EFFECT OF WALKING EXERCISE ON URIC ACID LEVELS AMONG ELDERLY: A QUASI-EXPERIMENTAL STUDY

Penulis

  • Karisma Dwi Ana Program Studi S1 Keperawatan, Sekolah Tinggi Ilmu Kesehatan Husada Jombang, Jombang, Jawa Timur, Indonesia
  • Yusiana Vidhiastutik Program Studi S1 Keperawatan, Sekolah Tinggi Ilmu Kesehatan Husada Jombang, Jombang, Jawa Timur, Indonesia
  • Fakhrun Nisa’ Fiddaroini Pendidikan Profesi Ners, Sekolah Tinggi Ilmu Kesehatan Husada Jombang, Jombang, Jawa Timur, Indonesia

DOI:

https://doi.org/10.60050/pwh.v7i2.130

Kata Kunci:

Elderly, Uric Acid, Walking Exercise, Physical Activity, Non-Pharmacological

Abstrak

Background: Hyperuricemia is a common health problem among the elderly and may reduce quality of life. One non-pharmacological intervention that can be applied is walking exercise.

Objectives: This study aimed to determine the effect of walking therapy on reducing uric acid levels among elderly individuals at the Elderly Integrated Health Post (Posyandu Lansia) in Warungdowo Village, Pasuruan Regency.

Methods: This study employed a quasi-experimental design with a one-group pretest–posttest approach. A total of 32 respondents were selected using total sampling technique. Uric acid levels were measured using a GCU (Glucose, Cholesterol, Uric Acid) meter. The intervention consisted of a walking exercise program conducted for several weeks, with a frequency of 3–5 times per week and a duration of 20–30 minutes per session. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05.

Results: The results showed that the mean uric acid level decreased from 7.8 mg/dL before the intervention to 6.2 mg/dL after the intervention. Statistical analysis indicated a significant effect (p = 0.000 < 0.05).

Conclusion: It can be concluded that walking therapy is effective as a non-pharmacological intervention in controlling uric acid levels among the elderly.

Referensi

Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., … Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955

Chen, J.-H., Yeh, W.-T., Chuang, S.-Y., Wu, Y.-Y., & Pan, W.-H. (2012). Gender-specific risk factors for incident gout: a prospective cohort study. Clinical Rheumatology, 31(2), 239–245. https://doi.org/10.1007/s10067-011-1802-6

Dahlan, M. S. (2021). Statistik untuk kedokteran dan kesehatan (Edisi 6). Epidemiologi Indonesia.

Dalbeth, N., Gosling, A. L., Gaffo, A., & Abhishek, A. (2021). Gout. The Lancet, 397(10287), 1843–1855. https://doi.org/10.1016/S0140-6736(21)00569-9

Kim, S. Y., Guevara, J. P., Kim, K. M., Choi, H. K., Heitjan, D. F., & Albert, D. A. (2009). Hyperuricemia and risk of stroke: a systematic review and meta-analysis. Arthritis and Rheumatism, 61(7), 885–892. https://doi.org/10.1002/art.24612

Li, X., Meng, X., He, Y., Spiliopoulou, A., Timofeeva, M., Wei, W.-Q., … Theodoratou, E. (2019). Genetically determined serum urate levels and cardiovascular and other diseases in UK Biobank cohort: A phenome-wide mendelian randomization study. PLoS Medicine, 16(10), e1002937. https://doi.org/10.1371/journal.pmed.1002937

Nursalam. (2020). Metodologi penelitian ilmu keperawatan (Edisi 5). Salemba Medika.

Parcharoen, Y., Phetkate, P., Jatuworapruk, K., Trif, C., & Pechyen, C. (2026). Portable Point-of-Care Uric Acid Detection System with Cloud-Based Data Analysis and Patient Monitoring. Biosensors, 16(2). https://doi.org/10.3390/bios16020076

Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.

Ragab, G., Elshahaly, M., & Bardin, T. (2017). Gout: An old disease in new perspective - A review. Journal of Advanced Research, 8(5), 495–511. https://doi.org/10.1016/j.jare.2017.04.008

World Health Organization [WHO]. (2022a). Ageing and health. Retrieved April 20, 2026, from https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

World Health Organization [WHO]. (2022b). Guidelines on physical activity and sedentary behaviour. World Health Organization.

World Medical Association. (2022). Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects.

Zhang, Y., Chen, C., Choi, H., Chaisson, C., Hunter, D. J., Niu, J., & Neogi, T. (2020). Purine-rich foods intake and recurrent gout attacks. Annals of the Rheumatic Diseases, 79(6), 767–772. https://doi.org/https://doi.org/10.1136/annrheumdis-2019-216474

Zhu, Y., Pandya, B. J., & Choi, H. K. (2012). Comorbidities of gout and hyperuricemia in the US general population: NHANES 2007-2008. The American Journal of Medicine, 125(7), 679-687.e1. https://doi.org/10.1016/j.amjmed.2011.09.033

Unduhan

Diterbitkan

2026-07-18

Cara Mengutip

Ana, K. D., Vidhiastutik, Y., & Fiddaroini, F. N. (2026). EFFECT OF WALKING EXERCISE ON URIC ACID LEVELS AMONG ELDERLY: A QUASI-EXPERIMENTAL STUDY. PRIMA WIYATA HEALTH, 7(2), 138–145. https://doi.org/10.60050/pwh.v7i2.130