Pengaruh Latihan Fisik Aerobik Intensitas Ringan Terhadap Tekanan Darah Pada Lansia Hipertensi Di UPTD Panti Sosial Lanjut Usia Geunaseh Sayang

Khanifah Saini; Syarifah Nora Andriaty; Nanda Desreza

doi:10.31004/koloni.v5i3.1394

Authors

Khanifah Saini Universitas Abulyatama
Syarifah Nora Andriaty Universitas Abulyatama
Nanda Desreza Universitas Abulyatama

DOI:

https://doi.org/10.31004/koloni.v5i3.1394

Keywords:

Hypertension, Elderly, Aerobic Exercise, Walking, Blood Pressure

Abstract

Hypertension is one of the most common non-communicable diseases among older adults and is a major risk factor for cardiovascular disease. As individuals age, physiological changes in the cardiovascular system may contribute to an increase in blood pressure. One non-pharmacological approach that can help control blood pressure among older adults with hypertension is low-intensity aerobic exercise. This study aimed to determine the effect of low-intensity aerobic exercise on blood pressure among older adults with hypertension at UPTD Panti Sosial Lanjut Usia Geunaseh Sayang. This study employed a pre-experimental design using a one-group pretest-posttest approach. The sample consisted of 13 older adults with hypertension who were selected using purposive sampling. The intervention consisted of walking for 15 minutes, three times per week, for four weeks. Blood pressure was measured before and after the intervention. Data were analyzed using the Wilcoxon Signed-Rank Test. The results showed that the mean systolic blood pressure decreased from 149.15 mmHg to 144.31 mmHg, while the mean diastolic blood pressure decreased from 91.62 mmHg to 87.69 mmHg. The Wilcoxon test showed a p-value of 0.00024 (p < 0.05), indicating a significant effect of low-intensity aerobic exercise on blood pressure among older adults with hypertension. It can be concluded that low-intensity aerobic exercise in the form of walking is effective in helping reduce and control blood pressure among older adults with hypertension at UPTD Panti Sosial Lanjut Usia Geunaseh Sayang. The mean reduction in systolic blood pressure was 4.84 mmHg, while the mean reduction in diastolic blood pressure was 3.93 mmHg.

References

Ayuningtias, D., & Suryani, S. (2019). Efektivitas jalan kaki dan senam aerobik low impact terhadap penurunan tekanan darah lansia hipertensi di Desa Tarub Kecamatan Tawangharjo. The Shine Cahaya Dunia D-III Keperawatan, 4(1), 1-12.

Carpes, L. O., Domingues, L. B., Bertoletti, O., Fuchs, S. C., & Ferrari, R. (2022). Inter-individual responses of post-exercise hypotension in older adults with hypertension: An exploratory analysis of different exercise modalities. Frontiers in Physiology, 13, 1050609. https://doi.org/10.3389/fphys.2022.1050609

Cyr, A. R., Huckaby, L. V., Shiva, S., & Zuckerbraun, B. S. (2020). Nitric oxide and endothelial dysfunction. Critical Care Clinics, 36(2), 307–321. https://doi.org/10.1016/j.ccc.2019.12.009

de Barcelos, G. T., Heberle, I., Coneglian, J. C., Vieira, B. A., Delevatti, R. S., & Gerage, A. M. (2022). Effects of aerobic training progression on blood pressure in individuals with hypertension: A systematic review with meta-analysis and meta-regression. Frontiers in Sports and Active Living, 4, 719063. https://doi.org/10.3389/fspor.2022.719063

Dinas Kesehatan Aceh. (2022). Profil kesehatan Aceh tahun 2022. Banda Aceh, Indonesia: Dinas Kesehatan Aceh.

Kementerian Kesehatan Republik Indonesia. (2019). Laporan nasional Riskesdas 2018. Jakarta, Indonesia: Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia.

Kementerian Kesehatan Republik Indonesia. (2023). Pedoman pengendalian hipertensi di fasilitas kesehatan tingkat pertama. Jakarta, Indonesia: Kementerian Kesehatan Republik Indonesia.

Kim, H.-L. (2023). Arterial stiffness and hypertension. Clinical Hypertension, 29, 31. https://doi.org/10.1186/s40885-023-00258-1

Pardede, L., Sianturi, R., & Veranita, A. (2020). Deskripsi karakteristik klien hipertensi. Jurnal Mitra Kesehatan, 2(2), 60–64.

Prajayanti, E. D., & Septiana, R. N. (2023). Brisk walking exercise as a nursing intervention in lowering blood pressure in hypertensive elderly. Jurnal Ilmu dan Teknologi Kesehatan STIKES Widya Husada, 14(2), 69–74.

Ray, A., Maharana, K. C., Meenakshi, S., & Singh, S. (2023). Endothelial dysfunction and its relation in different disorders: Recent update. Health Sciences Review, 7, 100084. https://doi.org/10.1016/j.hsr.2023.100084

Riebe, D., Ehrman, J. K., Liguori, G., & Magal, M. (Eds.). (2018). ACSM's guidelines for exercise testing and prescription (10th ed.). Philadelphia, PA: Wolters Kluwer.

Wan, H.-Y., Bunsawat, K., & Amann, M. (2023). Autonomic cardiovascular control during exercise. American Journal of Physiology-Heart and Circulatory Physiology, 325(4), H675–H686. https://doi.org/10.1152/ajpheart.00303.2023

World Health Organization. (2023). Hypertension. Retrieved from https://www.who.int/news-room/fact-sheets/detail/hypertension

World Health Organization. (2025). Ageing and health. Retrieved from https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

You, Q., Yu, L., Li, G., He, H., & Lv, Y. (2022). Effects of different intensities and durations of aerobic exercise on vascular endothelial function in middle-aged and elderly people: A meta-analysis. Frontiers in Physiology, 12, 803102. https://doi.org/10.3389/fphys.2021.803102

Zhang, B., Hu, H., Mi, Z., & Liu, H. (2025). The impact of aerobic exercise on health management in older patients with hypertension: A systematic review of randomized controlled trials from the past decade. International Journal of General Medicine, 18, 2823–2838. https://doi.org/10.2147/IJGM.S516371