The Effectiveness of Core Stability Exercise Toward the Beta-Endorphin Hormon Level of Postpartum Mothers

Nahdiyah Karimah; Entan Afriannisyah

doi:10.22146/jkesvo.105754

The Effectiveness of Core Stability Exercise Toward the Beta-Endorphin Hormon Level of Postpartum Mothers

https://doi.org/10.22146/jkesvo.105754

Nahdiyah Karimah^(1*), Entan Afriannisyah⁽²⁾

(1) Midwifery Department, Vocational School, Sebelas Maret University
(2) Midwifery Professional Education Study Program, STIKes Sapta Bakti
(*) Corresponding Author

Abstract

Background: Postpartum mothers experience a drop in beta-endorphin levels on day 4. Beta-endorphins play an important role in analgesics, milk production, and preventing postpartum depression.

Objective: This study aimed to determine the effectiveness of core stability exercise on the level of beta- endorphin hormones in postpartum mothers.

Methods: The research design used a pretest and posttest controlled group design. Involving 42 respondents, namely postpartum mothers at Halmahera and Ngesrep Health Centers, Semarang. Respondents were divided into 2 groups equally by simple random sampling, namely: experimental group (core stability exercise) and control group (postpartum exercise). Then the effect before and after the intervention on beta-endorphin hormone levels will be seen by controlling anxiety scores. Analysis using independent T test and MANCOVA.

Results: The mean increase in beta-endorphin hormone level in the experimental group was 140 ng/ml, while in the control group it was 43.1 ng/ml. Core stability exercise is more effective for increasing beta-endorphin hormone levels after controlling anxiety compared to postpartum exercise with a p value of 0.023.

Conclusion: Core stability exercise is effective in increasing beta-endorphin hormone levels in postpartum mothers. This research serves as a guideline for midwives to apply core stability exercise when providing midwifery care to postpartum mothers.

Keywords

beta-endorphin; core stability exercise; postpartum

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References

Rahmaniar, A.S.P., Halik, A.A., Purnamasari, N. (2019). Pengaruh Senam Nifas terhadap Intensitas Nyeri Perineum dan Kecemasan Ibu Postpartum di RSIA Pertiwi Makassar. UMI medical journal. 4 (2): 11–19. Available at: https://doi.org/10.33096/umj.v4i2.64

Ahmadinezhad, G.S., Karimi, F.Z., Abdollahi, M. and NaviPour, E. (2024). Association between Postpartum Depression and Breastfeeding Self-Efficacy in Mothers: A Systematic Review and Meta-Analysis. BMC Pregnancy and Childbirth. 24 (273). Available at: https://doi.org/10.1186/s12884-024-06465-4

Barone, Y., Cuniberti, F. and Perna, G. (2022). Anxiety Disorders. In: Key Topics in Perinatal Mental Health . Springer. p. Cham

Bashirian, S., Ouji, Z., Afshari, M., Barati, M., et al. (2020). Effect of an Educational Intervention Based on the BASNEF Model on Promoting Physical Activity Among Postpartum Women. International Quarterly of Community Health Education. 40 (2): 151–158. Available at: https://doi.org/10.1177/0272684X19858897

Chronopoulou, E., Raperport, C., Serhal, P., Saab, W., et al. (2021) Preconception Tests at Advanced Maternal Age. Best Practice and Research: Clinical Obstetrics and Gynaecology. 7028–50.

Dipietro, L., Evenson, K.R., Bloodgood, B., Sprow, K., et al. (2019). Benefits of Physical Activity during Pregnancy and Postpartum: An Umbrella Review. Medicine and Science in Sports and Exercise. 51 (6): 1292–1302. Available at: https://doi.org/10.1249/MSS.0000000000001941

Guintivano, J., Manuck, T. and Meltzer-Brody, S. (2018). Predictors of Postpartum Depression: A Comprehensive Review of the Last Decade of Evidence Clinical Obstetrics and Gynecology. 61 (3): 591–603. Available at: https://doi.org/10.1097/GRF.0000000000000368

Hildebrandt, T., Shope, S., Varangis, E., Klein, D., et al. (2014). Exercise reinforcement, stress, and β-endorphins: An initial examination of exercise in anabolic-androgenic steroid dependence. Drug and Alcohol Dependence. 139(1): 86–92. Available at: https://doi.org/10.1016/j.drugalcdep.2014.03.008

I-NAMHS (2022) National Adolescent Mental Health Survey. Universitas Gadjah Mada. Yogyakarta

Karimah, N., Afriannisyah, E., Ropitasari and Fatsena, R.A. (2024). Home Core Stability Exercise Reduces The Intensity Of Pain And The Level Of Lower Back Disability In Postpartum Mothers. African Journal OF Biomedical Research. 27 (4s): 6099–6110. Available at: https://doi.org/10.53555/AJBR.v27i4S.4738

Karimah, N., Khafidhoh, N., Hardjanti, T. and Hakim, R. (2019). The Period of Perineal Wound Healing in Postpartum Mothers Between The Decoction Water Treatments of Bihanong Leaves with Red Betel Leaves. GHMJ (Global Health Management Journal). 3 (3): 107–116. Available at: https://doi.org/10.35898/ghmj-33454

Karimah, N., Supriyana, Sumarni, S. and Sunarto. (2022). The Effectiveness of Hot Herbal Compress in Accelerate Uterine Involution and Recovery of Afterpains on the Postpartum Mothers. ENDLESS: Journal of Futures Studies. 5 (1): 1–18. Available at: http://dx.doi.org/10.54783/endlessjournal.v5i1.235

Kartal, Y.A., Kaya, L., Yazici, S., Engin, B., et al. (2022). Effects of Skin-To-Skin Contact on Afterpain and Postpartum Hemorrhage: A Randomized Controlled Trial. Nursing and Health Sciences. 24 (2): 479–486. Available at: https://doi.org/10.1111/nhs.12945

KEMENKES. (2018). Hasil Utama Riskesdas Tentang Prevalensi Balita Pendek di Indonesia 2018. Kemenkes. Jakarta

Kibler, W. Ben, Press, J. and Sciascia, A. (2006). The Role of Core Stability in Athletic Function. Sport Medicine. 36 (3): 189–198. Available at: https://doi.org/10.2165/00007256-200636030-00001

Lestari, I., Rahmawati, I., Windarti, E. and Hariyono. (2019). Speos (Stimulation of Endorphin, Oxytocin and Suggestive): Intervention to Improvement of Breastfeeding Production. Medico-Legal Update. 19 (1): 210–215. Available at: https://doi.org/10.5958/0974-1283.2019.00042.2

Litwack, G. (2022). Hormones. Elsevier. United Kingdom

Lowdermilk, D.L., Cashion, K., Alden, K.R., Olshansky, E., et al. (2023). Maternity and Women’s Health Care. Elsevier Health Sciences. Missouri

Mikkelsen, K., Stojanovska, L., Polenakovic, M., Bosevski, M., et al. (2017). Exercise and mental health. Maturitas. 106 (September): 48–56. Available at: https://doi.org/10.1016/j.maturitas.2017.09.003

Mohamed, E.A., El-Shamy, F.F. and Hamed, H. (2018). Efficacy of kinesiotape on functional disability of women with postnatal back pain: A randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation. 31 (1): 205–210. Available at: https://doi.org/10.3233/BMR-170827

Norris, C.M. (2023). Back Rehabilitation: Core Stability Re-examined: Third Edition. Taylor and Francis. United Kingdom

Pfaffe, T., White, J.C., Beyerlein, P., Kostner, K., et al. (2011). Diagnostic Potential of Saliva : Current State and Future Applications. Clinical Chemistry. 57 (5): 675–687. Available at: https://doi.org/10.1373/clinchem.2010.153767.

Robinson, H.S. and Balasundaram, A.P. (2018). Effectiveness of physical therapy interventions for pregnancy-related pelvic girdle pain (PEDro synthesis). British Journal of Sports Medicine. 52 (18): 1215–1216. Available at: https://doi.org/10.1136/bjsports-2017-098287.

Salamah, U. and Prasetya, P.H. (2019). Faktor - Faktor yang Mempengaruhi Ibu dalam Kegagalan Pemberian ASI Eksklusif. Jurnal Kebidanan. 5 (3): 199–204.

Seshadri, S., Morris, G., Serhal, P. and Sab, W. (2021). Assisted Conception in Women of Advanced Maternal Age. Best Practice and Research: Clinical Obstetrics and Gynaecology. 70(1): 10–20. Available at: https://doi.org/10.1016/j.bpobgyn.2020.06.012

Suri, M., Sharma, R. and Saini, N. (2017) Neuro Physiological Correlation Between Yoga, Pain and Endorphins. Interantional Journal of Adapted Physical Education & Yoga. 2 (9): 18–32

Thabet, A.A. and Alshehri, M.A. (2019). Efficacy of Deep Core Stability Exercise Program in Postpartum Women with Diastasis Recti Abdominis : A Randomised Controlled Trial. Journal of Musculoskeletal and Neuronal Interactions. 19 (1): 62–68.

Wang, X., Zheng, J., Yu, Z., Bi, X., et al. (2012). A Meta Analysis of Core Stability Exercise versus General Exercise for Chronic Low Back Pain. Plose One. [Online] 7 (12): 1–7. Available at: https://doi.org/10.1371/journal.pone.0052082

WHO. (2023). Bersama - sama Dukung Ibu Sukses Menyusui dan Bekerja. WHO. Jakarta. Available at: https://www.who.int/indonesia/news/events/world-breastfeeding-week/2023#:~:text=Cakupan%20ASI%20ekslusif%20Indonesia%20pada%202022%20tercatat%20hanya,dukungan%20lebih%20intensif%20agar%20cakupan%20ini%20bisa%20meningkat. (Accessed: 10 May 2024).

Xue, L., Sun, J., Zhu, J., Ding, Y., et al. (2020) The Patterns of Exercise-Induced β-Endorphin Expression in the Central Nervous System of Rats. Neuropeptides. 82 (102048). Available at: doi: https://doi.org/10.1016/j.npep.2020.102048

Yadav, R.K., Magan, D., Mehta, N., Sharma, R., et al. (2012) Efficacy of a short-term yoga-based lifestyle intervention in reducing stress and inflammation: Preliminary results. Journal of Alternative and Complementary Medicine. 18 (7): 662–667. Available at: https://doi.org/10.1089/acm.2011.0265

Yuliarti, N. (2010) Panduan Lengkap Olahraga bagi Wanita Hamil & Menyusui. Penerbit ANDI. Yogyakarta

Yusuf, N.N. (2022) Keberhasilan Persalinan dengan Augmentasi terhadap Kadar Kortisol. Penerbit NEM. Pidie

Zheng, F., Liu, S., Yin, Q., Zheng, Y., et al. (2024) Long-Term Impact of Self-Compassion Training with Core Stability Exercise on Patients with Nonspecific Chronic Low Back Pain: A Randomized Controlled Trial. Journal of Psychosomatic Research. 181. (111678). Available at: https://doi.org/10.1016/j.jpsychores.2024.111678

DOI: https://doi.org/10.22146/jkesvo.105754