Correlation Between Age and Degenerative Diseases in Kendalkerep Primary Health Care (PHC) Malang

Abstract

Increasing life expectancy will increase the risk of degenerative diseases such as hypertension, hyperlipidemia, hyperglycemia and mental-emotional disorders in the elderly. This quantitative study aimed to determine the correlation between age and degenerative diseases. The independent variable was age and Body Mass Index (BMI) and the dependent variables were blood pressure, blood sugar and cholesterol. The population were pre-elderly and elderly in Kendalkerep PHC (8,629 elders). Researchers used 20% of the population as a sample (1,769 elders). The data collected was the elderly health screening data. Data collection was done through Google Forms. Data were analyzed univariate and bivariate to determine the correlation between age and BMI to the incidence of hypertension, hyperglycemia, and hypercholesterolemia. The univariate test showed that the majority of respondents were elderly (75.7%). 66% were female, 65.9% were classified as obese, 15.1% had moderate hypertension and 4.3% had severe hypertension, 13% suffered from hyperglycemia, 12.8% suffered from hypercholesterolemia and about 61.2% of elders had visual impairments. The Spearman test showed that there was a significant relationship (ά< 0.05) between age and blood pressure, between BMI and blood pressure, between BMI and blood sugar, and between BMI and cholesterol. However, there was no relationship (ά> 0.05), between age and blood sugar and between age and cholesterol. This study suggested that elders in Kendalkerep PHC should have further medical examinations to prevent further impacts such as degenerative diseases. However, improvement in ways of living is also suggested.


Keywords: Age, BMI, Blood Pressure, Blood Sugar, Cholestero

References
[1] Misnaniarti M. Misnaniarti. Situation Analysis of Elderly People and Efforts To Improve Social Welfare in Indonesia. J Ilmu Kesehat Masy. 2017;8(2):67–73.

[2] Liman LM, Arif H, Surjadi C. Prevalensi Dan Determinan Penyakit Tidak Menular Pada Pralansia Dan Lansia Ekonomi Menengah Di Tangerang. Damianus J Med [Internet]. 2018;14(3):165. Available from: http://ojs.atmajaya.ac.id/index.php/duludamianus/ article/view/1071{%}0Ahttp://litbang.kemkes.go.id:8080/handle/123456789/25053

[3] Wahyuningsih W, Astuti E. Faktor Yang Mempengaruhi Hipertensi pada Usia Lanjut. J Ners dan Kebidanan Indones. 2016;1(3):71.

[4] Nuraini B. Risk Factors of Hypertension. J Major. 2015;4(5):10–9.

[5] Makmun A, Radisu IM. Karakteristik pada Obesitas Berdasarkan Rentan Umur di Kelurahan Nganganaumala Kota Bau-Bau. Indones J Heal. 2021;1(2):85–90.

[6] Kartika J, Purwaningsih E. Hubungan Obesitas pada Pra Lansia dengan Kejadian Hipertensi di Kecamatan Senen Jakarta Pusat Tahun 2017-2018. J Kedokt dan Kesehat. 2020;16(1):35.

[7] Isnaini N, Ratnasari R. Faktor risiko mempengaruhi kejadian Diabetes mellitus tipe dua. J Kebidanan dan Keperawatan Aisyiyah. 2018;14(1):59–68.

[8] Association AD. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2012;35(SUPPL. 1).

[9] Graaf C, Donnelly D, Wootten D, Lau J, Sexton PM, Miller LJ, et al. Glucagon-like peptide-1 and its class B G protein-coupled receptors: A long march to therapeutic successes. Pharmacol Rev. 2016 Oct;68(4):954–1013.

[10] Khairani. Hari Diabetes Sedunia Tahun 2018. Pusat Data dan Informasi Kementrian Kesehatan RI. 2019.

[11] Sulistyoningtyas DK. Hubungan Indeks Masa Tubuh (IMT) dan Lingkar Perut dengan Kadar Kolesterol Total di Kelurahan Patihan Kecamatan Mangunharjo Kota Madiun [Internet]. 2020;21. Available from: http://mpoc.org.my/malaysian-palm-oil-industry/

[12] Rusilanti. Kolesterol Tinggi Bukan Untuk Ditakuti. Jakarta: F Media; 2014.

[13] Kemenkes RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 43 Tahun 2016 Tentang Standar Minimal Bidang Kesehatan. 2016.

[14] Kementerian Kesehatan RI. Peraturan Menteri Kesehatan Republik Indonesia Tahun 75 Tahun 2014. 2014;634. Available from: https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayatdb/ Yayinlar/kitaplar/diger-kitaplar/TBSA-Beslenme-Yayini.pdf

[15] Adam L. Determinan Hipertensi Pada Lanjut Usia. Jambura Heal Sport J. 2019;1(2):82–9.

[16] Mu’jizah K, Nuryanti T, Sholikhah M. Analisis Faktor yang Mempengaruhi Kejadian Hioertensi Pada Lansia di Desa Sumbertlaseh. J Ilm Kesehat; 2021. p. 1.

[17] Amanda D, Martini S. The Relationship between Demographical Characteristic and Central Obesity with Hypertension. J Berk Epidemiol. 2018;6(1):43.

[18] Komariah K, Rahayu S. Hubungan Usia, Jenis Kelamin Dan Indeks Massa Tubuh Dengan Kadar Gula Darah Puasa Pada Pasien Diabetes Melitus Tipe 2 Di Klinik Pratama Rawat Jalan Proklamasi, Depok, Jawa Barat. J Kesehat Kusuma Husada. 2020;(Dm):41–50.

[19] Amalia RF. Faktor-faktor yang berhubungan dengan kejadian diabetes melitus pada lansia di puskesmas Kecamatan Mampang Prapatan Jakarta Selatan tahun 2014.

[20] Anis C, Sekeon SA, Kandou GD. Hubungan Antara Diabetes Melitus (Hiperglikemia) Dengan Kualitas Hidup Pada Lansia Di Kelurahan Kolongan, Kecamatan Tomohon Tengah, Kota Tomohon. Kesmas. 2017;6(3):1–8.

[21] Lestari TW. Hubungan Kadar Kolesterol dengan Tekanan Darah pada Pra Lansia Hipertensi di Posyandu Lansia Dusun Jetis Bantul Yogyakarta. Volume 1. 2019.

[22] Stapleton PA, Goodwill AG, James ME, Brock RW, Frisbee JC. Hypercholesterolemia and microvascular dysfunction: interventional strategies. J Inflamm (Lond). 2010 Nov;7(1):54.

[23] Sari DP, Hansah RB. Suharni. Gambaran Kadar Kolesterol Total Pada Lansia Di Puskesmas Andalas. J Kesehat Saintika Meditory J Kesehat Saintika Meditory [Internet]. 2018;1(August):79–88. Available from: http://jurnal.syedzasaintika.ac.id/index.php/meditory/article/view/244

[24] Johansyah TK, Lestari AW, Herawati S. Hubungan Antara Indeks Massa Tubuh (IMT) dengan Tekanan Darah pada Pengunjung Lapangan Renon pada Tahun 2018. J Med Udayana. 2020;9(3):1–4.

[25] Asari HR, Helda H. Hubungan Obesitas dengan Kejadian Hipertensi pada Lansia di Posyandu Lansia di Wilayah Kerja Puskesmas PB Selayang II Kecamatan Medan Selayang, Medan. J Epidemiol Kesehat Indones. 2021;5(1):1–8.

[26] Helmiah, Asrinawaty, Ernadi E. Hubungan Genetik, Obsesitas dan Pola Malan dengan Kejadian Hipertensi pada Pra Lansia di Wilayah Kerja Puskesmas Kuin Raya Tahun 2022. 2022;

[27] Kodir M, Nada S, Pratiwi R. Semarang Correlation of Bmi With Blood Sugar Levels in the Elderly At Posyandu. J Keperawatan Sisthana. 2019;4(2):2527–6166.

[28] Richardo B, Pengemanan D, Mayulu N. Kejadian Diabetes Mellitus Tipe II pada Lanjut Usia di Indonesia (Analisis Riskesdas 2018) . J Kedokt dan Kesehat. 2014;17(1):9–20.

[29] Hermawati N. Ayu Gustia YD. Pengaruh Aktivitas Olah Raga Terhadap Kadar Kolesterol Total Di Poli Klinik Jantung. J Kesehat Saintika Meditory J Kesehat Saintika Meditory [Internet]. 2018;2(August):79–88. Available from: http://jurnal.syedzasaintika.ac.id/index.php/meditory/article/view/244

[30] Hasyim S, Bakri H. Hubungan Berat Badan Dengan Kadar Kolesterol Darah Total Pada Lansia Di Puskesmas Sekupang Kota Batam. Zo Keperawatan [Internet]. 2018;9(1):93–100. Available from: http://ejurnal.univbatam.ac.id/index.php/Keperawatan/article/viewFile/253/202