Abstract
Penurunan fungsi kognitif merupakan keadaan normal yang dialami oleh lansia. Keadaan ini dapat dikurangi atau dihambat dengan cara meningkatkan aktivitas fisik. Tujuan penelitian ini adalah untuk mengetahui hubungan antara tingkat aktivitas fisik dengan fungsi kognitif lansia. Desain penelitian ini adalah cross sectional dengan metode cluster sampling dengan jumlah sampel sebanyak 104 responden lansia. Sampel penelitian ini rata-rata didominasi lansia perempuan yang berusia 60-74 tahun, tidak lulus SD/tidak sekolah, masih berstatus menikah, dan memiliki penyakit kronis. Hasil penelitian menunjukkan ada hubungan antara tingkat aktivitas fisik dengan fungsi kognitif lansia (p=0,000; É‘=0,05). Perawat diharapkan dapat mencegah penurunan fungsi kognitif dengan cara meningkatkan aktivitas fisik lansia berupa latihan fisik. Selain itu, penelitian selanjutnya diharapkan dapat melakukan studi mengenai intensitas, durasi, frekuensi, dan jenis latihan fisik yang paling baik untuk meningkatkan fungsi kognitif pada lansia.
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Abstract
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Physical Activity Affecting Elderly Cognitive Function. Declining the cognitive function is a normal situation in which elderly usually experienced. This condition might be decreased or inhibited by increasing the physical activities. The purpose of this research was to identify the relation between physical activity with the cognitive function of the elderly. Research design used cross sectional approach with cluster sampling method on 104 elderly people. This research sample dominated by female elderly age 60-74 years old, not graduated from junior high school/not registered in school, married status, and having chronic diseases. The result showed that there is relationship between level of physical activity and the cognitive function of elderly (p=0,000; É‘=0,05). Nurses are expected to prevent declining the cognitive function through increasing physical activity in the form of physical exercise. Moreover, the next research is expected to continue the study about the intensity, duration, frequency, and other kinds of physical exercise which are good to increase the cognitive function for the elderly.
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Keywords: cognitive function, elderly, physical activity
References
- Antunes, H.K., Santos, R.F., Cassilhas, R., Santos, R.V., Bueno, O.F., & Mello, M,T. (2006). Reviewing on physical exercise and the cognitive function. Rev Bras Med Esporte, 12 (9), 97–103. doi: http://dx.doi.org/10.1590/S1517-86922006000200011
- Auyeung, T.W., Kwok, T., Lee, J., Leung, P.C., Leung, J., & Woo, J. (2008). Functional decline in cognitive impairment-the relationship between physical and cognitive function. Neuroepidemiology, 31, 167–173. doi: 10.1159/000154929.
- Badan Pusat Statistik. (2013). Proyeksi penduduk indonesia 2010–2035. Jakarta: Badan Pusat Statistik Indonesia.
- Baert, V., Gorus, E., Mets, T., Geerts, C., & Bautmans, I. (2011). Motivators and barriers for physical activity in older old: a systematic review. Ageing Research, 10. 464–476. doi: 10.1016/j.arr.2011.04.001
- Bherer, L., Erickson, K.I., & Ambrose, T.L. (2013). A review of the effects of physical activity and exercise on cognitive and brain functions in older adults. Hindawi Publishing Corporation. 2013 (1), 1–6. doi: 10.1155/2013/657508.
- Blondell, S.J., Hammersley-Mather, R., & Veerman, J.L. (2014). Does physical activity prevent cognitive decline and dementia?: A systematic review and meta-analysis of longitudinal studies. BMC Public Health, 14(1), 1–12. doi: 10.1186/1471-2458-14-510.
- Brown, B., Peiffer, J., Sohrabi, H., Mondal., A., & Gupta, V.B. (2012). Intense physical activity is associated with cognitive performance in the elderly. Ecu Publications, 2012 (2), e191. doi: 10.1038/tp.2012.118.
- Busse, A.L., Gil, G., Santarem, J.M., & Filho, W.J. (2009). Phyical activity and cognition in the elderly a review. Dementia Neuropsychologia, 3 (3), 204–208.
- Clouston, S.A., Brewster, P., Kuh, D., Richards, M, Cooper, R.,…., Hofer, S.M. (2013) The dynamic relationship between physical function and cognition in longitudinal aging cohorts. Epidemiologic Reviews, 35 (1), 33–50. doi: 10.1093/epirev/mxs004.
- Gibney, et al. (2009). Public health nutrition (Alih Bahasa: Andry Hartono). Jakarta: Penerbit Buku Kedokteran EGC.
- Haley, C. (2013). Exploring the relationship between physical activity and everyday cognitive function in older adults: Within and between person variability. South Florida: University of South Florida.
- Jones, C.J & Rose, D.J. (2005). Physical activity instruction of older adults. United States of America: Human Kinetics.
- Kerr, J., Marshall, S.J., Patterson, R.E., Marinac, C.R., Natrajan, L.,…, Crist, K. (2013). Objectively measured physical activity is related to cognitive function in older adults. National Institutes of Health, 61 (11), 1–10. doi: 10.1111/jgs.12524.
- Kirk-Sanchez, N.J., & McGough, E.L. (2013). Physical exercise and cognitive performance in the elderly: Current Perspectives. Dovepress, 9, 51–62.
- Landefeld, S.C, , et al. (2004). Current geriatric diagnosis&treatment. Singapore: The Mc Graw-Hills Company.
- Lee, L.L., Arthur, A., & Avis, M. (2008). Using self-efficacy theory to develop interventions that help older oepole overcome psychological barriers to physical activity: a discussion paper. International Journal of Nursing Studies, 45, 1690–1699. doi: http://dx.doi.org/10.1016/j.ijnurstu.2008.02.012
- Makizako, H., Shimada, H., Doi, T., Park, H., Tsutsumimoto, K.,…, Suzuki, T. (2014). Moderate-intensity physical activity, cognition and apoe genotype in older adults with mild cognitive impairment. Science Medical Central, 1 (1), 1–5.
- Marhamah. (2008). Konsumsi gizi dan aktivitas fisik usia lanjut di kota depok kaitannya dengan stauts kesehatan dan kemampuan kognitif (Skripsi, Universitas Terbuka). Universitas Terbuka, Jakarta.
- Miller, C.A. (2012). Nursing for wellness in older adults (6th Ed.). Philadelphia: Lippincott Williams & Wilkins.
- Muzamil, M.S, Afriwadi, & Martini, R.D. (2014). Hubungan antara aktivitas fisik dengan fungsi kognitif pada usila di kelurahan jati kecamatan padang timur. Jurnal Fakultas Kedokteran Universitas Andalas, 3 (2), 202–205.
- National Institute on Aging. (2009). Exercise & physical activity. Georgia: National Institute of Health.
- Notoatmodjo, S. (2010). Metodologi penelitian kesehatan. Jakarta: Rineka Cipta.
- Physical Activity Council. (2014). 2014 participation report. USA: Sports Marketing Survey USA.
- Pusat Data dan Informasi Kementrian Kesehatan RI. (2013). Gambaran kesehatan lanjut usia di indonesia. Jakarta: Kementrian Kesehatan RI.
- Putri, H.E. (2013). Gambaran tingkat aktivitas fisik lansia di kelurahan mekarwangi kecamatan tanah sareal kota bogor (Skripsi, Universitas Indonesia). Universitas Indonesia, Jakarta.
- Sankanparan, H. (2010). Otak tengah memang dahsyat. Jakarta: Transmedia Pustaka.
- Santoso, H., & Ismail, A. (2009). Memahami krisis lanjut usia. Jakarta: Gunung Mulia.
- The U.S Departement of Health and Human Services. (2011). Physical activity and health older adults. Washington DC: Pennsylvania Avenue.
- Voorrips, L.E., Ravelli, A.C., Dongelmans, P.C., Deurenberberg, P., & Staveren, W.A. (1990). A physical activity questionnaire for the elderly. Official Journal of the American College of Sports Medicine, 23 (8), 974–979.
- Wallace, M. (1999). The mini mental state examination. Hartford Institute for Geriatric Nursing, (3). Diperoleh dari https://www.mountsinai.on.ca/care/psych/on-call-resources/on-call-resources/mmse.pdf
- Weuve, J., Kang, J.H., Manson, J.E., Breteler, M.M., Ware, J.H., & Grodstein, F. (2004). Physical activity ,including walking , and cognitive function in older women. JAMA, 292 (12), 1454–1459.
- World Health Organization. (2014). Regional strategy for healthy ageing. India: WHO Publications.
- Wreksoatmodjo, B.R. (2014). Beberapa kondisi fisik dan penyakit yang merupakan faktor risiko gangguan fungsi kognitif. CDK-212, 41 (1), 25–32.