Supp. File(s): Research Instrument
The influences of nutritional status and abdominal circumference systolic blood pressure in adult men
The prevention and management of hypertension through healthy lifestyle modifications is a challenge for public health. The prevalence of hypertension among Indonesians was 34,1%. Lifestyle behaviors such as body mass index, central obesity, and sodium intake are associated with the risk of hypertension. This study aimed to analyze the influence of nutritional status and abdominal circumference on blood pressure in adult men. This cross-sectional research was conducted in Sukajadi Village, Bogor, between 2022-2023. The subjects were 73 purposively selected adult men. Data on subject characteristics were obtained through interviews. Anthropometric data were obtained by measuring abdominal circumference, body weight, and body height to assess the body mass index (BMI). Consumption data were collected using SQ-FFQ. The data analysis was performed using a linear regression test with a significance level of 95%. The results showed that Body mass index (p=0,007) and abdominal circumference (p=0,005) affected systolic blood pressure, while sodium intake (p=0,906) was not related to systolic blood pressure in adult men. Conclusions: Body mass index and abdominal circumference greatly influenced the systolic blood pressure. Further studies are needed to determine the various factors that influence systolic blood pressure and the risk of hypertension.
Supplement Files
Keywords : Abdominal circumference, Blood pressure, BMI
- Cheng, C., Sun, J. Y., Zhou, Y., Xie, Q. Y., Wang, L. Y., Kong, X. Q., & Sun, W. (2022). High waist circumference is a risk factor for hypertension in normal-weight or overweight individuals with normal metabolic profiles. Journal of Clinical Hypertension, 24(7), 908–917. https://doi.org/10.1111/jch.14528
- Dinas Kesehatan Kabupaten Bogor. (2020). Profil Kesehatan Kabupaten Bogor 2019.
- Fatima, S., & Mahmood, S. (2021). Combatting a silent killer - the importance of self-screening of blood pressure from an early age. EXCLI Journal, 20, 1326–1327. https://doi.org/10.17179/excli2021-4140
- Foti, K., Hardy, S. T., Chang, A. R., Selvin, E., Coresh, J., & Muntner, P. (2022). BMI and blood pressure control among United States adults with hypertension. Journal of Hypertension, 40(4), 741–748. https://doi.org/10.1097/HJH.0000000000003072
- Goswami, B., Reang, T., Sarkar, S., Sengupta, S., & Bhattacharjee, B. (2020). Role of body visceral fat in hypertension and dyslipidemia among the diabetic and nondiabetic ethnic population of Tripura—A comparative study. Journal of Family Medicine and Primary Care, 9(6), 2885. https://doi.org/10.4103/jfmpc.jfmpc_187_20
- Graudal, N. A., Hubeck-Graudal, T., & Jurgens, G. (2020). Effects of low sodium diet versus high sodium diet on blood pressure, renin, aldosterone, catecholamines, cholesterol, and triglyceride. In Cochrane Database of Systematic Reviews (Vol. 2020, Issue 12). John Wiley and Sons Ltd. https://doi.org/10.1002/14651858.CD004022.pub5
- Grillo, A., Salvi, L., Coruzzi, P., Salvi, P., & Parati, G. (2019). Sodium intake and hypertension. Nutrients, 11(9), 1–16. https://doi.org/10.3390/nu11091970
- Haas, A. V., En Yee, L., Yuan, Y. E., Wong, Y. H., Hopkins, P. N., Jeunemaitre, X., Lasky-Su, J., Williams, J. S., Adler, G. K., & Williams, G. H. (2021). Genetic Predictors of Salt Sensitivity of Blood Pressure: The Additive Impact of 2 Hits in the Same Biological Pathway. Hypertension, 78(6), 1809–1817. https://doi.org/10.1161/HYPERTENSIONAHA.121.18033
- Hu, L., Huang, X., You, C., Li, J., Hong, K., Li, P., Wu, Y., Wu, Q., Bao, H., & Cheng, X. (2017). Prevalence and risk factors of prehypertension and hypertension in Southern China. PLoS ONE, 12(1). https://doi.org/10.1371/journal.pone.0170238
- Huai, P., Liu, J., Ye, X., & Li, W. Q. (2022). Association of Central Obesity With All Cause and Cause-Specific Mortality in US Adults: A Prospective Cohort Study. Frontiers in Cardiovascular Medicine, 9(816144), 1–12. https://doi.org/10.3389/fcvm.2022.816144
- Jiang, S. Z., Lu, W., Zong, X. F., Ruan, H. Y., & Liu, Y. (2016). Obesity and hypertension. In Experimental and Therapeutic Medicine (Vol. 12, Issue 4, pp. 2395–2399). Spandidos Publications. https://doi.org/10.3892/etm.2016.3667
- Kemenkes. (2019). Laporan Provinsi Jawa Barat Riskesdas 2018.
- Khomsan, A., Riyadi, H., Marliyati, S. A., & Dwi Jayanti, L. (2014). Sistem Pangan dan Gizi Masyarakat Adat Kasepuhan Ciptagelar di Jawa Barat. IPB Press.
- Kifle, Z. D., Adugna, M., Chanie, G. S., & Mohammed, A. (2022). Prevalence and associated factors of hypertension complications among hypertensive patients at University of Gondar Comprehensive Specialized Referral Hospital. Clinical Epidemiology and Global Health, 13, 100951. https://doi.org/https://doi.org/10.1016/j.cegh.2021.100951
- Koenen, M., Hill, M. A., Cohen, P., & Sowers, J. R. (2021). Obesity, Adipose Tissue and Vascular Dysfunction. Circulation Research, 128(7), 951–968. https://doi.org/10.1161/CIRCRESAHA.121.318093
- Lambert, E. A., Esler, M. D., Schlaich, M. P., Dixon, J., Eikelis, N., & Lambert, G. W. (2019). Obesity-Associated Organ Damage and Sympathetic Nervous Activity. In Hypertension (Dallas, Tex. : 1979) (Vol. 73, Issue 6, pp. 1150–1159). NLM (Medline). https://doi.org/10.1161/HYPERTENSIONAHA.118.11676
- Lee, H. S., Park, Y. M., Han, K., Yang, J. H., Lee, S., Lee, S. S., Yoo, S., & Kim, S. R. (2020). Obesity-related hypertension: Findings from the Korea National Health and Nutrition Examination Survey 2008–2010. PLoS ONE, 15(4). https://doi.org/10.1371/journal.pone.0230616
- Lelong, H., Galan, P., Kesse-Guyot, E., Fezeu, L., Hercberg, S., & Blacher, J. (2015). Relationship between nutrition and blood pressure: A cross-sectional analysis from the Nutrinet-santé study, a French web-based cohort study. American Journal of Hypertension, 28(3), 362–371. https://doi.org/10.1093/ajh/hpu164
- Lowell, B. B. (2019). New Neuroscience of Homeostasis and Drives for Food, Water, and Salt. New England Journal of Medicine, 380(5), 459–471. https://doi.org/10.1056/NEJMra1812053
- Mair, K. M., Gaw, R., & MacLean, M. R. (2020). Obesity, estrogens and adipose tissue dysfunction – implications for pulmonary arterial hypertension. Pulmonary Circulation, 10(3). https://doi.org/10.1177/2045894020952023
- Mente, A., O’donnell, M., & Yusuf, S. (2021). Sodium intake and health: What should we recommend based on the current evidence? Nutrients, 13(9). https://doi.org/10.3390/nu13093232
- Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 16(4), 223–237. https://doi.org/10.1038/s41581-019-0244-2
- Nur Chayati, & Hendra Gunawan. (2018). Hypertension in Adult Age and Related Risk Factors. J. of Health Science, 6(1), 30–34. https://doi.org/10.17265/2328-7136/2018.01.004
- Oddo, V. M., Maehara, M., & Rah, J. H. (2019). Overweight in Indonesia: An observational study of trends and risk factors among adults and children. BMJ Open, 9(9). https://doi.org/10.1136/bmjopen-2019-031198
- Olack, B., Wabwire-Mangen, F., Smeeth, L., Montgomery, J. M., Kiwanuka, N., & Breiman, R. F. (2015). Risk factors of hypertension among adults aged 35-64 years living in an urban slum Nairobi, Kenya. BMC Public Health, 15(1), 1–9. https://doi.org/10.1186/s12889-015-2610-8
- Omer, T. (2020). The causes of obesity: an in-depth review. Advances in Obesity, Weight Management & Control, 10(4), 90–94. https://doi.org/10.15406/aowmc.2020.10.00312
- Onuh, J. O., & Aliani, M. (2020). Metabolomics profiling in hypertension and blood pressure regulation: a review. Clinical Hypertension, 26(1), 1–8. https://doi.org/10.1186/s40885-020-00157-9
- Peraturan Menteri Kesehatan Republik Indonesia Nomor 41 Tahun 2014 Tentang Pedoman Gizi Seimbang (2014).
- http://hukor.kemkes.go.id/uploads/produk_hukum/PMK No. 41 ttg Pedoman Gizi Seimbang.pdf
- Ponnalagu, S. D., Bi, X., & Henry, C. J. (2019). Is waist circumference more strongly associated with metabolic risk factors than waist-to-height ratio in Asians? Nutrition, 60, 30–34. https://doi.org/https://doi.org/10.1016/j.nut.2018.09.005
- Sahakyan, K. R., Somers, V. K., Rodriguez-Escudero, J. P., Hodge, D. O., Carter, R. E., Sochor, O., Coutinho, T., Jensen, M. D., Roger, V. L., Singh, P., & Lopez-Jimenez, F. (2015). Normal-weight central obesity: Implications for total and cardiovascular mortality. Annals of Internal Medicine, 163(11), 827–835. https://doi.org/10.7326/M14-2525
- Sari, M. K., Lipoeto, N. I., & Herman, R. B. (2016). Hubungan Lingkar Abdomen (Lingkar Perut) dengan Tekanan Darah. Jurnal Kesehatan Andalas, 5(2).
- Sekiyama, M., Roosita, K., & Ohtsuka, R. (2015). Developmental stage-dependent influence of environmental factors on growth of rural Sundanese children in West Java, Indonesia. American Journal of Physical Anthropology, 157(1), 94–106. https://doi.org/10.1002/ajpa.22692
- Shariq, O. A., & Mckenzie, T. J. (2020). Obesity-related hypertension: A review of pathophysiology, management, and the role of metabolic surgery. Gland Surgery, 9(1), 80–93. https://doi.org/10.21037/gs.2019.12.03
- Silveira, E. A., Mendonça, C. R., Delpino, F. M., Elias Souza, G. V., Pereira de Souza Rosa, L., de Oliveira, C., & Noll, M. (2022). Sedentary behavior, physical inactivity, abdominal obesity and obesity in adults and older adults: A systematic review and meta-analysis. Clinical Nutrition ESPEN, 50, 63–73. https://doi.org/10.1016/j.clnesp.2022.06.001
- Stamler, J., Chan, Q., Daviglus, M. L., Dyer, A. R., Van Horn, L., Garside, D. B., Miura, K., Wu, Y., Ueshima, H., Zhao, L., & Elliott, P. (2018). Relation of dietary sodium (Salt) to blood pressure and its possible modulation by other dietary factors the intermap study. Hypertension, 71(4), 631–637. https://doi.org/10.1161/HYPERTENSIONAHA.117.09928
- Sudikno, Riyadina, W., & Rahajeng, E. (2018). Obesitas Sentral pada Orang Dewasa: Studi Kohor Prospektif di Kota Bogor. Gizi Indon, 41(2), 105–116. http://ejournal.persagi.org/index.php/Gizi_Indon
- Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D., Ramirez, A., Schlaich, M., Stergiou, G. S., Tomaszewski, M., Wainford, R. D., Williams, B., & Schutte, A. E. (2020). 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension, 75(6), 1334–1357. https://doi.org/10.1161/HYPERTENSIONAHA.120.15026
- Wang, K., Jin, Y., Wang, M., Liu, J., Bu, X., Mu, J., & Lu, J. (2023). Global cardiovascular diseases burden attributable to high sodium intake from 1990 to 2019. Journal of Clinical Hypertension, 25(9), 868–879. https://doi.org/10.1111/jch.14717
- Welsh, C. E., Welsh, P., Jhund, P., Delles, C., Celis-Morales, C., Lewsey, J. D., Gray, S., Lyall, D., Iliodromiti, S., Gill, J. M. R., Sattar, N., & Mark, P. B. (2019). Urinary Sodium Excretion, Blood Pressure, and Risk of Future Cardiovascular Disease and Mortality in Subjects Without Prior Cardiovascular Disease. Hypertension, 73(6), 1202–1209. https://doi.org/10.1161/HYPERTENSIONAHA.119.12726
- WHO. (2011). Waist circumference and waist-hip ratio : report of a WHO expert consultation, Geneva, 8-11 December 2008. World Health Organization.
- WHO. (2021). Obesity. Obesity and Overweight Fact Sheets. https://www.who.int/health-topics/obesity/#tab=tab_1
- Zhou, B., Carrillo-Larco, R. M., Danaei, G., Riley, L. M., Paciorek, C. J., Stevens, G. A., Gregg, E. W., Bennett, J. E., Solomon, B., Singleton, R. K., Sophiea, M. K., Iurilli, M. L. C., Lhoste, V. P. F., Cowan, M. J., Savin, S., Woodward, M., Balanova, Y., Cifkova, R., Damasceno, A., … Zuñiga Cisneros, J. (2021). Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants. The Lancet, 398(10304), 957–980. https://doi.org/10.1016/S0140-6736(21)01330-1
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.