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Effectiveness of High-Intensity Physical Exercise (HIIT) through Poundfit Exercise on Cognitive Function in Young Adults with A Sedentary Lifestyle Mutiara Alya Zahra; Upik Rahmi; Slamet Rohaedi; Ridha Wahdini
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1307

Technological developments and lifestyle changes following the COVID-19 pandemic have increased the prevalence of sedentary behavior in young adults, potentially negatively impacting cognitive function. Physical activity interventions, particularly High-Intensity Interval Training (HIIT), are known to have benefits for brain health. Pound Fit is a form of HIIT that combines high-intensity exercise, rhythmic music, and motor coordination, but empirical evidence regarding its effects on cognitive function in sedentary young adults is still limited. This study aims to analyze the effectiveness of HIIT through Pound Fit on cognitive function in young adults with a sedentary lifestyle. This study used a Randomized Controlled Trial (RCT) design with a quantitative approach. The MoCA-Ina has been reported to have good construct validity and high reliability with a Cronbach's Alpha value >0.70, making it considered reliable for measuring cognitive function in the Indonesian population. A total of 40 female Nursing students with a sedentary lifestyle were recruited and randomly divided into an intervention group (n=20) and a control group (n=20). The intervention group participated in a HIIT-based Pound Fit exercise program for four weeks (3 times/week, ±45 minutes/session), while the control group carried out their usual activities. Cognitive function was measured using the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina) before and after the intervention. Data analysis was performed using a Paired Samples t-test and an Independent Samples t-test . The results of the paired samples t-test showed a significant increase in cognitive function in the intervention group after Pound Fit exercise (p < 0.001). The independent samples t-test also showed a significant difference in cognitive function scores between the intervention group and the control group in the posttest measurement (p < 0.001). All data met the assumptions of normality and homogeneity. HIIT training through Pound Fit exercise has been proven effective in improving cognitive function in young adults with a sedentary lifestyle. This intervention has the potential to be an applicable promotive and preventive strategy in nursing and public health practice to support the cognitive health of young adults.

Effectiveness of Ergonomic Training in Reducing Musculoskeletal Disorders Among Farmers: An Agricultural Nursing Program Nadia Sintia Wardany; Slamet Rohaedi; Irma Darmawati; Ridha Wahdini; Agni Laili Perdani
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i4.973

Background : Musculoskeletal disorders (MSDs) represent a major occupational health concern among agricultural workers in Indonesia. These conditions commonly arise from repetitive workloads, awkward or non-ergonomic body positions, and insufficient understanding of ergonomic practices. As a result, farmers may experience ongoing discomfort, reduced work capacity, and a decline in overall well-being. Objective : The purpose of this study was to assess the effectiveness of an Ergonomics Exercise Program (EEP) in alleviating musculoskeletal complaints among farmers. Methods : This study applied a pre- and post-intervention design involving 85 farmers. Symptoms related to musculoskeletal disorders were evaluated before and after the intervention using the Visual Analog Scale (VAS) and the Nordic Body Map (NBM). The Ergonomics Exercise Program was carried out over a two-week period, with participants performing 10-minute exercise sessions each day prior to starting work. The intervention focused on flexibility training, strengthening of core muscles, and correction of working posture. Changes in MSD symptoms were analyzed statistically to determine the effect of the program. Results : Before the intervention, 54% of participants reported mild pain, while 46% experienced moderate pain levels. The most commonly affected body areas included the calves (62.3%), lower back (45.8%), arms (40%), and shoulders (28.2%). Following the implementation of the Ergonomics Exercise Program, a statistically significant reduction in musculoskeletal complaints was observed (p < 0.05), particularly in the lower back, shoulders, and calves. Conclusion : The findings indicate that the Ergonomics Exercise Program effectively reduced musculoskeletal disorder symptoms among farmers. Incorporating ergonomics-based exercise routines into agricultural nursing and occupational health initiatives may offer a practical and sustainable approach to improving worker health and preventing MSDs in rural farming populations in Indonesia.

The Effectiveness of a Combination of Slow Breathing Exercises and Progressive Muscle Relaxation on Anxiety Levels in Pre-elderly People with Hypertension Adit Permana; Upik Rahmi; Ridha Wahdini; Slamet Rohaedi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 1 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i1.977

Background: Pre-elderly individuals often suffer from hypertension, a chronic condition that often causes anxiety due to increased sympathetic nervous system activity. By increasing parasympathetic activity and muscle relaxation, non-pharmacological techniques such as Progressive Muscle Relaxation (PMR) and Slow Breathing Exercises (SBE) have been shown to reduce anxiety levels. Objective: The purpose of this study was to determine the impact of progressive muscle relaxation and slow breathing exercises on anxiety levels in pre-elderly individuals with hypertension in Depok Village, Pakenjeng District, Garut Regency. Methods: This study used a quasi-experimental, non-randomized pre-post-test design with two groups (intervention vs. control). 100 pre-elderly participants were selected using purposive sampling. The intervention lasted for one month and consisted of two 30-minute sessions per week. The Hamilton Anxiety Rating Scale (HARS) was used to assess anxiety symptoms. Results were analyzed statistically using the paired samples t test and the independent samples t test for samples with a significance level of p < 0.05. Results: The results of the study found that after the intervention, anxiety scores in the intervention group decreased significantly from a mean of 27.88 (SD 8.47) to a mean of 12.80 (SD 4.82) (p < 0.001), with a substantial effect size (Cohen's d = 2.21). In the control group, the decrease from a mean of 28.82 (SD 9.10) to a mean of 21.94 (SD 7.18) was less pronounced. A significant difference remained between the two groups after the intervention (mean difference = 9.14; 95% CI: 6.72–11.56; p < 0.001), indicating that the combination of SBE and PMR was effective in reducing anxiety. Conclusion: The combination of slow breathing exercises and progressive muscle relaxation is effective in reducing anxiety levels in pre-elderly people with hypertension. This intervention can be recommended as a non-pharmacological supportive therapy in public health services.

Needs Assessment for Ergonomic Patient Repositioning Device Among Bedridden Patients: A Literature Review Irma Darmawati; Agni Laili Perdani; Ridha Wahdini; Nadia Sintia Wardany
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i2.1017

Background: Pressure ulcers remain a prevalent and preventable complication among bedridden patients, with manual repositioning every two hours established as the clinical standard of prevention. This practice places substantial physical demands on nurses and informal caregivers, contributing to high rates of work-related musculoskeletal disorders, including low back pain, among those performing repetitive turning tasks. Despite the availability of various assistive devices, most have been developed without systematic assessment of the combined needs of both patients and caregivers as dual users. Objective: This review aimed to identify clinical, ergonomic, and functional needs for a patient repositioning device among bedridden patients and their caregivers through synthesis of existing literature. Methods: A literature review was conducted using Scopus, PubMed, and EBSCO, covering publications from 2016 to 2024. Articles published in English addressing repositioning practices, assistive device design or evaluation, caregiver ergonomics, or pressure injury prevention in immobile patients were included. Studies unrelated to repositioning function or device ergonomics were excluded. Eight articles met the inclusion criteria and were included in the final synthesis. Results: Three primary need domains were consistently identified across the reviewed literature. First, bedridden patients require effective pressure redistribution to prevent tissue injury during prolonged immobility. Second, caregivers need a reduction in biomechanical workload during repositioning, particularly in lumbar and shoulder loading. Third, the device must offer usability features that enable safe, consistent positioning without requiring multiple personnel or specialized training. Current assistive devices inadequately address all three domains simultaneously, with most designs optimizing for one dimension at the expense of others. Conclusion: Bedridden patients and their caregivers present distinct yet interdependent needs that must be jointly addressed in ergonomic repositioning device development. A dual-user design framework integrating pressure redistribution, biomechanical efficiency, and practical usability represents a critical direction for future nursing research and device innovation.

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