Effect of Physical Activity Modulate Program to Autonomic Balance and Mental Health Status of Elderly in Kham Kwang Sub-district, Warin Chamrap District, Ubon Ratchathani Province
Keywords:
cardiovagal functions, autonomic balance, mental status, program physical activityAbstract
Background and Objective: Physical activity affects the health status of the elderly. This study aimed to investigate the effect of the physical activity program on the autonomic balance and to examine the relationship between the effects of the physical activity program on mental health status and autonomic balance among elderly in Kham Kwang Sub-district, Warin Chamrap District, Ubon Ratchathani Province.
Methods: The study is quasi-experimental research with a two-group pre-post design involving a sample of 50 elderly individuals aged 60 years and older by purposive sampling (mean age 71.92 ± 8.81 years), n=25 per group. In the control group, they received regular care in the elderly while in the experiment group, they received the physical activity program that consisted of the exercise and physical activity program manual based on the five dimensions of wellness concept for the elderly for 12 weeks. The data analysis was performed using descriptive statistics, an independent sample t-test to compare differences between groups, and Pearson’s correlation to test relationships. The data are significant at p-value < 0.05.
Results: The physical activity program of this study did not show an effect on heart rate variability. The pre and post values after 12 weeks of heart rate, R-R interval, SDNN, pNN50, and LF/HF ratio in the experimental group showed no statistically significant differences, and no differences were found between the control group after 12 weeks. However, it is interesting to note that at the 12-week mark, only in the experimental group, a statistically significant correlation was found between GHQ-28 scores for physical symptoms and high-level baroreflex sensitivity (r = 0.56, p = 0.02).
Conclusions: This physical activity program may affect the balance of the autonomic nervous system and mental health in older adults.
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