Effects of Otago Exercise Program on serum Interleukin-6 level in older women

I Dewa Gde Agung Mahendra; Imam Subadi; Indrayuni Lukitra Wardhani; Rwahita Satyawati; I Putu Alit Pawana; Soenarnatalina Melaniani

doi:10.1016/j.amsu.2022.103733

Effects of Otago Exercise Program on serum Interleukin-6 level in older women

Ann Med Surg (Lond). 2022 May 7:78:103733. doi: 10.1016/j.amsu.2022.103733. eCollection 2022 Jun.

Authors

I Dewa Gde Agung Mahendra¹, Imam Subadi¹, Indrayuni Lukitra Wardhani¹, Rwahita Satyawati¹, I Putu Alit Pawana¹, Soenarnatalina Melaniani²

Affiliations

¹ Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
² Department of Epidemiology, Biostatistics, Population Studies, and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.

Abstract

Background: Otago Exercise Program (OEP) has been demonstrated to minimize the risk of falling in older adults by improving muscular strength and balance. Meanwhile, reduced IL-6 level serves as a biomarker of regular physical activity.

Objective: Analyzing OEP effect on decreased IL-6 level in elderly women.

Methods: This study used a randomized control trial design from October 2020 to May 2021. 26 participants were divided into a treatment group (13 participants) and a control group (13 participants). The treatment group received OEP for 8 weeks, in which the OEP was carried out 3 times during the first week. On the other hand, the control group did not get intervention. The IL-6 level was measured 2 times, before and after OEP. The measurement results were analyzed using paired t-test and independent t-test, which were declared significant if p < 0.05.

Results: The participants' average IL-6 level at pretest and posttest was 4.77 ± 1.71 pg/mL and 4.57 ± 1.74 pg/mL, respectively. The IL-16 level of the treatment group at pretest and posttest was 4.22 ± 1.72 pg/mL and 3.97 ± 1.67 pg/mL, respectively (t = 1.058; 95% CI = -0.770 - 0.267; p = 0.311). Meanwhile, the IL-6 level of the control group at pretest and posttest was 5.30 ± 1.59 pg/mL and 5.16 ± 1.65 pg/mL, respectively (t = 0.382; 95% CI = -0.969 - 0.680; p = 0.709). The ΔIL-6 level in the treatment and control group was -0.25 ± 0.85 pg/mL and -0.14 ± 1.36 pg/mL, respectively (t = 0.240; 95% CI = -1.030 - 0.815; p = 0.813).

Conclusion: The OEP didn't lower serum IL-6 levels after eight weeks.

Keywords: Elderly woman; Interleukin-6; Otago exercise program.