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04_11 - EFFECT OF EXERCISE ON BLOOD PRESSURE & GLUCOSE

04_11 - EFFECT OF EXERCISE ON BLOOD PRESSURE & GLUCOSE

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04_11 - EFFECT OF EXERCISE ON BLOOD PRESSURE & GLUCOSE

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  1. EFFECT OF COMBINED EXERCISE ON BLOOD PRESSURE & GLUCOSE LEVEL IN ELDERLY AT POSYANDU LANSIA MADOH, BOYOLALI ANDREANY KUSUMOWARDANI ROH HASTUTI PRASETYANINGSIH

  2. INTRODUCTION • The raise of global aging population : 9.2% (1990)  11.7% (2013)  21.1% (2050) • Aging population in Indonesia > 7% (2015) • Central Java: 3rd biggest aging population (10.34%) (Susenas, 2012)  1st (14.9%) in 2035 (BPS, 2013) • Top 5 non communicable diseases in aging population in Indonesia: hypertension, arthritis, stroke, COPD, DM (Riskesdas, 2013)

  3. Prevention & management of hypertension & DM  Posyandu Lansia & Posbindu PTM • Non pharmacological lifestyle modification is recommended as the first line of therapy  exercise : “senam” • “Senam” at Posyandu Lansia Madoh : part of community service, 2x/month, combined exercise (flexibility, resistance, aerobic) • Purpose: to determine the effect of combined exercise (senam) on blood pressure & glucose level

  4. MATERIAL & METHOD • Design • Quasi experimental, one group pre-test post-test design • Participants • Elderly in Posyandu Madoh, > 50 y.o • Instrumentation • Omron digital spyghmomanometer HEM-7130 and Easy Touch GCU • Procedure • BP & glucose measurement before 1st intervention and 10’ after the 12th intervention

  5. Exercise program : • 2x/week, 30’, 6 week • Flexibility exercise: stretching head, shoulder, arm, trunk, hip, leg, ankle (2x10 repetition) • Resistance exercise: • Chair-raise, standing push-up, calf raise (2x10) • Shoulder, arm, chest (2x10, sand bottle 600 ml) • Aerobic exercise: exercise with music (senam anti stroke) 10’

  6. RESULTS & DISCUSSION

  7. Exercise had lowered systolic & diastolic BP significantly • Dynamic endurance training, dynamic restance training, and combined training were each associated with decreases in SBP and DBP (Cornelissen & Smart, 2013) • Aerobic exercise exerts an anti-inflammatory action through the sympathetic nervous system and the hypothalamic-pituitary-adrenal axis and directly lowers BP. Repeated isometric exercise  reset the baroreceptors and thus lower BP in the long term (Ghadieh & Saab, 2015)

  8. Exercise decreased blood glucose level • Aerobic and resistance exercise improve glycemic control for people with type 2 diabetes (Adams, 2013) • Exercise regulates the glucose transport by GLUT4 proteins from an intracellular compartment to the plasma membrane and transverse tubules so increasing glucose uptake by the muscle and lowering glucose level (Wilmore, Castill, & Kenney, 2008)

  9. CONCLUSION • Combined exercise in the form of “senam” which is contain of flexibility, resistance, and aerobic exercise had significant effect on lowering BP and glucose level in elderly at Posyandu Madoh

  10. REFERENCES • Adams, P. The impact of brief high-intensity exercise on blood glucose levels. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 2013: 6 113-122 • Corneissen, V.A, & Smart, N.A. Exercise Training for Blood Pressure: A Systematic Review and Meta Analysis. J. Am. Heart Assoc. 2013; 2: e004473 • Ghadieh, A.S. & Saab, B. Evidence of Exercise Training in the management of hypertension in adults. Canadian Family Physician. 2015 (61) • Wilmore, J.H, Costill, D.L, & Kenney, W.L. Physiology of Sport and Exercise. Champaign: Human Kinetics. 2008

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