HUBUNGAN ANTARA BERBAGAI INDIKATOR OBESITAS DENGAN KEJADIAN HIPERTENSI PADA DEWASA DI INDONESIA: ANALISIS DATA INDONESIAN FAMILY LIFE SURVEY 5
DOI:
https://doi.org/10.31004/jkt.v5i1.26678Keywords:
Indikator Obesitas, Hipertensi, Indonesian Family Life Survey 5Abstract
Obesitas merupakan suatu masalah kesehatan masyarakat yang terjadi secara global. Prevalensi overweight, obesitas, dan obesitas sentral di Indonesia sendiri mencapai 13,6%, 21,8%, dan 31% berdasarkan Riskesdas 2018. Obesitas secara tidak langsung menyebabkan berbagai masalah kesehatan, salah satunya hipertensi. Prevalensi hipertensi akan semakin meningkat seiring dengan meningkatnya IMT. Oleh karena itu, diperlukan suatu alat skrining obesitas yang juga bersifat sensitif dan spesifik terhadap hipertensi. Penelitian ini dilakukan untuk mengetahui hubungan berbagai indikator obesitas dengan kejadian hipertensi. Penelitian ini merupakan penelitian cross-sectional menggunakan data sekunder Indonesian Family Life Survey 5. Populasi penelitian ini adalah seluruh subjek penelitian IFLS 5. Sampel penelitian ini adalah subjek penelitian IFLS 5, baik pria maupun wanita, yang berusia > 40 tahun, sehingga diperoleh besar sampel penelitian ini ialah 7.957 individu. Analisis bivariat dilakukan menggunakan uji Mann-Whitney. Selanjutnya, dilakukan uji multivariat dengan regresi logistik terhadap variabel yang memiliki p-value >0,25 pada analisis bivariat. Hasil analisis bivariat menunjukkan bahwa semua indikator obesitas memiliki hubungan signifikan dengan kejadian hipertensi (p<0,05). Hasil uji regresi logistik menunjukkan bahwa usia mempengaruhi hubungan semua indikator obesitas dengan kejadian hipertensi (p<0,05). Terdapat hubungan yang signifikan antara semua indikator obesitas dalam penelitian ini dengan kejadian hipertensi. Usia merupakan variabel perancu yang ditemukan pada hubungan antara semua indikator obesitas dalam penelitian ini dengan kejadian hipertensi. Selanjutnya, uji diagnostik perlu dilakukan untuk mengetahui indikator obesitas mana yang paling baik dalam memprediksi kejadian hipertensi pada dewasa di Indonesia.References
Adab, P., Pallan, M., & Whincup, P. H. (2018). Is BMI the best measure of obesity? British Medical Journal, 360(k1274), 1–2.
Aguirre, T., Koehler, A., & Tovar, A. (2015). Relationships among hypertension, waist circumference, and body composition in a rural Mexican-American population. Journal of Family Medicine & Community Health, 2(7), 1057–1061.
Ahmad, N., Adam, S. I. M., Nawi, A. M., Hassan, M. R., & Ghazi, H. F. (2016). Abdominal obesity indicators: waist circumference or waist-to-hip ratio in Malaysian adults population. International Journal of Preventive Medicine, 7, 82–86.
Batsis, J. A., Mackenzie, T. A., Bartels, S. J., Sahakyan, K. R., Somers, V. K., & Jimenez, F. L.-. (2016). Diagnostic accuracy of body mass index to identify obesity in older adults: NHANES 1999–2004. International Journal of Obesity, 40(5), 761–767.
Beg, M., Sharma, V., Akhtar, N., Gupta, A., & Mohd, J. (2011). Role of Antioxidants in Hypertension. Indian Academy of Clinical Medicine Journal, 12(2), 122-7.
Buford, T. W. (2016). Hypertension and Aging. Ageing Research Reviews, 2, 96–111.
Caminha, T. C. S., Ferreira, H. S., Costa, N. S., Nakano, R. P., Carvalho, R. E. S., Xavier, A. F. S., & Asuncao, M. L. (2017). Waist-to-height ratio is the best anthropometric predictor of hypertension: A population-based study with women from a state of northeast of Brazil. Medicine, 96(2), 1-8.
Carranza Leon, B. G., Jensen, M. D., Hartman, J. J., & Jensen, T. B. (2016). Self-measured vs professionally measured waist circumference. Annals of Family Medicine, 14(3), 262–266.
CDC. (2015). Body mass index: considerations for practitioners 2015.
Cheung, Y. B. (2014). “A body shape index” in middle-age and older Indonesian population: scaling exponents and association with incident hypertension. PLoS ONE, 9(1), 2–6.
Chobanian, A. V., Backris, G., Black, H., Cushman, W., Green, L., & Izzo, J. (2003). The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. The Journal of the American Medical Association, 289, 1–86.
Choi ,J. R., Koh, S. B., & Choi, E. (2018). Waist-to-height ratio index for predicting incidences of hypertension: the ARIRANG study. BMC Public Health, 18, 767 - 773.
Chung, W., Park, C. G., & Ryu, O. (2016). Association of a new measure of obesity with hypertension and health-related quality of life. PLOS One, 11(5). 1-10.
Dahlan, S. (2010). Penelitian diagnostik: dasar-dasar teoretis dan aplikasi dengan program spss dan stata. Jakarta: Epidemiologi Indonesia.
Dahlan, S. (2016). Statistik untuk kedokteran dan kesehatan: deskriptif, bivariat, dan multivariat. Jakarta: Epidemiologi Indonesia.
Donmezi, S., Gokalp, O., Dogan, M., Vural, H., & Yigit, B. (2014). Effects of short-term hyperglycmia on the vasoconstriction of the aorta. Turkish Journal of Medical Sciences, 44, 941–945.
Dua, S., Bhuker, M., Sharma, P., Dhall, M., & Kapoor, S. (2014). Body mass index relates to blood pressure among adults. North American Journal of Medical Sciences, 6(2), 89–95.
Faulkner, J. L. &Belin de Chantemele, E. J. (2018). Sex differences in mechanisms of hypertension associated with obesity. Hypertension, 71(1), 15–21.
Feng, R.-N., Zhao, C., Wang, C., Niu, Y.-C., Li, K., Guo, F.-C., Li, S.-T., Sun, C.-H., & Li, Y. (2012). BMI is strongly associated with hypertension, and waist circumference is strongly associated with type 2 diabetes and dyslipidemia, in Northern Chinese adults. Journal of Epidemiology, 22(4), 317–323.
Frayon, S., Cavaloc, Y., Wattelez, G., Cherrier, S., Lerrant, Y., Ashwell, M., & Galy, O. (2018). Potential for waist-to-height ratio to detect overfat adolescents from a Pacific Island, even those within the normal bmi range. Obesity Research and Clinical Practice, 12(4), 351–357.
Halperin, R., Sesso, H., Ma, J., Buring, J., Stampfer, M., & Gaziano, J. (2006). Dyslipidemia and the risk of incident hypertension in men. Hypertension, 47, 45–50.
Hastuti, J., Kagawa, M., Byrne, N. M., & Hills, A. P. (2017). Determination of new anthropometric cut-off calues for obesity screening in Indonesian adults. Asia Pacific Journal of Clinical Nutrition, 26(4), 650–656.
Jackson, C., & Wenger, N. (2011). Cardiovascular disease in the elderly. Revista Española de Cardiología, 64(8), 697–712.
Jiang, S., Lu, W., Zong, X., Ruan, H., & Liu, Y. (2016). Obesity and hypertension (review). Experimental and Therapeutic Medicine, 12, 2395–2399.
Kalani, Z., Salimi, T., & Rafiei, M. (2015). Comparison of obesity indexes BMI, WHR and WC in association with hypertension: results from a blood pressure status survey in Iran. Journal of Cardiovascular Disease Research, 6(2), 72–77.
Kementrian Kesehatan RI. (2018). Riset kesehatan dasar (RISKESDAS) 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.
Kim, D., Kim, C., Ding, E., Townsend, M., & Lipsitz, L. (2013). Adiponectin levels and the risk of hypertension: a systematic review and meta-analysis. Hypertension, 62(1), 27–32.
Kokkinos, P., Giannelou, A., Athanasiosmanolis, & Pittaras, A. (2009). Physical activity in the prevention and management of high blood pressure. Hellenic Journal of Cardiology, 50, 52–59.
Kotsis, V., Stabouli, S., Papakatsika, S., Rizos, Z., & Parati, G. (2010). Mechanisms of obesity-induced hypertension. Hypertension Research, 33(5), 386–393.
Krakauer, N. Y., & Krakauer, J. C. (2012). A new body shape index predicts mortality hazard independently of body mass index. PLoS ONE, 7(7), 1–10.
Ma, W. Y., Yang, C. Y., Shih, S. R., Hsieh, H. J., Hung, C. S., Chiu, F. C., Lin, M. S., Liu, P. H., Hua, C. H., Hsein, Y. C., Chuang, L. M., Lin, J. W., Wei, J. N., & Li, H. Y. (2013). Measurmement of waist circumference: midabdominal or iliac crest? Diabetes Care, 36(6), 1660–1666.
Mauvais-Jarvis, F. (2015). Sex differences in metabolic homeostasis, diabetes, and obesity. Biology of Sex Differences, 6(14): 1-9.
Menek?e, D., & Balci, S. (2017). Effect of body mass index and waist-hip ratio on blood pressure in adolescents: a descriptive and correlational study. Turkiye Klinikleri Journal of Nursing, 9(2), 99–106.
Muñoz-Durango, N., Fuentes, C. A., Castillo, A. E., González-Gómez, L. M., Vecchiola, A., Fardella, C. E., & Kalergis, A. M. (2016). Role of the renin-angiotensin-aldosterone system beyond blood pressure regulation: molecular and cellular mechanisms involved in end-organ damage during arterial hypertension. International Journal of Molecular Sciences, 17(7), 1–17.
NHANES. (2007). Anthropomethry Procedure Manual. Washington: US Department of Health and Human Services.
Oparil, S., Zaman, M., & Calhoun, D. (2003). Pathogenesis of hypertension. Annals of Internal Medicine, 139, 761–776.
Oparil, S., & Miller, A. (2005). Gender and blood pressure. The Journal of Clinical Hypertension, 7(5), 300–309.
Pertiwi, R. (2016). Nilai sensitivitas dan spesifisitas titik potong rasio lingkar pinggang tinggi badan sebagai prediktor kejadian hipertensi pada orang dewasa di Indonesia. UIN Syarif Hidayatullah Jakarta.
Power, M. L., & Schulkin, J. (2008). Sex differences in fat storage, fat metabolism, and the health risks from obesity: possible evolutionary origins. British Journal of Nutrition, 99, 931–940.
Rahajeng, E., & Tuminah, S. (2009). Prevalensi hipertensi dan determinannya di Indonesia. Majalah Kedokteran Indonesia, 580–587.
Rezende, A. C., Souza, L. G., Jardim, T. V., Perillo, N. B., Araújo, Y. C. L., Garcia de Souza, S., Sousa, A. L. L.,Moreira, H. G., Barroso de Souza, W. K. S., Peixoto, M. G., & Jardim, P. C. B. V. (2018). Is waist-to-height ratio the best predictive indicator of hypertension incidence? A cohort study. Biomedical Central Public Health, 18(1), 281–291.
Sastroasmoro, S. (2014). Dasar-dasar metodologi penelitian klinis. Jakarta: Sagung Seto.
Strauss, J., Witoelar, F., & Sikoki, B. (2016). The fifth wave of the indonesia family life survey: overview and field report: volume 1. California: RAND Labor and Population Working Paper Series
Talukder, M. A. H., Johnson, W. M., Varadharaj, S., Lian, J., Kearns, P. N., El-Mahdy, M. A., Liu, X., & Zweier, J. L. (2011). Chronic cigarette smoking-causes hypertension, increased oxidative stress, impaired no bioavailability, endothelial dysfunction, and cardiac remodeling in mice. American Journal of Physiology-Heart and Circulatory Physiology, 300(1), H388–H396.
Tawfik, H. M. (2018). Waist height ratio and waist circumference in relation to hypertension, framingham risk score in hospitalized elderly Egyptians. Egyptian Heart Journal, 70(3), 213–216.
Thuy, A., Blizzard, L., Schmidt, M., Luc, P., Granger, R., & Dwyer, T. (2010). The association between smoking and hypertension in a population-based sample of Vietnamese men. Journal of Hypertension, 28(2), 245–250.
Tomicki, C., Gerage, A. M., Ritti-Dias, R. M., Silva, D. A. S., & Benedetti, T. R. B. (2017). Diagnostic property of anthropometric indicators in the prediction of high body fat estimated by DXA in hypertensive women. Revista Brasileira de Cineantropometria e Desempenho Humano, 17(3), 299–308.
Triwinarto, A., Muljati, S., & Jahari, A. B. (2012). Cut-off point indeks massa tubuh (IMT) dan lingkar perut sebagai indikator risiko diabetes dan hipertensi pada orang dewasa di Indonesia. Penellitian Gizi Dan Makanan, 35(2), 119–135.
Tuan, N. T., Adair, L. S., Stevens, J., & Popkin, B. M. (2010). Prediction of hypertension by different anthropometric indices in adults: the change in estimate approach. Public Health Nutrition, 13(5), 639 - 646.
WHO. (2018). Obesity and overweight. Retrieved December 20, 2018, from https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Wirawan, N. N. (2016). Sensitifitas dan spesifisitas IMT dan lingkar pinggang-panggul dalam mengklasifikasikan kegemukan pada wanita. Indonesian Journal of Human Nutrition, 3(1), 49–59.
WHO. (2004). World health organization (WHO) expert consultation: appropriate body-mass index for asian populations and its implications for policy and intervention strategies. Lancet, 363(9403), 157–163.
Xu, R. Y., Zhou, Y. Q., Zhang, X. M., Wan, Y. P., & Gao, X. (2018). Body mass index, waist circumference, body fat mass, and risk of developing hypertension in normal-weight children and adolescents. Nutrition, Metabolism, and Cardiovascular Diseases, 28(10), 1061–1066.
Yoo, E. (2016). Waist-to-height ratio as a screening tool for obesity and cardiometabolic risk. Korean Journal Pediatric, 59(11), 425–431.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Safrina Oksidriyani
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).