Longitudinal Study of Systolic and Diastolic Blood Pressure among Hypertension Population Aged 26-59 years in West Java Province, Indonesia

Abstract

Background: The untreated and/or uncontrolled hypertension will be dangerous, because of the leadingcause of the increasing morbidity and mortality. Other determinant factors for reducing blood pressurebesides antihypertensive medication are expected to have an impact on the hypertensive population, butlittle has been achieved in the understanding of dynamics of changes in blood pressure on a population level.Objective: To investigate the dynamics of changes in systolic and diastolic blood pressure amonghypertension population aged 26-59 in Kebon Kalapa Village, West Java Province, Indonesia for 3 years’observation (year 2015-2017).Methods: This study used secondary data from the ‘Cohort Study of Non-Communicable Disease RiskFactors’ conducted in Kebon Kalapa Village-West Java Province in 2015-2017. The population in this studywas taken from individuals with hypertension wherein year the 2015 aged 26 to 59 years, and total sampleobtained for analysis was 208 respondents.Results: In This study, 87% hypertensive people were pre-elderly. The variable of age, BMI, sodium intakeand stress the simultaneous influence of SBP and DBP changes (p<0.05). The increasing age of 1 yearwill increase DBP of hypertensive people aged 26-59 years by 1 mmHg after multivariable adjustment.Meanwhile, the increase of SBP by age could not statistically be predicted by fixed effects regression models.The magnitude association between BMI and blood pressure shown a one unit BMI increase was associatedwith 2,47mmHg SBP and 1.03mmHg DBP after multivariable adjustment.Conclusion: For Indonesian, our analysis suggests for including the information about the BMI changes inthe hypertension monitoring reports, as indicators of early awareness of risk factors and prognostic factorsfor increased blood pressure.