Pengaruh Aktivitas Fisik terhadap Penurunan Berat Badan dan Tingkat Kolesterol pada Orang dengan Obesitas: Literature Review
Aziz Ar Rafiq(1*), Sutono Sutono(2), Anggi Lukman Wicaksana(3)
(1) Program Studi Ilmu Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(2) Departemen Keperawatan Dasar dan Emergensi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(3) Departemen Keperawatan Medikal Bedah, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(*) Corresponding Author
Abstract
ABSTRACT
Background: Obesity is a complex condition, has many risk factors, but it can be prevented. People with obesity have high cholesterol levels and often have difficulty in losing weight. Moreover, physical exercise has vital role for reducing weight for people with obesity, since physical exercise affects one third of body’s energi expenditure.
Objective: To review the effect of physical exercise on weight loss and cholesterol levels in obese people.
Methods: Three electronic data sources, namely Scopus, PubMed, and Science Direct were explored for literature search. PICO was used along with few keywords i.e., obesity, physical activity or physical exercise or exercise, weight, and cholesterol. The search was resulted in seven literatures that matched the inclusion criteria, namely published on electronic data sources between 2008 to 2018, quantitative research, using population of people with obesity aged 20-60 years, English language literature and available in full text. The selected literatures were analyzed by descriptive narrative method and data extraction.
Results: These literatures consisted of two case study and five randomized-controlled trial method. According to literature review, physical activity influenced weight loss and cholesterol levels. Physical activity was ranging form moderate intensity exercise, walking, aerobic to endurance training programs.
Conclusion: Physical exercise influences on weight loss and cholesterol level in people with obesity. Furthermore, it gives positive influence toward body condition, such as improving metabolism, quality of life, self efficacy, and cardiorespiratory fitness.
Keywords: cholesterol, obesity, physical activity
ABSTRAK
Latar belakang: Obesitas merupakan suatu keadaan yang kompleks dan memiliki banyak faktor risiko, tetapi besar kemungkinannya untuk dicegah. Orang dengan obesitas memiliki tingkat kolesterol yang tinggi dan sering mengalami kesulitan dalam menurunkan berat badan. Aktivitas fisik memiliki peran penting bagi orang yang mengalami obesitas untuk menurunkan berat badan, karena satu pertiga pengeluaran energi tubuh dihasilkan melalui aktivitas fisik.
Tujuan: Mengulas pengaruh aktivitas fisik terhadap penurunan berat badan dan tingkat kolesterol pada orang dengan obesitas.
Metode: Pencarian literatur dilakukan di tiga sumber data elektronik, yaitu Scopus, PubMed, dan Science Direct. Pencarian tersebut menggunakan PICO dengan kata kunci obesity, physical activity atau physical exercise atau exercise, weight dan cholesterol. Dari pencarian tersebut ditemukan 7 literatur yang sesuai dengan kriteria inklusi, yaitu literatur terbit pada sumber data elektronik dari tahun 2008 hingga 2018, merupakan jenis penelitian kuantitatif, dengan populasi orang obesitas berusia 20-60 tahun, literatur berbahasa Inggris dan tersedia dalam teks lengkap. Literatur terpilih selanjutnya dianalisis dengan metode naratif deskriptif dan dilakukan ekstraksi data.
Hasil: Tujuh literatur terpilih terbagi menjadi dua literatur studi kasus dan lima literatur uji acak terkendali. Hasil dari tujuh literatur tersebut yaitu bahwa aktivitas fisik memiliki pengaruh terhadap penurunan berat badan dan tingkat kolesterol. Aktivitas fisik yang dilakukan bervariasi, mulai dari latihan intensitas sedang, jalan kaki, aerobik, hingga program latihan ketahanan.
Kesimpulan: Aktivitas fisik memiliki pengaruh terhadap penurunan berat badan dan tingkat kolesterol pada orang dengan obesitas. Aktivitas fisik dapat menimbulkan pengaruh yang baik terhadap tubuh, yaitu memperbaiki metabolisme tubuh, meningkatkan kualitas hidup, meningkatkan efikasi diri dan meningkatkan kebugaran kardiorespirasi.
Kata kunci: aktivitas fisik, kolesterol, obesitas
Full Text:
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- Nishida C, Barba C, Cavalli-Sforza T, Cutter J, Deurenberg P, Darnton-Hill I, et al. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. The Lancet [Internet]. 2004 Jan 10 [cited 2021 Nov 24];363(9403):157–63. Available from: http://www.thelancet.com/article/S0140673603152683/fulltext
- American Medical Association. AMA Adopts New Policies on Second Day of Voting at Annual Meeting - American Medical Association [Internet]. 2013 [cited 2020 Jun 5]. Available from: https://news.cision.com/american-medical-association/r/ama-adopts-new-policies-on-second-day-of-voting-at-annual-meeting,c9430649.
- World Health Organization. Obesity and overweight [Internet]. 2016 [cited 2020 May 6]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
- Abraham M. Rudolph JIEHCDR. Buku Ajar Pediatri Rudolph 2. Buku Kedokteran EGC; 2007.
- Hill JO, Wyatt HR, Peters JC. Energy Balance and Obesity. Circulation [Internet]. 2012 Jul 3 [cited 2021 Jul 6];126(1):126–32. Available from: http://circ.ahajournals.org.
- J.B. Suharjo B. Cahyono. Gaya Hidup dan Penyakit Modern [Internet]. Yogyakarta: Kanisius; [cited 2021 Jul 6]. Available from: https://opac.perpusnas.go.id/DetailOpac.aspx?id=156541.
- Dalilah. Hubungan Asupan Zat Gizi Makro dan Aktivitas Fisik dengan Status Gizi Pelajar SMA Muhammadiyah I Yogyakarta [Skripsi]. Yogyakarta: Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada; 2009.
- Thompson P.D., Rader D.J. 2001. Does Exercise Increase HDL Cholesterol in Those Who Need It The Most. Arteriosclerosis, Thrombosis, and Vascular Biology. American Heart Association, 21:1097-1098.
- Rosenkilde M, Rygaard L, Nordby P, Nielsen LB, Stallknecht B. Exercise and Weight Loss Effects on Cardiovascular Risk Factors in Overweight Men. J Appl Physiol [Internet]. 2018 [cited 2021 Jul 6];125(3):901–8. Available from: https://pubmed.ncbi.nlm.nih.gov/29543138/
- Weiss EP, Albert SG, Reeds DN, Kress KS, McDaniel JL, Klein S, et al. Effects of Matched Weight Loss from Calorie Restriction, Exercise, or Both on Cardiovascular Disease Risk Factors: A Randomized intervention trial. Am J Clin Nutr [Internet]. 2016 Sep 1 [cited 2021 Jul 6];104(3):576–86. Available from: https://pubmed.ncbi.nlm.nih.gov/27465384/
- Gondim OS, De Camargo VTN, Gutierrez FA, De Oliveira Martins PF, Passos MEP, Momesso CM, et al. Benefits of Regular Exercise on Inflammatory and Cardiovascular Risk Markers in Normal Weight, Overweight and Obese Adults. PLoS One [Internet]. 2015 Oct 16 [cited 2021 Jul 6];10(10). Available from: https://pubmed.ncbi.nlm.nih.gov/26474157/
- Kim DY. Effects of Exercise using A Mobile Device on Cardiopulmonary Function, Metabolic Risk Factors, and Self-Efficacy in Obese Women. J Exerc Rehabil [Internet]. 2018 Oct 1 [cited 2021 Jul 6];14(5):829–34. Available from: https://pubmed.ncbi.nlm.nih.gov/30443530/
- Wagmacker DS, Petto J, Fraga AS, Matias JB, Mota SKA, Rodrigues LEA, et al. Metabolic Reponses to A Physical Exercise Session in Women with Excess Body Mass: Randomized Clinical Trial. Lipids Health Dis [Internet]. 2017 Dec 19 [cited 2021 Jul 6];16(1). Available from: /pmc/articles/PMC5735600/
- Lee CH, Cheung B, Yi GH, Oh B, Oh YH. Mobile Health, Physical Activity, and Obesity: Subanalysis of A Randomized Controlled Trial. Med (United States) [Internet]. 2018 Sep 1 [cited 2021 Jul 6];97(38). Available from: https://pubmed.ncbi.nlm.nih.gov/30235680/
- Said MA, Abdelmoneem M, Almaqhawi A, Hamid Kotob AA, Alibrahim MC, Bougmiza I. Multidisciplinary Approach to Obesity: Aerobic or Resistance Physical Exercise? J Exerc Sci Fit. 2018 Dec 1;16(3):118–23.
- Rachmi CN, Li M, Alison Baur L. Overweight and Obesity in Indonesia: Prevalence and Risk Factors—A Literature Review [Internet]. Vol. 147, Public Health. Elsevier B.V.; 2017 [cited 2021 Jul 6]. p. 20–9. Available from: https://pubmed.ncbi.nlm.nih.gov/28404492/
- Pane BS. Peranan Olahraga dalam Meningkatkan Kesehatan. J Pengabdi Kpd Masy. 2015;21(79).
- Kementerian Kesehatan Republik Indonesia. Aktivitas Fisik 150 Menit per Minggu agar Jantung Sehat - Direktorat P2PTM [Internet]. 2018 Sept 28 [cited 2020 May 6]. Available from: http://www.p2ptm.kemkes.go.id/infographic-p2ptm/hipertensi-penyakit-jantung-dan-pembuluh-darah/aktivitas-fisik-150-menit-per-minggu-agar-jantung-sehat
DOI: https://doi.org/10.22146/jkkk.60362
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