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Efficacy of a Community-Based Health Education with Physical Activity Program (S.E.H.A.T) for The Prevention of Cardiovascular Disease in Batu City, Indonesia

Author : D. Sargowo
Upload Date : 19-04-2018

Background: Cardiovascular disease (CVD) is the biggest cause of mortality in Indonesia and contributes a sizeable burden of cost to health services . It has been demonstrated that risk factors such as obesity, elevated cholesterol and blood pressure can increase the risk of developing CVD, but there is debate about the most effective approach for risk factor change.

Objective: The aim of this study is to evaluate efficacy of a population-based intervention in improving knowledge and helthy cardiac excercise for prevent cardiovascular disease in Bumi Aji, Batu City

Methods: It was interventional analytical studies, A total of 102 subjects from farmer in Bumi Aji Village, Batu City, The participants were randomly assigned to a Control Group (CG = 50) or Intervention Group (IG = 52) All participants were individually interviewed with a structured questionnaire measured according to standard protocol Fasting blood samples were then collected for the measurement of uric acid, glucose, lipids and creatinine. IG received Healthy cardiac exercise III and VI version three time’s a week (396 METs/min/week) for 3 month’s, We used a population-wide intervention using focused group discussion, posters, leaflets and handouts in IG that were designed specifically for increasing knowledge to prevent cardiovascular diseases.We used pre and posttest questionnaire to examine knowledge in IG.

Result : There was a significant change during the intervention period between IG and CG in systolic blood pressure (-12.17±11,12 mmhg vs 0,00 ± 8,42 mmhg , p<0,000, respectively), diastolic blood pressure (-6.08±6,1 mmhg vs -1,04±10,7 mmhg, p<0,03, respectively), total cholesterol (-10,8±33,06mg/dl vs 3,8±24,5 mg/dl,p<0,046, respectively), and HDL (5,36±7,06 mg/dl vs 1,60 vs 7,76 mg/dl, p< 0,04, respectively). Intrestingly, no difference during the intervention period  in weight, fasting bloog glucose and other lipid profile  such as LDL and Trigycerides were observed in both groups. We also observe the increasing of knowledge about hypertension, obesity , and dyslipidemia in IG (68.8 ± 16,2 vs 74 ± 16,3, P<0.001, 52,8 ± 13,2 vs 78 ± 12, P<0,000,  63,5 ± 10,2 vs 83 ± 11,3 P<0,000, respectively).

Conclusion

In this study we suggest that a population-based intervention in improving knowledge and helthy cardiac exercise had significant effect to reduce Systolic blood pressure, diastolic blood pressure, total cholesterol and to increase HDL level.

KEYWORDS : Hypertension; Obesity; Dyslipidemia


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