PENGARUH DURASI TIDUR DENGAN KLASIFIKASI TEKANAN DARAH PADA USIA PRODUKTIF DI KOTA MEDAN
Article Sidebar
Main Article Content
Abstract
Hypertension is defines as elevated blood pressure in adult, where systolic above 140 mmHg and diastolic above 90 mmHg. Blood pressure classification can be divided into: optimal, normal, normal- high, hypertension grade 1, hypertension grade 2, and hypertension grade 3. Hypertension, especially primary hypertension can be caused by several factors, one of them is sleep duration. This study includes 352 subjects which are suitable to the inclusion criteria with cross sectional method in several factories and offices in Medan, August 2014. This study will be analyzed with Kruskal Wallis, followed by Post Hoc Mann Whitney. The result is short sleep duration (less than 6 hours) is associated with elevated hypertension incidence (p- value < 0,001), where there are significant differences in several groups such as, optimal with hypertension grade 1 (p- value = 0,001); optimal with hypertension grade 2 (p-value : 0,003); optimal with hypertension grade 3 (p-value : 0,027), normal with hypertension grade 1 (p-value : 0,002), normal with hypertension grade 2 (p-value : 0,003), normal with hypertension grade 3 (p-value : 0,003), normal- high with hypertension grade 1 (p-value : 0,028), normal- high with hypertension grade 2 (p-value : 0,012), and normal- high with hypertension grade 3 (p-value : 0,023). Conclusions of the study is there is an effect between sleep duration and hypertension incidence.
Keywords: Hypertension; Sleep Duration; Productive Age
Abstrak
Hipertensi merupakan peningkatan tekanan darah pada dewasa dimana sistolik lebih dari 140 mmHg dan diastolik lebih dari 90mmHg. Kejadian hipertensi terdapat pada dua per tiga negara berpenghasilan rendah, dan menengah. Klasifikasi tekanan darah dibagi menjadi optimal, normal, normal tinggi, hipertensi derajat 1, hipertensi derajat 2, hipertensi derajat 3. Hipertensi terutama hipertensi primer dipengaruhi oleh berbagai faktor salah satunya adalah durasi tidur. Penelitian ini meliputi 352 responden yang termasuk dalam kriteria inklusi dengan metode pengambilan data potong lintang di beberapa pabrik dan kantor di Kota Medan periode Agustus 2014. Analisis dilakukan dengan uji Kruskal Wallis, dilanjutkan dengan Post Hoc Mann Whitney. Hasilnya, durasi tidur yang pendek (kurang dari 6 jam) berhubungan dengan meningkatnya kejadian hipertensi (p- value <0,001), dimana terdapat perbedaan signifikan antara kelompok optimal dengan hipertensi tingkat 1 (p-value : 0,001), optimal dengan hipertensi tingkat 2 (p-value : 0,003), optimal dengan hipertensi tingkat 3 (p-value : 0,027), normal dengan hipertensi tingkat 1 (p-value : 0,002), normal dengan hipertensi tingkat 2 (p-value : 0,003), normal dengan hipertensi tingkat 3 (p-value : 0,003), normal tinggi dengan hipertensi tingkat 1 (p-value : 0,028), normal tinggi dengan hipertensi tingkat 2 (p-value : 0,012), dan normal tinggi dengan hipertensi tingkat 3 (p-value : 0,023). Kesimpulan dari penelitian ini terdapat pengaruh antara durasi tidur dengan kejadian hipertensi.
Article Details
This work is licensed under a Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Creative Commons Attribution-ShareAlike 4.0 International License.
Authors transfer copyright or assign exclusive rights to the publisher (including commercial rights)
References
Bridget, M.K. (2019). Sleep duration linked to cardiovascular disease. Circulation 139, 2483–2484. https://doi.org/10.1161/CIRCULATIONAHA.119.041278
Brooke, A et al. (2018). Effects of inadequate sleep on blood pressure and endothelial inflammation in women: findings from the American Heart Association go red for women strategically focused research network. J. Am. Heart Assoc. 7, e008590. https://doi.org/10.1161/JAHA.118.008590
Carey, R.M., Muntner, P., Bosworth, H.B., Whelton, P.K., (2018). Prevention and control of hypertension: JACC Health Promotion Series. J Am Coll Cardiol 72, 1278–1293. https://doi.org/10.1016/j.jacc.2018.07.008
Chaput, J.P., Dutil, C., Kanyinga, S.H. (2018). Sleeping hours: what is the ideal number and how does age impact this? Nat. Sci. Sleep 10, 421–430. https://doi.org/10.2147/NSS.S163071
Feng, X., Liu, Q., Li, Y., Zhao, F., Chang, H., Lyu, J. (2019). Longitudinal study of the relationship between sleep duration and hypertension in Chinese adult residents (CHNS 2004–2011). Sleep Med. 58, 88–92. https://doi.org/10.1016/j.sleep.2019.01.006
Firmansyah, Y., Ernawati, Prawiro, E.L. (2020). Sistem skoring untuk memprediksi kejadian hipertensi pada usia produktif di kota Medan (preliminary study). J. Muara Sains Teknol. Kedokt. Dan Ilmu Kesehat. 4, 55–68. https://doi.org/10.24912/jmstkik.v4i1.6013
Kementerian Kesehatan Republik Indonesia. (2018). Hasil utama RISKESDAS 2018.
https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
Hwang, H.R., et al. (2015). The relationship between hypertension and sleep duration: an analysis of the fifth Korea National Health and Nutrition Examination Survey (KNHANES V-3). Clin. Hypertens. 21, 8. https://doi.org/10.1186/s40885-015-0020-y
Julio, F.M., Fan, H., Alexandros, N.V., Duanping,L., Edward, O.B. (2019). Interplay of objective sleep duration and cardiovascular and cerebrovascular diseases on cause?specific mortality. J. Am. Heart Assoc. 8, e013043. https://doi.org/10.1161/JAHA.119.013043
Kim, C.W., Chang, Y., Kang, J.G., Ryu, S. (2018). Changes in sleep duration and subsequent risk of hypertension in healthy adults. Sleep 41. https://doi.org/10.1093/sleep/zsy159
Kumar, A., Goel, H., Nadar, S.K. (2019). Short sleep duration and the risk of hypertension: snoozing away high blood pressure? J. Hum. Hypertens. 33, 174–176. https://doi.org/10.1038/s41371-019-0177-z
Lattanzi, S., Brigo, F., Silvestrini, M. (2018). Sleep and blood pressure. The Journal of Clinical Hypertension 20, 1721–1723. https://doi.org/10.1111/jch.13423
Li, M., Yan, S., Jiang, S., Ma, X., Gao, T., Li, B. (2019). Relationship between sleep duration and hypertension in northeast China: a cross-sectional study. BMJ Open 9, e023916. https://doi.org/10.1136/bmjopen-2018-023916
Lukito, A.A., Harmeiwaty, E., (2019). Perhimpunan Dokter Hipertensi Indonesia 118.
Makarem, N., Shechter, A., Carnethon, M.R., Mullington, J.M., Hall, M.H., Abdalla, M. (2019). Sleep Duration and Blood Pressure: Recent Advances and Future Directions. Curr Hypertens Rep 21, 33. https://doi.org/10.1007/s11906-019-0938-7
Michael, G., Janet, M.M., Sarah, D. H., Nancy, S.R., Nathaniel, F.W., Timothy, I. M. (2018). Sleep duration and hypertension: Analysis of > 700,000 adults by age and sex. J. Clin. Sleep Med. 14, 1031–1039. https://doi.org/10.5664/jcsm.7176
Najafian, J., Nouri, F., Mohammadifard, N. (2019). Association between sleep duration and hypertension: Isfahan Healthy Heart Program, Iran. ARYA Atheroscler. 15, 22–26. https://doi.org/10.22122/arya.v15i1.1657
Phua, C.S., Jayaram, L., Wijeratne, T. (2017). Relationship between Sleep Duration and Risk Factors for Stroke. Front. Neurol. 8. https://doi.org/10.3389/fneur.2017.00392
Pusat Data dan Informasi Kementerian Kesehatan RI. (2019). Hipertensi si pembunuh senyap. https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-hipertensi-si-pembunuh-senyap.pdf
Saxena, T., Ali, A.O., Saxena, M. (2018). Pathophysiology of essential hypertension: an update. Expert Rev. Cardiovasc. Ther. 16, 879–887. https://doi.org/10.1080/14779072.2018.1540301
Song, M.-Y., Sung, E., Jung, S.-P., Lee, K.-M., Keum, S.-H., Ryu, S.-D. (2016). The association between sleep duration and hypertension in non-obese premenopausal women in Korea. Korean J. Fam. Med. 37, 130–134. https://doi.org/10.4082/kjfm.2016.37.2.130
Talarowska, P., et al. (2017). [OP.7A.05] Sleep disturbances and resistant hypertension in a large sample of treated hypertensive subjects – pol-fokus study. J. Hypertens. 35, e63. https://doi.org/10.1097/01.hjh.0000523142.90222.ce
Thomas, U., et al. (2020). 2020 International society of hypertension global hypertension practice guidelines. hypertension 75, 1334–1357. https://doi.org/10.1161/HYPERTENSIONAHA.120.15026
Wang, Y., et al. (2015). Relationship between duration of sleep and hypertension in adults: a meta-analysis. J. Clin. Sleep Med. JCSM Off. Publ. Am. Acad. Sleep Med. 11, 1047–1056. https://doi.org/10.5664/jcsm.5024
Yadav, D., Hyun, D.S., Ahn, S.V., Koh, S.-B., Kim, J.Y. (2017). A prospective study of the association between total sleep duration and incident hypertension. J. Clin. Hypertens. Greenwich Conn 19, 550–557. https://doi.org/10.1111/jch.12960
Yang, H., Haack, M., Gautam, S., Meier-Ewert, H.K., Mullington, J.M. (2017). Repetitive exposure to shortened sleep leads to blunted sleep-associated blood pressure dipping. J. Hypertens. 35, 1187–1194. https://doi.org/10.1097/HJH.0000000000001284
Yazdanpanah, M.H., Homayounfar, R., Khademi, A., Zarei, F., Shahidi, A., Farjam, M. (2020). Short sleep is associated with higher prevalence and increased predicted risk of cardiovascular diseases in an Iranian population: Fasa PERSIAN Cohort Study. Sci. Rep. 10, 4608. https://doi.org/10.1038/s41598-020-61506-0