Dietary Adherence and Physical Activity: Unraveling the Threads Impacting Blood Pressure in Hypertensive Patients
DOI:
10.29303/jppipa.v9iSpecialIssue.7388Published:
2023-12-31Issue:
Vol. 9 No. SpecialIssue (2023): UNRAM journals and research based on science education, science applications towards a golden Indonesia 2045Keywords:
Diet Adherence, Hypertension, Physical ActivityResearch Articles
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Abstract
This study investigates the relationship between dietary adherence, physical activity, and blood pressure among hypertensive patients in the Simpang Pandan Health Center, East Tanjung Jabung Regency. The research, employing quantitative descriptive analysis and a cross-sectional methodology, included 127 hypertensive patients. The results revealed a significant correlation between dietary adherence and blood pressure (p-value=0.000). Of the respondents, 47.2% did not adhere to the recommended diet, while 52.8% showed adherence. Moreover, physical activity demonstrated a substantial association with blood pressure (p-value=0.000). The majority (63.8%) engaged in light physical activity, while 36.2% had heavy physical activity. The study also explored demographic characteristics, noting that 46.5% of respondents were male, and 53.5% were female. The age distribution indicated 39.4% were adults, and 60.6% were elderly. In conclusion, both dietary adherence and physical activity significantly influence blood pressure among hypertensive patients. The findings underscore the importance of maintaining a hypertensive diet, including reduced salt and fatty foods, along with regular physical activity to promote overall health and normalize blood pressure. This research contributes to understanding lifestyle factors impacting hypertensive patients in the Simpang Pandan Health Center, providing insights for healthcare interventions and emphasizing the holistic approach needed for effective hypertension management
References
Abdurakhman, R. N., Hidayat, A., Taswindi, D., & Romadoni, A. (2022). Effect of hypertension exercise on blood pressure in the elderly. World Journal of Advanced Research and Reviews, 13(3), 491–495. https://doi.org/10.30574/wjarr.2022.13.3.0269
Akik, C., Asfahani, F., Elghossain, T., Mesmar, S., Rabkin, M., El Sadr, W., Fouad, F. M., & Ghattas, H. (2022). Healthcare system responses to non-communicable diseases’ needs of Syrian refugees: The cases of Jordan and Lebanon. Journal of Migration and Health, 6(September), 100136. https://doi.org/10.1016/j.jmh.2022.100136
Ariyanto, H., Andika Abdul Malik, Widianti, W., & Oktavia, W. (2020). Prevalence and Correlation of Knowledge Levels with the Physical Activity of Hypertension Patients. Genius Journal, 1(2), 45–49. https://doi.org/10.56359/gj.v1i2.9
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?: A Scientific Statement From the American Heart Association. Hypertension, 78(2), E26–E37. https://doi.org/10.1161/HYP.0000000000000196
Bello, N. A., Zhou, H., Cheetham, T. C., Miller, E., Getahun, D. T., Fassett, M. J., & Reynolds, K. (2021). Prevalence of Hypertension among Pregnant Women When Using the 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines and Association with Maternal and Fetal Outcomes. JAMA Network Open, 4(3), 1–12. https://doi.org/10.1001/jamanetworkopen.2021.3808
Chan, A. H. Y., Horne, R., Hankins, M., & Chisari, C. (2020). The Medication Adherence Report Scale: A measurement tool for eliciting patients’ reports of nonadherence. British Journal of Clinical Pharmacology, 86(7), 1281–1288. https://doi.org/10.1111/bcp.14193
Chen, M. L., Hu, J., McCoy, T. P., Letvak, S., & Ivanov, L. (2020). Associations of lifestyle intervention effect with blood pressure and physical activity among community‐dwelling older Americans with hypertension in Southern California. International Journal of Environmental Research and Public Health, 17(16), 1–9. https://doi.org/10.3390/ijerph17165673
Darwis, R., Rosmita, A., Fery, K., Amalia, D., Nini, N., Heriyantomi, Edy, S., & Try, P. A. (2022). Provinsi Jambi Tahun 2021 Provinsi Jambi. In Profil Kesehatan Provinsi Jambi Tahun 2021 (Issue 08).
Ferretto, L. R., Bellei, E. A., Biduski, D., Bin, L. C. P., Moro, M. M., Cervi, C. R., & De Marchi, A. C. B. (2020). A Physical Activity Recommender System for Patients with Arterial Hypertension. IEEE Access, 8, 61656–61664. https://doi.org/10.1109/ACCESS.2020.2983564
Fogli-Cawley, J. J., Dwyer, J. T., Saltzman, E., McCullough, M. L., Troy, L. M., Meigs, J. B., & Jacques, P. F. (2007). The 2005 Dietary Guidelines for Americans and risk of the metabolic syndrome. American Journal of Clinical Nutrition, 86(4), 1193–1201. https://doi.org/10.1093/ajcn/86.4.1193
Friska, N., Anggreini, N., Susanita, N., Pardede, L., Tinggi, S., Kesehatan, I., Keluarga, M., Tinggi, S., Kesehatan, I., Keluarga, M., Tinggi, S., Kesehatan, I., & Keluarga, M. (2024). Hubungan Kepatuhan Diet Dengan Tekanan Darah. 07(02), 2–5.
Fuchs, F. D., & Whelton, P. K. (2020). High Blood Pressure and Cardiovascular Disease. Hypertension, 75(2), 285–292. https://doi.org/10.1161/HYPERTENSIONAHA.119.14240
Haruna, T., Somba, M., Siril, H., Mahiti, G., August, F., Minja, A., Urassa, D., Tarimo, E., & Mugusi, F. (2021). Factors hindering integration of care for noncommunicable diseases within HIV care services in Dar es Salaam, Tanzania: The perspectives of health workers and people living with HIV. PLoS ONE, 16(8 August), 1–16. https://doi.org/10.1371/journal.pone.0254436
Hashemi-Arend, A., Vasquez, K. S., Guishard, D., Naji, M., Ronning, A., George-Alexander, G., Vasquez, D., Sylvester, C., Pagano, W., Khalida, C., Coffran, C., Ezeonu, T., Fofana, K., Bielopolski, D., Vaughan, R., Qureshi, A., Tobin, J. N., & Kost, R. G. (2022). Implementing DASH-Aligned Meals and Self-Measured Blood Pressure to Reduce Hypertension at Senior Centers: A RE-AIM Analysis. Nutrients, 14(22). https://doi.org/10.3390/nu14224890
Herrod, P. J. J., Lund, J. N., & Phillips, B. E. (2021). Time-efficient physical activity interventions to reduce blood pressure in older adults: a randomised controlled trial. Age and Ageing, 50(3), 980–984. https://doi.org/10.1093/ageing/afaa211
Huang, B., Xiao, T., Grekousis, G., Zhao, H., He, J., Dong, G., & Liu, Y. (2021). Greenness-air pollution-physical activity-hypertension association among middle-aged and older adults: Evidence from urban and rural China. Environmental Research, 195(January), 110836. https://doi.org/10.1016/j.envres.2021.110836
Kazeminia, M., Daneshkhah, A., Jalali, R., Vaisi-Raygani, A., Salari, N., & Mohammadi, M. (2020). The Effect of Exercise on the Older Adult’s Blood Pressure Suffering Hypertension: Systematic Review and Meta-Analysis on Clinical Trial Studies. International Journal of Hypertension, 2020. https://doi.org/10.1155/2020/2786120
Kinnunen, H., Rantanen, A., Kentt, T., & Koskim ki, H. (2020). Feasible assessment of recovery and cardiovascular health: Accuracy of nocturnal HR and HRV assessed via ring PPG in comparison to medical grade ECG. Physiological Measurement, 41(4). https://doi.org/10.1088/1361-6579/ab840a
Lizano-Díez, I., Poteet, S., Burniol-Garcia, A., & Cerezales, M. (2022). The burden of perioperative hypertension/ hypotension: A systematic review. In PLoS ONE (Vol. 17, Issue 2 February). https://doi.org/10.1371/journal.pone.0263737
Muharani Syaftriani, A., Ardilla Siregar, M., & Baiduri Siregar, R. (2023). The Relationship Between Self-Motivation and Diet Compliance In Hypertension Patients at Mitra Medika General Hospital In Medan. Journal Keperawatan Degeneratif, 01(1), 1–11.
Mulyasari, E. W., & Srimiati, M. (2020). Asupan Zat Gizi Makro, Aktivitas Fisik dan Tingkat Stress denganKejadian Hipertensi pada Dewasa (18-60 Tahun)Macro Nutrition Intake, Physical Activity and Level of Stress with Event ofHypertension for Adults (18-60 Years). Jurnal Ilmiah Kesehatan (JIKA), 2(2), 83–92.
Nagata, J. M., Vittinghoff, E., Pettee Gabriel, K., Garber, A. K., Moran, A. E., Sidney, S., Rana, J. S., Reis, J. P., & Bibbins-Domingo, K. (2021). Physical Activity and Hypertension From Young Adulthood to Middle Age. American Journal of Preventive Medicine, 60(6), 757–765. https://doi.org/10.1016/j.amepre.2020.12.018
Nepali, P., Suresh, S., Pikale, G., Jhaveri, S., Avanthika, C., Bansal, M., Islam, R., & Chanpura, A. (2022). Hypertension and the Role of Dietary Fiber. Current Problems in Cardiology, 47(7), 101203. https://doi.org/10.1016/j.cpcardiol.2022.101203
Nurazizah, E. P., & Kurniawati, T. (2022). The Relationship between Hypertension Diet Adherence and Blood Pressure in Hypertensive Patients in Surajaya. Inprosiding University Research Colloquium 2023 Jan 4, 441–447.
Ozaki, A. F., Choi, A. S., Le, Q. T., Ko, D. T., Han, J. K., Park, S. S., & Jackevicius, C. A. (2020). Real-World Adherence and Persistence to Direct Oral Anticoagulants in Patients With Atrial Fibrillation: A Systematic Review and Meta-Analysis. Circulation: Cardiovascular Quality and Outcomes, 13(3), E005969. https://doi.org/10.1161/CIRCOUTCOMES.119.005969
Permatasari, K. S., Mursudarinah, M., & Prajayanti, E. D. (2021). Pengaruh Konsumsi Pisang Ambon terhadap Perubahan Tekanan darah pada Lansia dengan Hipertensi. Nursing Sciences Journal, 5(1), 1. https://doi.org/10.30737/nsj.v5i1.1580
Purba, E., Lolowang, N. L., Enggune, M., & Sompotan, R. (2023). Pengetahuan Lansia Tentang Pentingnya Diet Hipertensi. Aksara: Jurnal Ilmu Pendidikan Nonformal, 9(1), 313–320.
Purwandari, K. P., & Nugroho, Y. W. (2018). Hubungan Tingkat Kepatuhan Diet terhadap Tekanan Darah pada Penderita Hipertensi di Desa Nambangan. University Research Colloqium, 482–486.
Ramsey, K. A., Rojer, A. G. M., D’Andrea, L., Otten, R. H. J., Heymans, M. W., Trappenburg, M. C., Verlaan, S., Whittaker, A. C., Meskers, C. G. M., & Maier, A. B. (2021). The association of objectively measured physical activity and sedentary behavior with skeletal muscle strength and muscle power in older adults: A systematic review and meta-analysis. Ageing Research Reviews, 67(September 2020). https://doi.org/10.1016/j.arr.2021.101266
Renu, K., Prasanna, P. L., & Valsala Gopalakrishnan, A. (2020). Coronaviruses pathogenesis, comorbidities and multi-organ damage – A review. Life Sciences, 255(May), 117839. https://doi.org/10.1016/j.lfs.2020.117839
Rodriguez-Zuñiga, J., Garcia-Hernandez Jorge, A., Lopez-Vilchis Lizeth, L., Ruiz-Mondragon, A., & Sanchez-Martinez Fatima, A. (2021). Unjustified Referral of Adult Patients with Hypertensive Crisis from a First Level of Care to the Emergency Department. International Archives of Cardiovascular Diseases, 5(1), 1–10. https://doi.org/10.23937/2643-3966/1710034
Sacks, F. M., Obarzanek, E., Windhauser, M. M., Svetkey, L. P., Vollmer, W. M., McCullough, M., Karanja, N., Lin, P. H., Steele, P., Proschan, M. A., Evans, M. A., Appel, L. J., Bray, G. A., Vogt, T. M., Moore, T. J., & DASH Investigators. (1995). Rationale and design of the Dietary Approaches to Stop Hypertension trial (DASH). A multicenter controlled-feeding study of dietary patterns to lower blood pressure. Annals of Epidemiology, 5(2), 108–118. https://doi.org/10.1016/1047-2797(94)00055-X
Saragih, M., Aryanti, D., & Yuliza, E. I. (2022). Asuhan Gizi dan Keperawatan pada Hipertensi.
Sartika Dasopang, E., Febrika Zebua, N., Nadia, S., Ginting, E., Natalia Siahaan, D., Saputri, M., Julianti Tambunan, I., Fujiko, M., Rahmi Ningrum, S., Anggraini, D., Hasanah, F., & Juniar, A. (2021). Pengenalan dan Pencegahan Hipertensi Serta Pengecekan Tekanan Darah. Mejuajua: Jurnal Pengabdian Pada Masyarakat, 1(2), 1–4. https://doi.org/10.52622/mejuajuajabdimas.v1i2.11
Shariful Islam, M., Fardousi, A., Sizear, M. I., Rabbani, M. G., Islam, R., & Saif-Ur-Rahman, K. M. (2023). Effect of leisure-time physical activity on blood pressure in people with hypertension: a systematic review and meta-analysis. Scientific Reports, 13(1), 1–11. https://doi.org/10.1038/s41598-023-37149-2
Sihotang, M., & Elon, Y. (2020). Hubungan Aktivitas Fisik Dengan Tekanan Darah Pada Orang Dewasa. Chmk Nursing Scientific Journal, 4(April), 199–204.
Simanjuntak, E. Y., & Hasibuan, S. (2022). Tekanan Darah Pada Pasien Hipertensi Pada Masa Pandemi Covid-19. Jurnal Ilmu Kesehatan Mandira Cendikia, 1(1), 40–48.
Sousa Junior, A. E., Macêdo, G. A. D., Schwade, D., Sócrates, J., Alves, J. W., Farias-Junior, L. F., Freire, Y. A., Lemos, T. M. A. M., Browne, R. A. V., & Costa, E. C. (2020). Physical activity counseling for adults with hypertension: A randomized controlled pilot trial. International Journal of Environmental Research and Public Health, 17(17), 1–15. https://doi.org/10.3390/ijerph17176076
Sudin, M. S., Kartini, & Haris, H. (2023). Faktor Yang Berhubungan Dengan Kejadian Hipertensi Pada Lansia di Wilayah Kerja Puskesmas Pratiwi Kota Makasar. Jurnal Promotif Preventif, 6(1), 37–47.
Sugiyono. (2012). Metode Penelitian Pendidikan Pendekatan Kuantitatif, Kualitatif, dan R&D. Alfabeta.
Tatisina, C. M., Hariawan, H., & Naufal, A. A. (2020). Mental-Emotional Disorder among Post-Earthquake Responders in Ambon Maluku. Jurnal Ners, 15(1 Special Issue), 91–95. https://doi.org/10.20473/jn.v15i1Sp.18970
Trijono, R. (2015). Metodologi Penelitian Kuantitatif. Papas Sinar Sinanti.
Triwibowo, H., Frilasari, H., & Dewi, I. R. (2016). Hubungan Kepatuhan Diet Hipertensi Dengan Tekanan Darah Pada Pasien Hipertensi Di Poli Penyakit Dalam RSUD Prof . Dr . SOEKANDAR MOJOKERTO. Jurnal Keperawatan, 5(1), 1–6.
Umemoto, S., Onaka, U., Kawano, R., Kawamura, A., Motoi, S., Honda, N., Kanazashi, H., & Mitarai, M. (2022). Effects of a Japanese Cuisine-Based Antihypertensive Diet and Fish Oil on Blood Pressure and Its Variability in Participants with Untreated Normal High Blood Pressure or Stage I Hypertension: A Feasibility Randomized Controlled Study. Journal of Atherosclerosis and Thrombosis, 29(2), 152–173. https://doi.org/10.5551/jat.57802
Vaismoradi, M., Tella, S., Logan, P. A., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 1–15. https://doi.org/10.3390/ijerph17062028
Wasilah, T., Dewi, R., & Sutrisno, D. (2022). Evaluasi Kerasionalan Penggunaan Obat Antihipertensi Pada Pasien Hipertensi Rawat Inap RSUD H. Hanafie Muara Bungo. Indonesian Journal of Pharmaceutical Education, 2(1), 21–31. https://doi.org/10.37311/ijpe.v2i1.13788
Wellman, R. J., Sylvestre, M. P., Abi Nader, P., Chiolero, A., Mesidor, M., Dugas, E. N., Tougri, G., & O’Loughlin, J. (2020). Intensity and frequency of physical activity and high blood pressure in adolescents: A longitudinal study. Journal of Clinical Hypertension, 22(2), 283–290. https://doi.org/10.1111/jch.13806
Wentzel, A. (2020). Public Health at the School of Public Health. December.
Wulandari, A., Kurdanti, W., & Setiyobroto, I. (2023). Pemberian pesan Dietary Approaches to Stop Hypertensions-like diet melalui whatsApp untuk memperbaiki kepatuhan diet dan tekanan darah pasien hipertensi. Jurnal Gizi Klinik Indonesia, 19(3), 104. https://doi.org/10.22146/ijcn.57687
Yulistina, F., Deliana, M., & Rustiana, R. (2017). Korelasi asupan makanan, stress, dan aktivitas fisik dengan hipertensi pada usia menopause. Unnes Journal of Public Health., 6(1).
Zaki, N., Alashwal, H., & Ibrahim, S. (2020). Association of hypertension, diabetes, stroke, cancer, kidney disease, and high-cholesterol with COVID-19 disease severity and fatality: A systematic review. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 14(5), 1133–1142. https://doi.org/10.1016/j.dsx.2020.07.005
Author Biographies
Dwi Isniarti Amin, University of Mataram
Asep Sujana Wahyuri, Universitas Negeri Padang
Roma Irawan, Universitas Negeri Padang
Wilda Welis, Universitas Negeri Padang
Farida Gusni, Universitas Negeri Padang
Dally Rahman, Universitas Andalas
Adri Budiwanto, Universitas Negeri Padang
Yovhandra Ockta, Universitas Negeri Padang
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