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Outcome of Chair-based Exercise on Physical Performance and Quality of Life of Older Women: A Preliminary Study in Kuala Lumpur, Malaysia

Vol. 13 No. 2, 2018
Original article

Author


Abstrak

Senaman berasaskan kerusi (SBK) adalah senaman alternatif untuk golongan

dewasa tua bagi memastikan keselamatan semasa bersenam. Namun, bukti

keberkesanan latihan senaman ini terhad kepada populasi dewasa tua yang

mempunyai kondisi kesihatan akut atau penyakit terminal. Jika tahap kesukaran

senaman ditingkatkan, SBK boleh memberi manfaat kepada populasi dewasa tua

lain. Kajian ini bertujuan menilai kesan SBK terhadap prestasi fizikal dan kualiti

hidup wanita dewasa tua di komuniti Malaysia. Sejumlah 18 wanita dewasa tua

berumur 66.78 + 4.60 tahun telah melengkapkan latihan SBK pada kekerapan dua

kali seminggu selama lapan minggu. Kesan senaman diukur dari aspek ketahanan

fizikal, kekuatan kaki dan kekuatan genggaman tangan menggunakan ujian

berjalan selama enam minit (6MWT), ujian berdiri dari posisi duduk sebanyak

lima kali (FTSTS) dan dinamometer tangan. Skala Kualiti Hidup Pertubuhan

Kesihatan Sedunia versi Melayu (WHOQOL-BREFMalay) telah digunakan untuk

mengukur status kesihatan dan tahap kualiti hidup peserta kajian. Data dianalisis

menggunakan statistik inferensi, tahap signifikan ditetapkan pada nilai p<0.05. Min

jarak berjalan dalam ujian 6MWT meningkat selepas SBK (20.11 + 24.50; p<0.001)

dan ini menunjukkan peningkatan ketahanan fizikal. Perubahan positif juga

didapati dalam skor keseluruhan, dan dalam domain kesihatan umum, kesihatan

fizikal, psikologi serta persekitaran skala WHOQOL-BREFMalay (p<0.05). Namun,

tiada perubahan yang signifikan ditemui bagi skor FTSTS dan kekuatan genggaman

tangan selepas senaman. SBK dapat meningkatkan ketahanan fizikal dan kualiti

hidup dalam kalangan wanita dewasa tua sihat di komuniti terpilih dan ia boleh

menjadi pilihan senaman bagi golongan ini.

Kata kunci

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Abstract

Chair based exercise (CBE) is an exercise alternative for older adults in ensuring

safety during exercise. Its evidence of effectiveness is currently limited to frail

older adults or those with acute medical conditions or terminal illnesses. Given

higher exercise difficulty level, CBE could benefit healthier older adults and can

be an exercise option for this population. This study was designed to evaluate

the outcome of a CBE on physical performance and quality of life in communitydwelling

older women in Malaysia. A total of 18 older women (mean age 66.78 +

4.60 years) completed CBE at twice-per-week for eight weeks. Exercise outcomes

were measured using six minutes’ walk test (6MWT), five times sit to stand test

(FTSTS) and hand-held dynamometer for physical endurance, functional lower

limb strength and grip strength, respectively. A Malay version of the World Health

Organization quality of life scale (WHOQOL-BREFMalay) was used to measure the

health status and QOL of the participants. All data were analysed with the use of

inferential statistics, with significance level set at p<0.05. The mean distance walked

in 6MWT improved after CBE (p<0.001), indicating greater physical endurance.

Significant improvements were also found in the overall QOL, and in the general

health, physical health, psychological and environment domains of the WHOQOLBREFMalay

(p<0.05). However, no significant changes were demonstrated in the

FTSTS and grip strength following the exercise. CBE enhances physical endurance

and quality of life among older women in the selected community and can be an

exercise option for this population.

Keywords

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