The Role of Primary Prevention Against Reducing Hypertension and Overweight as Cardiovascular Risk Factor in Rural Area, Bumiaji Village, Batu, East Java

Author : I. Lampita D. Setiawan D. Sargowo
Upload Date : 19-04-2018

Introduction. Hypertension becomes a disease that keeps on increasing. In 2016 the National Health Indicator Survey (Sirkesnas) saw the hypertension ratio rise to 32.4 percent. Many factors contributes to hypertension, one of them is overweight. Higher weight is associated with higher blood pressure levels. The number of farmers in Batu is 19,258 people, and in Bumiaji Village has the highest numbers of farmers than other sub-districts, which is about 45% of the total farmers in Batu (Census of Agriculture, 2013).

Objectives. The aim of this study was to evaluate the efficacy of population based intervention in improving knowledge and physical activity for reducing blood pressure and people with overweight in population of farmers in Bumiaji Village, Batu.

Methods. This study was an interventional analytic study  involving  102 subjects from Bumiaji Village, Batu. All participants were given the same intervention for 3 months. Blood test and vital signs were performed in all subjects before and after intervention. Subjects did heart exercise in 60 minutes with frequency two times a week in 3 months and received six training sessions about hypertension, diabetes mellitus, obesity, smoking, and nutrition balance. From the data, we took 17 subjects (5 males; 12 females) with hypertension and those who overweight (BMI score ≥ 23 – 25 kg/m2). We analysed the data using Wilcoxon Signed Ranks Test to evaluate pre and post intervention of Blood Pressure (BP) and Body Mass Index (BMI).

Results. From our study, it was found that after the intervention, there were 16 people who experienced a decrease in systolic blood pressure, and the other one had the same results as pre intervention. There were 15 people who experienced a decrease in diastolic blood pressure, and 2 others had the same results as pre intervention. The mean value for systolic blood pressure before intervention is 155 ± 12.72, diastolic blood pressure pre intervention 99.29 ± 16.5  systolic blood pressure after intervention is 137.65 ± 11.47 and diastolic blood pressure after intervention is 87.06 ± 11.04. The mean value for BMI before intervention is 24.67 ± 0.4, and BMI after intervention is 24.48 ± 0.4.

Conclusions. Primary prevention is proven to be effective for person with hypertension and overweight, and this effect will help to reduce cardiovascular risk factor.

KEYWORDS : Hypertension, Overweight, Primary Prevention

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