Associated between hypertension and body mass index, cholesterol, and blood sugar levels in elderly women

Sufyan Anwar* -  Department of Public Health, Universitas Teuku Umar, Aceh, Indonesia
Teuku Alamsyah -  Department of Public Health, Universitas Teuku Umar, Aceh, Indonesia
Safrida Safrida -  Department of Nutrition, Universitas Teuku Umar, Aceh, Indonesia
Maiza Duana -  Department of Public Health, Universitas Teuku Umar, Aceh, Indonesia
Khairunnas Khairunnas -  Department of Nutrition, Universitas Teuku Umar, Aceh, Indonesia
Enda Silvia Putri -  Department of Nutrition, Universitas Teuku Umar, Aceh, Indonesia
Marniati Marniati -  Department of Nutrition, Universitas Teuku Umar, Aceh, Indonesia
Teuku Muliadi -  Department of Nutrition, Universitas Teuku Umar, Aceh, Indonesia
DOI : 10.30867/action.v9i3.1605

Supp. File(s): Research Results common.other common.other common.other

Hypertension is a major public health problem in Indonesia, with the highest number of elderly female patients. This study aimed to assess the relationship between BMI, cholesterol, and blood sugar levels, and systolic and diastolic blood pressure in elderly women. An observational study was conducted using a cross-sectional design, in which 330 women in West Aceh District aged 60 years or older were included. Data were analyzed using simple linear regression and multiple linear regression tests to determine the relationship between independent variables (systolic and diastolic blood pressure) and dependent variables (BMI, cholesterol, and blood sugar levels). The results showed that the correlation between BMI, cholesterol, and blood sugar levels and systolic blood pressure was weak (r ≤ 0.25). The BMI with diastolic blood pressure was moderate (r=0.272). Conversely, the correlation between cholesterol and blood sugar levels and diastolic blood pressure was weak (r ≤ 0.25).  Multivariate analysis showed that BMI (p<0.001), cholesterol (p<0.001), and blood sugar levels (p ≤ 0.013) were significantly associated with systolic blood pressure. Furthermore, diastolic blood pressure was significantly associated with BMI (p <0.001). In conclusion, BMI is associated with systolic and diastolic blood pressure, while cholesterol and blood sugar levels only contribute to systolic blood pressure but not diastolic blood pressure.

Supplement Files

Keywords : Elderly, blood pressure, blood glucose, BMI, cholesterol

  1. Ahn, S. K., Lee, J. M., Ji, S. M., Kim, K. H., Park, J. H., & Hyun, M. K. (2021). Incidence hypertension and fasting blood glucose from real-world data: Retrospective cohort for 7-years follow-up. International Journal of Environmental Research and Public Health, 18(4), 1–12. https://doi.org/10.3390/ijerph18042085
  2. Anwar, S., Iskandar, A., Utami, R., & Pertiwi, S. (2019). The Correlation Between Body Mass Index and Blood Pressure Among Acehnese and Javanese Elderly in West Aceh. (ICPH 2019) Proceedings of the 1st International Conference on Public Health (ICPH), Universitas Teuku Umar
  3. Badan Penelitian dan Pengembangan Kesehatan. (2019). Laporan nasional riskesdas 2018.
  4. Bosu, W. K., Reilly, S. T., Aheto, J. M. K., & Zucchelli, E. (2019). Hypertension in older adults in Africa: A systematic review and meta-analysis. PLoS ONE, 14(4), e0214934 https://doi.org/10.1371/journal.pone.0214934
  5. Chen, H., Zhang, R., Zheng, Q., Yan, X., Wu, S., & Chen, Y. (2018). Impact of body mass index on long-term blood pressure variability: A cross-sectional study in a cohort of Chinese adults. BMC Public Health, 18(1), 1193. https://doi.org/10.1186/s12889-018-6083-4
  6. Choudhury, S., & Headey, D. D. (2018). Household dairy production and child growth: Evidence from Bangladesh. Economics and Human Biology, 30 150–161. https://doi.org/10.1016/j.ehb.2018.07.001
  7. Dai, X., Yang, Y., Cheng, G. L., Jia, J., Fan, F. F., Li, J. P., Huo, Y., Liu, Z., Chen, D., & Zhang, Y. (2019). Higher blood pressure increases arterial stiffness modified by blood glucose levels in a Chinese community-based study. Diabetes, Metabolic Syndrome and Obesity, 12, 901–911. https://doi.org/10.2147/DMSO.S195405
  8. Debora, C., Tolimba, C., Palunggi, S., Siregar, D., & Harefa, L. (2023). Risk factors for hypertension among adults living in a rural area, Minahasa. Jurnal Keperawatan Indonesia, 26(1), 36-45. https://doi.org/10.7454/jki.v26i1.2527
  9. Dua, S., Bhuker, M., Sharma, P., Dhall, M., & Kapoor, S. (2014). Body mass index relates to blood pressure among adults. North American Journal of Medical Sciences, 6(2), 89–95. https://doi.org/10.4103/1947-2714.127751
  10. Duncan, G. E., Avery, A. R., Tsang, S., Watson, N. F., Williams, B. D., & Turkheimer, E. (2022). The pillars of health: influence of multiple lifestyle behaviors on body mass index and depressive symptoms in adult twins. BMC Public Health, 22(1), 1487. https://doi.org/10.1186/s12889-022-13901-7
  11. Dwi, N. (2020). The Analysis of Blood Glucose Level and Blood Pressure on Hypertension Patients in Mersi Village, East Purwokerto, Central Java. Proceedings of the 1st International Conference on Community Health (ICCH 2019), Advances in Health Sciences Research, Atlantis Press. https://doi.org/10.2991/ahsr.k.200204.014
  12. Ferrannini, E., & Cushman, W. C. (2012). Diabetes and hypertension: The bad companions. In The Lancet ,380, (9841), 601–610. https://doi.org/10.1016/S0140-6736(12)60987-8Guyton. (1997). Guyton and Hall Textbook of Medical Physiology (12th ed.). London: Publisher W B Saunders, Elsevier.
  13. Haerens, L., Vereecken, C., Maes, L., & De Bourdeaudhuij, I. (2010). Relationship of physical activity and dietary habits with body mass index in the transition from childhood to adolescence: a 4-year longitudinal study. Public Health Nutrition, 13(10 A), 1722–1728. https://doi.org/10.1017/S1368980010002284
  14. Hanif, A. A. M., Shamim, A. A., Hossain, M. M., Hasan, M., Khan, M. S. A., Hossaine, M., & Mridha, M. K. (2021). Gender-specific prevalence and associated factors of hypertension among elderly Bangladeshi people: findings from a nationally representative cross-sectional survey. BMJ open, 11(1), e038326. https://doi.org/10.1136/bmjopen-2020-038326
  15. Hossein Abbasi, N., & Aghaamiri, M. (2020). Relationship Between Health-Promoting Lifestyle and Body Mass Index in Male Nurses Based on Demographic Variables. American Journal of Men’s Health, 14(6), 1-10. https://doi.org/10.1177/1557988320966519
  16. Janse Van Rensburg, W. J. (2019). Lifestyle Change Alone Sufficient to Lower Cholesterol in Male Patient With Moderately Elevated Cholesterol: A Case Report. American Journal of Lifestyle Medicine, 13(2), 148–155. https://doi.org/10.1177/1559827618806841
  17. Kuwabara, M., Chintaluru, Y., Kanbay, M., Niwa, K., Hisatome, I., Andres-Hernando, A., Roncal-Jimenez, C., Ohno, M., Johnson, R. J., & Lanaspa, M. A. (2019). Fasting blood glucose is predictive of hypertension in a general Japanese population. Journal of Hypertension, 37(1), 167–174. https://doi.org/10.1097/HJH.0000000000001895
  18. Landi et al 2018. (n.d.).
  19. Pratama Umar, T., & Mariana. (2021). Correlation Between Total Cholesterol Level with Blood Pressure of Hypertensive Patients in Kalidoni, Palembang. Jurnal Epidemiologi Kesehatan Komunitas, 6(1), 207–212. https://doi.org/https://doi.org/10.14710/jekk.v6i1.8398
  20. Scuteri, A., Rovella, V., Alunni Fegatelli, D., Tesauro, M., Gabriele, M., & Di Daniele, N. (2018). An operational definition of SHATS (Systemic Hemodynamic Atherosclerotic Syndrome): Role of arterial stiffness and blood pressure variability in elderly hypertensive subjects. International Journal of Cardiology, 263, 132–137. https://doi.org/10.1016/j.ijcard.2018.03.117
  21. Shuger, S. L., Sui, X., Church, T. S., Meriwether, R. A., & Blair, S. N. (2008). Body mass index as a predictor of hypertension incidence among initially healthy normotensive women. American Journal of Hypertension, 21(6), 613–619. https://doi.org/10.1038/ajh.2008.169
  22. Sopiah, P., Haryeti, P., Sukaesih, N. S., Nuryani, R., & Lindasari, W. (2021). Total cholesterol levels and degrees of hypertension in the elderly hypertension, Journal of Nursing Care, 4(1), 295-301. https://doi.org/10.24198/jnc.v4i1.29756
  23. WHO. (2023). Hypertension. WHO. https://www.who.int/news-room/fact-sheets/detail/hypertension
  24. Yan, Q., Sun, D., Li, X., Chen, G., Zheng, Q., Li, L., Gu, C., & Feng, B. (2016). Association of blood glucose level and hypertension in Elderly Chinese Subjects: A community based study. BMC Endocrine Disorders, 16(1), 1-8. https://doi.org/10.1186/s12902-016-0119-5
  25. Yusni, Y., & Yusuf, H. (2022). A CLOSE POSITIVE ASSOCIATION BETWEEN OBESITY AND BLOOD PRESSURE IN RATS. Jurnal Kedokteran Hewan - Indonesian Journal of Veterinary Sciences, 16(1), 29–33. https://doi.org/10.21157/j.ked.hewan.v16i1.23913

Open Access Copyright (c) 2024 Sufyan Anwar, Teuku Alamsyah, Safrida, Maiza Duana, Khairunnas, Enda Silvia Putri, Marniati, Teuku Muliadi
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AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
Website: https://gizipoltekkesaceh.ac.id/
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