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Previous studies have reported that there are long-term effects of quitting smoking on weight gain which also exacerbate prehypertension, but the effects are unclear. This study aims to determine the association of smoking and obesity on the incidence of prehypertension in young adults in Indonesia. This quantitative research is a cross-sectional analytic study using secondary data from Riskesdas 2018 with samples of 17,698 and Cox regression analysis. The results of this study explain that the prevalence of prehypertension in young adults in Indonesia is 52.61%. Multivariate analysis showed non-smokers and obese young adults had the greatest risk of developing prehypertension, which was 1.33 times. However, a decreasing effect was found in young adults who smoked and were obese on the incidence of prehypertension, which was 1.17 times, and a protective effect was found in those who smoked and were not obese (PR=0.88) due to the antagonistic interaction of smoking and obesity on prehypertension by 3.42%. Check blood pressure using applications on smartwatches and smartphones in young adults who smoke and focus on those who are obese plus increasing the implementation of Posbindu PTM in public places and promoting health through social media.
Hipertensi dan prehipertensi merupakan bagian dari spektrum penyakit kardiovaskular yang kini mulai banyak ditemukan pada kelompok usia produktif, dan berpotensi menjadi penyebab utama beban penyakit tidak menular (PTM) jika tidak tertangani sejak dini. Penelitian ini bertujuan untuk menggambarkan proporsi kejadian hipertensi dan prehipertensi berdasarkan jenis kelamin pada remaja dan dewasa muda (15–34 tahun) di Indonesia, serta mengidentifikasi faktor-faktor risiko yang terkait. Studi ini menggunakan desain potong lintang dengan analisis data sekunder dari Survei Kesehatan Indonesia (SKI) tahun 2023. Sampel terdiri dari 16.961 responden yang memenuhi kriteria inklusi dan eksklusi. Analisis dilakukan melalui uji chisquare dan regresi logistik dengan nilai p value ≤ 0,05. Hasil menunjukkan bahwa proporsi
hipertensi lebih tinggi pada perempuan (17,6%) dibandingkan laki-laki (16,0%), sedangkan prehipertensi lebih tinggi pada laki-laki (19,2%) dibandingkan perempuan (15,1%). Faktor usia, status gizi, aktivitas fisik, perilaku merokok dan konsumsi alkohol, serta determinan sosial seperti pendidikan dan pekerjaan menunjukkan asosiasi dengan kejadian hipertensi dan prehipertensi, terutama pada kelompok laki-laki. Penelitian ini merekomendasikan perlunya kebijakan kesehatan berbasis gender yang fokus pada promosi dan pencegahan hipertensi di usia produktif, serta peningkatan deteksi dini untuk memanfaatkan bonus demografi secara optimal.
Hypertension and prehypertension are part of the spectrum of cardiovascular diseases that are increasingly prevalent among the productive age group and have the potential to become a major burden of non-communicable diseases (NCDs) if not addressed early. This study aims to describe the proportion of hypertension and prehypertension cases by sex among adolescents and young adults (aged 15–34 years) in Indonesia, as well as to identify the associated risk factors. A cross-sectional design was employed using secondary data from the 2023 Indonesia Health Survey (SKI). The sample consisted of 16,961 respondents who met the inclusion and exclusion criteria. Data were analyzed using chi-square tests and logistic regression with a p value threshold of ≤ 0.05. The results showed that the proportion of hypertension was higher in females (17.6%) than in males (16.0%), while the proportion of prehypertension was higher in males (19.2%) than in females (15.1%). Factors such as age, nutritional status, physical activity, smoking and alcohol consumption behaviors, as well as social determinants like education and occupation, were found to be associated with hypertension and prehypertension, particularly among males. This study recommends the development of gender-sensitive health policies focusing on the promotion and prevention of hypertension among individuals in their productive years, alongside improved early detection efforts to optimize the benefits of the demographic dividend.
Food intake associate with Obesity in Indonesia. This research using quantitative with cross sectional study based on health research survey 2010 to determine the association of food intake with obesity among adult population in Indonesia by respondent characteristics. By using standart indonesian obesity (BMI≥27 kg/m2) were obtained 13,7% Indonesian people are obese. The highest prevalence of obesity in province of North Sulawesi and the lowest prevalence in province of East Nusa tenggara and Southeast Sulawesi. The Prevalence of obesity were higher among woman (18,1%) than men (9,1%) The highest prevalence among aged 40-49 years (30,1%) and the lowest prevalence among aged 60+ years (8,4%). 8,3% respondent with high energy intake, 50% with high carbohydrat intake, 50% with high fat intake, and 29,8% with high protein. Energy intake, fat intake and protein intake have a significant association with the incident of obesity by sex and age.
