Faktor determinan hipertensi pada wanita usia produktif dengan hipertensi di Kota Semarang

https://doi.org/10.22146/ijcn.81257

Heni Hendriyani(1*), Muflihah Isnawati(2), Sofi Aulia Rahma(3)

(1) Jurusan Gizi Poltekkes Kemenkes Semarang, Semarang, Indonesia
(2) Jurusan Gizi Poltekkes Kemenkes Semarang, Semarang, Indonesia
(3) Jurusan Gizi Poltekkes Kemenkes Semarang, Semarang, Indonesia
(*) Corresponding Author

Abstract


Determinant factors among hypertensive productive-age women in Semarang

Background: Hypertension is a significant risk factor for developing cardiovascular disease, stroke, and kidney disease. The 2018 Basic Health Research results showed that hypertension in Indonesia reached 34.11%, and in Central Java province, the prevalence was above the national rate of 37.57%. The prevalence of hypertension among women is higher than men, namely 40.17% and 34.83%, respectively.

Objective: This study aims to analyze the determinants of hypertension among women of reproductive age with hypertension in the city of Semarang.

Methods: This study used a cross-sectional design. Respondents were women of productive age 30-50 years who were on the list of hypertensive patients in five Public Health Centers chosen randomly from the list. Data was collected by questionnaire, food recall form, and anthropometric measurement. One hundred fifty respondents participated in the study. Data analysis includes univariate and bivariate.

Results: Foods high in sodium most frequently consumed were seasonings, monosodium glutamate (MSG), crackers, and soy sauce. Intake of potassium, magnesium, vitamin C, folic acid, and fiber is still far below the RDA, 21%, 5.8%, 66.3%, 4.5%, and 18.8%, respectively. Sodium intake from only food apart from spices is 45% of the RDA. 64.7% of respondents have high blood pressure. There was a significant relationship between blood pressure status and attitudes (p=0.045), consumption patterns of high-sodium foods (p=0.005), and physical activity (p=0.040).

Conclusion: Food consumption and physical activity affect the blood pressure status of hypertensive patients in productive-age women. Efforts are needed to increase intake of food sources of vitamins and minerals.


Keywords


high natrium food; hypertension; mineral; productive age women; vitamin

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References

  1. Badego B, Yoseph A, Astatkie A. Prevalence and risk factors of hypertension among civil servants in Sidama Zone, south Ethiopia. PLoS One. 2020;15(6):e0234485. doi: 10.1371/journal.pone.0234485

  2. World Health Organization (WHO). Noncommunicable diseases and their risk factors. [series online] 2019 [cited 23 Januari 2022]. Available from: URL: https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/ncd-risk-factors

  3. Kementerian Kesehatan Republik Indonesia. Laporan riset kesehatan dasar 2018. Jakarta: Kemenkes RI; 2019.

  4. International Food Policy Research Institute. Global nutrition report: from promise to impact: ending malnutrition by 2030. Washington DC: International Food Policy Research Institute; 2016. doi: 10.2499/9780896295841

  5. Micha R, Shulkin ML, Peñalvo JL, Khatibzadeh S, Singh GM, Mozaffarian D, et al. Etiologic effects and optimal intakes of foods and nutrients for risk of cardiovascular diseases and diabetes: systematic reviews and meta-analyses from the Nutrition and Chronic Diseases Expert Group (NutriCoDE). PLoS One. 2017 Apr 27;12(4):e0175149. doi: 10.1371/journal.pone.0175149

  6. World Health Organization (WHO). Global strategy on diet, physical activity, and health. [series online] 2004 [cited 23 Januari 2022]. Available from: URL: https://www.who.int/publications/i/item/9241592222

  7. Akinbule OO, Okekhian KL, Omidiran AT, Adenusi SA, Lasabi OT, Oladoyinbo CA. Factors associated with hypertension in women of child-bearing age in Abeokuta. Hum Nutr Metab. 2022;30:200160. doi: 10.1016/j.hnm.2022.200160

  8. World Health Organization (WHO). Noncommunicable diseases. [series online] 2023 [23 Maret 2024]. Available from: URL: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

  9. Schröders J, Wall S, Hakimi M, Dewi FST, Weinehall L, Nichter M, et al. How is Indonesia coping with its epidemic of chronic noncommunicable diseases? a systematic review with meta-analysis. PLoS ONE. 2017;12(6):e0179186. doi: 10.1371/journal.pone.0179186

  10. Filippou CD, Tsioufis CP, Thomopoulos CG, Mihas CC, Dimitriadis KS, Sotiropoulou LI, et al. Dietary approaches to stop hypertension (DASH) diet and blood pressure reduction in adults with and without hypertension: a systematic review and meta-analysis of randomized controlled trials. Adv Nutr. 2020;11(5):1150–60. doi: 10.1093/advances/nmaa041

  11. Supariasa IDN. Penilaian status gizi. Jakarta: EGC; 2002.

  12. Kemenkes RI. Tekanan darah tinggi (hipertensi). [series online] 2019 [cited 23 Januari 2022]. Available from: URL: https://p2ptm.kemkes.go.id/uploads/2016/10/Tekanan-Darah-Tinggi-Hipertensi.pdf

  13. World Health Organization (WHO). The World Health Organization STEPwise approach to chronic disease risk factor surveillance (STEPS). WHO: Geneva, Switzerland; 2015.

  14. Hagströmer M, Oja P, Sjöström M. The international physical activity questionnaire (IPAQ): a study of concurrent and construct validity. Public Health Nutr. 2006;9(6):755–62. doi: 10.1079/phn2005898

  15. Thompson D, Karpe F, Lafontan M, Frayn K. Physical activity and exercise in the regulation of human adipose tissue physiology. Physiol Rev. 2012;92(1):157–91.

  16. Yuriah A, Astuti AT, Inayah I. Hubungan asupan lemak, serat dan rasio lingkar pinggang pinggul dengan tekanan darah pasien hipertensi di Puskesmas Gondokusuman I Yogyakarta. Ilmu Gizi Indonesia. 2019;2(2):115-24. doi: 10.35842/ilgi.v2i2.103

  17. Sunarti. Serat pangan dalam penanganan sindrom metabolik. Yogyakarta: Gadjah Mada University Press; 2017.

  18. Kim Y, Je Y. Dietary fiber content and mortality from cardiovascular disease and all cancers; a meta-analysis of prospective cohort studies. Arch Cardiovasc Dis. 2016;109(1):39-54. doi: 10.1016/j.acvd.2015.09.005

  19. Gallagher EJ, LeRoith D. Obesity and diabetes: the increased risk of cancer and cancer-related mortality. Physiol Rev. 2015;95(3):727–48. doi: 10.1152/physrev.00030.2014

  20. Ijarotimi OS, Keshinro OO. Nutritional knowledge, nutrients intake and nutritional status of hypertensive patients in Ondo State, Nigeria. Tanzan J Health Res. 2008;10(2):59–67. doi: 10.4314/thrb.v10i2.14343

  21. Maria G, Puspita RD, Sulistyowati Y. Hubungan asupan natrium dan kalium dengan tekanan darah pada pasien hipertensi di Unit Dili Timor Leste [Skripsi]. Yogyakarta: Universitas Respati Yogyakarta; 2012.

  22. Putri EHD, Kartini A. Hubungan asupan kalium, kalsium dan magnesium dengan kejadian hipertensi pada wanita menopause di Kelurahan Bojongsalaman, Semarang. Journal of Nutrition College. 2014;3(4):580–6. doi: 10.14710/jnc.v3i4.6853

  23. Sirajuddin, Mustamin, Nadimin, Rauf S. Survei konsumsi pangan. Jakarta: Penerbit Buku Kedokteran EGC; 2014.

  24. Rahmawati AK, Krisnamurni S, Jaelani M. Asupan magnesium, kadar magnesium serum dan tekanan darah pasien rawat jalan penderita hipertensi. Jurnal Riset Gizi. 2013;1(2):54. doi: 10.31983/jrg.v1i2.92

  25. Ghosh S, Kumar M. Prevalence and associated risk factors of hypertension among persons aged 15-49 in India: a cross-sectional study. BMJ Open. 2019;9(12):e029714. doi: 10.1136/bmjopen-2019-029714

  26. Salaroli LB, Cattafesta M, Petarli GB, Ribeiro SAV, Soares AC de O, Zandonade E, et al. Prevalence and factors associated with arterial hypertension in a Brazilian rural working population. Clinics. 2020;75:e1603. doi: 10.6061/clinics/2020/e1603

  27. Gedamu DK, Sisay W. Prevalence of hypertension and associated factors among public servants in North Wollo Zone, Amhara Region, Ethiopia, 2020. Vasc Health Risk Manag. 2021;17:363–70. doi: 10.2147/VHRM.S298138

  28. Hastutik KP. Hubungan tingkat pengetahuan dengan tekanan darah pada penderita hipertensi di ruang rawat inap RSUD Sultan Imanuddin Pangkalan Bun. Jurnal Kesehatan Borneo Cendekia. 2022;6(1):66-75. doi: 10.54411/jbc.v6i1.277

  29. Octarini DL, Meikawati W, Purwanti IA. Hubungan kebiasaan konsumsi makanan tinggi natrium dan kalium dengan tekanan darah pada usia lanjut. Prosiding Seminar Kesehatan Masyarakat; 2023 September 1; Semarang. doi: 10.26714/pskm.v1iSeptember.186

  30. Shrestha J, Marasine NR, Lamichhane R, Marasini NR, Sankhi S. Attitude and self-care practice on hypertension among antihypertensive medication users in a tertiary care hospital Nepal. SAGE Open Med. 2021;9:205031212110407. doi: 10.1177/20503121211040707

  31. Atun L, Siswati T, Kurdanti W. Asupan sumber natrium, rasio kalium natrium, aktivitas fisik, dan tekanan darah pasien hipertensi. Media Gizi Mikro Indonesia. 2014;6(1):63–71.

  32. Dennison CR, Peer N, Lombard CJ, Kepe L, Levitt NS, Steyn K, et al. Cardiovascular risk and comorbid conditions among Black South Africans with hypertension in public and private primary care settings: the HiHi study. Ethn Dis. 2007;17(3):477–83.

  33. Hendriyani H, Pertiwi ED, Mintarsih SN. Perilaku pemilihan makanan tinggi natrium berpengaruh terhadap asupan natrium penderita hipertensi di Kota Semarang. Gizi Indonesia. 2014;37(1):41–50. doi: 10.36457/gizindo.v37i1.149

  34. Hendriyani H, Sulistyowati E, Noviardhi A. Konsumsi makanan tinggi natrium, kesukaan rasa asin, berat badan, dan tekanan darah pada anak sekolah. Jurnal Gizi Klinik Indones. 2016;12(3):89–98. doi: 10.22146/ijcn.22632

  35. Rina HA, Rochadi RK, Sarumpaet S. Pengaruh aktivitas fisik terhadap kejadian hipertensi pada laki-laki dewasa awal (18-40 Tahun) di Wilayah Puskesmas Bromo Medan tahun 2017. Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan. 2017;1(2):68-73. doi: 10.24912/jmstkik.v1i2.951

  36. Triyanto E. Pelayanan keperwatan bagi penderita hipertensi secara terpadu. Yogyakarta: Graha Ilmu; 2014.

  37. Simon C, Nair N, Binu J, Rajmohan P. Prevalence and risk factors of type 2 diabetes mellitus among adults in a rural area of Thrissur, Kerala. J Med Sci Clin Res. 2017;5(9):1714–21. doi: 10.18535/jmscr/v5i9.156

  38. Gusti FI, Abduh R, Indah B. Hubungan antara obesitas, pola makan, aktivitas fisik, merokok dan lama tidur dengan kejadian hipertensi pada lansia (Studi kasus di Desa Limbung Dusun Mulyorejo dan Sido Mulyo Posyandu Bunda Kabupaten Kubu Raya). J Mhs dan Penelit Kesehatan-JuMantik. 2013;32:110–26.

  39. Herawati C, Indragiri S, Melati P. Aktivitas fisik dan stres sebagai faktor risiko terjadinya hipertensi pada usia 45 tahun ke atas. Jurnal Kesehatan Masyarakat Cendekia Utama. 2020;7(2):66–80. doi: 10.31596/jkm.v7i2.502



DOI: https://doi.org/10.22146/ijcn.81257

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