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

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Vol. 13 No. 2 : 2018 (83-94)

RAZAOB NA RAZAOB NA
AB. RAHMAN NNA AB. RAHMAN NNA
MOHD NORDIN NA MOHD NORDIN NA
EE FSY EE FSY
LEE JH LEE JH
DOHERTY P DOHERTY P

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 : chair based exercise, older women, physical abilities, quality of life,
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 : kebolehan fizikal, kualiti hidup, senaman berasaskan kerusi, warga emas wanita,

Correspondance Address
Nor Azlin Mohd Nordin. Physiotherapy Program & Center of Rehabilitation and Special Needs, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Aziz, 50300 Kuala Lumpur, Malaysia. Tel: +603-26878003 E-mail: norazlin8@ukm.edu.my