Konsumsi ikan bersifat protektif terhadap diagnosis stroke pada orang yang pernah terdiagnosis hipertensi di Indonesia

https://doi.org/10.22146/ijcn.28077

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.


Keywords


consumption of animal products; fish consumption; hypertension; stroke

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References

  1. Swanida N, Malonda H, Dinarti LK, Pangastuti R. Pola makan dan konsumsi alkohol sebagai faktor risiko hipertensi pada lansia. Jurnal Gizi Klinik Indonesia 2012;8(4):202–12.
  2. Perawaty, Dahlan P, Astuti H. Pola makan dan hubungannya dengan kejadian stroke di RSUD dr. Doris Sylvanus Palangka Raya. Jurnal Gizi Dan Dietetik Indonesia 2014;2(2):51–61.
  3. Wang Z, Zhang B, Zhai F, Wang H, Zhang J, Du W, et al. Fatty and lean red meat consumption in China: Differential association with Chinese abdominal obesity. Nutr Metab Cardiovasc Dis 2014;24(8):869–76.
  4. Wulandari RA, Madanijah S. Gaya hidup, konsumsi pangan, dan hubungannya dengan tekanan darah pada lansia anggota posbindu. Jurnal Gizi dan Pangan 2015;10(2):125–32.
  5. Wang YF, Jr WY, Yu D, Champagne C, Appel LJ, Lin P. The relationship between dietary protein intake and blood pressure: results from the PREMIER study. J Hum Hypertens 2008;22(11):745–54.
  6. Tuminah S. Efek Perbedaan sumber dan struktur kimia asam lemak jenuh terhadap kesehatan. Buletin Penelitan Kesehatan 2014;38(1):1–5.
  7. Pusat Kebijakan Perdagangan Dalam Negeri. Analisis dinamika konsumsi pangan masyarakat Indonesia. Jakarta: Kementerian Perdagangan RI; 2013.
  8. Dorland WAN. Kamus saku kedokteran Dorland. 28th ed. Hartanto Y budi, Nirmala WK, Ardy, Setiono S, Dharmawan D, Yoavita, et al., editors. Jakarta: EGC; 2012.
  9. Riyadina W, Rahajeng E. Determinan penyakit stroke. Kesmas 2013;7(7):324–30.
  10. Balitbangkes. Riset kesehatan dasar 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI; 2013.
  11. Kementerian Kesehatan RI. Pusdatin hipertensi. Infodatin [series online] 2014 [cited 2017 Aug 21]. Available from: URL:http://www.depkes.go.id/download.php?file=download/pusdatin/infodatin/infodatin-hipertensi.pdf&usg=AFQjCNHWLiHieCeL1Ksg4Tr_yx
  12. Widimsky J. The role of arterial hypertension in the primary prevention of stroke. Cor Vasa 2016;58(2):e279–86.
  13. Nidhinandana S, Ratanakorn D, Charnnarong N, Muengtaweepongsa S, Towanabut S. Blood pressure control among stroke patients in Thailand - The i-STROKE study. J Stroke Cerebrovasc Dis 2014;23(3):476–83.
  14. Bushnell C, McCullough LD, Awad IA, Chireau M V, Fedder WN, Furie KL, et al. Guidelines for the prevention of stroke in women: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2014;45(5):1545–88.
  15. Setyopranoto I. Stroke : gejala dan penatalaksanaan. Cermin Dunia Kedokteran 2011;38(4):247–9.
  16. Usrin I, Mutiara E, Yusad Y. Pengaruh hipertensi terhadap kejadian stroke iskemik dan stroke hemoragik di ruang neurologi di Rumah Sakit Stroke Nasional (RSSN) Bukit Tinggi tahun 2011. Kebijakan, Promosi Kesehatan, dan Biostat 2013;2(2):1–9.
  17. Adil MM, Beslow LA, Qureshi AI, Malik AA, Jordan LC. Hypertension is associated with increased mortality in children hospitalized with arterial ischemic stroke. Pediatr Neurol 2016;56:25–9.
  18. Strauss J, Sikoki B, Witoelar F. The fifth wave of the Indonesia Family Life Survey (IFLS5): overview and field report. Vol. 1. WR-1143/1-NIA/NICHD. Santa Monica: RAND; 2016.
  19. Strauss J, Witoelar F, Sikoki B, Wattie AM. The fourth wave of the Indonesia Family Life Survey (IFLS 4): overview and field report. Vol. 1. WR-675/1-NIA/NICHD. Santa Monica: RAND; 2009.
  20. Strauss J, Witoelar F, Sikoki B. User’s guide for the Indonesia Family Life Survey, wave 5 volume 2. Santa Monica: RAND; 2016.
  21. Pang H, Han B, Fu Q, Zong Z. Association of high homocysteine levels with the risk stratification in hypertensive patients at risk of stroke. Clin Ther 2016;38(5):1184–92.
  22. Cook DE. ccmatch [series online] 2015 [cited 2017 Aug 21]. Available from: URL: http://www.danielecook.com/ccmatch/
  23. Biderafsh A, Karami M, Faradmal J, Poorolajal J. Estimating the potential impact fraction of hypertension as the main risk factor of stroke: application of the distribution shift method. J Epidemiol Glob Health 2015;5(3):231–7.
  24. Porth CM. Essentials of pathophysiology: concepts of altered health states. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2006.
  25. IDF Clinical Guidelines Task Force. Global guideline for type 2 diabetes. Brussels: International Diabetes Federation; 2005.
  26. Furie KL, Rost NS. Overview of secondary prevention of ischemic stroke. Kassner SE, Dashe JF, editors. [series online] 2016 [cited 2017 Aug 21]. Available from: URL: http://www.uptodate.com
  27. Quinn TJ, Dawson J, Walters MR. Sugar and stroke: cerebrovascular disease and blood glucose control. Cardiovasc Ther 2011;29(6):e31–42.
  28. Chen R, Ovbiagele B, Feng W. Diabetes and stroke: epidemiology, pathophysiology, pharmaceuticals and outcomes. Am J Med Sci 2016;351(4):380–6.
  29. Zheng G, Chen B, Fang Q, Yi H, Lin Q, Chen L, et al. Primary prevention for risk factors of ischemic stroke with Baduanjin exercise intervention in the community elder population: study protocol for a randomized controlled trial. Trials 2014;15(1):113.
  30. Gallanagh S, Quinn TJ, Alexander J, Walters MR. Physical activity in the prevention and treatment of stroke. ISRN Neurol 2011;2011:1–10.
  31. Billinger SA, Arena R, Bernhardt J, Eng JJ, Ot PT, Franklin BA, et al. Physical activity and exercise recommendations for stroke survivors: a statement for healthcare professionals from the American Heart Association/American Stroke A. Stroke 2014;45:2532–53.
  32. He K, Song Y, Daviglus ML, Liu K, Van Horn L, Dyer AR, et al. Fish consumption and incidence of stroke: a meta-analysis of cohort studies. Stroke 2004;35(7):1538–42.
  33. Prameswari GN. Promosi gizi terhadap sikap gemar makan ikan pada anak usia sekolah. J Health Edu 2018;3(1):1–6.
  34. Wennberg M, Jansson J-H, Norberg M, Skerfving S, Strömberg U, Wiklund P-G, et al. Fish consumption and risk of stroke: a second prospective case-control study from northern Sweden. Nutr J 2016;15(1):98.
  35. Boroujeni H, Saadatnia M, Shakeri F, Keshteli A, Saneei P, Esmaillzadeh A. Dairy consumption and risk of stroke: a case-control study. Int J Prev Med 2016;7(1):2.
  36. de Goede J, Soedamah Muthu SS, Pan A, Gijsbers L, Geleijnse JM. Dairy consumption and risk of stroke: a systematic review and updated dose–response meta-analysis of prospective cohort studies. J Am Heart Assoc 2016;5(5):e002787.
  37. Bovalino S, Charleson G, Szoeke C. The impact of red and processed meat consumption on cardiovascular disease risk in women. Nutrition 2016;32(3):349–54.
  38. Kaluza J, Wolk A, Larsson SC. Red meat consumption and risk of stroke: a meta-analysis of prospective studies. Stroke 2012;43(10):2556–60.
  39. Yang C, Pan L, Sun C, Xi Y, Wang L, Li D. Red meat consumption and the risk of stroke: a dose-response meta-analysis of prospective cohort studies. J Stroke Cerebrovasc Dis 2016;25(5):1177–86.
  40. Saneei P, Saadatnia M, Shakeri F, Beykverdi M, Keshteli AH, Esmaillzadeh A. A case–control study on red meat consumption and risk of stroke among a group of Iranian adults. Public Health Nutr 20153;18(06):1084–90.
  41. Chagas P, Caramori P, Galdino TP, Barcellos C da S de, Gomes I, Schwanke CHA. Egg consumption and coronary atherosclerotic burden. Atherosclerosis 2013;229(2):381–4.
  42. Li Y, Zhou C, Zhou X, Li L. Egg consumption and risk of cardiovascular diseases and diabetes: a meta-analysis. Atherosclerosis 2013;229(2):524–30.
  43. Tang WHW, Hazen SL. The contributory role of gut microbiota in cardiovascular disease. J Clin Invest 2014;124(10):4204–11.
  44. Fallah-Moshkani R, Saadatnia M, Shakeri F, Keshteli AH, Saneei P, Larijani B, et al. A case–control study on egg consumption and risk of stroke among Iranian population. J Heal Popul Nutr 2017;36(1):28.



DOI: https://doi.org/10.22146/ijcn.28077

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