testretest reliability was tested by the Kappa coefficient for
poor to moderate, with the lowest value for moderate leisure PA
categorical data and the intraclass correlation coefficient (ICC) for
(ICC = 0.37, 95%CI: 0.150.56). A good reliability for total sit-
quantitative data. Spearman correlation was also calculated for
ting time was also observed (ICC = 0.80, 95%CI: 0.690.87)
quantitative data to compare with previous studies.1114 Non
whereas it was moderate for total PA (ICC = 0.58, 95%CI:
parametric correlation coefficient was used because of non-Gauss-
0.400.72). For PA level, the Kappa coefficient showed moder-
ian distribution for most of PA-score. For one of the GPAQ’s ques-
ate to substantial correlation, varying from 0.50 to 0.62 for mod-
tion, one answer modality was overrepresented and the correlation
erate and low PA levels, respectively. For vigorous activity at
was not concordant with the observed agreement (when visualizing
work, the GPAQ showed an almost perfect reliability
the data, the agreement seems good but it was not observed when
(PABAK = 0.91). Except for total PA, with ICC = 0.58, 95%CI:
assessed with ICC and Spearman correlation). Thus the variable
0.400.72 and Spearman’s r = 0.82, 95%CI: 0.720.88, most
was converted into a discrete variable, and the prevalence-adjusted
Spearman values were similar to the ICC (Table 3).
and bias-adjusted Kappa (PABAK) was used to assess the agree-
ment.26 Concurrent validity was examined by comparing data for Table 1
the GPAQ and IPAQ-LF at D0 and D819 with the Spearman corre- Sociodemographic and anthropometric characteristics of participants (n = 92).
lation coefficient and its 95% confidence interval (CI) for quantita- Total sample (%)
tive data and the Phi coefficient for qualitative data. Criterion
Sex
validity was examined by comparing minutes of PA obtained with Male 25 (27.2)
the GPAQ to accelerometer-obtained data at D8 by the Spearman Female 67 (72.8)
correlation coefficient and its 95%CI. Socio-professional status
Both the concurrent and criterion validity of the GPAQ were Student 52 (56.5)
Staff 40 (43.5)
assessed by Bland-Altman plots to measure the agreement and
Education level
bias for total PA and sedentary time between questionnaire’s High school 4 (4.4)
answers and results from accelerometer.27 Correlation assesses Higher education 88 (95.6)
the degree to which 2 variables are related. However, a high Age (year)a 30.1 § 10.7
correlation does not necessary imply that there is good agree- BMI (kg/m2)a 22.6 § 3.5
BMI classes (kg/m2)a
ment between the 2 methods. Thus, Bland-Altman was used to
Underweight <18.5 3 (3.3)
quantify the agreement between 2 measurements by plotting Acceptable weight 18.524.9 71 (76.9)
the difference between the 2 measurements against the average Overweight 25.029.9 14 (15.4)
obtained with each of the 2 methods. Obese 30 4 (4.4)
Kappa and Phi coefficients were classified by the ratings a
Data are presented as mean § SD. 15. Notes and
suggested by Landis and Koch:28 poor: <0.00; slight: Abbreviation: BMI = body mass index. Abbreviations should be
reflected as footnote.
All the abbreviations
should be listed
alphabetically.
342 F. Riviere et al.

Table 2
Data for PA measured by GPAQ, IPAQ, and an accelerometer at Day 0 (D0) and Day 8 (D8) in 92 participants.

Variable GPAQ IPAQ Accelerometer


D0 D8 D0 D8
Mean § SD Median Mean § SD Median Mean § SD Median Mean § SD Median Mean § SD Median
Total PA (MET min/week) 2011.1 § 1940.5 1580.0 1818.0 § 1478.2 40.7 2648.3 § 2099.8 2251.5 2484.1 § 2268.0 1777.5
PA by domain 17. The Level 1
Work heading should be in
Vigorous bold and left align.
31.3 § 300.3 0 33.0 § 230.6 0 34.8 § 300.8 0 15.6 § 85.7 0
Moderate 467.4 § 1575.3 0 321.1 § 965.4 0 203.5 § 758.1 0 212.4 § 871.2 0
Transport 18. 375.9
The § Level
410.82 heading
240.0 378.5 § 426.2 250.0 306.8 § 295.5 242.5 351.3 § 414.0 260.7
Household should be in italic and
Vigorous 19. The Levelleft 3align.
heading
n/a n/a n/a n/a 4.5 § 35.4 0 22.1 § 126.1 0
Moderate should be in normaln/aand n/a n/a n/a 475.9 § 785.2 150.0 356.7 § 594.3 160.0
Work + household
left align.
Vigorous n/a n/a n/a n/a 39.3 § 302.4 0 37.8 § 171.8 0
Moderate n/a n/a n/a n/a 695.0 § 1080.1 240.0 596.1 § 1189.1 190.0
Leisure
Vigorous 852.2 § 1073.3 680.0 772.6 § 955.9 480.0 868.7 § 1085.9 600.0 691.3 § 1011.5 0
Moderate 284.3 § 366.0 240.0 312.8 § 382.9 240.0 193.9 § 265.4 0 218.9 § 415.4 340.0
Sitting time (min/day) 570.0 § 152.8 600.0 588.6 § 146.4 600.0 554.5 § 138.5 584.3 583.6 § 143.2 597.1 843.6 § 134.5 814.0
PA duration by intensity
(min/week)
Vigorous 883.5 § 1090.1 720.0 805.6 § 977.7 480.0 903.5 § 1102.4 720.0 707.0 § 1015.6 360.0 72.0 § 67.2 46.7
Moderate 751.7 § 1659.8 360.0 633.9 § 990.3 360.0 903.8 § 1131.4 480.0 860.6 § 1266.9 370.0 426.2 § 139.5 429.4
PA level (%)
Low 29.4 22.8 8.7 15.2
Moderate 44.6 45.6 60.9 54.3
High 26.1 22.8 30.4 30.4
Abbreviations: GPAQ = Global Physical Activity Questionnaire; IPAQ = International Physical Activity Questionnaire; MET = metabolic equivalent task; n/a = not
assessed by the questionnaire; PA = physical activity.

3.4. Concurrent validity (Table 4). The values at D0 and D8 seemed almost identical,
but important discrepancies were observed between vigorous
For both measurement times, we observed good correlations
work at D0 (r = 0.58, 95%CI: 0.430.70) and at D8 (r = 0.81,
between the GPAQ and IPAQ for vigorous activity during lei-
95%CI: 0.730.87). Overall, total PA showed moderate
sure, total vigorous activity, and sitting time (r = 0.760.89)
Table 4
Concurrent validity between the GPAQ and IPAQ-LF data at Day 0 (D0) and
Day 8 (D8) (n = 92).
Table 3
Testretest reliability of the GPAQ (n = 68). Variable D0 D8
Variables ICC Spearman’s Rho Kappa Spearman’s Phi Spearman’s Phi
(95%CI) (95%CI) coefficient Rho (95%CI) coefficient Rho (95%CI) coefficient
Total PA 0.58 (0.400.72) 0.82 (0.720.88) Total PA 0.66 (0.530.76) 0.67 ((0.540.77)
PA by domain PA by domain
Work Work
Vigorous 0.91(+) Vigorous 0.58 (0.430.70) 0.81 (0.730.87)
Moderate 0.48 (0.280.64) 0.52 (0.330.68) Moderate 0.56 (0.400.68) 0.61 (0.460.72)
Transport 0.67 (0.520.79) 0.69 (0.530.79) Transport 0.52 (0.350.65) 0.69 (0.570.79)
Leisure Leisure
Vigorous 0.94 (0.910.96) 0.89 (0.840.94) Vigorous 0.86 (0.790.90) 0.79 (0.700.85)
Moderate 0.37 (0.150.56) 0.53 (0.330.68) Moderate 0.46 (0.280.61) 0.53 (0.360.66)
Sitting time 0.80 (0.690.87) 0.78 (0.670.86) Sitting time 0.85 (0.780.90) 0.89 (0.840.93)
PA by intensity PA by intensity
Total vigorous 0.84 (0.760.90) 0.80 (0.700.88) Total vigorous 0.86 (0.790.90) 0.76 (0.660.84)
Total moderate 0.48 (0.280.65) 0.56 (0.380.71) Total moderate 0.41 (0.220.56) 0.58 (0.420.70)
PA level PA level
Low 0.62 Low 0.22 0.49
Moderate 0.50 Moderate 0.27 0.27
High 0.57 High 0.57 0.54
(+): Adjusted Kappa (PABAK). Abbreviations: GPAQ = Global Physical Activity Auestionnaire; IPAQ-LF =
Abbreviations: CI = confidence interval, GPAQ = Global Physical Activity International Physical Activity QuestionnaireLong Form; PA = physical
Questionnaire; ICC = intraclass correlation coefficient; PA = physical activity. activity.
20. Tips for Figure preparation:

1. version
French The preferred Figure format: TIFF or EPS;
of the GPAQ 343

2. The resolution requirement: Color or grayscale photographs


(halftones), keep to a minimum of 300 dpi; Bitmapped (pure
black & white pixels) line drawings, keep to a minimum of
1000 dpi; Combinations bitmapped line/half-tone (color or
grayscale), keep to a minimum of 500 dpi;

3. Prepare figures at 1 column, 1.5 column or 2 column width


(see chart to right);

4. Text with figures: use the same font as "Arial" for all figures
with the font size of 6-8 pt;

5. The preferred color mode is CYMK;

6. Titles should be clear and informative;

7. "A, B, C, D..." should be used to distinguish different panels.

8. Statistical significant information in the figures should be


reflected and illustrated if any.

9. JSHS detailed Guidelines for figures could be found via:


https://www.elsevier.com/journals/journal-of-sport-and-health-
science/2095-2546/guide-for-authors#57200

Fig. 1. Bland-Altman plots of the validity of the Global Physical Activity Questionnaire (GPAQ). A and C: Agreement of GPAQ with IPAQ for total PA and sitting
time at D0; B and D: Agreement of GPAQ with accelerometer for total PA and sitting time at D8. IPAQ = International Physical Activity Questionnaire; PA = physical
activity. 21. Figure legend should interpret the meaning of the information which was
given in all figures, so that readers can easily get the idea based on them.
correlation at both D0 (r = 0.66, 95%CI: 0.530.76) and D8 day reported with the GPAQ and derived from accelerometer
(r = 0.67, 95%CI: 0.540.77). Results of Bland-Altman analysis counts.
The significance Poor but
(*, #) symbols significant
in the correlations
figure should be describedforheresedentary
like time
(Fig. 1A, C) for the GPAQ and IPAQ demonstrated a mean "*p<0.05,
dif- compared < 0.01)group".
withpcontrol
(r = 0.42, and total vigorous PA (r = 0.38, p < 0.01)
ference of 637.2 § 1641.5 MET min/week. The limits of agree- were observed (Table 5).
ment for the 2 instruments were wide, with the difference Abbreviations should be arranged findings
Bland-Altman alphabeticallyis at the that
revealed end ofthe
figure legendunderre-
GPAQ
between 1004.3 MET min/week and 2580.1 MET min/week. ported total PA, with a mean difference between the GPAQ
For sedentary time, the mean difference of sedentary time Permission
was must andbe provided if the data
accelerometer figures
ofwere cited§or157.46
443.95 adaptedmin/week
from other(Fig. 1B,
publications.
¡15.5 § 79.2 min/day. Overall, the classification by level of PA D). Limits of agreement for the 2 instruments were wide, with
with the 2 questionnaires, at both times, was only poorly to the difference between 286.5 min/week and 601.3 min/week
moderately correlated, with a Phi coefficient ranged from 0.22 GPAQ underestimated sedentary time as compared with the
to 0.57 (Table 4). accelerometer, with a mean difference between the 2 instru-
22. Please cite figure or tables as "Fig.1"(Figs.
ments of 251.2 § 161.1 min/day. Limits of agreement for the 2
1-3) or "Table 1"(Tables 1 and 2), respectively.
3.5. Criterion validity instruments ranged from 90.1 min/day to 412.3 min/day.
Accelerometer data were considered valid for 87 of the 92
participants (5 participants did not wear an accelerometer for
4. Discussion
at least 10 h per day over 7 days). Criterion validity was
assessed by comparing total PA time spent in vigorous-inten- This study provides results, for the first time in a French
sity activity, or in moderate-intensity activity, or sitting per population, for the reliability and validity of the GPAQ.
344 F. Riviere et al.

Table 5 and ¡0.20 to 0.40, respectively, whereas results from


Criterion validity of the GPAQ: Spearman’s correlation between the GPAQ Hoos et al.14 showed correlations from 0.32 to 0.52. According
and accelerometer data at day 8 (D8) (n = 87). to Bland-Altman analysis, the GPAQ seems to underestimate
GPAQ Accelerometer total PA as compared with the accelerometer. This finding can be
Average Average Average explained by the GPAQ including only PA that lasts at least
sedentary moderate vigorous 10 min, whereas the accelerometer measures all activities regard-
counts/day counts/day counts/day less of duration. This result was already found in studies compar-
Total vigorous PA (min) 0.02 0.19 0.38** ing questionnaires to objective measures of PA.31 In this study
Total moderate PA (min) ¡0.20 0.10 ¡0.10 and according to Bland-Altman analysis, the GPAQ seemed to
Total PA across all domains (min) ¡0.20 0.40** 0.24* underestimate sedentary time as measured by the accelerometer.
Time spent sitting (min) 0.42** ¡0.22* 0.30**
This finding can be justified most likely by difficulty to accu-
* p < 0.05, ** p < 0.01, compared GPAQ with accelerometer’s values. rately recall sitting time as well as by a response bias due to social
Abbreviations: GPAQ = Global Physical Activity Questionnaire; PA = physi- desirability, which may affect the degree of reporting the time
23. Statistical results should be
cal activity.
spent sitting by subjects.31 Future research is needed to identify
For marked accordingly and formally
reliability, we found poor to good correlation, with whether a bias does exist and if so, whether it differs by gender
as the table footnote.
highest value obtained for vigorous leisure PA, which indi- or socioprofessional status, and to what extent.
cates the stability of this type of PA. This result is consistent This study had several strengths, beginning with the adher-
with the findings by Matthews et al.30 who observed no signifi- ence to standardized WHO protocols in administering ques-
cant variation in vigorous leisure time activity over 1 year in tionnaires (GPAQ was always administered before the IPAQ)
580 healthy adults.30 Overall, our results are comparable to and the concordant measurement period (the same 7 days) for
other studies testing the psychometric properties of the GPAQ. both questionnaires and the accelerometer. Also, we used
Herrmann et al.13 demonstrated short- and long-term reliabil- Bland-Altman analysis, a useful and recommended approach
ity with ICC values from 0.54 to 0.92. Bull et al.11 reported to assess the level of agreement, as compared with usual corre-
testretest correlation coefficients from 0.67 to 0.81 and lation coefficients assessing only the strength of the relation-
Kappa coefficients from 0.67 to 0.73 for pooled data. ship between the measures.27 Finally, the use of the IPAQ-LF
Whereas Bull et al.11 and Herrmann et al.13 showed a poor seems relevant because it induced better concurrent validity
to moderate correlation between the GPAQ and IPAQ (with with the GPAQ than in previous studies.
coefficients 0.450.57 and 0.260.63, respectively), our The major limitation of this study was the use of accelerom-
results indicate a poor to good concurrent validity. A reason of eter as an alternative to the gold standard. However, in the
this difference could be the use, by the former studies, of the absence of a gold standard, accelerometer may be used to mea-
IPAQ short-form (IPAQ-SF) as compared with our use of the sure PA in daily life.32,33
long form. Unlike the GPAQ and IPAQ-LF, which measure
PA in different domains, the IPAQ-SF measures overall PA 5. Conclusion
duration and frequency, which may explain the differences. In
This study adds important and new information in testing
measuring the concurrent validity of the GPAQ, the IPAQ-LF
the psychometric properties of the GPAQ in France. The
may be more relevant than the IPAQ-SF. However, despite an
results suggest that the GPAQ is a reliable questionnaire for
acceptable concurrent validity, the agreement between the
use in the French population. The overall validity was poor to
GPAQ and the IPAQ-LF to classify participants by PA levels
good but remained acceptable and was similar to previous
was only poor to moderate (Phi coefficients: 0.220.57), with
studies.11,12 Another important highlight is the need to use the
the highest agreement attributable to high PA level. In addi-
same questionnaire in surveillance studies to allow for com-
tion, the Bland-Altman analysis revealed wide discrepancies
parison and follow-up of the PA level of the study population
in total PA measured by the 2 questionnaires, with a mean dif-
and for PA surveillance in general.
ference of 637.2 § 1641.5 MET min/week. A possible expla-
nation could be that the IPAQ-LF contains detailed items 24. Funding information should be
Acknowledgments included in the Acknowledgment.
dedicated to household activities, whereas in the GPAQ,
household activities are included in work activities. Also, the This study was undertaken in the University of Lorraine.
IPAQ-LF measures time spent walking, which is not consid- Interviews were conducted in a local area serviced by the fac-
ered by the GPAQ if it is not brisk walking (considered moder- ulty for this purpose. The authors thank the following for their
ate activity). These differences may explain the gap in total PA assistance and contribution to the development and achieve-
measured by the 2 questionnaires. These results indicate the ment of this research:
difficulty in comparing different questionnaires and thus the Marc Braun: Dean of the Faculty of Medicine of Nancy;
need to use the same questionnaire in a population surveillance Nathalie Richard: HR Manager of the Faculty of Medicine
study to be able to interpret the pattern of PA over the years. of Nancy, who participated in the dissemination of the infor-
A poor criterion-related validity for the GPAQ as compared mation message to staff;
with accelerometer data was shown. These results are compa- Angelo Tonelli: Responsible for service real estate, furni-
rable to Cleland et al.12 and Bull et al.,11 who demonstrated ture, maintenance and security of the Faculty of Medicine of
correlations with accelerometer data ranging from 0.19 to 0.48 Nancy, who ensured the place for interviews;
French version of the GPAQ 345

Lorent Phialy: Responsible for the publication on dynamic 12. Cleland CL, Hunter RF, Kee F, Cupples ME, Sallis JF, Tully MA. Validity
screens of the Faculty of Medicine of Nancy, who participated of the Global Physical Activity Questionnaire (GPAQ) in assessing levels
in the development of the video message; and change in moderate-vigorous physical activity and sedentary behav-
iour. BMC Public Health 2014;14:1255. doi:10.1186/1471-2458-14-1255.
Elisabeth Schmitt: Responsible for the education office of 13. Herrmann SD, Heumann KJ, Der Ananian CA, Ainsworth BE. Validity
the Faculty of Medicine of Nancy, who participated in the dis- and reliability of the Global Physical Activity Questionnaire (GPAQ).
semination of the information about the study to students; Meas Phys Educ Exerc Sci 2013;17:221–35.
25. Authors'
All volunteers who participated contributions should be written
in this study. 14. Hoos T, Espinoza N, Marshall S, Arredondo EM. Validity of the Global
in the following format. Please note that Physical Activity Questionnaire (GPAQ) in adult Latinas. J Phys Act
each author's name can ONLY appear forHealth 2012;9:698–705.
Authors’ contributions once. 15. Soo K, Manan WWA, Suriati WW. The Bahasa Melayu version of the
Global Physical Activity Questionnaire reliability and validity study in
FZW participated in the design of the study, contributed to Malaysia. Asia Pac J Public Health 2015;27:NP184–93.
data collection and data reduction/analysis; AV, ES partici- 16. Trinh OT, Do Nguyen N, van der Ploeg HP, Dibley MJ, Bauman A.
Testretest repeatability and relative validity of the Global Physical
pated in the design of the study; FR participated in the design
Activity Questionnaire in a developing country context. J Phys Act Health
of the study and contributed to data collection; MLE contrib- 2009;6:(Suppl. 1):S46–53.
uted to data reduction/analysis; HE contributed to data analy- 17. Escalon H, Bossard C, Beck F, Bachelot-Narquin R. Barom etre sante
sis and interpretation of results. All authors contributed to the nutrition 2008. Saint-Denis: INPES; 2009.
manuscript writing. All authors have read and approved the 18. Arredondo EM, Mendelson T, Holub C, Espinoza N, Marshall S. Cultural
adaptation of physical activity self-report instruments. J Phys Act Health
final version of the manuscript, and agree
26. Competing with the
interests order isof
statement 2012;9:(Suppl. 1):S37–43.
presentation of the authors. neccessary for each article. 19. Terwee CB, Mokkink LB, van Poppel MN, Chinapaw MJ, van Mechelen
W, de Vet HC. Qualitative attributes and measurement properties of phys-
ical activity questionnaires. Sports Med 2010;40:525–37.
Competing interests 20. Anthoine E, Moret L, Regnault A, Sebille V, Hardouin J-B. Sample size
used to validate a scale: a review of publications on newly-developed
The authors declare that they have no competing interests. patient reported outcomes measures. Health Qual Life Outcomes
2014;12:176. doi:10.1186/s12955-014-0176-2.
21. World Health Organization. Global Physical Activity Questionnaire
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Jawaban 6

Synopsis Jurnal Tersebut Berdasarkan Status Jurnal, Petunjuk Bagi


Penulis, dan Template Jurnal

The Journal of Sport and Health Science (JSHS) adalah sebuah kajian sejawat,
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Bidang minat khusus jurnal termasuk (tetapi tidak terbatas pada):


• Olahraga dan pengobatan olahraga
• Pencegahan cedera dan rehabilitasi klinis
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Jawaban 7

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TUGAS

MEMILIH JURNAL DAN MEMPUBLIKASIKAN ARTIKEL

Oleh:
ATIKAH RAHAYU
NIM 20708261007

Disertasi ini ditulis untuk memenuhi Sebagian persyaratan


untuk mendapatkan gelar Doktor Olahraga

PROGRAM STUDI ILMU KEOLAHRAGAAN


PROGRAM PASCASARJANA
UNIVERSITAS NEGERI YOGYAKARTA
2020
Jawaban 1
Siapkan satu artikel yang pernah anda tulis
RISK OF PHYSICAL ACTIVITY THAT ARE LESS ACTIVE RELATED
TO BONE DENSITY IN ADOLESCENTS

Atikah Rahayu

Student of study program doctoral of sports science, Faculty of Sports Sciences,


Universitas Negeri Yogyakarta

Correspondence:
Atikah Rahayu
Student of study program doctoral of sports science, Faculty of Sports Sciences,
Universitas Negeri Yogyakarta, Indonesia
Jl.Colombo Yogyakarta 55281, Indonesia
Tel/Fax: +62-81225331538
E-mail: atikahrahayu.2020@student.uny.ac.id

Abstract

Density of bone mass can be changed by physical activity, due to the formation of enzymes
in bone, resulting in enlargement/compaction of bones (hypertrophy). For new bone
formation to occur, continuous design is needed on the bone through muscle training. Low
bone mass density illustrates low bone quality. The study design used cross sectional design.
The subjects of the study were all teenagers in junior high schools selected along the
Martapura riverbank, Banjar Regency, South Borneo. Sampling by measuring physical
activity, level of knowledge, and protein intake as well as family characteristics such as
mother and father education, family income, and number of family members. The research
instrument used quantitative ultrasound bone densitometry to measure bone mass density,
Baecke questionnaire to measure physical activity, 24-hour food recall form to measure
protein intake and structured questionnaire to determine the characteristics of respondents
and families. The results showed a relationship between low bone mass density and physical
activity p=0,001, with Exp (B) =12,981. It can be concluded that less active physical activity
is at risk of causing low bone mass density.

Keywords: adolescents, less active physical activity, bone mass density.

Introduction

Low bone mass density is a description of the state of bone with low quality can be
identified after a period of perfect development. An early sign of low bone mass density is
low is osteopenia, while further osteoporosis. Osteoporosis is bone loss, especially in the
spine, upper arm and pelvis. The symtomatic of osteoporosis are difficult to detect, most are
only realized when there has been a swelling of the spine, cracks or broken bones, pinched
nerves. Some risks of osteopenia and osteoporosis are lack of protein intake in physical
activity. Lack of consumption of fish-sourced protein in adolescents will be related to bone
mass density, this is because teenagers often limit their consumption of food, and their
consumption patterns often violates the rules of nutrition (1).
These results are supported from the results of previous studies that the majority of
adolescents with low protein intake causes low bone mass density, which is 53,7%. When a
person reaches the peak of growth, the body's protein needs become stable. Protein in
adolescence is relatively high, because muscular, skeletal/skeletal acceleration and endocrine
development are greater than childhood and adulthood (2,3).
Bone mass density can be altered by physical activity. This occurs because physical
activity causes the formation of enzymes in bone, so enlargement/compaction of bones
(hypertrophy). For new bone formation to occur, continuous design is needed on the bone
through muscle training. Based on national data and data in South Kalimantan aged ≥10 years
included in the category of lack of physical activity. The less category is defined as
cumulative physical activity less than 150 minutes a week. The amount of age that lacks
physical activity is 33,5% (4). It is important to keep physical activity active so that bone
mass density is maintained (5,6).

Materials And Methods

Study design participants


This research is an observational analytic study. The study design uses cross sectional
design. The subjects of the study were all teenagers in 3 selected junior high schools along
the Martapura River, Banjar Regency, South Kalimantan Province, while the sample
determination was chosen 3 (one) schools which had the largest number of adolescents who
experienced osteopenia by screening results. Then samples will be taken with the inclusion
criteria as follows: 1) Adolescents are family members who live permanently as residents on
the banks of the Martapura river. 2) When researching teenagers are not fasting. 4) When the
study of adolescents was not experiencing pain that caused a decrease in appetite 5) Willing
to be a respondent in this study by filling out informed consent.

Measurement and Procedures


This research used the following research instruments:1) quantitative ultrasound bone
densitometry for bone mass density,2) Baecke questionnaire,3) 2x24 hour recall form to
measure protein intake, 5) questionnaire to determine the level of knowledge of respondents.
The independent variables in this study are physical activity, protein intake, number of family
members, respondent knowledge level, father and mother education level, family income,
while the dependent variable is bone mass density. Primary data collected includes:(1)
Family characteristics using structured questionnaires such as the level of education of fathers
and mothers, number of family members, family income using structured questionnaires;(2)
Physical activity data using the Baecke questionnaire;(3) Knowledge level data using
knowledge level questionnaire about bone mass density;(4) Protein intake data using 2x24
hour recall form.
Physical activity is categorized as being less active and active. Categorized as less active,
if cumulative physical activity is less than 150 minutes a week and active if cumulative
physical activity reaches ≥150 minutes a week referring to germas, the Ministry of Health.
Protein intake consists of 3 categories according to the recommended nutritional adequacy
rate (RDA), which is less if <80%, normal if 80-100% and more if>100%. Furthermore, for
the needs of the test analysis data are categorized into 2 categories: less, if less if <80% RDA
and sufficient, if 80-≥100% RDA. The level of knowledge using 2 categories is less if <mean
and good category if≥mean. The father and mother education level category uses 2 categories
referring to the education law namely Not Graduated from Junior High School and High
School- college, the family income category is categorized into 2 namely <employee
minimum wage and ≥ employee minimum wage refers to employee minimum wage Regency
of Banjar, and the number of family members has 2 categories namely ≥5 people and <5
people. Bone mass density is categorized in 3 categories: normal if>-1SD, osteopenia if -1SD
to -2,5SD, and osteoporosis if<-2,5SD, then for the needs of the data analysis test, the bone
mass density category is categorized into 2, namely low and normal bone mass density. The
bone mass density category is low if -1 SD to -2,5SD, and osteoporosis if<-2,5SD and the
normal category, if>-1SD.

Ethics Approval
This study was approved by the Ethics Committee faculty of Medical (ethic code 4/56).

Statistical Analysis
The data obtained were analyzed using univariate, bivariate, and multivariate. The results
of the univariate analysis are presented in the form of a frequency distribution table
(percentage) to find out the distribution of low bone mass density risk, bivariate analysis
using Chi-Square if not met followed by using the Fisher's Exact Test to find out the
relationship between risk factors and bone mass density and multivariate analysis using
logistic regression to find out the most dominant risk factor associated with low bone mass
density in adolescents.
.

Results
Univariate Analysis
Table 1 shows the distribution of variables according to categories that are likely related
to low bone mass density of respondents.
Table 1. Frequency distribution of respondent and family characteristics
Bone mass density categories Frequency (people) Percentage (%)
a. Low Bone mass
65 79,3
density/osteopenia/osteoporosis
b. Normal 17 20,7
Physical activity
a. Less active 51 62,2
b. Active 31 37,8
Father's Education Level
a. Not graduated from Junior High
62 74,6
School
b. High school - college 20 24,4
Mother's Education Level
a. Not graduated from Junior High
61 74,4
School
b. High school - college 21 25,6
Level of Family Income
a. < employee minimum wage 62 75,6
b. ≥ employee minimum wage 20 24,4
Number of Family Members
a. ≥ 5 people 54 65,9
b. < 5 people 28 34,1
Knowledge Level
a. Low 20 24,4
b. Good 62 75,6
Protein Intake
a. Inadequate 52 63,4
b. Adequate 30 35,6
Employment status of head of household
a. Does not work 10 12,2
b. Work 72 87,8
Source: Primary Data, 2019
Table 1 shows that the majority of respondents had osteopenia, 65 people (79,3%). Some
other potential variables have a relationship with the incidence of osteopenia in respondents,
namely physical activity, father's education level, mother's education level, family income,
number of family members, protein intake, level of knowledge, work status of parents. Table
1 shows that adolescents who have less active physical activity categories are more numerous
than adolescents with active physical activity that is equal to 51 people (62,2%), fathers and
mothers who have not completed primary education until junior high school are greater in
number each a total of 61 people (74,6%) and 62 people (74,4%). With the level of education
of parents low category resulted in incomes earned by parents/family also became inadequate
to meet the needs of family food consumption.
The results of this study indicate that the majority of family income is still below the
employee minimum wage of 60 people (75,6%). This employee minimum wage refers to the
employee minimum wage Regency of Banjar in the amount of Rp.2,248,000.00. In addition,
a factor that contributes to the incidence of osteopenia is the number of family members. The
results of this study found that the majority of respondents had a relatively large number of
family members (>5 people) namely 54 people (65,9%). It is likely that the relatively large
number of family members will affect the food distribution of family members.
The results of this study indicate that the level of knowledge of respondents still have
knowledge of less than 24,4%. It is potential that most of the protein intake is lacking due to
the low level of respondents' knowledge to meet their body's need for protein. The number of
respondents who have low protein intake is equal to 63,4%. The magnitude of the frequency
distribution between each of these variables has not been able to show the relationship
between the variable characteristics of respondents and families with low bone mass density,
so it needs bivariate analysis so that the relationship between the two variables (free and
bound) is known for their significance, in detail can be seen in Table 2.

Bivariate Analysis
Table 2. Relationship between respondent and family characteristics with Bone Mass Density
Bone Mass Density
Low Bone Mass Normal PR
Characteristics Category
Density (95% CI)
p

n % n %
Physical activity Less active 47 90,4 5 9,6 1,506 0,000*
Active 18 60,0 12 40,0 (1,110-2,044)
Father's Education Level Not graduated from 52 83,9 10 16,1 1,290 0,110
Junior High School- 13 65,0 17 35,0 (0,919-1,812)
Mother's Education Level college
52 85,2 9 14,8 3,556 0,032*
Not graduated from
Junior 13 61,9 8 38,1 (1,15-7,005)
Level of Family Income
High School- college 53 85,5 9 14,5 3,396 0, 024*
< employee minimum wage 12 60,0 8 40,0 (1,126-6,258)
Number of Family Members
> employee minimum wage 42 77,8 12 22,2 0,947 0,644
> 5 people 23 82,1 5 17,9 (0,757-1,185)
Protein intake
< 5 people 48 66,3 3 33,7 1,716 0,001*
inadequate 17 33,7 14 66,3 (1,238-2,380)
Knowledge Level
adequate 16 80,0 4 20,0 1,012 1,000
Employment status of head of Low 49 79,0 13 21,0 (0,785-1,305)
household Good 9 90,0 1 10,0 1,157 0,679
Does not work 56 77,8 16 22,2 (0,909-1,472)
Work

*p value (<0,05)

Table 2 shows that several variables show a relationship with bone mass density in
respondents. These variables are physical activity with p=0,000 and PR=1,506 (1,110-2,044),
mother's education level with p=0,032 and PR=3,556 (1,15-7,005), number of family
members with p=0,024 and PR=3,396 (1,126-6,258), protein intake with p=0,001. This
analysis uses the Che-Square test with a 95% confidence level. The results of the analysis
resulted in physical activity having the greatest relationship compared to other variables
(p=0,000).
This means that the results of this relationship test show the closeness between the
relationship of physical activity with the risk of low bone mass density in respondents. This
can be seen from Table 2 which shows that a total of 47 people (90,4%) of respondents with
less active physical activity have low bone mass density. Although the closeness of the
relationship between physical activity and bone mass density is greater, the risk of family
income that has a <employee minimum wage is greater, causing respondents to experience
low bone mass density (PR=3,556), which is 53 people (85,5%).
The close relationship between variables using bivariate analysis has not shown the risk
of dominant factors associated with low bone mass density in respondents. Further analysis is
needed in order to find out which variable is most associated with low bone mass density in
respondents, namely multivathic logistic regression analysis.

Multivariate Analysis
The statistical analysis used is multiple logistic regression analysis. Variables that are
candidates for the multivariate model are independent variables with bivariate results
resulting in ps<0,25, then these variables directly enter the multivariate stage. For
independent variables whose bivariate results produce p>0,25 but substantially important,
these variables can be included in the multivariate model. The variables included in the
multivariate model can be seen in Table 3.

Table 3. Modeling the most dominant factors related to low bone mass density
Variables B SE Wald Sig Exp (B)
Protein intake 2,272 885 6,586 0,010 9,696
Father's Education -168 1,466 1,164 0,281 0,206
Level
Mother's Education -1,582 1,716 0,010 0,922 0,845
Level
Level of Family Income -2,256 1,717 1,727 0,189 9,549
Knowledge level 1, 354 998 4,797 0,032 6, 685
Physical activity 2,257 0,747 11,708 0,001 12,981

Table 3 shows that the variable calcium intake is the most dominant risk factor associated
with low bone mass density in adolescents with p=0,001, with Exp (B)=12,981 which means
that adolescents with physical activity less active risk of 12,981 times greater experience
osteopenia and can continue to become osteoporosis compared to adolescents with active
physical activity.

Discussion

Less physical activity can be reduced bone mass density. This occurs because physical
activity causes the formation of enzymes in bone, so enlargement/compaction of bones
(hypertrophy). For new bone formation to occur, continuous design is needed on the bone
through muscle training. Exercise regularly. With a frequency of 3-5 x/week not on
consecutive days with a time of 20-60 minutes and can properly increase low bone density
and reduce the risk of osteopenia. In addition, continuous activities and heavy loads may
quickly increase bone mass density, but must be adjusted to the load because the bone mass
density is not ocollegeimal compared to regular physical exercise and the appropriate load.
Certainly, it is supported by nutritional intake. such as protein, calcium, vitamin D which
meet the body's needs. With nutritional intake that matches the body's needs, the risk of
osteoporosis in old age can be minimized (7).
This is in line with this study which found that protein intake less than RDA is associated
with bone mass density. In multivariate analysis, Exp (B) 9,696, which means that protein
intake that is less than RDA causes respondents to experience low bone mass density.
Respondents whose protein intake is less than the RDA are 9,696 times more likely to
experience low bone mass density compared to respondents whose protein intake is
sufficient. Increased nutritional needs in adolescence are related to the accelerated growth
they experience. Bone mass density increases during puberty, its peak is reached at ages
above 10 to the beginning of 20 years (8). Bone is a complex network of cells and a matrix.
The bone matrix is formed by fibers and basic substances containing mineral salts. The mass
and thickness of the bones at any time always experience the dynamics of addition and
reduction through the process of remodeling (the bone matrix is absorbed and reshaped
(9,10). The process of forming and absorbing the bone, it is necessary to try to maintain bone
mass density from an early age, so as to avoid bone mass density such as osteopenia or
osteoporosis (9,11). In addition, osteoporosis is a systemic bone disease characterized by a
decrease in bone mass density and deterioration of bone microarchitecture, so bones become
brittle and break easily. Osteoporosis occurs when the process of bone erosion and bone
formation becomes unbalanced (12,13).
A high bone mass means strong and healthy bone, so it is not easy to get loose and
brittle. The cause or etiology comes from the risk factors that can be controlled and cannot be
controlled which is owned by an individual. Risk factors that can be controlled include lack
of activity or exercise. Previous studies have proven that physical exercise is carried out
regularly and with certain doses causing an increase in bone mass density, bone size and bone
shape (14,15,16). Statistical analysis showed that there was a significant relationship between
respondents whose physical activity was less active with low bone mass density (p<0,05) and
PR 1,506 which meant that respondents with less active physical activity had a risk of 1,506
times greater risk of experiencing low bone mass density compared to respondents whose
active physical activity. Sport is a repetitive physical activity and aims to maintain, improve
and express fitness. Several studies were conducted to determine the effect of physical
exercise on bones (17,18).
Exercise can play a role in the process of increasing bone mass density. High bone
density and mass are expected to be reached when the peak of bone mass, so that when the
process of decreasing bone remodeling will take a long time to reach the low point of bone
mass density which is at risk of osteoporosis. Therefore, regular and well-programmed
exercise in the age before 30 years is highly recommended in an effort to prevent early
osteoporosis. The volume of training is not only related to the duration of the exercise but
also includes aspects of distance or load per unit of time and aspects of the number of reps of
the exercise, so volume is the implication of the total quantity of training activity
performance or training phase. When referring to the training volume, the amount of time, the
number of training days, and the number of exercises must be specified (19,20).

Conclusion

Most of the bone mass density of respondents was low, amounting to 65 people (79,3%)
out of 82 total respondents. The most dominant risk factor for low bone mass density in these
respondents is due to the lack of active adolescents doing physical activity. With less active
physical activity, respondents had a greater risk of 12,981 times having osteopenia and could
continue to develop osteoporosis compared to respondents with active physical activity.
Acknowledgements
We thank all participants in this research.

Competing Interest
The authors declare that they have no competing interests.

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Jawaban 2
Dua Jurnal Dalam Negeri Dan 2 Jurnal Luar Negeri

1. Jurnal Dalam Negeri Terindek Sinta


a. Jurnal Medikora (terindeks sinta 3)
http://journal.uny.ac.id/index.php/medikora
b. Jurnal KEMAS (Jurnal Kesehatan Masyarakat) (terindeks sinta 2)
http://journal.unnes.ac.id/nju/index.php/kemas

2. Jurnal Luar Negeri Terindek Scopus


a. Journal Of Sport And Health Science
https://www.journals.elsevier.com/journal-of-sport-and-health-science/
b. Journal of Preventive Medicine and Hygiene
https://www.jpmh.org/index.php/jpmh
Jawaban 3

Status Jurnal

Journal of Preventive Medicine and Hygiene diterbitkan setiap tiga bulan dan mencakup
bidang epidemiologi dan kesehatan masyarakat. Jurnal menerbitkan makalah asli dan prosiding
Simposium dan / atau Konferensi yang harus diserahkan dalam bahasa Inggris dengan
pengecualian bahasa lain. Makalah diterima berdasarkan orisinalitas dan minat umum.
Pertimbangan etis akan diperhitungkan. JPMH adalah jurnal akses terbuka, peer-review yang
membahas makalah tentang epidemiologi dan pencegahan penyakit menular dan degeneratif dan
pemahaman tentang semua aspek kesehatan masyarakat.
JAWABAN 4
Petunjuk Bagi Penulis
Jawaban 5

Template Journal of Preventive Medicine and Hygiene (JPMH)


Jawaban 6

Synopsis Jurnal Tersebut Berdasarkan Status Jurnal, Petunjuk Bagi


Penulis, dan Template Jurnal

The Journal of Preventive Medicine and Hygiene (JPMH) adalah jurnal internasional,
multidisiplin, akses terbuka, peer-review yang diterbitkan setiap tiga bulan dan mencakup bidang
Hygiene, Preventive Medicine, dan Kesehatan Masyarakat. Jurnal telah menerbitkan artikel asli,
review, editorial, surat dan prosiding simposium dan konferensi sejak 1960. Review sistematis dari
topik yang relevan dengan tujuan jurnal sangat disambut baik. Validitas ilmiah, kelayakan
metodologis, orisinalitas, dan kemajuan di bidang Higiene, Pengobatan Pencegahan, dan
Kesehatan Masyarakat adalah kriteria penerimaan utama. Untuk informasi lebih lanjut, silakan
periksa Kebijakan Bagian kami.

Dalam persiapan naskah, Semua manuskrip harus disimpan dalam Microsoft Word
(format file .doc dan .docx dapat diterima). Gunakan teks Times New Roman 12 poin, dengan
spasi baris ganda (teks harus rata). Gunakan huruf miring untuk penekanan, nama spesies
(misalnya N. meningitidis) dan kata non-Inggris (misalnya Raffreddore). Semua halaman dan baris
harus diberi nomor secara otomatis. Jangan membenarkan atau pun memenggal teks. Tidak ada
batasan panjang; namun, penulis diundang untuk menjadi faktual dan ringkas.
JPMH menerbitkan dalam bahasa Inggris Britania. Jika bahasa asli pengarang bukan bahasa
Inggris, kami sangat menyarankan pemeriksaan ulang oleh profesional yang berkualifikasi. Ini
dapat dilakukan oleh layanan pengeditan bahasa Inggris JPMH. Jenis makalah berikut
dipertimbangkan untuk publikasi di JPMH: Artikel asli, Artikel pendek, Ulasan naratif dan
sistematis, Editorial, dan Surat untuk Editor.

Sedangkan untuk organisasi naskah, Artikel dan review asli dan pendek harus disajikan dengan
urutan sebagai berikut:Judul Halaman, Abstrak, Teks utama dengan bagian-bagian berikut: a.
Pendahuluan, Metode, Hasil, Diskusi, kesimpulan untuk artikel asli dan singkat serta tinjauan
sistematis; b. Judul dan subjudul yang sesuai untuk ulasan naratif. Ucapan Terima Kasih, Konflik
kepentingan, Referensi, Judul gambar / legenda, dan Tabel. Adapun editorial dan Surat untuk
Editor harus ditulis sebagai satu bagian berkelanjutan; abstrak, tabel atau gambar tidak
diperbolehkan.
Teks tersebut memiliki spasi ganda; menggunakan font 12 poin; menggunakan huruf
miring, bukan menggarisbawahi (kecuali dengan alamat URL); dan semua ilustrasi, gambar, dan
tabel ditempatkan di dalam teks pada titik yang sesuai, bukan di akhir. Teks tersebut mematuhi
persyaratan gaya dan bibliografi yang diuraikan dalam Panduan Penulis, yang dapat ditemukan di
Tentang Jurnal. Jika mengirimkan ke bagian jurnal yang ditinjau sejawat, petunjuk dalam
Memastikan Peninjauan Buta telah diikuti.
Jawaban 7

a. Cara mengirim artikel


Penulis harus mendaftar dengan jurnal sebelum mengirimkan atau, jika sudah terdaftar,
cukup masuk dan memulai proses lima langkah. Semua manuskrip harus diserahkan melalui
platform pengiriman online JPMH. Naskah yang dikirim ke editor melalui email tidak akan
dipertimbangkan. Penulis harus mendaftar dengan jurnal sebelum mengirimkan atau, jika sudah
terdaftar, cukup masuk dan memulai proses lima langkah. Anda dapat melacak status manuskrip
Anda setiap saat dengan masuk ke situs jurnal. Semua nama dan afiliasi penulis akan diambil dari
formulir metadata JPMH (bukan file manuskrip). Harap isi formulir metadata dengan hati-hati
selama proses pengiriman dan periksa apakah nama penulis dan afiliasi dieja dengan benar. JPMH
mendorong semua penulis untuk memberikan ORCID (ID Peneliti dan Kontributor Terbuka)
mereka.
Semua manuskrip harus disertai dengan surat lamaran (diserahkan sebagai file terpisah)
yang ditandatangani oleh penulis yang sesuai. Surat tersebut harus menentukan jenis artikel,
meringkas makalah dan menunjukkan mengapa JPMH harus menerbitkannya. Harap tidak
menyalin dan menempelkan abstrak di surat lamaran. Selain itu, surat tersebut harus berisi
pernyataan berikut:
Naskah itu baru dan tidak dipertimbangkan di tempat lain; Studi ini disetujui oleh komite
etika (jika berlaku, lihat kebijakan Etika kami);Naskah telah disetujui oleh semua penulis. Nama
lengkap (nama depan, nama tengah, nama keluarga) dari semua penulis dan afiliasinya; beberapa
afiliasi diperbolehkan. Penulis korespondensi dan rincian kontaknya (alamat pos lengkap, email,
nomor telepon dan faks.
b. Editor yang bisa dihubungi

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