15. BODY MASS INDEX AND HYPERTENSION IN INDONESIAN HAJJ PILGRIMS

Abstract

Background: Indonesia has the largest number of yearly hajj pilgrim around the world. Most of those pilgrims are elderly obese with comorbidity such as hypertension. Objective: The aim of this study is to determine correlation between body mass index and hypertension among East Java's pilgrims in 2017 to 2019. Method: This study is observational analytic as in cross sectional analysis from East Java pilgrims data between 2017 to 2019. Data was collected by trained hajj health worker and then analyzed by spearman rank correlation test. Body mass index was classified by World Health Organization (WHO) while hypertension by Joint National Committee (JNC) 8. Result: There was a total of 105.988 data was collected in which 392 data are invalid due to inappropriate value. Almost half (45.47%) of the pilgrims were normal body mass index yet only 4871 (4.6%) of the pilgrims were underweight. There were 38.403 (36.36%) pilgrims categorized as overweight while 14.301 (13.54%) were obese. However, only 54.120 (1.7%) had normal systolic blood pressure. Further, alarmingly, 31.096 (29.44%) were in pre hypertension stage. There were only 13.757 (13.02%) and 6623 (6.2%) pilgrims categorized having grade one and two hypertension respectively. From the spearmen test analysis result, there was a significant correlation between body mass index and hypertension (p = 0.000, r = 1). Conclusion: In sum, there was a strong linear significant relationship between body mass index and systolic blood pressure.