Longitudinal Study of Systolic and Diastolic Blood Pressure among Hypertension Population Aged 26-59 years in West Java Province, Indonesia
Keywords:longitudinal, systolic, diastolic, hypertension
Background: The untreated and/or uncontrolled hypertension will be dangerous, because of the leading
cause of the increasing morbidity and mortality. Other determinant factors for reducing blood pressure
besides antihypertensive medication are expected to have an impact on the hypertensive population, but
little has been achieved in the understanding of dynamics of changes in blood pressure on a population level.
Objective: To investigate the dynamics of changes in systolic and diastolic blood pressure among
hypertension population aged 26-59 in Kebon Kalapa Village, West Java Province, Indonesia for 3 years’
observation (year 2015-2017).
Methods: This study used secondary data from the ‘Cohort Study of Non-Communicable Disease Risk
Factors’ conducted in Kebon Kalapa Village-West Java Province in 2015-2017. The population in this study
was taken from individuals with hypertension wherein year the 2015 aged 26 to 59 years, and total sample
obtained for analysis was 208 respondents.
Results: In This study, 87% hypertensive people were pre-elderly. The variable of age, BMI, sodium intake
and stress the simultaneous influence of SBP and DBP changes (p<0.05). The increasing age of 1 year
will increase DBP of hypertensive people aged 26-59 years by 1 mmHg after multivariable adjustment.
Meanwhile, the increase of SBP by age could not statistically be predicted by fixed effects regression models.
The magnitude association between BMI and blood pressure shown a one unit BMI increase was associated
with 2,47mmHg SBP and 1.03mmHg DBP after multivariable adjustment.
Conclusion: For Indonesian, our analysis suggests for including the information about the BMI changes in
the hypertension monitoring reports, as indicators of early awareness of risk factors and prognostic factors
for increased blood pressure.