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"Latar Belakang : Remodelling otot jantung terkait latihan fisik merupakan mekanisme adaptasi fisiologis tubuh terhadap beban jantung yang meningkat. Tipe/karakteristik, intensitas, dan durasi latihan menentukan besarnya beban jantung dan berpengaruh terhadap pola dan tingkat remodelling otot jantung. Didapatkan pola remodelling yang berbeda antara tentara dengan atlet atau orang biasa. Pada tentara, intensitas latihan fisik yang diterima lebih berat dibandingkan atlet maupun orang biasa, dengan durasi kumulatif yang lebih lama, serta beban volume dan pressure overload yang diterima lebih besar. Selain itu, tentara juga menghadapi stresor psikis yang tinggi, serta waktu istirahat/recovery pasca latihan yang berbeda dibandingkan dengan atlet maupun orang biasa.Tujuan : Untuk melihat pengaruh latihan fisik Para Komando dengan terjadinya remodelling ventrikel kiri baik fisiologis maupun patologis pada populasi Pasukan Khusus TNI Angkatan Udara dibandingkan latihan fisik regulerMetode : Studi ini merupakan studi observasional potong lintang. Remodelling otot jantung pasukan khusus TNI Angkatan Udara yang menjalani latihan fisik Para Komando dibandingkan dengan anggota militer yang menjalanin latihan fisik reguler. Parameter remodelling otot jantung yang dinilai antara lain Left Ventricular Mass Index (LVMI), fungsi ventrikel kiri (Left Ventricular Ejection Fraction/LVEF Biplane dan Global Longitudinal Strain/GLS), dan Myocardial Work (Global Constructive Work, Global Waste Work, Global Work Index, Global Work Efficiency).Hasil : Terdapat 43 orang pasukan khusus yang menjalani latihan fisik Para Komando dan 43 orang anggota militer yang menjalani latihan fisik reguler. Kelompok pasukan khusus yang menjalani latihan fisik Para Komando memiliki usia yang lebih tua dibandingkan dengan anggota militer yang menjalani latihan fisik reguler, 27 (23-30) vs 20 (20-26) tahun p < 0.001. Setelah dilakukan analisis multivariat dengan memperhitungkan faktor usia, pada kelompok latihan fisik para komando dibandingkan dengan latihan fisik reguler didapatkan hasil LVMI 79,67 ± 18,5 vs 79,64 ± 13,1 g/m2, p = 0.993; LV GLS -21 (-16 s.d -25) vs -19 (-15 s.d -22)%, p = 0.003; LV GWI 1843,8 ± 239,7 vs 1800,5 ± 258,6 mmHg%, p = 0.464; LV GCW 2140,4 ± 257,4 vs 2111,1 ± 273,8 mmHg%, p = 0.619; LV GWW 41 (12-152) vs 52 (18-117) mmHg%, p = 0.009; LV GWE 97 (94-99) vs 97 (93-99)%, p = 0.002.

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.Background: Cardiac muscle remodelling related to physical exercise is a physiological adaptation mechanism as a respons to cardiac load. Type, characteristic, intensity, and duration of exercise determine the magnitude of the cardiac load and affect the pattern and rate of remodelling of the heart muscle. Different remodelling patterns were found between soldiers and athletes or ordinary people. In soldiers, the intensity of physical exercise is heavier than that the athletes or ordinary people, with a longer cumulative duration, greater volume and pressure load. In addition, soldiers also faced with high psychological stressors, as well as different recovery times after training compared with athletes and ordinary people

Objective: To observe the effect of the Commandos' physical training on the occurrence of physiological or pathological left ventricular remodelling in Airforce Elite Soldiers compared to regular physical exercise.

Methods: This study is a cross sectional observational study. Cardiac remodelling of elite soldiers who underwent Commandos’ physical training compared to regular troops who underwent regular training. The heart muscle remodelling parameters being assessed include Left ventricular Mass Index (LVMI), Left Ventricular Ejection Fraction/LVEF Biplane, Global Longitudinal Strain/GLS, and Myocardial Work (Global Constructive Work, Global Waste Work, Global Work Index, Global Work Efficiency).

Results: There were 43 elite soldiers who underwent Commandos’ physical training and 43 regular troops who underwent regular training. The elite soldiers group had an older age compared with regular troops, 27 (23-30) vs 20 (20-26) years p < 0.001. After doing a multivariate analysis taking into account the age factor, in the group of Commandos' physical training compared to regular physical exercise, the LVMI results are 79,67 ± 18,5 vs 79,64 ± 13,1 g/m2, p = 0.993; LV GLS -21 (-16 s.d -25) vs -19 (-15 s.d -22)%, p = 0.003; LV GWI 1843,8 ± 239,7 vs 1800,5 ± 258,6 mmHg%, p = 0.464; LV GCW 2140,4 ± 257,4 vs 2111,1 ± 273,8 mmHg%, p = 0.619; LV GWW 41 (12-152) vs 52 (18-117) mmHg%, p = 0.009; LV GWE 97 (94-99) vs 97 (93-99)%, p = 0.002.

Conclusions: The Commandos' physical training is associated with better echocardiographyc result compared to regular physical exercise, indicated by higher LVEF, LV GLS, GWE, and lower GWW value"

"Penyakit hipertensi termasuk masalah besar dan serius, di samping karena prevalensinya yang tinggi dan cenderung meningkat. Latihan fisik yang dapat menjadi alternatif terapi untuk menurunkan tekanan darah adalah latihan fisik ergonomis. Penelitian ini bertujuan untuk mengetahui pengaruh latihan fisik ergonomis terhadap penurunan tekanan darah lansia hipertensi dengan metode quasi eksperimen dan desain pre dan post test group design with control group melibatkan sampel 108 lansia. Analisis menggunakan uji wilcoxon dan mann withney. Hasil penelitian didapatkan penurunan tekanan darah setelah dilakukan latihan fisik ergonomis, yaitu rata-rata penurunan sistolik 12,3 mmHg dan rata-rata penurunan diastolik 6,09 mmHg. Perawat komunitas mengaplikasikan latihan fisik ergonomis kepada masyarakat terutama lansia hipertensi untuk menurunkan tekanan darah.

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Hypertension has become a major and serious health problem in society for its high prevalence and is likely to increase in cases. Moreover, an alternate therapy of physical exercise that can be used to lower blood pressure is ergonomic exercise. This study is aimed to determine the effect of ergonomic exercise for lowering ederly hypertensive blood pressure using quasi-experimental method as well as pre and post test group design with control group involving 108 elderlies as its sample. The analysis used wilcoxon and mann withney.

The results of the study shows a decrease in blood pressure after the ergonomic exercise, with an average of 12.3 mmHg systolic decrease and an average of 6.09 mm Hg diastolic decrease. This ergonomic exercise is usually used by community nurses, especially to lower the blood pressure of hypertensive ederly."