scholarly journals THE RISK FACTORS OF HYPERTENSION DISEASE

2018 ◽  
Vol 11 (2) ◽  
pp. 150
Author(s):  
Linda Linda

Treatment of inappropriate hypertension will be at risk for complications such as Cerebral Vascular Accident (CVA), heart failure and others. Hypertension at puskesmas Toaya is included in the top 5 most diseases in each year. In the preliminary study found that people with hypertension routine treatment since January-July as many as 152 people. The objective of the research is to know the risk factors of hypertension disease at Community Health Center in Toaya village, Sindue distric, Donggala regency. Descriptive research method, study population is hypertension patients amounted to 152 people. Sample 34 people, sampling purposive sampling. Analysis of squaret chi data. The results showed that the age of hypertensive patients aged ≥ 50 years 20 people (58.8%), age <50 years 5 people (41.2%), male gender was 26 people (76.5%), women 8 23.5% of patients had a history of hypertension of 24 people (70.6%) there was no history of hypertension 10 people (29.4%), obese no 29 people (85.3%) obese 5 people (14, 7%), had a low risk (smoking cigarettes ≤ 10 cigarettes) amounted to 15 people (44.1%), no smoking 9 people (26.5%), low physical activity category was 23 people (67.7%) high category 1 person (2.9%). The conclusion is that the age of hypertensive patients is more ≥ 50 years old, more males, have a history of hypertension, not obesity, hypertensive patients have a lower risk of smoking cigarettes (≤ 10 cigarettes), more low category physical activity. It is suggested to Toaya Puskesmas should do counseling about risk factor and effort of prevention of hypertension and it is recommended to routinely check blood pressure.

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1952
Author(s):  
Anna Johansson ◽  
Isabel Drake ◽  
Gunnar Engström ◽  
Stefan Acosta

Risk factors for ischemic stroke is suggested to differ by etiologic subtypes. The purpose of this study was to examine the associations between modifiable and non-modifiable risk factors and atherothrombotic stroke (i.e., excluding cardioembolic stroke), and to examine if the potential benefit of modifiable lifestyle factors differs among subjects with and without predisposing comorbidities. After a median follow-up of 21.2 years, 2339 individuals were diagnosed with atherothrombotic stroke out of 26,547 study participants from the Malmö Diet and Cancer study. Using multivariable Cox regression, we examined non-modifiable (demographics and family history of stroke), semi-modifiable comorbidities (hypertension, dyslipidemia, diabetes mellitus and atherosclerotic disease), and modifiable (smoking, body mass index, diet quality, physical activity, and alcohol intake) risk factors in relation to atherothrombotic stroke. Higher age, male gender, family history of stroke, and low educational level increased the risk of atherothrombotic stroke as did predisposing comorbidities. Non-smoking (hazard ratio (HR) = 0.62, 95% confidence interval (CI) 0.56–0.68), high diet quality (HR = 0.83, 95% CI 0.72–0.97) and high leisure-time physical activity (HR = 0.89, 95% CI 0.80–0.98) decreased the risk of atherothrombotic ischemic stroke independent of established risk factors, with non-significant associations with body mass index and alcohol intake. The effect of the lifestyle factors was independent of predisposing comorbidities at baseline. The adverse effects of several cardiovascular risk factors were confirmed in this study of atherothrombotic stroke. Smoking cessation, improving diet quality and increasing physical activity level is likely to lower risk of atherothrombotic stroke in the general population as well as in patient groups at high risk.


Author(s):  
Noraidatulakma Abdullah ◽  
Nor Abdul Murad ◽  
John Attia ◽  
Christopher Oldmeadow ◽  
Mohd Kamaruddin ◽  
...  

The prevalence of type 2 diabetes is escalating rapidly in Asian countries, with the rapid increase likely attributable to a combination of genetic and lifestyle factors. Recent research suggests that common genetic risk variants contribute minimally to the rapidly rising prevalence. Rather, recent changes in dietary patterns and physical activity may be more important. This nested case-control study assessed the association and predictive utility of type 2 diabetes lifestyle risk factors in participants from Malaysia, an understudied Asian population with comparatively high disease prevalence. The study sample comprised 4077 participants from The Malaysian Cohort project and included sub-samples from the three major ancestral groups: Malay (n = 1323), Chinese (n = 1344) and Indian (n = 1410). Association of lifestyle factors with type 2 diabetes was assessed within and across ancestral groups using logistic regression. Predictive utility was quantified and compared between groups using the Area Under the Receiver-Operating Characteristic Curve (AUC). In predictive models including age, gender, waist-to-hip ratio, physical activity, location, family history of diabetes and average sleep duration, the AUC ranged from 0.76 to 0.85 across groups and was significantly higher in Chinese than Malays or Indians, likely reflecting anthropometric differences. This study suggests that obesity, advancing age, a family history of diabetes and living in a rural area are important drivers of the escalating prevalence of type 2 diabetes in Malaysia.


2018 ◽  
Vol 3 (1) ◽  
pp. 7
Author(s):  
Asif Yuliati ◽  
Ariawan Soejoenoes ◽  
Ari Suwondo ◽  
Anies Anies ◽  
Martha Irene Kartasurya

Background: Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality in both developed and developing countries. To prevent postpartum hemorrhage, knowledge of the risk factors were needed.Method: Methos of the research is a case control study. Study population were hospitalized mothers who delivered in three hospitals on January 2015 – July 2016. The subjects were 55 patients who suffered from PPH (as cases) and 55 patients who were not suffered from PPH (as control). Sampling method for cases was consecutive sampling and purposive for controls. Data were analysed by Odds Ratio calculation and logistic regression.Results: The risks factor significantly for PPH are midwife as birth attendant (OR=7.10; 95% CI 2.2 –22.81; p=0.001), poor of obstetric history (OR=5.37; 95%CI 1.53–18.86; p=0.009), pregnancy interval (< 2 years or > 5 years) (OR =4.04; 95%CI 1.48 –11.07; p= 0,007), anaemia trimester III (OR =3,58; 95%CI 1.23-10.43; p=0.019), history of abortion (OR=4.93; 95% CI 1.20-20.31; p=0,027).Conclusion: The risk factors for PPH were midwife as birth attendant, poor of obstetric history, pregnancy interval (<2 years and >5 years), anaemia trimester III, and history of abortion.


Author(s):  
Verra Widhi Astuti ◽  
Tasman Tasman ◽  
Lola Felnanda Amri

ABSTRAK Pendahuluan: Hipertensi disebut sebagai "silent killer" artinya dapat menyebabkan kematian secara diam-diam. Hanya melalui pengukuranlah deteksi dapat dilakukan. Penelitian ini bertujuan untuk mengetahui prevalensi hipertensi dan faktor-faktor yang mempengaruhi hipertensi di Wilayah Kerja Puskesmas Nanggalo, Padang. Metode: Penelitian ini menggunakan metode survei analitik dengan pendekatan cross sectional. Penelitian dilakukan pada masyarakat usia > 18 tahun di wilayah Kerja Puskemas Nanggalo dengan sampel sebanyak 438 responden. Hasil: Hasil penelitian menunjukkan bahwa proporsi hipertensi di masyarakat Wilayah Kerja Nanggalo tahun 2019 sebesar 13,7 yang terdiri dari 10,7% hipertensi stage 1 dan 3% hipertensi stage 2. Sedangkan 19,2% responden sudah memasuki tahap pra hipertensi. Responden paling banyak pada usia produktif yaitu pada rentang usia 18-50 tahun; responden antara laki-laki dan perempuan jumlahnya hampir sama; sebagian besar memiliki status gizi (IMT) normal (64,2%), sebagian besar responden beraktivitas fisik secara rutin (77,9%); sebagian besar responden tidak merokok (61%); dan konsumsi makanan tinggi lemak jenuh dan rendah lemak jenuh hampir sama. Kesimpulan: Ada hubungan yang signifikan antara usia, berat badan (IMT) dan aktivitas fisik dengan kejadian hipertensi. Serta tidak ada hubungan yang signifikan antara jenis kelamin, kebiasaan merokok, dan makan makanan berlemak jenuh dengan kejadian hipertensi. Hasil penelitian ini diharapkan mampu meningkatkan kesadaran responden terhadap faktor-faktor risiko hipertensi.   Kata kunci: Faktor risiko, hipertensi,  prevalensi.   ABSTRACT Introduction: Hypertension is called the "silent killer" which means it can cause death silently. Therefore, detection can only be done through measurement. This study aims to determine the prevalence of hypertension and the risk factors that influence hypertension in the working area of ​​the Nanggalo Community Health Center, Padang. Methods: This study used an analytic survey method with a cross sectional approach. The research was conducted on people aged> 18 years in the working area of ​​Puskemas Nanggalo with 438 respondents as a sample. Result: The results showed that the proportion of hypertension in Nanggalo Work Area was 13.7 consisting of 10.7% stage 1 hypertension and 3% stage 2 hypertension. While 19.2% of respondents had entered the pre hypertension stage. Most respondents are in productive age, namely in the age range 18-50 years; the number of respondents between men and women is almost the same; most of them had normal nutritional status (BMI) (64.2%), most of the respondents had regular physical activity (77.9%); most of the respondents do not smoke (61%); and consumption of foods high in saturated fat and low in saturated fat is about the same. Conclusion: There is a significant relationship between age, body weight (BMI) and physical activity with the incidence of hypertension. And there is no significant relationship between gender, smoking habits, and eating saturated fatty foods with the incidence of hypertension. The results of this study are expected to be able to increase respondents' awareness of risk factors for hypertension.   Keywords: Hypertension, prevalence, risk factor


2012 ◽  
Vol 13 (1) ◽  
pp. 10-15
Author(s):  
Kazi Jahangir Hossain ◽  
Nazma Parvin ◽  
A Wazed ◽  
Md Shamsul Alam ◽  
Md Mustafa Kamal

The aim of the study was to investigate familial trend and socioeconomic status of the hypertensive patients attending at the Hypertension Clinic of Dhaka Medical College Hospital, Dhaka. The study period was from July 2009 to June 2010.  A total of 417 patients were recruited of which 245 were male and 172 female respectively, and selected consecutively on the basis of defined criteria.  The research instrument was an interviewer-administered questionnaire. For assessment of familial trend of hypertension, first and second degree relatives of the respondents were investigated.   Results showed that majority of the respondents were educated of which 22.1%(n=92), 18.2%(n=76), 19.9%(83) and 13.7%(n=57) were secondary, higher secondary, graduate and postgraduate educated respectively. In profession, 64.4%(n=111) female had household works, and 56.8%(n=139) male were in service and 41.2%(n=101) businessmen and had monthly income of  Tk. 10,000 to 80,000. The mean age of them was 47.4±6.9 years and BMI was 25.5±3.0 kg/m2. The nutritional status of them were normal in 40.5%(n=169) and rest had different degree of malnutrition.  In malnutrition, 53.1%(n=130) male were overweight, 2.9%(n=7) obese and 0.8%(n=2) undernourished; and 51.2%(n=88) female were overweight, 11.0(n=19) obese and 1.2%(n=2) undernourished respectively.   About 70.5%(n=294) of the studied hypertensive patients had positive history of hypertension in first and second degree relatives of which 17.3%(n=72) had single member positive history of hypertension, 18.2%(n=76) two, 16.8%(n=70) three, 14.1%(n=69) four and 4.1%(n=17) five members. In single member positive, most of them were in first degree relatives; in two members, 67.1%(n=51) were in first degree relatives and 27.6%(n=21) in both first and 2nd degree relatives; in three members, 64.3%(n=45) were in 1st degree and 31.4%(n=22) in both 1st and 2nd degree; in four members, 31.9%(n=22) were in 1st degree relationship, 17.4%(n=12) in 2nd degree and 50.7%(n=35) in both 1st and 2nd degree; and in five members, 17.6%(n=3) and 82.4%(n=14) in second degree, and both 1st and 2nd degree relatives respectively. Heath education and behavioral change intervention programs among the hypertensive population may be one of the most important applicable ways to control and/or prevention of hypertension and its complications in Bangladesh. DOI: http://dx.doi.org/10.3329/jom.v13i1.5941 JOM 2012; 13(1): 10-15


Author(s):  
Gabriella Di Giuseppe ◽  
Concetta Pelullo ◽  
Maria Mitidieri ◽  
Giuseppe Lioi ◽  
Maria Pavia

This study explores knowledge, attitudes and lifestyle behaviors related to cancer in a sample of adolescents. Data were collected through a self-administered questionnaire. 871 adolescents agreed to participate, with a response rate of 96.8%. Only 26.1% had a good level of knowledge on most risk factors for cancer. Adolescents with both parents employed, with a personal, familiar or friend history of cancer or having received information about cancer prevention from a physician, were more likely to have good knowledge about the risk factors for cancer. In total, 41% of participants declared that they consumed alcohol and 25.3% declared they were current smokers, 19.2% consumed fruits or vegetables more than once a day and 75.2% reported poor physical activity. Older adolescents, with a personal, familiar or friend history of cancer, not having one parent in the healthcare sector or not physically active were significantly more likely to be current smokers, whereas physical activity was significantly more likely in adolescents who had been informed by physicians on cancer prevention, and had one parent in the healthcare sector. This study highlights a need for improved education of adolescents about cancer prevention and lifestyle cancer-related behaviors.


2019 ◽  
Vol 5 (2) ◽  
pp. 156-160
Author(s):  
Md Mahboob Morshed ◽  
Md Joynul Islam ◽  
ATM Ashadullah ◽  
Khondker Shaheed Hussain ◽  
Mohammad Ahtashamul Haque

Background: Different risk factors may be related with the haemoglobin and CRP level among the acute coronary syndrome patients. Objective: The purpose of the present study was to see the association of haemoglobin and CRP level with different type of risk factors among the acute coronary syndrome patients. Methodology: This cross-sectional study was conducted in the Department of Cardiology at Mymensingh Medical College, Mymensingh, Bangladesh from December 2010 to November 2011 for a period of two (02) years. Patients of ACS who were presented within 12 hours of chest pain were included as study population. Study population were categorized in four groups according to the level of hemoglobin and C-reactive protein. Age, cardiovascular risks factor, history, family history of cardiovascular disease, treatment history and ECG were taken during admission. Blood sample was collected for baseline laboratory investigations like Troponin-I, Random Blood Sugar (RBS), Blood urea, Serum creatinine, lipid profile, Hemoglobin & CRP level. Sample were then send to standard laboratory/Biochemistry department of MMCH. Result: The mean age of the population was 52.18±8.88 years. Smoking was the highest percentage in Group 1 which was 54(50.0%) cases (P=0.001). Hypertension was found most common in group 1 (47.6%), Group 2 (33.3%), Group 3 (10.7%) and Group 4 (8.3%). Smoking (p=0.001) and hypertension (p=0.016) was found statistically significant. Diabetes was found in Group 1 (37.7%), Group 2 (43.5%), Group 3 (11.6%) and Group 4 (7.2%). Group 1 (50%) and Group 2 (50%) patients were dyslipidaemic. Family history of IHD was present group-1 (36.8%), Group 2 (44.7%), Group 3 (73.2%) and Group 4 (53%). Among the smoker patient 65.6% cases had CRP level ˃12 mg/l; 39.8% cases had CRP level ˂12mg/L. Among the nonsmoker 34.4% cases had CRP level ˃12mg/l and 60.2% cases had CRP level ˂12mg/L. The finding was statistically significant. Conclusion: In conclusion haemoglobin and CRP level is associated with different type of risk factors among the acute coronary syndrome patients. Journal of National Institute of Neurosciences Bangladesh, 2019;5(2): 156-160


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 8 (1) ◽  
pp. 123-143
Author(s):  
Shaheen Sultana ◽  
Rawan Alqurashi ◽  
Thekra Alqarni ◽  
Maram Alnefaie ◽  
Afnan kalakattawi ◽  
...  

Introduction: Chronic kidney disease (CKD) is a worldwide public health problem since the rapid increasing prevalence of relevant risk factors, like diabetes, hypertension, unhealthy diet, low to no physical activity and metabolic syndrome. The current study aimed at assessing the risk factors and the general public awareness of CKD in Taif region, Saudi Arabia. Method: We conducted a cross-sectional study during the period of September 2019 to March 2020. For risk factors assessment data regarding CKD cases were collected from the department of nephrology at AL-Hada Military hospital in Taif. An online-based questionnaire was distributed to the general public for knowledge assessment of CKD. 6th year pharmacy student at Taif University and nephrologists from the hospital were also invited to answer the questionnaire. Results: The data of 456 CKD patients with 600 non-CKD individuals were compared for assessment of the most common risk factors. 99% of participants were CKD stage III-V patients. The majority, n=371(81.57%), of the participants were >50 years old. N=328(71.93%) had type 2 diabetes mellitus (Risk ratio= 2.32, CI= 2.03-2.65; Odd ratio=5.7, CI= 4.36-7.45), n=396(86.84%) had hypertension (Risk ratio =9.65,CI-7.46-12.48; Odd ratio: 66.73, CI=45.19-98.54) and n=264(57.89%) had a history of heart diseases (Risk ratio= 3.62, CI=2.96-4.42; Odd ratio= 7.22, CI= 5.42-9.62). In CKD groups, 28.07% of them had low physical activity. In contrast with the control group, only 4% had low physical activity level in their daily routine (p<0.00001). In the general public (n=1419), 919 (64.7%) had poor knowledge, 273 (19.22%) had fair knowledge, and 227 respondents (16.01%) had good knowledge of CKD. Conclusion: The finding suggests that age >50 years, low educational attainment, family history of CKD, diabetes, hypertension, history of kidney stone, CVD and high BMI were significantly associated with CKD progression. We also found that the majority of the general public had poor knowledge of CKD compared to pharmacy graduates and nephrologists. These findings warrant the need for the development of awareness initiatives and programs designed to increase the level of knowledge of the general public of CKD.


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