Brisk Walking Education in Hypertension Control in the Working Area of the Kanjilo Health Center

Nur Andani; Rasdiyanah; Eny Sutriya; Aidah Fitriani

doi:10.35816/abdimaspolsaka.v5i1.209

Authors

Nur Andani Nursing and Nurses Study Program, UIN Alauddin Makassar, South Sulawesi, Indonesia, Indonesia, Indonesia https://orcid.org/0009-0005-9441-5040
Rasdiyanah Nursing and Nurses Study Program, UIN Alauddin Makassar, South Sulawesi, Indonesia, Indonesia https://orcid.org/0000-0002-0407-7115
Eny Sutriya Nursing and Nurses Study Program, UIN Alauddin Makassar, South Sulawesi, Indonesia, Indonesia https://orcid.org/0000-0002-2678-6297
Aidah Fitriani Nursing and Nurses Study Program, UIN Alauddin Makassar, South Sulawesi, Indonesia, Indonesia https://orcid.org/0000-0003-0488-9989

DOI:

https://doi.org/10.35816/abdimaspolsaka.v5i1.209

Keywords:

Brisk Walking, Community-Based Intervention, Health Education, Hypertension, Primary Healthcare

Abstract

Hypertension remains a major public health problem with increasing prevalence and significant risk of cardiovascular complications, particularly in primary healthcare settings. Limited community knowledge and low levels of structured physical activity contribute to inadequate non-pharmacological hypertension control. This community service program aimed to improve knowledge, attitudes, and practical skills in hypertension management through structured health education and brisk walking exercise in the working area of Kanjilo Public Health Center. The intervention employed an educational and participatory approach involving 30 adults and older adults with or at risk of hypertension. Activities included baseline assessment, delivery of hypertension education, demonstration and supervised brisk walking practice, and post-intervention evaluation. Results showed substantial improvements in cognitive and behavioral outcomes. The proportion of participants with good knowledge increased from 40.0% to 86.7%, positive attitudes from 46.7% to 83.3%, and understanding of physical activity benefits from 43.3% to 90.0%. Additionally, 83.3% were able to correctly perform brisk walking, and 86.7% expressed commitment to regular physical activity. These findings indicate that integrating health education with moderate-intensity aerobic exercise is feasible and effective in strengthening community-based hypertension control. The program demonstrates potential as a promotive and preventive model within primary healthcare services.

References

Ahmad, H., Tauhidah, N. I., Kartika Wulandari, D., Pauria, P., Rusadi, R., Auliya Az Zahrah, H., & Sesariani, M. (2025). Hypertension gymnastics as a non-pharmacological intervention in lowering blood pressure. Abdimas Polsaka, 4(2), 76–82. https://doi.org/10.35816/abdimaspolsaka.v4i2.95

Aswin, M. G., Anand, M. P., Jessy, P., Lordson A, J., Jibin, J. P., Nisam, A. P., Adarsh, M. S., Asmi, F. N., & Mini, G. K. (2024). Prevalence and associated risk factors of hypertension among tribal population in Thrissur District: A cross-sectional study in South India. Clinical Epidemiology and Global Health, 26, 101563. https://doi.org/10.1016/j.cegh.2024.101563

Baharuddin, B., Apdiani Toalu, & Andi Nurhartati. (2023). Meningkatkan Pengetahuan Masyarakat Dalam Mengelola Penyakit Hipertensi. Abdimas Polsaka, 37–42. https://doi.org/10.35816/abdimaspolsaka.v2i1.30

Cabral, L. L. P., Meredith-Jones, K., Browne, R. A. V., Freire, Y. A., Vlietstra, L., Waters, D. L., Barreira, T. V, & Costa, E. C. (2025). Associations of Step Counts and Peak Step Cadence With DXA-Derived Total Body, Abdominal, and Visceral Fat in Older Adults. Archives of Physical Medicine and Rehabilitation. https://doi.org/10.1016/j.apmr.2025.10.025

Cin, A., & Hintistan, S. (2026). Changes in BMI, lipid profile, disease perception, and quality of life among myocardial infarction patients participating in a 12-week green walking: A quasi-experimental study. Journal of Bodywork and Movement Therapies, 46, 620–631. https://doi.org/10.1016/j.jbmt.2025.12.025

Feighan, L., MacDonald-Wicks, L., Callister, R., & Surjan, Y. (2025). How physically active are women undergoing radiation therapy for breast cancer? A cross-sectional study of patterns, attitudes, and support needs. Radiography, 31, 103146. https://doi.org/10.1016/j.radi.2025.103146

Kline, P. W., Hanlon, S. L., Richardson, V. L., Hoffman, R. M., Melanson, E. L., Juarez-Colunga, E., Stevens-Lapsley, J. E., & Christiansen, C. L. (2025). Functional Capacity at Rehabilitation Discharge Predicts Physical Activity Characteristics 24 Weeks Later for People With Total Knee Arthroplasty: A Secondary Analysis of a Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation, 106(6), 845–852. https://doi.org/10.1016/j.apmr.2025.01.416

Li, C., Du, L., Xue, X., Zhao, N., He, Q., Chen, S., & Zhang, X. (2025). Associations of daily steps and step intensity with peripheral arterial disease in Chinese community-dwelling older women. Experimental Gerontology, 201, 112706. https://doi.org/10.1016/j.exger.2025.112706

Li, G., Huang, P., Cui, S., He, Y., Jiang, Q., Li, B., Li, Y., Xu, J., Wang, Z., Tan, Y., & Chen, S. (2024). Tai Chi improves non-motor symptoms of Parkinson’s disease: One-year randomized controlled study with the investigation of mechanisms. Parkinsonism & Related Disorders, 120, 105978. https://doi.org/10.1016/j.parkreldis.2023.105978

Liao, F., Li, Y., Lyu, S., Chen, P., Yu-Ju Hung, I., Pappu, S., & Jan, Y.-K. (2024). Using wavelet phase coherence of heart rate variability and blood flow oscillations to compare mechanisms of action between Tai Chi mind-body exercise and brisk walking aerobic exercise. Biomedical Signal Processing and Control, 95, 106385. https://doi.org/10.1016/j.bspc.2024.106385

Liu, H., Wang, Z., Zhou, S., Lin, Y., Ma, G., Zhang, R., & Yu, P. (2026). Association of physical activity with incident chronic kidney disease in patients with cardiovascular metabolic disease: A UK Biobank observational study. Journal of Science and Medicine in Sport, 29(1), 69–78. https://doi.org/10.1016/j.jsams.2025.08.020

Liu, L., Jia, G., Shrubsole, M. J., Wen, W., Andersen, S. W., Sudenga, S. L., & Zheng, W. (2025). Daily Walking and Mortality in Racially and Socioeconomically Diverse U.S. Adults. American Journal of Preventive Medicine, 69(4), 107738. https://doi.org/10.1016/j.amepre.2025.107738

Mahen, A. F., Wihongi, A. O., & Connolly, C. P. (2025). Women’s perceptions of maternal and fetal health benefits of physical activity during pregnancy and what factors impact them—A cross-sectional study. Midwifery, 145, 104363. https://doi.org/10.1016/j.midw.2025.104363

Meshram, I. I., Nagalla, B., Rao Kodavanti, M., Avula, L., & Ginnela Narsimhachary Veera, B. (2024). Overweight/obesity, pre-diabetes, diabetes and its association with hypertension and other factors among rural adults (≥18 years) in India. Indian Heart Journal, 76(3), 182–191. https://doi.org/10.1016/j.ihj.2024.06.010

Murugavalli, K., Ramalakshmi, R., Vishnuvarthanan, G., & Pallikonda Rajasekaran, M. (2025). Prediction of body physiological parameter changes after experiencing infinity walk: A prospective observational view. Smart Health, 38, 100609. https://doi.org/10.1016/j.smhl.2025.100609

Ndobo, V., Ndava, A. T., Tsague, H., Owona, A., Nsangou, N., Yon, C. N., Kobe, Z., Fokou, M., Lowe, S., Menanga, A. P., & Kuate, L. M. (2026). Supervised Exercise-Based Cardiac Rehabilitation Program for Lower-Limb Peripheral Arterial Disease : Effect on Walking Capacity, Hemodynamic Parameters, Anxiety, Depression, and Quality of Life in Cameroon. Annales de Cardiologie et d’Angéiologie, 75(1), 101984. https://doi.org/10.1016/j.ancard.2025.101984

Peng, Y., Liu, F., Wang, P., Wang, X., Si, C., Gong, J., Zhou, H., Zhang, M., & Song, F. (2024). Association between walking pace and risks of major chronic diseases in individuals with hypertension based on a prospective study in UK Biobank: Involvement of inflammation. Preventive Medicine, 184, 107986. https://doi.org/10.1016/j.ypmed.2024.107986

Qiu, J., Song, X., Wang, J., & Kim, S. (2026). Muscle–brain axis mechanisms linking community-based exercise to cognitive function in older adults: A five-arm randomized controlled trial. Experimental Gerontology, 214, 113041. https://doi.org/10.1016/j.exger.2026.113041

Salse-Batán, J., González-Devesa, D., Duñabeitia, I., Bidaurrazaga-Letona, I., Ayán-Pérez, C., & Sanchez-Lastra, M. A. (2025). Effects of stretching exercise on walking performance and balance in older adults: A systematic review and meta-analysis. Geriatric Nursing, 61, 479–490. https://doi.org/10.1016/j.gerinurse.2024.12.018

Singh, M., & Majumdar, V. (2024). Design and Rationale of a Two-Armed Randomized Controlled Trial on Yoga/Brisk Walking-Based Lifestyle Modification on Dementia Risk Reduction, and Influence of ApoE Genotypes on the Intervention. The Journal of Aging Research & Lifestyle, 13, 33–42. https://doi.org/10.14283/jarlife.2024.5

Suprapto, S., Bte Muhammad, K., & Rahman, R. (2026). Integrated Education to Improve Treatment Adherence for Type 2 Diabetes Mellitus Patients in Makassar. Jurnal Pengabdian Masyarakat Edukasi Indonesia, 3(1), 38–46. https://doi.org/10.61099/jpmei.v3i1.172

Tang, Y., Jiang, C., Guo, J., Li, Y., Wang, C., Chu, S. H., Wang, Z., Wu, Y., Hua, C., Lu, Y., Zhang, S., Song, Y., Han, R., Dong, J., Ma, C., Cai, J., Anderson, C. S., & Du, X. (2025). Study protocol for the healthy family program on population blood pressure: A multicenter, parallel group, cluster randomized, controlled trial in rural China. American Heart Journal, 283, 70–80. https://doi.org/10.1016/j.ahj.2025.01.014

Vlietstra, L., Fordyce, A. M., Costa, E. C., Coffey, S., Walker, X. J., Whalley, G. A., & Waters, D. L. (2025). Exercise interventions to improve physical frailty and physical frailty components in older adults with hypertension: A systematic review. Ageing Research Reviews, 107, 102714. https://doi.org/10.1016/j.arr.2025.102714

Xu, W., Xing, C., Chen, C., Huang, Y., Li, P., & Zhai, J. (2026). Efficacy of an e-education program based on the Health Belief Model on exercise management in women with gestational hypertension: A randomized controlled clinical trial. International Journal of Nursing Sciences, 13(1), 19–26. https://doi.org/10.1016/j.ijnss.2025.12.015