scholarly journals PENYULUHAN AKTIVITAS FISIK DAN SCREENING PARAMETER SINDROM METABOLIK PADA POPULASI LANSIA

MEDIKORA ◽  
2019 ◽  
Vol 18 (1) ◽  
pp. 33-39
Author(s):  
Cerika Rismayanthi ◽  
Prijo Sudibjo ◽  
Novita Intan Arovah ◽  
Krisnanda Dwi Apriyanto

Kegiatan Program Pengabdian kepada Masyarakat ini bertujuan untuk: (1) mendapatkan informasi tentang profil tingkat kebugaran lansia binaan Ikatan Dokter Indonesia (IDI) dan Ikatan Istri Dokter Indonesia (IIDI) Yogyakarta, (2) mendapatkan informasi tentang faktor risiko sindrom metabolik bagi lansia binaan Ikatan Dokter Indonesia (IDI) dan Ikatan Istri Dokter Indonesia (IIDI) Yogyakarta, (3) memberikan pengetahuan bagi lansia binaan Ikatan Dokter Indonesia (IDI) dan Ikatan Istri Dokter Indonesia (IIDI) Yogyakarta tentang pentingnya melakukan aktivitas fisik dan mengetahui parameter sindrom metabolik. Khalayak sasaran utama dari kegiatan ini adalah Kelompok Lansia Teratai Nogotirto, Kelurahan Nogotirto, Kecamatan Gamping Sleman berjumlah 118 orang. Metode kegiatan PPM dilakukan dengan beberapa kegiata meliputi: cek kesehatan, tes pengukuran kebugaran jasmani bagi lansia, serta evaluasi dan penyuluhan. Cek kesehatan meliputi pengukuran tekanan darah, lingkar perut, trigliserida, HDL dan glukosa darah puasa. Penyuluhan diberikan setelah para lansia mendapatkan hasil dari cek kesehatan. Metode penyuluhan dilakukan agar para lansia mempunyai motivasi untuk menjaga kesehatan dan terhindar dari sindrom metabolik yang dapat memicu munculnya penyakit degeneratif. Tes pengukuran kebugaran jasmani meliputi jalan selama 6 menit, fleksibilitas, keseimbangan. Pengisian kuesioner dilakukan untuk mengetahui seberapa penting manfaat kegiatan PPM ini bagi para lansia. Berdasarkan hasil cek kesehatan diperoleh data bahwa sejumlah 78 (66,1%) lansia terindikasi sindrom metabolik. Dan dari sejumlah 78 lansia, 98,71% (77 lansia) yang terindikasi sindrom metabolik adalah perempuan. Dari data lansia laki-laki diperoleh rata-rata usia 61,5 tahun, dengan norma normal jalan 6 menit lansia laki-laki dengan usia tersebut adalah 610 – 735 yards (558-672 meter) dan norma normal jalan 6 menit lansia wanita dengan usia tersebut adalah 545 – 660 yards (498-603 meter). Jadi kesimpulan dari tes kebugaran lansia, baik laki-laki maupun wanita mempunyai tingkat kebugaran yang di atas rata-rata (above average). Physical Activity Counseling and Screening Parameter Metabolic Syndrome in the Elderly PopulationAbstractThe Community Service Program activity aims to: (1) obtain information on the profile of the fitness level of the elderly under the guidance of the Indonesian Doctors Association (IDI) and the Indonesian Doctors' Wives Association (IIDI) Yogyakarta, (2) obtain information about the risk factors for metabolic syndrome for the elderly under the guidance of the Association Indonesian Doctors (IDI) and the Indonesian Doctors 'Wives Association (IIDI) Yogyakarta, (3) provides knowledge for the elderly assisted by the Indonesian Doctors Association (IDI) and the Indonesian Doctors' Wives Association (IIDI) Yogyakarta about the importance of physical activity and knowing the parameters of metabolic syndrome. The main target audience for this activity is the Elderly Lotus Group Nogotirto, Kelurahan Nogotirto, Sleman Gamping District, with a total of 118 people. The PPM activity method is carried out with several activities including: health check, physical fitness measurement test for the elderly, as well as evaluation and counseling. Health checks include measurements of blood pressure, stomach circumference, triglycerides, HDL and fasting blood glucose. Counseling is given after the elderly get the results of a health check. The counseling method is done so that the elderly have motivation to maintain health and avoid the metabolic syndrome which can trigger the emergence of degenerative diseases. Physical fitness measurement tests include walking for 6 minutes, flexibility, balance. The questionnaire was filled out to find out how important the benefits of PPM activities are for the elderly. Based on the results of health checks obtained data that a number of 78 (66.1%) elderly indicated metabolic syndrome. And of the 78 elderly, 98.71% (77 elderly) who indicated metabolic syndrome were women. From the data of elderly men obtained an average age of 61.5 years, with the normal norm of walking 6 minutes elderly men with that age is 610 - 735 meters (558-672 meters) and the normal norm of walking 6 minutes elderly women with age these are 545 - 660 yards (498-603 meters). So the conclusion of the elderly fitness test, both men and women have a fitness level that is above average (above average).

QJM ◽  
2008 ◽  
Vol 101 (9) ◽  
pp. 713-721 ◽  
Author(s):  
G. Bianchi ◽  
V. Rossi ◽  
A. Muscari ◽  
D. Magalotti ◽  
M. Zoli ◽  
...  

2020 ◽  

Background and objective: Managing the decrease in physical function in the elderly is a major task in aging societies globally. Here, we aimed to compare the physical function and metabolic syndrome (MetS) risk factors according to levels of physical activity (PA). Material and methods: We measured PA in 77 elderly Korean men (74.21 ± 6.26 years old) with an accelerometer and recorded body composition, physical function, and MetS-related risk factors. Participants were divided into three groups based on daily moderate-vigorous physical activity (MVPA): low (under 60 min), middle (60-120 min), and high (over 120 min). The groups were compared using a one-way analysis of variance and the Scheffe post hoc test. Odds ratios (OR) were calculated by logistic regression analysis. Results: Significant differences were found between the groups for sedentary behavior time (P < 0.001), light PA (P < 0.05), moderate PA (P < 0.001), vigorous PA (P < 0.05), and total energy expenditure (P < 0.001). The high PA group showed a significantly lower percentage of body fat and fat mass and higher muscle mass than did the low and middle PA groups (P < 0.05). The 6-min walk test was significantly better in the high PA group than in the low and middle PA groups (P < 0.05). Grip strength and the Berg balance scale were also significantly better in the high PA group (P < 0.05). Bone mineral density (BMD) and high-density lipoprotein cholesterol (HDL-C) were significantly higher in the high PA group than in the low PA group (P < 0.05). Systolic blood pressure (SBP) was significantly higher in the middle PA group than in the low PA group (P < 0.05). Participants with more than three MetS criteria showed an OR of 0.09 (95% confidence interval 0.01-0.82) in the high PA group as compared with the low PA group (P < 0.05). Conclusions: Moderate-vigorous physical activity of more than 120 min daily showed better physical function and lower OR of MetS than did lower MVPA levels in elderly Korean men.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Lars Lind ◽  
Johan Sundström ◽  
Johan Ärnlöv ◽  
Ulf Risérus ◽  
Erik Lampa

AbstractThe impact of most, but not all, cardiovascular risk factors decline by age. We investigated how the metabolic syndrome (MetS) was related to cardiovascular disease (CVD) during 40 years follow-up in the Uppsala Longitudinal Study of Adult Men (ULSAM, 2,123 men all aged 50 at baseline with reinvestigations at age 60, 70, 77 and 82). The strength of MetS as a risk factor of incident combined end-point of three outcomes (CVD) declined with ageing, as well as for myocardial infarction, ischemic stroke and heart failure when analysed separately. For CVD, the risk ratio declined from 2.77 (95% CI 1.90–4.05) at age 50 to 1.30 (95% CI 1.05–1.60) at age 82. In conclusion, the strength of MetS as a risk factor of incident CVD declined with age. Since MetS was significantly related to incident CVD also at old age, our findings suggest that the occurrence of MetS in the elderly should not be regarded as innocent. However, since our data were derived in an observational study, any impact of MetS in the elderly needs to be verified in a randomized clinical intervention trial.


Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2102
Author(s):  
Małgorzata Elżbieta Zujko ◽  
Marta Rożniata ◽  
Kinga Zujko

Modification of lifestyle, including healthy nutrition, is the primary approach for metabolic syndrome (MetS) therapy. The aim of this study was to estimate how individual nutrition intervention affects the reduction of MetS components. Subjects diagnosed with MetS were recruited in the Lomza Medical Centre. The study group consisted of 90 participants and was divided into one intervention group (individual nutrition education group (INEG)) and one control group (CG). The research was conducted over 3 months. The following measurements were obtained during the first visit and after completion of the 3 months intervention: body mass, waist circumference, body composition, blood pressure, fasting glucose, and blood lipids. Dietary assessments were performed before and post-intervention using 3-day 24-h dietary recalls. Dietary knowledge was evaluated with the KomPAN questionnaire. The total polyphenol content of the diet was calculated. Sociodemographic and lifestyle characteristics were collected from a self-reported questionnaire. The physical activity was assessed by the short version of the International Physical Activity Questionnaire (IPAQ). It was found that the individual nutrition education was an effective method to improve the knowledge, dietary habits, and physical activity of the study participants. The modification of the diet in terms of higher intake of polyphenols (flavonoids and anthocyanins), fiber, polyunsaturated fatty acids (PUFA), PUFA n-3, and lower intake of saturated fatty acids (SFA) had a significant impact on the improvement of some MetS risk factors (waist circumference, fasting glucose, and HDL-cholesterol).


PLoS ONE ◽  
2015 ◽  
Vol 10 (6) ◽  
pp. e0131586 ◽  
Author(s):  
Örjan Ekblom ◽  
Elin Ekblom-Bak ◽  
Annika Rosengren ◽  
Mattias Hallsten ◽  
Göran Bergström ◽  
...  

2021 ◽  
pp. bmjmilitary-2020-001761
Author(s):  
Che-Fu Chang ◽  
Y-C Wu ◽  
C-H Lai ◽  
P-C Chen ◽  
Y-L Guo

IntroductionMetabolic syndrome (MS) is strongly associated with cardiovascular diseases and diabetes but can be prevented with regular physical activity. This study aimed to assess the impact of a physical fitness training programme on MS among military personnel.MethodsThis retrospective observational study included volunteer army soldiers who underwent annual health examinations between 2011 and 2014. In 2011, the reformed physical fitness training programme and physical fitness test were introduced to the participants. MS evaluation and physical fitness performances were evaluated before and after implementing the training programme using a mixed-effects model and generalised estimating equation, adjusted for sex, age and smoking.ResultsFrom 2011 to 2014, 1720 soldiers underwent the annual health examination. In 2011, before the fitness programme, 246 soldiers (14.3%) had MS. After implementation, decreases in blood pressure and fasting glucose levels were observed and maintained for 3 years. Running performance was negatively correlated to triglycerides (ß=−11.37; p<0.001) and waist circumference (ß=−0.42; p<0.001) and positively correlated to high-density lipoprotein cholesterol levels (ß=2.14; p<0.001). The severity of MS was reduced following introduction of the physical fitness programme.ConclusionsMS and its components improved after introducing the reformed fitness programme, with running performance proving to be most relevant to MS. Clinicians should encourage increased physical activity to prevent MS among military personnel.


2014 ◽  
Vol 17 (4) ◽  
pp. 805-817 ◽  
Author(s):  
Edna Cunha Vieira ◽  
Maria do Rosário Gondim Peixoto ◽  
Erika Aparecida da Silveira

OBJECTIVE: To evaluate the prevalence and factors associated with metabolic syndrome in the elderly. METHODS: Cross-sectional study, with 133 individuals randomly selected in the Unified Health System in Goiania, Goiás. The following variables were researched: anthropometric (BMI, waist circumference, fat percentage by Dual X-ray absorptiometry), sociodemographic (gender, age, color, income, marital status and years of schooling), lifestyle (physical activity, smoking and risk alcohol consumption) and food intake (risk and protective foods). The metabolic syndrome was assessed according to harmonized criteria proposed by the World Health Organization (WHO). The combinations were tested by Poisson regression for confounding factors. RESULTS: The prevalence of metabolic syndrome was 58.65% (95%CI 49.8 - 67.1), with 60.5% (95%CI 49.01 - 71.18) for females and 55.7% (95%CI 41.33 - 69.53) for males. Hypertension was the most prevalent component of the syndrome in both men, with 80.8% (95%CI 64.5 - 90.4), and women, with 85.2% (95%CI 75.5 - 92.1). After the multivariate analysis, only the excess of weight measured by body mass index (prevalence ratio = 1.66; p < 0.01) remained associated with the metabolic syndrome. CONCLUSIONS: The prevalence of metabolic syndrome in this sample was high, indicating the need for systematic actions by health workers in the control of risk factors through prevention strategies and comprehensive care to the elderly.


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