Associations between Nutrition Knowledge, Vitamin C Intake, Nutritional Status, and Blood Pressure among Elderly with Hypertension in Klaten, Central Java, Indonesia
Abstract
Objective: To analyze the correlation between nutrition knowledge, vitamin C intake, and nutritional status on blood pressure among elderly with hypertension.
Methods: This was a cross-sectional study with purposive random sampling which was conducted from April to May 2017. This study included one hundred twenty-five elderly subjects with hypertension who met the inclusion criteria (17 males and 108 females), aged ≥60 years, who lived in the work area of Juwiring Public Health Center in Klaten district, Central Java, Indonesia. The data were analyzed statistically by using normality, correlation, and multiple linear regression tests.
Results: The results of the correlation test showed that there was a correlation between nutrition knowledge (p=0.011), vitamin C intake (p=0.012), nutritional status (p=0.048), and blood pressure hypertension in elderly based on the results of multiple linear regression. All data were analyzed statistically using Spearman correlation test to examine the distributed data. A significant correlation was found between nutrition knowledge, vitamin C intake, and nutritional status (p<0.05) using multiple linear regression (p<0.05). A normality test using the Kolmogorov-Smirnov test resulted in normal residue with p-value 0.000. The results showed that the regression analysis could be used to predict the blood pressure.
Conclusion: There was a correlation between nutrition knowledge and blood pressure of hypertension in elderly. There was a correlation between vitamin C intake and a blood pressure of hypertension in elderly. There was a correlation between nutritional status and a blood pressure of hypertension in elderly.
Keywords: Blood pressure, elderly hypertension, nutrition knowledge, nutritional status, vitamin C intake
DOI: 10.15850/ijihs.v6n1.1114
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Ministry of Health of the Republic of Indonesia. Gambaran kesehatan lanjut usia di Indonesia. 1st ed. Jakarta: Buletin Jendela Data dan Informasi Kesehatan; 2013.
Paul MC, Barrett B, Daichi S. Systolic blood pressure goals to reduce cardiovascular disease among older adults. Am J Med Sci. 2014;348(2):129–134.
Ding M, Huang T, Bergholdt HK, Nordestgaard BG, Ellervik C, Qi L, et al. Dairy consumption, systolic blood pressure, and risk of hypertension: mendelian randomization study. BMJ. [serial on the internet]. 2017 Mar [cited 2017 Apr 20];356(1000):[about 10p.]. Available from: http://www.bmj.com/content/356/bmj.j1000.long.
Anthony JV, Lauren WC. Madeline M, Philip DS. High blood pressure knowledge among primary care patients with known hypertension: a North Carolina Family Medicine Research Network (NC-FM-RN) study. J Am Board Fam Med. 2008;21(4):300–8.
Chen ST, Maruthur NM, Appel LJ. The effect of dietary patterns on estimated coronary heart disease risk results from the Dietary Approaches to Stop Hypertension (DASH) trial. Circ Cardiovasc Qual Outcomes. 2010; 3(5):484–9.
Costa BVL, Fonseca LM, Lopes ACS. Nutritional status and associated factors in institutionalized elderly. J Nutr Disorders Ther. 2012; 2(3):1–5.
Yokoyama Y, Nishimura K, Barnard ND, Takegami M, Watanabe M, Sekikawa A, et al. Vegetarian diets and blood pressure: meta-analysis. JAMA Intern Med. 2014;174(4):577–87.
Stephen PJ, Eliseo G, Lawrence JA, Edgar RM. Meta-analysis of vitamin C and blood pressure. Am J Clin Nutr. 2012;95(5):1079–88.
Utsugi MT, Ohkubo T, Kikuya M, Kurimoto A, Sato RI, Suzuki K, et al. Fruit consumption and risk of home hypertension. Hypertens Res. 2008; 31(7):1435–43.
Anthony JV, Lauren WC, Philip DS. Blood pressure knowledge among hypertensive patients. J Am Board Fam Med. 2008; 21(4):300–8
Ina Q, Marie DT, Jes SL, Hans I, Jeroen MLH, Lars F, et al. Self-reported knowledge and awareness about blood pressure and hypertension: a cross-sectional study of a random sample of men and women aged 60–74 years. Clin Epidemiol. 2014;6(3):81–7.
Asgedom SW, Gudina EK, Desse TA. Assessment of blood pressure control among hypertensive patients in Southwest Ethiopia. PLoS One. 2016;1(11):1–12.
Macia E, Duboz P, Gueye L. Prevalence, awareness, treatment and control of hypertension among adults 50 years and older in Dakar, Senegal. Cardiovasc J Afr. 2012; 23(5):265–9.
Ijarotimi OS, Keshinro OO. Nutritional knowledge, nutrients intake and nutritional status of hypertensive patients in Ondo State, Nigeria. Tanzan J Health Res. 2008; 10(2): 59–67
Buijsse B, Jacobs DRJ, Steffen LM, Kromhout D, Gross MD. Plasma ascorbic acid, a priori diet quality score, and incident hypertension: a prospective cohort study. PLoS ONE. 2015; 10(12):1–13.
Gladys B, Christopher DJ, Edward PN, Mark H, Patricia BC. Vitamin C in plasma is inversely related to blood pressure and change in blood pressure during the previous year in young black and white women. Nutr J. 2008;7(35):1–9.
Macia E, Gueye L, Duboz P. Hypertension and obesity in Dakar, Senegal. PLoS ONE. 2016; 11(9):1–14.
Wilbert SA. Association of obesity with hypertension. Ann Transl Med. 2017;5(17):350.
Wang SK, Ma W, Wang S, Yi XR, Jia HY, Xue F, et al. Obesity and its relationship with hypertension among adults 50 years and older in Jinan, China. PLoS ONE. 2014;9(12):1–10.
Maeve R, Phyo K, Heiko M, Anne M, Pooler R, Archbold, Helene MN, Chris CP, et al. Nature or nurture; BMI and blood pressure at 90. Indings from the Belfast Elderly Longitudinal Free-living Aging Study (BELFAST). Age (Dordr). 2009;31(4):261–7.
DOI: https://doi.org/10.15850/ijihs.v6n1.1114
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