Significant Relationship between Overweight and Hypertension in the Elderly
Abstract
Background: Hypertension is one of the degenerative diseases that commonly occurs in the elderly, however, the etiology is still unclear. One of the risk factors is overweight. This study aimed to investigate the relationship between overweight and hypertension in the elderly living in Hegarmanah village.
Methods: A cross-sectional analytic study was conducted from September to November 2013, including 100 elderly in Hegarmanah village Jatinangor, Sumedang, using a cluster sample technique. The data of body weight, height, and blood pressure were obtained after informed consent.
Results: In total, 58 females and 42 males were included. The nutritional status was underweight (9%), normal (45%), overweight (31%), and obese (15%). Hypertension among the elderly was normal (4%), prehypertension stage 1 (18%), hypertension stage II (24%), and hypertension stage III (54%). The hypertension was occurred in 43.6% non-overweight group and 56.4% in the overweight group, resulting in a significant relationship between overweight and hypertension in the elderly (p=0.001).
Conclusions: The high prevalence of hypertension among the elderly who were overweight suggests a better promotion in lifestyle control, a particularly nutritional program for the elderly to manage hypertension and its complication.
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hipertensi di Pulau Jawa tahun 2004. Kesmas. 2006;1(2):57−62.
McCance K,L Huether SE, Brashers VL, Rote NS.. Pathophysiology: the biologic basis for disease in adults and children. 6thed . Maryland Heights: Mosby Elsevier; 2010. p. 1149−50.
Williams B, Poulter NR, Brown MJ, Davis M, McInnes GT, Potter JF, et al. British Hypertension Society guidelines for hypertension management 2004 (BHS-IV): summary. BMJ. 2004;328(7440):634−40.
Rahajeng E, Tuminah S. Prevalensi hipertensi dan determinannya di Indonesia. Maj Kedokt Indon. 2009;59(12):580−7.
Pratiwi VR, Tala ZZ. Gambaran status gizi pasien hipertensi lansia di RSUP H.Adam Malik Medan. e-Jurnal FK USU. 2013;1(1):1−5.
Mitchell GF, Parise H, Benjamin EJ, Larson MG, Keyes MJ, Vita JA, et al. Changes in arterial stiffness and wave reflection with advancing age in healthy men and women: the Framingham Heart Study. Hypertension. 2004;43(6):1239−45.
Kamso S, Rumawas JS, Lukito W, Purwantyastuti. Determinants of blood pressure among Indonesian elderly individuals who are of normal and over-weight: a cross sectional study in an urban population. Asia Pac J Clin Nutr. 2007;16(3):546−53.
Aizawa-Abe M, Ogawa Y, Masuzaki H, Ebihara K, Satoh N, Iwai H, et al. Pathophysiological role of leptin in obesity-related hypertension. J Clin Invest. 2000;105(9):1243−52.
Beltowski J. Role of leptin in blood pressure regulation and arterial hypertension. J Hypertens. 2006;24(5):789−801.
Wen CP, David Cheng TY, Tsai SP, Chan HT, Hsu HL, Hsu CC, et al. Are Asians at greater mortality risks for being overweight than aucasians? Redefining obesity for Asians. Public Health Nutr. 2009;12(4):497−506.
DOI: https://doi.org/10.15850/amj.v7n1.1727
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