Pengaruh Senam Aerobik Low Impact Terhadap Tekanan Darah Pada Lansia dengan Hipertensi : Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1827-1834
Author(s):  
Novita Sari ◽  
S Sugiharto

AbstractHypertension is the most common degenerative disease suffered by the elderly. It caused by variuos factors, such as age, history of hypertension, high sodium consumption and lack of physical activity. Exercise suc as low impact aerobic can reduce heart rate related to decrease in cardiac output. Consequently, blood pressure will decrease gradually. The purpose of the study was to describe the effect of low impact aerobic exercise on blood pressure in elderly with hypertension. The study used a literature review, by accessing the Garuda and ProQuest database using the keyword “Hypertension” AND “Elderly” AND “Low Impact Aerobic Exercise” AND “Blood Pressure”. The result show that there is an effect of low impact aerobic exercise on blood pressure in the elderly with hypertension. After the interventions, the systolic and dyastolic blood pressure was decrease 10.16 mmHg ang 5,02 mmHg, respectively. Low impact aerobic exercise is effective in decrease blood pressure in elderly with hypertension. Low impact aerobic exercise can be an alternative to overcome the problem of hypertension among elderly in family, community and gerontology nursing settings.Keywords: Blood Pressure, elderly, Hypertension, low Impact Aerobics AbstrakHipertensi merupakan penyakit degeneratif yang paling bnayak diderita oleh lansia. Hal ini disebabkan oleh berbagai faktor, seperti usia, riwayat penyakit hipertensi, konsumsi tinggi garam dan kurangnya aktivitas fisik. Latihan fisik seperti senam aerobik low impact dapat menurunkan denyut jantung dimana terjadi penurunan pada cardiac output yang akhirnya dapat menurunkan tekanan darah. Tujuan dari penelitian ini yaitu untuk mendeskripsikan pengaruh senam aerobik low impact terhadap tekanan darah pada lansia dalam literature review. Metode yang digunakan dalam penelitian ini adalah literature review, dengan mengakses database Portal Garuda dan Proquest dengan menggunakan kata kunci “Hipertensi” DAN ”Lansia” DAN ”Senam Aerobik Low Impact” DAN ”Tekanan Darah”. Hasil penelitian ini menunjukkan bahwa terdapat pengaruh senam aerobik low impact terhadap tekanan darah pada lansia dengan hipertensi yang ditandai dengan adanya penurunan nilai sistole dan diastole setelah diberikan intervensi senam aerobik low impact. Hasil penelitian ini diketahui terdapat pengaruh senam aerobik low impact terhadap tekanan darah pada lansia dengan hipertensi, diharapkan dapat menjadi referensi di keperawatan keluarga maupun komunitas pada lansia untuk meningkatkan aktivitas senam aerobik low impact dalam mengatasi masalah hipertensi pada lansia.Kata kunci : Hipertensi, Lansia, Senam Aerobik Low Impact, Tekanan Darah

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Bhakti Permana ◽  
Linlin Lindayani ◽  
Agus Hendra ◽  
Lia Juniarni

ABSTRACTHypertension is the most commonly encountered problems experienced by the elderly with sometimes unknown cause. One effort to lower blood pressure in the elderly is to provide yoga exercises, where yoga exercises can stimulate endorphin hormone expenditure. The purpose of review was to determine the effectiveness of yoga exercises for decreasing blood pressure in the elderly. An initial search for articles was done on Google Scholar and PubMed. Studies obtained about exercise therapy for hypertension elderly have 4,560 articles / journals but only 5 articles meet the search criteria. According to the search results, yoga exercises can reduce blood pressure in the elderly. Besides, it is also very important to be applied as a non-pharmacological therapy for the elderly who have a medical history of hypertension. It is expected that health professionals can recommend this as a therapy for lowering blood pressure in the elderly.  ABSTRAKHipertensi adalah masalah yang paling sering ditemui yang dialami oleh lansia dengan penyebab yang terkadang tidak diketahui. Salah satu upaya menurunkan tekanan darah pada lansia adalah dengan memberikan senam yoga, dimana senam yoga dapat merangsang pengeluaran hormon endorphin. Tujuan review adalah untuk mengetahui keefektifan senam yoga dalam menurunkan tekanan darah pada lansia. Pencarian awal untuk artikel dilakukan di Google Scholar dan PubMed. Studi tentang terapi senam lansia hipertensi didapatkan 4.560 artikel / jurnal tetapi hanya 5 artikel yang memenuhi kriteria pencarian. Menurut hasil pencarian, senam yoga dapat menurunkan tekanan darah pada lansia. Disamping itu juga sangat penting diterapkan sebagai terapi non farmakologi bagi lansia yang memiliki riwayat kesehatan hipertensi. Diharapkan tenaga kesehatan dapat merekomendasikan hal ini sebagai terapi penurunan tekanan darah pada lansia. 


2021 ◽  
Vol 1 ◽  
pp. 1801-1808
Author(s):  
Nova Eryanti ◽  
S Sugiharto

AbstractSpiritual Emotional Freedom Technique (SEFT) is a relaxation technique which is a form of mind-body-therapy from complementary and alternative therapies. SEFT works by activating the body's meridian pathways by light tapping on 9 or 18 meridian points of the body, with the mind and heart concentrating on the place and the pain that we feel accompanied by prayer. The study aimed to examine the effect of SEFT therapy on blood pressure in the elderly with hypertension. The study applied a literature review. By using the keywords "SEFT, Hypertension, Elderly" the articles were searched from GARUDA and Google Scholar databases. The articles that published in period of 2011 to 2021 and fit with the inclusion and exclusion criteria were reviewed. The quality of articles was assessed using CONSORT checklist. The results show that the mean systolic and diastolic blood pressure before SEFT therapy was 163 mmHg and 93 mmHg, respectively. Meanwhile, the mean systolic and diastolic blood pressure after SEFT therapy was 154 mmHg and 88 mmHg, respectively. There is a significant effect of SEFT therapy on reducing blood pressure in the elderly with hypertension. SEFT therapy is effective and can be applied as a complementary therapy in reducing blood pressure in the elderly. Based on the results, SEFT therapy can be socialized to the wider community and can be applied as an alternative therapy to reduce blood pressure in hypertensive patients.Keywords: Elderly, Hypertension, SEFT AbstrakSpiritual Emotional Freedom Technique (SEFT) merupakan teknik relaksasi yang merupakan salah satu bentuk mind-body-therapy dari terapi komplementer dan terapi alternatif. SEFT bekerja dengan mengaktifkan jalur-jalur meridian tubuh dengan cara ketukan ringan atau tapping di 9 atau 18 titik meridian tubuh, dengan pikiran dan hati konsentrasi pada tempat dan rasa sakit yang kita rasakan disertai dengan doa. Untuk mengetahui pengaruh terapi SEFT terhadap tekanan darah pada lansia. Penelitian ini menggunakan literature review, dengan pencarian artikel menggunakan database garba garuda dan google scholar untuk menemukan artikel yang sesuai kriteria inklusi dan eksklusi dengan memasukan kata kunci “SEFT, Hipertensi, Lansia” dalam periode 2011-2021. Instrument untuk menilai kualitas artikel menggunakan CONSORT Instrumen. Hasil literature review menunjukan mean tekanan darah systole dan diastole sebelum dilakukan terapi SEFT adalah 163 mmHg dan 93 mmHg. Sedangkan mean tekanan darah systole dan diastole setelah dilakukan terapi SEFT adalah 154 mmHg 88 mmHg. Terdapat pengaruh yang signifikan terapi SEFT terhadap penurunan tekanan darah pada lansia lansia dengan hipertensi.Terapi SEFT efektif dan dapat diterapkan sebagai terapi komplementer dalam penurunan tekanan darah pada lansia. Berdasarkan hasil penelitian ini terapi SEFT dapat disosialisasikan kepada masyarakat luas dan dapat diterapkan sebagai terapi alternatif untuk menurunkan tekanan darah pada pasien hipertensi.Kata kunci: SEFT; Lansia;Hipertensi


2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
Z Bargaoui ◽  
K Mzoughi ◽  
S Labbene ◽  
I Zairi ◽  
S Kraiem ◽  
...  

Abstract Funding Acknowledgements Type of funding sources: None. Background Hypertension is a major cardiovascular risk factor, responsible for significant morbidity and mortality. Despite therapeutic progress, blood pressure control remains insufficient. Purpose The aim of our study was to identify the factors associated with poor blood pressure control in the elderly. Methods This was a descriptive study with a prospective data collection including 101 hypertensive treated subjects, aged 65 years and over, followed on outpatient basis between November and December 2019 at the cardiology consultation either at the Habib Thameur hospital or at the Materi hospital. Results Median age was 73 and sex ratio 0.57. The major cardiovascular risk factor was diabetes in 60.4% of cases, followed by dyslipidaemia 48.5% and smoking 40.6%. A history of coronary syndrome was present in 36.6% of cases, followed by atrial fibrillation in 19.8% and 12.9% had a history of ischemic stroke. Thirty-three percent realized regular physical activity and 31% had a high-sodium diet. Four percent of our patients were completely dependent. Among our patients aged 80 and over, 68.2% were frail. The prevalence of poor blood pressure control was 59%. Adherence to treatment was satisfactory in 75.2% of cases. Twelve percent of patients had information about their condition and 89% knew the dosage and schedule for their medication. In multivariate analysis, the factors associated with poor blood pressure control were: non-compliance with treatment (adjusted OR = 0.19; p = 0.013), frailty (adjusted OR = 7.194; p = 0.004), the number of antihypertensive tablets (Adjusted OR = 0.382; p = 0.008), non-use of thiazide diuretics (adjusted OR = 25.903; p = 0.001) and the patient"s lack of knowledge of antihypertensive treatment (adjusted OR = 0.56; p = 0.008). Conclusion Detection of the risk of non-compliance, the use of thiazide diuretics, reducing the number of antihypertensive tablets, screening for frailty and informing the patient about his treatment are necessary to improve blood pressure control in the elderly.


Author(s):  
A. M. Yarosh ◽  
I. A. Batura ◽  
V. V. Tonkovtseva ◽  
V. V. Bekmambetov ◽  
E.-E. V. Nagovskaya ◽  
...  

Objective. To study the effect of clove tree essential oil on the cardiovascular function of the elderly with normal blood pressure and with small deviations in the direction of hypertension and hypotension. Materials and methods. The study included 293 elderly women divided into 3 control (sessions of relaxation psychotherapy) and 3 experimental (sessions of relaxation psychotherapy combined with sessions of aromatherapy with clove tree essential oil) groups by blood pressure (normal, small deviations towards hypertension and hypotension), each of which was divided into three subgroups by exposure time (10, 20 and 30 minutes). Before and after the sessions, systolic, diastolic blood pressure and heart rate of the testees were measured, and then the following indicators were calculated: pulse pressure, stroke volume, minute cardiac output, average dynamic arterial pressure, total peripheral vascular resistance, heart mdex<, Robinson rndex^ Kerdo index<, coefficient of efficiency of blood circulation. Results. It was found that the effect of clove tree essential oil depends on the initial level of blood pressure. The testees with a slightly increased blood pressure (up to140 mm Hg) after aroma sessions of aU durations the blood pressure became normal. Accordingly, the values of the minute cardiac output, heart mdex<, coefficient of efficiency of blood circulation, Robinson index were normalized. The testees with normal blood pressure, the sessions of aroma psycho-relaxation practically did not cause changes in parameters characterizing the functions of the cardiovascular system The testees with moderate hypotension (on the average110 mm Hg) during the aroma sessions had the shifts to the normal of the parameters characterizing the functions of the cardiovascular system Thus, clove tree essential oil has a normalizing effect on the function of the cardiovascular system of elderly women at all its initial values.


2021 ◽  
pp. 690-698
Author(s):  
Brent Feland ◽  
Andy C. Hopkins ◽  
David G. Behm

Although stretching is recommended for fitness and health, there is little research on the effects of different stretching routines on hemodynamic responses of senior adults. It is not clear whether stretching can be considered an aerobic exercise stimulus or may be contraindicated for the elderly. The purpose of this study was to compare the effect of three stretching techniques; contract/relax proprioceptive neuromuscular facilitation (PNF), passive straight-leg raise (SLR), and static sit-and-reach (SR) on heart rate (HR) and blood pressure (BP) in senior athletes (119 participants: 65.6 ± 7.6 yrs.). Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) and HR measurements were taken at baseline (after 5-minutes in a supine position), 45 and 90-seconds, during the stretch, and 2-minutes after stretching. Within each stretching group, (SLR, PNF, and SR) DBP, MAP and HR at pre-test and 2-min post-stretch were lower than at 45-s and 90-s during the stretch. SLR induced smaller increases in DBP and MAP than PNF and SR, whereas PNF elicited lower HR responses than SR. In conclusion, trained senior adult athletes experienced small to moderate magnitude increases of hemodynamic responses with SLR, SR and PNF stretching, which recovered to baseline values within 2-min after stretching. Furthermore, the passive SLR induced smaller increases in BP than PNF and SR, while PNF elicited lower HR responses than SR. These increases in hemodynamic responses (HR and BP) were not of a magnitude to be clinically significant, provide an aerobic exercise stimulus or warrant concerns for most senior athletes.


Esculapio ◽  
2021 ◽  
Vol 17 (2) ◽  
pp. 170-174
Author(s):  
Muhammad Shafiq ◽  
◽  
Miraa Qutab ◽  
Saqib Javaid ◽  
Rida Fatima ◽  
...  

Objectives: To evaluate the response of acute bout of moderate exercise on DBP in preclinical medical students of Services Institute of Medical Sciences (SIMS), Lahore and to compare it with gender, family history, lifestyle and waist-hip-ratio of the study participants. Methods: This cross-sectional study was performed in the Department of Physiology, SIMS from May to December 2019. Ninety-three (93) healthy male and female MBBS students were recruited through nonprobability convenient sampling. Socio-demographic components were gathered using a ques-tionnaire. Anthropometric data (height, weight and waist-hip-ratio) and resting DBP was recorded before the exercise. All participants underwent exercise challenge on a treadmill. Post-exercise DBP was measured by taking serial recordings at zero minutes, 2 minutes and 5 minutes after exercise cessation. Data was analyzed using SPSSv20. Results: Within the 93 participants, 87(93.5%) were physically inactive, with only 6(6.5%) were physically active. In comparison with the baseline DBP, the DBP at zero and 2 minutes post exercise was statistically significant (p<0.001) in study participants. There was no significant correlation between DBP immediately after exercise and gender (p = 0.751); family history of hypertension and diabetes mellitus (p = 0.603); and lifestyle (p = 0.954). A non-significant (p = 0.636) yet positive correlation was observed between post exercise DBPand waist-hip-ratio among males. Conclusion: Our study revealed that an acute bout of exercise significantly raised the DBPimmediately after exercise. This rise in BP was not significantly related to gender, lifestyle and family history of diabetes mellitus and hypertension. Keywords: Diastolic blood pressure, aerobic exercise, waist-hip-ratio, medical students, treadmill How to cite: Shafiq M., Qutab M., Javaid S., Fatima R., Ijaz M., Shafiq A. Effect of acute aerobic exercise on diastolic blood pressure in preclinical medical students of Services Institute of Medical Sciences, Lahore. Esculapio 2021;17(02):170-174.


2018 ◽  
Vol 8 (2) ◽  
pp. 84-89
Author(s):  
Nanthakan Sungsuman Woodham ◽  
Surasak Taneepanichskul ◽  
Ratana Somrongthong ◽  
Nanta Auamkul

Background: Hypertension is a common health problem among the elderly. Approximately 50% have poor adherence to their prescribed medication, which leads to uncontrolled blood pressure. This study was aimed to understand causes of poor adherence and gain knowledge of patient's self-management in their home. Methods: In-depth interviews were conducted. Elderly hypertension patients with poor adherence to antihypertension medication and uncontrol blood pressure, between the ages of 60-79 were purposively selected to participate in this study. Home visits, including observation of patient's behavior in their home, were conducted. Content analysis was performed. Results: A total of thirty respondents were interviewed of which 17 were female and 13 were male. All understood that hypertension is a chronic health problem but most of them were unaware that nonadherence to their hypertension medication treatment would lead to negative consequence to their health. Most respondents had negative beliefs toward hypertension treatment. The reasons for poor adherence are: 1) personal beliefs or habits, which include forgetfulness and negative belief that the medication will not control blood pressure; 2) side effects of medication and 3) negative perceptions influenced by the community. Research results showed that most participants were not taking their prescribed dosage. Additionally, expired medication was commonly found in their medication inventory. High sodium diets and no regular exercise was commonly reported. Conclusion: Patients understood that hypertension is a lifelong condition but unaware of consequence of poor adherence. Personal reason and negative belief as well as wrong belief influenced by community. Forgetfulness and manage dosage of medication should be addressed when designing a strategy to improve medical adherence. Education on controlling hypertension and treatments should be addressed and incorporated into a holistic strategy to improve adherence to the patient's drug regimen.


2021 ◽  
Vol 14 (3) ◽  
pp. e238957
Author(s):  
Bernadette Mdawar ◽  
Christina Abi Faraj ◽  
Munir Khani ◽  
Wael Shamseddeen

Neurodegenerative and mood disorders in the geriatric population might exhibit interchangeable cognitive and behavioural symptoms. This overlap in presentation might raise a diagnostic challenge for psychiatrists evaluating elderly patients who are presenting with such symptoms. Additionally, there is limited data published about early psychiatric manifestations of neurodegenerative disorders in the elderly. We report a case of a 71-year-old with a history of refractory depressive disorder and multiple cardiovascular risk factors presenting with verbalisation of suicidal and homicidal intent as well as mixed mood and psychotic symptoms. The patient was diagnosed with Binswanger’s disease (BD). We also provide a literature review of challenging early psychiatric presentations of neurocognitive disorders and a summary of similar cases to help facilitate diagnosis of BD cases in future.


Rev Rene ◽  
2015 ◽  
Vol 16 (5) ◽  
pp. 722 ◽  
Author(s):  
Paula Cristina Araújo Morais ◽  
Rafaella Pessoa Moreira ◽  
Paula Alves de Lima ◽  
Maria das Graças Fernandes Silva ◽  
Jerry Deyvid Freires Ferreira ◽  
...  

Objectives: to investigate the blood pressure values; to identify the history of cardiovascular diseases and lifestyles of elderly at a social assistance reference center. Methods: cross-sectional study, conducted with fifty elderly. A form with questions regarding social data, history of diseases and lifestyles was applied. In sequence, the blood pressure was checked. Results: it was observed that 73.3% of the elderly had pressure alterations. Systolic alterations were identified in 73.3%, and diastolic, in 10% of the elderly. The most frequently referred cardiovascular diseases were hypertension (70%), diabetes mellitus(38%) and dyslipidemia (32%). The most common risk factors were current or past use of tobacco whether active (68%) or passive (26%), and physical inactivity (48%). Conclusion: people with altered blood pressure and associated risk factors were identified. This situation may contribute to directing nursing care and addressing the real needs of elderly population. 


2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Vinda Prihatini Rahmatillah ◽  
Tantut Susanto ◽  
Kholid Rosyidi Muhammad Nur

ABSTRACT The aging process and changes in the gastrointestinal make the elderly experience health problems in maintaining body mass index (BMI), due to consuming unhealthy nutrition. This can cause the elderly to experience hypertension. The objective of this study was to analyze the relationship between characteristic, BMI and Blood Pressure (BP) in the elderly in Integrated Development Post (posbindu), Bondowoso District. Descriptive analytic research using cross-sectional design on 95 elderly chosen based on cluster random sampling. Data collection was carried out by interview to measure sociodemography status and measurement of BP, weight, and height of the elderly using spigmomanometer, scales and measuring tape. Analysis of the relationship between BMI and BP using spearman rank correlation test. The results showed that most BMI was normal (22,18 ± 3,833). As for systolic blood pressure with median 130.0 mmHg (120.0 – 150.0 mmHg) and diastolic with median 80.0 mmHg (72.0 – 90.0 mmHg). There was no relationship between BMI and systolic BP (r = 0,155; p = 0,134) and diastolic BP (r = 0,200; p = 0,052). However, there was a significant relationship between history of hypertension and systolic BP (Z = -6,351; p = ≤ 0,001) and diastolic BP (Z = -5,834; p = ≤ 0,001) in the elderly. BMI is not related to BP both systolic and diastolic. However, a history of hypertension is associated with systolic and diastolic BP in the elderly in posbindu, Bondowoso district. Therefore, it is necessary to control BMI, so that normal BMI can be maintained and BP is more controlled through the elderly in posbindu.    ABSTRAK Proses penuaan dan perubahan dalam gastrointestinal membuat lansia mengalami masalah kesehatan dalam mempertahankan indeks massa tubuh (IMT) karena mengonsumsi gizi yang tidak sehat. Hal ini dapat mengakibatkan lansia mengalami hipertensi. Tujuan dari penelitian ini untuk menganalisis hubungan antara karakteristik, indeks massa tubuh dengan tekanan darah pada lansia di Posbindu Kabupaten Bondowoso. Penelitian ini deskriptif analitik dengan menggunakan metode cross sectional pada 95 lansia yang dipilih berdasarkan cluster random sampling. Pengumpulan data dilakukan dengan wawancara untuk mengukur status sosio-demografi dan pengukuran tekanan darah, berat badan, dan tinggi badan lanjut usia menggunakan spigmomanometer, timbangan, dan pita pengukur. Analisis hubungan antara IMT dengan tekanan darah menggunakan uji korelasi Spearman Rank. Hasil penelitian menunjukkan bahwa sebagian besar indeks massa tubuh yaitu normal (22,18 ± 3,833). Sedangkan untuk tekanan darah sistolik median 130,0 mmHg (120,0-150,0 mmHg) dan diastolik median 80,0 mmHg (72,0-90,0 mmHg), menunjukkan lansia paling banyak adalah prehipertensi. Tidak ada hubungan antara IMT dengan tekanan darah sistolik (r = 0,155; p = 0,134) dan tekanan darah diastolik (r = 0,200; p = 0,052). Namun, ada hubungan yang signifikan antara riwayat hipertensi dengan tekanan darah sistolik (Z = -6.351; p = ≤ 0,001) dan tekanan darah diastolik (Z = -5.834; p = ≤ 0,001) pada lansia. IMT tidak berhubungan dengan tekanan darah baik sistolik maupun diastolik. Akan tetapi, karakteristik riwayat hipertensi berhubungan dengan tekanan darah sistolik dan diastolik pada lansia di Posbindu Kabupaten Bondowoso. Oleh karena itu, perlu pengontrolan IMT, sehingga dapat dipertahankan IMT normal dan tekanan darah lebih terkontrol melalui posbindu lansia.


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