scholarly journals PENGARUH INDEKS MASSA TUBUH (IMT) TERHADAP KEJADIAN HIPERTENSI PADA WANITA USIA SUBUR (WUS) DI WILAYAH PUSKESMAS PULO BRAYAN MEDAN TAHUN 2017

Author(s):  
Debora Lestari Simamora ◽  
Heru Santosa ◽  
Sorimuda Sarumpaet

Berdasarkan data Puskesmas Pulo Brayan Medan bahwa jumlah penderita hipertensi selama 3 tahun terakhir mengalami peningkatan. Tahun 2014  jumlah penderita hipertensi 378 orang, tahun 2015 sebanyak 384 orang, dan  tahun 2016 sebanyak 394 orang. Dari 394 penderita  hipertensi tersebut, sebanyak 214 orang adalah WUS Banyak faktor yang diduga menjadi penyebab hipertensi pada WUS, salah satunya indeks massa tubuh (IMT). Tujuan penelitian ini untuk menganalisis pengaruh indeks massa tubuh terhadap kejadian hipertensi pada WUSPenelitian ini adalah penelitian analitik dan bersifat kuantitatif dengan rancangan kasus kontrol (case control). Penelitian dilakukan di wilayah Puskesmas Pulo Brayan Medan. Populasi penelitian sebanyak 8.547 orang dan sampel diperoleh sebanyak 166 orang yang dibagi menjadi 2 kelompok, masing-masing 83 orang. Analisis data menggunakan analisis univariat, analisis bivariat dengan chi-square dengan tingkat kepercayaan 95% (=0,05). Hasil penelitian menunjukkan bahwa indeks massa tubuh kelompok kasus dalam kategori obesitas (69,9%), pada kelompok kontrol, responden yang obesitas (7,2%). Variabel indeks massa tubuh (IMT) berpengaruh terhadap kejadian hipertensi pada WUS di wilayah Puskesmas Pulo Brayan Medan, p < 0,05. Disarankan kepada Kepala Puskesmas Pulo Brayan Medan untuk menginformasikan kepada WUS agar menjaga pola makan dan melakukan gaya hidup sehat serta melakukan pemeriksaan tekanan darah secara rutin di puskesmas agar diketahui  sejak dini komplikasi lain yang dapat menyertai  peningkatan tekanan darah. Based on data from the Medan Pulo Brayan Puskesmas that the number of hypertensive sufferers over the past 3 years has increased. In 2014 there were 378 people with hypertension, in 2015 there were 384 people, and in 2016 there were 394 people. Of the 394 people with hypertension, 214 people are WUS. Many factors are thought to be the cause of hypertension in WUS, one of them is body mass index (BMI). The purpose of this study was to analyze the effect of body mass index on the incidence of hypertension in WUS. This study is an analytical and quantitative study with a case control design. The study was conducted in the area of Pulo Brayan Puskesmas Medan. The study population was 8,547 people and the sample was 166 people divided into 2 groups, 83 people each. Data analysis used univariate analysis, bivariate analysis with chi-square with a confidence level of 95% ( = 0.05). The results showed that the body mass index of the case group was in the obesity category (69.9%), in the control group, respondents were obese (7.2%). Body mass index (BMI) variable influences the incidence of hypertension in WUS in the Pulo Brayan Puskesmas area, p <0.05. It is recommended to the Head of the Pulo Brayan Medan Puskesmas to inform WUS to maintain a healthy diet and lifestyle and to carry out routine blood pressure checks at the puskesmas so that other complications can be identified early on that can accompany an increase in blood pressure.

2020 ◽  
Vol 5 (2) ◽  
pp. 100-107
Author(s):  
Reny Sulistyowati ◽  
Syam�ani Syam�ani

Stress is an individual's adaptive response to various external pressures or demands and produces a variety of disorders including physical, emotional and behavioral disorders. Final year students often experience feelings of stress so that it can interfere with concentration to attend lectures and can even hamper completing education in a timely manner. There are several ways of managing stress, one of which is using aromatherapy. Aromatherapy is a non-pharmacological therapy, which is a type of therapy that applies direct body contact and has a therapeutic effect that combines physiological effects, caused by massage on the body, with psychological effects, which are derived from essential oils. The general purpose of the study is to analyze the effect of aromatherapy on blood pressure and stress levels by using the Kessler Psychological Distress Scale in final semester students. The research method used a quasi-experimental design with a pretest-posttest control group design approach, in 28 intervention groups, namely respondents who were given lavender aromatherapy massage and 28 respondents in the control group. The univariate analysis was conducted to show frequency distribution and bivariate analysis was conducted by independent sample T-test and dependent sample T-test. The results showed that there were significant differences in systolic blood pressure before and after the intervention in the intervention and the control group with a p-value of 0.01 < 0.05. Whereas the stress level variable found that there is no difference in stress levels in the intervention and the control group before and after the intervention with p-value 0.169> 0.05.


2020 ◽  
Vol 3 (2) ◽  
pp. 337-343
Author(s):  
Helfrida Situmorang

The irreversible risk factors for osteoporosis are age, gender, race, family / hereditary history, body shape and history of fractures. The risk factors for osteoporosis that can be changed are smoking, vitamin and nutritional deficiencies, lifestyle, eating disorders (anorexia nervosa), early menopause, and the use of certain drugs such as corticosteroids, glucocorticosteroids, and diuretics. The purpose of this study was to determine the factors associated with the incidence of osteoporosis. The research design used was non-experimental, namely a correlational research design, namely research conducted to determine the relationship between two variables. The population in this study were all osteoporosis patients with age. over 45 years old who seek treatment at the Puskesmas Gunting Saga Kec. Kualuh Selatan District of North Labuhan Batu totaling 45 people. The sampling method used was the total sampling technique, which was the same as the population of 45 people. Data collection used is the method of filling out a questionnaire which includes written questions used to obtain data information from the questionnaire. The data analysis conducted was univariate analysis and bivariate analysis. In this study, researchers still adhere to ethical principles. The results illustrate that the respondents are mostly 51-65 years old as many as 27 people (60%). Most of the sex of respondents were women as many as 37 people (82.2 %%). Most of the respondents had no history of osteoporosis as many as 31 people (68.9%). Most of the body mass index of respondents whose body mass index was over 34 people (75.6%). Most of the respondents in the smoking category did not smoke as many as 32 people (71.7%). Most of the respondents' physical activity in the category of independent physical activity was 38 people (84.4%). The conclusion is that there is no relationship between age, sex, family history, body mass index, and smoking with the incidence of osteoporosis. Meanwhile, physical activity has a relationshipwithosteoporosis.   Abstrak Faktor-faktor resiko osteoporosis yang tidak dapat diubah yaitu usia, jenis kelamin, ras, riwayat keluarga/keturunan, bentuk tubuh dan sejarah patah tulang. Faktor–faktor resiko osteoporosis yang dapat diubah adalah merokok, defisiensi vitamin dan gizi, gaya hidup, gangguan makan (anoreksia nervosa), menopause dini, serta penggunaan obat-obatan tertentu seperti kortikosteroid, glukokortikosteroid, serta diuretik. Tujuan penelitian ini adalah untuk mengetahui mengetahui faktor-faktor yang berhubungan dengan kejadian osteoporosis Rancangan penelitian yang digunakan adalah non eksperimen yaitu rancangan atau desain penelitian yang bersifat korelasional yaitu penelitian yang dilakukan untuk mengetahui hubungan dua variabel.Populasi dalam penelitian ini adalah semua pasien osteoporosis dengan usia diatas 45 tahun yang berobat di Puskesmas Gunting Saga Kec. Kualuh Selatan Kab Labuhan Batu Utara berjumlah 45 orang.Metode pengambilan sampel yang digunakan dengan teknik total sampling yaitu sama dengan populasi adalah sebanyak 45 orang. Pengumpulan data yang digunakan yaitu metode pengisian kuesioner yang meliputi pertanyaan tertulis yang digunakan untuk memperoleh informasidata dari kuesioner.Analisa data yang dilakukan adalah analisis univariat dan analisis bivariat. Dalam penelitian ini peneliti tetap berpedoman pada prinsip-prinsip etik.Hasil penelitian menggambarkan bahwa responden sebagian besar berumur 51-65 tahun sebanyak 27 orang (60%). Jenis kelamin responden sebagian besar wanita sebanyak  37 orang (82.2%%).Riwayat keluarga responden sebagian besar berstatus tidak ada riwayat osteoporosis sebanyak 31 orang (68.9%).Indeks masa tubuh responden sebagian besar Indeks masa tubuh lebih sebanyak 34 orang (75.6%).Merokok responden sebagian besar kategori tidak merokok sebanyak 32 orang (71.7%).Aktivitas fisik responden sebagian besar kategori aktivitas fisik mandiri sebanyak 38 orang (84.4%).Kesimpulan bahwa tidak ada hubungan umur, jeniskelamin, riwayat keluarga,indeks massa tubuh,dan merokok dengan kejadian osteoporosis. Sedangkan aktivitas fisikada hubungan dengan kejadian osteoporosis.


2020 ◽  
Vol 7 (2) ◽  
pp. 103-110
Author(s):  
Syella Chintya Dewi ◽  
Muhammad Furqon ◽  
Danial Danial

Hypertension is the most common cause of cardiovascular disease and it is a major problem in both developed and developing countries. Obesity is one of the main risk factors of hypertension. Hypertension and obesity are health problems which its prevalence is continues to increase in Indonesia. The anthropometric index that can be used to determine nutritional status are the body mass index (BMI) and waist circumference measurement. This study was an observational analytic with cross sectional method. The sample of this study was 275 respondent who were selected using the consecutive sampling method in Karang Asam public health center Samarinda. Data of this study were obtained from direct measurement of height, weight, waist circumference and blood pressure of respondent and data were analyzed by using chi square test. The result of statistical test showed that there was relationship between body mass index (p = 0,000 ; OR= 5,234 ; 95% CI= 3,090-8,865) and waist circumference (p = 0,000; OR=5,489 ; 95% CI= 3,233 – 9,318) with blood pressure. There was a significant relationship between body mass index and waist circumference with blood pressure at Karang Asam Public Health Center Samarinda.


2021 ◽  
Vol 6 (1) ◽  
pp. 25-35
Author(s):  
Debora Lestari Simamora ◽  
Elfalini Warnelis

Based on data from Puskesmas Pulo Brayan Medan, the number of hypertension sufferers in the last 3 years has increased. In 2018 the number of hypertension sufferers was 378 people, in 2019 there were 384 people, and in 2020 there were 394 people. Of the 394 patients with hypertension, 214 were women of PUS. There are many factors that are thought to be the cause of hypertension in women with PUS, such as the use of contraceptives. The aim of this study was to analyze the effect of duration of use of contraceptives, contraceptive methods, duration of use of contraception, on the incidence of hypertension in women with fertility. This research is an analytical research and is quantitative in nature with a case control design (case control). The research was conducted in the area of ​​Pulo Brayan Health Center, Medan. The study population was 8,547 people and the sample was obtained as many as 166 people who were divided into 2 groups, each 83 people. Data analysis used univariate analysis, bivariate analysis with chi-square. The results showed that the duration of use of contraception, the method of contraception, the duration of use of contraception, had an effect on the incidence of hypertension in PUS mothers in the Pulo Brayan Public Health Center, Medan, p <0.05. The variable with the greatest influence in this study was the variable body mass index (BMI) which had a value of Exp (B) = 20.639 (95% CI = 5.850-72.823). It is recommended to the Head of Puskesmas Pulo Brayan Medan to inform PUS mothers who use hormonal contraceptives such as pills and injections to carry out routine blood pressure checks at the puskesmas so that early detection of other complications that can accompany an increase in blood pressure.  


2017 ◽  
Vol 27 (1) ◽  
pp. 25592
Author(s):  
Letícia Da Silva Souza ◽  
Rafaela Cavalheiro do Espírito Santo ◽  
Camila Franceschi ◽  
Cassiane De Avila ◽  
Suellienn Centenaro ◽  
...  

Aims: To evaluate the nutritional status of children and adolescents by anthropometric indicators and to evaluate the association of these results with blood pressure.         Methods: Children and adolescents between four and 19 years of age from rural and urban schools of a municipality of Rio Grande do Sul were included in this study. Those who refused (or whose parents refused) to participate or did not sign the consent form,  or in whom it was not possible to carry out the anthropometric or blood pressure measurements, were excluded. Weight, height, waist circumference, skin folds and blood pressure were measured, and the body mass index was calculated. Data were described by mean, standard deviation, amplitude of variation, absolute and relative frequencies. Stratification by gender, body mass index and central obesity was performed to analyze the influence of these on the other variables. Pearson's Chi-square was used to evaluate the associations. The level of significance was p<0.05.Results: At the time of data collection, 7,082 children and adolescents within the age group were enrolled in the municipal schools, and they were invited to participate. After applying the exclusion criteria, 5,936 children/adolescents were included in the study. The sample presented prevalence of overweight of 30.3%, central obesity 31.1% and excess body fat 8.7%. Overweight was higher in children from private schools (44.1%) than in state schools (29.5%) and municipal schools (29.9%) (p<0.001). There were statistically significant associations of high blood pressure with overweight, obesity, and central obesity (p<0.001).Conclusions: Prevalence of overweight was high and hypertension was associated with overweight, obesity and central obesity in children and adolescents of the studied population.


2020 ◽  
Vol 4 (3) ◽  
pp. 131-141
Author(s):  
Zakiya Miladya Choiroh ◽  
◽  
Era Nurisa Windari ◽  
Astri Proborini ◽  
◽  
...  

Stunting is a condition where there a disruption of growth in body length or height that not by age. A history of infectious diseases are one of the direct factors that can cause this condition. Diarrhea is an infectious disease which if occurs continuously can cause a significant decrease in fluid levels in the body, causing interference in the absorption of nutrients. This study aimed to analyze the relationship between the frequency and duration of diarrhea with the incidence of stunting in children aged 24-36 months. The study used a case control design with the subjects of the case group was stunting toddlers with their mother while the control group was non-stunting toddlers with their mother in Kedungrejo village, District of Pakis with a total of 24 for each group. Data was collected by anthropometric measurements in toddlers and mothers were interviewed using a diarrhea history questionnaire that had been tested for validity and reliability. The bivariate analysis used Chi-Square test. The results showed that from of 48 subjects, the percentage of toddlers aged 24-36 months who had a history of frequent diarrhea frequency was 14,5% (7 children) and the percentage of toddlers who had a mean duration of long diarrhea was 33,3% (16 children). Statistical test results showed that frequency of diarrhea was not significantly related (p = 1,000) but increased the risk of stunting by 1,4 times, while the duration of diarrhea was significantly related (p = 0,030) and increased the risk of stunting by 5,0 times. It can be suggested that counseling is needed to provide information to the public about the first aid of diarrhea in toddlers as to minimize delays in treatment and reduce the risk of stunting.


2015 ◽  
Vol 1 (1) ◽  
pp. 44
Author(s):  
Budi Somantri

Background. Aging is a natural process after the three stages of life, namely children, adulthood and old age that cannot be avoided by any individual. The increase of the age will cause changes in the structure and physiological properties of a range of cells, organs and systems in the body. Metabolic processes that decrease on the elderly will lead to obesity due to decreased physical activity, then the excess calories will be converted into fat resulting in obesity. Overweight or obesity is one of the factors that can influence blood pressure and the development of hypertension. Purpose. The purpose of this research was to know the correlation between Body Mass Index with elderly blood pressure in puskesmas Melong Asih Cimahi. Methods. The methods in this study used analytic research method with cross sectional approach, there were 80 elderly (60- 74 years) as respondents. Sampling techniques used simple random sampling. Results. The results of univariat analysis used frequency distribution showed distribution evenly on IMT skinny (20%), normal (26.2%), fat (26.2%), obesity (27.6%). Similarly, on the frequency distribution of blood pressure normal (36.2%), pre hypertension (31.2%), and hypertension (32.6%). The results of Chi-Square statistical test showed p value = 0.000 < a 0.05. Conclusions. The conclusions from this study which conducted on June 2013 that there was a correlation between Body Mass Index (BMI) with elderly blood pressure in Puskesmas Melong Asih Cimahi.


2016 ◽  
Vol 5 (4) ◽  
pp. 306 ◽  
Author(s):  
Miftah Fatmawati ◽  
Rudatin Windraswara

Berat badan lahir rendah (BBLR) menjadi salah satu penyebab utama mortalitas bayi. Permasalahan yang muncul adalah apakah ada hubungan antarapaparan pestisida pada masa kehamilan dengan kejadian BBLR di daerah pertanian. Tujuan penelitian ini untuk mengetahui faktor risiko yang berhubungan dengan kejadian BBLR. Penelitian ini merupakanstudi case control. Subjek dibagi menjadi dua kelompok: kelompok kasus sejumlah 25 petanidengan riwayat melahirkan BBLR dan kelompok kontrol yang merupakan tetangga dari subjek kasus tanpa riwayat melahirkan BBLR sejumlah 25 petani. Pengumpulan data penelitian ini menggunakan wawancara dan observasi. Analisis data menggunakan analisis univariat dan bivariat (chi square dan fisher sebagai alternatifnya). Faktor risiko yang terbukti berhubungan dengan kejadian BBLR antara lain: pekerjaan ibu hamil yang berkaitan dengan pestisida (OR = 6,769); kelengkapan alat pelindung diri (APD) saat beraktivitas di ladang (OR= 18,857); dan penyimpanan pestisida (OR= 12,667). Saran yang direkomendasikan adalah menghindari pekerjaan yang berkaitan langsung dengan pestisida selama masa kehamilan, jika memang harus ikut dalam kegiatan pertanian maka ibu hamil sebaiknya menggunakan APD lengkap.   Low birth weight becomes one problem that may cause infant mortality. This study aimed to find the relation between pesticide exposure during pregnancy and low birth weight. This was case control study. The subjects were divided into two groups: 25 farmers with low birth weight infants as case group, and subjects 25 farmers with normal birth weight infants wholived around the case group as control group. Data were collected with interview and observation. Data were analyzed by univariate and bivariate analysis (chi-square test and fisher test). Risk factors during pregnancy that associated with lowbirth weight were activities with pesticide during pregnancy (OR= 6,769); personal protective equipment completeness (OR= 18,857); and storage of pesticide (OR= 12,667). Recommended to pregnant farmer to avoid activity with pesticide during pregnancy. Pregnant farmer should use personal protective equipment completely when agricultural activities could not be avoided


2021 ◽  
Vol 3 (2) ◽  
pp. 98-104
Author(s):  
Siti Mas'odah ◽  
Ratih Dewi Dwiyanti ◽  
Ricko Dharmadi Utama

Anemia can be related to several factors, including knowledge, body mass index, and menstrual patterns. Adolescent girls are a high-risk group who experience anemia. This study aims to analyze the hemoglobin levels of adolescent girls about knowledge, body mass index, and patterns menstrual. Information on the relationship between hemoglobin levels and these factors expects to be a reference for strategies to overcome anemia in adolescent girls. The sample of this research is the students of Martapura Indonesia vocational high school, totaling 45 people. Data collection includes weight and height measurements, hemoglobin examination (using Easy Touch GCHb), and questionnaires. Data analysis used bivariate analysis of chi-square test with 0.05 with 95% confidence degree. Results Respondents had fewer hemoglobin levels 47%, normal 53%. The body mass index value of respondents is less than 85%, normal 13%, excess 2%. The respondent's menstrual pattern obtained 26% abnormal data, 74% normal data. Knowledge of anemia of respondents with enough category 34%, good category 66%. The conclusion is that there is no relationship between hemoglobin levels and body mass index (p-value 0.281), menstrual patterns (p-value 0.073), and knowledge of anemia (p-value 0.402) in adolescent girls. Hemoglobin levels may more influence by the consumption pattern of foods containing iron, so it recommends that young women consume more iron-rich foods and avoid the simultaneous consumption of substances that inhibit their absorption, such as tea and coffee.


2021 ◽  
Vol 11 (1) ◽  
pp. 26
Author(s):  
Arief Setiyoargo ◽  
Nanta Sigit ◽  
Richard One Maxelly

Osteoporosis is a bone disease characterized by decreased bone density. The incidence of osteoporosis increases with age, especially age ≥ 50 years. Research from the International Osteoporosis Foundation (IOF) revealed that 1 in 4 women in Indonesia with an age range of 50-80 years have a risk of osteoporosis, where the risk of osteoporosis in women in Indonesia is 4 times higher than that of men. This study aims to determine the relationship between body mass index with the incidence of osteoporosis in Panti Nirmala Hospital Malang. The design of this study was case control with sample consisting of 40 case group and 40 control group. Data analysis used logistic regression. The results showed that in the underweight group, the percentage experiencing osteoporosis was greater by 62.5% when compared to non-underweight who had osteoporosis by 37.5%. After being controlled by osteoporosis family history variables and female gender, the characteristics of a body mass index of underweight have a 3.4 times greater chance of having osteoporosis than non-underweight characteristics. It is recommended that the public go on a healthy diet and regular physical activity to balance BMI and regular health checks at health service facilities to measure body health. Keywords: underweight; osteoporosis; elderly ABSTRAK Osteoporosis merupakan penyakit tulang yang ditandai dengan menurunnya kepadatan tulang akibat ketidakmampuan tubuh dalam mengatur kandungan mineral dalam tulang dan mengakibatkan pengeroposan tulang. Angka kejadian osteoporosis meningkat seiring dengan peningkatan usia, khususnya usia ≥ 50 tahun. Penelitian dari International Osteoporosis Foundation (IOF) mengungkapkan bahwa 1 dari 4 perempuan di Indonesia dengan rentang usia 50-80 tahun memiliki resiko terkena osteoporosis, dimana resiko osteoporosis pada perempuan di Indonesia 4 kali lebih tinggi dibandingkan laki-laki. Penelitian ini bertujuan untuk mengetahui hubungan antara indeks massa tubuh dengan kejadian osteoporosis di Rumah Sakit Panti Nirmala Malang. Desain penelitian ini adalah case control. Sampel berjumlah 80 data, terdiri dari 40 data kelompok kasus dan 40 data kelompok kontrol. Analisis data menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa pada kelompok underweight, persentase yang mengalami osteoporosis lebih besar sebesar 62,5% jika dibandingkan pada non-underweight yang mengalami osteoporosis sebesar 37,5%. Setelah dikontrol oleh variabel riwayat keluarga osteoporosis dan jenis kelamin perempuan, karakteristik indeks massa tubuh underweight memiliki odds 3,4 kali lebih besar untuk mengalami osteoporosis dibandingkan karakteristik non underweight. Dianjurkan kepada masyarakat untuk melakukan diet sehat dan aktivitas fisik yang teratur untuk menyeimbangkan indeks massa tubuh dan pemeriksaan kesehatan secara berkala pada fasilitas pelayanan kesehatan untuk mengukur kesehatan tubuh. Kata kunci: underweight; osteoporosis; lansia


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