Hubungan Tingkat Kebugaran Jasmani dengan Status Kognitif pada Lansia di Desa Dukuh Dempok, Wuluhan, Jember

Salman Farisi; Hanny Rasni; Latifa Aini Susumaningrum

doi:10.19184/pk.v9i3.11130

Salman Farisi Fakultas Keperawatan Universitas Jember
Hanny Rasni Fakultas Keperawatan Universitas Jember
Latifa Aini Susumaningrum Fakultas Keperawatan Universitas Jember

DOI: https://doi.org/10.19184/pk.v9i3.11130

Abstract

Cognitive impairment is a health problem that causes a large economic burden for elderly families and the community. Cognitive decline is a serious threat to the independence and quality of life of the elderly. The aim of this research was to analysis the relationship the level of fitness and the cognitive function status of the elderly. This research design was observational analytic research with Cross Sectional approach. There were 76 respondents which obtained by used Simple Random Sampling technique. Data collection used 6-MWT (6-Minutes Walking Test) and MMSE (Mini Mental Status Exam). Data analysis using statistical correlation spearman test with a significance level of 0.05. Ethical approval were obtained with serial number 321 / UN25.8 / KEPK / DL / 2019. The results showed that the elderly had a good fitness levels about 52.3% and had a normal cognitive status function of 87.1%. The statistical test result showed that the p value is 0.001; r = 0.474, which means there is a significant relationship between the level of physical fitness and the status of cognitive function. Factors that influence the cognitive function status of the elderly by maintaining physical fitness that can increase serum BDNF concentration. Improving physical fitness can be done by exercising like walking with a frequency of more than 4 times a week, with a duration of 20-30 minutes/day.

References

[1] Hesseberg KA, Bergland E, Rydwik T, Brovold. Physical fitness in older people recently diagnosed with cognitive impairment compared to older people recently discharged from hospital. Dementia and Geriatric Cognitive Disorders Extra. [Internet]. 2016. [cited 28 Agustus 2018]; 6(3):396–406. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/P MC5040949/.
[2] World Health Organization. Dementia a public health priority: World Health Organization; 2015
[3] Indonesia. Menteri Kesehatan: lansia yang sehat, lansia yang jauh dari demensia. Jakarta : Kementerian Kesehatan Republik Indonesia; 2016.
[4] Harimurti WF. Hubungan dukungan keluarga dengan status kognitif lansia di desa dukuh dempok wilayah kerja puskesmas wuluhan kabupaten jember. Skripsi. Jember: Fakultas Ilmu Kesehatan Universitas Muhammadiyah Jember; 2016. [cited 28 Agustus 2018]
[5] Yang MY, Guo J, Gong M, Deng N, Yang Y
Y. Relationships between functional fitness and cognitive impairment in chinese community-dwelling older adults: a cross- sectional study. BMJ Open. [Internet]; 2018. [cited 26 Agustus 2018]; 8(5). Available from: https://bmjopen.bmj.com/content/8/5/e0206 5.
[6] Joseph, Barbara. Clinical neurology of the older adult. 2th ed. USA: Geriatric Neurology; 2008.
[7] Naushin Q, Shweta M, Annamma V. Physical fitness in community dwelling elderly and institutionalized elderly using senior fitness test (sft). Int J Physiother. [Internet]; 2017. [cited 01 Desember 2018].4 (3):[152-159]. Available from: https://bmjopen.bmj.com/content/8/5/e0206 5.
[8] Bolandzadeh NK, Kording N, Salowitz JC, Davis L, Hsu A, Chan D. Predicting cognitive function from clinical measures of physical function and health status in older adults. PloS ONE.. [Internet]; 2016. [cited
13 April 2018]. 10(3):1–12. Available from https://www.ncbi.nlm.nih.gov/pubmed/25734 446.
[9] Indonesia. Pemeriksaan dan pembinaan kesehatan haji: mencapai istithaah kesehatan jemaah haji untuk menuju keluarga sehat petunjuk teknis permenkes nomor 15 tahun 2016. Jakarta : Kementerian Kesehatan Republik Indonesia; 2017.
[10] Zhu S, Hu J, Efird JT. Role of social support in cognitive function among elders. JCN [Internet]; 2012. [cited 10 April 2018]. 21(15-16): 2118-2125. Available from: https://www.ncbi.nlm.nih.gov/pubmed/2278 8553.
[11] Rasyid I, Al Y, Syafrita S, Sastri. Hubungan faktor risiko dengan fungsi kognitif pada lanjut usia kecamatan padang panjang timur kota padang panjang. Jurnal Kesehatan Andalas. [Internet]; 2017. [cited 21 April 2019]. 6(1):49–54. Available from : http://jurnal.fk.unand.ac.id/index.php/jka/arti cle/view/643
[12] Indonesia. Pusat data dan informasi: gambaran kesehatan lanjut usia di Indonesia. Jakarta : Kementerian Kesehatan Republik Indonesia; 2013.
[13] Lin PS, Hsieh CC, Cheng HS, Tseng TJ, Su SC. Association between physical fitness and successful aging in taiwanese older adults. PLoS ONE. [Internet]; 2016. [cited
12 April 2019]. 11(3). Available from : https://www.ncbi.nlm.nih.gov/pmc/articles/P MC4786127/
[14] Mardius A, Astuti Y. Pengaruh senam lansia terhadap kebugaran jasmani warga perumahan pondok pinang kelurahan lubuk buaya kecamatan koto tangah kota padang. Journal of Education Research and Evaluation. [Internet]; 2017. [cited 12 Oktober 2018]. (3):147–152. Available from: https://www.researchgate.net/publication/32 3544252_pengaruh_senam_lansia_terhada p_kebugaran_jasmani_warga_perumahan_ pondok_pinang_kelurahan_lubuk_buaya_k ecamatan_koto_tangah_kota_padang.
[15] Harada CN, Natelson, Love MC, Triebel KL. Normal cognitive aging. Clinics in Geriatric Medicine. [Internet]; 2014. [cited 22 April 2019]. 29(4), 737–752. Available from https://www.ncbi.nlm.nih.gov/pubmed/2409 4294.
[16] Sari KI, Darjan K, Nur’aeny N, Rakhmilla LE. Hubungan antara kehilangan gigi dengan fungsi kognisi dan fungsi memori pada lansia penghuni Panti Sosial Tresna Werdha (PTSW) Senjarawi Kota Bandung. Majalah Kedokteran Gigi Indonesia. [Internet]; 2017. [cited 17 April 2019]. 3(2).
[17] Park SA, Lee AY, Park HG, Lee WL. Benefits of gardening activities for cognitive function according to measurement of brain nerve growth factor levels. Int. J. Environt Res. Public Health. [Internet]; 2019. [cited
26 April 2019]. 16(760). Available from https://www.ncbi.nlm.nih.gov/pmc/articles/P MC6427672/.
[18] Irawati K, Madani F. Durasi membaca Al- Qur’an dengan fungsi kognitif pada lansia. Jurnal Kedokteran dan Kesehatan. [Internet]; 2019. [cited 18 April 2019].19(1): 17-22. Available from http://journal.umy.ac.id/index.php/mm/article/view/5744.
[19] Azizah LM. Keperawatan lanjut usia. 1th ed.Yogyakarta : Graha Ilmu; 2011
[20] Herdman. Diagnosa keperawatan definisi & klasifikasi 2015-2017. 10 th Ed. Jakarta : EGC; 2015.
[21] Bulechek G, Butcher HK, Dochterman JM, Wagner JM. Nursing intervention classification (nic). 6 th. Ed. Missouri:Elseiver Mosby; 2013.
[22] Stanley, Beare. Buku ajar keperawatan gerontik.. 2th Ed. Jakarta: EGC; 2006.
[23] Basuki HO, Haryanto J, Kusumaningrum T. The effect of elderly cognitive care on the cognitive function and physical activity of elderly. Indonesian Journal of Health Research. [Internet]; 2018. [cited 22 April 2019]. 1(2):37-48. Available from http://e- journal.stikesjembrana.ac.id/index.php/IJHR/article/view/16
[24] Wahyuni N, Nugraha MHS, Juhanna IV. Olahraga dapat meningkatkan fungsi kognitif melalui modulasi epigenetik ekspresi gen brain-derived neurotrophic factor (BDNF). Nusantara Medical Science Journal. [Internet]; 2018. [cited 12 Maret 2019]. 1(1). Available from https://www.researchgate.net/publication/33 1140522_olahraga_dapat_meningkatkan_fu ngsi_kognitif_melalui_modulasi_epigenetik_ ekspresi_gen_brainderived_neurotrophic_fa ctor_bdnf_exercise_improve_cognitive_func tion_trough_epigenetic_modulation_brain_d eriv.
[25] Lee SJ, Baek Y, Kim. Brain-derived neurotrophic factor is associated with cognitive impairment in elderly korean individuals. Journal Biology of Sport. 2015;13(3): 283-287.
[26] Morais VA, Tourino MF, Da S, Almeida AC. De S, Albuquerque TB. A single session of moderate intensity walking increases brain- derived neurotrophic factor (BDNF) in the chronic post-stroke patients. Topics in Stroke Rehabilitation, [Internet]; 2017. [cited 28 Desember 2018]. 25(1):1–5.