Senam Jantung Sehat Seri-I Improves Physical Fitness, Decreases the GDS Scores and the Level of NF-kB Plasma Elderly Depression
Senam Jantung Sehat Improves Elderly Depression
Vol. 15 No. 1 : 2020 (78-87)
Abstract
Depression decreases the quality of life of the elderly. An exercise can help overcome this problem. Therefore, an exercise in the elderly is needed. Senam Jantung Sehat Seri-I (SJSS-I) was one of the proposed sport for the elderly. Oxidative stress that occurs in depressed elderly is characterised by an increase in plasma NF-kB levels. This research aimed to investigate the effects of SJSS-I in enhancing the physical fitness while decreasing the Geriatric Depression Scale (GDS)-15 score and plasma NF-kB level in the elderly. The experimental design was involved 30 elderly aged individuals with >60 years that further categorised into mild and moderate depression level, andthen completed the SJSS-I for 3 times a week for 12 weeks. Physical fitness was measured by the 6-minute test, GDS-15 score, and peripheral blood withdrawal done in pre- and post-workout. Plasma NF-kB level was measured by ELISA assay. A paired t-test and Wilcoxon test were used in statistical analysis. The results showed the physical fitness for mild levels was higher than moderate depression (35.273 + 8.86 m vs 264.40 + 118.18 m; p<0.001. Depressed GDS scores and NF-kB plasma levels were lower in mild depression group than moderate depression group (3.00 vs 7.00; p = 0.001 and 7.60 + 4.17 pg/ml vs 8.86 + 3.85 pg/ml; p<0.001). SJSS greatly imrpoved of the physical fitness with a decrease in GDS-15 scores and plasma NF-kB in the elderly with mildly depression than those with moderate level of depression.
Keywords :
depression,
elderly,
NF-kB plasma levels,
physical fitness,
Correspondance Address
Nita Fitria. Faculty of Nursing, Universitas Padjadjaran, Jalan Raya Bandung-Sumedang KM-21, 45363 Jatinangor Sumedang, Indonesia. Tel: +08812015188/ 08122310881 Email: nita.fitria@unpad.ac.id.
References
Afif, S. 2014. Pengaruh latihan senam yoga terhadap kelentukan dan keseimbangan wanita usia 60 tahun ke atas posyandu lansia lestari bumiharjo kota surabaya. J Kesehatan Olahraga 2(2): 64-8.
Almi, A., Abdurrohim, K. 2015. Akupunktur manual sebagai terapi pada pasien depresi. eJournal Kedokteran Indonesia 3(2): 141-5.
Anonym. 2001. Buku petunjuk Senam Jantung Sehat Seri II. Jakarta. http//:www. yayasanjantungindonesia.com/https://www.inaheart.or.id/ [15th April 2010].
Bestari, K.B., Kusuma Waati, D.N. 2016. Penyakit kronis lebih dari satu menimbulkan peningkatan perasaan cemas pada lansia di kecamatan cibinong. Jurnal Keperawatan Indonesia 19(1): 49-54.
Chung, W., Baguet, A., Bex, T., Bishop, D.J., Derave, W. 2014. Doubling of muscle carnosine concentration does not improve laboratory 1-hr cycling time-trial performance. Int J Sport Nutr Exerc Metab 24(3): 315-24.
Fitri, Y ., Mulyani, N.M., Silaban, R., Zulfahri, Z. 2014. Pengaruh latihan fisik (senam jantung sehat) terhadap kadar TNF-α dan kadar gula darah pada penderita obesitas. Jurnal Pendidikan Kimia 6(2): 1-11.
Forti, L.N., Roie, E.V., Njemini, R., Coudyzer, W., Beyer, I., Delecluse, C., Bautmans, I. 2015. Dose-and gender-specific effects of resistance training on circulating levels of brain derived neurotrophic factor (BDNF) in community-dwelling older adults. Exp Gerontol 70: 144-9.
Hacimusalar, Y., Esel E. 2018. Suggested biomarkers for major depressive disorder. Noro Psikiyatr Ars 55(3): 280-90.
Lee, P.G., Jackson, E.A., Richardson, C.R. 2017. Exercise prescriptions in older adults. Am Fam Physician 95(7): 425-32.
Kementrian Kesehatan Republik Indonesia. 2016. Pusat Data dan Informasi Kementrian Kesehatan RI. Situasi dan Analisa Lanjut Usia. Jakarta Selatan.
Stubbs, B., Rosenbaum, S., Vancampfort, D., Ward, P.B., Schuch, F.B. 2016. Exercise improves cardiorespiratory fitness in people with depression: A meta-analysis of randomized control trials. J Affect Disord 190: 249-53.
Touhy, T., Jett, K. 2013. Ebersole and Hess' Gerontological Nursing and Healthy Aging 4th Edition. Missouri: Elsevier Mosby.
Vancampfort, D., Rosenbaum, S., Schuch, F., Ward, P.B., Richards, J., Mugisha, J., Probst, M., Stubbs, B. 2017. A cardiorespiratory fitness in severe mental illness: a systematic review and meta-analysis. Sports Med 47(2): 343-52.
Wedhari, I.A.A., Ardani, I.G.A.I 2013. Angka kejadian depresi pada Lansia di Panti Tresna Werdha Wana Seraya Denpasar Bali tahun 2013. E-Jurnal Medika Udayana 3(6): 1-8.
Zanco, M.F., Moraes, H., Maranhão, N.G., Laks., J., Deslandes., A.C. 2016. Assessing cardiorespiratory capacity in older adults with major depression and Alzheimer disease. J Bras Psiquiatr 65(1): 1-8.
Zhang, H., Li, L., Wu, M., Chen, Z., Hu, X., Chen, Y., Zhu, H., Jia, Z., Gong, Q. 2016. Brain gray matter alterations in first episodes of depression: A meta-analysis of whole-brain studies. Neurosci Biobehav Rev 60: 43-50.
