Physical activity, sleep quality, energy dense nutrient-poor (EDNP) foods intake, with blood pressure among obese teachers

Nina Resti -  Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia
Ani Margawati* -  Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia
Choirun Nissa -  Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia
Diana Nur Afifah -  Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia
Ahmad Syauqy -  Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia
Charysa Zaimatussoleha -  Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Supp. File(s): common.other common.other
Profession teachers with obesity nutritional status encourage hypertension because they have light physical activity, poor sleep quality, and high energy-dense, nutrient-poor food (EDNP) intake caused by potential occupational risks. This study sought to examine the relationship between physical activity, sleep quality, EDNP intake, and systolic and diastolic blood pressure. This was a study with a consecutive sampling design among female teachers aged 35-54 years in Kudus in March 2022. The total number of respondents with direct offline interviews was 59. Rank Spearman or Pearson test for bivariate analysis, followed by the linear regression test for multivariate analysis. Bivariate tests showed that physical activity (p=0,039) and EDNP intake (p=0,001) showed a noteworthy correlated with systolic blood pressure. The relationship between sleep quality (p=0,039) and EDNP intake (p=0,028) was significant for diastolic blood pressure but not for systolic blood pressure. The results of the multivariate test indicated a substantial correlation between physical activity, sleep quality, and EDNP intake on systolic BP (p=0,001) and diastolic BP (p=0,006) blood pressure. In conclusion, physical activity, sleep quality, and EDNP intake were significantly associated with systolic and diastolic blood pressure.

Supplement Files

Keywords : Obese female teacher, physical activity, sleep quality, intake of EDNP

  1. Abdurrachim, R., Hariyawati, I., & Suryani, N. (2016). Sodium intake, frequency and duration of physical activity affect with blood presure of the elderly In Tresna Werdha Banjarbaru. Gizi Indonesia, 39(1), 37–48. https://doi.org/10.3923/pjn.2016.211.216
  2. Adam, L. (2019). Determinants of hypertension in elderly. Jambura Health and Sport Journal, 1(2), 82–89. https://doi.org/10.37311/jhsj.v1i2.2558
  3. Adhikara, I.W.S., Budhitresna, A.A.G. (2020). Case-control research on hypertension risk factors in Karangasem Village, Karangasem Regency, Bali. Armadewa Medical Journal, 5(1), 22-29. https://doi.org/10.22225/wmj.5.1.1108.22-29
  4. Akbar, N. M. F. H., & Isfandiari, M. A. (2018). Pengaruh karakteristik pasien yang terpasang kateter intravena terhadap kejadian flebitis. Jurnal Berkala Epidemiologi, 6(1), 35–42. https://doi.org/10.20473/jbe.v6i12018
  5. Al Rahmad, A. H. (2021). Faktor risiko obesitas pada guru sekolah perempuan serta relevansi dengan PTM selama pandemi Covid-19. Amerta Nutrition, 5(1), 31–40. https://doi.org/10.20473/amnt.v5i1.2021.31-40
  6. Al-Rashed, F., Sindhu, S., Al Madhoun, A., Alghaith, A., Azim, R., Al-Mulla, F., & Ahmad, R. (2021). Short sleep duration and its association with obesity and other metabolic risk factors in Kuwaiti urban adults. Nature and science of sleep, 1225-1241. https://doi.org/10.2147/NSS.S311415.
  7. Alzubaidi, A. H., Togoo, R. A., Alqahtani, G. A., Alkahtani, L. A., Alshehri, N. Y., & Soliman, A. (2020). A descriptive study on dietary pattern and biophysical profile among Saudi female dental students. International Journal of Adolescent Medicine and Health, 34(2), 87–95. https://doi.org/10.1515/ijamh-2019-0255
  8. Amran, M.S., Bahar, N. B., & Akash, S. (2022). Physiology and Pathology of the Cardiovascular System. https://www.intechopen.com/chapters/84638
  9. Asyfah, A., Usraleli, U., Magdalena, M., Sakhnan, S., & Melly, M. (2020). Relationship between obesity and hypertension in the Working Area of Sidomulyo Health Center inpatient. Jurnal Ilmiah Universitas Batanghari Jambi, 20(2), 338. https://doi.org/10.33087/jiubj.v20i2.926
  10. Balitbangkes RI. (2018). Laporan Nasional Riskesdas 2018. In Kementerian Kesehatan RI. Badan Penelitian dan Pengembangan Kesehatan RI. https://www.litbang.kemkes.go.id/hasil-utama-riskesdas-2018/
  11. Bakar, N. A. F. A., Ahmad, A., Musa, W.Z., Shahril, M.R., Arfah, N.W., Majid, H.A., Piernas, C., Ramli, A. W., & Naing, N. N. (2022). Association between a dietary pattern high in saturated fatty acids, dietary energy density, and sodium with coronary heart disease. Scientific Reports, 12, 13049. https://doi.org/10.1038/s41598-022-17388-5
  12. Baso, M. C., Langi, F. L. F. G., & Sekeon, S. A. S. (2018). Hubungan antara aktivitas fisik dengan kualitas tidur pada remaja di SMA Negeri 9 Manado. Kesmas, 7(5). https://ejournal.unsrat.ac.id/index.php/kesmas/article/download/22146/21847
  13. Biltoft-jensen, A., Matthiessen, J., Ygil, K. H., & Christensen, T. (2022). Defining energy-dense, nutrient-poor food and drinks and estimating the amount of discretionary energy. Nutrients, 14. https://doi.org/10.3390/nu14071477
  14. Brooke, A., Nour, M., Ridhi, S., Memet, E., Ying, W., & Marie. (2018). Effects of inadequate sleep on blood pressure and endothelial inflammation in women: findings from the american heart association go red for woman strategically focused. Journal of the American Heart Association, 7(12). https://doi.org/10.1161/JAHA.118.008590
  15. Cahyati, J. S., Kartini, A., & Rahfiludin, M. Z. (2018). Relationship between food intake (fat, sodium, magnesium) and lifestyle with blood pressure in the elderly in coastal areas (Study in the Work Area of the Tegal Barat Health Center, Tegal City). Kesehatan Masyarakat, 6(5). https://doi.org/10.14710/jkm.v6i5.22063
  16. Campbell, N.R.C., Burnens, M. P., & Whelton, P. K. (2022). 2021 World Health Organization guideline on pharmacological treatment of hypertension: Policy implications for the region of the Americas. The Lancet Regional Health–Americas, 9. https://www.thelancet.com/action/showPdf?pii=S2667-193X%2822%2900036-9
  17. Canale, M.P., Noce, A., Lauro, M.D., Marrone, G., & Cantelmo, M. (2021). Gut dysbiosis and western diet in the pathogenesis of essential arterial hypertension: a narrative review. Nutrients, 13(4). https://doi.org/10.3390/nu13041162
  18. Carla, S. J., Cruz, O. M. L., Cortez, S. I., & Carolina, A. (2018). Gender differences in sleep habits and quality and daytime sleepiness in elementary and high school teachers. The Journal of Biological and Medical Rhythm Research, 35(4), 486–498. https://doi.org/10.1080/07420528.2017.1415921
  19. Chuang, S. Y., Liu, W. L., Chang, H. Y., Hsu, C. C., & Pan, W. H. (2023). Central obesity and elevated blood pressure in middle life are associated with physical and cognitive impairment in later life: A retrospective design with repeated measures. Experimental Gerontology, 173, 112093. https://doi.org/10.1016/j.exger.2023.112093
  20. Cohen, D. A., Bogart, L. M., Han, B., Williamson, S., & Castro, G. (2020). High consumption of energy-dense nutrient-poor foods among low-income groups in the Mississippi Delta and Alabama. Public Health Nutrition, 23(6), 1067–1075. https://doi.org/10.1017/S1368980019002817
  21. Cruickshank, V., Pill, S., Mainsbridge, C. (2021). Just do some physical activity: Exploring experiences of teaching physical education online during Covid-19. Issues in Educational Research, 1(31), 76-93. https://search.informit.org/doi/epdf/10.3316/aeipt.228685
  22. Dai, H., Alsalhe, T. A., Chalghaf, N., Riccò, M., Bragazzi, N. L., & Wu, J. (2020). The global burden of disease attributable to high body mass index in 195 countries and territories, 1990–2017: An analysis of the Global Burden of Disease Study. PLoS Medicine, 17(7), 1–19. https://doi.org/10.1371/journal.pmed.1003198
  23. Das, S., Debnath, M., Das, S., Sarkar, S., & Rumana, A. S. (2022). Association of overweight and obesity with hypertension, diabetes and comorbidity among adults in Bangladesh: evidence from nationwide Demographic and Health Survey 2017– 2018 data. BMJ Open, 12. http://dx.doi. org/10.1136/bmjopen-2021- 052822
  24. Del, P. R., Guido, G., Claudio, F., & Carolina. (2021). Diagnostic and therapeutic approach to sleep disorders, high blood pressure and cardiovascular disease: a consensus document by the Italian Society of Hypertension (SIIA). High Blood Pressure&cardiovascular Prevention, 28(2), 85–102. https://doi.org/10.1007/s40292-021-00436-y
  25. Dinah, S., Dadang, S., & Tiurma, S. (2017). Relationship of nutritional knowledge, level of nutritional adequacy, and physical activity with nutritional status of junior high school teachers. Jurnal Gizi Indonesia, 6(1). https://doi.org/10.14710/jgi.6.1.29-36
  26. Duncan, M. J., Holliday, E. G., Oftedal, S., Buman, M., & Brown, W. J. (2021). Joint association of physical activity and sleep difficulties with the incidence of hypertension in mid-age Australian women. Maturitas Journal, 149, 1-7. https://doi.org/10.1016/j.maturitas.2021.04.006
  27. Elvira, M., & Anggraini, N. (2019). Factors related to hypertension. Jurnal Akademika Baiturrahim, 8(1), 78–89. https://doi.org/10.36565/jab.v8i1.105
  28. Familta, Z., Elfindri, E., & Yunita, J. (2019). Analysis of nutritional unit service management in Arifin Achmad Regional General Hospital of Riau Province in 2019. Jurnal Kesehatan Komunitas, 5(3), 218–226. https://doi.org/10.25311/keskom.vol5.iss3.460
  29. Farhangi, M. A., Nikniaz L., & Khodarahmi, M. (2020). Sugar-sweetened beverages increases the risk of hypertension among children and adolescence: A systematic review and dose–response meta analysis. Journal of Translational Medicine, 18. https://doi.org/10.1186/s12967-020-02511-9
  30. Frak, W., Wojtasinska, A., Lisinska, W., Mlynarska, E., Franczyk, B., & Ryaz, J. (2022). Pathophysiology of cardiovascular diseases: New insights into molecular mechanisms of atherosclerosis, arterial hypertension, and coronary artery disease. Biomedicines, 10(8). https://doi.org/10.3390/biomedicines10081938
  31. Fuchs, F. D., & Whelton, P. K. (2020). High blood pressure and cardiovascular disease. Hypertension, Cvd, 285–292. https://doi.org/10.1161/hypertensionaha.119.14240
  32. Gallo, L. A., Gallo, T. F., Young, S. L., Fotheringham, A. K., Barclay, J. L., Walker, J. L., Moritz, K. M., & Akison, L. K. (2021). Adherence to dietary and physical activity guidelines in australian undergraduate biomedical students and associations with body composition and metabolic health: A cross-sectional study. Nutrients, 13(10), 1–15. https://doi.org/10.3390/nu13103500
  33. Harris, R. M., Rose, A. M. C., Wynter, S. S., & Unwin, N. (2021). Ultra-processed food consumption in Barbados: evidence from a nationally representative, cross-sectional study. Journal of Nutritional Science, 10. https://doi.org/10.1017/jns.2021.21
  34. Hermawan, D., Muhani, N., Sari, N., Arisandi, S., Widodo, S., & Lubis, M. Y. (2020). Mengenal Obesitas. Penerbit Buku Andi.
  35. Hutagaol, A. O., & Malinti, E. (2020). Obesity and blood pressure of adults age 18-50 at Mokla Village. Chmk Nursing Scientific Journal, 4(2), 1–5. http://cyber-chmk.net/ojs/index.php/ners/article/view/799
  36. Hossain, F. H., Adhikari, G., Chowdhury, A. B., & Shawon, M. S. R. (2019). Association between body mass index (BMI) and hypertension in south Asian population: evidence from nationally representative surveys. Clinical Hypertension, 25(28). https://doi.org/10.1186/s40885-019-0134-8
  37. Kaliyadan, F., & Kulkarni, V. (2019). Types of variables, descriptive statistics, and sample size. Indian Dermatol Online Journal, 10(1),82-86. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362742/
  38. Krietsch, K. N., Chardon, M. L., Beebe, D. W., & Janicke, D. M. (2019). Sleep and weight-related factors in youth: A systematic review of recent studies. Sleep Medicine Reviews, 46, 87-96. https://doi.org/10.1016/j.smrv.2019.04.010
  39. Krol-Zielinska, M., Ciekot-Sołtysiak, M., Osinski, W., Kantanista, A., Zielinski, J., & Szeklicki, R. (2019). The physical activity questionnaire for the elderly: A polish adaptation. International Journal of Environmental Research and Public Health, 16(24). https://doi.org/10.3390/ijerph16244947
  40. Leksono, A., Dieny, F., Noer, E., & Margawati, A. (2022). Night eating syndrome, pola tidur, dan kebiasaan konsumsi sugar-sweetened beverage berdasarkan tipe metabolik pada mahasiswa obese. AcTion: Aceh Nutrition Journal, 7(2), 136-145. http://dx.doi.org/10.30867/action.v7i2.617
  41. Likawidjaya, S. C., & Ernawati. (2019). The Relationship of Physical Activity Patterns with Hypertension Incidence Rates in Teachers in Makassar City [Tarumanegara University]. http://repository.untar.ac.id/13961/
  42. Landi, F., Calvani, R., Picca, A., Tosato, M., Martone, A. M., Ortolani, E., & Marzetti, E. (2018). Body mass index is strongly associated with hypertension: Results from the longevity check-up 7+ study. Nutrients, 10(12), 1976. https://doi.org/10.3390/nu10121976
  43. Lu, S. C., & Akanji, A. O. (2020). Leptin, obesity, and hypertension: a review of pathogenetic mechanisms. Metabolic Syndrome and Related Disorders, 18(9), 399-405. https://doi.org/10.1089/met.2020.0065
  44. Lund, M. A., Thostrup, A. H., Frithioff-Bøjsøe, C., Lausten-Thomsen, U., Hedley, P. L., Pedersen, O., ... & Holm, J. C. (2020). Low-grade inflammation independently associates with cardiometabolic risk in children with overweight/obesity. Nutrition, Metabolism and Cardiovascular Diseases, 30(9), 1544-1553. https://doi.org/10.1016/j.numecd.2020.04.024
  45. Made, N., Sukmawati, H., Gede, I., & Putra, S. W. (2021). The reliability of the Indonesian version of the Pittsburgh Sleep Quality Index (Psqi) questionnaire in measuring the sleep quality of the elderly. Jurnal Lingkungan & Pembangunan, 3(2). https://doi.org/10.22225/WICAKSANA.3.2.1497.30-38
  46. Martini, S., Roshifanni, S., & Marzela, F. (2018). Poor sleep pattern increases risk of hypertension. Media Kesehatan Masyarakat Indonesia, 14(3), 297. https://doi.org/10.30597/mkmi.v14i3.4181
  47. Maskanah, S., Suratun, S., & Tiranda, Y. (2019). Relationship between physical activity and blood pressure in patients with hypertension at Muhammadiyah Hospital in Palembang. Jurnal Keperawatan Muhammadiyah, 4(2). https://doi.org/10.30651/jkm.v4i2.3128
  48. Mohani, V. S., Nurhayati, T., & Sari, D. M. (2018). Kualitas tidur tidak mempengaruhi tekanan darah pada lansia di panti sosial tresna werdha kota bandung. Journal of Medicine and Health, 2(2), 722–729. https://doi.org/10.28932/jmh.v2i2.1008
  49. Moises, C., & Torrentira, J. (2020). Online data collection as adaptation in conducting quantitative and qualitative research during the Covid-19 pandemic. European Journal of Education Studies, 7(11). https://oapub.org/edu/index.php/ejes/article/view/3336/5972
  50. Mason, K. E., Pearce, N., & Cummins, S. (2018). Associations between fast food and physical activity environments and adiposity in mid-life: cross-sectional, observational evidence from UK Biobank. The Lancet Public Health, 3(1), e24-e33. https://doi.org/10.1016/S2468-2667(17)30212-8
  51. Musa, N. A., Moy, F. M., & Wong, L. P. (2018). Prevalence and factors associated with poor sleep quality among secondary school teachers in a developing country. Industrial health, 56(5), 407-418. https://doi.org/10.2486/indhealth.2018-0052
  52. Nasrulsyah, C., Ichwansyah, F., Hermansyah, H., Abdullah, A., & Zahara, M. (2022). Pengaruh kebugaran, IMT dan umur terhadap risiko diabetes melitus pada Pegawai Negeri Sipil. AcTion: Aceh Nutrition Journal, 7(2), 205-213. http://dx.doi.org/10.30867/action.v7i2.891
  53. Nurdiantami, Y., Watanabe, K., Tanaka, E., Pradono, J., & Anme, T. (2018). Association of general and central obesity with hypertension. Clinical Nutrition, 37(4), 1259–1263. https://doi.org/10.1016/j.clnu.2017.05.012
  54. Oyuntugs, B., Harold, S., & Eva, C. (2020). Relation between leisure time, commuting, and occupational physical activity with blood pressure in 125 402 adults: the lifelines cohort. Journal of the American Hearth Association, 9(4). https://doi.org/10.1161/JAHA.119.014313
  55. Piche, M. E., Tchernof, A., & Despres, J. P. (2020). Obesity phenotypes, diabetes, and cardiovascular diseases. Journal Circulation Research. 126(11), 1477-1500. https://doi.org/10.1161/CIRCRESAHA.120.316101
  56. Puspitasari, Y., Sulchan, M., & Nissa, C. (2018). Intake of energy-dense foods low in micronutrients in obese stunted adolescents aged 15-18 years in Semarang City. Journal of Nutrition College, 7(2), 61. https://doi.org/10.14710/jnc.v7i2.20824
  57. Putri, S. M. (2018). Dominant factor in blood pressure of hypertensive patients. Jurnal Media Kesehatan, 10(1), 031–040. https://doi.org/10.33088/jmk.v10i1.321
  58. Rizona, F., Adhisty, K., & Rahmawati, F. (2020). Effect of dreall healthy model for obesity children attitude about sedentary life style. Jurnal Keperawatan, 12(1), 71–78. https://doi.org/10.32583/keperawatan.v12i1.623
  59. Robert, B. (2018). How time is used in elementary schools: The activity structure of classrooms. In Time and schoold learning. Routledge Taylor & Francis Group.
  60. Sadeghisani, M., Manshadi, F. D., Azimi, H., & Montazeri, A. (2016). Validity and reliability of the Persian version of Baecke habitual physical activity questionnaire in healthy subjects. Asian Journal of Sports Medicine, 7(3). https://doi.org/10.5812/asjsm.31778
  61. Schouw, D., Mash, R., Alexander, T. K. (2020). Changes in risk factors for non-communicable diseases associated with the Healthy choices at work programme, South Africa. Global Health Action, 13(1). https://doi.org/10.1080/16549716.2020.1827363
  62. Sejbuk, M., Chodakowska, I. M., & Witkowska, A. M. (2022). Sleep quality: A narrative review on nutrition, stimulants, and physical activity as important factors. Nutrients Journal, 14(9), 15-295. https://doi.org/10.3390/nu14091912
  63. Seow, L. S. E., Tan, X. W., Chong, S. A., & Vaingankar, J. A. (2020). Independent and combined associations of sleep duration and sleep quality with common physical and mental disorders: Results from a multi-ethnic population-based study. PLoS ONE 15(7): e0235816. https://doi.org/10.1371/journal.pone.0235816
  64. Silvaa, F. G., Bitencourt, O. C., & Mayumi H. T. (2020). Critical evaluation of physical activity questionnaires translated to Brazilian-Portuguese: A systematic review on cross-cultural adaptation and measurements properties. Brazilian Journal of Physical Therapy, 24(3). https://doi.org/10.1016/j.bjpt.2019.04.002
  65. Tindangen, B., Langi, F., & Kapantow, N. (2020). Factors related to the incidence of hypertension in elementary school teachers in East Tombariri District. Jurnal Kesmas, 9(1), 189–196. https://ejournal.unsrat.ac.id/index.php/kesmas/article/view/28731
  66. Vaclavik, V. A., Christian, E. W., Campbell, T., Vaclavik, V. A., Christian, E. W., & Campbell, T. (2021). Sugars, sweeteners, and confections. Essentials of food science, 281-299. https://link.springer.com/chapter/10.1007/978-3-030-46814-9_14
  67. Wang, X., Zhao, F., Zhao, Q., Wang, K., Kong, S., Ma, P., ... & Du, C. (2022). Specific types of physical exercises, dietary preferences, and obesity patterns with the incidence of hypertension: a 26-years cohort study. International Journal of Public Health, 66, 1604441. https://doi.org/10.3389/ijph.2021.1604441
  68. Wangdi, K., & Jamtsho, T. (2020). Prevalence and predisposing factors for self-reported hypertension in Bhutanese adults. Nepal Journal of Epidemiology, 10(1), 830. https://doi.org/10.3126/nje.v10i1.25466
  69. World Health Organization. (2018). The Asia Pacific perspective: Redefining obesity and its treatment. Health Communications Australia. https://apps.who.int/iris/handle/10665/206936
  70. Wuhl, E. (2018). Hypertension in childhood obesity. Acta Paediatrica, 108(1). https://doi.org/10.1111/apa.14551
  71. Wu, W., Wang, W., Gu, Y., Xie, Y., Liu, X., Chen, X., & Tan, X. (2019). Sleep quality, sleep duration, and their association with hypertension prevalence among low-income oldest-old in a rural area of China: a population-based study. Journal of psychosomatic research, 127, 109848. https://doi.org/10.1016/j.jpsychores.2019.109848

Open Access Copyright (c) 2024 Nina Resti, Ani Margawati, Choirun Nissa, Diana Nur Afifah, Ahmad Syauqy, Charysa Zaimatussoleha
Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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/
E-mail: jurnal6121@gmail.com

e-issn: 2548-5741, p-issn: 2527-3310

All content is licensed under a: Creative Commons Attribution ShareAlike 4.0 International License

View My Stats

Get a feed by atom here, RRS2 here and OAI Links here