Abstracts e3
Lippo Karawaci, Tangerang, Indonesia, 2Department of Internal Medicine, Faculty of
Medicine, Universitas Pelita Harapan, Lippo Karawaci, Tangerang, Indonesia
Background: With the increasing prevalence of hypertension, there has been a
growing interest in understanding the health-related quality of life (HRQOL) of
patients with hypertension. Although hypertension is often perceived as asymp-
tomatic, it’s relation with Quality of life (QoL) is still controversial.
Objective: The aim of this study is to assess the QoL of End Stage Renal Disease
(ESRD) who are on maintenance dialysis with or without hypertension.
Methods: This is a multicenter cross sectional study that took place in 4 hemodi-
alysis clinics in Jakarta from October to December 2016. QoLwas measured using
WHOQOL-BREF containing 4 domains related to physical health, psychological,
social relationships and environmental. Hypertension is defined as systolic BP
140 mmHg or diastolic BP 90 mmHg or previously taking antihypertensive
medications. Analysis was carried out using T-test or Mann-Whitney, depending
on the distribution of the data.
Results: A total of 138 patients were collected, out of which 86(62.3%) were
male. The mean age of the patients were 53.0(±12.5) years. The etiology of ESRD
was mostly due to hypertension (56.5%) and diabetes (29.7%). The median dura-
tion of dialysis was 33(1–216) months. There were 106(76.8%) patients suffering
from hypertension. The mean scores for physical health domain in the hyperten-
sive and non-hypertensive patients were 54.8(±16.9) and 61.5(±15.4) respectively
(p: 0.049). There was no significant difference between between the 2 groups for
the other domains of QoL.
Conclusion: Patients with hypertension have significantly lower physical health
related QoL. Extra attention must be given to these group of patients in order to
improve the QoL.
21 MODIFIED TRIOS ANALYSIS OF HYPERTENSION IN
JATINANGOR
Keumala Hayati1 Yulia Sofiatin2 Sri Endah Rahayuningsih3 Rully M.A. Roes-
li4. 1Faculty of Medicine, 2Department of Public Heath, 3Departemen of Child
Health, 4Departemen of Internal Medicine, Universitas Padjadjaran / Dr. Hasan
Sadikin General Hospital Bandung, Indonesia
Background: Gene analysis reveals no single mutation or Snip responsible for
hypertension. Latest researches report the important role of environmental factors
in gene translation that affect the phenotypic appearance of many genes. Family
shares genetic and life style, and chronic diseases such as hypertension. Trios
analysis connect the subject genes with their parents’, this modification also con-
nect them with their siblings and children, through a phenotypic appearance of, in
this case, hypertension. This study exploring the presence of hypertension within
3 generation in the family of hypertensive subjects in Jatinangor.
Method: This is a descriptive study of patients with hypertension in Jatinangor.
Subjects were taken from a clustered random sampling community survey in Jati-
nangor. The presence of hypertension in subjects were determined through blood
pressure measurement, while the presence of it in their parents, siblings and chil-
dren were collected through history taking, the option were ‘yes’, ‘no’ and ‘I do
not know’. One ‘yes’ answer in a line of generation considered as a ‘yes’, all ‘I
do not know’ answer was considered as ‘no information’, then excluded. Every
combinations of 2 generation were analysed.
Result: A total of 283 subjects with hypertension are analysed. There are 45%
and 20% of respondents who have at least 1 line and 2 line of generation with
hypertension, respectively. Proportion of those with stage 2 hypertension with 2
generation with hypertension is higher.
Conclusion: Modified trios analysis reveals a 20% family history of hypertension
in two generation of their family.
Keywords: Community study, hypertension, modified trios analysis
22 MANAGEMENT OF HYPERTENSION IN PUSKESMAS
JATINANGOR
KhaerunnisaA’yuninNur Hidayah1,Yulia Sofiatin2,
TrullyDeti Rose Sitorus3,
Rully M.A. Roesli4. 1Faculty of Medicine, 2Department of Public Health, 3De-
partment of Pharmacology and Therapy, 4Department of Internal Medicine, Uni-
versitas Padjadjaran / Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
Background: Protocols of hypertension management include diagnosis process,
life style modification and pharmacological measures. To achieve a successful
blood pressure control, patients’ compliance is very important. Patient education
on these factors is a core aspect. Previous qualitative study in Jatinangor reveals
that office-setting education is not effective. The aim of this research is to observe
the patients education during their visit to Jatinangor Public Health Center.
Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.
Method: This is a quantitative cross-sectional study. The minimum sample size
was 97 patients, taken consecutively at Jatinangor Health Center. A checklist of
3 main aspects of education was developed according to the protocols. The data
was collected through an observation towards services process for patients with
hypertension in the consultation room.
Result: The health service towards 100 patients was observed. The majority of the
patients are younger than the highest hypertension prevalence’s age group, and most
of them are women. The modes of consultation duration are 3 minutes. The proper
diagnostic process and education on life style modification are given to a small por-
tion of the patients, a half of diagnostic process and life style modification education
towards 24% of patients. Education on pharmacological treatment is not given at all.
Education on the different visits and different providers are not different.
Conclusion: The management for hypertension patients in Jatinangor Public
Health Centre does not properly follow the protocol.
Keywords: Education, hypertension, Public health Centre.
23 PROFILE OF CARDIOVASCULAR RISKS AMONG
PARTICIPANTS OF A HEART SCREENING PROGRAM AT
SILOAM HEART INSTITUTE – SILOAM HOSPITAL KEBON
JERUK
Leonardo P. Suciadi, Santoso A.H. Antono Sutandar. Siloam Heart Institute,
Siloam Hospital Kebon Jeruk, Jakarta, Indonesia
Background: Unhealthy behaviors and hypertension are known to be modifiable risk
factors of adverse cardiovascular events. Unhealthy behaviors as defined by America’s
Health Ranking (AHR) were: currently smoking, obesity, excessive alcohol intake,
lack of physical activity, and insufficient sleep. Public awareness and clinical identifi-
cation of these issues in community are the important steps in a prevention program.
Method: During a one-day Heart Screening Program (September 18, 2016), we
enrolled healthy adults who were >40 year-old and by history had no evidence of
angina nor functional limiting dyspnea. Body weight, body height, blood pres-
sure, and pulse rate were measured. The Jakarta Cardiovascular Risk Score was
calculated, and the participants had to respond to a questionnaire on unhealthy
behaviors of AHR criteria.
Result: We enrolled 328participants. Baseline demographics showed mean age
57.7 ± 8.3 yo., with 59.8% being female.
The prevalence of participants with one, two, or more than 3 (multiple) unhealthy
behaviors were respectively 37.8%, 36.9%, and 10.9%. The JCR Score were low
(score -7–1), moderate (score 2–4), and high (score 5) in respectively 5.8%,
24.1%, and 70.1% participants.
Hypertension was detected in 46% participants. The prevalence of hypertension in
male age group 40–50, 51–60, and above 61 yo were consecutively 46.7%, 45%,
and 64.3%. Whereas the prevalence in female age group 40–50, 51–60, and above
61 yo. were consecutively 26.1%, 38.5%, and 58.2%.
The prevalence of overweight (BMI 23–27.4 kg/m2) and obesity (BMI
27.5 kg/m2) were respectively 48.3% and 31.4%. Of those with BMI
>23 kg/m2, 80% participants had central obesity as defined by waist circum-
ference 80 cm in female or 90 cm in male. Central obesity appears more
common in female (87.6%) compared to male (69.8%); and more frequently
in age group 40–50 yo. (75% of total participants in this age group) compared
to age group >50 yo.
Blood sugar which was determined as fasting or 2-hour post prandial showed a
prevalence of pre-diabetes and diabetes in consecutively 12% and 6%. Of those
with BMI >23 kg/m2, the prevalence of pre-diabetes/ diabetes was 19.3%.
Conclusion: Hypertension and having at least 1 unhealthy behavior (includ-
ing obesity) area common finding in our high risk participants. Hypertension
is more prevalent in older age group, although it is detected in younger age in
male. Having multiple unhealthy behaviors, including obesity, is more prevalent
in younger age group. Central obesity is dominant form among participants with
BMI >23 kg/m2.
Keywords: Cardiovascular risk factor, heart screening, unhealthy behaviors,
hypertension, obesity, diabetes
24 BEYOND BLOOD PRESSURE CONTROL: BRINGING
CENTRAL PRESSURE TO CLINICIANS’ ATTENTION
Levina Tri Ratana, Arinta Setyasari, Prihati Pujowaskito, Prihadi Estu Widodo.
Dustira Army Hospital, Cimahi, Indonesia
Background: Central blood pressure gained considerable attention in research
for it is known to be more predictive of major cardiovascular events, but the re-
verse happened in clinical settings.