CORRELATION BETWEEN PHYSICAL ACTIVITY AND COGNITIVE FUNCTION AMONG THE ELDERLY AT PADANG KANDIS PUBLIC HEALTH CENTER
Abstract
The increasing global elderly population has been accompanied by a rise in age-related health problems, particularly degenerative conditions such as cognitive decline. Physical activity is considered a modifiable factor that may play a protective role in maintaining cognitive health, as regular exercise is believed to delay cognitive deterioration in older adults. This study aimed to investigate the correlation between physical activity and cognitive function among elderly individuals living within the service area of Padang Kandis Public Health Center, located in Lima Puluh Kota Regency. This study employed an analytic observational design with a cross-sectional approach. Participants were selected using a consecutive sampling technique, resulting in 52 elderly individuals residing in the study area. Physical activity levels were assessed using the Global Physical Activity Questionnaire (GPAQ), while cognitive performance was evaluated using the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina). Bivariate analysis was performed using the chi-square test. The results showed that 23 respondents (44.23%) engaged in a moderate level of physical activity, and 27 respondents (51.92%) demonstrated normal cognitive function. Statistical analysis indicated a significant relationship between physical activity and cognitive function, with a p-value of 0.001 (p < 0.05). In conclusion, this study demonstrated a significant association between physical activity levels and cognitive performance in the elderly population served by the Padang Kandis Public Health Center.
Keywords: cognitive function, elderly, GPAQ, MoCA-Ina, physical activity
DOI : 10.35990/mk.v9n1.p57-67
References
2. Cox EP, O’Dwyer N, Cook R, Vetter M, Cheng HL, Rooney K, et al. Relationship between physical activity and cognitive function in apparently healthy young to middle-aged adults: a systematic review. J Sci Med Sport. 2016;19(8):616-28.
3. Kementerian Kesehatan RI. Analisis Lansia 2017. Jakarta: Pusat Data dan Informasi Kemenkes RI; 2017. p. 1-80..
4. Badan Pusat Statistik Sumatera Barat. Hasil sensus penduduk 2020 Provinsi Sumatera Barat. Padang: BPS Sumatera Barat; 2021. p. 1-100.
5. Erickson KI, Hillman C, Stillman CM, Ballard RM, Bloodgood B, Conroy DE, et al. Physical activity, cognition, and brain outcomes: a review of the 2018 physical activity guidelines. Med Sci Sports Exerc. 2019;51(6):1242-51.
6. Ingold M, Tulliani N, Chan CCH, Liu KPY. Cognitive function of older adults engaging in physical activity. BMC Geriatr. 2020;20(1):50-60..
7. Rinaningsih Ys, Kridawati A, Ulfa L. Factors Associated With Impaired Cognitive Function In The Elderly People. Jurnal Ilmu Kesehatan Masyarakat. 2022 Mar 31;13(1):39–49.
8. Dinas Kesehatan Kabupaten Lima Puluh Kota. Profil Kesehatan Kabupaten Lima Puluh Kota 2018. Edisi 1. Lima Puluh Kota: Dinas Kesehatan; 2019. p. 1-90.
9. Dinas Kesehatan Kota Padang. Profil Kesehatan Kota Padang tahun 2019. Edisi 1. Padang: Dinas Kesehatan; 2020. p. 1-85.
10. Wahyuni A, Khairun Nisa. Pengaruh aktivitas dan latihan fisik terhadap fungsi kognitif pada penderita demensia. Majority. 2016;5(4):12-20.
11. Kementerian Kesehatan Republik Indonesia. Direktorat Promosi Kesehatan dan Pemberdayaan Masyarakat. Promkes.kemkes.go.id [Internet]. 2018 [cited 2024 Sep 24]. Available from: https://promkes.kemkes.go.id
12. Falck RS, Landry GJ, Best JR, Davis JC, Chiu BK, Liu-Ambrose T. Cross-sectional relationships of physical activity and sedentary behavior with cognitive function in older adults with probable mild cognitive impairment [Internet]. Phys Ther. 2017;97(3):300-10. Available from: https://academic.oup.com/ptj
13. Bahrudin M, Pratiwi A, Seta AB, Prabawati RK. The effect of brain training game activities on improvement of cognitive function measured by Montreal Cognitive Assessment Indonesia Version (MoCA-Ina) [Internet]. Saintika Medika. 2022;18(1):80-91. [cited 2024 Sep 24]. Available from: https://ejournal.umm.ac.id/index.php/sainmed/article/view/21569
14. Sauliyusta M, Rekawati E. Aktivitas fisik memengaruhi fungsi kognitif lansia. J Keperawatan Indones. 2016;19(2):45-53.
15. Laksmidewi AAAP. Cognitive changes associated with normal aging. Proceeding 4th Bali Neurology Update. 2016;1(1):22-4.
16. Cohen RA, Marsiske MM, Smith GE. Neuropsychology of aging. In: Handbook of Clinical Neurology. 3rd ed. Amsterdam: Elsevier; 2019. p.149-80..
17. Cannon JA, Moffitt P, Perez-Moreno AC, Walters MR, Broomfield NM, McMurray JJV, et al. Cognitive impairment and heart failure: systematic review and meta-analysis. J Card Fail. 2017;23(6):464-75.
18. Pragholapati A, Ardiana F, Nurlianawati L. Gambaran fungsi kognitif pada lanjut usia (lansia). J Mutiara Ners. 2021;4(1):14-23.
19. Aktivitas H, Dengan F, Kognitif F, Lansia P, Puskesmas D, Kecamatan W, et al. Hubungan aktivitas fisik dengan fungsi kognitif pada lansia di Puskesmas Wori Kecamatan Wori Kabupaten Minahasa Utara. J Kesmas. 2018;7(2):30-8.
20. Mazya A, Lastri D. Neurobehaviour dasar dan pemeriksaannya. In: Buku Ajar Neurologi. 1st ed. Jakarta: Departemen Neurologi FK UI; 2017. p.149-180.
21. Krivanek TJ, Gale SA, McFeeley BM, Nicastri CM, Daffner KR. Promoting successful cognitive aging: a ten-year update. J Alzheimers Dis. 2021;81(3):871-920.
22. Thow ME, Summers MJ, Saunders NL, Summers JJ, Ritchie K, Vickers JC. Further education improves cognitive reserve and triggers improvement in selective cognitive functions in older adults: The Tasmanian Healthy Brain Project. Alzheimers Dement (Diagn Assess Dis Monit). 2018;10:22-30..
23. Adigüzel I, Onmuş IRD, Mandiracioǧlu A, Öcek ZA. Adaptation of the Global Physical Activity Questionnaire (GPAQ) into Turkish: a validation and reliability study. Turk J Phys Med Rehabil. 2021;67(2):175-86.
24. Hao L, Xing Y, Li X, Mu B, Zhao W, Wang G, et al. Risk factors and neuropsychological assessments of subjective cognitive decline (plus) in Chinese memory clinic. Front Neurosci. 2019;13(4):100-110
25. Silalahi SL, Hastono SP, Kridawati A. Hubungan aktivitas fisik dengan fungsi kognitif pada lansia di Cita Sehat Yogyakarta tahun 2016. J Bidang Ilmu Kesehatan. 2017;9(1):55-62.



