Asupan Lemak (MUFA), Kalsium, Indeks Massa Tubuh, dan Hipertensi Pada Wanita Postmenopause di Pulau Sumatera (Analisis Data Sekunder Riskesdas 2007)

Dewi Novitasari, Tiurma Heryawanti

Abstract


Abstract

Background: RISKESDAS 2007 showed the prevalence of Hypertension is 29,8%. Women suffered from Hypertension more than men. Dietary intake of fat (MUFA) and an adequate calcium are known to prevent Hypertension. Objective: To identify the differences in dietary intake of fat (MUFA), calcium, body mass index, and Hypertension in postmenopausal women in Sumatera. Methods: Data used RISKESDAS 2007, with cross-sectional study and analytical survey design. Total number of samples of postmenopausal women (aged 50-54 years) were studied (n=2107). Statistical analysis used independent sample t-Test. Results: The average age of postmenopausal women in Sumatera is 51 years and 2 months, most of them live in rural areas (59,0%) and urban (41,0%). The average dietary intake of fat (MUFA) is 7,99 g (± 5.738 g), amount to 217.51 mg calcium (± 164.356 mg). The average body mass index of postmenopausal women who studied are 24.12 kg/m2 (± 2.5 kg/m2). 46.4% (n=980) postmenopausal women suffering from Hypertension in Sumatra. Based on the results of statistical tests, there are differences in body mass index based on the incidence of Hypertension (p <0.05). There were no differences on dietary intake of fat (MUFA) and calcium based on the incidence of Hypertension (p≥0,05). Conclusion: Modification of a healthier lifestyle is needed by taking into an adequate intake of calcium, vitamin D and do more physical activity in order to prevent an increase in blood pressure which is faster in postmenopausal women whether they live in urban and rural areas because of reduced estrogen hormone.

 

Keywords: MUFA, calcim, BMI

Abstrak

Latar Belakang: Hasil Riskesdas 2007 menunjukkan prevalensi kejadian Hipertensi sebesar 29,8%. Berdasarkan jenis kelamin, wanita menderita Hipertensi lebih banyak dibandingkan dengan laki-laki. Asupan lemak (MUFA), dan kalsium yang cukup diketahui dapat mencegah terjadinya Hipertensi. Tujuan Penelitian: Mengetahui perbedaan asupan lemak (MUFA), kalsium, indeks massa tubuh, dan Hipertensi pada wanita postmenopause di Pulau Sumatera. Metode Penelitian: Data yang digunakan merupakan data sekunder RISKESDAS 2007, dengan pendekatan cross sectional. Jumlah seluruh sampel wanita postmenopause (usia 50-54 tahun) yang diteliti (n=2107). Pengujian statistik menggunakan uji t-test Independent. Hasil: Rata-rata usia wanita postmenopause di Pulau Sumatera adalah 51 tahun 2 bulan, sebagian besar tinggal di wilayah perdesaan (59,0%) dan perkotaan (41,0%). Rata-rata asupan lemak (MUFA) sebesar 7,99 g (±5,738 g), kalsium sebesar 217,51 mg (±164,356 mg). Rata-rata indeks massa tubuh wanita postmenopause yang diteliti sebesar 24,12 Kg/m2 (±2,5 Kg/m2). Sebanyak 46,4% (n=980) wanita postmenopause di Pulau Sumatera menderita Hipertensi. Berdasarkan hasil uji statistik, terdapat perbedaan indeks massa tubuh berdasarkan kejadian Hipertensi (p<0,05). Tidak terdapat perbedaan asupan lemak (MUFA) dan kalsium berdasarkan kejadian Hipertensi (p≥0,05). Kesimpulan: Modifikasi gaya hidup lebih sehat dengan memperhatikan asupan kalsium, vitamin D dan meningkatkan aktifitas fisik guna mencegah peningkatan tekanan darah yang berlangsung lebih cepat pada wanita postmenopause baik yang tinggal di daerah perkotaan dan perdesaan karena berkurangnya hormon esterogen.

 

Kata kunci: MUFA, kalsium, IMT

Full Text:

PDF

References


Alonso, et al., “Low-Fat Dairy Consumption and Reduced Risk of Hypertensionâ€, The Seguimiento Universidad de Navarra (SUN) cohort, Am J Clin Nutr., 82(5): 972-979, 2005

Aso, “Demography of The Menopause and Pattern of Climateric Symptoms in The East Asian Region. Departement of Obstetrics and Gynaecologyâ€, Tokyo Medical and Dental University School of Medicine, Tokyo, Japan, 2008. Retrieved December 5, 2014 from http://www.gfiner.ch/Books/bookmp/24/htm.

Bellows, et al., “Sources of Mono Unsaturated Fatty Acidâ€, 2012

Chen, Y., et al., “Association Between Body Mass Index and Cardiovaskular Disease Mortality in East Asians and South Asians: Pooleed Analysis of Prospective Data from the Asia Cohort Consortiumâ€, British Medicine Journal, 347-446, 2013

Clifton, et al., “The Differences Between Low Fat Diet (VLF) and a High MUFA (H-MUFA) to Lipid Profile in Premenopausal and Postmenopausal Womenâ€, Nutrition Evidence Library, 2004

Depkes RI, “Masalah Hipertensi di Indonesiaâ€, 2010

_________, “Tabel Angka Kecukupan Gizi 2004â€, Depkes RI, Jakarta, 2004

Ghani, L., “Seluk Beluk Menopauseâ€, Media Penelitian dan Pengembangan Kesehatan, Volume XIX, Jakarta, 2009

Hodgkin, E. et al., “Obesity, Enegy Intake and Physical Activitty In Rural and Urban New Zealand. Journal of Rural and Remote Healthâ€, New Zealand, 10, 1336, 2010

Hunninghale, BD., “The Medical Clinic of North American Lipid Disordersâ€, WB Saunders Company; 78, 199-214, 2004

INTERMAP Study, Paul Elliott, et al., “Association Between Protein Intake and Blood Pressureâ€, Arch Intern Med, 166: 79-87, 2006

Jakobsen, et al., “Association Between Energy Intake from MUFA, PUFA, and CHO Replacing Energy from SFA ti Prevent Hypertensionâ€, Nutrition Evidence Library, 2009

Jitnarin, Nattine, Vingsvat Kosulwat, et al., “Risk Factor for Overweight and Obesity Among Thai Adults: Result of The National Thai Food Consumption Surveyâ€, Mdpi Journal Nutrients, 2, 60-74, 2010

Kartini, Apoina., Lidiyawati, “Hubungan Asupan Lemak Jenuh, Asam Lemak Tidak Jenuh dan Natrium dengan Kejadian Hipertensi Pada Wanita Menopause di Kelurahan Bojongsalamanâ€, Journal of Nutrition College, Vol.3 Nomor 4, 612-619, 2014

Khomsan, A., “Dampak Terapi Estrogen pada Wanita Menopauseâ€, PT Raja Grafindo Persada, Jakarta, 2005

Kotchen TA., Kotchen JM., “Nutrition, Diet, and Hypertensionâ€, 10th Ed., In: Shils ME., Shike M. Modern Nutrition in Health and Disease, 1095-1107, Lippincott Williams & Wilkins, Philadelpia, 2006

Mustamin, “Asupan Natrium, Lemak, Status Gizi dan Tekanan Darah Usia Lanjut di Puskesmas Bojo Baru Kabupaten Barruâ€, Edisi 1, Media Gizi Pangan, Vol. IX, 2013

Nanny, Djaja, “Kurang Kalsium Sebabkan Hipertensi, Perhatikan Asupan Vitamin D dan Magnesiumâ€, Harian Kompas, 2013

Okuyama H, Ichikawa Y, Sun Y, Hamazaki T, Lands WEM, “Three fatty acids effectively prevent coronary heart disease and other late-onset diseases: the excessive linoleic acid syndromeâ€, Prevention of Coronary Heart Disease, World Rev. Nutr. Dietetics, 96: 83-103, 2007

Perkeni, “Konsensus Pengelolaan Dislipidemia di Indonesiaâ€, Pusat Penerbitan Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia, Jakarta, 2012

Pramono, Noor, “Upaya Meningkatkan Kualitas Hidup Wanita Lanjut Usiaâ€, Pidato Pengukuhan. FK Universitas Diponegoro, Semarang, 2000

Rahardja E.M., “Faktor Gizi Dalam Regulasi Tekanan Darahâ€, Ebers Papyrus Vol. 10 nomor 3, 2004

Rasmussen BM, Vessby B, Uusitupa M, Berglund L, et al., “Effect of Dietary Saturated, Monounsaturated, and n-3 Fatty Acid on Blood Pressure in healthy Subjectsâ€, American Journal of Clinical Nutrition, Vol.83, No.2, 221-226, 2006

Riset Kesehatan Dasar, Badan Penelitian dan Pengembangan, Jakarta, 2007

Sacks, et al., “Dietary Approaches To Prevent and Treat Hypertension: A Scientific Statement From The American Heart Associationâ€, Hyper AHA Journal, 47:296-308, 2006

Saydamm, “Waspadai Penyakit Reproduksi Andaâ€, Pustaka Reka Cipta, Bandung, 2012

Sensus Penduduk, “Tempat Tinggal Perkotaan dan Perdesaan di Indonesiaâ€, BPS, 2010

Snijjer, et al., “The Differences Between Dietary Calcium Intake and Hypertensionâ€, 2008

Soekirman, “Ilmu Gizi dan Aplikasinyaâ€, Direktorat Jenderal Pendidikan Tinggi, Departemen Pendidikan Nasional, Jakarta, 2000

Toledo, et al., “Association Between Dietary Calcium and Vitamin D Intake with Hypertensionâ€, 2009

Tremblay, Angelo, “Human Obesity: Is Insufficient Calcium/Dairy Intake Part of The Problem?. Jurnal of The American College Nutritionâ€, Vol.30, 449S-453S, 2013. Retrieved January 4, 2015 from http://www.tandfonline.com/doi/abs/10.1080/07315724.2011.10719989

Triatmaja, N.T., dkk., “Asupan Kalsium, Status Gizi, Tekanan Darah dan Hubungannya dengan Keluhan Sendi Lansia di Panti Werdha Bandungâ€, Jurnal Gizi dan Pangan, 8(1): 25-32, 2013

Wang, L., et al., “Dietary Intake of Dairy Products, Calcium, and Vitamin D and The Risk of Hypertension in Middle-Aged and Older Women Hypertensionâ€, 51, 1073-1079, 2008. Retrieved November 24, 2014 from http://hyper.ahajounals.org/content/51/4/1073

Wirakusumah, Emma S., “Mencegah Osteoporosisâ€, Penebar Plus, Jakarta, 2010

WNPG X, “Angka Kecukupan Gizi Orang Indonesia tahun 2012â€, 2012

Yundini, “Faktor Risiko Hipertensiâ€, Warta Pengendalian Penyakit Tidak Menular, Jakarta, 2006

Zuraidah, dkk., “Analisis Faktor Risiko Penyakit Hipertensi pada Masyarakat di Kecamatan Kemuning Kota Palembangâ€, Riset Pembinaan Tenaga Kesehatan, KEMENKES RI, 2012




DOI: https://doi.org/10.47007/nut.v7i1.1277

Refbacks

  • There are currently no refbacks.


indexed by
      

Lembaga Penerbitan Universitas Esa Unggul
Jalan Arjuna Utara No 9 Kebon Jeruk Jakarta - Indonesia
(021) 567 4223 ext 266

View My Stats