Peran Program Latihan Terstruktur terhadap Pengendalian Berat Badan Jangka Panjang dan Kesehatan Metabolik
DOI:
https://doi.org/10.69503/wzt6xz76Keywords:
Latihan Terstruktur, Obesitas, Pengendalian Berat Badan, Kesehatan Metabolik, Aktivitas FisikAbstract
Pengendalian obesitas memerlukan pendekatan berkelanjutan yang tidak hanya menurunkan berat badan, tetapi juga menjaga stabilitas metabolik dalam jangka panjang. Kajian ini bertujuan menyintesis bukti ilmiah mengenai kontribusi program latihan terstruktur dalam mendukung keberlanjutan manajemen berat badan dan optimalisasi fungsi metabolik. Penelitian menggunakan metode integrative literature review dengan menelaah artikel dari berbagai basis data ilmiah melalui proses seleksi sistematis dan analisis tematik kualitatif. Hasil telaah menunjukkan bahwa latihan terstruktur berfungsi sebagai intervensi inti melalui mekanisme ganda, yaitu regulasi keseimbangan energi dan adaptasi metabolik independen dari penurunan berat badan semata. Keberhasilan implementasi sangat dipengaruhi oleh prinsip progresivitas, individualisasi program, serta dukungan perilaku dan lingkungan. Temuan ini memperkuat model konseptual bahwa latihan fisik bukan hanya alat reduksi berat badan, melainkan determinan utama stabilitas metabolik jangka panjang. Dengan demikian, integrasi latihan terstruktur dalam pendekatan multidisipliner berbasis bukti menjadi esensial dalam pengendalian obesitas berkelanjutan.
References
Bellicha, A., van Baak, M. A., Battista, F., Beaulieu, K., Blundell, J. E., Busetto, L., Carraça, E. V, Dicker, D., Encantado, J., Ermolao, A., Farpour-Lambert, N., Pramono, A., Woodward, E., & Oppert, J.-M. (2021). Effect of Exercise Training on Weight Loss, Body Composition Changes, and Weight Maintenance in Adults with Overweight Or Obesity: An Overview Of 12 Systematic Reviews and 149 Studies. Obesity Reviews : An Official Journal of the International Association for the Study of Obesity, 22 Suppl 4(Suppl 4), e13256. https://doi.org/10.1111/obr.13256
Bird, S. R., & Hawley, J. A. (2017). Update on the Effects of Physical Activity on Insulin Sensitivity in Humans. BMJ Open Sport & Exercise Medicine, 2(1), e000143. https://doi.org/10.1136/bmjsem-2016-000143
Bowen, G. A. (2009). Document Analysis as a Qualitative Research Method. Qualitative Research Journal, 9(2), 27–40. https://doi.org/10.3316/QRJ0902027
Colberg, S. R., Sigal, R. J., Yardley, J. E., Riddell, M. C., Dunstan, D. W., Dempsey, P. C., Horton, E. S., Castorino, K., & Tate, D. F. (2016). Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care, 39(11), 2065–2079. https://doi.org/10.2337/dc16-1728
Cornelissen, V. A., & Smart, N. A. (2013). Exercise Training for Blood Pressure: A Systematic Review and Meta‐analysis. Journal of the American Heart Association, 2(1), e004473. https://doi.org/10.1161/JAHA.112.004473
Donnelly, J. E., Blair, S. N., Jakicic, J. M., Manore, M. M., Rankin, J. W., & Smith, B. K. (2009). Appropriate Physical Activity Intervention Strategies for Weight Loss and Prevention of Weight Regain for Adults. Medicine & Science in Sports & Exercise, 41(2), 459–471. https://doi.org/10.1249/MSS.0b013e3181949333
Elo, S., & Kyngäs, H. (2008). The Qualitative Content Analysis Process. Journal of Advanced Nursing, 62(1), 107–115. https://doi.org/10.1111/j.1365-2648.2007.04569.x
Franz, M. J., VanWormer, J. J., Crain, A. L., Boucher, J. L., Histon, T., Caplan, W., Bowman, J. D., & Pronk, N. P. (2007). Weight-Loss Outcomes: A Systematic Review and Meta-Analysis of Weight-Loss Clinical Trials with a Minimum 1-Year Follow-Up. Journal of the American Dietetic Association, 107(10), 1755–1767. https://doi.org/10.1016/j.jada.2007.07.017
Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I.-M., Nieman, D. C., & Swain, D. P. (2011). Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory, Musculoskeletal, and Neuromotor Fitness in Apparently Healthy Adults. Medicine & Science in Sports & Exercise, 43(7), 1334–1359. https://doi.org/10.1249/MSS.0b013e318213fefb
Herrero-Alonso, C., López-Lifante, V.-M., Costa-Garrido, A., Pera, G., Alzamora, M., Forés, R., Martínez-Ruíz, E. J., López-Palencia, J., Moizé-Arcone, L., Mateo-Aguilar, E., Rodríguez-Sales, V., Alventosa, M., Heras, A., Valverde, M., Violán, C., & Torán-Monserrat, P. (2024). Adherence to Supervised and Unsupervised Exercise Programmes in Ageing Population with Intermittent Claudication: A Randomized Controlled Trial. Journal of Clinical Medicine, 13(13). https://doi.org/10.3390/jcm13133690
Jakicic, J. M., Rogers, R. J., Davis, K. K., & Collins, K. A. (2018). Role of Physical Activity and Exercise in Treating Patients with Overweight and Obesity. Clinical Chemistry, 64(1), 99–107. https://doi.org/10.1373/clinchem.2017.272443
Jastrzebski, D., Toczylowska, B., Zieminska, E., Zebrowska, A., Kostorz-Nosal, S., Swietochowska, E., Di Giulio, C., & Ziora, D. (2021). The Effects of Exercise Training on Lipid Profile in Patients With Sarcoidosis. Scientific Reports, 11(1), 5551. https://doi.org/10.1038/s41598-021-84815-4
Jelleyman, C., Yates, T., O’Donovan, G., Gray, L. J., King, J. A., Khunti, K., & Davies, M. J. (2015). The Effects of High‐Intensity Interval Training on Glucose Regulation and Insulin Resistance: A Meta‐Analysis. Obesity Reviews, 16(11), 942–961. https://doi.org/10.1111/obr.12317
Johns, D. J., Hartmann-Boyce, J., Jebb, S. A., & Aveyard, P. (2014). Diet or Exercise Interventions vs Combined Behavioral Weight Management Programs: A Systematic Review and Meta-Analysis of Direct Comparisons. Journal of the Academy of Nutrition and Dietetics, 114(10), 1557–1568. https://doi.org/10.1016/j.jand.2014.07.005
Mahardika, W., Mustafa, P. S., Lufthansa, L., Anugrah, T., & Shafi, S. H. A. (2024). Lifelong Sports through the Lens of Physical Literacy: Understanding Definitions, Benefits, and Challenges. Edumaspul: Jurnal Pendidikan, 8(1), 238–245. https://doi.org/10.33487/edumaspul.v8i1.7630
Mann, S., Beedie, C., & Jimenez, A. (2014). Differential Effects of Aerobic Exercise, Resistance Training and Combined Exercise Modalities on Cholesterol and the Lipid Profile: Review, Synthesis and Recommendations. Sports Medicine, 44(2), 211–221. https://doi.org/10.1007/s40279-013-0110-5
Mustafa, P. S., & Gusdiyanto, H. (2024). Monograf Latihan Sirkuit berbasis Neurosains. CV Pustaka Madani.
Nurhidayah, D., Prasetyo, Y., Sutapa, P., Suhartini, B., Nanda, F. A., Kartini, Mustafa, P. S., & Ansar, C. S. (2024). Visualizing Global Research Trends on Retired Athletes Using Bibliometric Analysis: Opportunities to Develop Exercise for Retired Athletes in Future Research. Fizjoterapia Polska, 24(5), 17–25. https://doi.org/10.56984/8ZG020C5CUN
O’Halloran, P. D., Blackstock, F., Shields, N., Holland, A., Iles, R., Kingsley, M., Bernhardt, J., Lannin, N., Morris, M. E., & Taylor, N. F. (2014). Motivational Interviewing To Increase Physical Activity in People With Chronic Health Conditions: A Systematic Review and Meta-Analysis. Clinical Rehabilitation, 28(12), 1159–1171. https://doi.org/10.1177/0269215514536210
Piercy, K. L., Troiano, R. P., Ballard, R. M., Carlson, S. A., Fulton, J. E., Galuska, D. A., George, S. M., & Olson, R. D. (2018). The Physical Activity Guidelines for Americans. JAMA, 320(19), 2020–2028. https://doi.org/10.1001/jama.2018.14854
Rhodes, R. E., McEwan, D., & Rebar, A. L. (2019). Theories of Physical Activity Behaviour Change: A History and Synthesis of Approaches. Psychology of Sport and Exercise, 42, 100–109. https://doi.org/10.1016/j.psychsport.2018.11.010
Ross, R., Blair, S. N., Arena, R., Church, T. S., Després, J.-P., Franklin, B. A., Haskell, W. L., Kaminsky, L. A., Levine, B. D., Lavie, C. J., Myers, J., Niebauer, J., Sallis, R., Sawada, S. S., Sui, X., & Wisløff, U. (2016). Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association. Circulation, 134(24), e653–e699. https://doi.org/10.1161/CIR.0000000000000461
Sallis, J. F., Cerin, E., Kerr, J., Adams, M. A., Sugiyama, T., Christiansen, L. B., Schipperijn, J., Davey, R., Salvo, D., Frank, L. D., De Bourdeaudhuij, I., & Owen, N. (2020). Built Environment, Physical Activity, and Obesity: Findings from the International Physical Activity and Environment Network (IPEN) Adult Study. Annual Review of Public Health, 41(1), 119–139. https://doi.org/10.1146/annurev-publhealth-040218-043657
Scarapicchia, T. M. F., Amireault, S., Faulkner, G., & Sabiston, C. M. (2017). Social Support and Physical Activity Participation Among Healthy Adults: A Systematic Review of Prospective Studies. International Review of Sport and Exercise Psychology, 10(1), 50–83. https://doi.org/10.1080/1750984X.2016.1183222
Schwingshackl, L., Dias, S., Strasser, B., & Hoffmann, G. (2013). Impact of Different Training Modalities on Anthropometric and Metabolic Characteristics in Overweight/Obese Subjects: A Systematic Review and Network Meta-Analysis. PLoS ONE, 8(12), e82853. https://doi.org/10.1371/journal.pone.0082853
Segal, K. R., Edano, A., Abalos, A., Albu, J., Blando, L., Tomas, M. B., & Pi-Sunyer, F. X. (1991). Effect of Exercise Training on Insulin Sensitivity and Glucose Metabolism in Lean, Obese, and Diabetic Men. Journal of Applied Physiology, 71(6), 2402–2411. https://doi.org/10.1152/jappl.1991.71.6.2402
Snyder, H. (2019). Literature Review As A Research Methodology: An Overview and Guidelines. Journal of Business Research, 104, 333–339. https://doi.org/10.1016/j.jbusres.2019.07.039
Swift, D. L., McGee, J. E., Earnest, C. P., Carlisle, E., Nygard, M., & Johannsen, N. M. (2018). The Effects of Exercise and Physical Activity on Weight Loss and Maintenance. Progress in Cardiovascular Diseases, 61(2), 206–213. https://doi.org/10.1016/j.pcad.2018.07.014
Sylow, L., Kleinert, M., Richter, E. A., & Jensen, T. E. (2017). Exercise-Stimulated Glucose Uptake — Regulation and Implications For Glycaemic Control. Nature Reviews Endocrinology, 13(3), 133–148. https://doi.org/10.1038/nrendo.2016.162
Teixeira, P. J., Marques, M. M., Silva, M. N., Brunet, J., Duda, J. L., Haerens, L., La Guardia, J., Lindwall, M., Lonsdale, C., Markland, D., Michie, S., Moller, A. C., Ntoumanis, N., Patrick, H., Reeve, J., Ryan, R. M., Sebire, S. J., Standage, M., Vansteenkiste, M., … Hagger, M. S. (2020). A Classification of Motivation and Behavior Change Techniques Used in Self-Determination Theory-Based Interventions in Health Contexts. Motivation Science, 6(4), 438–455. https://doi.org/10.1037/mot0000172
Viana, R. B., Naves, J. P. A., Coswig, V. S., de Lira, C. A. B., Steele, J., Fisher, J. P., & Gentil, P. (2019). Is Interval Training the Magic Bullet For Fat Loss? A Systematic Review and Meta-Analysis Comparing Moderate-Intensity Continuous Training With High-Intensity Interval Training (HIIT). British Journal of Sports Medicine, 53(10), 655–664. https://doi.org/10.1136/bjsports-2018-099928
Weston, K. S., Wisløff, U., & Coombes, J. S. (2014). High-Intensity Interval Training in Patients With Lifestyle-Induced Cardiometabolic Disease: A Systematic Review and Meta-Analysis. British Journal of Sports Medicine, 48(16), 1227–1234. https://doi.org/10.1136/bjsports-2013-092576
Wewege, M., van den Berg, R., Ward, R. E., & Keech, A. (2017). The Effects of High‐Intensity Interval Training vs. Moderate‐Intensity Continuous Training on Body Composition in Overweight And Obese Adults: A Systematic Review And Meta‐Analysis. Obesity Reviews, 18(6), 635–646. https://doi.org/10.1111/obr.12532
Whittemore, R., & Knafl, K. (2005). The Integrative Review: Updated Methodology. Journal of Advanced Nursing, 52(5), 546–553. https://doi.org/10.1111/j.1365-2648.2005.03621.x
Willis, L. H., Slentz, C. A., Bateman, L. A., Shields, A. T., Piner, L. W., Bales, C. W., Houmard, J. A., & Kraus, W. E. (2012). Effects of Aerobic and/or Resistance Training on Body Mass and Fat Mass in Overweight or Obese Adults. Journal of Applied Physiology, 113(12), 1831–1837. https://doi.org/10.1152/japplphysiol.01370.2011
Young, M. D., Plotnikoff, R. C., Collins, C. E., Callister, R., & Morgan, P. J. (2014). Social Cognitive Theory and Physical Activity: A Systematic Review and Meta‐Analysis. Obesity Reviews, 15(12), 983–995. https://doi.org/10.1111/obr.12225
Zed, M. (2008). Metode Penelitian Kepustakaan. Yayasan Pustaka Obor Indonesia.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Pinton Setya Mustafa, Luthfie Lufthansa, Reza Aofal, Tama Anugrah, Zanzabil Adwa Fitrian, Dewi Nurhidayah

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.








