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Multicomponent Exercise Module: Guidelines for Improving Frailty, Hemodynamic Parameters, and Balance in Older Adults Kusumowardani, Andreany; Kuswardhani, R.A. Tuty; Muliarta, I Made; Sundari, Luh Putu Ratna
Jurnal Kesehatan Vokasional Vol 10, No 2 (2025): May
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.106152

Abstract

Background: One in five Indonesian elderly was frail. Multicomponent exercise is one of the recommended strategies for frailty management in the elderly. However, it would be difficult for the elders to practice the exercise without proper exercise guidelines. In this study, a Multicomponent Exercise Program (MEP) module has been developed and implemented as exercise guidelines, but its effectiveness to improve physical performance of frail elderly has not been tested.Objective: The study aimed to determine the effectiveness of the MEP in the module to improve frailty, hemodynamic parameters, and balance in pre-frail and frail elderly.Methods: Quasi-experimental method was used in the study involving 17 participants (73.47 + 8.43 years). The MEP was conducted 3 times per week for 12 weeks, consisted of flexibility, balance, aerobic, and strength training. Categorical data were analyzed using McNemar's test while analysis of continuous data using paired t-test or Wilcoxon Signed Rank, α = 0.05.Results: The MEP decreased frailty scores, systolic, diastolic blood pressure, and mean arterial pressure (p < 0.000), and improved balance (p = 0.023) in the elderly. Furthermore, the program reduced the frailty status, as evidenced by 41.18% of frail participants becoming pre-frail and 5.88% participants shifting from pre-frail to robustness.Conclusion: The MEP in the module was effective to improve frailty, hemodynamic parameters, and balance in the elderly. However, this needs to be confirmed with larger samples and better research designs.
Co-Authors A.A.Istri Firasti Widyaratni A.A.Ngurah Wisnu Nayaka Putra AA Lanang Dananjaya Putra Dewa WA Agha Bhargah Agus Suarjaya Putra Alex Pangkahilla Ali Imron Anak Agung Ayu Ngurah Susraini Anak Agung Fridami Dewi Andreany Kusumowardani Andriana, Laily Mita Andy Sirada annie minerva datui Arfian Hamzah Ari Wibawa Ari Wibawa Asshiddiqie Chirac Sepakat Purba Ayunindya, Dewa Ayu Agung Megaretha Bagus Komang Satriyasa Bella Noviantika Bertha Melyana Boki Jaleha Catherina . D A inten Dahlan Abdullah Damayanti, Ni Kadek Ayu Maya Daryono . . Deny Sutrisna Wiatma Desak Made Wihandani Dewa Ayu Eka Wahyuni Dewa Gede Putra Angga Pradnyana Dewa Putu Gde Samatra Dewi, Anak Ayu Nyoman Trisna Narta Diahningrum, Sylvi Dio Septiyan Helmi Dionisius Wora Dw P. Sutjana Dwi Halim Kevin Gautama Dyno Aryo Christanto Enny Wulandari Febrina, Jessica Felicia Holil Gabriela Queensanya Lienardy Ganesa Puput Dinda Kurniawan Gde Ngurah Idraguna Pinatih Gusti Agung Gede Rama Wintara Gusti Made Agung Mega Utama Hairudin - Hendrata, Winona May Herman Saputra Herman Saputra I Dewa Ayu Agung Diah Sutarini I Dewa Ayu Inten Dwi Primayanti I Dewa Ayu Inten Dwi Primayanti I Dewa Putu Sutjana I Gede Bagus Bhaskara Wijaksana I Gede Bayu Utama Putra I Gede Donny Hendrawan I Gede Koko Gustrawan I Gede Widyatmika Pratama I Gusti Agung Ayu Narita Savitri I Gusti Ayu Artini I Gusti Ayu Putu Armayanthi I Gusti Ayu Sri Mahendra Dewi I Ketut Suada I Komang Suciptha Gago I Made Adi Widiantara I Made Ady Wirawan I Made Ari Samudera I Made Astika Yasa I Made Dhita Prianthara I Made Dwi Ariyuda I Made Gotra I Made Jawi I Made Krisna Dinata I Made Niko Winaya I Made Wahyu Palguna I Made Winarsa Ruma I Made Wirya Sastra I Made Wisnu Saputra I Nengah Sandi I Nyoman Adi Putra I Nyoman Mangku Karmaya I P G. Adiatmika I Putu Adiartha Griadhi I Putu Gde Surya Adhitya I Putu Gede Andyka Yasa I Putu Gede Windhu Saputra I Putu Prisa Jaya . I Putu Putra Suarsana I Putu Sutha Nurmawan I Wayan Bandem Adnyana I Wayan Juli Sumadi I Wayan Sugiritama I Wayan Surata I Wayan Weta I.A. Pascha Paramurthi Ida Ayu Dyah Yusa Dhammayanthi Ida Ayu Ika Wahyuniari Ida Ayu Intan Kartika Dewi Ida Ayu Made Pradnyanini Ida Bagus A. Swamardika Ida Bagus Adnyana Manuaba Ida Bagus Ngurah Ida Bagus Ngurah Ihsan, Muammar Ika Fitri Wulan Dhari Iman Santoso indah adiputra Indira Vidiari J Indra Lesmana Indrasuari, A.A Istri Diah Ivana Juliarty Sitanggang J. A. Pangkahila Jasmine Kartiko Pertiwi Jhon Roby Purba K Tirtayasa K Tirtayasa K tirtayasa K. Tirtayasa Kadek Kristina Harum Lasmi Katrin Rotua Simbolon Ketut Laksmi Puspa Dewi Ketut Tirtayasa Ketut Trisandy Khaerul Anam Komang Tri Adi Suparwati Kunjung Ashadi Kusumaningrum, Cornelia Ayu Liza Ariani Luh Ayu Widayanti Luh Made Indah S.H. Adiputra Luh Made Indah Sri H.A Luh Made Indah Sri Handari Adiputra Luh Made Indah Sri Handari Adiputra Luh Made Indah Sri Handari Adiputra Luh Made Indah Sri Handari Adiputra Luh Made Indah Sri Handari Adiputra Luh Putu Iin Indrayani Maker Luh Putu Ratna Sundari Luh Putu Ratna Sundari M Widnyana M. Ali Imron M.Ali Imron Made Adhi Dharma Setiawan Made Aditya Yogi Guntara Made Hendra Satria Nugraha Made Rania Deviyanti Made Sudarma Maghfirotul Iffah Makbullah - Maker, Luh Putu Iin Indrayani Manuela Serrano, Christina Zita Maria Imaculata Date Masrum Syam Meiza Anniza Meryl Pulcheria Moh. Ali Imron, Moh. Mohammad Syahroni Muh. Irfan Muh. Irfan Muhammad Ali Imron Muhammad Irfan Muhammad Irfan Muhammad Irfan Muthia Munawaroh Muthiah Munawaroh N. Adiputra N. Adiputra N. Adiputra Ni Eka Dewi Ambarawati Ni Kadek Ayu Maya Damayanti Ni Kadek Citra Patmala Ni Kadek Vindy Aprilyanti Ni Ketut Dewi Irwanti Ni Komang Ari Sepriyanti Ni Komang Dewi Semariasih Ni Luh Gede Puji Andini Ni Luh Made Reny Wahyu Sari Ni Luh Nopi Andayani Ni Luh Tu Pertiwi Ni Made Ida Kristina Dewi Ni Made Indah Pratiwi Ni Made Ista Prestiyanti Ni Made Linawati Ni Made Mahastuti Ni Made Rininta Adi Putri Ni Nengah Nita Sulistyawati Ni Nyoman Ayu Dewi Ni Nyoman Ayu Dewi Ni Nyoman Ayu Dewi Ni Nyoman Suratmiti Ni Putu Dita Kristinayanti Ni Putu Dwi Larashati Ni Putu Haryska Wulan Ni Putu Purnamawati Ni Putu Ruspata Bhyantari Ni Putu Sriwidyani Ni Wayan Rusni Ni Wayan Sintyabudi Kumalapatni Ni Wayan Tianing Ni Wayan Winarti Nila Wahyuni Nur Basuki Nurdianto, Arif Rahman Nyoman Kabella Cinthya Devi Oktovianus Fufu Popi Imelda Margareth Sitompul Purnawati, Susy Purnawati Putu Astawa Putu Ayu Sita Saraswati Putu Dede Asta Wiguna R. A.T. Kuswardhani Rina Mayangsari S Indra Lesmana S. Indra Lesmana S. Indra Lesmana S. Indra Lesmana S. P. Dedy Darma Yasa Santi Bery Hastuti Santoso Santoso Sawitri, Anak Agung Sagung Soeyanto, Milka Ivenna Sri Mahendra Dewi, I Gusti Ayu Suadnyana, Ida Ayu Astiti Sugijanto - Sugijanto - Sugijanto - Sulfandi Sulfandi Susy Purnamawati Susy Purnawati Sutha Nurmawan Swarmadika, Ida Bagus Alit Syahmirza Indra Lesmana Tjokorda Gde Bagus Mahadewa Tri Juniari, Ni Komang Trisna Damayanti Tyas, Ni Luh Putu Larasati Prabawaning Utomo Wicaksono Volman Tampubolon Wahyuddin, Wahyuddin Wahyudin - Wahyuni Novianti, I Gusti Ayu Sri Yohanes Seran Yuliana Yuliana