HUBUNGAN HIPERTENSI DENGAN KEJADIAN DIABETES MELITUS PADA POPULASI PEROKOK (ANALISA DATA IFLS 5)

Maulidiah Ihsan, Asri C Adisasmita

Abstract


Diabetes mellitus diketahui sebagai masalah global yang dapat menimbulkan komplikasi terjadinya kematian dini. Salah satu faktor risiko yang dapat dirubah adalah merokok, tidak hanya menyebabkan diabetes melitus, merokok juga dapat meningkatkan komplikasi kardiovaskular pada orang dengan hipertensi. Penelitian ini bertujuan melihat hubungan hipertensi dengan kejadian diabetes melitus pada populasi perokok. Penelitian ini memanfaatkan data sekunder dari Survei Aspek Kehidupan Rumah Tangga Indonesia ke-5. Jumlah sampel yang dianalisa dalam studi ini melibatkan seluruh populasi eligble yaitu perokok berusia >15 tahun yang dilakukan pengukuran sampel darah kering serta tekanan darah sebanyak 3 kali yaitu 1.962 orang. Analisa data dilakukan melalui regresi logistik dengan meggunakan ukuran POR. Hasil studi menunjukkan terdapat hubungan yang posistif antara hipertensi dengan diabetes mellitus pada populasi perokok POR 1,30 (95% CI 0,85-1,97) setelah diadjust variabel usia, indeks masa tubuh, aktifitas fisik, dan konsumsi buah dan sayur. Lebih lanjut juga diketahui perokok hipertensi yang menghisap >20 batang/hari nilai hubungannya lebih kuat (POR 2,4; 95% CI 0,75 - 8,99) dibandingkan perokok hipertensi yang menghisap <20 batang/hari (POR 2,05; 95% CI 1,36 - 3,15). Berdasarkan hasil tersebut, perlu intensifikasi promosi pengurangan konsumsi rokok yang diikuti upaya intervensi lain sebagai upaya untuk mencegah dampak rokok dan hipertensi terhadap komplikasi diabetes melitus.

Keywords


Diabetes Melitus, Hipertensi, Perokok

References


WHO. Key facts diabetes [Internet]. [cited 2022 Jul 17]. Available from: https://www.who.int/news-room/fact-sheets/detail/diabetes%0A

Przezak A, Bielka W, Pawlik A. Hypertension and Type 2 Diabetes—The Novel Treatment Possibilities. Int J Mol Sci. 2022;23(12).

Atlas IDFD. International Diabetes Federation. Vol. 266, The Lancet. 1955. 134–137 p.

Kemenkes RI. Laporan nasional hasil Riset Kesehatan Dasar (Riskesdas) Tahun 2018. Jakarta: Balitbangkes Kemenkes RI; 2018. 1–198 p.

Kemenkes RI. Riset Kesehatan Dasar 2013. Diabetes Mellit. 2013;87–90.

De Boer IH, Bangalore S, Benetos A, Davis AM, Michos ED, Muntner P, et al. Diabetes and hypertension: A position statement by the American diabetes association. Diabetes Care. 2017;40(9):1273–84.

Ettehad D, Emdin CA, Kiran A, Anderson SG, Callender T, Emberson J, et al. Blood pressure lowering for prevention of cardiovascular disease and death: A systematic review and meta-analysis. Lancet [Internet]. 2016;387(10022):957–67. Available from: http://dx.doi.org/10.1016/S0140-6736(15)01225-8

Wafeu GS, Tankeu AT, Endomba FTA, Nansseu JR, Kaze AD, Bigna JJ, et al. Prevalence and associated factors of active smoking among individuals living with hypertension and/or diabetes in Africa: A systematic review and meta-analysis protocol. BMJ Open. 2017;7(10):1–5.

Noubiap JJ, Nansseu JR, Endomba FT, Ngouo A, Nkeck JR, Nyaga UF, et al. Active smoking among people with diabetes mellitus or hypertension in Africa: a systematic review and meta-analysis. Sci Rep. 2019;9(1):1–11.

Strauss J, Witoelar F, Sikoki B. The fifth wave of the Indonesia Family Life Survey: Overview and field report: Volume 1. Fifth Wave Indones Fam Life Surv Overv F Rep Vol 1. 2016;1(March).

WHO. Use of Glycated Haemoglobin (HbA1c) in the diagnosis of diabetes mellitus: Abbreviated report of a WHO consultation. World Heal Organ. 2011;299–309.

Lloyd-Jones DM, Morris PB, Ballantyne CM, Birtcher KK, Daly DD, DePalma SM, et al. Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. J Am Coll Cardiol. 2017;70(14):1785–822.

WHO Regional Office of Western Pacific. The Asia-Pacific perspective : redefining obesity and its treatment. 2000.

Pratiwi A. Hubungan obesitas dengan kejadian hipertensi derajat 1 pada wanita di Indonesia. 2019;

Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-Country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–95.

Ainsworth B, Haskell L, Whitt M, Irwin ML SA. Compendium of physical activities: An update of activity codes and MET intensities. J Am Coll Sport Med. 2000;32.

United States Department of Health and Human Services. The health consequences of smoking—50 years of progress a report of the surgeon general. A Rep Surg Gen. 2014;1081.

Akalu Y, Belsti Y. Hypertension and its associated factors among type 2 diabetes mellitus patients at Debre Tabor general hospital, northwest Ethiopia. Diabetes, Metab Syndr Obes Targets Ther. 2020;13:1621–31.

Rimm EB, Manson JE, Stampfer MJ, Colditz GA, Willett WC, Rosner B, et al. Cigarette smoking and the risk of diabetes in women. Am J Public Health. 1993;83(2):211–4.

Qiu L, Wang W, Sa R, Liu F. Prevalence and risk factors of hypertension, diabetes, and dyslipidemia among ddults in Northwest China. Int J Hypertens. 2021;2021.

Tsimihodimos V, Gonzalez-Villalpando C, Meigs JB, Ferrannini E. Hypertension and diabetes mellitus coprediction and time trajectories. Hypertension. 2018;71(3):422–8.

Feihl F, Liaudet L, Waeber B, Levy BI. Hypertension: A disease of the microcirculation? Hypertension. 2006;48(6):1012–7.

Nguyen TT, Wang JJ, Islam FMA, Mitchell P, Tapp RJ, Zimmet PZ, et al. Retinal arteriolar narrowing predicts incidence of diabetes. Diabetes. 2008;57(3):536–9.

Meigs JB, Hu FB, Rifai N, Manson JAE. Biomarkers of endothelial dysfunction and risk of type 2 diabetes mellitus. Jama. 2004;291(16):1978–86.

Ferrannini E, Cushman WC. Diabetes and hypertension: The bad companions. Lancet [Internet]. 2012;380(9841):601–10. Available from: http://dx.doi.org/10.1016/S0140-6736(12)60987-8

Perreault L, Pan Q, Aroda V, Connor E DD. Exploring residual risk for diabetes and microvascular disease in the Diabetes Prevention Program Outcomes Study (DPPOS) L. Diabet Med. 2017;34(12):1747–55.

Wei GS, Coady SA, Goff DC, Brancati FL, Levy D, Selvin E, et al. Blood pressure and the risk of developing diabetes in African Americans and Whites: ARIC, CARDIA, and the Framingham Heart Study. Diabetes Care. 2011;34(4):873–9.

Rincón J, Krook A, Galuska D, Wallberg-Henriksson H ZJ. Altered skeletal muscle glucose transport and blood lipid levels in habitual cigarette smokers. Clin Physiol. 1999;19(2).

Chang S. Smoking habits and type 2 diabetes mellitus in women. Diabetes Metab J. 2012;36:399–403.

Sliwinska-Mosson M, Milnerowicz H. The impact of smoking on the development of diabetes and its complications. Diabetes Vasc Dis Res. 2017;14(4):265–76.

Petrie JR, Guzik TJ, Touyz RM. Diabetes, hypertension, and cardiovascular disease: Clinical insights and vascular mechanisms. Can J Cardiol [Internet]. 2018;34(5):575–84. Available from: https://doi.org/10.1016/j.cjca.2017.12.005.




DOI: https://doi.org/10.33024/jdk.v12i2.9158

Refbacks

  • There are currently no refbacks.


Copyright (c) 2023 Jurnal Dunia Kesmas

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Published by:
Faculty of Health Sciences, Malahayati University

Editorial Address:
Jl. Pramuka No. 27 Kemiling Bandar Lampung Cq. Tim Jurnal Dunia Kesmas.
Whatsapp : 0822-8154-6379 (admin)