Kualitas hidup lansia hipertensi dengan overweight dan tidak overweight

https://doi.org/10.22146/ijcn.38913

Tri Mei Khasana(1*), Nyoman Kertia(2), Probosuseno Probosuseno(3)

(1) Program Studi Gizi Program Sarjana, Fakultas Ilmu Kesehatan, Universitas Respati Yogyakarta
(2) Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
(3) Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

Abstract


The quality of life in elderly hypertension with overweight and non-overweight

Background: Indonesia will enter the period of aging and an increase in several elderlies with chronic diseases. The biggest health problems of the elderly are degenerative diseases, namely hypertension which significantly disrupts the quality of life both in terms of physical and mental health. One of the causal conditions associated with hypertension is overweight and obesity, which is known at this time the prevalence of obesity is growing progressively in old age. However, the results of research related to the influence of obesity on quality of life are still controversial.

Objective: To determine differences in quality of life between hypertensive elderly who are overweight and non-overweight.

Method: Cross-sectional study conducted in Yogyakarta City in Januari-April 2017 with a subject of 200 elderly people aged 60-74 years. Overweight was determined based on BMI measurements (>23 kg/m2) with an estimation of elderly height using depa length, quality of life of the elderly was measured using WHOQOL-BREF questionnaire, and compared the quality of life by age, gender, education, occupation, income, marital status, comorbidity, and disease history. Data analysis used independent t-test and linear regression.

Results: Mean of environmental domain score was significantly higher (p=0,012) in elderly hypertension with overweight (26,69±3,28) compared to elderly hypertension non-overweight (25,44±3,58). Overweight protective effect on the low quality of life of the environment domain because it is influenced by other factors such as marital status, income, and education. Multivariate analysis shows that income and marital status are external factors that consistently influence the quality of life of the elderly both in total scores and per domain. High-income elderly people with married status have a better quality of life score.

Conclusions: The mean score of the environmental domain is higher in elderly hypertension with overweight. Quality of life scores will be better in high income elderly and married.


Keywords


elderly; hypertension; overweight; quality of life in

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References

  1. Badan Pusat Statistik (BPS RI). Proyeksi penduduk Indonesia 2015-2045 hasil SUPAS 2015 (edisi revisi). [series online] 2018 [cited 19 Juni 2019]. Available from: URL: https://www.bps.go.id/publication/2018/10/19/78d24d9020026ad95c6b5965/proyeksi-penduduk-indonesia-2015-2045-hasil-supas-2015
  2. Kemenkes RI. Situasi lanjut usia (lansia) di Indonesia. [series online] 2016 [cited 8 Oktober 2016]. Available from: URL: https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/Infodatin-lansia-2016.pdf
  3. Kemenkes RI. Riset kesehatan dasar (Riskesdas) tahun 2013. Jakarta: Kemenkes RI; 2013
  4. Badan Pusat Statistik (BPS). Indikator strategis menurut provinsi tahun 2019. [series online] 2020 [cited 7 Mei 2019]. Available from: URL: https://www.bps.go.id/QuickMap?id=0000000000
  5. Han TS, Tajar A, Lean ME. Obesity and weight management in the elderly. Br Med Bull. 2011;97:169-
  6. Kemenkes RI. Gambaran kesehatan lanjut usia di Indonesia. [series online] 2013 [cited 8 Oktober 2016]. Available from: URL: https://pusdatin.kemkes.go.id/resources/download/pusdatin/buletin/buletin-lansia.pdf
  7. Wang R, Zhao Y, He X, Ma X, Yan X, He J, et al. Impact of hypertension on health-related quality of life in a population-based study in Shanghai, China. Public Health. 2009;123(8):534-9. doi: 10.1016/j.puhe.2009.06.009
  8. Sazlina SG, Zaiton A, Nor Afiah MZ, Hayati KS. Predictors of health related quality of life in older people with non-communicable diseases attending three primary care clinics in Malaysia. J Nutr Health Aging. 2012;16(5):498-502. doi: 10.1007/s12603-012-0038-8
  9. Baune BT, Aljeesh Y. The association of psychological stress and health related quality of life among patients with stroke and hypertension in Gaza Strip. Ann Gen Psychiatry. 2006;5:6. doi: 10.1186/1744-859X-5-6
  10. Soni RK, Porter AC, Lash JP, Unruh ML. Health-related quality of life in hypertension, chronic kidney disease, and coexistent chronic health conditions. Adv Chronic Kidney Dis. 2010;17(4):e17-e26. doi: 10.1053/j.ackd.2010.04.002
  11. Zygmuntowicz M, Owczarek A, Elibol A, Chudek J. Comorbidities and the quality of life in hypertensive patients. Pol Arch Med Wewn. 2012;122(7-8):333-40.
  12. Kim S, Kim Y, Park SM. Body mass index and decline of cognitive function. PLoS One. 2016;11(2):e0148908. doi: 10.1371/journal.pone.0148908
  13. Nawi Ng, Hakimi M, Byass P, Wilopo SA, Wall S. Health and quality of life among older rural people in Purworejo District, Indonesia. Glo Health Action. 2010;3:78-87. doi: 10.3402/gha.v3i0.2125
  14. Kamso S. Body mass index, total cholesterol, and ratio total to HDL cholesterol were determinants of metabolic syndrome in the Indonesian elderly. Med J Indones. 2007;16(3):195-200. doi: 10.13181/mji.v16i3.276
  15. Kamso S, Rumawas JS, Lukito W, Purwantyastuti. Determinants of blood pressure among Indonesian elderly individuals who are of normal and over-weight: a cross sectional study in an urban population. Asia Pac J Clin Nutr. 2007;16(3):546-53.
  16. National Heart, Lung, and Blood Institute (US). JNC VII: The Seventh Report of the Joint Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. [series online] 2004 [cited 8 Oktober 2016]. Available from: URL: https://www.nhlbi.nih.gov/files/docs/guidelines/jnc7full.pdf
  17. Mann J, Truswell SA. Essentials of human nutrition, fourth edition. (Alih Bahasa: Andry Hartono). Jakarta: EGC; 2014.
  18. World Health Organization (WHO). WHO Quality of life BREF (WHOQOL-BREF). [series online] 2009 [cited 8 Oktober 2016]. Available from: URL: https://www.who.int/mental_health/media/en/76.pdf
  19. World Health Organization (WHO). Programme on mental health: WHOQOL user manual. [series online] 2012 [cited 8 Oktober 2016]. Available from: URL: https://apps.who.int/iris/handle/10665/77932
  20. Salim OC, Sudharma NI, Kusumaratna RK, Hidayat A. Validitas dan reliabilitas World Health Organization Quality of Life-BREF untuk mengukur kualitas hidup lanjut usia. Universa Medicina. 2007;26(1):27-38.
  21. Nilsson E. Aspects of health-related quality of life. Associations with psychosocial and biological factors, and use as patient-reported outcome in routine health care [Dissertations]. Sweden: Linköping University; 2012.
  22. Minh HV, Ng N, Byass P, Wall S. Patterns of subjective quality of life among older adults in rural Vietnam and Indonesia. Geriatr Gerontol Int. 2012;12(3):397-404. doi: 10.1111/j.1447-0594.2011.00777.x
  23. Dinç G, Eser E, Saatli GL, Cihan UA, Oral A, Ozcan C, et al. The relationship between obesity and health related quality of life of women in a Turkish city with a high prevalence of obesity. Asia Pac J Clin Nutr. 2006;15(4):508-15.
  24. Casas-Vara A, Santolaria F, Fernández-Bereciartúa A, González-Reimers E, García-Ochoa A, Martínez-Riera A. The obesity paradox in elderly patients with heart failure: analysis of nutritional status. Nutrition. 2012;28(6):616-22. doi: 10.1016/j.nut.2011.10.006
  25. Zhu Y, Wang Q, Pang G, Lin L, Origasa H, Shi H, et al. Association between body mass index and health-related quality of life: the "obesity paradox" in 21,218 adults of the Chinese general population. PLoS One. 2015;10(6):e0130613. doi: 10.1371/journal.pone.0130613
  26. Memel M, Bourassa K, Woolverton C, Sbarra DA. Body mass and physical activity uniquely predict change in cognition for aging adults. Ann Behav Med. 2016;50(3):397-408. doi: 10.1007/s12160-015-9768-2
  27. Ul-Haq Z, Mackay DF, Fenwick E, Pell JP. Meta-analysis of the association between body mass index and health-related quality of life among adults, assessed by the SF-36. Obesity (Silver Spring). 2013;21(3):E322-7. doi: 10.1002/oby.20107
  28. Zhu YB, Luo XX, Wang Q. Study on the relationship between body mass index and health-related quality of life in middle-aged or older Chinese adults. Zhonghua Liu Xing Bing Xue Za Zhi. 2009;30(7):687-91.
  29. Leigh L, Byles JE, Jagger C. BMI and healthy life expectancy in old and very old women. Br J Nutr. 2016;116(4):692-9. doi: 10.1017/S0007114516002403



DOI: https://doi.org/10.22146/ijcn.38913

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