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All Journal Indonesian Journal of Medicine Journal of Health Promotion and Behavior Journal of Maternal and Child Health Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Ilmu dan Teknologi Kesehatan FISIO MU: Physiotherapy Evidences
Cahyaningrum, Hapsari
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Computer Science & IT Health Professions Medicine & Pharmacology Nursing Public Health

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Meta-Analysis: The Effect of Physical Activity in Reducing Excessive Gestational Weight Gain and Gestational Diabetes Mellitus among Overweight and Obese Pregnant Women Cahyaningrum, Hapsari; Tamtomo, Didik; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (35.255 KB) | DOI: 10.26911/thejmch.2023.08.01.08

Abstract

Background: The prevalence of overweight and obesity among women continues to increase every year. Overweight and obesity can lead to complications in pregnancy such as Excessive gesta­tional weight gain (EGWG) and Gestational diabetes mellitus (GDM). Physical activity inter­vention is an option to prevent EGWG and GDM. The study aims to analyze the effects of physical activity interventions in reducing EGWG and GDM. Subjects and Method: The study used a meta-analysis study design by following PRISMA guidelines. The research question was formulated in PICO.  The population was pregnant women with a Body Mass Index (BMI) of > 25 kg/m2. The intervention used was measured physical acti­vity. The comparison was without measured physical activity. The outcomes were EGWG and GDM. Article search was carried out through the databases such as PubMed, Cochrane Library, Scopus Database, and PEDro which was published from 2011 to 2020. The article search used the following keywords: "pregnancy" OR "pregnant woman" AND "obese" OR "overweight" AND "excessive gestational weight gain" OR "gestational weight gain" OR "weight gain" AND "gestatio­nal diabetes mellitus" OR "gestational diabetes" AND "exercise " OR "antenatal exercise" OR "physical activity". Articles that met the criteria were full-text articles with a Randomized Control Trial (RCT) study design. The assessment of the quality of the study was conducted with Cochrane Collaboration's Tool for Assessing Risk of Bias and the articles were subsequently analyzed using the Review Manager 5.4 application. Results: A total of 10 articles analyzed in this study came from Asian, European, Australian, and American countries with a total sample of 2,086. The results of the meta-analysis showed that overweight and obese pregnant women who performed measured physical activity did not experience weight changes compared to those who did not engage in physical activity (SMD= 0.03; 95% CI= 0.17 to 0.73; p=0.770).  However, overweight and obese pregnant women who do measured physical activity experience changes in fasting sugar levels compared to those who did not do measured physical activity (SMD= 0. 20; CI95%= 0.30 to 0.10; p=0.001). Conclusion: The results of this study state that physical activity interventions are effective in reducing GDM but not for EGWG in overweight and obese pregnant women. Keywords: physical activity, excessive gestational weight gain, gestational diabetes mellitus, overweight and obese pregnant women, meta-analysis. Correspondence: Hapsari Cahyaningrum. Master’s Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: hapsaricahyaningrum27@gmail.com. Mobile: 081328932469.
The Impact Lowcost Management Balance Exercise Program Reduce Fall Risk In The Elderly In Surakarta Mutnawasitoh , Asita Rohmah; Mirawati, Dita; Cahyaningrum, Hapsari
FISIO MU: Physiotherapy Evidences Vol. 6 No. 1 (2025): Physiotherapy in Management and Prevention
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v6i1.7498

Abstract

Introduction: The aging process is a process of aging in the elderly group characterized by, among other things, changes in body balance that will impact the risk of falling. This study aims to determine the effect of the Low-Cost Management Balance Exercise Program as an effort to reduce the risk of falls among the elderly in Surakarta. Method: The type of this research is quantitative with a quasi-experimental design. This study uses a Pre-Test Post-Test with Control Group Design research design with subject selection using purposive sampling. Results: data were analyzed using the paired sample t-test. Results: The result obtained a p-value of 0.001 (p < 0.05), which means that there is a significant difference in balance values before and after the exercise was given in group 1, which is the treatment group. In the control group, a p-value of 0.004 (p < 0.05) was obtained, indicating a significant difference in balance values before and after the exercise was given. Conclusion: The Low-Cost Management Balance Exercise program is effective in reducing the risk of falls in the elderly.
Decline in Estrogen Levels and Its Impact on Muscle Strength in Elderly Women: A Systematic Review Cahyaningrum, Hapsari; Silanurrahmi, Athaya Zuhra; Hakim , Gamadhan Kholid Rahman
Indonesian Journal of Medicine Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.4.755

Abstract

Background: In the musculoskeletal system, old age is closely related to a decline in muscle strength. Decreased muscle strength in women is caused by the influence of changes in estrogen hormone levels. Several studies were conducted to see how estrogen affects muscle mass, muscle function, muscle damage, muscle regeneration, inflammation in the body, mitochondrial funct¬ion, and substrate metabolism. Therefore, the study was carried out with the aim of conducting further study focusing on estrogen on muscle strength in elderly women.Subjects and Method: The study was conducted with a systematic review design. The study was carried out in accordance using PRISM guidelines with the PICO formula. Population: elderly women, Intervention: estrogen hormone, Outcome: muscle weakness. Article searches were carried out through several databases, namely PubMed, Cochrane Library, Scopus Database, and Physio-therapy Evidence Database (PEDro) with the keywords: estrogen OR "estrogen hormone" OR "muscle strength" OR "risk of falls" OR "menopause" OR "women elderly." Risk of bias assessment was carried out according to the study design of each article.Results: There were 10 articles involved in this study. The article has a cross-sectional and longitudinal study design. Articles had a low and medium risk of bias assessment. 6 articles stated that there was a relationship between changes in estrogen hormone levels and muscle weakness. 4 articles stated that there was no relationship between changes in estrogen hormone levels and muscle weakness. Conclusion: There is a inconsistent relationship between estrogen levels and muscle strength in elderly women.
Meta-Analysis: Effectiveness of Web-Based Intervention to Increase Physical Activity in Older People Fazrina, Gina; Cahyaningrum, Hapsari
Journal of Health Promotion and Behavior Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: The increasing global population of older people and the trend of life expectancy make the discussion of physical activity an urgent urgency, given its role in preventing various non-communicable diseases and increasing life expectancy. Web-based intervention is believed to be an intervention that can change habits related to physical activity in older people. This study aimed to find out whether web-based intervention is effective in increasing physical activity for older people.Subjects and Method: This research is a meta-analysis based on the PRISMA flow diagram. The article search process is carried out through journal databases, in the form of: Google Scholar, PubMed, and ResearchGate. Keywords to search for articles are: "Aged" OR "older adult" OR "elderly" AND "Exercise" OR "exercise" OR "physical activity" OR "physical activities" OR "physical exercise" OR " physical exercises" OR "physical fitness" AND "Internet-Based Intervention" OR "internet-based interventions" OR "web-based interventions" OR "web-based interventions" OR "online interventions" OR “internet intervention” OR “mobile health” OR “mhealth” OR “tele­health” OR “ehealth” AND “randomized control trials” OR “randomized control trials” OR “RCT”. The articles included are study design randomized control trial (RCT), articles with research subjects older people aged 50 years and over, and the intervention used is web-based intervention. Articles that meet the criteria are then analyzed using the Revman 5.3 application.Results: A total of 9 articles were found from the Netherlands, Spain, England, Belgium, and Sweden. The data collected showed that web-based intervention increase physical activity in older people, and it was statistically significant (SMD= 0.78; 95% CI=0.15 to 1.41; p= 0.020).Conclusion: Web-based intervention is effective for increasing physical activity for older people who are more than 50 years old.Keywords: web-based intervention, physical activity, older people, meta analysis.Correspondence:Gina Fazrina. Study Program of Physiotherapy, School of Health Sciences Cirebon. Jl. Brigjen Dharsono No. 12B ByPass Cirebon 45153, West Java, Indonesia. Email: ginafazrina@gmail.com. Mobile: +681212533833.Journal of Health Promotion and Behavior, (2022), 07(01): 55-66DOI: https://doi.org/10.26911/thejhpb.2021.07.01.06 
Incident Number of Decline in Functional Physical Activity In The Elderly at Jebres, Surakarta Mutnawasitoh, Asita Rohmah; Mirawati, Dita; Cahyaningrum, Hapsari; Setiawan, Cahyo; Sari, Apriliyan Yunita; Azizah, Qoriq Nur; Alvin, Nadia
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6439

Abstract

Health services for the elderly group need to be carried out according to their needs. To understand the health needs of the elderly group, it is necessary to examine the number of cases or prevalence of a case that is a problem for the elderly. Decreased physical functional activity in the elderly is a problem that is often encountered and due to degenerative diseases. Decreased physical functional activity in the elderly results in an increased risk of disability. There have been no reports regarding the number of cases of the elderly who experience decreased physical functional activity, the number of cases or prevalence of decreased physical functional activity in the elderly. The study used descriptive quantitative research method with a cross-sectional research design. The subjects of the study were elderly people aged 60-70 years who had no history of musculoskeletal injury/trauma and did not use walking aids. The research instrument used to measure the decline in functional activity was the Physical Activity Scale for the Elderly (PASE). The assessment results showed that 46 elderly people (76.7%) were in the category of low physical functional activity and 14 elderly people (23.3%) had good functional activity. The female elderly group consisted of 28 (75.7%) who had lower scores compared to male elderly. The 60-70 age group consisted of 30 elderly (78.9%) had a lower PASE score compared to the 71-80 age group. The housewife occupation group consisted of 22 elderly people (75.9%) had lower scores compared to the entrepreneur, laborer and retiree groups. The number of cases of decreased physical functional activity in the elderly is 46 individuals or 76.7%. The decline in physical functional activity was influenced by age, gender and occupation. To further explore the factors that influence the decline in physical functional activity.
The Effect of Breathing Exercise and Progressive Muscle Relaxation on Improving Sleep Quality in Postmenopausal Women Cahyaningrum, Hapsari; Sari, Apriliyan Yunita; Umatin, Khoiru
jitek Vol 13 No 1 (2025): September 2025
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i1.2261

Abstract

Sleep disturbances are common among menopausal women and negatively affect quality of life, cognitive function, and emotional well-being. The decline in estrogen and progesterone during menopause often leads to insomnia, hot flashes, and anxiety. Non-pharmacological approaches such as Progressive Muscle Relaxation (PMR) and Breathing Exercise (BE) are considered effective, yet studies combining both methods remain limited, particularly in community-based settings. This study aimed to evaluate the effect of combined PMR and BE on sleep quality in menopausal women within an Integrated Health Post for the Elderly (Posyandu Lansia) community. A preexperimental one-group pretest–posttest design was used. Twenty-six menopausal women, members of the Posyandu Lansia Dahlia II in Surakarta, Indonesia, were recruited through total sampling. The intervention consisted of PMR and BE, conducted five times per week for eight weeks. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention. Data were analyzed using the Wilcoxon Signed-Rank Test with a significance threshold of p < 0.05. Before the intervention, all participants reported poor sleep quality with an average PSQI score of 7.54. After eight weeks, 53.8% of participants showed good sleep quality, with the average PSQI score decreasing to 6.12. Statistical analysis revealed a significant difference between pre- and post-intervention scores (p = 0.0001). In conclusion, the combination of PMR and BE significantly improved sleep quality in menopausal women and may serve as an effective, low-cost, community-based health promotion strategy.
Co-Authors Alvin, Nadia Asita Rohmah Mutnawasitoh Azizah, Qoriq Nur Bhisma Murti Cahyo Setiawan Didik Tamtomo, Didik Dita Mirawati Fazrina, Gina Hakim , Gamadhan Kholid Rahman Sari, Apriliyan Yunita Silanurrahmi, Athaya Zuhra Umatin, Khoiru