Obese Respondents Research Articles

Awareness and risk burden of diabetes mellitus in a rural community of Ekiti State, South-Western Nigeria.

SummaryObjectiveIn recent times, Diabetes Mellitus (DM) has had a rapid increase in developing countries as a result of changing lifestyles among the people. This study was therefore aimed to investigate the level of awareness of DM and its associated risk factors in Afao: a rural community located in Irepodun/Ifelodun Local Government Ekiti State, Nigeria.DesignThe study was descriptive cross-sectional in design. A multi-stage sampling technique was applied to recruit respondents who are residents in the community. Two hundred and one individuals were involved in this community-based study. Information was obtained using a modified WHO STEPwise approach to chronic disease risk surveillance. The questionnaire included questions that assessed socio-demographic characteristics, diabetic risk factors and anthropometric measures of respondents.ResultOf the 134 (66.7%) respondents aware of DM, only an average of 43.9% had knowledge of its risk factors. Respondent’s body mass index was significantly associated (P < 0.01) with knowledge of overweight/obesity as overweight (52.9%), grade 1 obese (62.5%) and morbid obese (100%) respondents had no knowledge of their status as risk factors for DM. Also, respondent’s blood pressure status showed a significant association (P = 0.099) with respondent’s knowledge of high blood pressure, 62.5% of those unaware of their blood pressure status had no knowledge of high blood pressure as a diabetes risk factor. Respondent’s age (P = 0.024) and diet; daily vegetable servings (P = 0.015) and cooking oil (P = 0.05) showed significant association with the occurrence of the disease in 14.4% respondents previously diagnosed.ConclusionThis study shows a need to improve on the level of awareness of diabetes risk factors in Afao. Routine measurement of blood glucose levels for adults, community health education and enlightenment strategies through the ministry of health on the awareness of diabetes are highly recommended for the Afao community.

Factors associated with elevated alanine aminotransferase in employees of a German chemical company: results of a large cross-sectional study

BackgroundWe aimed to determine the prevalence of elevated alanine aminotransferase (eALT) in employees of a German chemical company, and analyze its association with sociodemographic, work- and lifestyle-related factors.MethodsThe cross-sectional study is based on data surveyed from occupational health check-ups between 2013 and 2018 at the site clinic of a chemical company based in Ludwigshafen, Germany. We used logistic regression analyses to assess the association between sociodemographic, work- and lifestyle-related characteristics and eALT. Quantile regression technique was applied to investigate if associations vary across different quantiles of the ALT distribution.ResultsParticipants (n = 15,348) were predominantly male (78.3%) with a mean age of 42.2 years (SD 10.7). The prevalence of eALT was 18.5% (21.6% in men/7.2% in women) with a geometric mean of 28.9 U/L (32.8 U/L in men/18.5 U/L in women). In the multivariable logistic regression model, odds of eALT were significantly higher for males (OR 2.61; 95%-CI 2.24–3.05), manual workers (OR 1.23; 95%-CI 1.06–1.43), overweight (OR 2.66; 95%-CI 2.36–3.00) or obese respondents (e.g. OR 7.88; 95%-CI 5.75–10.80 for obesity class III), employees who consume any number of alcoholic drinks/week (e.g. OR 1.32; 95%-CI 1.16–1.49 for ≥ 3 drinks per week) and diabetics (OR 1.47; 95%-CI 1.22–1.78). Additionally, season of participation was significantly associated with eALT, with odds being higher for participation in spring, fall or winter, as compared to summer. A significant interaction between age and gender (pInteraction < 0.001) was found, showing approximately a u-shaped age/ALT relationship in women and an inversely u-shaped relationship in men. Quantile regression showed an increasing positive effect of male gender, overweight/obesity, and for diabetics on ALT level when moving from the lowest (q0.1) to the highest (q0.9) considered quantile. Additionally, from the lowest to the highest quantile an increasing negative effect on ALT for older age was observed.ConclusionsPrevalence of eALT in our sample of employees can be considered as high, with almost one in five participants affected. Identification of risk groups allows the implementation of targeted preventive measures in order to avoid transition to severe morbidity.

An evaluation of the nutritional status of elderly with the use of the MNA questionnaire and determination of factors contributing to malnutrition. A pilot study.

In the elderly, nutrition significantly influences biological aging and physiological and pathological changes in the body. A balanced diet and physical activity are the key to good physical and mental health. The aim of this study was: (1) to perform nutritional screening tests in senior citizens residing in eastern Poland and (2) to evaluate the risk of malnutrition in elderly people who live with their families, seniors who live independently, and residents of nursing homes. The Mini Nutritional Assessment (MNA) screening tool comprising a questionnaire with 22 questions and an abbreviated and survey-adapted version of the questionnaire (KomPAN) were used to investigate eating habits and self-perception of health and nutrition. A total of 398 correctly filled out questionnaires were selected and the resulting data were subjected to statistical analyses in the Statistica 10 program. The BMI values of most respondents were indicative or malnutrition or risk of malnutrition, regardless of gender (mean BMI 23.88 kg/m2 ±5.08). Most overweight and obese respondents were female (p=0.0001). The observed decreased BMI values was significantly (p=0.0012, rs= 0.6714) correlated with lower food intake. Unintentional weight loss greater than 3 kg was most frequently noted in respondents living in nursing homes and living independently (p=0.0021). Eating difficulties also considerably influenced the respondents' nutritional status. The respondents' BMI values were significantly correlated (p<0.0001) with their MNA scores, the average MNA score was 21.0±4.4, (rs = 0.7293). Overweight and obese respondents were more likely to consume at least three meals daily (OR=1.87; 95% CI: 1.32-2.06; p<0.001). The BMI values and MNA scores of the tested subjects indicate that the majority of the surveyed respondents were malnourished or at risk of malnutrition, regardless of gender. In the present study, the residential environment significantly influenced the patients' nutritional status, in particular in respondents with impaired motor abilities and eating difficulties.

Prevalence of hypertension in pregnancy and its associated factors among women attending antenatal clinics in Bengaluru.

Background:Hypertension in pregnancy is a major challenge in antenatal practice due to its impact on obstetric and foetal outcomes.Objective:To assess the prevalence of hypertension during pregnancy and its associated risk factors among pregnant women availing of antenatal care at public sector hospitals in Bengaluru, Southern India.Methods:The sample frame included pregnant women who were attending the antenatal clinic at three public sector hospitals. The data were analyzed for 783 pregnant women who had completed their baseline visit over a period of 18 months (September 2017 to March 2019). The blood pressure was categorized based on the American College of Cardiology/American Heart Association 2017 guidelines.Results:Out of the 783 respondents who were examined, 13.9% were found to be hypertensive. The adjusted Odd's ratio was significantly higher for those who were employed outside the house and obese respondents. Other factors such as higher maternal age, lower socioeconomic status, pregnancy-related anxiety, prenatal depression, nulliparity appeared to increase the risk.Conclusion:Hypertension during pregnancy continues to be a matter of concern. Risk factor profiling of pregnant women is of utmost importance to identify those who may be likely to develop hypertensive disorders during pregnancy.

Obesity diminishes response to PD-1-based immunotherapies in renal cancer

BackgroundObesity is a major risk factor for renal cancer, yet our understanding of its effects on antitumor immunity and immunotherapy outcomes remains incomplete. Deciphering these associations is critical, given the...

Relationship Between Menarche Age and Body Mass Index (IMT) Youth in Palembang City

Concern regarding secular trend of declining age of menarche has increased in the last few decades. Prevalence of childhood and adolescents obesity in Indonesia has also increased lately while some studies suggest that increased body mass index associates with the early onset of puberty which known to be the risk factor of many health problems. This study aims to investigate whether age of menarche is associated with body mass index in adolescents in Palembang. Sample of this cross sectional designed study was elementary and junior high school girls from 8 schools in Palembang taken with stratified random sampling. A total of 388 respondents met the inclusion criteria. Age of menarche and body mass index got from the questionnaire and anthropometric examination were analysed using Chi-square test. Out of 388 respondents, 49.5% experienced menarche at the earlier age than the mean age of menarcheof 12.36 years and 20.1% were classified as overweight and obese. The average menarcheal age of overweight and obese respondents was earlier than those classified as normal and underweight. This study proved that there is a highly significant association between age of menarche and body mass index with the p-value of 0.000 (Chi-squaretest). There is a highly significant association between body mass index during peripubertal period and the age of menarche. Strict monitoring on body mass index of elementary and junior high school girls is necessary to prevent early puberty.

The Effect of Gelatinization Rice Storage on Body Fat Percentage and Short Chain Fatty Acids (Acetate) on Obesity

Background: Obesity is a problem in developed and developing countries that has a detrimental effect on health. Gelatinization rice that’s stored hot or cold can increase resistant starch and short-chain fatty acids (SCFA) especially acetate (C2). Resistant starch contributes to decreasing glycemic index (IG) of rice and blood glucose levels, while acetate contributes to GLP-1 and PYY secretion which is related to appetite and decreased body fat. Method: The experimental study design was a pre-post controlled group design with 39 obese respondents divided into three randomized treatment groups (Control, P1, and P2). The research instrument was a measurement of body fat percentage and SCFA (acetate) levels blood plasma and statistically analyze with Saphiro Wilk and Paired t-test or Wilcoxon. Results: The analysis results of gelatinized rice storage were significant for body fat percentage (p = 0.012 <0.005) and acetate (p = 0.000 <0.05) in cold storage treatment of 4 0C for 24 hours (P2). Conclusion: Gelatinized rice which is kept cold at 40C for 24 hours can reduce body fat percentage and increase acetate.

Association between eating habits and health related quality of life among school age adolescents

Adolescence is considered a nutritionally vulnerable period of life, since their eating habits are influenced by factors that can promote the consumption of non-nutritious food. To analyze the relation between eating habits, obesity, and the perception of Health-Related Quality of Life in school-aged adolescents. A cross-sectional study of 550 adolescents aged 16 ± 1 years (60% women) attending a public education institution in Valparaíso, Chile. The Global School-based Student Health Survey (GSHS) for eating habits and the KIDSCREEN-27 survey for health-related quality of life were self-administered online. The answers were anonymous. A logistic regression analysis was conducted to evaluate the relationship between the variables, which was adjusted for age and sex. Ten percent of men and 6% of women were obese. Those with an inadequate consumption of fruits had a worst perception of their physical well-being, autonomy and relationship with their parents. Psychological well-being and school environment were perceived worst among those that did not consume breakfast. Obese respondents also reported a poorest physical health. Inadequate eating habits and obesity have a negative effect of health-related quality of life among adolescents.

Correlation of anthropometric indices with lipid profile indices among Malay obese and non-obese subjects in Malaysia

Purpose This study aims to determine the correlation of anthropometric measurements with serum lipid profile among Malay subjects in Kuala Terengganu, Malaysia. Design/methodology/approach This cross-sectional study was conducted in Kuala Terengganu on a total of 193 individuals aged 18-60 years. Subjects were recruited via direct interview as per inclusion criteria and anthropometric measurements, i.e. body mass index (BMI), waist circumference (WC), hip circumference (HC), waist-to-hip ratio (WHR), waist-to-height ratio, abdominal volume index and conicity index, were taken using International Standards for Anthropometric Assessment Guidelines. Fasting blood samples were collected for serum lipid profile analysis that measures triglyceride (TG), total cholesterol (TC), high-density lipoproteins (HDL), low-density lipoproteins (LDL), TG/HDL, TC/HDL and LDL/HDL. Besides socio-demographic characteristics, means and association of anthropometric parameters with lipid profiles were performed using simple linear regression and multivariate-adjusted regression analysis. Findings The mean age of obese (male [39.2 ± 8.7] and female [41.1 ± 1.0]) and non-obese (male [29.8 ± 1.3] and female [33.3 ± 1.3]) respondents was compared. Means of anthropometric indices and lipid profile were significantly (p &lt; 0.001) higher in obese than in non-obese group. Multivariate-adjusted regression showed that weight and BMI increased risks for prevalent high TC, TG, LDL, TC/HDL, TG/HDL, LDL/HDL, hypercholesterolemia, hypertriglyceridemia and dyslipidemia. Regardless of sex, age and prevalent obese status, WHR increased risks for high prevalence of TC, TG, LDL, TC/HDL and LDL/HDL, and presents an independent risk factor for hypercholesterolemia and dyslipidemia. WC was highly associated with TG, while HC was associated with atherogenic lipid profile ratios: TC/HDL, TG/HDL and LDL/HDL. Originality/value In conclusion, the lipid profile (TC, TG and TG/HDL) of triglyceridemia and hypercholesteremia is highly correlated with anthropometric measurements (BMI, WC and WHR) of central obesity that predict obesity-associated cardiac risks.

Level of self-reported pain’s interference with work, and association with number of prescriptions and healthcare expenditures

Abstract Objectives To examine the associations between pain interfering with work and family income and health status and to quantify the impact of pain on pharmaceutical utilization and cost using data from the Medical Expenditure Panel Survey (MEPS). Methods The study population included adult respondents to a MEPS pain question asking how much pain interfered with normal work (including both work outside the home and housework) from 2007 to 2014 (n = 71 593 respondents). Generalized linear models estimated the association between pain and family income, self-reported health status, number of prescriptions and healthcare expenditures (prescription drug and total). Control variables included age, gender, education, marital status, poverty, race, immigration status, region, obesity, work status and insurance coverage. Key findings Nearly 43% of respondents reported pain did not interfere at all with their work, 32% responded it did ‘a little bit’, 14% said ‘moderately’, 8% reported ‘quite a bit’, and 3% said ‘extremely’. Older respondents were significantly more likely to report pain interfering with work than younger ones. Women were more likely than men to report pain interfering with work. Obesity was significantly associated with pain, with 5.3% of obese respondents stating pain extremely interfered with work compared to 2.2% of nonobese respondents. Those who reported pain interfered ‘extremely’ had, on average, 46 prescriptions filled per year compared to only 5 prescriptions for those reporting less severe pain. This translated into significantly higher prescription drug and total costs. Conclusion Innovative targeted interventions are needed to mitigate the severe consequences of pain on health, well-being and cost.

PENGARUH PENGETAHUAN-SIKAP MENGENAI VITAMIN D TERKAIT OBESITAS PADA MAHASISWA

Indonesia as a tropical country has a tendency to experience vitamin D deficiency. Knowledge and attitudes towards sun exposure contribute to the risk of vitamin D deficiency. In the midst of urban life patterns, obesity also increases the risk of vitamin D deficiency. This study was conducted to determine the effect of the level of knowledge and attitudes regarding vitamin D related to obesity in adults, which was conducted in March 2018 to January 2019. The study used a cross sectional design, with a knowledge and attitude questionnaire regarding vitamin D. Respondents were adults and domiciled in Surabaya , as many as 74 people in each group of obesity and non-obese. The results showed that obese and non-obese respondents both had good knowledge (OR 1.138) but had a bad attitude (OR 1,000). There was no significant difference in knowledge and attitudes in the two groups, and had a weak correlation.

Depression risk and body mass index among immigrants and non-immigrants in Canada: results from the Canadian Community Health Surveys, 2010-2014.

Obesity has been associated with an increased risk of the depression in the general population, but it is unknown whether this relationship applies equally to immigrants as well as non-immigrants. Furthermore, the nature of the relationship is uncertain, is it direct or curvilinear? The aim of this study is to examine the relationship between body mass index and major depressive episode among immigrants and non-immigrants. To provide more statistically robust data, a series of cross-sectional health surveys of the Canadian population for the 5 years 2010-2014 were pooled to increase the number of immigrants in the study. Restricted cubic splines analysis was used to examine the nature of the association. Immigrants had lower 12-month depression and obesity prevalence rates than non-immigrants. In addition, it was found that non-immigrants were more likely to develop depression than immigrants, OR = 1.40 (95% CI, 1.16-1.67). Obese respondents were more likely to develop depression than normal weight respondents in both immigrant (OR = 1.55; 95% CI, 1.03-2.32) and non-immigrant groups (OR = 1.23; 95% CI, 1.15-1.32). A significant nonlinear elongated J-shaped association between obesity and depression was found for both immigrants and non-immigrants with increased risk of depression in obese individuals. Culture-specific, clinical-based interventions should be developed to improve the early identification, treatment and recovery of individuals with a high BMI particularly among those with BMIs in the obese range.

“I Did Not Choose to Be Obese”—Experiences of Stigma among Market Women in Kaneshie, Ghana

Excess body fat is associated with impaired physical and socio-emotional health outcomes. There is limited evidence on stigma and discrimination associated with overweight and obesity in developing country settings like Ghana where the rate of overweight is rapidly increasing. This current study explored the experiences of obesity-related stigma and discrimination among adult female vendors in the Kaneshie Market in Accra, Ghana. Employing a mixed concurrent method, both qualitative and quantitative data were collected. Quantitatively, about half (56%) of the survey respondents were obese, however, most of them misperceived their weight. Using Pearson Chi-square test of association, respondent age, marital status, educational level, ethnicity and parity were significantly associated with BMI status. Multiple (adjusted) ordered logistic regression model showed age, ethnicity and marital status and parity to be significant demographic characteristics predictive of weight status. Single women had about four times lesser odds of having a higher weight status compared to those who were either married, divorced/sepa- rated/widowed, or cohabiting. Educational status was not significantly associated with BMI status in adjusted model. The qualitative findings revealed derogatory name calling, limitations to use of public spaces, and denial of opportunities as stigmatizing and discriminatory attitudes experienced by obese respondents.

Self-Care Level in Diabetic Patients

Objective The present study was done with the objective of assessing the self-care practices among diagnosed type 2 diabetes mellitus patients in hospital of Islamic Azad University of Medical Sciences in Tehran, Iran. Methods In this cross-sectional study, 314 Iranian patients older than 18 years of age with type 2 diabetes were completed Diabetes Self-Management Questionnaire. Data was analyzed by ANOVA, t-test, correlation and liner regression. Results A significant association was found between the diabetes self-management sum scale and body mass index, Dietary control subscale and body mass index, Physical activity subscale and body mass index &amp; job and Healthcare use subscale and diabetes treatment (p&lt;0.05). Conclusion Due to the high BMI in respondents, Overweight and obese respondents need to be advised by health professionals on physical activities and proper diet to achieve healthy weights to avoid complications related to diabetes mellitus. Keywords Diabetes self-management, Type 2 diabetes, Diabetes Self-Management Questionnaire DOI : 10.7176/JMPB/63-02 Publication date: January 31 st 2020

Obesity With Hypertension Events In Taccorong Village, Bulukumba District

According to the world health organization 2015, says that hypertension is one of the main causes of premature death throughout and hypertension kills nearly 8 billion people every year in the world. Obesity is one of the risk factors for hypertension, because of the accumulation of fat in the body, the higher a person's body mass index, the higher the risk of developing hypertension. The purpose of this study is to know the relationship between obesity and the incidence of hypertension in the village of Taccorong caused Bulukumba district in 2018. The population in this study was the obese community in Taccorong village, Bulukumba regency, a population of 68 respondents, a sampling technique used by a purposive sampling technique. This type of research is analytic research with a cross-sectional approach. The test used for the relationship of obesity with the incidence of hypertension in Taccorong village Bulukumba district in 2018. Is the Pearson Chi-Square test, with the results of the study that obese respondents who experienced grade 1 hypertension were 18 respondents (85.7%) and obesity 1 respondents who had hypertension grade 2 were 3 respondents (14.3%). While the obese 2 respondents who experienced grade 1 hypertension were 6 respondents (31.6%) and obesity 2 respondents who experienced grade 2 hypertension as many as 13 respondents (68.4%). Based on the test results obtained values (p=0.000) then Ho is rejected and Ha is accepted. The conclusion of this study is that there is a correlation between obesity and the incidence of hypertension in Taccorong village, Bulukumba district in 2018. It is recommended for the Puskesmas Bonto Nyeleng Institution to pay attention to its working area to detect total obesity.

Factors associated with improving diet and physical activity among persons with excess body weight.

As overweight and obesity are highly prevalent in Eastern Europe, the study examined the trends and factors associated with self-reported weight reducing behaviours among individuals with excess body weight in Estonia. Study used nationally representative cross-sectional data from 2006 to 2016 including 4302 men and 3627 women aged 20-64 years with excess body weight (BMI ≥ 25). Trends in the prevalence of changing eating habits and physical activity and their sociodemographic and health-related correlates were studied using descriptive statistics and multivariable logistic regression. Among overweight or obese respondents, 41% of men and 48% of women reported improvements in dietary habits and 19% of men and women reported increase in physical activity during the past 12 months in 2016. Positive trend for 2006-2016 regarding both outcomes was observed for men whereas no statistically significant differences were found for women. Women and those with lower than tertiary education had higher odds for reporting change in eating habits whereas older age and smoking or excessive alcohol consumption reduced the odds. Improvement in physical activity was more likely among younger respondents, women, ethnic Estonians and those with tertiary education, whereas poorer health and smoking reduced the odds. Weight-related advice from health professionals or family had strong effect on both outcomes. Socio-demographic and health profiles differentiate the self-reported behavioural change among persons with excess body weight. Advice from either health professionals or family may have a potential to facilitate positive changes in eating habits and physical activity among those individuals.

The Risk Factors for Undiagnosed and Known Hypertension among Malaysians.

BackgroundThe prevalence of known hypertension has resulted from the progression of undiagnosed hypertension. This study is targeted to examine and compare the risk factors based on the estimated odds ratios of modifiable and non-modifiable risk factors on different outcome levels of hypertension.MethodsA nationwide representative secondary data from the Fourth National Health of Morbidity Survey (NHMS IV) which consists of 24,632 non-institutionalised Malaysian population conducted by the Ministry of Health in 2011 has been used. Odds ratio (OR) with 95% confidence interval has been estimated using multinomial logistic regression.ResultsObese and overweight respondents exhibit increased likelihood of having undiagnosed and known hypertension. Physically inactive, ex-smokers and unclassified drinkers are found having higher likelihood to have known hypertension. However, current drinkers are found to have higher likelihood of having undiagnosed hypertension. Elderly, retirees, home makers and lower educated respondents are shown higher odds to have undiagnosed hypertension. Likewise, the likelihood of having known hypertension has been found to increase among the elderly and other Bumiputra.ConclusionThrough this research, significant predictors which consist of obese and overweight respondents, current drinkers, older respondents (above 65 years old) and primary educated respondents are having higher likelihood to have undiagnosed hypertension.

The Association of Body Mass Index, Physical Activity and Hypertension in Indonesia

Introduction: Hypertension can cause cardiovascular disease, and it is still aserious global problem. The Prevalence of hypertension has increased every year.Some of the factors associated with hypertension are obesity and physical activity.The prevalence of obesity has increased every year, and many people have lowerlevels of physical activity. This study aims to analyse the correlation between BodyMass Index (BMI), physical activity and hypertension in Indonesia.Methods: This study used a cross-sectional study design using secondary datafrom the Indonesia Family Life Survey 5 (IFLS5) conducted in 2014 - 2015. Thesample consisted of individuals in the households interviewed and 26,472Respondents fulfilled the criteria. The data were analysed using multivariate logisticregression.Results: The results showed that most of the respondents were of productive age.More than half of the respondents were female (52.05%). The respondents whoHad hypertension totalled 22.63 %. After being controlled by the covariatevariables, the results showed that the obese respondents had 4.08 times higherodds of experiencing hypertension compared to the normal respondents (AOR=4.08, 95% CI = 3.68-4.53, p-value = 0.000) and that the respondents who wereoverweight were 2.49 times likely to get hypertension compared to therespondents who were normal (AOR = 2.49, 95% CI = 2.32-2.67, p-value = 0.000).Meanwhile, the respondents with an underweight BMI were 0.58 times more likelyto have hypertension compared to the respondents who were normal (AOR = 0.58,95% CI = 0.52-0.65, p-value = 0.000).Conclusion: Individuals with a higher BMI will be more at risk of hypertensionWhile physical activity is not related to hypertension. The government and healthservices need to increase the promotion of a healthy lifestyle, exceptionally robustdiet programs, to encourage the population to maintain ideal body weight andto reduce the rate of hypertension.

The Association of Body Mass Index, Physical Activity and Hypertension in Indonesia

Introduction: Hypertension can cause cardiovascular disease, and it is still aserious global problem. The Prevalence of hypertension has increased every year.Some of the factors associated with hypertension are obesity and physical activity.The prevalence of obesity has increased every year, and many people have lowerlevels of physical activity. This study aims to analyse the correlation between BodyMass Index (BMI), physical activity and hypertension in Indonesia.Methods: This study used a cross-sectional study design using secondary datafrom the Indonesia Family Life Survey 5 (IFLS5) conducted in 2014 - 2015. Thesample consisted of individuals in the households interviewed and 26,472Respondents fulfilled the criteria. The data were analysed using multivariate logisticregression.Results: The results showed that most of the respondents were of productive age.More than half of the respondents were female (52.05%). The respondents whoHad hypertension totalled 22.63 %. After being controlled by the covariatevariables, the results showed that the obese respondents had 4.08 times higherodds of experiencing hypertension compared to the normal respondents (AOR=4.08, 95% CI = 3.68-4.53, p-value = 0.000) and that the respondents who wereoverweight were 2.49 times likely to get hypertension compared to therespondents who were normal (AOR = 2.49, 95% CI = 2.32-2.67, p-value = 0.000).Meanwhile, the respondents with an underweight BMI were 0.58 times more likelyto have hypertension compared to the respondents who were normal (AOR = 0.58,95% CI = 0.52-0.65, p-value = 0.000).Conclusion: Individuals with a higher BMI will be more at risk of hypertensionWhile physical activity is not related to hypertension. The government and healthservices need to increase the promotion of a healthy lifestyle, exceptionally robustdiet programs, to encourage the population to maintain ideal body weight andto reduce the rate of hypertension.

Studi Kestabilan Tekanan Darah Pada Penderita Hipertensi Dan Faktor Yang Memengaruhinya

Instability of blood pressure is a condition in which the blood pressure is within the range of changes that tends to be constant. The blood pressure on the hypertensive people may change anytime, and it is difficult to be predicted. Even in some cases, the change of blood pressure cannot be felt by the sufferers, although it is much higher than the normal range. This may endanger the sufferers’ condition.&#x0D; This research aimed to know the blood pressure stability and the related factors of hypertensive people in Tambaksogra Village, Community Health Center 1 Sumbang.&#x0D; This research used observational analysis study design with cross sectional approach. The number of samples was 42 respondents; it was taken by using cluster sampling technique. The observation of blood pressure were done in 6 (six) days with daily measurement of the influencing factors. The data was analyzed by using lamda and coefficient of contingency. &#x0D; The result of the research showed that 90,5% of the respondents had unstable blood pressure (90,5%). The respondents with bad sleep quality were the most respondents who had unstable blood pressure (80,9%), p value 0,032; dominantly the respondents having unstable blood pressure were those who had normal level of stress (40,5%), p value 0,143; the obese respondents or non-obese respondents were the most respondents who had unstable blood pressure with p value 0,898. &#x0D; It can be concluded that almost all respondents have unstable blood pressure in six days observation and there is a correlation between sleep quality and the instability of blood pressure. Keywords: Blood Pressure Stability, Sleep Quality, Stress, and Obesity