Strengthening Elderly Resilience Through Physical Training in Earthquake-Prone Areas
Penguatan Ketahanan Lansia Melalui Pelatihan Fisik di Daerah Gempa Bumi
DOI:
https://doi.org/10.58516/8athvq29Keywords:
older adults; physical exercise; functional capacity; disaster preparedness; earthquake; Japan.Abstract
Older adults are a vulnerable population who experience age-related declines in muscle strength, balance, mobility, and functional capacity. These conditions may increase the risks of falls, frailty, dependency, and difficulties in performing independent evacuation during earthquakes. This community service program aimed to strengthen the physical capacity of older adults through multicomponent physical exercise as an approach to enhancing resilience in earthquake-prone areas. The program was conducted at Home Care Facility, Saitama Prefecture, Japan. A participatory approach with a pre-test and post-test design was employed. The intervention consisted of education on physical activity for older adults and multicomponent exercise involving muscle strengthening, balance, flexibility, endurance, and functional exercises. Participants' physical capacity was evaluated using the Timed Up and Go Test (TUG) and the 30-Second Chair Stand Test, while the training was conducted with support from caregivers. The results indicated positive participant responses and increased engagement in physical exercises, along with improved understanding of the importance of maintaining physical capacity for emergency situations. The training also enhanced caregivers' ability to facilitate simple and safe physical exercises for older adults. This program demonstrates that multicomponent physical exercise can serve as a promotive and preventive approach to maintaining physical function, independence, and disaster preparedness among older adults living in earthquake-prone areas.
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Choudhary, P. K., Choudhary, S., Saha, S., Katanić, B., İlbak, İ., & Tornóczky, G. J. (2025). Effectiveness of Balance- and Strength-Based Exercise Interventions for Fall Prevention in Community-Dwelling Older Adults: A Systematic Review of Randomized Controlled Trials. Life, 16(1), 41. https://doi.org/10.3390/life16010041
Cosarderelioglu, C., Walston, J. D., & Abadir, P. M. (2025). From frailty to resilience: Exploring adaptive capacity and reserve in older adults–a narrative review. Frontiers in Aging, 6, 1520842. https://doi.org/10.3389/fragi.2025.1520842
Dent, E., Morley, J. E., Cruz-Jentoft, A. J., Woodhouse, L., Rodríguez-Mañas, L., Fried, L. P., Woo, J., Aprahamian, I., Sanford, A., Lundy, J., Landi, F., Beilby, J., Martin, F. C., Bauer, J. M., Ferrucci, L., Merchant, R. A., Dong, B., Arai, H., Hoogendijk, E. O., … Vellas, B. (2019). Physical Frailty: ICFSR International Clinical Practice Guidelines for Identification and Management. The Journal of Nutrition, Health and Aging, 23(9), 771–787. https://doi.org/10.1007/s12603-019-1273-z
Edna Mayela, D. L. V.-C., Miriam, L.-T., Ana Isabel, G.-G., Oscar, R.-C., & Alejandra, C.-A. (2023). Effectiveness of an online multicomponent physical exercise intervention on the physical performance of community-dwelling older adults: A randomized controlled trial. Geriatric Nursing, 54, 83–93. https://doi.org/10.1016/j.gerinurse.2023.08.018
Felipe, S. G., Printes, C. B., Sato, D. K., & Baptista, R. R. (2025). Impact of a multicomponent physical exercise program on intrinsic capacity in community-dwelling older adults. PeerJ, 13, e19017. https://doi.org/10.7717/peerj.19017
Gati, N. W., Mirawati, D., & Arifin, M. Z. (2025). PENINGKATAN PENGETAHUAN LANSIA TENTANG KESIAPSIAGAAN BENCANA. 11.
Hikichi, H., Aida, J., Kondo, K., & Kawachi, I. (2019). Persistent impact of housing loss on cognitive decline after the 2011 Great East Japan earthquake and tsunami: Evidence from a 6‐year longitudinal study. Alzheimer’s & Dementia, 15(8), 1009–1018. https://doi.org/10.1016/j.jalz.2019.04.016
Kalra, K., Berchie, P., Singh, S., Jamil, Y., Karthikeyan, N., Ancheta, O. G., Hashmi, A., Martyn, T., Kapadia, S., Menon, V., Zidar, D. A., & Damluji, A. A. (2025). Skeletal Muscle-Cardiac Muscle Aging. JACC: Advances, 4(12), 102347. https://doi.org/10.1016/j.jacadv.2025.102347
Kim, D. H., & Rockwood, K. (2024). Frailty in Older Adults. New England Journal of Medicine, 391(6), 538–548. https://doi.org/10.1056/NEJMra2301292
Kruszyńska, E., & Poczta, J. (2020). Difficulties Limiting Access to Sports and Recreational Facilities in the City in the Perceptions of Service Users. Sports and Recreational Infrastructure Management Policy—Poznan Case Study. International Journal of Environmental Research and Public Health, 17(5), 1768. https://doi.org/10.3390/ijerph17051768
Liao, K.-M., & Hu, Y.-J. (2025). Factors influencing disaster preparedness behaviors of older adults. PLOS ONE, 20(2), e0315617. https://doi.org/10.1371/journal.pone.0315617
Melchiorre, M., D’Amen, B., Quattrini, S., Lamura, G., & Socci, M. (2022). Health Emergencies, Falls, and Use of Communication Technologies by Older People with Functional and Social Frailty: Ageing in Place in Deprived Areas of Italy. International Journal of Environmental Research and Public Health, 19(22), 14775. https://doi.org/10.3390/ijerph192214775
Moriyama, N., Iwasa, H., & Yasumura, S. (2021). Association of Perceived Environment and Physical Activity in Older Adults After the Great East Japan Earthquake. Journal of Aging and Physical Activity, 29(4), 632–641. https://doi.org/10.1123/japa.2020-0265
Naibaho, R. M. (2023). Eldearly Preparedness In Faces Of Tornado Disaster In The District Sitinjo. JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF), 5(2), 446–453. https://doi.org/10.35451/jkf.v5i2.1686
Peoples, B. M., Harrison, K. D., Santamaria-Guzman, K. G., Campos-Vargas, S. E., Monaghan, P. G., & Roper, J. A. (2024). Functional lower extremity strength influences stepping strategy in community-dwelling older adults during single and dual-task walking. Scientific Reports, 14(1), 13379. https://doi.org/10.1038/s41598-024-64293-0
Sadaqa, Z. N. M., Alex, ra M., & Viktória Prémusz, M. H. (2023). Effectiveness of exercise interventions on fall prevention in ambulatory community-dwelling older adults: A systematic review with narrative synthesis. Frontiers in Public Health.
Salim, C. H., Dewi, A. K., & Harahap, S. G. (2025). Effectiveness of Balance Training in Preventing Falls Among the Elderly: A Scoping Review. Majalah Ilmiah Fisioterapi Indonesia, 13(2), 376–382. https://doi.org/10.24843/mifi.000000458
Sutini, S., Winahyu, K. M., & Rayatin, L. (2022). Perilaku Pengendalian Hipertensi Lansia ditinjau dari Dukungan Penghargaan dan Emosional Keluarga. Jurnal Ilmiah Keperawatan Indonesia (JIKI), 5(2), 134. https://doi.org/10.31000/jiki.v5i2.6493
Tsubota-Utsugi, M., Yonekura, Y., Tanno, K., Nozue, M., Shimoda, H., Nishi, N., Sakata, K., & Kobayashi, S. (2018). Association between health risks and frailty in relation to the degree of housing damage among elderly survivors of the great East Japan earthquake. BMC Geriatrics, 18(1), 133. https://doi.org/10.1186/s12877-018-0828-x
Wang, C., Jiao, X., Liang, J., & Lu, A. (2025). The impact of muscle mass, strength, and physical functioning on postural balance in older adults with sarcopenia. Clinics, 80, 100784. https://doi.org/10.1016/j.clinsp.2025.100784
Warneke, K., Thomas, E., Blazevich, A. J., Afonso, J., Behm, D. G., Marchetti, P. H., Trajano, G. S., Nakamura, M., Ayala, F., Longo, S., Babault, N., Freitas, S. R., Costa, P. B., Konrad, A., Nordez, A., Nelson, A., Zech, A., Kay, A. D., Donti, O., & Wilke, J. (2025). Practical recommendations on stretching exercise: A Delphi consensus statement of international research experts. Journal of Sport and Health Science, 14, 101067. https://doi.org/10.1016/j.jshs.2025.101067
WHO Guidelines on Physical Activity and Sedentary Behaviour (1st ed). (2020). World Health Organization.
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Copyright (c) 2026 Eriyono Budi Wijoyo, Alpan Habibi, Zulia Putri Perdani, Azizah Al Ashri Nainar, Dermani Jernih Kristiani Hea, Elsa Rahmawati, Ajjahra Lukmanita, Zahra Masayu Maryam, Masuda Reiko
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