THE EFFECT OF HEALTH EDUCATION AS NON-PHARMACOLOGICAL THERAPY ON PHYSICAL FITNESS, BLOOD CHEMISTRY AND BRAIN FUNCTION AMONG SENIOR CITIZEN IN BOTH RURAL AND URBAN AREAS OF BALI, INDONESIA

Authors

  • I PUTU GEDE ADIATMIKA Department of Physiology Udayana University, Faculty of Medicine, JI. PB Sudirman, Denpasar-Bali, Indonesia
  • KOJI TERASAWA Shinshu University Graduate School of Medicine 3-1-1 Asahi, Matsumoto, Nagano 3908621 Japan
  • SUCHINDA JARUPAT MARUO Department of Occupational Health and Safety, Faculty of Public Health, Mahidol University, 420/1 Ratchathewi, Bangkok 10400, Thailand
  • KEISUKE NAKADE Shinshu University Graduate School of Medicine 3-1-1 Asahi, Matsumoto, Nagano 3908621 Japan
  • TOSHIAKI WATANABE Shinshu University Faculty of Education 6-Ro Nishinagano, Nagano, 3808544, Japan
  • SAIKI TERASAWA Shinshu University Faculty of Engineering 4-17-1 Wakasato, Nagano, 3808553, Japan
  • TOSHIE KOBAYASHI Matsumoto University Niimura 2095-1, Matsumoto, Nagano, 3901295 Japan
  • YONG ZHANG The University of Nagano 8-49-7 Miwa Nagano, 3808525
  • KOKI NAKAJIMA Matsumoto University Niimura 2095-1, Matsumoto, Nagano, 3901295 Japan
  • FUMIHITO SASAMORI Shinshu University Faculty of Engineering 4-17-1 Wakasato, Nagano, 3808553, Japan

DOI:

https://doi.org/10.22159/ijpps.2021v13i2.40151

Keywords:

Health education, Physical fitness, Blood chemistry, Senior citizens

Abstract

Objective: The population of senior citizens has increased and needs more care for the quality of life. Health education is a non-pharmacological therapy to improve physical fitness, blood chemistry and brain function. This research was performed to evaluate the effect of health education on the physical fitness, blood chemistry and brain function of senior citizens in rural and urban Bali.

Methods: A total of 60 people aged 67.9±1.2 y were recruited from Tabanan, Indonesia, and 72 people aged 67.3±0.6 y were recruited from Denpasar, Indonesia. The health education program lasted 8 mo, used Japanese-style healthcare modified for the Balinese culture, and measured physical fitness, blood chemistry, and brain function before and after the educational period.

Results: The average number of steps in Tabanan was 4247.2±98.9, and those in Denpasar were 4336.1±102.4. The weight and waist circumference were not significantly different between the Tabanan and Denpasar samples. The physical fitness of senior citizens in Tabanan and Denpasar improved significantly. Blood chemistry in the Tabanan sample was not significantly different after the program. In Denpasar, High-Density Lipoprotein and Low-Density Lipoprotein significantly improved. Brain function was significantly improved after the program.

Conclusion: Health education using Japanese-style healthcare programs based on Balinese culture as non-pharmacological therapy has beneficial effects on physical fitness, blood chemistry and brain function in senior citizens in both urban and rural areas in Bali, Indonesia. It is suggested that senior citizens should continue our health education program to maintain their health.

Downloads

Download data is not yet available.

References

National Labor Survey of Indonesian Ministries: Indonesian Elderly Population Statistics; 2018.

Maruo SJ, Piasue N, Kalampakom S, Utthiya P, Sasimonthonkul S, Tabuchi H, et al. The effectiveness of a health promotion program using the international organization for standardization in klongyongand nikhompattana, Thailand. Asian J Pharm Clin Res 2020;13:1-6.

Fujimori S, Maruo SJ, Watanabe T, Taki N, Sasamori F, Kobayashi K, et al. Effectiveness of a Japanese-style health program in Minowa town, Matsumoto city and Nagano city Japan. Int J Hum Right Healthcare 2020;13:1-17.

Rezende LFM, Garcia LMT, Mielke GI, Lee DH, Giovannucci E, Eluf-Neto J. Physical activity and preventable premature deaths from non-communicable diseases in Brazil. J Public Health (Oxf) 2019;41:253-60.

Andersen HPC, Bull LB, Guthold F, Haskell R, Ekelund W. Global physical activity level: surveilance progress, pitfalls, and procpects. Lancet 2012;380:247-57.

Maruo SJ, Sanongdetch W, Choeychom S, Chansirikarn S, Thrakul S, Phuphaibul R, et al. Comparing the effectiveness of health program in Thailand and Japan. J Nurs Care 2015;4:1–6.

Watanabe T, Terasawa K, Nakade K, Murata Y, Terasawa S, Kobayashi T, et al. Influence of two different health promotion programs on walking steps, anthropometry, blood pressure, physical fitness, blood chemistry and brain function. I J Med Heal Sci 2015;5:170–81.

Murata Y, Nemoto K, Kobayashi T, Miyata Y, Terasawa S, Sasamori F, at al. Effect of a two-year health program on brain function, physical fitness and blood chemistry. J Community Med Health Educ 2015;5:1–6.

Nakade K, Fujimori S, Watanabe T, Murata Y, Terasawa S, Maruo SJ, et al. A case study of health education from Nagano prefecture in Japan: the relationship between health education and medical expenses. J Community Med Health Educ 2017;7:1–6.

Niharika V. International to hyperlipidemia and its treatment: a review. Int J Curr Pharm Res 2017;9:6-14.

Anithha M, Monica RE, Monisha DM, Chella KJ. Prevalence of obesity and overweight among medicos in both male and female students. Asian J Pharm Clin Res 2016;9:1-3.

Beuchat MS, Sperisen N, Molnar P, Koçer S. Physical activity and cancer. Praxis (Bern 1994) 2018;107:965-70.

Purba EN, Santosa H, Siregar FA. The relationship of physical activity and obesity with the incidence of hypertension in adults aged 26-45 Y in medan. Maced J Med Sci 2019; 14:3464-8.

Ministry of Health of the Republic of Indonesia. Indonesian Health Profile; 2019.

Bali Province Health Office 2018. Directorate of family health director-general of public health Kementerian Kesehatan Ri; 2019.

Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO. Physical activity and public health in older adults: recommendation from the american college of sports medicine and the American Heart Association. Circulation 2007;116:1094-105.

Frenzel A, Binder H, Walter N, Wirkner K, Loeffler M, Loeffler Wirth H. The aging human body shape. NPJ Aging Mech Dis 2020;6:1-15.

Trichopoulou A, Gnardellis C, Lagiou A, Benetou V, Naska A, Trichopoulos D. Physical activity and energy intake selectively predict the waist-to-hip ratio in men but not in women. Am J Clin Nutr 2001;74:574-8.

Chao A, Connell CJ, Jacobs EJ, McCullough ML, Patel AV, Calle AA, et al. Amount, type, and timing of recreational physical activity in relation to colon and rectal cancer in older adults: the cancer prevention study ii nutrition cohort. Cancer Epidemiol Biomarkers Prev 2004;3:2187-95.

Keimling M, Renehan AG, Behrens G, Fischer B, Hollenbeck AR, Cross AJ, et al. Comparison of associations of body mass index, abdominal adiposity, and risk of colorectal cancer in a large prospective cohort study. Cancer Epidemiol Biomarkers Prev 2013;22:1383-94.

Chaudhry UAR, Wahlich C, Fortescue R, Cook DG, Knightly R, Harris T. The effects of step-count monitoring interventions on physical activity: systematic review and meta-analysis of community-based randomised controlled trials in adults. Int J Behav Nutr Phys Act 2020;17:1-16.

Holick CN, Newcomb PA, Dietz AT, Ernstoff LT, Bersch AJ, Stampfer MJ, et al. Physical activity and survival after diagnosis of invasive breast cancer. Cancer Epidemiol Biomarkers Prev 2008;17:379-86.

Friedenreich CM, Orenstein MR. Physical activity and cancer prevention: etiologic evidence and biological mechanisms. J Nutr 2002;132:3456-64.

Martınez ME, Giovannucci E, Spiegelman D, Hunter DJ, Willett WC, Colditz GA. Leisure-time physical activity, body size, and colon cancer in women. J Natl Cancer Inst 1997;89:948-55.

Karimy M, Gallali M, Niknami SH, Aminshokravi F, Tavafian SS. The effect of health education program based on Health Belief Model on the performance of Pap smear test among women referring to health care centers in Zarandieh. J Jahrom University Med Sci Spring 2012;10:47-53.

Blond K, Brinkløv CF, Ried Larsen M, Crippa A, Grøntved A. Association of high amounts of physical activity with mortality risk: a systematic review and meta-analysis. Br J Sports Med 2020;54:1195–201.

Frank LD, Andresen MA, Schmid TL. Obesity relationships with community design, physical activity, and time spent in cars. Am J Prev Med 2004;27:87–96.

Laurin D, Verreault R, Lindsay J, MacPherson K, Rockwood K. Physical activity and risk of cognitive impairment and dementia in elderly persons. Arch Neurol 2001;58:498-504.

Published

01-02-2021

How to Cite

ADIATMIKA, I. P. G., K. TERASAWA, S. J. MARUO, K. NAKADE, T. WATANABE, S. TERASAWA, T. KOBAYASHI, Y. ZHANG, K. NAKAJIMA, and F. SASAMORI. “THE EFFECT OF HEALTH EDUCATION AS NON-PHARMACOLOGICAL THERAPY ON PHYSICAL FITNESS, BLOOD CHEMISTRY AND BRAIN FUNCTION AMONG SENIOR CITIZEN IN BOTH RURAL AND URBAN AREAS OF BALI, INDONESIA”. International Journal of Pharmacy and Pharmaceutical Sciences, vol. 13, no. 2, Feb. 2021, pp. 24-28, doi:10.22159/ijpps.2021v13i2.40151.

Issue

Section

Original Article(s)