Article Sidebar

Submitted
December 13, 2018
Accepted
April 30, 2019
Published
April 30, 2019
Download
PDF
Statistic
Read Counter : 606 Download : 983

Main Article Content

Abstract

Background: One of the most prevalent degenerative diseases is hypertension. The statistic data of Sambirejo sub-district of Sragen Regency shows that hypertension is the disease with the second largest number of patients. Research on the distribution and determinant of hypertension needs to be done to support intervention efforts.
Objective: This study aims to determine the distribution and determinants of hypertension in Sambirejo sub-district, Sragen Regency.
Methods: This observational study used a cross-sectional design, with descriptive analytic types. The sample was taken using a stratified random sampling technique. Blood pressure measurements using sphygmomanometer, and other data obtained from questionnaires and direct measurements. We tested the relationship between variables with Kruskal-Wallis bivariate analysis. The multivariate analysis used is Ordinal Regression. Data were statistically significant if p <0.05 (CI: 95%).
Results: The study sample was 454 people. Respondents who experienced hypertension were very high at 57.2%. Hypertension is more prevalent in men, and ages 40 and above. Determinant factors of hypertension are age, gender, genetics, exercise habits, smoking habits, fruit and vegetable consumption, and body mass index. Multivariate analysis with ordinal regression test showed the factors to influence the hypertension were genetic factors (OR=4,777; 95% CI 3,232-7,059; p=0,000), smoking (OR=1,004, 95%CI: 1,003 – 1,004, p=0,0001), and body mass index. (OR=1,054; 95%CI:1,002 – 1,109, p=0,042).
Conclusion: Hypertension distribution is more dominant in the male group, and =40 years of age. Determinants of hypertension are age, sex, genetics, exercise habits, smoking habits, fruit and vegetable consumption, and body mass index. Genetic factors are the dominant determinant for hypertention.

Keywords

hypertension distribution determinant

Article Details

License

Authors who publish in the Jurnal Kedokteran dan Kesehatan Indonesia agree to the following terms:

  1. Authors retain copyright and grant Jurnal Kedokteran dan Kesehatan Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution Licence that allows others to adapt (remix, transform, and build) upon the work non-commercially with an acknowledgement of the work's authorship and initial publication in Jurnal Kedokteran dan Kesehatan Indonesia.
  2. Authors are permitted to share (copy and redistribute) the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in Jurnal Kedokteran dan Kesehatan Indonesia.
Author Biography

Pariawan Lutfi Ghazali, Department of Public Health, Faculty of Medicine, Universitas Islam Indonesia

Google Scholar: https://scholar.google.co.id/citations?user=zCMY2-UAAAAJ&hl=id
How to Cite
Ghazali, P. L. (2019). Distribution and determinant of hypertension in Sambirejo district, regency of Sragen 2016. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 10(1), 34–42. https://doi.org/10.20885/JKKI.Vol10.Iss1.art6
Download Citation
Endnote/Zotero/Mendeley (RIS)
BibTeX

References

  1. O U AP, F UC, F EO, O C AC. Epidemiologic Transition of Diseases and Health-Related Events in Developing Countries: A Review. American Journal of Medicine and Medical Sciences [Internet]. 2015;2015(4):150–7.
  2. Kementrian Kesehatan RI. Riset Kesehatan Dasar (RISKESDAS). Laporan Nasional 2013. 2013. 1-384 p.
  3. Kemkes. Cegah dan kendalikan penyakit ginjal dengan cerdik dan patuh. 2018. 3-5 p.
  4. Yang MH, Kang SY, Lee JA, Kim YS, Sung EJ, Lee KY, et al. The effect of lifestyle changes on blood pressure control among hypertensive patients. Korean Journal of Family Medicine. 2017;38(4):173–80.
  5. M. Sopiyudin Dahlan. Statistik untuk Kedokteran dan Kesehatan: Deskriptif, Bivariat, dan Multivariat (Statistic for Medicine and Health Science: Descriptive, Bivariate, and Multivariate). 2015.
  6. Kemenkes RI. Penerapan Pola Konsumsi Makanan dan Aktivitas Fisik [Internet]. Strategi Nasional Penerapan Pola Konsumsi Makanan dan Aktivitas FIsik. 2011.
  7. Amelia R, Nasrul E, Basyar M. Artikel Penelitian Hubungan Derajat Merokok Berdasarkan Indeks Brinkman dengan Kadar Hemoglobin. Jurnal Kesehatan Andalas. 2016;5(3):619–24.
  8. Kementerian Kesehatan RI. Buku Saku Pemantauan Status Gizi ( PSG ) Tahun 2017; Hasil Pemantauan Status Gizi. Jakarta; 2018.
  9. Kemenkes RI. Pedoman Gizi Seimbang (Nutritional guidelines). Direktorat Jenderal Bina Gizi dan KIA. 2014.
  10. Muhadi. NC 8: Evidence-based Guideline Penanganan Pasien Hipertensi Dewasa. CDKJournal. 2016;43(1):54–9.
  11. Komukai K, Mochizuki S, Yoshimura M. Gender and the renin-angiotensin-aldosterone system. Fundamental and Clinical Pharmacology. 2010;24(6):687–98.
  12. Mishra JS, Hankins GD, Kumar S. Testosterone downregulates angiotensin II type-2 receptor via androgen receptor-mediated ERK1/2 MAP kinase pathway in rat aorta. JRAAS - Journal of the Renin-Angiotensin-Aldosterone System. 2016;17(4):1–9.
  13. Singh S, Shankar R, Singh GP. Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi. International Journal of Hypertension. 2017;2017:1–10.
  14. Eshkoor S, Hamid T, Shahar S, Ng C, Mun C. Factors Affecting Hypertension among the Malaysian Elderly. Journal of Cardiovascular Development and Disease [Internet]. 2016;3(1):8.
  15. Jankowski P, Czarnecka D. Pulse Pressure, Blood Flow, and Atherosclerosis. American Journal of Hypertension. 2012;25(10):1040–1.
  16. Chandra A, Neeland IJ, Berry JD, Ayers CR, Rohatgi A, Das SR, et al. The relationship of body mass and fat distribution with incident hypertension: Observations from the dallas heart study. Journal of the American College of Cardiology. 2014;64(10):997–1002.
  17. James PA. Evidence-based guideline for the management of high blood pressure in adults. Jama [Internet]. 2014;311(5):507–20.
  18. Abtahi F, Kianpour Z, Zibaeenezhad M, Naghshzan A, Heydari S, Beigi MB, et al. Correlation between Cigarette Smoking and Blood Pressure and Pulse Pressure among Teachers Residing in Shiraz, Southern Iran. Iranian Cardiovascular Research Journal Iran Cardiovasc Res J [Internet]. 2011;55(33):97–102.
  19. Ehret GB, Caulfield MJ. Genes for blood pressure: An opportunity to understand hypertension. European Heart Journal. 2013;34(13):951–61.
  20. Sarkar T, Pal Singh N. Epidemiology and genetics of hypertension. Journal of Association of Physicians of India. 2015;63(September 2015):61–8.
  21. Hermina H, S P. Gambaran Konsumsi Sayur dan Buah Penduduk Indonesia dalam Konteks Gizi Seimbang: Analisis Lanjut Survei Konsumsi Makanan Individu (SKMI) 2014. Vol. 44, Buletin Penelitian Kesehatan. 2016.
  22. Zheng J, Zhou Y, Li S, Zhang P, Zhou T, Xu DP, et al. Effects and mechanisms of fruit and vegetable juices on cardiovascular diseases. International Journal of Molecular Sciences. 2017;18(3).
  23. Rahmayanti E, Sutjiati E. Anjuran Kombinasi Diet DASH (Dietary Approaches To Stop Hypertension) Dan Diet Rendah Garam Pada Wanita Menapouse Dengan Hipertensi. Jurnal Kesehatan. 2009;7(2):100–18.
  24. Hepti Muliyati*, Aminuddin Syam SS. Hubungan Pola Konsumsi Natrium Dan Kalium Serta Aktifitas Fisik Dengan Kejadian Hipertensi Pada Pasien Rawat Jalan Di Rsup Dr. Wahidin Sudirohusodo Makassar. Media Gizi Masyarakat Indonesia. 2011;1:1–7.
  25. AHA. American Heart Association Recommendations for Physical Activity in Adults and Kids [Internet]. Healthy Living - Fitness Basics. 2018. Available from: https://www.heart.org/en/healthy-living/fitness/fitness-basics/aha-recs-for-physical-activity-in-adults
  26. Préda I. Physical activity, sport and hypertension = Fizikai aktivitás, sport és hipertonia. Testnevelés, Sport, Tudomány. 2017;1(2):30–4.
  27. Kishore J, Gupta N, Kohli C, Kumar N. Prevalence of Hypertension and Determination of Its Risk Factors in Rural Delhi. International Journal of Hypertension. 2016;2016:1–6.
  28. Peltzer K, Pengpid S. The Prevalence and Social Determinants of Hypertension among Adults in Indonesia: A Cross-Sectional Population-Based National Survey. International Journal of Hypertension. 2018;2018:1–9.