Nutritional Status, Physical Activity, Family History of Hypertension, and Dietary Patterns as Risk Factors for Hypertension Among Individuals Aged 20–59 Years
DOI:
10.29303/jppipa.v11i11.13190Published:
2025-11-25Downloads
Abstract
Hypertension is an increasing global health concern and a leading cause of cardiovascular diseases, including stroke and heart attack. In Indonesia, the prevalence of hypertension continues to rise each year, including in the service area of Puskesmas Perumnas, Kendari City. This study aims to examine the factors associated with hypertension in individuals aged 20–59 years, specifically from the perspectives of nutritional status, physical activity, family history of hypertension, and dietary patterns. This research is an analytical observational study using a case-control design. It was conducted from February to March 2025 in the service area of Puskesmas Perumnas. A total of 98 participants were involved, consisting of 49 hypertensive individuals (cases) and 49 non-hypertensive individuals (controls), selected using purposive sampling. Data was collected through questionnaires and direct measurements, then analyzed using odds ratio and chi-square tests. Cases and controls in this study were comparable in age and gender. Variables that showed a significant association and were proven to be risk factors for hypertension were overweight status (OR = 2.73; 95% CI = 1.20–6.18; p = 0.03), family history of hypertension (OR = 2.72; 95% CI = 1.20–6.16; p = 0.03), and adequate/unhealthy dietary patterns (OR = 6.28; 95% CI = 2.61–15.11; p = 0.00). These three variables contributed to a significant increase in the risk of hypertension. In contrast, light physical activity (OR = 1.51; 95% CI = 0.68–3.36; p = 0.42) did not show a significant association with hypertension and was therefore not considered a risk factor in this study. Overnutrition, a family history of hypertension, and an adequate/unhealthy diet are significant risk factors for hypertension in adulthood, while light physical activity has not been shown to be a significant risk factor. Hypertension prevention efforts should focus on weight control, dietary modification, and screening for individuals with a family history of hypertension.
Keywords:
Dietary pattern Family history Hypertension Nutritional status Physical activityReferences
Amalia, F., Zainuddin, A., & Irma, I. (2022). Faktor Risiko Kejadian Hipertensi Pada Usia Dewasa Muda (20-44) Di Wilayah Kerja Puskesmas Kandai Tahun 2022. Endemis Journal, 3(2), 5–11. https://doi.org/10.37887/ej.v3i2.27001 DOI: https://doi.org/10.37887/ej.v3i2.27001
Baranova, A., Cao, H., & Zhang, F. (2023). Causal associations and shared genetics between hypertension and COVID-19. Journal of Medical Virology, 95(4), e28698. https://doi.org/10.1002/jmv.28698 DOI: https://doi.org/10.1002/jmv.28698
Barone Gibbs, B., Hivert, M. F., Jerome, G. J., Kraus, W. E., Rosenkranz, S. K., Schorr, E. N., Spartano, N. L., & Lobelo, F. (2021). Physical Activity as a Critical Component of First-Line Treatment for Elevated Blood Pressure or Cholesterol: Who, What, and How? Hypertension, 78(2), 26– 37. https://doi.org/10.1161/HYP.0000000000000196 DOI: https://doi.org/10.1161/HYP.0000000000000196
Carvajal-Aldaz, D., Cucalon, G., & Ordonez, C. (2022). Food insecurity as a risk factor for obesity: A review. Frontiers in Nutrition, 9, 1012734. https://doi.org/10.3389/fnut.2022.1012734 DOI: https://doi.org/10.3389/fnut.2022.1012734
Dey, S., Mukherjee, A., Pati, M. K., Kar, A., Ramanaik, S., Pujar, A., Malve, V., Mohan, H. L., Jayanna, K., & N, S. (2022). Socio-demographic, behavioural and clinical factors influencing control of diabetes and hypertension in urban Mysore, South India: a mixed-method study conducted in 2018. Archives of Public Health, 80(1), 234. https://doi.org/10.1186/s13690-022-00996-y DOI: https://doi.org/10.1186/s13690-022-00996-y
Fang, H., Liu, C., & Cavdar, O. (2021). The relation between submaximal aerobic exercise improving vascular elasticity through loss of visceral fat and antihypertensive. Clinical and Experimental Hypertension, 43(3), 203–210. https://doi.org/10.1080/10641963.2020.1847127 DOI: https://doi.org/10.1080/10641963.2020.1847127
Hansell, L. D., Hsu, C. W., Munson, S. A., Margolis, K. L., Thompson, M. J., Ehrlich, K. J., Hall, Y. N., Anderson, M. L., Evers, S. C., Marcus-Smith, M. S., & others. (2024). Patient experiences with blood pressure measurement methods for hypertension diagnosis: qualitative findings from the BP-CHECK study. American Journal of Hypertension, 37(11), 868–875. https://doi.org/10.1093/ajh/hpae088 DOI: https://doi.org/10.1093/ajh/hpae088
Herawati, N. T., Alamsyah, D., & Hernawan, A. D. (2020). Hubungan antara Asupan Gula, Lemak, Garam, dan Aktifitas Fisik dengan Kejadian Hipertensi pada Usia 20 – 44 Tahun Studi Kasus Posbindu PTM di Desa Secapah Sengkubang Wilayah Kerja Puskesmas Mempawah Hilir. Jurnal Mahasiswa Dan Penelitian Kesehatan, 7(1), 34–43. https://doi.org/10.29406/jjum.v7i1.2152
Ivanov, I. (2022). Hemorheological alterations and physical activity. Applied Sciences, 12(20), 10374. https://doi.org/10.3390/app122010374 DOI: https://doi.org/10.3390/app122010374
Juliana, I., Hengky, H. K., Umar, F., & Usman, U. (2024). Analisis Faktor Yang Berhubungan Dengan Kejadian Hipertensi Pada Usia Produktif (15--59 Tahun). Jurnal Gizi Kerja Dan Produktivitas, 5(1), 138–148. https://doi.org/10.62870/jgkp.v5i1.24602 DOI: https://doi.org/10.62870/jgkp.v5i1.24602
Khoiry, Q. A., Alfian, S. D., & Abdulah, R. (2022). Modifiable and non-modifiable factors associated with low awareness of hypertension treatment in Indonesia: a cross-sectional population-based national survey. Global Heart, 17(1), 56. https://doi.org/10.5334/gh.1143 DOI: https://doi.org/10.5334/gh.1143
Liu, F., Song, T., Yu, P., Deng, N., Guan, Y., Yang, Y., & Ma, Y. (2023). Efficacy of an mHealth app to support patients’ self-management of hypertension: randomized controlled trial. Journal of Medical Internet Research, 25, e43809. Retrieved from https://www.jmir.org/2023/1/e43809/ DOI: https://doi.org/10.2196/43809
Panarung, A., Sungkai, M. A., & Frisilia, M. (2023). Hubungan Gaya Hidup dengan Kejadian Hipertensi pada Usia Dewasa 20--60 Tahun di Wilayah Kerja Blud UPT Puskesmas Pahandut Kota Palangkaraya Tahun 2022: The Correlation of Lifestyle and the Incident of Hypertension in Adults 20-60 Years Old in the Work Are. Jurnal Surya Medika (JSM), 9(1), 219–225. Retrieved from https://journal.umpr.ac.id/index.php/jsm/article/download/5188/3205 DOI: https://doi.org/10.33084/jsm.v9i1.5188
Ranasinghe, P., Cooray, D. N., Jayawardena, R., & Katulanda, P. (2015). The influence of family history of Hypertension on disease prevalence and associated metabolic risk factors among Sri Lankan adults Chronic Disease epidemiology. BMC Public Health, 15(1), 1–9. https://doi.org/10.1186/s12889-015-1927-7 DOI: https://doi.org/10.1186/s12889-015-1927-7
Seravalle, G., & Grassi, G. (2024). Obesity and hypertension. Obesity: Clinical, Surgical and Practical Guide, 65–79. https://doi.org/10.1007/978-3-031-62491-9_5 DOI: https://doi.org/10.1007/978-3-031-62491-9_5
Sood, M., Shende, R., Saha, S., & Eruva, V. (2024). Systematic Review Article: Study of Risk Factors for Hypertension. European Journal of Cardiovascular Medicine, 14(6). Retrieved from https://shorturl.asia/NpwU7
Sudayasa, I. P., Nasruddin, N. I., Arimaswati, A., Azis, A. A. K., Ramadhani, A., & Salsabila, K. I. (2023). Skrining Dan Edukasi Pencegahan Hipertensi Pada Masyarakat Pesisir Kampung Salo, Kota Kendari. EJOIN: Jurnal Pengabdian Masyarakat, 1(7), 666–672. https://doi.org/10.55681/ejoin.v1i7.1207 DOI: https://doi.org/10.55681/ejoin.v1i7.1207
Suryani, N., Noviana, & Libri, O. (2020). Hubungan Status Gizi, Aktivitas Fisik, Konsumsi Buah dan Sayur dengan Kejadian Hipertensi di Poliklinik Penyakit Dalam RSD Idaman Kota Banjarbaru. Jurnal Kesehatan Indonesia, 10(2), 100–107. Retrieved from https://repository.stikeshb.ac.id/479/1/262
Sutriyawan, A., Fardhoni, F., Yusuff, A. A., Akbar, H., & Sangaji, M. (2022). Risk factors predicting hypertension in the elderly. Iranian Journal of War and Public Health, 14(4), 433–438. Retrieved from https://ijwph.ir/browse.php?a_id=1244&sid=1&slc_lang=en
Tang, N., Ma, J., Tao, R., Chen, Z., Yang, Y., He, Q., Lv, Y., Lan, Z., & Zhou, J. (2022). The effects of the interaction between BMI and dyslipidemia on hypertension in adults. Scientific Reports, 12(1), 927. Retrieved from https://www.nature.com/articles/s41598-022-04968-8 DOI: https://doi.org/10.1038/s41598-022-04968-8
Upoyo, A. S., Setyopranoto, I., & Pangastuti, H. S. (2021). The modifiable risk factors of uncontrolled hypertension in stroke: a systematic review and meta-analysis. Stroke Research and Treatment, 2021(1), 6683256. https://doi.org/10.1155/2021/6683256 DOI: https://doi.org/10.1155/2021/6683256
Valensi, P. (2021). Autonomic nervous system activity changes in patients with hypertension and overweight: role and therapeutic implications. Cardiovascular Diabetology, 20(1), 170. https://doi.org/10.1186/s12933-021-01356-w DOI: https://doi.org/10.1186/s12933-021-01356-w
WHO. (2024). Hypertension. Retrieved from https://www.who.int/news-room/fact-sheets/detail/hypertension
Widniah, A. Z., & Putri, H. (2023). Analisis Faktor Gaya Hidup Keluarga dengan Kejadian Hipertensi pada Usia Dewasa Muda di Desa Sungai Paring Wilayah Kerja UPTD Puskesmas Jambu Hilir Tahun 2023. Journal of Intan Nursing, 2(2), 30–36. Retrieved from https://jurnalstikesintanmartapura.com/index.php/join/article/download/140/join22 DOI: https://doi.org/10.54004/join.v2i2.140
Yang, S., Zhou, Z., Miao, H., & Zhang, Y. (2023). Effect of weight loss on blood pressure changes in overweight patients: a systematic review and meta-analysis. The Journal of Clinical Hypertension, 25(5), 404–415. https://doi.org/10.1111/jch.14661 DOI: https://doi.org/10.1111/jch.14661
Zhou, B., Perel, P., Mensah, G. A., & Ezzati, M. (2021). Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension. Nature Reviews Cardiology, 18(11), 785–802. Retrieved from https://www.nature.com/articles/s41569-021-00559-8 DOI: https://doi.org/10.1038/s41569-021-00559-8
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