Probability of Hypertension in Advancing Ages of Women
Abstract
Hypertension is a problem in Indonesia, with 34.1% prevalence. The number reflected the number of hypertensive patients in the 2016 clinic report of Pasirjambu Public Health Center as the most prominent non-communicable disease. This research aimed to discover the specific age of onset and risk factors of hypertension in the village where the health center located. A rapid survey collected the data in May 2017, where 210 women (representing their household) were chosen by randomization inside their respective clusters. Risk factors were analyzed by a robust and parsimonious logistic regression model along with probability count on age as the final prediction. The prevalence of hypertension was 59.5% (95%CI=52.9, 66.2%). Risk factors for hypertension were age (OR=1.06, p=0.00), stress (OR=1.74, p=0.09) and family history (OR=1.99, p=0.03) but the protective factor was consumption frequency of salty food (OR=0.64, p=0.10). In conclusion, a woman would have a 42.9% chance (95%CI=33.7, 52.1%) for having hypertension at 40 years old of age after adjusted by other risk factors. Despite only two modifiable risk factors that can be intervened with, it would be worth trying to decrease the pace of onset in hypertension and the prevalence.
KEMUNGKINAN HIPERTENSI BERDASAR ATAS USIA PADA WANITA
Hipertensi merupakan sebuah masalah di Indonesia dengan prevalensi sebesar 34,1%, angka tersebut terlihat dalam laporan tahunan Puskesmas Pasirjambu sebagai penyakit tidak menular terbanyak di wilayah kerjanya. Tujuan penelitian ini adalah mengetahui usia munculnya hipertensi dan faktor risikonya. Pengumpulan data dilakukan melalui survei cepat di bulan Mei 2017, melibatkan 210 wanita yang mewakili rumah tangganya dipilih secara random. Faktor risiko dianalisis menggunakan regresi logistik dengan hasil akhir berupa prediksi kemungkinan. Hasil penelitian menunjukkan prevalensi hipertensi sebesar 59,5% (IK95%=52,9; 66,2%). Usia (OR=1,06; p=0,00), stres (OR=1,74; p=0,09) dan riwayat hipertensi dalam keluarga (OR=1,99; p=0,03) menjadi faktor risiko, sedangkan frekuensi konsumsi makanan asin (OR=0,64; p=0,10) menjadi faktor protektif. Setelah adjusted terhadap variabel lain, kemungkinan untuk hipertensi seorang wanita usia 40 tahun sebesar 42,9% (IK95%=33,7; 52,1%). Pencegahan untuk menurunkan prevalensi dan laju insidensi dapat dilakukan pada usia tersebut walaupun hanya ada dua faktor risiko yang dapat dimodifikasi.
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Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia. Hasil utama Riskesdas 2018 [Internet]. Jakarta: Kementerian Kesehatan Republik Indonesia; 2019 [cited 2020 July 8]. Available from: https://www.litbang.kemkes.go.id/hasil-utama-riskesdas-2018.
Pusat Data dan Informasi, Kementerian Kesehatan Republik Indonesia. Hipertensi [Internet]. Jakarta: Kementerian Kesehatan Republik Indonesia; 2015 [cited 2020 July 8]. Available from: https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-hipertensi.pdf.
Ramdhani R, Respati T, Irasanti SN. Karakteristik dan gaya hidup pasien hipertensi di Rumah Sakit Al-Islam Bandung. GMHC. 2013;1(2):63–8.
Ashton RA, Kefyalew T, Tesfaye G, Pullan RL, Yadeta D, Reithinger R, et al. School-based surveys of malaria in Oromia Regional State, Ethiopia: a rapid survey method for malaria in low transmission settings. Malar J. 2011;10:25.
Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, et al. Recommendations for blood pressure measurement in humans and experimental animals: part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension. 2005;45(1):142–61.
Peat J, Barton B. Medical statistics: a guide to data analysis and critical appraisal. New York: John Wiley & Sons; 2008.
Rahmayanti E, Hargono A. Implementasi surveilans faktor risiko penyakit tidak menular berbasis posbindu berdasarkan atribut surveilans (studi di Kota Surabaya). JBE. 2017;5(3):276–85.
Lumempouw DO, Wungouw HIS, Polii H. Pengaruh senam prolanis terhadap penyandang hipertensi. eBiomedik. 2016;4(1):11697.
Gutiérrez OM. Sodium and phosphorus-based food additives: persistent but surmountable hurdles in the management of nutrition in chronic kidney disease. Adv Chronic Kidney Dis. 2013;20(2):150–6.
Grillo A, Salvi L, Coruzzi P, Salvi P, Parati G. Sodium Intake and Hypertension. Nutrients. 2019;11(9):1970.
Melis M, Barbarossa IT. Taste perception of sweet, sour, salty, bitter, and umami and changes due to l-arginine supplementation, as a function of genetic ability to taste 6-n-propylthiouracil. Nutrients. 2017;9(6):541.
Okubo Y, Miyamoto T, Suwazono Y, Kobayashi E, Nogawa K. An association between smoking habits and blood pressure in normotensive Japanese men. J Hum Hypertens. 2002;16:91–6.
Okubo Y, Suwazono Y, Kobayashi E, Nogawa K. An association between smoking habits and blood pressure in normotensive Japanese men: a 5-year follow-up study. Drug Alcohol Depend. 2004;73(2):167–74.
Virdis A, Giannarelli C, Neves MF, Taddei S, Ghiadoni L. Cigarette smoking and hypertension. Curr Pharm Des. 2010;16(23):2518–25.
Gloria-Bottini F, Banci M, Neri A, Magrini A, Bottini E. Smoking and hypertension: effect of adenosine deaminase polymorphism. Clin Exp Hypertens. 2019;41(6):548–51.
Sohn K. Relationship of smoking to hypertension in a developing country. Glob Heart. 2018;13(4):285–92.
McEniery CM, Wilkinson IB, Avolio AP. Age, hypertension and arterial function. Clin Exp Pharmacol Physiol. 2007 Jul;34(7):665–71.
Robles NR, Macias JF. Hypertension in the elderly. Cardiovasc Hematol Agents Med Chem. 2015;12(3):136–45.
World Health Organization. WHO issues new guidance on dietary salt and potassium [Internet]. Geneva, Switzerland: World Health Organization; 2013 [cited 2020 July 8]. Available from: https://www.who.int/mediacentre/news/notes/2013/salt_potassium_20130131/en.
Khomsan A. Pangan dan gizi untuk kesehatan. Jakarta: PT Raja Grafindo Persada; 2003.
Spruill TM. Chronic psychosocial stress and hypertension. Curr Hypertens Rep. 2010;12(1):10–6.
Fedak KM, Bernal A, Capshaw ZA, Gross S. Applying the Bradford Hill criteria in the 21st century: how data integration has changed causal inference in molecular epidemiology. Emerg Themes Epidemiol. 2015;12:14.
Elijovich F, Weinberger MH, Anderson CA, Appel LJ, Bursztyn M, Cook NR, et al.; American Heart Association Professional and Public Education Committee of the Council on Hypertension; Council on Functional Genomics and Translational Biology; Stroke Council. Salt sensitivity of blood pressure: a scientific statement from the American Heart Association. Hypertension. 2016;68(3):e7–46.
DOI: https://doi.org/10.29313/gmhc.v8i2.6340
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