Konsumsi ikan bersifat protektif terhadap diagnosis stroke pada orang yang pernah terdiagnosis hipertensi di Indonesia
Arif Rahmat Kurnia(1*), Martalena Br. Purba(2), I Made Alit Gunawan(3)
(1) Prodi Gizi, Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan Universitas Negeri Semarang
(2) Instalasi Gizi Rumah Sakit Umum Pusat Dr. Sardjito
(3) Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Yogyakarta
(*) Corresponding Author
Abstract
Background: Stroke is a burdensome disease. The prevalence of stroke has increased by 16% over the last 6 years. The biggest risk factor for stroke is hypertension, but consumption of animal products such as meat, fish, eggs, and milk is often associated with the onset of stroke.
Objective: To examine the relationship between the frequencies of animal products consumption to the incidence of stroke in 2014/2015 on hypertensive people in 2007/2008.
Method: This research was using case control design performed by analyzing longitudinal data derived from Indonesian Family Life Survey (IFLS) 4 and 5 (2007/2008 and 2014/2015). The population of this study was Indonesian aged over 40 years who have been diagnosed with hypertension in IFLS 4.
Results: The results of bivariate analysis using Chi Square test and Fisher's exact test found that the variables significantly associated with stroke diagnosis in IFLS 5 were IFLS 5 fish consumption (p=0.027; OR=0.47); IFLS 4 milk consumption (p=0.04; OR=2.97); IFLS 5 hypertension diagnosis (p=0.006; OR=4.03); IFLS 4 diabetes mellitus diagnosis (p=0.033;OR=8.91); and IFLS 5 diabetes mellitus diagnosis (p=0.041; OR=3.73), also IFLS 5 physical activity (p=0.00; OR=0.34).
Conclusion: Fish consumption of 2 - 7 days per week and adequate physical activity is associated with a decreased risk of stroke in a population that has been diagnosed with hypertension. Daily milk consumption, hypertension diagnosis, and diabetes mellitus diagnosis may increase the risk of stroke.
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DOI: https://doi.org/10.22146/ijcn.28077
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