Obesity contributes toward hypertension in young and older adult
Abstract: Obesity and
hypertension are independent risk factors in the increasing prevalence of
non-communicable diseases. The proportion of obesity in Indonesia has increased
in the last 5 years according to the National Health Survey. The purpose of
this research was to obtain the contribution of obesity toward hypertension in
the age group of 18 years and above.
An observational study of cross-sectional design was conducted using the
National Basic Health Research 2013 population data. The total sample of
subjects was 2,741,297 from 33 provinces in Indonesia. Data were collected
through interviews, blood pressure measurement, and anthropometry. Analysis of
categorical data was by means of the chi-square statistical test, followed by
calculation of the attributable fraction in the population, and analysis of
factors influencing the impact fraction.
The prevalence of general obesity (BMI>25 kg/m2) was 31.5% in males
and 48.0% in females, while central obesity was 20.9% in males and 42.5% in
females. In females with general obesity the risk of hypertension was 1.84 (95%
CI: 1.82-1.86) times higher than in those with normal BMI. If general obesity
and central obesity can be reduced, the prevalence of hypertension may be
reduced by 2.9% in males and by 12.2% in females.
The prevalence of hypertension in the age group of 18 years or more can
be reduced by 2.9% in males and by 12.2% in females, by overcoming the
contribution of obesity. Therefore efforts should be geared towards promoting
healthy eating habits and maintaining a healthy weight through health
education.
Author: Julianty Pradono,
Sintawati Sintawati
Journal Code: jpkedokterangg160064