The Relationship Between Physical Activity and Body Mass Index on Functional Ability Elderly Women in Jegu Village, Penebel, Tabanan

Authors

  • Ni Luh Made Narisa Pradnyasari Program Studi Fisioterapi, Universitas Dhyana Pura Bali
  • I Made Yoga Parwata
  • Luh Putu Ayu Vitalistyawati
  • Ni Putu Dwi Larashati

DOI:

https://doi.org/10.35451/7q3rbv04

Keywords:

Older Women, Functional Ability, Physical Activity, Body Mass Index

Abstract

Functional ability is an important indicator in determining the level of independence of older adults in performing daily activities. Low physical activity and non-ideal body mass index (BMI) have the potential to reduce functional ability, especially in older women who experience physiological changes due to aging and hormonal shifts after menopause. This study aimed to determine the relationship between physical activity and BMI with functional ability in older women in Jegu Village. This research used a quantitative approach with a cross-sectional analytic design. The sample consisted of 64 older women aged 60–74 years, selected through purposive sampling. Physical activity was measured using the Physical Activity Scale for the Elderly (PASE), functional ability was assessed using the Barthel Index, and BMI was calculated based on weight and height. Data were analyzed using Spearman’s correlation test and multiple correlation analysis. The results show a significant positive relationship between physical activity and functional ability (p = 0.000; r = 0.783), and a significant negative relationship between BMI and functional ability (p = 0.002; r = –0.376). The multiple correlation analysis shows a significant relationship between physical activity and BMI simultaneously with functional ability (p = 0.000; R = 0.723; R² = 0.523), with physical activity being the dominant factor. It can be concluded that there is a strong relationship between physical activity and BMI with the functional ability of older women in Jegu Village.

Downloads

Download data is not yet available.

References

[1] World Population Dashboard. United Nation Population Found, https://www.unfpa.org/data/world-population-dashboard (2024, Accessed 13 March 2025).

[2] Badan Pusat Statistik. Statistik Penduduk Lanjut Usia, https://www.bps.go.id/id/publication/2024/statistik-penduduk-lanjut-usia-2024.html (2024, Accessed 13 March 2025).

[3] Handayani SP, Sari RP. Studi Literatur Literature Review Manfaat Senam Lansia Terhadap Kualitas Hidup Lansia. Berkala Ilmiah Mahasiswa Keperawatan Indonesia 2020; 8: 48–55.

[4] Da Silva AIP, Bueno GAS, Elmescany RB, Et Al. Motor Reaction Time, Sarcopenia and Functional Skills In Elderly Women: A Cross-Sectional Study. Journal Of Nutrition, Health and Aging 2023; 27: 878–884.

[5] Kim M, Shin E, Kim S, et al. The Effectiveness of Multicomponent Intervention on Daily Functioning Among the Community-Dwelling Elderly: A Systematic Review. International Journal of Environmental Research and Public Health; 19. Epub Ahead Of Print 1 June 2022. DOI: 10.3390/ijerph19127483.

[6] El Assar M, Álvarez-Bustos A, Sosa P, et al. Effect of Physical Activity/Exercise on Oxidative Stress and Inflammation in Muscle and Vascular Aging. International Journal of Molecular Sciences; 23. Epub Ahead Of Print 1 August 2022. DOI: 10.3390/ijms23158713.

[7] Arjunan P, Annamalai M, Subramaniam A, et al. Physical Activity, Functional Status, and Quality of Life Among Older Adults in India. Sage Open Nurs; 10. Epub Ahead Of Print 1 January 2024. DOI: 10.1177/23779608241290384.

[8] Lingying W, Hong Z, Hongxiu C, et al. Association Of Body Mass Index With Disability In Activities Of Daily Living In Older Adults: A Systematic Review Of The Literature Based On Longitudinal Data. BMC Public Health; 25. Epub Ahead Of Print 1 December 2025. DOI: 10.1186/s12889-024-21234-w.

[9] Yousefzadeh MJ, Flores RR, Zhu Y, Et Al. An Aged Immune System Drives Senescence and Ageing Of Solid Organs. Nature 2021; 594: 100–105.

[10] Lau LK, Tou NX, Jabbar KA, et al. Effects of Exercise Interventions on Physical Performance and Activities of Daily Living in Oldest-Old and Frail Older Adults: A Review of the Literature. American Journal of Physical Medicine and Rehabilitation 2023; 102: 939–949.

[11] Isywara KN. Hubungan Status Gizi dan Aktivitas Fisik dengan Kualitas Hidup Lansia The Relationship Between Nutritional Status and Physical Activity with Quality of Life of The Elderly. Journal of Public Health and Industrial Nutrition; 3, https://journal.tritunas.ac.id/index.php/JoPHIN (2024).

[12] Fadila N, Wijaya A, Roni F. Hubungan Aktivitas Fisik Dengan Indeks Massa Tubuh Pada Lanjut Usia Di Desa Kalikejambon, Kabupaten Jombang. Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) 2024; 9: 125.

[13] Pringgadani DJ, Wibawa A, Wahyuni N. Hubungan Antara Indeks Massa Tubuh (IMT) Dengan Resiko Jatuh Pada Lansia Di Denpasar. Majalah Ilmiah Fisioterapi 2020; 8: 1–4.

[14] Prisilia SC, Jaata J, Effendy E, et al. Hubungan Activity Of Daily Living (ADL) Dengan Keseimbangan Tubuh Pada Lansia Diposyandu Lansia. Nursing Inside Community 2022; 5: 16–22.

[15] Darmawan GD, Andayani NLN, Griadhi IPA. Hubungan Antara Aktivitas Fisik Dan Kemampuan Fungsional Lansia Di Kecamatan Dawan Klungkung. Majalah Ilmiah Fisioterapi Indonesia 2019; 7: 23–26.

[16] Wickramarachchi B, Torabi MR, Perera B. Effects of Physical Activity on Physical Fitness and Functional Ability in Older Adults. Gerontol Geriatr Med; 9. Epub Ahead Of Print 1 January 2023. DOI: 10.1177/23337214231158476.

[17] Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 Guidelines On Physical Activity and Sedentary Behaviour. British Journal of Sports Medicine 2020; 54: 1451–1462.

[18] Sánchez JL, Mañas A, García FJ, et al. Sedentary Behaviour, Physical Activity, and Sarcopenia Among Older Adults In The TSHA: Isotemporal Substitution Model. J Cachexia Sarcopenia Muscle 2019; 10: 188–198.

[19] Hajek A, König HH. What Factors Are Associated With Functional Impairment Among The Oldest Old? Front Med (Lausanne); 9. Epub ahead of print 22 December 2022. DOI: 10.3389/fmed.2022.1092775.

[20] Ramadhanti SA, Renovaldi D. Analisis Hubungan Komposisi Tubuh dan Indeks Massa Tubuh Terhadap Status Fungsional Pada Lansia. Muhammadiyah Journal of Geriatric 2024; 4: 189.

[21] Reyes FM, Fos-Domenech J, Serra D, et al. White Adipose Tissue Dysfunction In Obesity and Aging. Biochem Pharmacol 2021; 192: 114723.

[22] Huffman KF, Ambrose KR, Nelson AE, et al. The Critical Role of Physical Activity and Weight Management in Knee and Hip Osteoarthritis: A Narrative Review. Journal of Rheumatology 2024; 51: 224–233.

[23] Paranhos ADN, Nascimento D da C, Stone W, et al. Body Composition and Functional Performance Of Older Adults. Osteoporos Sarcopenia 2022; 8: 86–91.

[24] Souza LB de, Bomfim RA, Macedo AG, et al. Overweight Negatively Influences Functional Capacity Of Older People In Daily Activities. Geriatrics, Gerontology and Aging 2019; 13: 62–68.

[25] Şavkın R, Bayrak G, Büker N. The Effects Of The Body Mass Index On The Physical Function and The Quality Of Life In The Elderly. Balt J Health Phys Act 2020; 12: 55–62.

[26] Ahamed F, Rehman T, Krishnamoorthy Y, et al. Underweight Is An Important Predictor For Functional Impairment Among The Older Adults In Urban West Bengal, India. J Family Med Prim Care 2022; 11: 2008–2013.

[27] Lengelé L, Bruyère O, Beaudart C, et al. Impact Of Malnutrition Status On Muscle Parameter Changes Over A 5-Year Follow-Up Of Community-Dwelling Older Adults From The Sarcophage Cohort. Nutrients 2021; 13: 1–14.

[28] Mulyaningsih F, Sumhendartin Suryobroto A, Cahya Pertiwi N, et al. Hubungan Antara Aktivitas Fisik Dan Pola Hidup Sehat Dengan Tingkat Kebugaran Jasmani Peserta Ekstrakurikuler Olahraga Di Smp Negeri 2 Mlati. Majalah Ilmiah Olahraga (MAJORA) 2023; 29: 15–21.

[29] Chen S, Ling J, Cheng Y. Physical Activity and Body Mass Index Were Interactively Related to Health-Related Quality Of Life Among Older Adults. Arch Gerontol Geriatr; 104. Epub Ahead Of Print 1 January 2023. DOI: 10.1016/j.archger.2022.104833.

[30] Ðošić A, Živković D, Milanović Z, et al. The Association Between Level of Physical Activity and Body Mass Index, and Quality of Life Among Elderly Women. Front Psychol; 12. Epub Ahead Of Print 23 December 2021. DOI: 10.3389/fpsyg.2021.804449.

[31] Astuti DN, Triyana. Analisa Faktor Yang Berhubungan Dengan Tingkat Kemandirian Lanjut Usia Dalam Pemenuhan Aktifitas Fungsional. Jurnal Ners Widya Husada; 10, https://journal.uwhs.ac.id/index.php/jners/article/viewFile/613/539 (2024, accessed 9 July 2025).

Downloads

Published

2025-10-31

How to Cite

The Relationship Between Physical Activity and Body Mass Index on Functional Ability Elderly Women in Jegu Village, Penebel, Tabanan. (2025). JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF), 8(1), 107-115. https://doi.org/10.35451/7q3rbv04