The Effect of Stroke Exercise on Blood Pressure in Elderly Patients with Hypertension: A Quasi-Experimental Study

Authors

  • Sri Hartutik Universitas Aisyiyah Surakarta
  • Notasya Devika Arynanda Universitas Aisyiyah Surakarta
  • Sinta Purnama Sari Universitas Aisyiyah Surakarta

DOI:

https://doi.org/10.37287/ijghr.v7i6.855

Keywords:

blood pressure, elderly, hypertension, stroke exercises

Abstract

Hypertension, or high blood pressure, is the leading cause of death worldwide, with essential hypertension accounting for 90-95% of cases. Older people with hypertension are at greater risk of serious complications such as stroke, coronary heart disease, and kidney failure. One form of non-pharmacological intervention that is gaining more attention is anti-stroke exercise. This study aims to determine the effect of stroke sports on blood pressure in the elderly with hypertension. This study used a quasi-experimental design with a pretest and posttest control group design. Two groups were selected: the intervention group, which participated in anti-stroke exercises, and the control group, which did not receive the intervention. The study population was elderly with hypertension who were registered in a health facility or elderly community. The sampling technique used purposive sampling from 30 respondents (15 in the intervention group and 15 in the control group). Data analysis used the Wilcoxon test to determine differences in blood pressure before and after stroke exercises. The Wilcoxon test for the effect of stroke exercises on blood pressure yielded a p-value (0.003 <0.05), indicating differences in blood pressure before and after stroke exercises. The results of the study show that stroke sports are effective in lowering blood pressure in the elderly.

References

Ahmad, A., & Oparil, S. (2017). Hypertension in Women: Recent Advances and Lingering Questions. Hypertension, 70(1), 19–26. https://doi.org/10.1161/HYPERTENSIONAHA.117.08317

Banks, N. F., Rogers, E. M., Stanhewicz, A. E., Whitaker, K. M., & Jenkins, N. D. M. (2024). Resistance exercise lowers blood pressure and improves vascular endothelial function in individuals with elevated blood pressure or stage-1 hypertension. American Journal of Physiology-Heart and Circulatory Physiology, 326(1), H256–H269. https://doi.org/10.1152/ajpheart.00386.2023

Basuki, S. P. H., & Barnawi, S. R. (2021). Pengaruh Senam Hipertensi terhadap Tekanan Darah pada Komunitas Lansia Desa Petir Kecamatan Kalibagor, Banyumas. Sainteks, 18(1), 87. https://doi.org/10.30595/sainteks.v18i1.10319

Darmawati, P. (2024). Stroke pada Lansia di Indonesia: Gambaran Faktor Risiko Berdasarkan Gender (SKI 2023). Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan, 5(1). https://doi.org/10.7454/bikfokes.v5i1.1092

Dewi Rury Arindari & Hendi Rifqi Alhafis. (2019). Pengaruh Senam Hipertensi Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi. Jurnal Kesehatan : Jurnal Ilmiah Multi Sciences, 9(02), 80–87. https://doi.org/10.52395/jkjims.v9i02.151

Diniyah, U. M., & Sudaryanto, A. (2024). Pengaruh Senam Lansia terhadap Tekanan Darah pada Lansia dengan Hipertensi: Telaah Literature. Muhammadiyah Journal of Geriatric, 4(2), 173. https://doi.org/10.24853/mujg.4.2.173-180

Egan, B. M., Mattix-Kramer, H. J., Basile, J. N., & Sutherland, S. E. (2024). Managing Hypertension in Older Adults. Current Hypertension Reports, 26(4), 157–167. https://doi.org/10.1007/s11906-023-01289-7

Eviyanti, E., Wijayanti, H. N., & Khadijah, S. (2021). Pengaruh Senam Lansia terhadap Penurunan Tekanan Darah pada Lansia. Jurnal Kebidanan Harapan Ibu Pekalongan, 8(1), 18–23. https://doi.org/10.37402/jurbidhip.vol8.iss1.117

Gao, W., Lv, M., & Huang, T. (2023). Effects of different types of exercise on hypertension in middle-aged and older adults: A network meta-analysis. Frontiers in Public Health, 11, 1194124. https://doi.org/10.3389/fpubh.2023.1194124

Hanif, A. A. M., Shamim, A. A., Hossain, M. M., Hasan, M., Khan, M. S. A., Hossaine, M., Ullah, M. A., Sarker, S. K., Rahman, S. M. M., Mitra, D. K., & Mridha, M. K. (2021). Gender-specific prevalence and associated factors of hypertension among elderly Bangladeshi people: Findings from a nationally representative cross-sectional survey. BMJ Open, 11(1), e038326. https://doi.org/10.1136/bmjopen-2020-038326

Harris, E. (2023). Majority of People Live With Uncontrolled Hypertension Worldwide. JAMA, 330(16), 1515. https://doi.org/10.1001/jama.2023.19204

Hejazi, K., Iraj, Z. A., Saeidi, A., Hackney, A. C., Laziri, F., Suzuki, K., Laher, I., & Hassane, Z. (2025). Differential effects of exercise training protocols on blood pressures and lipid profiles in older adults patients with hypertension: A systematic review and meta-analysis. Archives of Gerontology and Geriatrics, 131, 105737. https://doi.org/10.1016/j.archger.2024.105737

Hernawan, T., & Rosyid, F. N. (2017). Pengaruh Senam Hipertensi Lansia terhadap Penurunan Tekanan Darah Lansia dengan Hipertensi di Panti Wreda Darma Bhakti Kelurahan Pajang Surakarta. Jurnal Kesehatan, 10(1), 26–31. https://doi.org/10.23917/jk.v10i1.5489

Herrod, P. J. J., Lund, J. N., & Phillips, B. E. (2021). Time-efficient physical activity interventions to reduce blood pressure in older adults: A randomised controlled trial. Age and Ageing, 50(3), 980–984. https://doi.org/10.1093/ageing/afaa211

Hosseini, Z., Veenstra, G., Khan, N. A., & Conklin, A. I. (2021). Social connections and hypertension in women and men: A population-based cross-sectional study of the Canadian Longitudinal Study on Aging. Journal of Hypertension, 39(4), 651–660. https://doi.org/10.1097/HJH.0000000000002688

Ikhlasia, N. F., Syafarina, I., & Latifah, A. L. (2025). Prevalence of Hypertension in Indonesia: 2018 Basic Health Research. Jurnal Kesehatan Masyarakat, 20(3), 425–431. https://doi.org/10.15294/kemas.v20i3.21685

Kario, K., Okura, A., Hoshide, S., & Mogi, M. (2024). The WHO Global report 2023 on hypertension warning the emerging hypertension burden in globe and its treatment strategy. Hypertension Research, 47(5), 1099–1102. https://doi.org/10.1038/s41440-024-01622-w

Kazeminia, M., Daneshkhah, A., Jalali, R., Vaisi-Raygani, A., Salari, N., & Mohammadi, M. (2020a). The Effect of Exercise on the Older Adult’s Blood Pressure Suffering Hypertension: Systematic Review and Meta-Analysis on Clinical Trial Studies. International Journal of Hypertension, 2020, 1–19. https://doi.org/10.1155/2020/2786120

Kazeminia, M., Daneshkhah, A., Jalali, R., Vaisi-Raygani, A., Salari, N., & Mohammadi, M. (2020b). The Effect of Exercise on the Older Adult’s Blood Pressure Suffering Hypertension: Systematic Review and Meta-Analysis on Clinical Trial Studies. International Journal of Hypertension, 2020, 1–19. https://doi.org/10.1155/2020/2786120

Kim, H., Pendergrass, A. G., & Kang, S. M. (2022). The Dependence of Mean Climate State on Shortwave Absorption by Water Vapor. Journal of Climate, 35(7), 2189–2207. https://doi.org/10.1175/JCLI-D-21-0417.1

Lee, S., Vigoureux, T. F., Hyer, K., & Small, B. J. (2022). Prevalent Insomnia Concerns and Perceived Need for Sleep Intervention Among Direct-Care Workers in Long-Term Care. Journal of Applied Gerontology, 41(1), 274–284. https://doi.org/10.1177/0733464820978612

Leszczak, J., Czenczek-Lewandowska, E., Asif, M., Baran, J., Mazur, A., & Wyszyńska, J. (2024). Risk factors and prevalence of hypertension in older adults from south-eastern Poland: An observational study. Scientific Reports, 14(1), 1450. https://doi.org/10.1038/s41598-024-52009-3

Li, Z., Lv, M., Li, Z., Gao, W., & Li, M. (2024). Physiological characteristics of blood pressure responses after combined exercise in elderly hypertensive patients: A systematic review and meta-analysis. Frontiers in Cardiovascular Medicine, 11, 1404127. https://doi.org/10.3389/fcvm.2024.1404127

Lubis, E. M., Afifah, Y., Abidin, F. A., Shiddiq, M. D. A., & Ismah, Z. (2023). Hubungan Perilaku Merokok dengan Kejadian Hipertensi di Desa Saentis. Jurnal Ilmiah Universitas Batanghari Jambi, 23(2), 2001. https://doi.org/10.33087/jiubj.v23i2.3047

Mashuri, Y. A., Ng, N., & Santosa, A. (2022). Socioeconomic disparities in the burden of hypertension among Indonesian adults—A multilevel analysis. Global Health Action, 15(1), 2129131. https://doi.org/10.1080/16549716.2022.2129131

Milani, I. (2022). Pengaruh Intervensi Aromaterapi Lavender terhadap Kestabilan tekanan Darah pada Penderita Hipertensi Desa Sidomulyo Kecamatan Tabang. 3(3).

Muhammad Imroni, M. N. I., Sadimin, L. S., Puryatno, M. P. M., Ngadino, L. R., & Bagas Biyanzah Drajad Pamukhti. (2024). Upaya Pencegahan Stroke Pada Lansia Melalui Penyuluhan Kesehatan Dan Senam Anti Stroke Di Posyandu Lansia Dahlia Godangrejo Karanganyar. Empowerment Journal, 4(1), 8–16. https://doi.org/10.30787/empowerment.v4i1.1348

Muli, S., Meisinger, C., Heier, M., Thorand, B., Peters, A., & Amann, U. (2020). Prevalence, awareness, treatment, and control of hypertension in older people: Results from the population-based KORA-age 1 study. BMC Public Health, 20(1), 1049. https://doi.org/10.1186/s12889-020-09165-8

Nurdesia, M., Ali, M., & Sativani, Z. (2022). Pengaruh Aerobic Exercise Terhadap Tekanan Darah Pada Penderita Hipertensi: Studi Literatur Effect Of Aerobic Exercise On Blood Pressure In Patients With Hypertension: A Literature Study. Indonesian Journal of Physiotherapy, 1(2), 69–80. https://doi.org/10.52019/ijpt.v1i2.3333

Oktamianti, P., Kusuma, D., Amir, V., Tjandrarini, D. H., & Paramita, A. (2022). District-Level Inequalities in Hypertension among Adults in Indonesia: A Cross-Sectional Analysis by Sex and Age Group. International Journal of Environmental Research and Public Health, 19(20), 13268. https://doi.org/10.3390/ijerph192013268

Oyake, K., Baba, Y., Ito, N., Suda, Y., Murayama, J., Mochida, A., Kondo, K., Otaka, Y., & Momose, K. (2019). Cardiorespiratory factors related to the increase in oxygen consumption during exercise in individuals with stroke. PLOS ONE, 14(10), e0217453. https://doi.org/10.1371/journal.pone.0217453

Putri, L. R., Fibriana, A. I., & Azam, M. (2024). Prevalence and Risk Factors of Hypertension Among Young Adults (26-35 Years Old) in Indonesia: Analysis of Secondary Data from Riskesdas 2018. Epidemiology. https://doi.org/10.1101/2024.06.10.24308678

Ruangthai, R., & Phoemsapthawee, J. (2019). Combined exercise training improves blood pressure and antioxidant capacity in elderly individuals with hypertension. Journal of Exercise Science & Fitness, 17(2), 67–76. https://doi.org/10.1016/j.jesf.2019.03.001

Rukmini, R., Laksono, A. D., Kusumawati, L., & Wijayanti, K. (2021). Hypertension among Elderly in Indonesia: Analysis of the 2018 Indonesia Basic Health Survey. Medico Legal Update, 21(3), 78–86. https://doi.org/10.37506/mlu.v21i3.2967

Sumarni, E., Mamlukah, M., Suparman, R., Ropii, A., Lukman, M., Jamaludin, J., & Sudrajat, C. (2021). Analisis Pengaruh Terapi Senam Anti Stroke Sebagai Upaya Non Farmakologi Menurunkan Tekanan Darah Pada Lanjut Usia (Lansia) Dengan Hipertensi Ringan. Journal of Public Health Innovation, 1(2), 133–141. https://doi.org/10.34305/jphi.v1i2.300

Sumartini, N. P., Zulkifli, Z., & Adhitya, M. A. P. (2019). Pengaruh Senam Hipertensi Lansia Terhadap Tekanan Darah Lansia Dengan Hipertensi di Wilayah Kerja Puskesmas Cakranegara Kelurahan Turida Tahun 2019. Jurnal Keperawatan Terpadu (Integrated Nursing Journal), 1(2), 47–55. https://doi.org/10.32807/jkt.v1i2.37

Tina, Y., Handayani, S., & Monika, R. (n.d.). Pengaruh Senam Hipertensi Terhadap Tekanan Darah Pada Lansia The Effect Of Exercise For Hypertension On Blood Pressure In Elderly.

Vamvakis, A., Gkaliagkousi, E., Lazaridis, A., Grammatikopoulou, M. G., Triantafyllou, A., Nikolaidou, B., Koletsos, N., Anyfanti, P., Tzimos, C., Zebekakis, P., & Douma, S. (2020). Impact of Intensive Lifestyle Treatment (Diet Plus Exercise) on Endothelial and Vascular Function, Arterial Stiffness and Blood Pressure in Stage 1 Hypertension: Results of the HINTreat Randomized Controlled Trial. Nutrients, 12(5), 1326. https://doi.org/10.3390/nu12051326

Wahyuni, E. D., Pratiwi, I. N., & Fidyastria, K. (2017). Anti-Stroke Exercise Decreases Blood Pressure in Elderly with Hypertension. 3.

Wang, C., Redgrave, J., Shafizadeh, M., Majid, A., Kilner, K., & Ali, A. N. (2019a). Aerobic exercise interventions reduce blood pressure in patients after stroke or transient ischaemic attack: A systematic review and meta-analysis. British Journal of Sports Medicine, 53(24), 1515–1525. https://doi.org/10.1136/bjsports-2017-098903

Wang, C., Redgrave, J., Shafizadeh, M., Majid, A., Kilner, K., & Ali, A. N. (2019b). Aerobic exercise interventions reduce blood pressure in patients after stroke or transient ischaemic attack: A systematic review and meta-analysis. British Journal of Sports Medicine, 53(24), 1515–1525. https://doi.org/10.1136/bjsports-2017-098903

Watung, G. I. V. (2024). Penatalaksanaan Hipertensi Pada Lansia Di Desa Modayag. 3(1).

Yeo, W.-J., Abraham, R., Surapaneni, A. L., Schlosser, P., Ballew, S. H., Ozkan, B., Flaherty, C. M., Yu, B., Bonventre, J. V., Parikh, C. R., Kimmel, P. L., Vasan, R. S., Coresh, J., & Grams, M. E. (2024). Sex Differences in Hypertension and Its Management Throughout Life. Hypertension, 81(11), 2263–2274. https://doi.org/10.1161/HYPERTENSIONAHA.124.22980

Zhang, B., Hu, H., Mi, Z., & Liu, H. (2025). The Impact of Aerobic Exercise on Health Management in Older Patients with Hypertension: A Systematic Review of Randomized Controlled Trials from the Past Decade. International Journal of General Medicine, Volume 18, 2823–2838. https://doi.org/10.2147/IJGM.S516371.

Downloads

Published

2025-12-30

How to Cite

Hartutik, S., Arynanda, N. D., & Sari, S. P. (2025). The Effect of Stroke Exercise on Blood Pressure in Elderly Patients with Hypertension: A Quasi-Experimental Study. Indonesian Journal of Global Health Research, 7(6), 1215–1226. https://doi.org/10.37287/ijghr.v7i6.855

Similar Articles

<< < 2 3 4 5 6 7 8 9 10 11 > >> 

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