EDUKASI “LANSIA AKTIF DAN SEHAT”:  LATIHAN DAN OLAHRAGA AMAN DAN NYAMAN BAGI LANSIA DI MASA PANDEMI COVID-19

Sugiharto Sugiharto; Prayogi Dwina Angga; Desiana Merawati

doi:10.31764/jmm.v6i3.7985

EDUKASI “LANSIA AKTIF DAN SEHAT”: LATIHAN DAN OLAHRAGA AMAN DAN NYAMAN BAGI LANSIA DI MASA PANDEMI COVID-19

Sugiharto Sugiharto, Prayogi Dwina Angga, Desiana Merawati

Abstract

Abstrak: Tetap menjaga aktivitas fisik yang dikemas dalam bentuk latihan atau olahraga pada lansia di masa pandemi ini menjadi penting. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan edukasi terhadap pentingnya aktivitas fisik disertai bentuk latihan atau olahraga berbasis rumah yang dapat dilakukan secara mandiri oleh lansia di Karang Werdha “PERMADI”, Kelurahan Tlogomas, Kota Malang. Kegiatan pengabdian kepada masyarakat dalam bentuk edukasi ini menggunakan metode sokratik (two way method) yang lebih mengedepankan komunikasi dua arah dengan khalayak sasaran, materi disampaikan dengan ceramah disertai dengan curah pendapat dan demonstrasi. Model evaluasi ex-post digunakan untuk menilai kesesuaian antara hasil kegiatan dengan tujuannya. Sebanyak 32 peserta dari total 36 peserta (88,89%) merasakan bahwa materi kegiatan yang disampaikan bermanfaat menambah pengetahuan mereka, dan seluruh peserta (100%) menyampaikan materi yang disampaikan juga sudah sangat sesuai dengan kebutuhan yang diinginkan. Kegiatan pengabdian berhasil memberikan pemahaman pentingnya latihan fisik atau olahraga selama pandemi COVID-19 dan menghasilkan panduan agar dapat melakukan latihan atau olahraga secara mandiri di rumah atau di luar ruangan.

Abstract: Maintaining physical activity that is packaged in the form of sports or exercise for the elderly during this pandemi is important. This community service activity aims to provide education about the importance of physical activity accompanied by exercises at home or sports that can be done independently by the elderly in Karang Werdha "PERMADI", Tlogomas Village, Malang City. This community service activity in the form of education uses the Socratic method (two-way method) which prioritizes two-way communication with the target audience, the material is delivered through lectures accompanied by brainstorming and demonstrations. The ex-post evaluation model is used to assess the suitability between the results of the activity and its objectives. A total of 32 participants out of a total of 36 participants (88.89%) felt that the material presented was useful to increase knowledge, and all participants (100%) conveyed that the material presented was also in accordance with the desired needs. Service activities have succeeded in providing an understanding of the importance of physical exercise or sports during the COVID-19 pandemi and resulted in guidelines for being able to exercise or exercise independently at home or outdoors.

Keywords

elderly; exercise; sport; safe; comfortable.

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References

Arokiasamy, P., Uttamacharya, U., Jain, K., Biritwum, R. B., Yawson, A. E., Wu, F., Guo, Y., Maximova, T., Espinoza, B. M., Salinas Rodríguez, A., Afshar, S., Pati, S., Ice, G., Banerjee, S., Liebert, M. A., Snodgrass, J. J., Naidoo, N., Chatterji, S., & Kowal, P. (2015). The impact of multimorbidity on adult physical and mental health in low- and middle-income countries: What does the study on global ageing and adult health (SAGE) reveal? BMC Medicine, 13(1), 178. https://doi.org/10.1186/s12916-015-0402-8

Badan Penelitian dan Pengembangan Kesehatan, K. K. (2019). Laporan Nasional Riskesdas 2018. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan (LPB).

Badan Pusat Statistik, B. P. S. (2020). Statistik Penduduk Lanjut Usia. Badan Pusat Statistik. https://www.bps.go.id/publication/download.html?nrbvfeve=MGZjMDIzMjIxOTY1NjI0YTY0NGMxMTEx&xzmn=aHR0cHM6Ly93d3cuYnBzLmdvLmlkL3B1YmxpY2F0aW9uLzIwMjAvMTIvMjEvMGZjMDIzMjIxOTY1NjI0YTY0NGMxMTExL3N0YXRpc3Rpay1wZW5kdWR1ay1sYW5qdXQtdXNpYS0yMDIwLmh0bWw%3D&twoadfnoarfeauf=MjAyMi0wMi0yMSAwOToxMToxMg%3D%3D

Bao, R., Chen, S.-T., Wang, Y., Xu, J., Wang, L., Zou, L., & Cai, Y. (2020). Sedentary Behavior Research in the Chinese Population: A Systematic Scoping Review. International Journal of Environmental Research and Public Health, 17(10), 3576. https://doi.org/10.3390/ijerph17103576

Bialek, S., Boundy, E., Bowen, V., Chow, N., Cohn, A., Dowling, N., Ellington, S., Gierke, R., Hall, A., MacNeil, J., Patel, P., Peacock, G., Pilishvili, T., Razzaghi, H., Reed, N., Ritchey, M., & Sauber-Schatz, E. (2020). Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19)—United States, February 12–March 16, 2020. Morbidity and Mortality Weekly Report, 69(12), 343–346. https://doi.org/10.15585/mmwr.mm6912e2

Carter, N. D., Kannus, P., & Khan, K. M. (2001). Exercise in the prevention of falls in older people: A systematic literature review examining the rationale and the evidence. Sports Medicine (Auckland, N.Z.), 31(6), 427–438. https://doi.org/10.2165/00007256-200131060-00003

Christensen, H. (2001). What Cognitive Changes can be Expected with Normal Ageing? Australian & New Zealand Journal of Psychiatry, 35(6), 768–775. https://doi.org/10.1046/j.1440-1614.2001.00966.x

Cicih, L. H. M., & Nugroho, D. N. A. (2021). Kondisi Lanjut Usia di Indonesia Era Bonus Demografi. Sosio Informa: Kajian Permasalahan Sosial Dan Usaha Kesejahteraan Sosial, 7(2), Article 2. https://doi.org/10.33007/inf.v7i2.2681

Colcombe, S. J., Erickson, K. I., Raz, N., Webb, A. G., Cohen, N. J., McAuley, E., & Kramer, A. F. (2003). Aerobic fitness reduces brain tissue loss in aging humans. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 58(2), 176–180. https://doi.org/10.1093/gerona/58.2.m176

Colcombe, S. J., Kramer, A. F., Erickson, K. I., Scalf, P., McAuley, E., Cohen, N. J., Webb, A., Jerome, G. J., Marquez, D. X., & Elavsky, S. (2004). Cardiovascular fitness, cortical plasticity, and aging. Proceedings of the National Academy of Sciences, 101(9), 3316–3321. https://doi.org/10.1073/pnas.0400266101

Cunningham, C., O’ Sullivan, R., Caserotti, P., & Tully, M. A. (2020). Consequences of physical inactivity in older adults: A systematic review of reviews and meta-analyses. Scandinavian Journal of Medicine & Science in Sports, 30(5), 816–827. https://doi.org/10.1111/sms.13616

Feldman, D. I., Al-Mallah, M. H., Keteyian, S. J., Brawner, C. A., Feldman, T., Blumenthal, R. S., & Blaha, M. J. (2015). No Evidence of an Upper Threshold for Mortality Benefit at High Levels of Cardiorespiratory Fitness. Journal of the American College of Cardiology, 65(6), 629–630. https://doi.org/10.1016/j.jacc.2014.11.030

Ghram, A., Briki, W., Mansoor, H., Al-Mohannadi, A. S., Lavie, C. J., & Chamari, K. (2021). Home-based exercise can be beneficial for counteracting sedentary behavior and physical inactivity during the COVID-19 pandemi in older adults. Postgraduate Medicine, 133(5), 469–480. https://doi.org/10.1080/00325481.2020.1860394

Hall, G., Laddu, D. R., Phillips, S. A., Lavie, C. J., & Arena, R. (2021a). A tale of two pandemis: How will COVID-19 and global trends in physical inactivity and sedentary behavior affect one another? Progress in Cardiovascular Diseases, 64, 108–110. https://doi.org/10.1016/j.pcad.2020.04.005

Hall, G., Laddu, D. R., Phillips, S. A., Lavie, C. J., & Arena, R. (2021b). A tale of two pandemis: How will COVID-19 and global trends in physical inactivity and sedentary behavior affect one another? Progress in Cardiovascular Diseases, 64, 108–110. https://doi.org/10.1016/j.pcad.2020.04.005

Hamer, M., Lavoie, K. L., & Bacon, S. L. (2014). Taking up physical activity in later life and healthy ageing: The English longitudinal study of ageing. British Journal of Sports Medicine, 48(3), 239–243. https://doi.org/10.1136/bjsports-2013-092993

Harahap, J., & Andayani, L. S. (2018). Pola Penyakit Degeneratif, Tingkat Kepuasan Kesehatan dan Kualitas Hidup pada Lansia (Lanjut Usia) di Kota Medan: Talenta Conference Series: Tropical Medicine (TM), 1(1), 142–149. https://doi.org/10.32734/tm.v1i1.35

Herdiana, D. (2020). Implementasi Kebijakan Pembatasan Sosial Berskala Besar (PSBB) sebagai Upaya Penanggulangan Corona Virus Disease 2019 (COVID-19). DECISION: Jurnal Administrasi Publik, 2(2), Article 2. https://doi.org/10.23969/decision.v2i2.2978

Heryanah, H. (2015). Ageing Population dan Bonus Demografi Kedua di Indonesia. Populasi, 23(2), 1. https://doi.org/10.22146/jp.15692

Jakobsson, J., Malm, C., Furberg, M., Ekelund, U., & Svensson, M. (2020a). Physical Activity During the Coronavirus (COVID-19) Pandemi: Prevention of a Decline in Metabolic and Immunological Functions. Frontiers in Sports and Active Living, 2. https://www.frontiersin.org/article/10.3389/fspor.2020.00057

Jakobsson, J., Malm, C., Furberg, M., Ekelund, U., & Svensson, M. (2020b). Physical Activity During the Coronavirus (COVID-19) Pandemi: Prevention of a Decline in Metabolic and Immunological Functions. Frontiers in Sports and Active Living, 2, 57. https://doi.org/10.3389/fspor.2020.00057

Jati, W. R. (2015). Bonus Demografi sebagai Mesin Pertumbuhan Ekonomi: Jendela Peluang atau Jendela Bencana di Indonesia? Populasi, 23(1), 1. https://doi.org/10.22146/jp.8559

Jiménez-Pavón, D., Carbonell-Baeza, A., & Lavie, C. J. (2020). Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people. Progress in Cardiovascular Diseases, 63(3), 386–388. https://doi.org/10.1016/j.pcad.2020.03.009

Kannus, P., Sievänen, H., Palvanen, M., Järvinen, T., & Parkkari, J. (2005). Prevention of falls and consequent injuries in elderly people. The Lancet, 366(9500), 1885–1893. https://doi.org/10.1016/S0140-6736(05)67604-0

Karlsson, M. K., Magnusson, H., von Schewelov, T., & Rosengren, B. E. (2013). Prevention of falls in the elderly—A review. Osteoporosis International, 24(3), 747–762. https://doi.org/10.1007/s00198-012-2256-7

Kementerian Kesehatan Republik Indonesia, K. K. R. I. (2019, Juli 4). Indonesia Masuki Periode Aging Population. Indonesia Masuki Periode Aging Population. https://www.kemkes.go.id/article/view/19070500004/indonesia-masuki-periode-aging-population.html

Kinasih, A., & Sanubari, T. P. E. (2021). Lansia Sehat di Masa Pandemi: Aktivitas Fisik Selama Pandemi Covid-19. Jurnal Kesehatan Komunitas, 7(2), 221–225. https://doi.org/hps://doi.org/10.25311/keskom.Vol7.Iss2.936

Kiroh, A. G. M., Kairupan, B. H. R., & Munayang, H. (2021). Gambaran Kesehatan Mental Pada Lansia Selama Pandemi COVID-19. Jurnal Biomedik (JBM), 13(3), 338–345. https://doi.org/10.35790/jbm.13.3.2021.35408

Kramer, A. F., Hahn, S., Cohen, N. J., Banich, M. T., McAuley, E., Harrison, C. R., Chason, J., Vakil, E., Bardell, L., Boileau, R. A., & Colcombe, A. (1999). Ageing, fitness and neurocognitive function. Nature, 400(6743), 418–419. https://doi.org/10.1038/22682

Lautenschlager, N. T., Cox, K. L., Flicker, L., Foster, J. K., van Bockxmeer, F. M., Xiao, J., Greenop, K. R., & Almeida, O. P. (2008). Effect of physical activity on cognitive function in older adults at risk for Alzheimer disease: A randomized trial. JAMA, 300(9), 1027–1037. https://doi.org/10.1001/jama.300.9.1027

Libertini, G., Corbi, G., Cellurale, M., & Ferrara, N. (2019). Age-Related Dysfunctions: Evidence and Relationship with Some Risk Factors and Protective Drugs. Biochemistry. Biokhimiia, 84(12), 1442–1450. https://doi.org/10.1134/S0006297919120034

McPhee, J. S., French, D. P., Jackson, D., Nazroo, J., Pendleton, N., & Degens, H. (2016). Physical activity in older age: Perspectives for healthy ageing and frailty. Biogerontology, 17(3), 567–580. https://doi.org/10.1007/s10522-016-9641-0

Nurhayati, S., Safitri, H. H., & Apriliyanti, R. (2021). Dukungan Keluarga Terhadap Lansia Pada Era Pandemi Covid 19. Seminar Nasional UNIMUS, 4, 12.

Oliveira, M. R., Sudati, I. P., Konzen, V. D. M., de Campos, A. C., Wibelinger, L. M., Correa, C., Miguel, F. M., Silva, R. N., & Borghi-Silva, A. (2022a). Covid-19 and the impact on the physical activity level of elderly people: A systematic review. Experimental Gerontology, 159, 111675. https://doi.org/10.1016/j.exger.2021.111675

Oliveira, M. R., Sudati, I. P., Konzen, V. D. M., de Campos, A. C., Wibelinger, L. M., Correa, C., Miguel, F. M., Silva, R. N., & Borghi-Silva, A. (2022b). Covid-19 and the impact on the physical activity level of elderly people: A systematic review. Experimental Gerontology, 159, 111675. https://doi.org/10.1016/j.exger.2021.111675

Ozemek, C., Lavie, C. J., & Rognmo, Ø. (2019). Global physical activity levels—Need for intervention. Progress in Cardiovascular Diseases, 62(2), 102–107. https://doi.org/10.1016/j.pcad.2019.02.004

Pelicioni, P. H. S., & Lord, S. R. (2020). COVID-19 will severely impact older people’s lives, and in many more ways than you think! Brazilian Journal of Physical Therapy, 24(4), 293–294. https://doi.org/10.1016/j.bjpt.2020.04.005

Priyono, A., & Sahudi, U. (2021). Survey Aktivitas Fisik Masyarakat Pedesaan di Masa Pandemi Covid-19. Jurnal Educatio, 7(4), 8. https://doi.org/10.31949/educatio.v7i4.1320

Richardson, D. L., Duncan, M. J., Clarke, N. D., Myers, T. D., & Tallis, J. (2021). The influence of COVID-19 measures in the United Kingdom on physical activity levels, perceived physical function and mood in older adults: A survey-based observational study. Journal of Sports Sciences, 39(8), 887–899. https://doi.org/10.1080/02640414.2020.1850984

Roschel, H., Artioli, G. G., & Gualano, B. (2020). Risk of Increased Physical Inactivity During COVID-19 Outbreak in Older People: A Call for Actions. Journal of the American Geriatrics Society, 68(6), 1126–1128. https://doi.org/10.1111/jgs.16550

Sari, Y. (2021). Aktivitas Fisik dan Tingkat Depresi Lansia di Masa Pandemi. JURNAL KESEHATAN MERCUSUAR, 4(2), 11–18. https://doi.org/10.36984/jkm.v4i2.222

Saurwein-Teissl, M., Lung, T. L., Marx, F., Gschösser, C., Asch, E., Blasko, I., Parson, W., Böck, G., Schönitzer, D., Trannoy, E., & Grubeck-Loebenstein, B. (2002). Lack of antibody production following immunization in old age: Association with CD8(+)CD28(-) T cell clonal expansions and an imbalance in the production of Th1 and Th2 cytokines. Journal of Immunology (Baltimore, Md.: 1950), 168(11), 5893–5899. https://doi.org/10.4049/jimmunol.168.11.5893

Schrempft, S., Jackowska, M., Hamer, M., & Steptoe, A. (2019). Associations between social isolation, loneliness, and objective physical activity in older men and women. BMC Public Health, 19(1), 74. https://doi.org/10.1186/s12889-019-6424-y

Scott, W., Stevens, J., & Binder-Macleod, S. A. (2001). Human skeletal muscle fiber type classifications. Physical Therapy, 81(11), 1810–1816.

Simon, S., Tinungki, Y. L., & Tuwohingide, Y. E. (2016). Gambaran Aktivitas Fisik pada Lansia di Kampung Kumai Kecamatan Tabukan Tengah (Overview of Physical Activity of The Elderly in The Village of Kuma I District of Central Tabukan). Jurnal Ilmiah Tindalung, 2(2), 4.

Stessman, J., Hammerman-Rozenberg, R., Cohen, A., Ein-Mor, E., & Jacobs, J. M. (2009). Physical Activity, Function, and Longevity Among the Very Old. Archives of Internal Medicine, 169(16), 1476–1483. https://doi.org/10.1001/archinternmed.2009.248

Thorik, S. H. (2020). Efektivitas Pembatasan Sosial Berskala Besar di Indonesia Dalam Penanggulangan Pandemi Covid-19. ADALAH, 4(1), 115–120.

Tian, S., Hu, N., Lou, J., Chen, K., Kang, X., Xiang, Z., Chen, H., Wang, D., Liu, N., Liu, D., Chen, G., Zhang, Y., Li, D., Li, J., Lian, H., Niu, S., Zhang, L., & Zhang, J. (2020). Characteristics of COVID-19 infection in Beijing. The Journal of Infection, 80(4), 401–406. https://doi.org/10.1016/j.jinf.2020.02.018

Villareal, D. T., Chode, S., Parimi, N., Sinacore, D. R., Hilton, T., Armamento-Villareal, R., Napoli, N., Qualls, C., & Shah, K. (2011). Weight loss, exercise, or both and physical function in obese older adults. The New England Journal of Medicine, 364(13), 1218–1229. https://doi.org/10.1056/NEJMoa1008234

WHO, W. (2021, Oktober 4). Ageing and health. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

Wolff, J. L., Starfield, B., & Anderson, G. (2002). Prevalence, Expenditures, and Complications of Multiple Chronic Conditions in the Elderly. Archives of Internal Medicine, 162(20), 2269. https://doi.org/10.1001/archinte.162.20.2269

Yang, X. J., Hill, K., Moore, K., Williams, S., Dowson, L., Borschmann, K., Simpson, J. A., & Dharmage, S. C. (2012). Effectiveness of a targeted exercise intervention in reversing older people’s mild balance dysfunction: A randomized controlled trial. Physical Therapy, 92(1), 24–37. https://doi.org/10.2522/ptj.20100289

DOI: https://doi.org/10.31764/jmm.v6i3.7985