Hubungan kebiasaan konsumsi ultra-processed food dan lingkar pinggang terhadap tekanan darah dewasa 26-45 tahun di Puskesmas Kedungmundu

Author(s): Nuzulia Nur Kurniawati, Aryanti Setyaningsih
DOI: 10.30867/gikes.v6i3.2591

Abstract

Background: In Indonesia, hypertension is major concern due to high mortality rate.  Changes in lifestyle affect the increase in blood pressure. Blood pressure above normal is caused by several factors, including high consumption of Ultra-Processed Food (UPF) and waist circumference.

Objectives: To determine the relationship between UPF consumption habits and waist circumference to blood pressure in adults 26 - 45 years of age at Kedungmundu Health Centre.

Methods: Quantitative-correlative analytic observational method with cross-sectional approach in the working area of Kedungmundu Health Center, in November 2024 – February 2025. The variables studied included UPF consumption habits with modified Food Frequency Questionnaire, waist circumference with metlin, and blood pressure with digital tensimeter.The sample was 71 respondents using purposive sampling technique, Data analysis was performed univariate analysis using frequency distribution and bivariate with Chi-Square test (α = 5%).

Results: The results showed 49,3% of respondents often consumed UPF, the waist circumference measurement results showed 74,6% of respondents were obese, and 67,6% of respondents had abnormal blood pressure. Statistical tests show there is no relationship between UPF consumption habits and blood pressure (p-value = 0,063. There is a relationship between waist circumference and blood pressure with a risk of 3,8 times greater than respondents who have a normal waist circumference size (p-value = 0,015; OR = 3,846).

Conclusion: Waist circumference is related to adult blood pressure while UPF consumption habits are not related to increased adult blood pressure at Kedungmundu Health Centre.

Keywords

Ultra-processed food, waist circumference, blood pressure

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References

Abdilrahman, R., & Candra, A. (2024). Hubungan Massa Otot dan Lingkar Perut terhadap Nadi dan Tekanan Darah Mahasiswa Kedokteran Universitas Abulyatama. Jurnal Sains Riset, 14(3), 641–651. https://doi.org/https://doi.org/10.47647/jsr.v14i2.2547

Acosta-Navarro, J. C., Oki, A. M., Antoniazzi, L., Bonfim, M. A. C., Hong, V., De Almeida Gaspar, M. C., Sandrim, V. C., & Nogueira, A. (2019). Consumption of animal-based and processed food associated with cardiovascular risk factors and subclinical atherosclerosis biomarkers in men. Revista Da Associacao Medica Brasileira, 65(1), 43–50. https://doi.org/10.1590/1806-9282.65.1.43

Aditya, R. S. A., & Santoso, A. H. (2023). Hubungan Lingkar Pinggang dengan Hipertensi pada Dewasa di Kelurahan Tomang Jakarta Barat. Tarumanagara Medical Journal, 5(2), 345–353. https://doi.org/https://doi.org/10.24912/tmj.v5i2.24618

Adriaansz, P. N., Rottle, J., & Lolong, J. (2016). Hubungan Konsumsi Makanan dengan Kejadian Hipertensi pada Lansia di Puskesmas Ranomuut Kota Manado. Ejournal Keperawatan (e-Kp), 4(1). https://doi.org/https://doi.org/10.35790/jkp.v4i1.12132

Agustina, R., & Raharjo, B. B. (2015). Faktor Risiko Yang Berhubungan Dengan Kejadian Hipertensi Usia Produktif (25-54 Tahun). Unnes Journal of Public Health, 4(4), 146–158. https://doi.org/10.15294/ujph.v4i4.9690

Amanda, D., & Martini, S. (2018). Hubungan Karakteristik dan Status Obesitas Sentral dengan Kejadian Hipertensi. Jurnal Berkala Epidemiologi, 6(1), 57–66. https://doi.org/10.20473/jbe.v6i1.2018

Amelia, D. N., Laili, A. H., & Putri, T. A. (2024). Edukasi Perubahan pada Masa Klimakterium atau Menopause kepada Ibu PKK di Desa Raci Tengah. Prosiding Seminar Hasil Pengabdian Kepada Masyarakat Dan Kuliah Kerja Nyata, 1(2), 480–489. https://doi.org/https://doi.org/10.30587/prosidingkkn.v2i1.8610

American Heart Association. (2015). Hypertension: The Silent Killer: Updated JNC-8 Guideline Recommendations. In Albama Pharmacy Association.

Arianti, I., & Husna, C. A. (2017). Hubungan Lingkar Pinggang dengan Tekanan Darah Masyarakat di Wilayah Kerja Puskesmas Mon Geudong Tahun 2015. Averrous Jurnal Kedokteran Dan Kesehatan Malikussaleh, 3(1). https://doi.org/https://doi.org/10.29103/averrous.v3i1.449

Arifin, Z., Antari, G. Y., & Albayani, M. I. (2019). Hubungan Lingkar Perut dan Tekanan Darah Karyawan STIKES Yarsi Mataram. Jurnal Kesehatan Qamarul Huda, 7(1), 13–17. https://doi.org/10.37824/jkqh.v7i1.2019.64

Casmuti, C., & Fibriana, A. I. (2023). Kejadian Hipertensi di Wilayah Kerja Puskesmas Kedungmundu Kota Semarang. HIGEIA (Journal of Public Health Research and Development), 7(1), 123–134. https://doi.org/10.15294/higeia.v7i1.64213

Cortes, C., Maia, J., Diana, B., Cunha, B., & Barreto, V. (2023). Blood Pressure Variation And Ultra ‑ Processed Food Consumption In Children With Obesity. European Journal of Pediatrics, 4077–4085. https://doi.org/10.1007/s00431-023-05076-z

Da Conceição, A. R., De Almeida Fonseca, P. C., De Castro Morais, D., & De Souza, E. C. G. (2019). Association of the Degree of Food Processing with the Consumption of Nutrients and Blood Pressure. Mundo Da Saude, 43(2), 512–529. https://doi.org/10.15343/0104-7809.20194302512529

Destra, E. (2022). Hubungan Asupan Makanan Cepat Saji dengan Angka Kejadian Hipertensi pada Orang Dewasa dengan Aktifitas Fisik Ringan Hingga Sedang. Jurnal Medika Utama, 03(03), 2525–2529. https://pubmed.ncbi.nlm.nih.gov/31692887/

Dinas Kesehatan Kota Semarang. (2023). Profil Kesehatan Kota Semarang 2022. In Dinas Kesehatan Kota Semarang. Dinas Kesehatan Kota Semarang.

Dinas Kesehatan Kota Semarang. (2024). Profil Kesehatan 2023 Dinas Kesehatan Kota Semarang. Dinas Kesehatan Kota Semarang. https://pustakadata.semarangkota.go.id/upload/pdf/451-profil-kesehatan-2022.pdf

Dinas Kesehatan Provinsi Jawa Tengah. (2024). Profil Kesehatan Jawa Tengah Tahun 2023. Dinas Kesehatan Provinsi Jawa Tengah.

Fauziyyah, H., Diana, F. M., & Femelia, W. (2022). Relationship of Ultraprocessed Food Consumption, Sleep Habits, and Online Food Ordering Practices With Obesity in Adults. JGMI : The Journal of Indonesian Community Nutrition, 11(2).

González-Palacios, S., Oncina-Cánovas, A., García-de-la-Hera, M., Martínez-González, M. Á., Salas-Salvadó, J., Corella, D., Schröder, H., Martínez, J. A., Alonso-Gómez, Á. M., Wärnberg, J., Romaguera, D., López-Miranda, J., Estruch, R., Tinahones, F. J., Lapetra, J., Serra-Majem, J. L., Cano-Ibañez, N., Tur, J. A., Martín-Sánchez, V., … Vioque, J. (2023). Increased Ultra-Processed Food Consumption Is Associated with Worsening of Cardiometabolic Risk Factors in Adults with Metabolic Syndrome: Longitudinal Analysis from a Randomized Trial. Atherosclerosis, 377(February), 12–23. https://doi.org/10.1016/j.atherosclerosis.2023.05.022

Gunaidi, F. C., Destra, E., Frisca, F., & Santoso, A. H. (2022). Hubungan Indeks Massa Tubuh Dan Lingkar Pinggang Dengan Kejadian Hipertensi Pada Orang Dewasa Dengan Aktivitas Ringan Hingga Sedang. Jurnal Medika Hutama, 3(04 Juli), 2992–2996.

Hamria, Mien, & Saranani, M. (2020). Hubungan Pola Hidup Penderita Hipertensi Dengan Kejadian Hipertensi Di Wilayah Kerja Puskesmas Batalaiworu Kabupaten Muna. Jurnal Keperawatan, 4(1), 17–21. https://doi.org/https://doi.org/10.46233/jk.v4i01.239

Hastuti, P. (2019). Genetika Obesitas. UGM Press.

Istiqomah, N., Astawan, M., & Palupi, N. S. (2021). Assessment of Sodium Content of Processed Food Available in Indonesia. Jurnal Gizi Dan Pangan, 16(3), 129–138. https://doi.org/10.25182/jgp.2021.16.3.129-138

Kemenkes RI. (2024). Survei Kesehatan Indonesia (SKI) dalam Angka. Kemenkes BKPK.

Kusteviani, F. (2015). Factors Associated with Abdominal Obesity in the Productive Age in Surabaya. Jurnal Berkala Epidemiologi, 3(1), 45. https://doi.org/10.20473/jbe.v3i12015.45-56

Liu, J., Steele, E. M., Li, Y., Karageorgou, D., Micha, R., Monteiro, C. A., & Mozaffarian, D. (2022). Consumption of Ultraprocessed Foods and Diet Quality Among U.S. Children and Adults. American Journal of Preventive Medicine, 62(2), 252–264. https://doi.org/10.1016/j.amepre.2021.08.014

Mait, T. O., Rosyidah, & Sulistyawati. (2025). Evaluasi Kesiapan Promkes dalam Impelementasi Program Integrasi Layanan Primer (ILP) di Puskesmas. 5(1), 133–140. https://doi.org/https://doi.org/10.54082/jupin.1029

Martinez-Perez, C., San-Cristobal, R., Guallar-Castillon, P., Martínez-González, M. Á., Salas-Salvadó, J., Corella, D., Castañer, O., Martinez, J. A., Alonso-Gómez, Á. M., Wärnberg, J., Vioque, J., Romaguera, D., López-Miranda, J., Estruch, R., Tinahones, F. J., Lapetra, J., Serra-Majem, L., Bueno-Cavanillas, A., Tur, J. A., … Daimiel, L. (2021). Use of different food classification systems to assess the association between ultra-processed food consumption and cardiometabolic health in an elderly population with metabolic syndrome (Predimed-plus cohort). Nutrients, 13(7). https://doi.org/10.3390/nu13072471

Monteiro, C. A., Cannon, G., Levy, R. B., Moubarac, J. C., Louzada, M. L. C., Rauber, F., Khandpur, N., Cediel, G., Neri, D., Martinez-Steele, E., Baraldi, L. G., & Jaime, P. C. (2019). Ultra-processed foods: What They Are and How to Identify Them. Public Health Nutrition, 22(5), 936–941. https://doi.org/10.1017/S1368980018003762

Monteiro, C. A., Cannon, G., Levy, R., Moubarae, J.-C., Jaime, P., Martins, Ana, P., Canella, D., Louzada, M., & Parra, D. (2016). NOVA. The Star Sgines Bright. World Nutrition, 7(1), 28–38.

Mustafa. (2016). Perkembangan Jiwa Beragama pada Masa Dewasa. Jurnal Edukasi, 2(1), 77–90.

Nardocci, M., Polsky, J. Y., & Moubarac, J. C. (2021). Consumption of Ultra-Processed Foods is Associated with Obesity, Diabetes and Hypertension in Canadian Adults. Canadian Journal of Public Health, 112(3), 421–429. https://doi.org/10.17269/s41997-020-00429-9

Nugraheni, A., Mulyani, S., Cahyanto, E. B., Musfiroh, M., & Sukamto, I. S. (2019). Hubungan Berat Badan Dan Tekanan Darah Pada Lansia. PLACENTUM: Jurnal Ilmiah Kesehatan Dan Aplikasinya, 7(2), 55. https://doi.org/10.20961/placentum.v7i2.30518

Nuraeni, E. (2019). Hubungan Usia dan Jenis Kelamin Berisiko dengan Kejadian Hipertensi di Klinik X Kota Tangerang. Jurnal JKFT, 4(1), 1–6. https://doi.org/http://dx.doi.org/10.31000/jkft.v4i1.1996

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

Oktaviana, E. S. (2022). Hubungan Pengetahuan, Pekerjaan dan Genetik (Riwayat Hipertensi dalam Keluarga) Terhadap Perilaku Pencegahan Penyakit Hipertensi. Media Publikasi Promosi Kesehatan Indonesia, 5(4), 457–462. https://doi.org/https://doi.org/10.56338/mppki.v5i4.2386

Powell-Wiley, T. M., Poirier, P., Burke, L. E., Després, J. P., Gordon-Larsen, P., Lavie, C. J., Lear, S. A., Ndumele, C. E., Neeland, I. J., Sanders, P., & St-Onge, M. P. (2021). Obesity and Cardiovascular Disease A Scientific Statement From the American Heart Association. Circulation, 143(21), E984–E1010. https://doi.org/10.1161/CIR.0000000000000973

Pratiwi, A. A., Chandra, D. N., & Khusun, H. (2022). Association of Ultra-Processed Food Consumption and Body Mass Index for Age among Elementary Students in Surabaya Hubungan Konsumsi Ultra-Processed Food dengan Indeks Massa Tubuh menurut Usia pada Siswa Sekolah Dasar di Surabaya. Amerta Nutrition, 6(2), 0–7. https://doi.org/10.20473/amnt.v6i2.2022.140-147

Ross, R., Neeland, I. J., Yamashita, S., Shai, I., Seidell, J., Magni, P., Santos, R. D., Arsenault, B., Cuevas, A., Hu, F. B., Griffin, B. A., Zambon, A., Barter, P., Fruchart, J. C., Eckel, R. H., Matsuzawa, Y., & Després, J. P. (2020). Waist Circumference as a Vital Sign in Clinical Practice: A Consensus Statement from the IAS And ICCR Working Group on Visceral Obesity. Nature Reviews Endocrinology, 16(3), 177–189. https://doi.org/10.1038/s41574-019-0310-7

Simalango, E. Y. M. (2021). Hubungan Tekanan Darah dan Tingkat Stress pada Dewasa Muda. Jmh, 3(1), 1581–1589.

Sirajuddin, Surmita, & Astuti, T. (2018). Survey Konsumsi Pangan. Pusat Pendidikan Sumber Daya Manusia Kesehatan.

Steele, E. M., Juul, F., Neri, D., Rauber, F., & Monteiro, C. A. (2019). Dietary Share of Ultra-Processed Foods and Metabolic Syndrome in the US Adult Population. Preventive Medicine, 125(May), 40–48. https://doi.org/10.1016/j.ypmed.2019.05.004

Te’ne, C. A., & Karjadidjaja, I. (2020). Hubungan Overweight dan Obesitas terhadap Hipertensi pada Pengemudi Bus Antar Kota PT GM Jakarta. Tarumanagara Medical Journal, 2(1), 14–19. https://doi.org/10.24912/tmj.v2i2.7831

Telaumbanua, R. A., & Tobing, A. N. L. (2022).ubungan Status Gizi Dengan Tekanan Darah Pada Penderita Hipertensi Usia Dewasa Tengah Di Puskesmas Medan Helvetia. Jurnal Pendidikan Dan Konseling, 4, 1349–1358. https://doi.org/https://doi.org/10.31004/jpdk.v4i6.8963

World Health Organization. (2018). A Global Brief on Hypertension (World Healthy Day).

World Health Organization. (2023). Global report on hypertension The Race Against a Silent Killer. In World Health Organization.

Yulandari, N. Y., Sandra, S., & Saputra, B. (2022). Hubungan Life Style dengan Kejadian Hipertensi pada Dewasa Pertengahan. Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 10(3), 363–375. https://doi.org/10.20527/jdk.v10i3.131

Yunus, M., Aditya, I. W. C., & Eksa, D. R. (2021). Hubungan Usia dan Jenis Kelamin dengan Kejadian Hipertensi di Puskesmas Haji Pemanggilan Kecamatan Anak Tuha Kab. Lampung Tengah. Jurnal Ilmu Kedokteran Dan Kesehatan, 8(3), 229–239. https://doi.org/https://doi.org/10.33024/jikk.v8i3.5193

DOI: http://dx.doi.org/10.30867/gikes.v6i3.2591

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