HUBUNGAN OBESITAS DENGAN HIPERTENSI PADA LANJUT USIA: LITERATURE REVIEW
DOI:
https://doi.org/10.31004/jkt.v4i4.20327Keywords:
Hipertensi, Lansia, ObesitasAbstract
Seiring bertambahnya usia, sel-sel tubuh mengalami kerusakan yang tidak dapat diperbaiki dan menyebabkan perubahan dan penurunan fungsi pada sistem organ tubuh. Perubahan tersebut menyebabkan lansia lebih rentan mengalami masalah kesehatan, salah satunya adalah hipertensi. Hipertensi atau tekanan darah tinggi adalah suatu kondisi dimana tekanan darah sistolik lebih dari 140 mmHg atau tekanan darah diastolik lebih dari 90 mmHg. Faktor-faktor yang mungkin menyebabkan terjadinya hipertensi antara lain adalah usia, riwayat penyakit, pola hidup, dan juga status gizi obesitas. Penelitian ini bertujuan untuk mengetahui hubungan obesitas dengan kejadian hipertensi pada lansia. Metode yang digunakan pada penelitian ini adalah studi literatur dari database Google Scholar dan PubMed. Artikel diseleksi berdasarkan kriteria inklusi dan eksklusi, dan didapatkan 5 artikel untuk dianalisis. Didapatkan hasil bahwa obesitas memiliki hubungan dengan hipertensi pada lansia. Kondisi obesitas berhubungan dengan hipertensi disebabkan oleh penumpukan jaringan lemak mensekresi sitokin pro-inflamasi, meningkatkan kadar hormon leptin, serta meningkatkan kadar angiotensinogen pada tubuh. Kondisi-kondisi tersebut mempengaruhi pengaturan tekanan darah dalam tubuh dan meningkatkan tekanan darah, sehingga tubuh mengalami hipertensi. Kondisi hipertensi dalam jangka waktu yang panjang dan tidak ditangani dengan baik dapat menyebabkan masalah kesehatan yang lebih serius. Diharapkan individu lansia dapat mengontrol berat badan dan memeriksakan kesehatan secara rutin untuk mengontrol tekanan darah.References
Alshammari, D. R., Alharthi, M. F., Alharbi, A. E., Alanazi, F. M. O., & Alharby, M. S. (2022). The Negative Consequences of Poor Treatment of the Elderly Patients in
Hospitals. International Journal of Bio-Medical Informatics and e-Health, 10(6), 33–39. https://doi.org/10.30534/ijbmieh/2022/61062022
Amarya, S., Singh, K., & Sabharwal, M. (2015). Changes during aging and their association with malnutrition. Journal of Clinical Gerontology and Geriatrics, 6(3), 78–84. https://doi.org/10.1016/j.jcgg.2015.05.003
Amra, R. N., Siregar, F. A., & Mutiara, E. (2020). Physical Activity, Obesity, Family History, and Their Associations with Hypertension among the Elderly in Aceh Singkil, Aceh. Journal of Epidemiology and Public Health, 5(1), 45–51. https://doi.org/10.26911/jepublichealth.2020.05.01.05
Asari, H. R. V., & Helda. (2021). Hubungan Obesitas dengan Kejadian Hipertensi pada Lansia di Posyandu Lansia di Wilayah Kerja Puskesmas PB Selayang II Kecamatan Medan Selayang, Medan. Jurnal Epidemiologi Kesehatan Indonesia, 5(1), 1–8.
Badan Pusat Statistik. (2021). Statistik Penduduk Lanjut Usia 2021.
Bui Van, N., Vo Hoang, L., Bui Van, T., Anh, H. N. S., Minh, H. T., Do Nam, K., Tri, T. N., Show, P. L., Nga, V. T., Thimiri Govinda Raj, D. B., & Chu, D.-T. (2019). Prevalence and Risk Factors of Hypertension in the Vietnamese Elderly. High Blood Pressure & Cardiovascular Prevention, 26(3), 239–246. https://doi.org/10.1007/s40292-019-00314-8
Cetin, D. C., & Nasr, G. (2014). Obesity in the elderly: More complicated than you think. Cleveland Clinic Journal of Medicine, 81(1), 51–61. https://doi.org/10.3949/ccjm.81a.12165
Cobos-Palacios, L., Ruiz-Moreno, M. I., Muñoz-Ubeda, M., López-Sampalo, A., Vilches-Perez, A., Vargas-Candela, A., Benitez-Porres, J., Navarro-Sanz, A., Pérez-Belmonte, L. M., Lopez-Carmona, M. D., Sanz-Canovas, J., Gomez-Huelgas, R., & Bernal-Lopez, M. R. (2022). A healthy lifestyle is associated with lower arterial stiffness in a metabolically healthy elderly population with overweight or obesity. Journal of Hypertension, 40(9), 1808–1814. https://doi.org/10.1097/HJH.0000000000003227
Dodig, S., ?epelak, I., & Pavi?, I. (2019). Hallmarks of senescence and aging. Biochemia Medica, 29(3), 483–497. https://doi.org/10.11613/BM.2019.030501
Hall, J., Juncos, L., Wang, Z., Hall, M., do Carmo, J., & da Silva, A. (2014). Obesity, hypertension, and chronic kidney disease. International Journal of Nephrology and Renovascular Disease, 7, 75–88. https://doi.org/10.2147/IJNRD.S39739
Jiang, S.-Z., Lu, W., Zong, X.-F., Ruan, H.-Y., & Liu, Y. (2016). Obesity and hypertension. Experimental and Therapeutic Medicine, 12(4), 2395–2399. https://doi.org/10.3892/etm.2016.3667
Kementerian Kesehatan RI. (2018). Riset Kesehatan Dasar 2018.
Lee, J.-H., Kim, K.-I., & Cho, M.-C. (2019). Current status and therapeutic considerations of hypertension in the elderly. The Korean Journal of Internal Medicine, 34(4), 687–695. https://doi.org/10.3904/kjim.2019.196
Leggio, M., Lombardi, M., Caldarone, E., Severi, P., D’Emidio, S., Armeni, M., Bravi, V., Bendini, M. G., & Mazza, A. (2017). The relationship between obesity and hypertension: an updated comprehensive overview on vicious twins. Hypertension Research, 40(12), 947–963. https://doi.org/10.1038/hr.2017.75
Li, Z., Cao, L., Zhou, Z., Han, M., & Fu, C. (2023). Factors influencing the progression from prehypertension to hypertension among Chinese middle-aged and older adults: a 2-year longitudinal study. BMC Public Health, 23(1), 339. https://doi.org/10.1186/s12889-022-14410-3
Maresova, P., Javanmardi, E., Barakovic, S., Barakovic Husic, J., Tomsone, S., Krejcar, O., & Kuca, K. (2019). Consequences of chronic diseases and other limitations associated
with old age – a scoping review. BMC Public Health, 19(1), 1431. https://doi.org/10.1186/s12889-019-7762-5
Medidhi, K., & Sabbani, A. (2021). A hospital based cross sectional study on clinical, laboratory and complications profile of patients with hypertension. International Journal of Advances in Medicine, 8(11), 1724–1728. https://doi.org/10.18203/2349-3933.ijam20214136
Oliveros, E., Patel, H., Kyung, S., Fugar, S., Goldberg, A., Madan, N., & Williams, K. A. (2020). Hypertension in older adults: Assessment, management, and challenges. Clinical Cardiology, 43(2), 99–107. https://doi.org/10.1002/clc.23303
Ruban, A., Stoenchev, K., Ashrafian, H., & Teare, J. (2019). Current treatments for obesity. Clinical Medicine, 19(3), 205–212. https://doi.org/10.7861/clinmedicine.19-3-205
Sri Hari, T., Sree Sudha, T., Varghese, A., Krishna Sasanka, K. B. S., & Thangaraju, P. (2021). A study of risk factors and complications in elderly hypertensive subjects. Journal of Family Medicine and Primary Care, 10(6), 2230. https://doi.org/10.4103/jfmpc.jfmpc_1959_20
The, F., Hasan, M., Imbar, A., & Dika, S. (2023). The Relationship of Risk Factors to the Incidence of Hypertension in Pre-Elderly and Elderly (Study in Ternate City). Journal of The Community Development in Asia, 6(2), 1–18. https://doi.org/10.32535/jcda.v6i2.2324
WHO. (2021). More than 700 million people with untreated hypertension. https://Www.Who.Int/News/Item/25-08-2021-More-than-700-Million-People-with-Untreated-Hypertension.
Yamada, T., Kimura-Koyanagi, M., Sakaguchi, K., Ogawa, W., & Tamori, Y. (2023). Obesity and risk for its comorbidities diabetes, hypertension, and dyslipidemia in Japanese individuals aged 65 years. Scientific Reports, 13(1), 2346. https://doi.org/10.1038/s41598-023-29276-7
Yang, H. J., Kim, M. J., Hur, H. J., Lee, B. K., Kim, M.-S., & Park, S. (2022). Association Between Korean-Style Balanced Diet and Risk of Abdominal Obesity in Korean Adults: An Analysis Using KNHANES-VI (2013–2016). Frontiers in Nutrition, 8. https://doi.org/10.3389/fnut.2021.772347
Yulanda, G., & Lisiswanti, R. (2017). Penatalaksanaan Hipertensi Primer. Majority, 6(1), 25–33.
Yunita, J., & Sartika, R. A. D. (2021). Overweight/obesity as the dominant factors associated with hypertension in the elderly in Indonesia. Arterial Hypertension (Poland), 25(4), 152–158. https://doi.org/10.5603/AH.a2021.0017
Zuo, W., & Wu, J. (2022). The interaction and pathogenesis between cognitive impairment and common cardiovascular diseases in the elderly. Therapeutic Advances in Chronic Disease, 13, 204062232110630. https://doi.org/10.1177/20406223211063020
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