Prevalence of hypertension and its risk factors among obese adolescents in Yogyakarta, Indonesia

https://doi.org/10.19106/JMedSci005303202103

Neti Nurani(1*), Navilah Hidayati(2), Delvira Anggraini(3), Nurkharisma Kusumawardani(4), Retno Palupi-Baroto(5)

(1) Nutrition and Metabolic Disease Division, Department of Child Health Sardjito General Hospital/Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
(2) Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
(3) Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
(4) Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
(5) Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada/Division of Nephrology, Department of Child Health Sardjito General Hospital, Yogyakarta
(*) Corresponding Author

Abstract


Obesity and overweight are considerable health problems with increasing
prevalence among adolescents. In Indonesia, basic health research data from
Riskesdas shows an increase in the prevalence of obesity in adolescents aged 13-
15 y.o, from 2.6% in 2010 to 6.7% in 2013. This high prevalence of overweight
and obesity is related to various factors. This study aimed to determine the factors
associated with hypertension and obesity in adolescents. This study was
conducted on an overweight population, obese, and super-obese adolescents
aged 13-15 year in the Yogyakarta City, Indonesia. Demographic data included
the history of breastfeeding, birth weight, gender, history of premature birth,
lifestyle, and physical activity were gathered. Anthropometric data included
the weight, height, and body mass index (BMI) were also measured and
gathered. Hypertension was measured using a manual sphygmomanometer.
The relationship was analyzed using Pearson chi-square
and the risk value was demonstrated from the odds ratio (OR). A significant relationship between
gender and diastolic hypertension was observed (OR= 2.4; 95%CI = 1.23 –
5.09; p < 0.021). A significant difference related to the number of boy subjects
between the 2 groups of overweight and obesity was also observed Compared
with girls, boys had a higher risk of obesity (OR = 3.23). Other factors including
breastfeeding, history of premature birth, low birth weight, and physical
activity were not statistically significant between two groups in this study
(p>0.05). in conclusion, there is a relationship between gender and diastolic
hypertension incidence among obese adolescents. Boys are more at risk of
obesity compared to girls.

Keywords


Hypertension; Risk Factor; Overweight; Obesity; Adolesence

Full Text:

PDF


References

World Health Organization. Controlling the global obesity epidemic 2008. Available from: https://www.who.int/activities/controlling-the-global-obesity-epidemic
2.Centers for Disease Control and Prevention. Defining childhood obesity 2016. [cited 2017 September 26]. Available from: https://www.cdc.gov/obesity/childhood/ defining.html
3.De Onis M, Blossner M, Borghi E. Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr 2010; 92(5):1257-64.
https://doi.org/10.3945/ajcn.2010.29786
4.Kementerian Kesehatan RI. Riset Kesehatan Dasar 2013 dalam angka. Jakarta: Kementerian Kesehatan RI, 2013.
5.Kementerian Kesehatan RI. Riset Kesehatan Dasar 2010. Jakarta: Kementerian Kesehatan RI, 2010.
6.Kementrian Kesehatan RI. Pedoman pencegahan dan penanggulangan kegemukan dan obesitas pada anak sekolah. Jakarta: Kementrian Kesehatan RI, 2012.
7.Soedibjo S, Djer M, Firmansyah A. Prevalence and influencing faktors of obesity in elementary school children. Paediatr Indones 2017; 38(9-10):193-204.
https://doi.org/10.14238/pi38.9-10.1998.193-204
8.Segel CM. Childhood obesity: risk factors, health effects, and prevention. New York: Nova Science Publishers Incorporated, 2011.
9.Loke KY. Consequences of childhood and adolescent obesity. Asia Pacific J Clin Nutr 2002; 11(3):702-4.
https://doi.org/10.1046/j.1440-6047.11.s8.13.x
10.Kurdanti W, Suryani I, Huda Syamsiatun N, Purnaning Siwi L, Marta Adityanti M, Mustikaningsih D, et al. Faktor-faktor yang mempengaruhi kejadian obesitas pada remaja. Jurnal Gizi Klinik Indonesia 2015; 11(4):179-90.
https://doi.org/10.22146/ijcn.22900
11.Albert M, Peng J. Gender-specific factors associated with obesity or overweight in adolescents: Connecticut’s 2009 youth risk behavior survey. Connecticut Department of Public Health, High Education, Management and Surveillance Section, Hartfort, CT, 2010.
12.Sartika RAD. Faktor risiko obesitas pada anak 5-15 tahun di Indonesia. Makara Kesehatan 2011; 15(1):37-43.
https://doi.org/10.7454/msk.v15i1.796
13.Von Kries R, Koletzko B, Sauerwald T, von Mutius E, Barnert D, Grunert V, et al. Breast feeding and obesity: cross sectional study. BMJ 1999; 319(7203):147-50.
https://doi.org/10.1136/bmj.319.7203.147
14.Uwaezuoke SN, Eneh CI, Ndu IK. Relationship between exclusive breastfeeding and lower risk of childhood obesity: a narrative review of published evidence. Clin Med Insights: Pediatr 2017; 11:117955651769019.
https://doi.org/10.1177/1179556517690196
15.Yan J, Liu L, Zhu Y, Huang G, Wang P. The association between breastfeeding and childhood obesity: a meta-analysis. BMC Public Health 2014; 14(1):1267.
https://doi.org/10.1186/1471-2458-14-1267
16.Saputri EL. Hubungan riwayat pemberian ASI eksklusif dengan kejadian obesitas pada anak 4-5 tahun. [Skripsi]. Semarang: Universitas Diponegoro, 2013.
17.Butte N, Lopez-Alarcon M, Garza C. Nutrient adequacy of exclusive breastfeeding for the term infant during the first six months of life. Geneva: World Health Organization, 2002.
18.Karundeng R, Wangko S, Kalangi JRS. Jaringan lemak putih dan jaringan lemak coklat aspek histofisiologi. Jurnal Biomedik 2014; 6(3):S8-16.
19.Horta B. Evidence on the long-term effects of breastfeeding. Geneva: World Health Organization. 2007.
20.Vasylyeva TL, Barche A, Chennasamudram SP, Sheehan C, Singh R, Okogbo ME. Obesity in prematurly born children and adolescents: follow up in pediatric clinic. Nutr J 2013; 12(1):150.
https://doi.org/10.1186/1475-2891-12-150
21.Jornayvaz FR, Vollenweider P, Bochud M, Mooser V, Waeber G, Vidal PM. Low birth weight leads to obesity, diabetes and increased leptin levels in adults: the CoLaus study. Cardiovascr Diabetol 2016; 15:73.
https://doi.org/10.1186/s12933-016-0389-2
22.Kato R, Kubota M, Saito H, Takahashi Y. Underweight and obesity in low birth weight children in early infancy in Japan. Food Nutr Sci 2015; 06(03):339-47.
https://doi.org/10.4236/fns.2015.63034.
23.Meyre D, Boutin P, Tounian A, Deweirder M, Aout M, Jouret B, et al. Is glutamate decarboxylase 2 (GAD2) a genetic link between low birth weight and subsequent development of obesity in children? J Clin Endocrinol Metab 2005; 90(4):2384-90.
https://doi.org/10.1210/jc.2004-1468
24.Teleford RD. Low physical activity and obesity: causes of chronic disease or simply predictors? Med Sci Sports Exerc 2007, 39(8):1233-40.
https://doi.org/10.1249/mss.0b013e31806215b7
25.Wong SL, Leatherdale ST. Association between sedentary behavior, physical activity, and obesity: inactivity among active kids. Prev Chronic Dis 2009; 6(1):26.
26.Suhendro. Fast food sebagai risiko terjadinya obesitas pada remaja siswa - siswi SMU di kota Tangerang Banten [Tesis]. Yogyakarta: Universitas Gadjah Mada, 2003.
27.Anand T, Ingle GK, Meena GS, Kishore J, Kumar R. Hypertension and its correlates among school adolescents in Delhi. Int J Prev Med 2014; 5(Suppl 1):S65-70.
28.Kumar P, Kumar D, Ranjan A, Singh CM, Pandey S, Agarwal N. Prevalence of hypertension and its risk factors among school going adolescents of Patna, India. J Clin Diagn Res 2017; 11(1):SC01-4.
https://doi.org/10.7860/JCDR/2017/23886.9196
29.Espinosa NM, Fernández AD, López MS, Merino IR, LaCruz LL, Martínez MS, et al. Prevalence of high blood pressure and association with obesity in Spanish schoolchildren aged 4-6 years old. PLoS ONE 2017; 12(1):e0170926.
https://doi.org/10.1371/journal.pone.0170926
30.Das MK, Bhatia V, Sibal A. Prevalence of hypertension in urban school children aged 5 to 10 years in North India. IJCP 2017; 4(6):2055-9.
http://dx.doi.org/10.18203/2349-3291.ijcp20174730
31.Al-bachir M, Bakir MA. Predictive value of body mass index to metabolic syndrome risk factors in Syrian adolescents. J Med Case Rep 2017; 11(1):170.
https://doi.org/10.1186/s13256-017-1315-2



DOI: https://doi.org/10.19106/JMedSci005303202103

Article Metrics

Abstract views : 1630 | views : 1814




Copyright (c) 2021 Neti Nurani, Navilah Hidayati, Delvira Anggraini, Nurkharisma Kusumawardani, Retno Palupi-Baroto

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.