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FADLI ROBBY AMSRIZA
20040310084
OBESITY INFLUENCE TO
BLOOD PRESSURE AND
BLOOD GLUCOSE LEVEL
IN ELDER
Outline
Background
Literature review and hypothesis
Research Method
Result and discussion
Conclusion and suggestion
BACKGROUND
Elder + Obesity Cardiovaskular disease,
Hypertension, Diabetes Mellitus, Endocrine disease, and
degeneration disease (Darmojo, 1991).
How big the relation between obesity with blood pressure
and blood glucose level in the elder women?
Problem Formulation
Originality
Rahmatullah (1999), Different in: Age of group Sample.
Darmojo (2000), Different in: weight body of group
sample.
Aims
General aims:
To determine and to understand the prevalention
obesity of elder.
Special aims:
To determine corelation of hypertension,
hyperglycemi, and obesity at elder.
To determine the influence of obesity in blood
pressure at elder.
To determine the influence of obesity in blood
glucose level at elder.
Benefits
– As prerequirement graduation of S1 programme in
Medical Faculty of Yogyakarta Muhammadiyah
University.
– The result of this research hopefully can be such an
information material for next step development of
research in order to prevent the obesity as the risk
factor of diabetes mellitus and hypertension in elder.
LITERATURE REVIEW
Elderly
Obesity
Hypertension
Hyperglycemia
UU No. 13 year 1998 : elder prosperity is anyone with
age more than 60 years old.
Age classification (WHO, 1997).
middle age, 45 - 59 years old
elderly, 60 - 74 years old
old, 75 - 90 years old
very old, ≥ 90 years old
Elderly
Obesity
Obesity : an increase in body weight beyond skeletal
and physical standards as the result of an excessive
accumulation of fat in the body (Dorland medical dictionary)
Classification of Asian BMI
Women Men
Normal 17 – 23 18 – 25
overweight 23 – 27 25 – 27
Obesity > 27 > 27
Formula BMI:
Weight/Height2 = kg/m2
(WHO, 2000)
Hypertension
Hypertension : an increase of blood pressure in the
arterial (Dorland, 2002).
Classification of blood pressure
Category Sistolic blood
pressure Diastolic blood pressure
Normal < 120 mmhg < 80 mmhg
Normal high 120 - 139 mmhg 80 – 89 mmhg
Hipertension mild 140 – 159 mmhg 90 – 99 mmhg
Hipertension severe 160 – 179 mmhg 100 – 109 mmhg
Hipertension hard 180 – 209 mmhg 110 – 119 mmhg
Hipertension maligna ≥ 210 mmhg ≥ 120 mmhg
(JNC-VII, 2003)
Hyperglycemia
Hyperglikemia : abnormality increase of blood glucose
level, such as diabetes melitus (Dorland, 2003).
Blood Glucose status
Blood glucose status
Excellent Good Not so good bad
On an empty stomach
< 100mg/dl 100-119mg/dl
120-139mg/dl
> 140mg/dl
2 hours after eating
> 120mg/dl 120-169mg/dl
170-199mg/dl
> 200mg/dl
Conceptual Framework
(WHO, 1995)
Hypothesis
Obesity in elder caused increasement of blood pressure
and blood glucose level, and also increase the risk factor
of hypertension and diabetes mellitus.
Research method
Research design: cross sectional.
Place and time: In kelurahan Mrisen, Delanggu, Klaten. Central java on Agustus 2007.
Subject: 30 elder women with obesity.
Inclution criteria: Elder women 60-74 years old with
obesity BMI >27, postmenopause, didn’t consume
anti hypertension and anti diabetes drugs.
Exclution criteria: smooker, suffer of kidney disease,
endocrine disease and hearth disease.
Independent Variable: Women 60-74 years old
(elderly) with obesity (BMI >27).
Dependent variable: Blood pressure and blood
glucose level.
Confounding factor: Smooker, anti hypertension and
anti diabetes drugs.
Step
Sample Inform consent Questioner height,
weight, blood pressure, blood glucose level write the
result.
Data Analize
Analization data with program SPSS version 15.00
(Evaluation) for windows 2007, with regretion analize
methode.
Result
Normal 0%
Normal Tinggi 20%
Hipertensi ringan 20%
Hipertensi sedang 10%
Hipertensi berat 43%
Hipertensi Maligna 7%
Status Tekanan darah Sistolik
Normal 10%
Normal Tinggi 10%
Hipertensi ringan 23%
Hipertensi sedang 30%
Hipertensi berat 27%
Hipertensi Maligna 0%
Status Tekanan darah diastolik
Normal 57%
Normal Tinggi 33%
Tinggi 10%
Sangat Tinggi 0%
Status Glukosa Darah
Data Analyze regression
Relation between systole and BMI not
significance (p>0,05)
Relation between diastole and BMI not
significance (p>0,05)
Relation between systole and age not
significance (p>0,05)
Relation between diastole and age not
significance (p>0,05)
Relation between blood glucose level and
BMI not significance (p>0,05)
Relation between blood glucose level and age
not significance (p>0,05)
Discussion
The relation between obesity and blood
pressure not significance (p>0,05)
Rahmatullah (1999) obesity blood
pressure
It can caused by sport and work
The relation between age and blood pressure
not significance (p>0,05)
Djojosoewarno (2004) : 25 reproductive
woman and 25 old woman blood pressure
in old woman >>> age blood pressure
It can caused by sport and work
The relation between obesity and blood
glucose level not significance (p>0,05)
Reaven (1998) : obesity hyperglycemia
It can caused by sport and eating habit.
The relation between age and blood glucose
level not significance (p>0,05)
Marrow & Halter (1994) : 4th, 5th, 6th decade
increasing blood glucose level
It can caused by sport and eating habit.
Conclussion
There is no relation between obesity and blood
pressure.
There is no relation between age and blood
pressure.
There is no relation between obesity and blood
glucose level.
There is no relation between age and blood
glucose level.
Suggestion
It’s necessary to do the study with more
subject.
It’s necessary to do the study with more age
group.
Alhamdulillahhirobbil alamin
Thank you
Wassalamualaikum WR. WB.