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6 THE ROLE OF PRIMARY PREVENTION AGAINST REDUCING HYPERTENSION FOCUS ON SUBJECTS WITH HIGH TOTAL CHOLESTEROL AND HIGH TRIGLYCERIDES IN BUMIAJI VILLAGE, BATU, EAST JAVA

Lampita, Irene1,2; Setiawan, Dion2,4; Sargowo, Djanggan1,2,3,4

Journal of Hypertension: July 2018 - Volume 36 - Issue - p e2
doi: 10.1097/01.hjh.0000544371.96549.79
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Background: Hypertension becomes a disease that keeps on increasing. In 2016 the National Health Indicator Survey saw the number of hypertension rise to 32.4 percent. Many factors contributes to hypertension one of them is lipid disorders. Dyslipidaemia, a strong predictor of cardiovascular disease, causes endothelial damage which leads to increased blood pressure. 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 dyslipidemia 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 for total cholesterol, triglycerides 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 training sessions about hypertension, diabetes mellitus, obesity, smoking, and nutrition balance. From the data, we took 22 subjects with hypertension, high total cholesterol and high triglycerides. We analysed the data using Wilcoxon Signed Ranks Test to evaluate pre and post intervention of Blood Pressure (BP).

Results: From our study, it was found that after the intervention, there were 17 people who experienced a decrease in systolic blood pressure, and 5 others had the same results as pre-intervention. There were 13 people who experienced a decrease in diastolic blood pressure, and 9 others had the same results as pre-intervention. The mean value for systolic blood pressure before intervention is 134 ± 17,32, diastolic blood pressure pre-intervention 88.23 ± 12.09 systolic blood pressure after intervention is 124,09 ± 11.82 and diastolic blood pressure after intervention is 82.27 ± 9.73. The mean value for total cholesterol before intervention is 224.14 ± 26.08, triglycerides pre intervention 209.82 ± 13.02, total cholesterol after intervention is 208.82 ± 35.64 and triglyceride after intervention is 181.09 ± 110.15.

Conclusions: Primary prevention for subjects with hypertension, high total cholesterol and high triglycerides has tendency of lowering the value of blood pressure, total cholesterol and triglycerides.

1Brawijaya University Hospital Malang East Java Indonesia

2Malang Molecular Biology Institute East Java Indonesia

3Departement of Cardiology and Vascular Medicine – Faculty of Medicine Brawijaya University - Dr Saiful Anwar General Hospital Malang East Java Indonesia

4Center Study of Degenerative Disease – Brawijaya University Malang East Java Indonesia

Keywords: Hypertension, Total Cholesterol, Triglycerides

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