Main Article Content
Abstract
Background: Stroke is a serious health problem that is characterized by high morbidity and mortality. One of the risk factors for stroke able to be controlled is malnutrition (undernutrition). Malnutrition can be assessed by Total Lymphocyte Count (TLC) if a low TLC value is found or less than 1500 cells/mm3. Undernutrition increases the risk of cerebrovascular disease. Lack of substances such as vitamins can affect brain blood vessels.
Objective: To determine the relationship of malnutrition assessed according to the parameter of Total Lymphocyte Count (TLC) to stroke.
Methods: This study used a cross-sectional research method. The sample was obtained from the medical record data of the patient in the nerve polyclinic at Bethesda Hospital, Yogyakarta. The sample size in this study was 210 medical records consisting of 105 stroke patients and 105 non-stroke patients. Data from medical records obtained were analyzed by computerization and tested by univariate analysis followed by bivariate analysis with chi-square test.
Results: In this study, the description of sex showed that the majority were male patients by 119 (56.7%), while female patients were 91 (43.3%). The most age ranges in this study were aged 60-69 years and over 70 years, each of which was 64 (30.5%). The most common risk factor was hypertension with 131 patients (62.4%). In the statistical analysis it was found that hypertension showed a significant relationship (RP: 4.85, 95% CI: 2.62-8.97, p: 0.000), and it was the strongest variable related to stroke. Statistical malnutrition did not have a significant relationship to the incidence of stroke (Rp. 0.80, 95% CI: 0.32-2.00, p: 0.644).
Conclusion: Generally, malnutrition does not show a significant relationship to stroke. Hypertension is an independent risk factor for stroke.
Keywords
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References
- World Health Organization (WHO). Fact Sheet: The Top Ten Causes of Death, World Health Organization. 2008;
- World Health Organization (WHO). WHO World Atlas on CVD/Stroke, World Health Organization. 2004.
- Kurth T, Gaziano JM, Rexrode KM, Kase CS, Cook NR, Manson JE, et al. Prospective Study of Body Mass Index and Risk of Stroke in Apparently Healthy Women. Circulation. 2005;111:1992–8.
- Nasar, S.S., Prawitasari, T., Lestari, E.D., Djais, J., Susanto J. Skrining Malnutrisi pada Anak yang Dirawat di Rumah Sakit [Internet]. 2007. Available from: buk.depkes.go.id/index
- Chandra RK. Nutrition and Immunity?: lessons from the past and new insights form the future. The American Journal of Clinical Nutrition. 2018;53(March):1087–101.
- Jauhari A, Nasution N. Nutrisi dan Keperawatan. Yogyakarta: Jaya Ilmu; 2013. 110-120 p.
- Solenski NJ. Emerging Risk Factors for Cerebrovascular Disease. Current Drug Targets. 2007;8(7):802–16.
- Appelros P, Stegmayr B, Terent A. Sex Differences in Stroke Epidemiology. Stroke. 2009;40:1082–90.
- Idris I, Thomson GA, Sharma JC, Pease J, Centre D. Diabetes mellitus and stroke. The International Journal Of Clinical Practice. 2006;60(1):48–56.
- Pearson TA, Blair SN, Daniels SR, Eckel RH, Fair JM, Fortmann SP, et al. AHA Scientific Statement AHA Guidelines for Primary Prevention of Cardiovascular Disease and Stroke?: 2002 Update. Circulation. 2002;113:388–91.
- Notoatmodjo S. Promosi Kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta; 2007.
- Bazzano LA, Gu D, Whelton MR, Wu X, Chen C, Duan X, et al. Body Mass Index and Risk of Stroke among Chinese Men and Women. Annals of Neurology. 2010;67:11–20.
- Wang C, Liu Y, Yang Q, Dai X, Wu S, Wang W, et al. Body mass index and risk of total and type-specific stroke in Chinese adults?: results from a longitudinal study in China. International Journal of Stroke. 2013;8(June):245–50.
References
World Health Organization (WHO). Fact Sheet: The Top Ten Causes of Death, World Health Organization. 2008;
World Health Organization (WHO). WHO World Atlas on CVD/Stroke, World Health Organization. 2004.
Kurth T, Gaziano JM, Rexrode KM, Kase CS, Cook NR, Manson JE, et al. Prospective Study of Body Mass Index and Risk of Stroke in Apparently Healthy Women. Circulation. 2005;111:1992–8.
Nasar, S.S., Prawitasari, T., Lestari, E.D., Djais, J., Susanto J. Skrining Malnutrisi pada Anak yang Dirawat di Rumah Sakit [Internet]. 2007. Available from: buk.depkes.go.id/index
Chandra RK. Nutrition and Immunity?: lessons from the past and new insights form the future. The American Journal of Clinical Nutrition. 2018;53(March):1087–101.
Jauhari A, Nasution N. Nutrisi dan Keperawatan. Yogyakarta: Jaya Ilmu; 2013. 110-120 p.
Solenski NJ. Emerging Risk Factors for Cerebrovascular Disease. Current Drug Targets. 2007;8(7):802–16.
Appelros P, Stegmayr B, Terent A. Sex Differences in Stroke Epidemiology. Stroke. 2009;40:1082–90.
Idris I, Thomson GA, Sharma JC, Pease J, Centre D. Diabetes mellitus and stroke. The International Journal Of Clinical Practice. 2006;60(1):48–56.
Pearson TA, Blair SN, Daniels SR, Eckel RH, Fair JM, Fortmann SP, et al. AHA Scientific Statement AHA Guidelines for Primary Prevention of Cardiovascular Disease and Stroke?: 2002 Update. Circulation. 2002;113:388–91.
Notoatmodjo S. Promosi Kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta; 2007.
Bazzano LA, Gu D, Whelton MR, Wu X, Chen C, Duan X, et al. Body Mass Index and Risk of Stroke among Chinese Men and Women. Annals of Neurology. 2010;67:11–20.
Wang C, Liu Y, Yang Q, Dai X, Wu S, Wang W, et al. Body mass index and risk of total and type-specific stroke in Chinese adults?: results from a longitudinal study in China. International Journal of Stroke. 2013;8(June):245–50.