scholarly journals Association between Dietary Habits and Prehypertension among Indonesian Young Adults at Prof. Dr. R. D. Kandou Hospital Manado

2019 ◽  
Vol 11 (2) ◽  
pp. 80
Author(s):  
Ribka Wowor

Abstract: Prehypertension is a warning sign, early in age which denotes the risk of hypertension later on in life. Clinical and academic challenges of medical students may have adverse effect on their lifestyle, predisposing vulnerable subjects to elevated blood pressure. This study was aimed to determine the association between dietary habits and prehypertension among Indonesian young adults in Manado. This was an analytical study with a cross-sectional study. Subjects were 111 medical students (undergraduate and postgraduate) aged between 20-30 years, of either sex. A pre-tested questionnaire was used to elicit the details on physical activity, family history of hypertension, tobacco use, and dietary habits. According to JNC-7 guidelines, a systolic blood pressure (SBP) of 120 to 139 mmHg and/or diastolic blood pressure (DBP) of 80 to 89 mmHg is considered as prehypertension. Of the 111 subjects, 22.5% showed blood pressure levels within the range of prehypertension. Chi-square analysis revealed that junk food consumption (OR=3,152; 95% CI=1,253-7,925; P=0,023), and soft drink consumption (OR=4,747; 95% CI=1,797-12,539; P=0,002) were the risk factors of prehypertension. Conclusion: Dietary habits were associated with the prehypertension among young adults in Manado.Keywords: dietary habits, prehypertension, young adultsAbstrak: Prehipertensi merupakan tanda peringatan dini akan resiko terjadinya hipertensi di kemudian hari. Mahasiswa kedokteran memiliki kesibukan studi terutama pada masa kepaniteraan klinik di Rumah Sakit. Tuntutan dalam pendidikan dan pelayanan sekaligus di RS berdampak terhadap pola aktivitas mereka sehari-hari sehingga dapat memengaruhi tekanan darah. Penelitian ini bertujuan untuk mengetahui hubungan antara diet (konsumsi makanan dan minuman) dengan kejadian prehipertensi pada mahasiswa kedokteran Univrsitas Sam Ratulangi. Jenis penelitian ialah analitik dengan desain potong lintang. Hasil penelitian mendapatkan 111 mahasiswa kedokteran peserta P3D dan PPDS (calon spesialis) berusia antara 20-30 tahun sebagai subyek penelitian. Dilakukan pemeriksaan tekanan darah dan berat badan. Penentuan kebiasaan makan ditetapkan berdasarkan hasil pengisian kuesioner. Definisi prehipertensi berdasarkan kriteria JNC 7 yaitu tekanan darah sistolik lebih dari 120 mmHg tapi kurang dari 140 mmHg, dan atau tekanan darah diastolik lebih dari 80 mmHg tapi kurang dari 90 mmHg. Uji Chi-square dilakukan untuk melihat hubungan antara konsumsi junk food dan soft drink dengan kejadian prehipertensi dan didapatkan adanya hubungan antara konsumsi junk food (OR=3,152; 95% CI=1,253-7,925; P=0,023), dan soft drink (OR=4,747; 95% CI=1,797-12,539; P=0,002) dengan kejadian prehipertensi pada subyek dewasa muda. Simpulan: Diet (konsumsi junk food dan soft drink) berhubungan dengan kejadian prehipertensi pada subyek dewasa muda di Manado.Kata kunci: diet, prehipertensi, dewasa muda

Author(s):  
Maumita Kanjilal ◽  
Uma Kumar ◽  
Gajendra Kumar Gupta ◽  
Deepika Agrawal ◽  
Ravi Kant Arya ◽  
...  

Introduction: The dietary habits and food preferences in the adolescent age group can influence their physical growth. The importance of healthy eating habits cannot be ignored. Faulty eating habits among adolescents contribute towards undernutrition, overnutrition and micronutrient deficiency. Aim: To evaluate the dietary habits and nutritional status of school-going, urban adolescents. Materials and Methods: A questionnaire based cross-sectional observational study was conducted among 1600 adolescents from 10 government schools in Delhi between April 2018 and March 2019. The socio-demographic profile, anthropometric measurements and dietary habits using simplified dietary gap assessment tool was recorded. The nutritional status of the participants was categorised as per World Health Organisation- Body Mass Index (WHO-BMI) Z-score for adolescents. The data collected was analysed using the statistical analysis software Graph Pad version 5. Chi-square test was applied to assess the association between dietary habits and BMI status. Results: A total of 855 males (mean age 13±2 years) and 745 females (mean age 13.4±2 years) with age range between 10 and 19 years participated in the study. A total of 955 (59%) adolescents consumed milk or milk products, 655 (41%) consumed fruits, and 838 (52%) consumed green leafy vegetables in their daily dietary habits along with their staple diets. 1089 (68%) of adolescents were undernourished, out of which 328 (30%) skipped their regular meals. The Chi-square analysis revealed that consuming junk food (p=0.005) and buying eatables from street shops (p=0.0025) were significantly associated in adoloscents from the age group of 15-19 years. It was observed that male participants consumed milk and milk products more often than female participants (p<0.0001). Faulty dietary habits of skipping meals or eating junk food or buying eatables from street shop was associated with more number of participants under the obese/ overweight category (p<0.0001). Conclusion: The poor choice of dietary habits significantly affects the physical development among school-going adolescents. Study participants who belonged to the late adolescent age group had more tendencies to develop faulty dietary habits. The study will help to plan for nutritional supplementation and create awareness to develop healthy food choices among adolescents.


2012 ◽  
Vol 35 (12) ◽  
pp. 1031-1038 ◽  
Author(s):  
Peter N. Van Buren ◽  
Catherine Kim ◽  
Robert D. Toto ◽  
Jula K. Inrig

Background Intradialytic hypertension, a phenomenon where blood pressure increases during hemodialysis, is associated with increased mortality in hemodialysis patients. The proportion of patients in which intradialytic hypertension persists over time is unknown. Methods In a retrospective cohort study, we studied all patients from our outpatient hemodialysis units that received ≥1 month of treatments during the period from January to August 2010. We reviewed all pre- and post-hemodialysis blood pressure and weight measurements from 22,955 treatments during this study period. We defined intradialytic hypertension as an increase in systolic blood pressure ≥10 mmHg from pre- to post-hemodialysis. Individual patients were defined as having persistent intradialytic hypertension if the change in blood pressure from pre- to post-hemodialysis, when averaged throughout the study period, was ≥+10 mmHg. We calculated weight changes between and during hemodialysis and defined ultrafiltration rate per treatment as ultrafiltration volume divided by minutes on hemodialysis. We compared patients with and without persistent intradialytic hypertension using chi-square analysis and mixed linear models. Results The prevalence of intradialytic hypertension was 21.3 per 100 treatments. The median percentage of intradialytic hypertension treatments per patient was 17.8% (9–31.3%, interquartile range). The prevalence of persistent intradialytic hypertension was 8 per 100 patients. Patients with persistent intradialytic hypertension had lower ultrafiltration rate compared to other patients (10.4 vs. 12.2 ml/min, p = 0.02). Conclusions Intradialytic hypertension is a persistent phenomenon in a subset of hemodialysis patients. Ultrafiltration rate was the only volume-related variable that differed between patients with and without persistent intradialytic hypertension.


2018 ◽  
Vol 28 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Shreelaxmi V. Hegde ◽  
Swathi K. Rao ◽  
Ritesh G. Menezes ◽  
Shashidhar M. Kotian ◽  
Sowmya Shetty

Abstract Medical students often experience significant stress during their undergraduate training. Evidence has shown short-term yoga to be effective in decreasing stress in students. This study aimed to assess knowledge about, attitude toward, and practice of (KAP) yoga among medical students. A secondary objective was to analyze their dietary habits and physical activity. Participants consisted of 224 medical students aged 18–23 years in pre- and paraclinical groups. A closed-ended KAP questionnaire was used to collect data. Anthropometric measurements were taken. Results showed that paraclinical students (70.5%) favorably perceived the health benefits of yoga. Nearly three-fourths of study subjects had previously practiced yoga; greater numbers intended to practice yoga in the future. About 95.5% of the preclinical students who had done yoga had discontinued the practice. Perceived barriers to the practice of yoga were lack of time, insufficient facilities, lack of company, and lack of interest. Consideration of the undergraduates' lifestyle revealed that 50.4% of preclinical students did not exercise, and they routinely consumed more junk food with fewer servings of fresh fruits/salads. Preclinical students exhibited higher BMI and waist circumference compared to paraclinical students. Findings suggest that knowledge of and attitude regarding yoga were good among medical undergraduates.


2019 ◽  
Vol 7 (3) ◽  
pp. 725-737
Author(s):  
Oundhyalah Devi Padaruth ◽  
Deecksha Gomdola ◽  
Vishwakalyan Bhoyroo ◽  
Rajesh Jeewon

The World Health Organisation recommends people to keep their calorie intake from soft drink (SD) less than 10% of their daily calorie intake. Even though, calorie intake from soft drink consumption is low, there is an increase in the frequency of consumption. Also, besides, it is well understood that change in weight is not only dependent on soft drink consumption but also factors such as calorie intake and physical activity. The objective of this study is to investigate SD consumption and its association with BMI, physical activity and calorie intake among adults. 511 adults aged 20-60 years (208 male and 303 female) were recruited. The questionnaire used to elicit information included 3-day 24-hour dietary recall, physical activity habits and soft drink consumption. Anthropometric measurements (height, weight and waist circumference) were also taken. The data was analysed using SPSS version 2.0. Chi-square tests, Person coefficient test, and Spearman’s correlation tests were used to infer any relationships between variables. The mean daily calorie intake among the population is 2501 ± 86.46 Kcal/day. Energy intake by both genders is within the range recommended by USDA (males: 2182 ± 33.48 Kcal/day and female: 1925 ± 28.55 Kcal/day). BMI is slightly higher among female 25.00 ± kg/m^2 as compared to male 24.73 kg/m^2. Mean Energy intake from SD is found to be 88.57 ± 3.37 Kcal/day that accounts for 3.54% of the daily calorie intake and hence in line with the WHO recommendation. A significant association is seen between SD consumption and BMI (P= 0.02), however obesity and overweight is seen to be independent of SD consumption. Furthermore, a positive correlation wasfound between SD consumption and physical activity (P=0.01) and it is observed that 26.3 % of the population who had a sedentary lifestyle are overweight. No association was found between calorie intake and SD consumption (P= 0.731) since the percentage calorie from SD does not exceed the recommendation of WHO. A significant relationship is found between SD consumption and BMI. However, it is observed that physical activity has a higher influence on BMI independent of calorie intake and soft drink consumption. Even though soft drink is reported herein not influence on the prevalence of obesity and overweight, long-term soft drink consumption can result in health problems related to obesity.


2020 ◽  
Vol 38 (4_suppl) ◽  
pp. 805-805
Author(s):  
Amir Ali Khan ◽  
Philip HG Ituarte ◽  
Isaac Benjamin Paz ◽  
Ajay Goel ◽  
Lily L. Lai ◽  
...  

805 Background: The alarming rise in the incidence of gastric (GC) and colorectal (CRC) adenocarcinomas in young adults (YA) over the past three decades is not well understood. How YA populations differ from older patients with the same gastrointestinal malignancies warrants further investigation. Methods: We retrospectively analyzed the California Cancer Registry and the Office of Statewide Health Planning and Development data for all GC and CRC cases from 2000 to 2012. Pearson’s Chi-square analysis was used to analyze differences in demographic, clinical and histopathologic features and log-rank test to compare survival between young (≤ 40 years old) and older adults (40-90 years old) with GC or CRC. Results: Of the GC (n = 19,368) and CRC (n = 117,415) patients included in the study, YA accounted for 4.5% (n = 883) of GC and 3.2% (n = 3723) of CRC. Hispanic ethnicity was more common in YA for both cancers compared to older patients (50.9% vs 26.8% GC, 29.6% vs. 15.7% CRC, p < 0.0001). YA were more likely to have poorly differentiated (74.6% vs. 59.8% GC, 22.5% vs 17.5% CRC, p < 0.0001), higher grade (77.0% vs 61.6% GC, 23.9% vs 18.6 CRC, p < 0.0001), and signet ring features (44.6% vs 21.0% GC, 3.2% vs 1.1% CRC, p < 0.0001) compared to older patients. Synchronous peritoneal metastases were more common in YA compared to older patients (32.1% vs. 14.1% GC, 8.8% vs 5.4% CRC, p < 0.0001). YA with GC or CRC had a greater 5-year survival compared with older patients with the same stage of malignancy. Subgroup analysis of Stage I GC demonstrated lower survival in YA compared with adults aged 41-49 and 50-64 years (65.1% vs. 70.7% and 69.1%, 95% CI 49.7-76.9%, 62.5-77.3%, 65.2-72.7% respectively). Conclusions: GC and CRC in young adults have distinctly worse clinical and histopathologic features compared to older patients with the same malignancy. Ethnic disparity exists in the YA patients. This study contributes to improving the understanding of younger versus older GI cancer patients.


2019 ◽  
Vol 50 (4) ◽  
pp. 695-710 ◽  
Author(s):  
Cathrine A. Oladoyinbo ◽  
Adenike Mercy Abiodun ◽  
Mariam Oluwatoyin Oyalowo ◽  
Irene Obaji ◽  
Abisola Margaret Oyelere ◽  
...  

Purpose This study was designed to assess the risk factors associated with hypertension (HTN) and diabetes among artisans in Ogun State, Nigeria. Evidences suggest increasing prevalence, incidences and morbidity of diabetes and HTN in Nigeria. However, the purpose of this study is to plan and prioritize effective intervention programs, there is need to provide data on the prevalence and risk factors for HTN and diabetes among local groups. Design/methodology/approach In total 300 apparently healthy artisans who have never been diagnosed of diabetes or HTN were randomly selected from five communities. A structured questionnaire was used in obtaining information on the personal characteristics of the respondents. An adapted dietary habit and lifestyle questionnaire were used to assess the dietary habits and lifestyle of the respondents. The WHO global activity questionnaire was adapted and used to gather information on the physical activity level of the respondents. Random blood glucose, blood pressure and anthropometric measurements were assessed using standard instruments. Chi-square (χ2), correlations and multinomial logistic regression analysis were performed to identify significant determinants of diabetes and HTN. Findings Mean age was 34.8 ± 9.9 and prevalence of diabetes and pre-diabetes were 1 and 4.7 per cent, respectively, while HTN and pre-HTN were 48.0 and 30.3 per cent, respectively. About half (55.7 per cent) of the respondents skip at least a meal daily and 31 per cent snack daily. Most (61.4 per cent) consume alcohol and 65.7 per cent engage in high physical activity. Abdominal obesity was significantly higher among women (p = 0.004). Using the chi-square analysis, age, abdominal obesity and educational status were factors found to be significantly associated with diabetes (p = 0.002; p = 0.007; p = 0.004) while age, gender, abdominal obesity and alcohol consumption had significant association with HTN. Although not statistically significant, respondents were 0.8, 1.0 and 1.1 times more likely to be diabetic with increasing body mass index, waist circumference (WC) and age (odd ratio (OR) = 0.78; confidence intervals (CI): 0.51-1.18; OR = 1.04; CI: 0.89-1.21; OR = 1.06; CI: 0.96-1.18, respectively). Abdominal obesity was significantly associated with HTN (OR = 1.08; CI: 1.03-1.13; p = 0.001). Also, older respondents were 1.1 times more likely of becoming hypertensive (OR = 1.07; CI: 1.02-1.11; p = 0.003). Increased risk of diabetes and HTN was found among respondents with increasing age and WC. Research limitations/implications This study was cross-sectional in design; it cannot be used to establish a cause-effect relationship between diabetes, HTN and the observed variables (anthropometric characteristics, dietary habits and lifestyle risk factors). Because of the few numbers (1 per cent) of respondents identified to be diabetic several important risk factors could not be included in the model. Practical implications An understanding of the risk factors associated with diabetes and HTN among sub-groups in the population will help to plan effective interventions targeted at specific groups. Originality/value The findings of this study show the associated risk factors for diabetes and HTN among artisans in Ogun State.


2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Musyahida ◽  
Dewi Mutia ◽  
Nurhasanah

Soft drinks can cause weight gain and risk of obesity so that it can potentially cause type 2 diabetes mellitus, cancer, heart attack, and stroke. The purpose of this study was to determine the pattern of consumption of soft drinks with the nutritional status of Muhammadiyah Parepare University Students. This research method is an observational analytic study with a cross sectional study design. The sample in this study was 99 respondents with proportional sampling technique of collecting data through interviews that refer to the questionnaire and direct observation. Data analysis using SPSS version 24 with chi square test presented in tabular and narrative form. The results of this study indicate that there is an influence of soft drink consumption patterns on the nutritional status of University of Muhammadiyah Parepare students by using the chi square test with a value of p (value) h = 0,000. It is expected that students should pay attention to the type of drink and reduce the daily consumption of soft drinks to avoid under- or over-nutrition status.


2015 ◽  
Vol 30 (2) ◽  
pp. 1-8
Author(s):  
Manoj Bundela ◽  
Jayant Kumar ◽  
ND Soni ◽  
Raghuveer Choudhary ◽  
Rajnee

It is an established fact that life-style related behavioral factors are mainly responsible for cardiovascular diseases. Doctors are playing very important role in imparting knowledge to the society as to how to stay away from diseases by adopting preventive measures. We studied the prevalence of life-style related risk behavior in medical students and to determine the effect of these factors on blood pressure. The study was conducted on 249 medical students, from which 182 were boys and 67 were girls of age group 16-29 years. In a random cross-sectional survey of medical students were interviewed for anthropometric measurements, BMI, dietary habits, physical activity and cardiovascular parameters. Cardiovascular risk factors in boys of medical college are more than girls. Out of 182 boys studied 48 [26.37%] were having their blood pressure values higher than 130/90 mm Hg. because of their faulty living/eating habits. Junk food, cola, alcohol and smoking is on rising trend with predominance of physical inactivity and overweight and as a consequence rise in the blood pressure. Dietary and exercise counseling is required for such students. DOI: http://dx.doi.org/10.3329/bjpp.v30i2.22675 Bangladesh J Physiol Pharmacol 2014; 30(2):1-8


2018 ◽  
Vol 79 (4) ◽  
pp. 157-163 ◽  
Author(s):  
Lana Vanderlee ◽  
Erin P Hobin ◽  
Christine M White ◽  
David Hammond

Purpose: The current study aimed to characterize grocery shopping and dinner preparation behaviours among young people in Canada and to examine associations with eating habits. Methods: A cross-sectional online survey was conducted with 2008 participants aged 16–24 from across Canada. The survey measured self-reported grocery shopping and dinner preparation behaviours, frequency of eating breakfast and eating meals prepared away from home, frequency of vegetable and fruit intake, and socio-demographic characteristics. Chi-square tests examined differences in proportions; logistic and linear regressions examined dietary habits, including covariates for grocery shopping and dinner preparation and socio-demographics. Results: Overall, 37.3% had helped with grocery shopping in the past week, and 84.3% had participated in dinner preparation at least 1 day in the past week. Engaging in shopping at least once weekly was associated with increased vegetable and fruit consumption only, whereas more frequent engagement in dinner preparation was associated with increased vegetable and fruit consumption, more frequent breakfast consumption, and fewer meals consumed that were prepared away from home (P < 0.001 for all). Conclusions: Increased participation in grocery shopping and dinner preparation were associated with healthier dietary habits. Interventions that increase these behaviours may contribute to improving dietary behaviours among adolescents and young adults.


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