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All Journal Jurnal Kedokteran Diponegoro Jurnal Kesehatan Masyarakat Journal of Biomedicine and Translational Research Media Medika Muda Medica Hospitalia SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL Diponegoro International Medical Journal (DIMJ) Indonesia Journal of Physical Medicine and Rehabilitation Indonesia Journal Physical Medicine and Rehabilitation Neurona
Tanti Ajoe Kesoema, Tanti Ajoe
Department Of Physical Medicine And Rehabilitation, Dr. Kariadi Hospital, Faculty Of Medicine University Of Diponegoro, Semarang.
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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HIGH-INTENSITY INTERVAL TRAINING EFFECTS ON SLEEP, ANXIETY AND QUALITY OF LIFE IN OBESE AND OVERWEIGHT ADOLESCENTS Dayita Sukma Destanta; Avissia Zivanna; Elisha Jethro Solaiman; Erna Setiawati; Tanti Ajoe Kesoema
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 15, No 6 (2026): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v15i6.55218

Abstract

Background: It is estimated that more than 7 million Indonesians aged 5–19 years were living with obesity. The rise of obesity is also highly associated with increasing sleep disturbance, psychological distress, and reduced quality of life. High-Intensity Interval Training (HIIT) is a time-efficient exercise strategy that may improve these outcomes. Objective: To analyze the effects of twelve weeks HIIT program on sleep quality, depression, anxiety, stress symptoms, and quality of life among overweight and obese adolescents in Indonesia. Methods: Quasi-experimental pre–post study compared a HIIT group with a control group. Participants were recruited from two senior high schools in Semarang. HIIT was performed three times weekly for twelve weeks. Sleep quality was assessed using PSQI, psychological symptoms with DASS-21, and quality of life with the Indonesian WHOQOL-BREF. Wilcoxon and Mann–Whitney tests were used (p<0.05). Results: The HIIT group showed improved sleep quality with lower PSQI scores (median 5 to 3; p<0.001), while the control group was indifferent. DASS-21 subscales improved in the HIIT group, with reductions in depression (p=0.005), anxiety (p<0.001), and stress (p=0.006); post-intervention scores favored HIIT for depression (p=0.003), anxiety (p<0.001), and stress (p=0.026). At Indonesian WHOQOL-BREF, HIIT increased the psychological domain (p=0.002), social relationships domain (p=0.015), and the environmental domain (p=0.011), but not the physical domain (p>0.05). Post-intervention, between-group differences were significant for psychological (p<0.001) and environmental domains (p=0.021), but not for social relationships. Conclusions: Twelve weeks HIIT program improved sleep quality, reduced depression, anxiety, stress symptoms and enhanced quality-of-life domains, supporting HIIT as school-based option for overweight and obese adolescents.
Co-Authors Aditya Paramitha Andini Adji, Raden Mas Soerjo Arnan Victor Wiryawan Asmara Putri, Rahmi Isma Avissia Zivanna Dayita Sukma Destanta Dewi, Novita Sari Dinanti Bintang Shahrani Dodik Dumadi Edwin Basyar Elisha Jethro Solaiman Erna Setiawati Erna Setiawati Erna Setiawati, Erna Ervi, Ervi Faiza, Agyta Hanifa Hana Widyaningtyas Hari Peni Julianti Husodho, Gabriela Valencia Putri Ibnu Pradatama Ifandias Gian Abhista Indra Hidayat Kumalasari, Anatalya Diah Ayu M. Kamaluddin K Maharani Cahyono Maria Belladonna Rahmawati Sugianto Novriansyah, Robin Pasmanasari, Elta Diah Putri, Rahmi Isma Asmara Rahmi Isma AP Rahmi Isma Asmara Putri Ramadhini, Amira Alya Cendekia Riski Prihatningtias Ronni Untung Handayanto Roselina, Jessica Rudy Handoyo Rudy Handoyo Rudy Handoyo, Rudy Santoso, Rhevensa Shofa Chasani Trianggoro Budisulistyo Wajdi, Muhammad