Higher body mass index may increase prehypertension risk

Rika Rachmawati, Yurista Permanasari

Higher body mass index may increase prehypertension risk

Abstract


Latar belakang: Kegemukan dapat berimplikasi terhadap berbagai masalah kesehatan, salah satunya adalah hipertensi. Banyak penelitian telah membuktikan kaitan erat antara kelebihan berat badan dengan hipertensi. Penelitian ini bertujuan untuk menganalisis besarnya risiko kegemukan berdasarkan indeks massa tubuh (IMT) dan lingkar perut terhadap prahipertensi di Indonesia.

Metode: Data berasal dari penelitian potong lintang Riskesdas 2007. Analisis dilakukan terhadap subjek berusia 18-60 tahun. Kriteria prahipertensi merujuk pada Joint National Committee on Prevention, Detection, Evaluation, And Treatment of High Blood Pressure, USA (JNC 7), sedangkan kelebihan berat badan dan obesitas berdasarkan Western Pacific Region of WHO (WPRO) 2000.

Hasil: Dari total 2884 responden yang dianalisis, 1660 (57,6%) adalah kelompok tekanan darah prahipertensi dan 1224 (42,4%) kelompok tekanan darah normal. Subjek yang kelebihan berat badan dibandingkan dengan normal berisiko 15% lebih besar menderita prahipertensi [risiko relatif suaian (RRa)=1,15; 95% interval kepercayaan (CI)=1,06-1,24], sedangan yang obes berisiko 25% lebih besar menderita prahipertensi (RRa =1,25; 95% CI=1,16-1,34). Selain itu subjek dengan kadar LDL tinggi dibandingkan dengan yang normal 11% menderita prahipertensi (RRa=1,11; 95% CI=0,99-1,24).

Kesimpulan: Kelebihan berat badan, obesitas, dan kadar LDL tinggi meningkatkan risiko prahipertensi. Pemantauan berat badan oleh diri sendiri supaya tetap dalam kategori normal sebaiknya rutin dilakukan. (Health Science Indones 2011;2:21-7)

Abstract


Background: Obesity can create various health problems, one of which is hypertension. Many studies show a relationship between obesity and hypertension, however few reports on Indonesia. This paper assessed the risk of obesity based on body mass index (BMI) and abdominal circumference against the prehypertension in Indonesia.

Methods: For this analysis we used data from a cross sectional of Basic Health Research in Indonesia (Riskesdas) 2007. Analysis was carried out among 18-60 years old subjects. Criteria for prehypertension refers to Joint National Committee on Prevention, Detection, Evaluation, And Treatment of High Blood Pressure, USA (JNC 7), whereas the overweight and obesity criteria refer to the Western Pacific Region of WHO (WPRO) 2000.

Results: Of the total 2884 subjects, consisted of 57.6% prehypertension and 42.4% normal blood pressure. Overweight than normal BMI subjects had 15% higher risk of prehypertension [adjusted relative risk (RRa)=1.15; 95% confidence interval (CI)=1.06-1.24], while obese than normal subjects had 25% increase risk of prehypertension (RRa=1.25; 95% CI=1; 16-1.34). Furthermore, those who had high than normal level of LDL had 11% more prehypertension risk (RRa=1.11; 95% CI=0.99-1.24).

Conclusion: Higher body mass index, and higher LDL may increase prehypertension risk. Monitoring of body weight and LDL level control routinely recommended. (Health Science Indones 2011;2:21-7)


Keywords


overweight, obesity, prehypertension

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Health Science Journal of Indonesia

p-ISSN: 2087-7021
e-EISSN: 2338-3437

Published by : Badan Litbang Kesehatan, Kementerian Kesehatan RI

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