Obesity contributes toward hypertension in young and older adult
Main Article Content
Obesity and hypertension are independent risk factors in the increasing prevalence of non-communicable diseases. The proportion of obesity in Indonesia has increased in the last 5 years according to the National Health Survey. The purpose of this research was to obtain the contribution of obesity toward hypertension in the age group of 18 years and above.
An observational study of cross-sectional design was conducted using the National Basic Health Research 2013 population data. The total sample of subjects was 2,741,297 from 33 provinces in Indonesia. Data were collected through interviews, blood pressure measurement, and anthropometry. Analysis of categorical data was by means of the chi-square statistical test, followed by calculation of the attributable fraction in the population, and analysis of factors influencing the impact fraction.
The prevalence of general obesity (BMI>25 kg/m2) was 31.5% in males and 48.0% in females, while central obesity was 20.9% in males and 42.5% in females. In females with general obesity the risk of hypertension was 1.84 (95% CI: 1.82-1.86) times higher than in those with normal BMI. If general obesity and central obesity can be reduced, the prevalence of hypertension may be reduced by 2.9% in males and by 12.2% in females.
The prevalence of hypertension in the age group of 18 years or more can be reduced by 2.9% in males and by 12.2% in females, by overcoming the contribution of obesity. Therefore efforts should be geared towards promoting healthy eating habits and maintaining a healthy weight through health education.
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Scheuer SH, Ferch K, Philipsen A, et al. Abdominal fat distribution and cardiovascular risk in men and women with different levels of glucose tolerance. J Clin Endocrinol Metab 2014;100. DOI: http://dx.doi.org/10.1210/JC.2014-4479.
Badan Penelitian dan Pengembangan Kesehatan. Riset kesehatan dasar Indonesia 2013: Laporan nasional. Jakarta: Badan Penelitian dan Pengembangan Kesehatan;2013.
Shihab HM, Meoni LA, Chu AY, et al. Body mass index and risk of incident hypertension over the life course: The Johns Hopkins Precursors study. Circulation 2012;126:2983-89. doi: 10.11610. 1161/CIRCULATIONAHA.112.117333.
Mishra V, Arnold F, Semenov G, et al. Epidemiology of obesity and hypertension in Uzbekistan. United States Agency for International Development;2005.
Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan R.I. Laporan Riskesdas Biomedis. Jakarta: Badan Penelitian dan Pengembangan Kesehatan;2009.
Hall JE, do Carmo JM, da Silva AA, et al. Obesity-induced hypertension: interaction of neurohumoral and renal mechanisms. Circ Res 2015;116:991-1006.
WHO expert consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004;363:157–63 .
James PA, Oparil S, Carter BL, et al. Evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014;311:507–20.
Gordis L. Epidemiology. 5th ed. Phyladelphia: Elsevier Saunders;2014.
Gerstman BB. Epidemiology kept simple: an introduction to traditional and modern epidemiology. 3rd ed. Oxford: Wiley-Blackwell; 2013.
Wang SK, Ma W, Wang S, et al. Obesity and Its relationship with hypertension among adults 50 years and older in Jinan, China. PLoS ONE 2014;9:e114424. Doi:10.1371.
Park JK, Lim YH, Kim KS, et al. Changes in body fat distribution through menopause increase blood pressure independently of total body fat in middle-aged women: the Korean National Health and Nutrition Examination Survey 2007–2010. Hypertens Res 2013;36:444–9.
Wakabayashi I. Age-dependent influence of gender on the association between obesity and a cluster of cardiometabolic risk factors. Gend Med 2012;9:267–77.
Bosy-Westphal A, Geisler C, Onur S, et al. Value of body fat mass vs anthropometric obesity indices in the assessment of metabolic risk factors. Int J Obes 2006;30:475–83.
Razak F, Anand SS, Shannon H, et al. Defining obesity cut points in a multiethnic population. Circulation 2007;115:2111–8.
Allison MA, Joachim H, Morgan C, et al. Higher leptin is associated with hypertension: the multi-ethnic study of atherosclerosis. J Hum Hypertens 2013;27: 617-22. doi: 10.1038/jhh.2013.24.
Shankar A, Xiao J. Positive relationship between plasma leptin level and hypertension. Hypertension 2010;56:623.
Shidfar F, Alborzi F, Salehi M, et al. Association of waist circumference, body mass index and conicity index with cardiovascular risk factors in postmenopausal women. Cardiovasc J Afr 2012;23:442–5.
Kanthe P, Patil BS, Shaikh GB. Association between central obesity parameters and blood pressure phenotypes: study among women. Int J Pharma Bio Sci 2015;6:B355-B61.
Goh LGH, Dhaliwal SS, Welborn TA, et al. Anthropometric measurements of general and central obesity and the prediction of cardiovascular disease risk in women: a cross-sectional study. BMJ Open 2014;4:e004138. doi:10.1136/bmjopen -2013-004138.
Pajunen P, Jousilahti P, Borodulin K, et al. Body fat measured by a near-infrared interactance device as a predictor of cardiovascular events: the FINRISK’92 cohort. Obesity 2011;19:848–52.
Kontis V, Mathers CD, Rehm J, et al. Contribution of six risk factors to achieving the 25×25 non-communicable disease mortality reduction target: a modelling study. Lancet 2014; 384:427-37.