scholarly journals The Survey of Food Consumption Among Traders with Hypertension at Bantul Traditional Market

Author(s):  
Ririn Wahyu Hidayati

Hypertension is a non-communicable disease which ranks in the top 3. Untreated hypertension will have an impact on increasing the incidence of stroke and coronary heart disease. The prevalence of hypertension in Indonesia is 25, 8%, while the incidenceof hypertension in Special Region of Yogyakarta is 25,7%. In Indonesia in 2017, 77% of people with a history of hypertension had a stroke. Therefore, in 2025 it is projected that 29% of the world's population or as many as 1.56 billion adults will experience hypertension. This is influenced by several factors, one of which is an unhealthy lifestyle. Efforts that have been made by Indonesia in the prevention and control of hypertension with "CERDIK" behavior. This study aims to determine the types of food consumed by traditional market traders in Bantul who have hypertension. The study used a simple quantitative descriptive design with cross sectional approach. The population in this study were 87 traders. Samples were taken by purposive sampling method, namely all traders who have hypertension and are willing to be respondents as many as 50 traders. This research is expected to increase public awareness independently and research data can be used as basic health data for traders and follow-up for health workers for appropriate hypertension management in the community.

2021 ◽  
Vol 3 (4) ◽  
pp. 636-642
Author(s):  
Liliek Pratiwi ◽  
Harnanik Nawangsari

ABSTRACT : REVIEW OF THE CHARACTERISTICS OF PREGNANT MOTHERS WITH PRECLAMATION AND ANEMIA IN BANDUNG CITY CIREBON REGENCY, KUNINGAN REGENCY Background: Preeclampsia and anemia in pregnant women are still common and cause maternal mortality to increase. Late help is still found because pregnant women are not detected early. Anemia can cause shortness of breath, fatigue, palpitations, bleeding disorders during labor, sleep disturbances and sepsis. Pre-eclampsia is one of the direct causes of maternal death, the incidence of pre-eclampsia initially does not provide symptoms and signs, but at one time it can deteriorate rapidly, so it takes a series of examinations, detection, and identification of risk factors and control them so as to enable complex primary prevention.Objective: This study will provide an overview of the characteristics of pregnant women with preeclampsia and anemia in Bandung City, Cirebon Regency and Kuningan Regency.Research Methods: This study uses descriptive analysis, with a cross sectional approach, is retrospective in nature, observing the results of medical records. The population is pregnant women with preeclampsia and anemia in Bandung City, Cirebon Regency and Kuningan Regency, the pregnancy period from October 2020 to February 2021 is 489. The inclusion criteria for this study were pregnant women from trimester 1 to trimester 3 who experienced preeclampsia and anemia. The sampling technique is using quota sampling. The number of samples is 110 respondents. Exclusion criteria in this study were pregnant women with a history of congenital disease, being infected and other pregnancy complications besides anemia and preeclampsia.Results: Characteristics of pregnant women with preeclampsia and anemia in Bandung City, Cirebon Regency and Kuningan Regency, the majority of pregnant women experiencing preeclampsia, preceded by a history of preeclampsia in a previous pregnancy of 34.6%, primiparous status 18.1% and having hypertension. ,3%. The majority of pregnant women who experience anemia are with multiparous status of 28.1% and often occur when stepping on the 3rd trimester, as well as mothers who do not consume Fe tablets.Conclusion: So, by looking at these results, the outcome for the future is a proactive effort to screen pregnant women at risk in several areas by involving health workers, the community and other researchers as well as volunteers, for the sake of maternal and child health. Keywords: Preeclampsia, Anemia, Bandung City, Cirebon Regency, Kuningan RegencyINTISARI: TINJAUAN KARAKTERISTIK IBU HAMIL DENGAN PREKLAMSI DAN ANEMIA DI KOTA BANDUNG, KABUPATEN CIREBON, DAN KABUPATEN KUNINGAN Latar Belakang: Preklamsia dan anemia ibu hamil masih sering terjadi dan menyebabkan Angka Kematian Ibu meningkat. Pertolongan yang terlambat masih ditemukan karena ibu hamil tidak terdeteksi lebih awal. Anemia dapat mengakibatkan sesak nafas, fatigue, palpitasi, gangguan pendarahan selama persalinan, sampai gangguan tidur dan sepsis. Pre Eklamsi merupakan salah satu penyebab langsung kematian ibu, kejadian pre eklamsi pada awalnya tidak memberikan gejala dan tanda, namun pada suatu ketika dapat memburuk dengan cepat, sehingga butuh serangkaian pemeriksaan, deteksi, dan identifikasi faktor risiko serta mengontrolnya sehingga memungkinkan dilakukan pencegahan primer yang kompleksTujuan: Dalam penelitian ini akan memberikan gambaran tinjauan karakteristik ibu hamil dengan preklamsia dan anemia di Kota Bandung, Kabupaten Cirebon dan Kabupaten Kuningan.Metode Penelitian: Pada penelitian ini menggunakan analisis deskriptif, dengan pendekatan cross sectional, bersifat retrospektif, observasi dari hasil rekam medis. Populasi yaitu ibu hamil dengan preklamsia dan anemia di Kota Bandung, Kabupaten Cirebon dan Kabupaten Kuningan, periode kehamilan dari bulan Oktober tahun 2020 sampai Februari tahun 2021 yaitu 489. Kriteria inklusi penelitian ini adalah ibu hamil trimester 1 sampai trimester 3 yang mengalami preklamsia dan anemia. Teknik sampling yaitu menggunakan kuota sampling. Jumlah sampel adalah 110 responden. Kriteria eksklusi dalam penelitian ini yaitu ibu hamil dengan riwayat penyakit bawaan, sedang terinfeksi dan komplikasi kehamilan lainnya selain anemia dan preklamsia.Hasil: Karakteristik ibu hamil dengan preklamsia dan anemia di Kota Bandung, Kabupaten Cirebon dan Kabupaten Kuningan., mayoritas ibu hamil yang mengalami preklamsia, didahului dengan riwayat preklamsia pada kehamilan sebelumnya sebesar 34,6%, status primipara 18,1% serta memiliki hipertensi 16,3%. Mayoritas ibu hamil yang mengalami anemia yaitu dengan status multipara sebesar 28,1% dan sering terjadi Ketika menginjak trimester 3, serta ibu yang tidak mengkonsumsi tablet Fe.Kesimpulan: Jadi, dengan melihat hasil ini, outcome untuk ke depannya yaitu adanya upaya pro aktif penjaringan wanita hamil dengan risiko di beberapa daerah dengan melibatkan tenaga Kesehatan, masyarakat dan penelitia lain serta relawan, demi Kesehatan ibu dan anak. Kata Kunci:  Preklamsia, Anemia, Kota Bandung, Kabupaten Cirebon, Kabupaten Kuningan


2020 ◽  
Author(s):  
Mohsen Mirzaei ◽  
Masoud Mirzaei ◽  
Behnam Bagheri-Fahraji ◽  
Ali Dehghani

Abstract Background: Hypertension, known as the silent killer, is a major risk factor for cardiovascular disease. Awareness and treatment of hypertension is not appropriate in the world, and this has led to an increase in mortality and morbidity caused by uncontrolled hypertension.This study aims to estimate awareness, treated, and controlled hypertensive and relevant predictors in an adult Iranian population.Methods: This cross-sectional study was conducted on 10000 adults aged 20-69 years in Yazd, Iran. They were selected through multi-stage random cluster sampling in 2015-2016. Blood pressure was measured three-time with standard protocol by trained health workers. Those with a positive history of hypertension and using anti-hypertensive drugs, prescribed by a physician, were considered hypertensive. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic BP of ≥90 mmHg. Uncontrolled hypertension was defined in accordance with recommended treatment targets by the Joint National Committee (JNC7). Logistic regression was used to assess the predictors of hypertension awareness, treatment and control.Results: The prevalence of hypertension was 37.3%, and the prevalence of pre-hypertension was 46.4%. 49.7% of People with hypertension were aware of their disease, and 71.5% of them were using antihypertensive drugs prescribed by physicians. Blood pressure was controlled in 38.9% of the treated patients. In the adjusted model, older age, female sex, and history of diabetes mellitus were positively associated with higher awareness. High physical activity, tobacco smoking, and diabetes are the only predictors of treated high blood pressure. Younger age, female sex, and higher education were determinants of controlled hypertension. Having health insurance was significantly correlated with awareness and control of hypertension.Conclusion: Hypertension is a public health problem in this population, which is not well controlled. Half of the patients were unaware. Intervention for increased screening coverage is needed. It should plan to raise public awareness about hypertension and improve hypertension control under the supervision of physicians. Implement a family physician program is recommended in the health system.


2020 ◽  
Author(s):  
Mohsen Mirzaei ◽  
Masoud Mirzaei ◽  
Behnam Bagheri-Fahraji ◽  
Ali Dehghani

Abstract Background: Hypertension, known as the silent killer, is a major risk factor for cardiovascular disease. Awareness and treatment hypertension is not appropriate in the world, and this has led to an increase in mortality and morbidity caused by uncontrolled hypertension.This study aims to estimate awareness, treated, and controlled hypertensive and relevant predictors in an adult Iranian population.Methods: This cross-sectional study was conducted on 10000 adults aged 20-69 years in Yazd, Iran. They were selected through multi-stage random cluster sampling in 2015-2016.Blood pressure was measured three-time with standard protocol by trained health workers. Those with a positive history of hypertension and using anti-hypertensive drugs, prescribed by a physician, were considered hypertensive. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic BP of ≥90 mmHg. Uncontrolled hypertension was defined in accordance with recommended treatment targets by the Joint National Committee (JNC7). Logistic regression was used to assess the predictors of hypertension awareness, treatment and control.Results: The prevalence of hypertension was 37.3%, and the prevalence of pre-hypertension was 46.4%. 49.7% of People with hypertension were aware of their disease, and 71.5% of them were using antihypertensive drugs prescribed by physicians. Blood pressure was controlled in 38.9% of the treated patients. In the adjusted model, older age, female sex, and history of diabetes mellitus were positively associated with higher awareness. High physical activity, tobacco smoking, and diabetes are the only predictors of treated high blood pressure. Younger age, female sex, and higher education were determinants of controlled hypertension. Having health insurance was significantly correlated with awareness and control of hypertension.Conclusion: Hypertension is a public health problem in this population, which is not well controlled. Half of the patients were unaware. Intervention for increased screening coverage is needed. It should plan to raise public awareness about hypertension and improve hypertension control under supervision of physicians. Implement a family physician program is recommended in the health system.


2020 ◽  
Author(s):  
Mohsen Mirzaei ◽  
Masoud Mirzaei ◽  
Behnam Bagheri-Fahraji ◽  
Ali Dehghani

Abstract Background Hypertension, known as the silent killer, is a major risk factor for cardiovascular disease. This study aims to estimate awared, treated, and controlled hypertensive and relevant predictors in an adult Iranian population. Methods This cross-sectional study was conducted on 10000 adults aged 20-69 years in Yazd, Iran. They were selected through multi-stage random cluster sampling in 2015-2016.Blood pressure was measured three-time with standard protocol by trained health workers. Those with a positive history of hypertension and using anti-hypertensive drugs, prescribed by a physician, were considered hypertensive. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic BP of ≥90 mmHg. Uncontrolled hypertension was defined in accordance with recommended treatment targets by the Joint National Committee (JNC7). Logistic regression was used to assess the predictors of hypertension awareness, treatment and control. Results The prevalence of hypertension was 37.3%, and the prevalence of pre-hypertension was 46.4%. 49.7% of People with hypertension were aware of their disease, and 71.5% of them were using antihypertensive drugs prescribed by physicians. Blood pressure was controlled in 38.9% of the treated patients. In the adjusted model, older age, female sex, and history of diabetes mellitus were positively associated with higher awareness. High physical activity, tobacco smoking, and diabetes are the only predictors of treated high blood pressure. Younger age, female sex, and higher education were determinants of controlled hypertension. Having health insurance was significantly correlated with awareness and control of hypertension. Conclusion Hypertension is a public health problem in this population, which is not well controlled. Half of the patients were unaware. Intervention for increased screening coverage is needed. It should plan to raise public awareness about hypertension and improve hypertension control under supervision of physicians. Implement a family physician program is recommended in the health system.


2020 ◽  
Vol 30 (6) ◽  
pp. 1146-1151 ◽  
Author(s):  
Tiina Laatikainen ◽  
Laura Inglin ◽  
Dylan Collins ◽  
Angela Ciobanu ◽  
Ghenadie Curocichin ◽  
...  

Abstract Background The aim of this study is to determine the feasibility of implementing and evaluating the World Health Organization Package of Essential Non-communicable Disease Interventions (WHO PEN) approach in primary healthcare in the Republic of Moldova. Methods According to our published a priori methods, 20 primary care clinics were randomized to 10 intervention and 10 control clinics. The intervention consisted of implementation of adapted WHO PEN guidelines and structured training for health workers; the control clinics continued with usual care. Data were gathered from paper-based patient records in July 2017 and August 2018 resulting in a total of 1174 and 995 patients in intervention and control clinics at baseline and 1329 and 1256 at follow-up. Pre-defined indicators describing assessment of risk factors and total cardiovascular risk, prescribing medications and treatment outcomes were calculated. Differences between baseline and follow-up as well as between intervention and control clinics were calculated using logistic and linear regression models and by assessing interaction effects. Results Improvements were seen in recording smoking status, activity to measure HbA1c among diabetes patients and achieving control in hypertension treatment. Improvement was also seen in identification of patients with hypertension or diabetes. Less improvement or even deterioration was seen in assessing total risk or prescribing statins for high-risk patients. Conclusions It is feasible to evaluate the quality and management of patients with non-communicable diseases in low-resource settings from routine data. Modest improvements in risk factor identification and management can be achieved in a relatively short period of time.


Author(s):  
Dheeraj Kumar Tyagi ◽  
Shivakumar .

Lifestyle disorders are one of the biggest threats for the population living unhealthy lifestyle. Sthoulya (Obesity) is one such disorder which creates lot of physical as well as mental disorder to the sufferer. Due to changing lifestyle, comforts and dietary habit lots of individuals changed their life totally. Obesity is a growing disease in developed and developing countries. Prevalence is drastically hike in past few years. Ayurveda, the science of life with which we can manage and control lots of lifestyle disorders. Focusing on dietary and lifestyle management along with treatment, we can overcome the hazards of obesity which is growing in a uncontrolled manner. The available data is based on the clinical findings only. Aim and objective: To assess the effect of “Guru Cha Atarpanam Chikitsa” in the management of Sthoulya. Setting: Swastharakshana evam Yoga, OPD and IPD, SDMCAH, Hassan. Method: Udwarthana, Parisheka, Shamana Aushadhis, Ahara, and Vihara was followed within the treatment duration and effect of treatment was assessed before and after treatment, advised for follow up. Results: The treatment adopted is effective in the management of Sthoulya and to improve the quality of life.


2020 ◽  
Author(s):  
Larissa Pone Simo ◽  
Valirie Ndip Agbor ◽  
Jean Jacques Noubiap ◽  
Orlin Pagnol Nana ◽  
Pride Swiri-Muya Nkosu ◽  
...  

Abstract Introduction: Sub-Saharan Africa is experiencing a surge in the burden of hypertension, and rural communities seem to be increasingly affected by the epidemic. Objectives: We aimed to determine the prevalence of hypertension, its associated factors, as well as its awareness, treatment, and control rates in rural communities of the Baham Health District (BHD), Cameroon.Design: A community-based cross-sectional study.Setting: Participants from five health areas in the BHD were recruited from August to October 2018.Participants: Consenting participants aged 18 years or older were included. Results: We included 526 participants in this study. The median age of the participants was 53.0 (IQR = 35 – 65) years and 67.1% were female. The prevalence of hypertension was 40.9% (95% confidence interval [CI] = 36.7 – 45.1) were hypertensive with no gender disparity. The overall age-standardised prevalence of hypertension was 23.9% (95% CI = 20.3 – 27.5). Five-year increase in age (adjusted odd’s ratio [AOR] = 1.34; 95% CI = 1.23 – 1.44), family history of hypertension (AOR = 2.22; 95% CI = 1.37 – 3.60), and obesity were associated with higher odds of hypertension (AOR = 2.57; 95% CI = 1.40 – 4.69).The rates of awareness, treatment, and control of hypertension were 37.2% (95% CI = 31.0 – 43.9), 20.9% (95% CI = 16.0 – 26.9), and 22.2% (95% CI = 15.2 – 46.5), respectively.Conclusion: The high hypertension prevalence in this rural community is associated with contrastingly low awareness, treatment, and control rates. Age, family history of hypertension, and obesity are the major drivers of hypertension in this community. Veracious policies are needed to improve awareness, prevention, diagnosis, treatment, and control of hypertension in this rural community.


2020 ◽  
Vol 5 (3) ◽  
pp. 57-63
Author(s):  
Tuge Temesgen ◽  

Aim The study was conducted to determine the prevalence of hydatidosis, to identify the association between expected risk factors and occurrence of the disease, to investigate economic importance and to evaluate fertility and viability of the hydatid cyst in cattle slaughtered at the abattoir. Materials and Methods A cross-sectional study, which involves both ante-mortem and post-mortem examination, was conducted at Nekemte municipal abattoir from November 2015 to March 2016. Results A total of 355 local cattle breed was randomly sampled and examined for the presence of hydatid cysts in the organs of the animals using the standard meat inspection procedures, 66 (18.6%) animals were found harboring hydatid cysts. Statistical analysis showed that there was a significant difference (p<0.05) between the prevalence of bovine hydatidosis in all risk factors with exception of sex of the animals. Among 207 hydatid cysts recorded, 93 (44.92%) were from lungs, 65 (31.40%) from livers, 4 (1.93%) from heart, 3 (1.44%) from kidney, 1 (0.48%) from spleen and 41 (19.8%) were in two organs from lung and liver. Fifty-seven (57) of these 207 cysts were randomly selected and subjected to fertility and viability test which revealed 19 (33.33%) as fertile, 25 (43.86 %) sterile and 13 (22.81%) calcified. Viability test proved 7 (12.28%) of 19 fertile cysts as viable and 12 (21.05%) of 19 fertile cysts as non-viable. Viability of cysts in different organs revealed that 5 (16.1%) and 2 (10%) of cysts from lungs and liver, respectively. The estimated financial loss during the study period both due to condemnation of organs and an in direct carcass weight loss from hydatidosis was 2,190,143.52 ETB. Conclusion The results of this study revealed that bovine hydatidosis was an economically important disease of cattle which need serious attention for prevention and control actions in and around Nekemte. Hence, establishment of well-equipped standardized abattoirs, prohibition of backyard slaughter, creation of public awareness, deworming and control of stray dogs are of paramount importance.


2017 ◽  
Vol 11 (12) ◽  
pp. 5339
Author(s):  
Daiane Santos ◽  
Mariana Alves Pimenta ◽  
Flavio Bittencourt ◽  
Murilo Cesar Nascimento ◽  
Silvana Maria Coelho Leite Fava ◽  
...  

RESUMOObjetivo: avaliar as competências dos ACS no desenvolvimento das atribuições esperadas e definidas pelo Ministério da Saúde nas ações de pré-natal de risco habitual, desenvolvidas no âmbito da ESF, em relação à prevenção da infecção pelo zika vírus na gestação. Método: estudo quantitativo, descritivo, transversal, com coleta de dados em 14 equipes da Estratégia de Saúde da Família, mediante um questionário com três partes: A (enfrentamento ao Aedes aegypti); B (pré-natal de baixo risco) e C (medidas de prevenção pessoal contra o Zika vírus), analisadas por agrupamentos e pelo Teste Exato de Fisher. Resultados: melhor desempenho foi observado em B, seguido de A. As maiores dificuldades estavam relacionadas com a atividade C. Conclusão: há um panorama favorável de atuação desses profissionais, embora com dificuldades quanto à alimentação dos sistemas de informação, à baixa participação comunitária e à pouca integração com o trabalho das equipes. Descritores: Enfermagem; Agente Comunitário de Saúde; Zika Vírus.ABSTRACT Objective: to evaluate the competences of the ACS in the development of the attributions expected and defined by the Ministry of Health in the habitual, risk prenatal actions, developed within the scope of the FHS, in relation to the prevention of infection by the zika virus during pregnancy. Method: quantitative, descriptive, cross-sectional study with data collection in 14 teams of the Family Health Strategy, through a questionnaire with three parts: A (coping with Aedes aegypti); B (low risk prenatal) and C (personal prevention measures against Zika virus), analyzed by clusters and Fisher's Exact Test. Results: better performance was observed in B, followed by A. The greatest difficulties were related to activity C. Conclusion: there is a favorable panorama of these professionals, although with difficulties in feeding information systems, low community participation and little integration with the work of the teams. Descritores: Nursing; Community Health Workers; Zika Virus.RESUMEN Objetivo: evaluar las competencias de los ACS en el desarrollo de las atribuciones esperadas y definidas por el Ministerio de Salud en las acciones de prenatal de riesgo habitual, desarrolladas en el marco de la ESF, en relación a la prevención de la infección por el zika virus en la gestación. Método: estudio cuantitativo, descriptivo, transversal, con recolección de datos en 14 equipos de la Estrategia de Salud de la Familia, mediante un cuestionario con tres partes: A (enfrentamiento al Aedes aegypti); B (prenatal de bajo riesgo) y C (medidas de prevención personal contra el Zika virus), analizadas por agrupaciones y por la prueba exacta de Fisher. Resultados: mejor desempeño fue observado en B, seguido de A. Las mayores dificultades estaban relacionadas con la actividad C. Conclusión: hay un panorama favorable de actuación de estos profesionales, aunque con dificultades en cuanto a la alimentación de los sistemas de información, a la baja participación comunitaria y a la poca integración con el trabajo de los equipos. Descritores: Enfermería; Agentes Comunitarios de Salud; Vírus Zika.


2020 ◽  
Author(s):  
Mostafa Qorbani ◽  
Motahar Heidari-Beni ◽  
Hanieh-Sadat Ejtahed ◽  
Gita Shafiee ◽  
Farid Goodarzi ◽  
...  

Abstract Background: Metabolic syndrome (MetS) starts from early life, and is one of the important underlying factors for non-communicable disease (NCDs) in adulthood. Controversial evidence exists on the role of vitamin D deficiency in increasing risk of pediatric MetS. Objective: This study aimed to assess the relationship between vitamin D level with MetS and its components in children and adolescents. Methods: This cross-sectional nationwide study was performed as part of a surveillance program in Iran. Participants were 2596 students, aged 7 to 18 years, living in 30 provinces. In addition to filling questionnaires, physical examination was conducted, and blood samples were collected. Serum concentration of 25-hydroxy vitamin D (25(OH)D) was measured using direct competitive immunoassay chemiluminescene method.Results: 2596 students with mean age of 12.2 y (55.1% boys) were recruited. Prevalence of vitamin D deficiency and insufficiency in participants was 10.6% (n=276), and 60.5% (n=1570), respectively. Prevalence of MetS was higher in vitamin D deficient group. Students with deficient vitamin D level had higher odds of MetS (OR: 4.25, 95%CI: 2.26-7.98), abdominal obesity (OR: 2.24, 95%CI: 1.61-3.12), low HDL-C (OR: 1.65, 95%CI: 1.18-2.30) and high fasting blood sugar (OR: 2.56, 95%CI: 1.43-4.57) in comparison to those with sufficient level of vitamin D.Conclusion: Vitamin D deficiency was associated with increased odds of MetS and its components in Iranian pediatric population. These findings underscore the importance of prevention and control of vitamin D deficiency in preventative programs against NCDs.


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