Pengaruh Latihan Fisik Aerobik terhadap Indeks Massa Tubuh, Rasio Lingkar Pinggang-Panggul dan Tekanan Darah Pasien Hipertensi di Palembang

Raden Ayu Tanzila

Abstract

Hipertensi merupakan salah satu faktor risiko penyakit kardiovaskular dengan prevalensi dan kematian yang cukup tinggi. Hipertensi dikaitkan dengan sejumlah penanda risiko kardiovaskular lainnya seperti obesitas, pola nutrisi yang tidak sehat dan aktivitas fisik yang rendah. Beberapa penelitian menunjukkan bahwa obesitas dan tekanan darah seseorang dapat dipengaruhi oleh aktifitas fisik. Tujuan: Mengetahui pengaruh latihan fisik aerobik terhadap IMT, RLPP dan tekanan darah pada pasien hipertensi di RS Pertamedika Palembang. Metode: Penelitian quasy experimental dengan one-group pretest-posttest. Data  adalah hasil pengukuran IMT, RLPP serta tekanan darah yang diukur sebelum dan setelah latihan fisik aerobik 3 kali seminggu selama 4 minggu dengan durasi 30 menit. Hasil: Sebanyak 21 sampel penelitian diambil dengan cara total sampling berdasarkan kriteria inklusi dan eksklusi. Hasil uji statistik didapatkan penurunan rerata IMT setelah latihan fisik aerobik yang signifikan menjadi 28,5 dengan P=0,023 (P<0,05), RLPP setelah latihan fisik aerobik yang signifikan menjadi 0,87 dengan P=0.002 (P<0,05), serta penurunan rerata sebesar 6,91 ± 1,008 mmHg untuk tekanan darah sistolik dan 7,39 ± 0,035 untuk tekanan darah diastolik sesudah latihan fisik dengan p value 0,000 (< 0,05). Kesimpulan:  Terdapat Pengaruh Latihan Fisik Aerobik terhadap Indeks Massa Tubuh, Rasio Lingkar Pinggang-Panggul dan tekanan darah pasien hipertensi di RS Pertamedika Palembang.

Keywords

medical health

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References

WHO. 2018. Physical Activity. (Diakses 27 Januari 2019). Diunduh dari: http://www.who.int/news-room/fact-sheets/detail/physical-activity

Fagard, R.H., dan Cornelissen, V.A. 2007. Effect of Exercise on Blood Pressure Control in Hypertensive Patients. European Journal of Preventive Cardiology. Vol 14, Issue 1, pp. 12 – 17. 1 Februari 2007. Diunduh dari: https://doi.org/10.1097/HJR.0b013e3280128bbb

CDC (Centers for Disease Control and Prevention). General Physical Activities Defined by Level of Intensity [serial online]. 2015 (Diunduh 3 Desember 2018). Tersedia di: https://www.cdc.gov/nccdphp/dnpa/physical/pdf/PA_Intensity_table_2_1.pdf

Anggraini. 2009. Hubungan beberapa faktor obesitas dan hipertensi. Semarang. Medika Indonesia: Rineka Cipta. Jakarta

WHO (World Health Organization). 2004. Global database of body mass Index. (Diakses 26 Desember 2018, tersedia di http:// apps.who.int/bmi/index.jsp?introPage=intro_3.html)

WHO (World Health Organization). 2000. Waist Circumference and Waist-Hip Ratio. (Diunduh 2 Februari 2019). Tersedia di: http://apps.who.int/iris/bitstream/handle/10665/44583/9789241501491_eng.pdf;sequence=1

CDC (Centers for Disease Control and Prevention). General Physical Activities Defined by Level of Intensity [serial online]. 2015 (Diunduh 1 Februari 2019). Tersedia di: https://www.cdc.gov/nccdphp/dnpa/physical/pdf/PA_Intensity_table_2_1.pdf)

Shimamoto et al. Low Impact Aerobic Dance as a Useful Exercise Mode for Reducing Body Mass in Mildly Obese Middle-Aged Women, Appl Human Sci. 1998;(3):109-114. (Diunduh 28 Desember 2018). Tersedia di: https://pdfs.semanticscholar.org/a969/9ca80505d9890313f9dba3b06259a7f866f2.pdf

Okuneye et al. The Effects of a Six-Week Aerobic Dance Programme on Selected Fitness Components and Waist-Hip-Ratio in Adult Males. Sierra Leone Journal of Biomedical Research. 2010;2(1):17-22. (Diunduh 20 Desember 2018). Tersedia di: http://ajol.info/index.php/sljbr/index

Fetriwahyuni, R. 2015. Pengaruh Senam Aerobik Low Impact Terhadap Tekanan Darah Penderita Hipertensi. Jurnal Online Mahasiswa, Vol. 2(2); Okt 2015

Pescatello, L.S., MacDonald, H.V., Lamberti, L., & Johnson, B.T. (2015). Exercise for Hypertension: A Prescription Update Integrating Existing Recommendations with Emerging Research. Current Hypertension Reports, 17(11), 87. http://doi.org/10.1007/s11906-015-0600

Brum, P. C., G. J. Da Silva, E. D. Moreira, F. Ida, C. E. Negrao, And E. M. Krieger. Exercise Training Increases Baroreceptor Gain Sensitivity In Normal And Hypertensive Rats. Hypertens. 36:1018– 1022, 2000.

Mueller, P.J. 2007. Exercise Training and Sympathetic Nervous System Activity: Evidence For Physical Activity Dependent Neural Plasticity. Clin Exp Pharmacol Physiol. 2007 Apr;34(4):377-84. https://doi.org/10.1111/j.1440-1681.2007.04590.x

Martins-Pinge, M.C. 2011. Cardiovascular And Autonomic Modulation By The Central Nervous System After Aerobic Exercise Training. Brazilian Journal Of Medical And Biological Research, 44(9), 848-854. Epub August 19, 2011.Https://Dx.Doi.Org/10.1590/S0100-879X2011007500102

Whyte JJ, Laughlin MH. The Effects Of Acute And Chronic Exercise On The Vasculature. Acta Physiol (Oxf). 2010;199(4):441-50.

Chen, H. I., and I. P. Chiang. Chronic Exercise Decreases Adrenergic Agonist-Induced Vasoconstriction In Spontaneously Hypertensive Rats. Am. J. Physiol. 271:H977–H983, 1996.

Sulistyoningrum E, dan Candrawarti S. 2016. 12-Weeks programmed aerobics dance reduced body mass index and waist circumference of young women. Bangladesh Journal of Medical Science. 2016;15(3):376-380. (Diunduh 3 September 2018). Tersedia di: https://www.banglajol.info/index.php/BJMS/article/view/30193

Maurya M, dan Mahajan S. 2014. The effect of Six Week Aerobic Dance Exercise program on Body Composition. Indian Journal of Physiotherapy and Occupational Therapy. 2014;8(3):29-32. (Diunduh 3 Januari 2019). Tersedia di: http://www.i-scholar.in

Arslan F. 2011. the effects of an eight-week step-aerobic dance exercise programme on body composition parameters in middle-aged sedentary obese woman. International Sportmed Journal. 2011;12(4):160-168. Diakses 20 Agustus 2018, tersedia di http://www.researchgate.net)

Ativie, et al. Modulation of 8-weeks Aerobics Dance Exercise on Selected Anthropometric Indicators in overweight and obese females. Journal of Apllied Sciences International. 2018;16(3):1-8. (Diunduh 20 Desember 2018). Tersedia di http://www.researchgate.net

Brick, L. Bugar Dengan Latihan fisik Aerobik. Jakarta: PT Raja Gasindo Persada; 2001

Warburton DER, et al. 2006. Health Benefits of Physical Activity: The Evidence. 2006;174(6):801-9 (Diunduh 20 Desember 2018). Tersedia di: http://www.cmaj.ca/content/174/6/801.full



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