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Published: 2019-11-29

The Impact of Vegetarian Diets and Body Mass Index on Hypertension

RSUP Dr Mohammad Hoesin Palembang, South Sumatera
Faculty of Nursing, Universitas Indonesia, Depok 16424
BMI diet hypertension vegetarian

Abstract

A vegetarian diet is believed to prevent hypertension. This study aims to identify the impact of vegetarian diets, including fat, salt, potassium, and body mass index (BMI), on hypertension. Data was taken by systematic random sampling method from 173 vegetarians and analyzed using chi-square. The result showed that there is no significant association between the intake of fat, sodium, and potassium with hypertension in vegetarians (p> 0.05). However, there is a significant relationship between BMI with the incidence of hypertension (p= 0.025), where overweight res-pondents are 3.837 more likely to have hypertension (OR 3.837; 95% CI= 1,256–11,721). It implies that vegetarians tend to have a safe intake of fat, salt, and potassium, and therefore, this condition prevents hypertension. Thus, health promotion about the selection of sources of fat, regulation of salt, potassium intake, and weight management will be beneficial for vegetarians in preventing hypertension.

Abstrak

Dampak Diet Vegetarian dan Indeks Massa Tubuh terhadap Hipertensi. Diet vegetarian diyakini dapat mencegah hipertensi. Penelitian ini bertujuan untuk mengetahui dampak diet vegetarian, meliputi asupan lemak, garam, kalium, dan Indeks Massa Tubuh (IMT) terhadap hipertensi. Data diperoleh melalui metode systematic random sampling pada 173 vegetarian dan dianalisis menggunakan chi-square. Tidak ada hubungan yang signifikan antara asupan lemak, garam, dan kalium pada vegetarian dengan hipertensi (p> 0.05). Namun, terdapat hubungan yang signifikan antara IMT dengan kejadian hipertensi (p= 0.025), dimana responden dengan berat badan berlebih 3.837 kali berpeluang lebih besar untuk mengalami hipertensi (OR 3.37; 95% CI= 1.256–11.721). Hal ini menunjukkan bahwa vegetarian cenderung memiliki asupan lemak, garam, dan kalium yang aman sehingga kondisi ini dapat mencegah hipertensi. Dengan demikian, promosi kesehatan mengenai pemilihan sumber lemak, pengaturan asupan garam:kalium, dan manajemen berat badan akan sangat bermanfaat bagi vegetarian untuk mencegah hipertensi.

Kata kunci: diet, hipertensi, IMT, vegetarian

References

  1. American Dietetic Association. (2009). Position of the American Dietetic Association: Vegetarian diets. Journal of the American Dietetic Association, 109 (7), 1266–1282. doi: 10.1016/j.jada.2009.05.027.
  2. Barbieri, J., Fontela, P.C., Winkelmann, E.R., Zimmermann, C.E.P., Sandri, Y.P., Mallet, E.K.V., & Frizzo, M.N. (2015). Anemia in patients with type 2 diabetes mellitus. Anemia, 1–7. http://dx.doi.org/10.1155/2015/354737.
  3. Bromfield, S., & Muntner, P. (2013). High blood pressure: The leasing global burden of disease risk factor and the need for worldwide prevention programs. Current Hypertension Report, 15 (3), 134–136. doi: 10.1007/s11906-013-0340-9.
  4. Escott, S. (2012). Nutrition and diagnosis-related care. Philadelphia: Lippincott Williams & Wilkins.
  5. Geethavani, G., Rameswarudu, M., & Reddy, R.R. (2014). Effect of caffeine on heart rate and blood pressure. International Journal of Scientific and Research Publication, 4 (2), 1–2.
  6. Herna, H., & Fikawati, S. (2014). Gambaran hipertensi dan hubungannya dengan pola diet vegetarian, status gizi, dan faktor lainnya pada pra lansia dan lansia di vihara terpilih, Jakarta Barat tahun 2014 (Theses Undergraduate, Nutrition Study Program). Depok: Faculty of Public Health Universitas Indonesia. Retrieved from http://lib.ui.ac.id/ file?file=pdf/abstrak/id_abstrak-20386652.pdf.
  7. Krishnan, A., Garg, R., & Kahandaliyanage, A. (2013). Hypertension in the South East Asia region: An overview. Regional Health Forum, 17 (1), 7–14.
  8. Kumar, P., & Verma, D.K. (2013). Effect of coffe on blood pressure and electrocardiographic changes in young and elderly healthy subject. National Journal of Medical Research, 3 (1), 53–55.
  9. Lelong, H., Galan, P., Kesse-Guyot, E., Fezeu, L., Hercberg, S., & Blacher, J., (2014). Relationship between nutrition and blood pressure: A cross-sectional analysis from the nutrinet-sante study, a French web-based. American journal of hypertension, 28 (3), 362–371.
  10. McEvoy, C.T., Temple, N., & Woodside, J.V. (2012). Vegetarian diets, low-meat diets and health: A review. Public Health Nutrition, 15 (12), 2287–2294. doi: 10.1017/S1368980012000936.
  11. McLean, R., Edmonds, J., Williams, S., Mann, J., & Skeaff, S. (2015). Balancing sodium and potassium: Estimates of intake in a New Zealand adult population sample. Nutrients, 7 (11), 8930–8938. doi: 20.3390/nu7115439.
  12. Mesas, A.M., Leon, L.M., Rodriquez, F., & Lopez, E. (2011). The effect of coffe on blood pressure and cardiovascular disease in hypertensive individuals: a systematic review and meta-analysis. The American Journal of Clinical Nutrition, 1–14. doi: 10.3945/ajcn.111.016667.
  13. Ministry of Health Republic of Indonesia. (2007). Riset kesehatan dasar 2007. Jakarta: Research and Development Center, Ministry of Health Republic of Indonesia.
  14. Ministry of Health Republic of Indonesia. (2013). Riset kesehatan dasar 2013. Jakarta: Research and Development Center, Ministry of Health Republic of Indonesia.
  15. Mozos, I. (2015). Mechanisms lingking red blood cell disorders and cardiovascular diseases. BioMed Research International, 1–12. http://dx.doi.org/10.1155/2015/682054.
  16. Natalia, E. (2008). Tekanan darah pada vegetarian serta faktor-faktor yang mempengaruhinya. 2014 (Doctoral dissertation, Nutrition Study Program). Semarang: Universitas Diponegoro. Retrieved from http://eprints.undip.ac.id/26074/
  17. Nguyen, H., Adelola, O.A., Rangaswami, J., & Amanullah, A. (2013). A review of nutritional factors in hypertension management. International Journal of Hypertension, 1–13. http://dx.doi.org/10.1155/2013/698940.
  18. Porth, C.M., & Matfin, G. (2009). Pathophysiology: Concepts of altered health states (8th Ed.) Philadelphia: Lippincott Williams & Wilkins.
  19. Ralston, R.A., Lee, J.H., Truby, H., Palermo, C.E., & Walker, K.Z. (2012). A systematic review and meta-analysis of elevated blood pressure and consumption of dairy food. Journal of Human Hypertension, 26, 3–13. doi: 10.1038/jhh.2011.3
  20. Rolfes, S.R., Pinna, K., & Whitney, E. (2012). Normal and clinical nutrition (9th Ed.). U.S: Wadsworth Cengage Learning.
  21. Sherwood, L. (2012). Fisiologi Manusia: Dari sel ke sistem. Edisi keenam. Jakarta: EGC.
  22. Shridhar, K., dkk. (2014). The association between a vegetarian diet and cardiovascular disease (CVD) risk factors in India: The Indian migration study. PloS ONE, 9 (10), 1–8. DOI: 10.1371/journal.pone.0110586.
  23. Siahaan, G., Nainggolan, E., & Lestrina, D. (2015). Hubungan asupan zat gizi dengan trigliserida dan kadar glukosa darah pada vegetarian. Indonesian Journak of Human Nutrition, 2(1), 48–60.
  24. Smeltzer, S.C., Bare, B.G., Hinkle, J.L., & Cheever, K.H. (2010). Brunner & Suddarth’s textbook of medical surgical nursing (12th Ed.). Philadelphia: Lippincott Williams & Wilkins.
  25. Stefhany, E. (2012). Hubungan pola makan, gaya hidup, indeks massa tubuh dengan hipertensi pada pra lansia dan lansia di posbindu kelurahan Depok Jaya tahun 2012 (Theses Undergraduate, Nutrition Study Program). Depok: Faculty of Public Health Universitas Indonesia. Retrieved from http://lib.ui.ac.id/file?file=digital/20319769-S-PDF-Emerita%20%20Stefhany.pdf.
  26. Sukardi, M.P.P. (2004). Metodologi penelitian pendidikan: Kompetensi dan praktiknya. Jakarta: Bumi Aksara.
  27. Talwar, G.P., Hasnain, S.E., & Sarin, S.K. (2016). Textbook of biochemistry, biotechnology, allied and molecular medicine (4th Ed.). Delhi: PHI Learning Private Limited.
  28. Tee, S.R., Teoh, X.Y., Aiman, W.A.R.W.M., Aiful, A., Har, C.S.Y., Tan, Z.F., & Khan, A.R. (2010). The prevalence of hypertension and its associated risk factors in two rural communities in Penang, Malaysia. International e-Journal of Science, Medicine and Education, 4 (2), 27–40.
  29. Tripathi, S.K., Mishra, B.P., Tripathi, R., & Tripathi, K. (2010). Comparative study of vegetarian and non-vegetarian diet on blood pressure, serum sodium and chloride from two different geohgraphical locations. Indian Journal Preventive and Social Medicine, 41 (3,4), 176–181.
  30. Turner, D.R., Sinclair, W.H., & Knez, W.L. (2014). Nutritional adequacy of vegetarian and omnivore dietary intakes. Journal of Nutrition and Health Science, 1 (2), 201–205.
  31. WHO. (2011). Global status report on communication diseases 2010. Geneva: World Health Organization.
  32. WHO. (2013). A global brief on hypertension: Silent killer, global public health crisis. Geneva: World Health Organization.

How to Cite

Mariha, T., & Wiarsih, W. (2019). The Impact of Vegetarian Diets and Body Mass Index on Hypertension. Jurnal Keperawatan Indonesia, 22(3), 228–236. https://doi.org/10.7454/jki.v22i3.726