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Journal : Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan

HUBUNGAN STATUS GIZI, LINGKAR PINGGANG, DAN PROFIL LIPID TERHADAP HIPERTENSI PADA USIA PRODUKTIF BERPENGHASILAN RENDAH Kumala, Meilani; Lontoh, Susy Olivia; Novendy, Novendy
Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Vol 5, No 1 (2021): Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan
Publisher : Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmstkik.v5i1.9930

Abstract

Background: The prevalence of hypertension in the world today increases year by year. Monitoring data of non communicable diseases (NCD), 2017 shows that the number and risk of death for Indonesian people in productive age is quite high. Research on the relationship between risk factors and hypertension in low-income productive age communities in Indonesia has not been widely studied. Objective: This study aims to determine the relationship between nutritional status, waist circumference (WC) and lipid profile with hypertension in people of low income productive age. Methods: The design of this study was cross sectional. Identity data were collected through interview, blood pressure, anthropometry, waist circumference data were obtained by measuring and blood lipid profile, fasting blood sugar data were carried out by laboratory test. The data that had been obtained were tested using Fisher’s exact test. Results: As many as 50% of 62 subjects had hypetension, 38.7% of subjects had overweight, 33,87% of subjects had obesity and 61.9% of subjects had WC above normal or including central obesity. As many as 37.1% of subjects had hypercholesterolemia, 90.3% had low density lipoproteinemia (LDL) above normal, 16.1% of subjects had high density lipoproteinemia (HDL) below normal and 22.6% of subjects had hypertriglyceridemia. The results of Fisher's exact test showed that there was no relationship between nutritional status, WC and lipid profiles with hypertension. The prevalence odds ratio (POR) showed that subjects with over nutrition and obesity have a 1.63 times risk of developing hypertension; subjects with central obesity had a 1.73 times risk of developing hypertension; subjects with hypercholesterolemia had a 2.7-fold risk of developing hypertension and subjects with high LDL had 2.15 times the risk of developing hypertension, while POR of HDL and triglycerides showed a neutral value or not a risk factor for hypertension. Conclusion: Nutritional status, WC, lipid profile have no relationship with hypertension in low-income productive age people in Indonesia. Based on the POR, it was found that obesity, WC, cholesterol and LDL were risk factors for hypertension, whereas triglycerides and HDL did not affect the incidence of hypertension Keywords: nutritional status; waist circumferences; lipid profile; productive age; low income AbstrakLatar Belakang: Pevalensi hipertensi di dunia dewasa ini meningkat dari tahun ke tahun. Data monitor kemajuan penyakit tidak menular (PTM), 2017 menunjukkan bahwa angka dan risiko kematian masyarakat dengan usia produktif di Indonesia cukup tinggi.Penelitian hubungan faktor risiko terhadap hipertensi pada masyarakat usia produktif berpenghasilan rendah di Indonesia belum banyak dikaji lebih dalam. Tujuan: Penelitian yang dilakukan untuk mengetahui hubungan status gizi, lingkar pinggang (Lpi) dan profil lipid dengan hipertensi pada masyarakat usia produktif berpenghasilan rendah. Metode: Desain penelitian ini adalah potong lintang. Data identitas dikumpulkan melalui wawancara, data tekanan darah, antropometri, lingkar pinggang diperoleh dengan melakukan pengukuran dan data profil lipid darah, gula darah puasa dilakukan dengan pemeriksaan laboratorium. Data yang telah diperoleh, diuji menggunakan uji Fisher’s exact. Hasil: Sebanyak 50% dari 62 subjek mengalami hipertensi, 38,7% subjek mempunyai status gizi berlebih, 33,9% subjek termasuk obesitas dan 61,9% subjek mempunyai Lpi di atas normal atau obesitas sentral. Sebanyak 37,1% subjek mengalami hiperkolesterolemia, 90,3% mempunyai low density lipoproteinemia (LDL) di atas normal, 16,1% subjek mempunyai high density lipoproteinemia (HDL) dibawah normal dan 22,6% subjek mengalami hipertrigliseridemia. Hasil uji Fisher’s exact menunjukkan tidak terdapat hubungan antara status gizi, Lpi dan profil lipid dengan hipertensi. Prevalence odds ratio menunjukkan subjek dengan status gizi berlebih dan obesitas mempunyai risiko 1,63 kali mengalami hipertensi; subjek dengan obesitas sentral mempunyai risiko 1,73 kali mengalami hipertensi; subjek dengan hiperkolesterolemia mempunyai risiko 2,7 kali mengalami hipertensi dan subjek dengan LDL yang tinggi mempunyai risiko 2,15 kali mengalami hipertensi, sedangkan POR HDL dan trigliserida memperlihatkan tidak merupakan faktor risiko hipertensi. Kesimpulan: Status gizi, Lpi, profil lemak darah tidak mempunyai hubungan dengan kejadian hipertensi pada masyarakat usia produktif berpenghasilan rendah. Gizi lebih dan obesitas, Lpi, kolesterol dan LDL merupakan faktor risiko kejadian hipertensi sedangkan, triglieserida dan HDL tidak memengaruhi kejadian hipertensi.
GAMBARAN TINGKAT AKTIFITAS FISIK PADA MASYARAKAT KELURAHAN TOMANG JAKARTA BARAT Lontoh, Susy Olivia; Kumala, Meilani; Novendy, Novendy
Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Vol 4, No 2 (2020): Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan
Publisher : Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmstkik.v4i2.8728

Abstract

Lack of physical activity is a risk factor for increased incidence of coronary heart disease (CHD), type 2 diabetes mellitus (T2DM), breast cancer, colon cancer and reduced life expectancy. Regular and adequate levels of physical activity are essential to reduce the risk of non-communicable diseases. Kelurahan Tomang has an urban area and is an urban area and tends to be a sedentary life style. Data regarding the description of physical activity in the Tomang Village, West Jakarta is still limited. This study aims to determine the level of physical activity in the community of Tomang Village, West Jakarta. This research is an observational analytic study with a cross-sectional design. The study was conducted on 181 subjects and subject taking was done by consecutive sampling. Subjects in this study were aged from 20 years - 45 years with an average age of 35.1 ± 6.79 years, the majority were women as much as 55.8% and 78.5% of the subjects were married. Judging from the level of education, dominated by high school education / equivalent, the average monthly income of 42.9% of the subjects earned Rp. 3,000,001,-Rp. 4,000,000, - and most of the subjects worked as housewives and 43.1 % of subjects who did not exercise. The results of the measurement of the subject's physical activity level showed that 59.7% of subjects who had light activity and sex and type of work had an effect on the lack of physical activity Keywords: physical activity, sedentary life style ABSTRAKAktifitas fisik yang kurang  menjadi  faktor risiko untuk peningkatan kejadian penyakit jantung koroner (PJK), diabetes mellitus tipe 2 (T2DM), kanker payudara, kanker usus besar dan mengurangi harapan hidup. Tingkat aktifitas fisik yang teratur dan memadai sangat penting untuk mengurangi risiko penyakit tidak menular. Kelurahan Tomang berwilayah diperkotaan serta merupakan daerah urban dan  cenderung  sedentary life style. Data mengenai gambaran aktifitas fisik di lingkungan Kelurahan Tomang Jakarta Barat masih terbatas.  Penelitian ini bertujuan untuk mengetahui gambaran tingkat aktifitas fisik pada masyarakat kelurahan Tomang Jakarta Barat. Penelitian yang dilakukan merupakan penelitian analitik observational dengan disain potong lintang. Penelitian dilakukan pada 181  subyek dan pengambilan subjek dilakukan secara consecutive sampling.  Subjek  dalam penelitian ini berusia mulai dari 20 tahun - 45 tahun dengan usia rata-rata adalah 35.1 ± 6,79 tahun, mayoritas adalah perempuan  sebanyak 55,8 % dan  78,5 %  subjek menikah. Dilihat dari jenjang pendidikan, didominasi dengan pendidikan SMA/sederajat, rata-rata penghasilan perbulan 42,9 % subjek berpenghasilan Rp.3.000.001,-Rp.4.000.000,- dan  sebagian besar  subjek bekerja sebagai ibu rumah tangga serta  43,1%subjek  yang tidak melakukan olahraga. Hasil pengukuran tingkat aktifitas fisik subjek terlihat bahwa 59,7 % subjek yang memiliki aktifitas ringan dan jenis kelamin dan jenis pekerjaan berpengaruh terhadap kurangnya aktifitas fisik.