The effect of low impact aerobic exercise on increasing physical fitness for the elderly

Cerika Rismayanthi; Muhammad Ikhwan Zein; Rizki Mulyawan; Risti Nurfadhila; Rifky Riyandi Prasetyawan; Muhammad Sigit Antoni

doi:10.21831/jk.v10i1.48743

The effect of low impact aerobic exercise on increasing physical fitness for the elderly

Cerika Rismayanthi, Department of Health and Recreation Education, Faculty of Sports Sciences, Universitas Negeri Yogyakarta, Indonesia
Muhammad Ikhwan Zein, Orthopedic & Sports Medicine Programmes, University of Amsterdam. 1012 WX Amsterdam, Netherlands
Rizki Mulyawan, Department of Sport Science, Faculty of Sport Science, Universitas Negeri Yogyakarta, Indonesia
Risti Nurfadhila, Department of Sport Science, Faculty of Sport Science, Universitas Negeri Yogyakarta
Rifky Riyandi Prasetyawan, Department of Sport Science, Faculty of Sport Science, Universitas Negeri Yogyakarta, Indonesia
Muhammad Sigit Antoni, Department of Sport Science, Faculty of Sport Science, Universitas Negeri Yogyakarta, Indonesia

10.21831/jk.v10i1.48743

Abstract

This study aimed to investigate the effect of low-impact aerobic exercise on increasing physical fitness for the elderly. This one group of pretest-posttest quasi-experimental research recruited elderly subjects from Sumber Waras Elderly Association in Yogyakarta, Indonesia. Twenty-four elderly subjects aged 60-70 years old participated in the 16 sessions of aerobic exercise intervention. All subjects completed pre-and post-intervention physical fitness tests comprising the aerobic/cardiovascular (CV) endurance (2 minutes step test), upper body strength (arm curl test), lower body strength (chair stand test), upper body flexibility (back scratch test), core and lower body flexibility (sit and reach test) and balance (8 foot up and go test). Changes in physical fitness (post- versus pre-intervention) of the subjects were analyzed using paired T-test. The normality and homogeneity tests were performed using the Kolmogorov Smirnov and Levene’s tests, respectively. Statistical significance was set to p < 0.05. This study showed that all physical fitness components, including aerobic endurance, upper and lower body strength, upper and lower body flexibility, and balance, were increased significantly in the subjects (p < 0.05). The results suggest that low-impact aerobic exercise positively affects physical fitness improvement in the elderly.

Keywords

physical fitness; elderly; aerobic exercise

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References

Badan Pusat Statistik. (2019). STATISTIK LANJUT USIA 2019. Statistik Penduduk Lanjut Usia Di Indonesia 2019.

Bompa, T., & Haff, G. (2009). Theory and Methodology Of Training Fifth Edition. In Orietta Calcina.

Bompa, T. O. (2012). Theory and Methodol of Training. Kendall/Hunt Publishing Company.

Cadenas-Sanchez, C., Intemann, T., Labayen, I., Peinado, A. B., Vidal-Conti, J., Sanchis-Moysi, J., Moliner-Urdiales, D., Rodriguez Perez, M. A., Cañete Garcia-Prieto, J., Fernández-Santos, J. del R., Martinez-Tellez, B., Vicente-Rodríguez, G., Löf, M., Ruiz, J. R., & Ortega, F. B. (2019). Physical fitness reference standards for preschool children: The PREFIT project. Journal of Science and Medicine in Sport. https://doi.org/10.1016/j.jsams.2018.09.227

Corkery, M. B., Hensley, C. P., Danilovich, M. K., Davila, V. S., & Chui, K. K. (2021). Power Training in Older Adults with Knee Osteoarthritis. Topics in Geriatric Rehabilitation. https://doi.org/10.1097/TGR.0000000000000298

Cress, M. E., Buchner, D. M., Prohaska, T., Rimmer, J., Brown, M., Macera, C., DePietro, L., & Chodzko-Zajko, W. (2004). Physical activity programs and behavior counseling in older adult populations. Medicine and Science in Sports and Exercise. https://doi.org/10.1249/01.MSS.0000145451.08166.97

D.L., R., M.J., D., A., J., P.M., J., & N.D., C. (2019). Affective responses to supervised 10-week programs of resistance exercise in older adults. Journal of Sport and Health Science.

d’Arbeloff, T. (2020). Cardiovascular fitness and structural brain integrity: an update on current evidence. In GeroScience. https://doi.org/10.1007/s11357-020-00244-7

Dewi, S. K. (2018). Level Aktivitas Fisik dan Kualitas Hidup Warga Lanjut Usia. Media Kesehatan Masyarakat Indonesia. https://doi.org/10.30597/mkmi.v14i3.4604

Duarte, N., Rodrigues, A. M., Branco, J. D. C., Canhão, H., Hughes, S. L., & Paúl, C. (2017). Health and lifestyles factors associated with osteoarthritis among older adults in Portugal. Frontiers in Medicine. https://doi.org/10.3389/fmed.2017.00192

Eckstrom, E., Neukam, S., Kalin, L., & Wright, J. (2020). Physical Activity and Healthy Aging. In Clinics in Geriatric Medicine. https://doi.org/10.1016/j.cger.2020.06.009

Espí-López, G. V., Inglés, M., Ruescas-Nicolau, M. A., & Moreno-Segura, N. (2016). Effect of low-impact aerobic exercise combined with music therapy on patients with fibromyalgia. A pilot study. Complementary Therapies in Medicine, 28, 1–7. https://doi.org/10.1016/j.ctim.2016.07.003

Fisher, J., Steele, J., McKinnon, P., & McKinnon, S. (2014). Strength Gains as a Result of Brief, Infrequent Resistance Exercise in Older Adults. Journal of Sports Medicine. https://doi.org/10.1155/2014/731890

Gao, X., Wang, L., Shen, F., Ma, Y., Fan, Y., & Niu, H. (2019). Dynamic walking stability of elderly people with various BMIs. Gait and Posture. https://doi.org/10.1016/j.gaitpost.2018.11.027

Gavin, J. P., Reeves, N. D., Jones, D. A., Roys, M., Buckley, J. G., Baltzopoulos, V., & Maganaris, C. N. (2019). Combined resistance and stretching exercise training benefits stair descent biomechanics in older adults. Frontiers in Physiology. https://doi.org/10.3389/fphys.2019.00873

Granic, A., Hurst, C., Dismore, L., Davies, K., Stevenson, E., Sayer, A. A., & Aspray, T. (2019). Milk and resistance exercise intervention to improve muscle function in community-dwelling older adults at risk of sarcopenia (MIlkMAN): Protocol for a pilot study. BMJ Open. https://doi.org/10.1136/bmjopen-2019-031048

Herrod, P. J. J., Lund, J. N., & Phillips, B. E. (2021). Time-efficient physical activity interventions to reduce blood pressure in older adults: a randomised controlled trial. Age and Ageing. https://doi.org/10.1093/ageing/afaa211

Hwang, E. J., & Sim, I. O. (2020). Effect of a comprehensive health care program on blood pressure, blood glucose, body composition, and depression in older adults living alone: A quasi-experimental pretest–posttest study. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph17010220

Ige-Elegbede, J., Pilkington, P., Gray, S., & Powell, J. (2019). Barriers and facilitators of physical activity among adults and older adults from Black and Minority Ethnic groups in the UK: A systematic review of qualitative studies. In Preventive Medicine Reports. https://doi.org/10.1016/j.pmedr.2019.100952

Jehu, D., Paquet, N., & Lajoie, Y. (2017). Balance and mobility training with or without concurrent cognitive training does not improve posture, but improves reaction time in healthy older adults. Gait and Posture. https://doi.org/10.1016/j.gaitpost.2016.12.006

Kelley, G. A., & Kelley, K. S. (2018). Brief report: Exercise and blood pressure in older adults—an updated look. International Journal of Hypertension. https://doi.org/10.1155/2018/6548659

Kenney, W. L., Wilmore, J. H., & Costil, D. L. (2015). Physiology of Sport and Exercise. Sixth Edition. In Human Kinetics.

Kuo, C.-H. (2019). Exercise Against Aging: Darwinian Natural Selection Among Fit and Unfit Cells Inside Human Body. Journal of Science in Sport and Exercise. https://doi.org/10.1007/s42978-019-0002-y

Lee, C., Rodríguez, G., Glei, D. A., Weinstein, M., & Goldman, N. (2014a). Increases in blood glucose in older adults: The effects of spousal health. Journal of Aging and Health. https://doi.org/10.1177/0898264314534894

Lee, C., Rodríguez, G., Glei, D. A., Weinstein, M., & Goldman, N. (2014b). Increases in Blood Glucose in Older Adults. Journal of Aging and Health. https://doi.org/10.1177/0898264314534894

Lin, L., Lo, M. S. W., Yang, N.-H., & Li, G.-J. (2019). Different Exercise Training On Reaction Time In Older Adults With Mild Cognitive Impairment. Medicine & Science in Sports & Exercise. https://doi.org/10.1249/01.mss.0000561139.91510.3f

Ling, S. M., & Bathon, J. M. (1998). Osteoarthritis in older adults. Journal of the American Geriatrics Society. https://doi.org/10.1111/j.1532-5415.1998.tb02543.x

Lithgow, H. M., & Leggate, M. (2018). The Effect of a Single Bout of High Intensity Intermittent Exercise on Glucose Tolerance in Non-diabetic Older Adults. International Journal of Exercise Science.

Malin, S. K., & Kirwan, J. P. (2012). Fasting hyperglycaemia blunts the reversal of impaired glucose tolerance after exercise training in obese older adults. Diabetes, Obesity and Metabolism. https://doi.org/10.1111/j.1463-1326.2012.01608.x

McPhee, J. S., French, D. P., Jackson, D., Nazroo, J., Pendleton, N., & Degens, H. (2016). Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology, 17(3), 567–580. https://doi.org/10.1007/s10522-016-9641-0

Medawati, R., Haryanto, J., & Ulfiana, E. (2020). Analisis Faktor Successful Aging Pada Lansia Yang Bekerja Sebagai Petani. Indonesian Journal of Community Health Nursing. https://doi.org/10.20473/ijchn.v5i1.18704

Mekari, S., Neyedli, H. F., Fraser, S., O’brien, M. W., Martins, R., Evans, K., Earle, M., Aucoin, R., Chiekwe, J., Hollohan, Q., Kimmerly, D. S., & Dupuy, O. (2020). High-intensity interval training improves cognitive flexibility in older adults. Brain Sciences. https://doi.org/10.3390/brainsci10110796

Miller, R. M., Bemben, D. A., & Bemben, M. G. (2021). Skeletal muscle adaptations following 80 weeks of resistance exercise in older adults. Journal of Geriatric Physical Therapy. https://doi.org/10.1519/JPT.0000000000000302

Mithal, A., Bonjour, J. P., Boonen, S., Burckhardt, P., Degens, H., El Hajj Fuleihan, G., Josse, R., Lips, P., Morales Torres, J., Rizzoli, R., Yoshimura, N., Wahl, D. A., Cooper, C., & Dawson-Hughes, B. (2013). Impact of nutrition on muscle mass, strength, and performance in older adults. Osteoporosis International, 24(5), 1555–1566. https://doi.org/10.1007/s00198-012-2236-y

Naomi Parmila Hesti Savitri, & Wiwit Desi Intarti. (2021). Manfaat Asuhan Swedish Massage Pada Lansia Yang Mengkonsumsi Olahan Toga Di Saat Pandemi Covid-19 Terhadap Stres Lansia. Jurnal Ilmu Kebidanan Dan Kesehatan (Journal of Midwifery Science and Health), 12(2), 39–48. https://doi.org/10.52299/jks.v12i2.88

Nasrulloh, A. (2009). Pengaruh Latihan Aerobik Kombinasi Dengan Teknikterhadap Kemampuan Kardiorespirasi Efek Tekanan Udara terhadap Fisiologi Tubuh Atlet. MEDIKORA, 0(1). https://journal.uny.ac.id/index.php/medikora/article/view/4694

Nasrulloh, A., Apriyanto, K. D., & Prasetyo, Y. (2021). Pengukuran dan Metode Latihan Kebugaran (1st ed.). UNY Press. https://www.researchgate.net/publication/358403916_Pengukuran_Dan_Metode_Latihan_Kebugaran

Nasrulloh, A., Prasetyo, Y., Nugroho, S., Yuniana, R., Pratama, K. W., Mustapha, A., Idrus, S. Z. S., & Nasrulloh, A. (2020). Tricet Method to Increase the Hypertrophy Muscle. Journal of Physics: Conference Series, 1529(3), 032006. https://doi.org/10.1088/1742-6596/1529/3/032006

Nasrulloh, A., & Wicaksono, I. S. (2020). Latihan bodyweight dengan total-body resistance exercise (TRX) dapat meningkatkan kekuatan otot. Jurnal Keolahragaan, 8(1), 52–62. https://doi.org/10.21831/JK.V8I1.31208

Nied, R. J., & Franklin, B. A. (2002). Promoting and prescribing exercise in the elderly. American Family Physician, 65(3), 419.

Nurlina, S., & Keb, M. (2021). KUALITAS HIDUP WANITA MENOPAUSE. Media Sains Indonesia.

Odden, M. C., Beilby, P. R., & Peralta, C. A. (2015). Blood Pressure in Older Adults: the Importance of Frailty. In Current Hypertension Reports. https://doi.org/10.1007/s11906-015-0564-y

Peat, G., McCarney, R., & Croft, P. (2001). Knee pain and osteoarthritis in older adults: A review of community burden and current use of primary health care. In Annals of the Rheumatic Diseases. https://doi.org/10.1136/ard.60.2.91

Porcari, J. P., Bryant, C. X., & Comana, F. (2015). Exercise Physiology (Foundations of Exercise Science) 1st Edition.

Pratley, R. E., Kanapka, L. G., Rickels, M. R., Ahmann, A., Aleppo, G., Beck, R., Bhargava, A., Bode, B. W., Carlson, A., Chaytor, N. S., Fox, D. S., Goland, R., Hirsch, I. B., Kruger, D., Kudva, Y. C., Levy, C., McGill, J. B., Peters, A., Philipson, L., … Miller, K. M. (2020). Effect of Continuous Glucose Monitoring on Hypoglycemia in Older Adults with Type 1 Diabetes: A Randomized Clinical Trial. JAMA - Journal of the American Medical Association. https://doi.org/10.1001/jama.2020.6928

Prior, S. J., Jenkins, N. T., Brandauer, J., Weiss, E. P., & Hagberg, J. M. (2012). Aerobic exercise training increases circulating insulin-like growth factor binding protein-1 concentration, but does not attenuate the reduction in circulating insulin-like growth factor binding protein-1 after a high-fat meal. Metabolism: Clinical and Experimental. https://doi.org/10.1016/j.metabol.2011.07.003

Ribeiro, A. S., Nunes, J. P., & Schoenfeld, B. J. (2020). Selection of Resistance Exercises for Older Individuals: The Forgotten Variable. Sports Medicine. https://doi.org/10.1007/s40279-020-01260-5

Sampaio, A., Marques-Aleixo, I., Seabra, A., Mota, J., Marques, E., & Carvalho, J. (2020). Physical fitness in institutionalized older adults with dementia: association with cognition, functional capacity and quality of life. Aging Clinical and Experimental Research, 32(11), 2329–2338. https://doi.org/10.1007/s40520-019-01445-7

Seco, J., Abecia, L. C., Echevarría, E., Barbero, I., Torres-Unda, J., Rodriguez, V., & Calvo, J. I. (2013). A long-term physical activity training program increases strength and flexibility, and improves balance in older adults. Rehabilitation Nursing. https://doi.org/10.1002/rnj.64

Sidik, D. Z., Pesurnay, P. L., & Afari, L. (2019). Pelatihan Kondisi Fisik. Bandung: PT. Remaja Rosdakarya.

Silverwood, V., Blagojevic-Bucknall, M., Jinks, C., Jordan, J. L., Protheroe, J., & Jordan, K. P. (2015). Current evidence on risk factors for knee osteoarthritis in older adults: A systematic review and meta-analysis. In Osteoarthritis and Cartilage. https://doi.org/10.1016/j.joca.2014.11.019

Smith, T. C., Wingard, D. L., Smith, B., Kritz-Silverstein, D., & Barrett-Connor, E. (2007). Walking decreased risk of cardiovascular disease mortality in older adults with diabetes. Journal of Clinical Epidemiology. https://doi.org/10.1016/j.jclinepi.2006.06.013

Song, Y., Ren, F., Sun, D., Wang, M., Baker, J. S., István, B., & Gu, Y. (2020). Benefits of exercise on influenza or pneumonia in older adults: A systematic review. In International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph17082655

Suprapti, D. (2019). Hubungan pola makan, kondisi psikologis, dan aktivitas fisik dengan diabetes mellitus pada lansia. Jurnal Keperawatan. https://doi.org/10.35874/jkp.v17i1.472

Van Schaardenburgh, M., Wohlwend, M., Rognmo, Ø., & Mattsson, E. J. R. (2016). Mitochondrial respiration after one session of calf raise exercise in patients with peripheral vascular disease and healthy older adults. PLoS ONE. https://doi.org/10.1371/journal.pone.0165038

Verweij, L. M., Van Schoor, N. M., Deeg, D. J. H., Dekker, J., & Visser, M. (2009). Physical activity and incident clinical knee osteoarthritis in older adults. Arthritis Care and Research. https://doi.org/10.1002/art.24233

Villareal, D. T., Aguirre, L., Gurney, A. B., Waters, D. L., Sinacore, D. R., Colombo, E., Armamento-Villareal, R., & Qualls, C. (2017). Aerobic or Resistance Exercise, or Both, in Dieting Obese Older Adults. New England Journal of Medicine. https://doi.org/10.1056/nejmoa1616338

WHO. (2016). WHO | Proposed working definition of an older person in Africa for the MDS Project. In World Health Organization.

World Health Organization. (2020). WHO Guidelines on physical activity, sedentary behaviour. In World Health Organization.

Yeh, W. L., Tsai, Y. F., Hsu, K. Y., Chen, D. W., Wang, J. S., & Chen, C. Y. (2020). Weight control in older adults with knee osteoarthritis: A qualitative study. BMC Musculoskeletal Disorders. https://doi.org/10.1186/s12891-020-03480-2

Zhang, W., He, K., Zhao, H., Hu, X., Yin, C., Zhao, X., & Shi, S. (2021). Association of body mass index and waist circumference with high blood pressure in older adults. BMC Geriatrics. https://doi.org/10.1186/s12877-021-02154-5

DOI: https://doi.org/10.21831/jk.v10i1.48743