Diponegoro University - Indonesia
Senam Sehat Anak Indonesia Improve Peak Expiratory Flow Rate in Children with Obesity
Introduction: Excessive fat accumulation in the obese child causes complex problems in the respiratory system. Respiratory system function can be improved by exercise. One exercise model that is suitable for children is Senam Sehat Anak Indonesia (SSAI). The quality of the respiratory function system is measured using Peak Expiratory Flow Rate (PEFR).
Objective: to validate the PEFR’s differences in obese children before and after performing SSAI.
Methods: This research using one group pre-posttest experimental design with total sample of 20 obese children using purposive sampling method. The research instrument uses weight scale, height scale, and peak flow meter. SSAI was given to all subjects twice a week for six weeks. Paired T Test statistical analysis was used to examine the PEFR’s differences before and after performing SSAI, considered significant if p<0.05.
Results: The PEFR’s mean of all subjects before performing SSAI was 258.25 ± 39.51 L∕minute, while PEFR’s mean after performing SSAI twice a week for 6 weeks was 282.50 ± 43.03 L∕minute, (p=0,000).
Conclusion: The PEFR’s mean of obese children was increase significantly after performing SSAI twice a week for 6 weeks
Keywords: Obesity, SSAI, PEFR
- Adeniyi, B. O. and Erhabor, G. E. (2011) ‘The peak flow meter and its use in clinical practice’, African Journal of Respiratory Medicine, pp. 5–8.
- Bora, G., Sudhir, G. K. and Swamy, K. N. N. (2017) ‘Impact of exercise training on peak expiratory flow rate in relation to body mass index – An Indian perspective’, Indian Journal of Clinical Anatomy and Physiology, 4(1), pp. 34–39. doi: 10.18231/2394-2126.2017.0009.
- Chaitra B and Maitri, V. (2011) ‘Effect of aerobic exercise training on pulmonary function tests: A pragmatic randomized controlled trial’, International Journal of Pharma and Bio Sciences, 2(4), pp. 455–460.
- Direktorat Bina Gizi dan Kesehatan Ibu dan Anak (2011) Pedoman Pencegahan dan Penanggulangan Kegemukan dan Obesitas pada Anak Sekolah.
- Gundogdu, Z. and Eryilmaz, N. (2011) ‘Correlation between peak flow and body mass index in obese and non-obese children in Kocaeli, Turkey’, Primary Care Respiratory Journal, 20(4), pp. 403–406. doi: 10.4104/pcrj.2011.00061.
- Hewitt, M. et al. (2010) ‘Repeated bouts of moderate-intensity aerobic exercise reduce airway reactivity in a murine asthma model’, American Journal of Respiratory Cell and Molecular Biology, 42(2), pp. 243–249. doi: 10.1165/rcmb.2009-0038OC.
- Irsyada, A. H., Setiawati, E. and Hendrianingtyas, M. (2018) ‘Pengaruh Senam Sehat Anak Indonesia terhadap Indeks Massa Tubuh pada Anak dengan Underweight’, Diponegoro Medical Journal (Jurnal Kedokteran Diponegoro), 7(1), pp. 74–80.
- Jena, S. et al. (2017) ‘Relation of peak expiratory flow rate to body mass index in young adults’, Muller Journal of Medical Sciences and Research, 8(1), p. 19. doi: 10.4103/0975-9727.199369.
- NCD Risk Factor Collaboration (2016) Obesity prevalence distribution, ncdrisc.org. Available at: http://ncdrisc.org/obesity-prevalence-distribution.html (Accessed: 14 February 2019).
- O’Neill, J. L. et al. (2007) ‘Prevalence of overweight and obesity in Irish school children, using four different definitions’, European Journal of Clinical Nutrition, 61(6), pp. 743–751. doi: 10.1038/sj.ejcn.1602580.
- Pemerintah Kabupaten Wonosobo (2016) Dikbudpora Perkenalkan Senam Sehat Anak Indonesia, wonosobokab.go.id. Available at: https://wonosobokab.go.id/website/index.php/berita/seputar-wonosobo/item/4682-dikbudpora-perkenalkan-senam-sehat-anak-indonesia/4682-dikbudpora-perkenalkan-senam-sehat-anak-indonesia (Accessed: 30 September 2019).
- Riyan, Setiawati, E. and Hendrianingtyas, M. (2018) ‘Pengaruh Senam Sehat Anak Indonesia Terhadap Kinerja Fungsi Eksekutif Pada Anak dengan Underweight’, Jurnal Kedokteran Diponegoro, 7(1), pp. 322–329. Available at: http://ejournal3.undip.ac.id/index.php/medico.
- Salbe, A. D. et al. (2002) ‘Assessing risk factors for obesity between childhood and adolescence: II. Energy metabolism and physical activity’, Pediatrics, 110(2), pp. 299–306. doi: 10.1542/peds.110.2.307.
- Strasser, B. (2013) ‘Physical activity in obesity and metabolic syndrome: Physical activity and metabolic health’, Annals of the New York Academy of Sciences, 1281(1), pp. 141–159. doi: 10.1111/j.1749-6632.2012.06785.x.
- The American Academy of Allergy Asthma & Immunology (2019) Peak flow meter TTR, aaaai.org. Available at: https://www.aaaai.org/conditions-and-treatments/library/asthma-library/peak-flow-meter (Accessed: 20 September 2019).
- Wicaksono, A., Setiawati, E. and Margawati, A. (2016) ‘Pengaruh Circuit Training Terhadap Nilai Arus Puncak Ekspirasi pada Anak Obesitas’, Jurnal Kedokteran Diponegoro, 5(4), pp. 386–392.
- World Health Organization (2019a) Obesity, who.int. Available at: https://www.who.int/gho/ncd/risk_factors/overweight_obesity/obesity_adolescents/en/ (Accessed: 13 December 2019).
- World Health Organization (2019b) Overweight and obesity, who.int. Available at: https://www.who.int/gho/ncd/risk_factors/overweight_obesity/obesity_adolescents/en/ (Accessed: 13 December 2019).