The effect of low-impact aerobic exercise in lowering total cholesterol levels

Authors

  • Dyaz Surya Ananta Universitas Muhammadiyah Surakarta, Indonesia
  • Wachidah Yuniartika Universitas Muhammadiyah Surakarta, Indonesia

DOI:

https://doi.org/10.31101/jhes.3754

Keywords:

aerobic exercise, cholesterol level, hypercholesterolemia, hyperlipidemia, low impact

Abstract

Hypercholesterolemia (HC) is a disease caused by excessive fat consumption and a lack of physical activity. It can impact the emergence of various health disorders (e.g., heart disease, hypertension, and stroke). One of the non-pharmacological therapies to treat HC is by practicing low-impact aerobic. This study aims to determine the effect of low-impact aerobic exercise on decreasing cholesterol levels. Quasi-experimental research with a two-group pretest-posttest control group design. Purposive sampling was used in this study with inclusion criteria: patients with a cholesterol value >200 mmHg, who can do physical activity and do not take medication regularly. The sample, which comprised 64 respondents, was divided into intervention and control groups. The low-impact aerobic exercise intervention was conducted over a period of 8 weeks, with sessions held 2-3 times a week, each lasting 15 minutes. A glucose, cholesterol, uric acid (GCU) meter device was used to check cholesterol levels. Data were analyzed using a paired sample t-test. The mean decrease in cholesterol levels in the intervention group reached 55.22 mg/dl (from x̄ 245.13 mg/dl to x̄ 189.91 mg/dl). It was found a significant effect between low-impact aerobic exercise and reducing total cholesterol levels (p < 0.05). Low impact aerobic exercise intervention is cost-effective, has minimal side effects, and is effective in controlling and lowering cholesterol levels if done properly and intensively. Optimizing HC management can be done by combining HC interventions, e.g., diet, medication, and adequate physical activity. Further research on the optimization of HC management needs to be conducted.

References

Adeloye, D., Abaa, D. Q., Owolabi, E. O., Ale, B. M., Mpazanje, R. G., Dewan, M. T., Omoyele, C., Ezeigwe, N., Alemu, W., Harhay, M. O., Auta, A., & Adewole, I. F. (2020). Prevalence of hypercholesterolemia in Nigeria: A systematic review and meta-analysis. Public Health, 178, 167–178. https://doi.org/10.1016/j.puhe.2019.09.002

Ahn, N., & Kim, K. (2020). Can active aerobic exercise reduce the risk of cardiovascular disease in prehypertensive elderly women by improving hdl cholesterol and inflammatory markers? International Journal of Environmental Research and Public Health, 17(16), 1–16. https://doi.org/10.3390/ijerph17165910

Akbartabar Toori, M., Kiani, F., Sayehmiri, F., Sayehmiri, K., Mohsenzadeh, Y., Ostovar, R., Angha, P., & Mohsenzadeh, Y. (2018). Prevalence of Hypercholesterolemia, High LDL, and Low HDL in Iran: A Systematic Review and Meta-Analysis. Iranian Journal of Medical Sciences, 43(5), 449–465.

Al-Hassan, Y., & Fabella, E. (2017). Lipid Profile Analysis of Patients in a Saudi University Clinic. Public Health International, 3, 89–95. https://doi.org/10.11648/j.phi.20170203.11

Al-Zahrani, J., Shubair, M. M., Al-Ghamdi, S., Alrasheed, A. A., Alduraywish, A. A., Alreshidi, F. S., Alshahrani, S. M., Alsalamah, M., Al-Khateeb, B. F., Ashathri, A. I., El-Metwally, A., & Aldossari, K. K. (2021). The prevalence of hypercholesterolemia and associated risk factors in Al-Kharj population, Saudi Arabia: A cross-sectional survey. BMC Cardiovascular Disorders, 21(1), 22. https://doi.org/10.1186/s12872-020-01825-2

Arief, R. Q., W, L. P., & Arief, M. J. (2023). High Risk of Dyslipidemia in Obese Adolescents: Exploring the Factors and Implications for Cardiovascular Health Risiko Tinggi Dislipidemia pada Remaja Obesitas: Menggali Faktor dan Implikasinya terhadap Kesehatan Kardiovaskular. Al Gizzah: Public Health Nutrition Journal, III(2), 77–89.

Basulaiman, M., El Bcheraoui, C., Tuffaha, M., Robinson, M., Daoud, F., Jaber, S., Mikhitarian, S., Wilson, S., Memish, Z. A., Al Saeedi, M., AlMazroa, M. A., & Mokdad, A. H. (2014). Hypercholesterolemia and its associated risk factors-Kingdom of Saudi Arabia, 2013. Annals of Epidemiology, 24(11), 801–808. https://doi.org/10.1016/j.annepidem.2014.08.001

Belete, A. K., Kassaw, A. T., Yirsaw, B. G., Taye, B. A., Ambaw, S. N., Mekonnen, B. A., & Sendekie, A. K. (2023). Prevalence of Hypercholesterolemia and Awareness of Risk Factors, Prevention and Management Among Adults Visiting Referral Hospital in Ethiopia. Vascular Health and Risk Management, 19, 181–191. https://doi.org/10.2147/VHRM.S408703

Brown, J. D., Buscemi, J., Milsom, V., Malcolm, R., & O’Neil, P. M. (2016). Effects on cardiovascular risk factors of weight losses limited to 5–10 %. Translational Behavioral Medicine, 6(3), 339–346. https://doi.org/10.1007/s13142-015-0353-9

CDC. (2024, May 20). Risk Factors for High Cholesterol. Cholesterol. https://www.cdc.gov/cholesterol/risk-factors/index.html

Dinkes Sukoharjo. (2022). Profil Kesehatan Kabupaten Sukoharjo 2022. Angewandte Chemie International Edition, 6(11),(951–952.), 5–24.

Downer, B., Estus, S., Katsumata, Y., & Fardo, D. W. (2014). Longitudinal Trajectories of Cholesterol from Midlife through Late Life according to Apolipoprotein E Allele Status. International Journal of Environmental Research and Public Health, 11(10), 10663–10693. https://doi.org/10.3390/ijerph111010663

Dwijayanti, K., & Ferbrianti, R. (2021). Menjaga Daya Tahan Tubuh Di Masa Pandemi Covid-19 Dengan Senam Aerobik. BERNAS: Jurnal Pengabdian Kepada Masyarakat, 2(1), 392–395. https://doi.org/10.31949/jb.v2i1.760

Espírito Santo, L. R., Faria, T. O., Silva, C. S. O., Xavier, L. A., Reis, V. C., Mota, G. A., Silveira, M. F., Mill, J. G., & Baldo, M. P. (2019). Socioeconomic status and education level are associated with dyslipidemia in adults not taking lipid-lowering medication: A population-based study. International Health, 14(4), 346–353. https://doi.org/10.1093/inthealth/ihz089

Febriani, D., & Besral. (2018). The Effect of Lifestyle on Hypercholesterolemia. The Open Public Health Journal, 11, 526–532. https://doi.org/10.2174/1874944501811010526

Fitrianingsih, D. (2019). The Effect of Aerobic Dance Exercise towards the Decreasing of Total Cholesterol Level on Kiyomi Dance Studioâ€TMs. ACTIVE: Journal of Physical Education, Sport, Health and Recreation, 8(3), Article 3. https://doi.org/10.15294/active.v8i3.34522

Franczyk, B., Gluba-Brzózka, A., Ciałkowska-Rysz, A., Ławiński, J., & Rysz, J. (2023). The Impact of Aerobic Exercise on HDL Quantity and Quality: A Narrative Review. International Journal of Molecular Sciences, 24(5), 4653. https://doi.org/10.3390/ijms24054653

GBD. (2018). Burden of cardiovascular diseases in the Eastern Mediterranean Region, 1990–2015: Findings from the Global Burden of Disease 2015 study. International Journal of Public Health, 63(Suppl 1), 137–149. https://doi.org/10.1007/s00038-017-1012-3

Grundy, S. M., Arai, H., Barter, P., Bersot, T. P., Betteridge, D. J., Carmena, R., Cuevas, A., Davidson, M. H., Genest, J., Kesäniemi, Y. A., Sadikot, S., Santos, R. D., Susekov, A. V., Sy, R. G., LaleTokgözoglu, S., Watts, G. F., & Zhao, D. (2014). An International Atherosclerosis Society Position Paper: Global recommendations for the management of dyslipidemia-Full report. Journal of Clinical Lipidology, 8(1), 29–60. https://doi.org/10.1016/j.jacl.2013.12.005

Gupta, R., Sharma, M., Goyal, N. K., Bansal, P., Lodha, S., & Sharma, K. K. (2016). Gender differences in 7 years trends in cholesterol lipoproteins and lipids in India: Insights from a hospital database. Indian Journal of Endocrinology and Metabolism, 20(2), 211–218. https://doi.org/10.4103/2230-8210.176362

Hailemariam, A., Yew, S. L., & Appau, S. (2021). Gender health gaps: The role of risky addictive behaviors. Journal of Economic Behavior & Organization, 191, 639–660. https://doi.org/10.1016/j.jebo.2021.09.026

Holven, K. B., & Roeters van Lennep, J. (2023). Sex differences in lipids: A life course approach. Atherosclerosis, 384, 117270. https://doi.org/10.1016/j.atherosclerosis.2023.117270

Ibrahim, M. A., Asuka, E., & Jialal, I. (2024). Hypercholesterolemia. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK459188/

Mann, S., Beedie, C., & Jimenez, A. (2014). Differential Effects of Aerobic Exercise, Resistance Training and Combined Exercise Modalities on Cholesterol and the Lipid Profile: Review, Synthesis and Recommendations. Sports Medicine (Auckland, N.z.), 44(2), 211–221. https://doi.org/10.1007/s40279-013-0110-5

Nurafifah, A. S. (2021). Senam Aerobik Low Impact dapat Menurunkan Tekanan Darah pada Lansia dengan Hipertensi. Indonesian Scholar Journal of Nursing and Midwifery Science (ISJNMS), 1(01), 36–41. https://doi.org/10.54402/isjnms.v1i01.30

Patel, N., Mittal, N., Wilkinson, M. J., & Taub, P. R. (2024). Unique features of dyslipidemia in women across a lifetime and a tailored approach to management. American Journal of Preventive Cardiology, 18, 100666. https://doi.org/10.1016/j.ajpc.2024.100666

Pirillo, A., & Norata, G. D. (2023). The burden of hypercholesterolemia and ischemic heart disease in an ageing world. Pharmacological Research, 193, 106814. https://doi.org/10.1016/j.phrs.2023.106814

Renityas, N. N. (2019). Pendidikan Kesehatan Tentang Kolesterol Efektif Meningkatkan Pengetahuan Lansia Dalam Pencegahan Kolesterol. Jurnal Penelitian Kesehatan, 9, 82–88.

Rosada, A., Kassner, U., Weidemann, F., König, M., Buchmann, N., Steinhagen-Thiessen, E., & Spira, D. (2020). Hyperlipidemias in elderly patients: Results from the Berlin Aging Study II (BASEII), a cross-sectional study. Lipids in Health and Disease, 19, 92. https://doi.org/10.1186/s12944-020-01277-9

Rosmaini, R., Melrisda, W. I., & Haiga, Y. (2022). Gambaran Kadar Kolesterol Total Pada Lansia di Puskesmas Lubuk Buaya Tahun 2019. Scientific Journal, 1(2), 101–110. https://doi.org/10.56260/sciena.v1i2.34

Stanton, R., & Reaburn, P. (2014). Exercise and the treatment of depression: A review of the exercise program variables. Journal of Science and Medicine in Sport, 17(2), 177–182. Research Library.

Syarfaini, Ibrahim, I. A., & Yuliana. (2020). Hubungan Pola Makan Dan Aktivitas Fisik Terhadap Kadar Kolestrol Pada Aparatur Sipil Negara. Jurnal Kesehatan, 13(1), 53–60. https://doi.org/10.24252/kesehatan.v13i1.14156

Tsao, C.-F., Chang, C.-M., Weng, S.-W., Wang, P.-W., Lin, C.-Y., & Lu, S.-N. (2021). Identifying endemic areas and estimating the prevalence of hyperlipidemia in Taiwan’s townships. Journal of the Formosan Medical Association, 120(1, Part 2), 460–465. https://doi.org/10.1016/j.jfma.2020.05.031

Wakabayashi, I. (2021). Associations of Smoking and Drinking with New Lipid-Related Indices in Women with Hyperglycemia. Women’s Health Reports, 2(1), 23–31. https://doi.org/10.1089/whr.2020.0100

Wang, Y., & Xu, D. (2017). Effects of aerobic exercise on lipids and lipoproteins. Lipids in Health and Disease, 16(1), 132. https://doi.org/10.1186/s12944-017-0515-5

WHO. (2019, June 11). Cardiovascular diseases. https://www.who.int/health-topics/cardiovascular-diseases

WHO. (2020). WHO global health observatory data, Raised Cholesterol. https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/ncd-risk-factors

Yuniartika, W., & Mutiah, S. (2021). Efektivitas Senam Osteoartrhitis Dalam Stabilisasi Indeks Massa Tubuh Di Masyarakat. Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 9(3), 365. https://doi.org/10.20527/dk.v9i3.10393

Yuniartika, W., Oktaviana, W., Rahma, L. R., Nofandrilla, N., Farisulhaq, A., Nun, Z., Syavinka, A., Ananta, D. S., & Nurani, D. D. (2023). MENDUKUNG KESEHATAN PENDERITA KOLESTEROL adalah lansia , rata-rata lansia memiliki. 6, 3409–3416.

Zhao, S., Zhong, J., Sun, C., & Zhang, J. (2021). Effects of aerobic exercise on TC, HDL-C, LDL-C and TG in patients with hyperlipidemia: A protocol of systematic review and meta-analysis. Medicine, 100(10), e25103. https://doi.org/10.1097/MD.0000000000025103

Downloads

Published

2024-09-28

Issue

Section

Original Research Paper

Citation Check

Similar Articles

<< < 1 2 3 

You may also start an advanced similarity search for this article.