Indeks Massa Tubuh dan Rasio Lingkar Pinggang Panggul terhadap Tekanan Darah Lansia Wanita di Tangerang Selatan

Andriyani Andriyani, Sutanto Priyo Hastono, Nurmalia Lusida, Munaya Fauziah, Ernyasih Ernyasih, Yosi Duwita Arinda

Abstract


Peningkatan tekanan darah atau hipertensi berkontribusi pada tingginya insiden morbiditas dan mortalitas pada lansia dengan 9,4 juta kematian di seluruh dunia setiap tahun. Salah satu Provinsi yang memiliki prevalensi hipertensi lebih tinggi dari angka rerata nasional (8,34%) adalah Provinsi Banten (8,61%) dimana Kota Tangerang Selatan, salah satu kota di Provinsi Banten, menduduki peringkat tertinggi penderita hipertensi. IMT dan lingkar pinggang dianggap sebagai indikator prediksi hipertensi pada pria dan wanita. Penelitian ini bertujuan untuk mengetahui pengaruh IMT dan RLPP terhadap Tekanan Darah Sistolik (TDS) lansia wanita di Tangerang Selatan. Hasil pengukuran IMT dan RLPP menunjukkan bahwa lansia memiliki rerata IMT overweight (> 25,0) dengan standar deviasi 4,04 kg/m2. Adapun RLPP lansia wanita memiliki rerata 89,97 cm dengan standar deviasi 11,53 cm. Hasil uji korelasi menunjukkan adanya hubungan yang signifikan antara IMT dan RLPP dengan TDS dan TDD pada lansia wanita di Kota Tangerang Selatan. Hasil uji korelasi lebih kuat terhadap TDS dan TDD ditunjukkan oleh RLPP dibandingkan dengan IMT dengan kekuatan uji 0,526. Perlu dilakukan intervensi berupa monitoring status gizi serta edukasi yang disertai dengan olahraga bersama yang dilakukan rutin pada lansia wanita agar terhindar dari risiko obesitas dan akibat TDS dan TDD tidak normal serta komplikasi lainnya.

Keywords


indeks massa tubuh; rasio lingkar pinggang panggul; tekanan darah; lansia

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References


Kementerian Kesehatan Republik Indonesia. Situasi Kesehatan Jantung [Internet]. 2014. Available from: https://pusdatin.kemkes.go.id/download.php?file=download/pusdatin/infodatin/infodatin-jantung.pdf

World Health Organization (WHO). More than 700 million people with untreated hypertension [Internet]. 2021 [cited 2022 May 10]. Available from: https://www.who.int/news/item/25-08-2021-more-than-700-million-people-with-untreated-hypertension

Bloch MJ. Worldwide prevalence of hypertension exceeds 1.3 billion. J Am Soc Hypertens [Internet]. 2016;10(10):753–4. Available from: http://dx.doi.org/10.1016/j.jash.2016.08.006

Kementerian Kesehatan Republik Indonesia. Hipertensi Si Pembunuh Senyap [Internet]. 2019. Available from: https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-hipertensi-si-pembunuh-senyap.pdf

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. Laporan Provinsi Banten Riskesdas 2018 [Internet]. 2019. Available from: http://ejournal2.litbang.kemkes.go.id/index.php/lpb/issue/view/229

Sanchis-Gomar F, Lucia A, Yvert T, Ruiz-Casado A, Pareja-Galeano H, Santos-Lozano A, et al. Physical Inactivity And Low Fitness Deserve More Attention To Alter Cancer Risk And Prognosis. Cancer Prev Res. 2015;8(2):105–10.

Despres J-P. Body Fat Distribution and Risk of Cardiovascular Disease an Update. Circulation. 2012;126:1301–13.

Rini S. Sindrom Metabolik. J Major. 2015;4(4):88–93.

Mulyasari I, Pontang GS. Waist Circumference and Waist-to-Height Ratio as Indicators for Excess Adiposity in Adolescents. J Gizi dan Pangan. 2018;13(3):131–6.

Wirawan NN. Indonesian Journal of Human Nutrition Sensitifitas dan Spesifisitas IMT dan Lingkar Pinggang-Panggul dalam Mengklasifikasikan Kegemukan pada Wanita. Indones J Hum Nutr [Internet]. 2016;3(1):49–59. Available from: www.ijhn.ub.ac.id

Kautsar F, Syam A, Salam A. Obesitas, Asupan Natrium, dan Kalium terhadap Tekanan Darah. J MKMI. 2014;10(4):187–92.

Chudiwal TB, Nanjannavar AG. The effect of body mass index on blood pressure in adults with hypertension. Int J Basic Clin Pharmacol. 2020;10(1):77.

Nurohmi S, Marfu’ah N, Naufalina MD, Farhana SAH, Riza M El. Rasio Lingkar Pinggang-Pinggul dan Kaitannya dengan Kadar Kolesterol Total pada Wanita Dewasa. Nutr J Gizi, Pangan dan Apl. 2021;4(1):25–38.

Tareque MI, Begum S, Saito Y. Gender Differences in Disability-Free Life Expectancy at Old Ages in Bangladesh. J Aging Health. 2013;25(8):1–5.

Saquib N, Saquib J, Ahmed T, Khanam MA, Cullen MR. Cardiovascular diseases and Type 2 Diabetes in Bangladesh : A systematic review and meta-analysis of studies between 1995 and 2010. BMC Public Health [Internet]. 2012;12(1):1. Available from: BMC Public Health

Ong KL, Tso AWK, Lam KSL, Cheung BMY. Gender Difference in Blood Pressure Control and Cardiovascular Risk Factors in Americans With Diagnosed Hypertension. Hypertension. 2008;51(4):1142–8.

Douchi T, Kosha S, Uto H, Oki T, Nakae M, Yoshimitsu N, et al. Precedence of bone loss over changes in body composition and body fat distribution within a few years after menopause. Matur Eur Menopause J. 2003;46:133–8.

Kementerian Kesehatan RI. Epidemi Obesitas [Internet]. Jurnal Kesehatan. 2018. p. 1–8. Available from: http://www.p2ptm.kemkes.go.id/dokumen-ptm/factsheet-obesitas-kit-informasi-obesitas

World Health Organization (WHO). Obesity and Overweight [Internet]. 2020 [cited 2021 Jan 29]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

MacMahon S, Baigent C, Duffy S, Rodgers A, Tominaga S, Chambless L, et al. Body-mass index and cause-specific mortality in 900 000 adults: Collaborative analyses of 57 prospective studies. Lancet [Internet]. 2009;373(9669):1083–96. Available from: http://dx.doi.org/10.1016/S0140-6736(09)60318-4

Klein S, Allison DB, Heymsfield SB, Kelley DE, Leibel RL, Nonas C, et al. Waist circumference and cardiometabolic risk: A consensus statement from shaping America’s health: Association for weight management and obesity prevention; NAASO, the obesity society; the American society for nutrition; and the American diabetes associat. Obesity. 2007;15(5):1061–7.

Amato MC, Guarnotta V, Giordano C. Body composition assessment for the definition of cardiometabolic risk. J Endocrinol Invest. 2013;36(7):537–43.

Thu Tran NT, Blizzard CL, Luong KN, Van Truong N Le, Tran BQ, Otahal P, et al. The importance of waist circumference and body mass index in cross-sectional relationships with risk of cardiovascular disease in Vietnam. PLoS One. 2018;13(5):1–13.

Rismayanthi C, Sudibjo P. Hubungan Antara Indeks Massa Tubuh (IMT) dengan Rasio Lingkar Pinggang dan Lingkar Panggul pada Paguyuban Kelompok Lansia Minamakarti Minomartani Ngaglik Sleman. J Chem Inf Model. 2013;53(9):1689–99.

Dewi SC, Furqon M, Danial D. The Relationship of the Body Mass Index and Waist Circumference With Blood Pressure At Karang Asam Public Health Center Samarinda. J Ilmu Kesehat. 2020;7(2):103–10.

Sumayku IM, Pandelaki K, Wongkar MCP. Hubungan Indeks Massa Tubuh Dan Lingkar Pinggang Dengan Tekanan Darah Pada Mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi. e-CliniC. 2014;2(2).

Chaudhary S, Alam M, Singh S, Deuja S, Karmacharya P, Mondal M. Correlation of Blood Pressure with Body Mass Index, Waist Circumference and Waist by Hip Ratio. J Nepal Health Res Counc. 2019;16(41):410–3.

Yalcin BM, Sahin EM, Yalcin E. Which anthropometric measurements is most closely related to elevated blood pressure? Fam Pract. 2005;22(5):541–7.

Wang Y, Howard AG, Adair LS, Wang H, Avery CL, Gordon-Larsen P. Waist Circumference Change is Associated with Blood Pressure Change Independent of BMI Change. Obesity. 2020;28(1):146–53.

Park SH, Kim SG. Comparison of hypertension prediction analysis using waist measurement and body mass index by age group. Osong Public Heal Res Perspect. 2018;9(2):45–9.

Lin YA, Chen YJ, Tsao YC, Yeh WC, Li WC, Tzeng IS, et al. Relationship between obesity indices and hypertension among middle-aged and elderly populations in Taiwan: A community-based, cross-sectional study. BMJ Open. 2019;9(10):1–8.




DOI: https://doi.org/10.24853/jkk.18.2.147-154

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