Percepción sobre salud y ejercicio entre adultos mayores indonesios: un estudio exploratorio secuencial en comunidades rurales javanesas (Perception on health and exercise among indonesian older adults: a sequential exploratory study in javanese rural communities)

Autores/as

  • Agam Akhmad Syaukani Universitas Muhammadiyah Surakarta
  • Gatot Jariono Universitas Muhammadiyah Surakarta
  • Nugroho Susanto Padang State University
  • Hendra Setyawan Yogyakarta State University

DOI:

https://doi.org/10.47197/retos.v59.107148

Palabras clave:

salud, ejercicio, adultos mayores, comunidades rurales, GPAQ

Resumen

Este estudio tiene como objetivo investigar las percepciones de la salud y el ejercicio entre los adultos mayores en comunidades rurales javanesas en Indonesia. A través de un enfoque exploratorio secuencial, la investigación descubre diversos niveles de conocimiento sobre la salud y el ejercicio entre la población rural. Participaron 40 adultos mayores de tres regencias diferentes en la provincia de Java Central, quienes completaron el Cuestionario de Actividad Física Global (GPAQ). Se realizó un análisis cualitativo adicional utilizando 25 muestras de las 40 a través de un método conveniente. Se llevó a cabo una entrevista semiestructurada para confirmar los resultados del cuestionario y explorar su percepción sobre la salud y el ejercicio. A pesar de las variaciones, emerge una creencia predominante entre los participantes con respecto a los importantes beneficios para la salud asociados con el ejercicio. El análisis revela que una mayoría considerable (87.5%) de los participantes cumple con los estándares recomendados por la Organización Mundial de la Salud de >600 METs/semana, principalmente a través de actividades físicas relacionadas con el trabajo. Sin embargo, sigue existiendo una notable disparidad en la prevalencia de la actividad física durante el tiempo de ocio, particularmente en la participación en actividades físicas relacionadas con el deporte. El puntaje acumulado de METs proviene predominantemente de actividades laborales y de viaje. El estudio cualitativo revela que todavía hay pocas iniciativas entre los adultos mayores para adoptar un estilo de vida saludable a través del deporte y el ejercicio. Algunos creen que el deporte nunca fue parte de su cultura. Para abordar estos hallazgos, instamos a intervenciones estratégicas por parte de las partes interesadas para aumentar la conciencia entre los adultos mayores rurales sobre la importancia del deporte y el ejercicio para mejorar el bienestar general. Esto implica la implementación de programas de educación para la salud y la facilitación de actividades de ejercicio colectivo a nivel de aldea.

Palabras clave: salud, ejercicio, adultos mayores, comunidades rurales, GPAQ

Abstract. This study aims to investigate the perceptions of health and exercise among older adults in rural Javanese communities in Indonesia. Through a sequential exploratory approach, the research uncovers diverse levels of knowledge regarding health and exercise among the rural population. There are 40 older adults from three different regency in Central Java Province participated in filling out the Global Physical Activity Questionnaire (GPAQ). Further qualitative analysis used 25 samples out of 40 through convenient method. Semi-structured interview is conducted to confirm results of questionnaire and explore their perception on health and exercise. Despite variations, a predominant belief emerges among participants regarding the significant health benefits associated with exercise. Analysis reveals that a considerable majority (87.5%) of participants meet the World Health Organization's recommended standards of >600 METs/week, primarily through work-related physical activities. However, there remains a notable disparity in the prevalence of physical activity during leisure time, particularly in engaging in sport-related physical activities. The accumulated METs score dominantly comes from work and travel-related activities. Qualitative study reveals that there are still few initiatives among older adults to adopt a healthy living through sports and exercise. Some believe that sports were never part of their culture. To address these findings, we urge for strategic interventions from stakeholders to enhance awareness among rural older adults about the importance of sports and exercise to enhance the overall well-being. This entails the implementation of health education programs and the facilitation of collective exercise activities at the village level.

Keywords: health, exercise, older adults, rural communities, GPAQ

Biografía del autor/a

Agam Akhmad Syaukani , Universitas Muhammadiyah Surakarta

Departamento de Educación Física, Facultad de Educación y Formación del Profesorado

Gatot Jariono , Universitas Muhammadiyah Surakarta

Departamento de Educación Física, Facultad de Educación y Formación del Profesorado

Nugroho Susanto , Padang State University

Departamento de Salud y Recreación, Facultad de Ciencias del Deporte

Hendra Setyawan , Yogyakarta State University

Departamento de Educación Física, Salud y Recreación, Facultad de Ciencias del Deporte

Citas

Alam, Md. M., Murad, Md. W., Noman, A. H. Md., & Ozturk, I. (2016). Relationships among carbon emissions, economic growth, energy consumption and population growth: Testing Environmental Kuznets Curve hypothesis for Brazil, China, India and Indonesia. Ecological Indicators, 70, 466–479. https://doi.org/10.1016/j.ecolind.2016.06.043

Batsis, J. A., Daniel, K., Eckstrom, E., Goldlist, K., Kusz, H., Lane, D., Loewenthal, J., Coll, P. P., & Friedman, S. M. (2021). Promoting Healthy Aging During Covid-19. Journal of the American Geriatrics Society, 69(3), 572–580. https://doi.org/10.1111/jgs.17035

Bélanger, M., Townsend, N., & Foster, C. (2011). Age-related differences in physical activity profiles of English adults. Preventive Medicine, S0091743511000673. https://doi.org/10.1016/j.ypmed.2011.02.008

Brandão, G. S., Brandão, G. S., Sampaio, A. A. C., Damas Andrade, L., Fonseca, A. L., Campos, F. K. R., Silva, A. S., Silva, M. M., Oliveira‐Silva, I., Vieira, R. P., Donner, C. F., Silva, R. A., Camelier, A. A., & Oliveira, L. V. F. (2021). Home physical exercise improves functional mobility and quality of life in the elderly: A CONSORT‐prospective, randomised controlled clinical trial. International Journal of Clinical Practice, 75(8). https://doi.org/10.1111/ijcp.14347

Brinkley, A., McDermott, H., & Munir, F. (2017). What benefits does team sport hold for the workplace? A systematic review. Journal of Sports Sciences, 35(2), 136–148. https://doi.org/10.1080/02640414.2016.1158852

Challoumas, D., Crosbie, G., O’Neill, S., Pedret, C., & Millar, N. L. (2023). Effectiveness of Exercise Treatments with or without Adjuncts for Common Lower Limb Tendinopathies: A Living Systematic Review and Network Meta-analysis. Sports Medicine - Open, 9(1), 71. https://doi.org/10.1186/s40798-023-00616-1

Chudasama, Y. V., Khunti, K., Gillies, C. L., Dhalwani, N. N., Davies, M. J., Yates, T., & Zaccardi, F. (2020). Healthy lifestyle and life expectancy in people with multimorbidity in the UK Biobank: A longitudinal cohort study. PLOS Medicine, 17(9), e1003332. https://doi.org/10.1371/journal.pmed.1003332

Cicih, L. H. M., & Agung, D. N. (2022). Lansia di era bonus demografi. Jurnal Kependudukan Indonesia, 17(1), 1. https://doi.org/10.14203/jki.v17i1.636

Dagenais, M., Krajnovic, A., Galway, S., & Gammage, K. (2024). Instructors’ Perceptions and Experiences of Teaching Online Exercise Classes to Older Adults: A Qualitative Study. Journal of Aging and Physical Activity, 32(1), 124–137. https://doi.org/10.1123/japa.2022-0434

Devereux-Fitzgerald, A., Powell, R., Dewhurst, A., & French, D. P. (2016). The acceptability of physical activity interventions to older adults: A systematic review and meta-synthesis. Social Science & Medicine, 158, 14–23. https://doi.org/10.1016/j.socscimed.2016.04.006

Fikriyah, I. N., Naufal, A. F., & Wijianto, W. (2021). Hubungan Keseimbangan Dinamis dengan Activity of Daily Living pada Lansia Muda. FISIO MU: Physiotherapy Evidences, 2(2), 59–64. https://doi.org/10.23917/fisiomu.v2i2.10060

Fulmer, T., Reuben, D. B., Auerbach, J., Fick, D. M., Galambos, C., & Johnson, K. S. (2021). Actualizing Better Health And Health Care For Older Adults: Commentary describes six vital directions to improve the care and quality of life for all older Americans. Health Affairs, 40(2), 219–225. https://doi.org/10.1377/hlthaff.2020.01470

Gallè, F., Di Onofrio, V., Romano Spica, V., Mastronuzzi, R., Russo Krauss, P., Belfiore, P., Buono, P., & Liguori, G. (2017). Improving physical fitness and health status perception in community‐dwelling older adults through a structured program for physical activity promotion in the city of Naples, Italy: A randomized controlled trial. Geriatrics & Gerontology International, 17(10), 1421–1428. https://doi.org/10.1111/ggi.12879

Galvão, L. L., Silva, R. R., Ribeiro, R. M., Tribess, S., Santos, D. D. A. T., & Virtuoso Júnior, J. S. (2021). Effects of Reallocating Time Spent Engaging in Sedentary Behavior and Physical Activity on Mortality in Older Adults: ELSIA Study. International Journal of Environmental Research and Public Health, 18(8), 4336. https://doi.org/10.3390/ijerph18084336

Galway, S. C., Laird, M. H. D., Dagenais, M., & Gammage, K. L. (2023). Navigating a New Normal: Perceptions and Experiences of an Online Exercise Program for Older Adults During COVID-19. Journal of Aging and Physical Activity, 31(5), 743–755. https://doi.org/10.1123/japa.2022-0118

Haque, I., Schlacht, T. Z., & Skelton, D. A. (2024). The effects of high velocity resistance training on bone mineral density in older adults: A systematic review. Bone, 179, 116986. https://doi.org/10.1016/j.bone.2023.116986

He, Y., Wei, B., & Li, Y. (2023). The impact of using community home-based elderly care services on older adults’ self-reported health: Fresh evidence from China. Frontiers in Public Health, 11, 1257463. https://doi.org/10.3389/fpubh.2023.1257463

Hernawan, T., & Rosyid, F. N. (2017). Pengaruh Senam Hipertensi Lansia terhadap Penurunan Tekanan Darah Lansia dengan Hipertensi di Panti Wreda Darma Bhakti Kelurahan Pajang Surakarta. Jurnal Kesehatan, 10(1), 26–31. https://doi.org/10.23917/jk.v10i1.5489

Ibrahim, F. M., Fadila, D. E., Elshatarat, R. A., Ibrahim, A. M., & Abd Elmawla, D. A. (2023). Effect of a Home-Based Simplified Tai Chi Exercise Program on Sleep Quality, Daytime Sleepiness, Quality of Life, and Psychological Well-Being in Egyptian Older Adults: A Quasi-Experimental Study. Biological Research For Nursing, 10998004231205014. https://doi.org/10.1177/10998004231205014

Indonesia Statistics. (2024a, March 8). Jumlah Penduduk Menurut Provinsi di Indonesia (Ribu Jiwa), 2020-2022. Jumlah Penduduk Menurut Provinsi di Indonesia (Ribu Jiwa), 2020-2022. https://sulut.bps.go.id/indicator/12/958/1/jumlah-penduduk-menurut-provinsi-di-indonesia.html

Indonesia Statistics. (2024b, August 3). Jumlah dan Distribusi Penduduk. Indonesia Population. https://sensus.bps.go.id/main/index/sp2020#:~:text=Jumlah%20penduduk%20Indonesia%20pada%20tahun,133.542.018%20untuk%20penduduk%20perempuan.

Jin, B., Lee, J., & Baumgartner, L. M. (2019). Perceptions of peer-led learning among older adults in a community-based aquatic exercise program. Educational Gerontology, 45(4), 297–308. https://doi.org/10.1080/03601277.2019.1621435

Jongenelis, M. I., Jackson, B., Newton, R. U., & Pettigrew, S. (2022). Likeability and perceived effectiveness of messages designed to encourage physical activity participation among older adults. Health Promotion Journal of Australia, 33(S1), 266–270. https://doi.org/10.1002/hpja.578

Kusumaningrum, F. M., Dewi, F. S. T., Santosa, A., Pangastuti, H. S., & Yeung, P. (2024). Factors related to quality of life in community-dwelling adults in Sleman Regency, Special Region of Yogyakarta, Indonesia: Results from a cross-sectional study. PLOS ONE, 19(1), e0296245. https://doi.org/10.1371/journal.pone.0296245

Li, X., Ma, H., Zhou, T., & Qi, L. (2023). Replacing Sedentary Behavior Time With Physical Activities, Recommended Physical Activity, and Incident Coronary Heart Disease. Mayo Clinic Proceedings, 98(1), 111–121. https://doi.org/10.1016/j.mayocp.2022.06.031

Limpens, M. A. M., Asllanaj, E., Dommershuijsen, L. J., Boersma, E., Ikram, M. A., Kavousi, M., & Voortman, T. (2022). Healthy lifestyle in older adults and life expectancy with and without heart failure. European Journal of Epidemiology, 37(2), 205–214. https://doi.org/10.1007/s10654-022-00841-0

Mauchley, O., Dinehart, C., Ahmed, S., Kang, A., & Kamimura, A. (2023). Lifestyles of Highly Active Older Adults Before and During the COVID-19 Pandemic: A Qualitative Study Based on the Socio-Ecological Model. Activities, Adaptation & Aging, 1–16. https://doi.org/10.1080/01924788.2023.2202455

Monma, T., Takeda, F., Noguchi, H., Takahashi, H., Watanabe, T., & Tamiya, N. (2019). Exercise or sports in midlife and healthy life expectancy: An ecological study in all prefectures in Japan. BMC Public Health, 19(1), 1238. https://doi.org/10.1186/s12889-019-7570-y

Palmer, K., Monaco, A., Kivipelto, M., Onder, G., Maggi, S., Michel, J.-P., Prieto, R., Sykara, G., & Donde, S. (2020). The potential long-term impact of the COVID-19 outbreak on patients with non-communicable diseases in Europe: Consequences for healthy ageing. Aging Clinical and Experimental Research, 32(7), 1189–1194. https://doi.org/10.1007/s40520-020-01601-4

Pamungkas, S. P., Munawwarah, W., Dewi, N. K., & Nurdesia, M. (2021). Latihan Aerobik Untuk Meningkatkan Kualitas Hidup Pada Lansia. FISIO MU: Physiotherapy Evidences, 2(3), 175–188. https://doi.org/10.23917/fisiomu.v2i3.15203

Parra-Rizo, M. A., Cigarroa, I., Olivera-Sánchez, S., Guillem-Saiz, J., Agustí-López, A. I., González-Moreno, J., Cantero-García, M., Cordero-Galindez, C. F., & Yáñez-Yáñez, R. A. (2024). Perfil sociodemográfico de los adultos mayores físicamente activos según el tipo de actividades de-portivas practicado: Gimnasia, actividades acuáticas, yoga, pilates y danza (Sociodemographic profile of physically active older adults according to the type of physical activities practiced: Gymnastic Exercises, Aquatic Activities, Yoga, Pilates and Dance). Retos, 56, 280–288. https://doi.org/10.47197/retos.v56.102223

Pelletier, C. A., Pousette, A., Ward, K., Keahey, R., Fox, G., Allison, S., Rasali, D., & Faulkner, G. (2020). Implementation of Physical Activity Interventions in Rural, Remote, and Northern Communities: A Scoping Review. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 57, 004695802093566. https://doi.org/10.1177/0046958020935662

Rahman, F., & Anugerah, R. W. D. (2022). Hubungan Kepatuhan Aktivitas Fisik Dengan Kapasitas Aerobik Pada Pasien Osteoartritis Lutut Di RSUD Dr. Moewardi. FISIO MU: Physiotherapy Evidences, 3(2), 130–135. https://doi.org/10.23917/fisiomu.v3i2.18062

Sari, Y., Isworo, A., Upoyo, A. S., Taufik, A., Setiyani, R., Swasti, K. G., Haryanto, H., Yusuf, S., Nasruddin, N., & Kamaluddin, R. (2021). The differences in health-related quality of life between younger and older adults and its associated factors in patients with type 2 diabetes mellitus in Indonesia. Health and Quality of Life Outcomes, 19(1), 124. https://doi.org/10.1186/s12955-021-01756-2

Silva-Smith, A. L., & Benton, M. J. (2021). Self-Perception of Aging Among Older Adults and Participation in Prevention. Western Journal of Nursing Research, 019394592198901. https://doi.org/10.1177/0193945921989017

Singh, K. N., Sendall, M. C., & Crane, P. (2023). Understanding Sociocultural Influences on Physical Activity in Relation to Overweight and Obesity in a Rural Indigenous Community of Fiji Islands. Journal of Racial and Ethnic Health Disparities, 10(3), 1508–1517. https://doi.org/10.1007/s40615-022-01336-0

Suryadi, D., Susanto, N., Faridah, E., Wahidi, R., Samodra, Y. T. J., Nasrulloh, A., Suganda, M. A., Wati, I. D. P., Sinulingga, A., Arovah, N. I., & Dewantara, J. (2024). Exercise for health in old age: Comprehensive review examining the benefits and efficacy of interven-tions: Ej. Retos, 55, 88–98. https://doi.org/10.47197/retos.v55.103771

Suryanto, Plummer, V., & Boyle, M. (2017). Healthcare System in Indonesia. Hospital Topics, 95(4), 82–89. https://doi.org/10.1080/00185868.2017.1333806

Tang, S., Xu, Y., Li, Z., Yang, T., & Qian, D. (2021). Does Economic Support Have an Impact on the Health Status of Elderly Patients With Chronic Diseases in China? - Based on CHARLS (2018) Data Research. Frontiers in Public Health, 9, 658830. https://doi.org/10.3389/fpubh.2021.658830

Tocchi, C. (2015). Frailty in Older Adults: An Evolutionary Concept Analysis. Research and Theory for Nursing Practice, 29(1), 66–84. https://doi.org/10.1891/1541-6577.29.1.66

Untari, I., Utami, S., Hafiduddin, M., Yakob, A., Kusumawati, Y., Alfiyani, L., Rahayu, U. B., Hamranani, S. S. T., & Umam, D. N. (2024). Relationship Between Medication Adherence and Blood Sugar Levels Among Diabetes Mellitus Outpatients. Media Kesehatan Masyarakat Indonesia, 20(1), 39–45. https://doi.org/10.30597/mkmi.v20i1.28016

Weraman, P., Susanto, N., Wahyuni, L. T. S., Pranata, D., Saddhono, K., Dewi, K. A. K., Kurniawati, K. L., Hita, I. P. A. D., Lestari, N. A. P., & Nizeyumukiza, E. (2023). Chronic Pain and Subjective Health in a Sample of Indonesian Adults: A Moderation of Gender. Journal of Population and Social Studies, 32, 278–289. https://doi.org/10.25133/JPSSv322024.017

WHO. (2020). WHO guidelines on physical activity and sedentary behaviour. World Health Organization.

WHO. (2024, March 9). Global physical activity questionnaire (GPAQ). https://www.who.int/publications/m/item/global-physical-activity-questionnaire

Yuliadarwati, N. M., Harianto, T. D., & Yulianti, A. Y. (2021). Hubungan Kadar Gula Darah Sewaktu Dengan Kualitas Tidur Pada Lansia Beresiko Diabetes Melitus Di Posyandu Desa Kincang Wetan Kota Madiun. FISIO MU: Physiotherapy Evidences, 2(2), 77–84. https://doi.org/10.23917/fisiomu.v2i2.12060

Descargas

Publicado

2024-10-02

Cómo citar

Syaukani, A. A., Jariono, G., Susanto, N., & Setyawan, H. (2024). Percepción sobre salud y ejercicio entre adultos mayores indonesios: un estudio exploratorio secuencial en comunidades rurales javanesas (Perception on health and exercise among indonesian older adults: a sequential exploratory study in javanese rural communities). Retos, 59, 156–164. https://doi.org/10.47197/retos.v59.107148

Número

Sección

Artículos de carácter científico: trabajos de investigaciones básicas y/o aplicadas

Artículos más leídos del mismo autor/a

<< < 1 2 3 4 5 6 > >>