Hubungan Keseimbangan Tubuh Dan Kebugaran Fisik Terhadap Kualitas Hidup Pada Lanjut Usia Di Daerah Urban Surakarta

Bahertha Rachmatika* -  Universitas Muhammadiyah Surakarta, Indonesia, Indonesia
Dwi Rosella Komalasari -  Universitas Muhammadiyah Surakarta, Indonesia
Agus Widodo -  Universitas Muhammadiyah Surakarta, Indonesia
Farid Rahman -  Universitas Muhammadiyah Surakarta, Indonesia



The elderly experience a decrease in body function including a decrease in body balance and physical fitness which can affect the quality of life of the elderly. This study examines the relationship between balance and physical fitness on the quality of life of the elderly in urban Surakarta. The number of participants was 94 elderly people aged 60 years using the quota sampling technique. This research uses quantitative methods (analytic observational) with a cross-sectional study approach. Dynamic balance (TUG) and static balance (mCTSIB) affected the quality of life with p-value <0.05. History of falls as the dominant factor affecting quality of life with p-value = 0.041 and OR = 17.394 (95% CI = 0.719 – 34.069). Meanwhile, dynamic balance is the second dominant factor affecting the quality of life of the elderly in urban areas with a p-value of 0.001 and OR of -3.618 (95% CI = -5.655 - 1.580). The third factor that will affect the quality of life of the elderly in urban balance is static with a p-value of 0.031 and an OR of 0.748 (95% CI = 0.071 – 1.425). There is a relationship between balance with the quality of life of the elderly and physical fitness does not affect the quality of life of the elderly. The history of falls is the first dominant factor, the second by dynamic balance, and the third dominant factor is static balance.


Keywords: Balance, Physical Fitness, Quality Of Life, Elderly




Lansia mengalami penurunan fungsi tubuh termasuk penurunan keseimbangan tubuh dan kebugaran fisik yang dapat mempengaruhi kualitas hidup lansia. Penelitian ini meneliti hubungan keseimbangan dan kebugaran fisik terhadap kualitas hidup lansia di urban Surakarta. Terdapat 94 lansia usia ≥60 tahun yang diambil secara quota sampling di Desa Gonilan Surakarta. Pada penelitian ini menggunakan teknik cross sectional study. Keseimbangan dinamik (TUG) dan keseimbangan statik (mCTSIB) mempengaruhi kualitas hidup lansia di urban ( p <0.05). Faktor dominan yang mempengaruhi kualitas hidup lansia di rural adalah riwayat jatuh (p= 0.041, OR = 17.394, 95% CI = 0.719 – 34.069), keseimbangan dinamik (p= 0.00, OR -3.618, 95% CI = -5.655 - 1.580).  Dan keseimbangan statik dengan (p=0.03, OR 0.748, 95% CI = 0.071 – 1.425). Terdapat hubungan antara keseimbangan dengan kualitas hidup lansia dan kebugaran fisik tidak mempengaruhi kualitas hidup lansia. Riwayat jatuh sebagai faktor dominan pertama, kedua oleh keseimbangan dinamik, dan faktor dominan ketiga keseimbangan statik.


Kata Kunci: Keseimbangan, Kebugaran Fisik, Kualitas Hidup, Lanjut Usia


  1. Aartolahti, E., Lönnroos, E., Hartikainen, S., & Häkkinen, A. (2020). Long-term strength and balance training in prevention of decline in muscle strength and mobility in older adults. Aging Clin Exp Res, 32(1), 59-66. doi:10.1007/s40520-019-01155-0
  2. Amesberger, G., Finkenzeller, T., Müller, E., & Würth, S. (2019). Aging-related changes in the relationship between the physical self-concept and the physical fitness in elderly individuals. Scand J Med Sci Sports, 29 Suppl 1(Suppl 1), 26-34. doi:10.1111/sms.13377
  3. Antoniadou, E., Kalivioti, X., Stolakis, K., Koloniari, A., Megas, P., Tyllianakis, M., & Panagiotopoulos, E. (2020). Reliability and validity of the mCTSIB dynamic platform test to assess balance in a population of older women living in the community. J Musculoskelet Neuronal Interact, 20(2), 185-193.
  4. Bohannon, R. W. J. J. o. p. t. s. (2017). Normative reference values for the two-minute walk test derived by meta-analysis. 29(12), 2224-2227.
  5. Dunsky, A. (2019). The Effect of Balance and Coordination Exercises on Quality of Life in Older Adults: A Mini-Review. Front Aging Neurosci, 11, 318. doi:10.3389/fnagi.2019.00318
  6. F, M. S., Petrica, J., Serrano, J., Paulo, R., Ramalho, A., Lucas, D., . . . Duarte-Mendes, P. (2019). The Sedentary Time and Physical Activity Levels on Physical Fitness in the Elderly: A Comparative Cross Sectional Study. Int J Environ Res Public Health, 16(19). doi:10.3390/ijerph16193697
  7. Gazzola, J. M., Perracini, M. R., Ganança, M. M., & Ganança, F. F. (2006). Functional balance associated factors in the elderly with chronic vestibular disorder. Braz J Otorhinolaryngol, 72(5), 683-690. doi:10.1016/s1808-8694(15)31026-0
  8. Heidari, M., Sheikhi, R. A., Rezaei, P., & Kabirian Abyaneh, S. (2019). Comparing Quality of Life of Elderly Menopause Living in Urban and Rural Areas. J Menopausal Med, 25(1), 28-34. doi:10.6118/jmm.2019.25.1.28
  9. Huang, M. H., Lytle, T., Miller, K. A., Smith, K., & Fredrickson, K. (2014). History of falls, balance performance, and quality of life in older cancer survivors. Gait Posture, 40(3), 451-456. doi:10.1016/j.gaitpost.2014.05.015
  10. Lepsy, E., Radwańska, E., Żurek, G., Żurek, A., Kaczorowska, A., Radajewska, A., & Kołcz, A. (2021). Association of physical fitness with quality of life in community-dwelling older adults aged 80 and over in Poland: a cross-sectional study. BMC Geriatr, 21(1), 491. doi:10.1186/s12877-021-02421-5
  11. Muehlbauer, T., Besemer, C., Wehrle, A., Gollhofer, A., & Granacher, U. (2012). Relationship between strength, power and balance performance in seniors. Gerontology, 58(6), 504-512. doi:10.1159/000341614
  12. Seangpraw, K., Ratanasiripong, N., & Ratanasiripong, P. (2019). Predictors of quality of life of the rural older adults in Northern Thailand. Journal of Health Research, ahead-of-print. doi:10.1108/JHR-11-2018-0142
  13. Shumway-Cook, A., Brauer, S., & Woollacott, M. (2000). Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther, 80(9), 896-903.
  14. Siddiqi, F. A., & Masood, T. (2018). Training on Biodex balance system improves balance and mobility in the elderly. J Pak Med Assoc, 68(11), 1655-1659.
  15. Svinøy, O. E., Hilde, G., Bergland, A., & Strand, B. H. (2021). Timed Up and Go: Reference Values for Community-Dwelling Older Adults with and without Arthritis and Non-Communicable Diseases: The Tromsø Study. Clin Interv Aging, 16, 335-343. doi:10.2147/cia.S294512
  16. Thomas, E., Battaglia, G., Patti, A., Brusa, J., Leonardi, V., Palma, A., & Bellafiore, M. (2019). Physical activity programs for balance and fall prevention in elderly: A systematic review. Medicine (Baltimore), 98(27), e16218. doi:10.1097/md.0000000000016218
  17. Toma, T., Harling, L., Athanasiou, T., Darzi, A., & Ashrafian, H. (2018). Does Body Contouring After Bariatric Weight Loss Enhance Quality of Life? A Systematic Review of QOL Studies. Obes Surg, 28(10), 3333-3341. doi:10.1007/s11695-018-3323-8
  18. Wing, J. J., Burke, J. F., Clarke, P. J., Feng, C., & Skolarus, L. E. (2017). The role of the environment in falls among stroke survivors. Arch Gerontol Geriatr, 72, 1-5. doi:10.1016/j.archger.2017.04.007
  19. Wu, H., Han, S., Zhang, G., Wu, W., & Tang, N. (2020). Health-related quality of life and determinants in North-China urban community residents. Health Qual Life Outcomes, 18(1), 280. doi:10.1186/s12955-020-01522-w
  20. Zhang, Y., Xiong, Y., Yu, Q., Shen, S., Chen, L., & Lei, X. (2021). The activity of daily living (ADL) subgroups and health impairment among Chinese elderly: a latent profile analysis. BMC Geriatr, 21(1), 30. doi:10.1186/s12877-020-01986-x
  21. Zin, P. E., Saw, Y. M., Saw, T. N., Cho, S. M., Hlaing, S. S., Noe, M. T. N., . . . Hamajima, N. (2020). Assessment of quality of life among elderly in urban and peri-urban areas, Yangon Region, Myanmar. PLoS One, 15(10), e0241211. doi:10.1371/journal.pone.0241211