Correlation between Diabetes Mellitus Type 2, Cholesterol with Calcium Score in Patient with Hypertension and Obesity
Hubungan Diabetes Melitus, Kolesterol dengan Skor Kalsium pada Pasien Hipertensi dengan Status Gizi Obesitas
Downloads
Background: Obesity is more of a nutritional problem that becomes one of the double nutritional problems that must be overcome. A person with obesity tends to have a higher risk of developing hypertension, diabetes mellitus type 2, and the possibility of having a heart attack, which can show calcium scores in the heart.
Objectives: This research aimed to analyze the relationship and look at differences in the incidence of DM type 2, cholesterol, and calcium scores in patients suffering from hypertension and obesity.
Methods: This research used a cross-sectional study design with a quantitative method. The data collection was conducted at Siloam Hospital Surabaya (2018-2021). The determination of the sample adjusts to the criteria set by the researcher. Sample withdrawal used the purposive sampling method. The sample number was 59 men and 59 women. Research instruments were a questionnaire, interview, collecting data anthropometry, hypertension history, and cholesterol history.
Results: Most of the subjects were elderly (38.1%). There were differences in the cholesterol history of women and man subjects (p=0.002). There was no noticeable difference in the history of DM type 2 in the subjects (p=0.092). There was no noticeable difference in calcium scores in the subjects (p=0.062). Most subjects other than having DM type 2 also had a history of cholesterol (73.3%). There was no noticeable correlation between cholesterol with DM type 2 in subjects (p=0.006). Most subjects with a history of DM type 2 was in a meaningful calcium score (26.6%). No association between DM type 2 and calcium score in subjects (p=0.102).
Conclusions: There was no association between the incidence of diabetes mellitus type 2 and cholesterol and the incidence of DM type 2 with calcium scores in patients. There was a noticeable difference in the incidence of cholesterol in the subjects. No difference in the incidence of DM type 2 and calcium scores was found in subjects who were patients with a history of hypertension and obesity.
The Ministry of Health of Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 41 Tahun 2014. Pedoman Gizi Seimbang vol. 3 (2014).
The Ministry of Health of Indonesia. Laporan Nasional Riskesdas 2018. Riset Kesehatan Dasar (Riskesdas) 2018 FINAL http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf. (2018).
Tiara, U. I. Hubungan Obesitas dengan Kejadian Hipertensi. J. Heal. Sci. Physiother. 2, 167–171 (2020).
Korneliani, K. & Meida, D. Obesitas dan Stress dengan Kejadian Hipertensi. J. Kesehat. Masy. 7, 117–121 (2012).
National Heart, L. and B. I. A Review of the Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National High Blood Pressure Education Program (2004).
Yuliani, F., Oenzil, F. & Iryani, D. Hubungan Berbagai Faktor Risiko terhadap Kejadian Penyakit Jantung Koroner pada Penderita Diabetes Melitus Tipe 2. J. Kesehat. Andalas 3, 37–40 (2014).
Muliawan, E. et al. Korelasi Plak, CIMT, dan Skor Kalsium dengan Derajat Arteri Koroner pada Pasien Dislipidemia. Maj. Kedokt. Andalas 42, 1 (2019).
Hakim, L. N. Urgensi Revisi Undang-Undang tentang Kesejahteraan Lanjut Usia. Aspir. J. Masal. Sos. 11, 43–55 (2020).
The Ministry of Health of Indonesia. Laporan Nasional Riset Kesehatan Dasar 2013. Riset Kesehatan Dasar (Riskesdas) 2013 http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2013/Laporan_riskesdas_2013_final.pdf. (2013).
Hastuty, Y. D. Perbedaan Kadar Kolesterol Orang yang Obesitas dengan Orang yang Non Obesitas. AVERROUS J. Kedokt. dan Kesehat. Malikussaleh 1, 47 (2018).
RI, K. Peraturan Menteri Kesehatan Republik Indonesia Nomor 25 Tahun 2016 tentang Rencana Aksi Nasional Kesehatan Lanjut Usia Tahun 2016-2019. Peraturan Menteri Kesehatan Republik Indonesia Nomor 25 Tahun 2016 Tentang Rencana Aksi Nasional Kesehatan Lanjut Usia Tahun 2016-2019 http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No._25_ttg_Rencana_Aksi_Nasional_Kesehatan_Lanjut_Usia_Tahun_2016-2019_.pdf. (2016).
Margarita, Y. et al. Kadar Kolesterol Total dan Tekanan Darah Orang Dewasa Indonesia. Kesmas Natl. Public Heal. J. 8, 79 (2013).
Sugiarti, L. & Latifah, L. Hubungan Obesitas, Umur dan Jenis Kelamin terhadap Kadar Kolesterol Darah. J. Sains Nat. 1, 84 (2017).
Dafriani, P. Hubungan Obesitas dan Umur dengan Kejadian Diabetes Mellitus Tipe II. J. Med. Saintika 8, 17–24 (2017).
Saragih, H., Nugrahalia, M. & Sartini, S. Hubungan antara Diabetes melitus tipe 2 dengan Hipertensi pada Pralansia dan Lansia di Puskesmas Rambung Kota Tebing Tinggi. J. Ilm. Biol. UMA 1, 64–71 (2019).
Kekenusa, J. S., Ratag, B. T. & Wuwungan, G. Analisis Hubungan antara Umur dan Riwayat Keluarga Menderita DM dengan Kejadian Penyakit DM Tipe 2 pada Pasien Rawat Jalan di Poliklinik Penyakit dalam Blu Rsup Prof. Dr. R.D Kandou Manado. J. Kesmas Univ. Sam Ratulangi Manad. 2, 1–6 (2013).
Siregar, R. A. C. Cegah Jantung Koroner dengan Calcium Score. https://bethsaidahospitals.com/cegah-jantung-koroner-dengan-calcium-score/#:~:text=Apabila skor kalsiumnya 11-100,dikategorikan sebagai significant (bermakna).
Santoso, A. H. et al. Distribution of Coronary Artery Calcium Score Based on Age and Gender in Healthy Population. Damianus J. Med. 20, 1–8 (2021).
Caroline K Kramer, Bernard Zinman, Jorge L Gross, Luis H Canani, Ticiana C Rodrigues, Mirela J Azevedo, R. R. Coronary Artery Calcium Score Prediction of All-Cause Mortality and Cardiovascular Events in People with Type 2 Diabetes: Systematic Review and Meta-Analysis. BMJ Online 3, 1–13 (2013).
Noviyanti, F., Decroli, E. & Sastri, S. Perbedaan Kadar LDL-kolesterol pada Pasien Diabetes Melitus Tipe 2 dengan dan tanpa Hipertensi di RS Dr. M. Djamil Padang Tahun 2011. J. Kesehat. Andalas 4, 545–550 (2015).
Koampa, P. H., Pandelaki, K. & Wongkar, M. C. P. Hubungan Indeks Massa Tubuh dengan Profil Lipid pada Pasien Diabetes Melitus Tipe 2. e-CliniC 4, (2016).
Greenland, P., Blaha, M. J., Budoff, M. J., Erbel, R. & Watson, K. E. Coronary Calcium Score and Cardiovascular Risk. J. Am. Coll. Cardiol. 72, 434–447 (2018).
Copyright (c) 2023 Amerta Nutrition
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
AMERTA NUTR by Unair is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution Share-Alike (CC BY-SA).
4. The Creative Commons Attribution Share-Alike (CC BY-SA) license allows re-distribution and re-use of a licensed work on the conditions that the creator is appropriately credited and that any derivative work is made available under "the same, similar or a compatible license”. Other than the conditions mentioned above, the editorial board is not responsible for copyright violation.