The effect of altered physical activity on hypertension: a longitudinal study in Indonesia 10.55131/jphd/2023/210117

Main Article Content

Kholisotul Hikmah
Helda
Asri C. Adisasmita
Woro Riyadina
Dewi Kristanti

Abstract

A higher level of physical activity is widely recommended for the prevention of several Non-Communicable Diseases (NCDs), such as diabetes and cardiovascular disease, and leads to a reduction of blood pressure in resistant hypertension as well. This study aimed to measure the estimated effect of altered physical activity on hypertension over the course of three years of observation. This longitudinal study was conducted on 3109 adults at baseline using The Cohort Study of NCDs Risk Factors. The investigation was conducted through interviews, self-reports and observations. Data were analyzed using the Generalized Estimating Equation. The results show that the highest proportion of hypertension based on observation time occurred among those with low physical activity and experienced a delta change of less than 100 MET-min/week, which was 24% at the third follow-up. The risk of hypertension was higher among those with low physical activity and unchanged in the second (RR=1,642; 0,922 – 8,224) and third years of follow-up (RR=3,607; 95% CI: 0,923 – 7,993) compared to those who had moderate-vigorous activity. A longer follow-up period led to higher risk estimation. Given the significant impact of inactivity, regular physical activity should therefore be recommended for all individuals at risk of hypertension, including office workers. A firm policy is needed to encourage workplace physical activity breaks, in both government and private sectors.

Article Details

How to Cite
1.
Hikmah K, Helda, Adisasmita AC, Riyadina W, Kristanti D. The effect of altered physical activity on hypertension: a longitudinal study in Indonesia: 10.55131/jphd/2023/210117. J Public Hlth Dev [Internet]. 2022 Dec. 24 [cited 2024 Apr. 24];21(1):225-38. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/260619
Section
Original Articles
Author Biographies

Kholisotul Hikmah, Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia

Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia

Helda, Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia

Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia

Asri C. Adisasmita, Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia

Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia

Woro Riyadina, National Research and Innovation Agency, Republic of Indonesia, Central Jakarta, Indonesia

National Research and Innovation Agency, Republic of Indonesia, Central Jakarta, Indonesia

Dewi Kristanti, Agency for Health Policies Development, Ministry of Health of Indonesia, Jakarta, Indonesia

Agency for Health Policies Development, Ministry of Health of Indonesia, Jakarta, Indonesia

References

World Health Organization. Global action plan for the prevention and control of noncommunicable diseases: 2013 – 2020 [Internet]. 2013. Available from: https://www.who.int/nmh/events/ncd_action_plan/en/

World Health Organization. Guideline for the pharmacological treatment of hypertension in adults. World Health Organization. 2021.

Zhou B, Perel P, Mensah GA, Ezzati M. Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension. Nat Rev Cardiol. 2021;18(11):785–802.

Kemenkes RI. Laporan Nasional Hasil Riset Kesehatan Dasar (Riskesdas) Indonesia tahun 2018. Riset Kesehatan Dasar 2018. 2018. p. 166.

Kemenkes K RI. Petunjuk Teknis Pos Pembinaan Terpadu Penyakit Tidak Menular (Posbindu PTM) [Internet]. 2012. Available from: http://p2ptm.kemkes.go.id/uploads/2016/10/Petunjuk-Teknis-Pos-Pembinaan-Terpadu-Penyakit-Tidak-Menular-POSBINDU-PTM-2013.pdf

Gambardella J, Morelli MB, Wang XJ, Santulli G. Pathophysiological Mechanisms Underlying The Beneficial Effects of Physical Activity in Hypertension. J Clin Hypertens. 2020;22(2):291–5.

Rêgo MLM, Cabral DAR, Costa EC, Fontes EB. Physical Exercise for Individuals with Hypertension: It Is Time to Emphasize its Benefits on the Brain and Cognition. Clin Med Insights Cardiol. 2019;13. doi: 10.1177/1179546819839411

Diaz KM, Shimbo D. Physical activity and the prevention of hypertension. Curr Hypertens Rep. 2013;15(6):659–68.

Rossi A, Dikareva A, Bacon SL, Daskalopoulou SS. The impact of physical activity on mortality in patients with high blood pressure: A systematic review. J Hypertens. 2012;30(7):1277–88.

Dimeo F, Pagonas N, Seibert F, Arndt R, Zidek W, Westhoff TH. Aerobic exercise reduces blood pressure in resistant hypertension. Hypertension. 2012;60(3):653-8. doi: 10.1161/HYPERTENSIONAHA.112.197780

Peltzer K, Pengpid S. The Prevalence and Social Determinants of Hypertension among Adults in Indonesia: A Cross-Sectional Population-Based National Survey. Int J Hypertens. 2018;2018:5610725. doi: 10.1155/2018/5610725.

Shirani S, Gharipour M, Khosravi A, Kelishadi R, Habibi HR, Abdalvand A, et al. Gender differences in the prevalence of hypertension in a representative sample of Iranian population: the Isfahan Healthy Heart Program [Internet]. 2011. Available from: www.actabiomedica.it

Gudmundsdottir H, Høieggen A, Stenehjem A, Waldum B, Os I. Hypertension in women: Latest findings and clinical implications. Vol. 3, Therapeutic Advances in Chronic Disease. 2012. p. 137–46.

Gamage AU, Seneviratne R De A. Physical inactivity, and its association with hypertension among employees in the district of Colombo. BMC Public Health. 2021;21(1).

Medina C, Janssen I, Barquera S, Bautista-Arredondo S, González ME, González C. Occupational and leisure time physical inactivity and the risk of type II diabetes and hypertension among Mexican adults: A prospective cohort study. Sci Rep. 2018;8(1).

Rossi A, Dikareva A, Bacon SL, Daskalopoulou SS. The impact of physical activity on mortality in patients with high blood pressure: a systematic review. J Hypertens. 2012;30(7):1277-88.

Howard G, Safford MM, Moy CS, Howard VJ, Kleindorfer DO, Unverzagt FW, et al. Racial Differences in the Incidence of Cardiovascular Risk Factors in Older Black and White Adults. J Am Geriatr Soc. 2017;65(1):83-90.

Egan BM. Physical activity and hypertension. Hypertension. 2017;69(3):404–6.

World Health Organization. Hypertension [Internet]. World Health Organization nation. 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/hypertension

Gregg EW, Cauley JA, Stone K, Thompson TJ, Bauer DC, Cummings SR, et al. Relationship of Changes in Physical Activity and Mortality Among Older Women [Internet]. 2013. Available from: https://jamanetwork.com/

Wang W, Lee ET, Fabsitz RR, Devereux R, Best L, Welty TK, et al. A longitudinal study of hypertension risk factors and their relation to cardiovascular disease: The strong heart study. Hypertension. 2016;47(3):403–9.

Kemenkes. Panduan Pelaksanaan Gerakan Nusantara Tekan Angka Obesitas (GENTAS) [Internet]. 2017. Available from: http://p2ptm.kemkes.go.id/dokumen-ptm/panduan-gentas

World Health Organization. Depression and other common mental disorders: Global health estimates. World Health Organization. Geneva: WHO Document Production Services, Geneva, Switzerland; 2017.

Perki. Pedoman Tatalaksana Dislipidemia. Jurnal Kardiologi Indonesia. 2013.

Kementerian Kesehatan RI. Cek kesehatan secara rutin. Kementrian Kesehatan Indonesia. P2PTM; 2016. p. 3.

American Diabetes Association. Classification and diagnosis of diabetes: Standards of medical care in diabetes-2021. Diabetes Care. 2021;44(Suppl 1):S15-s33.

Kelsey JL, Whittemore AS, Thompson WD. Methods of sampling and estimation of sample size. In: Methods in Observational Epidemiology. Oxford University Press; 1996. p. 1996.

Ma W, Xi B, Huai P, Xun H, Reilly KH, Wang Y. Physical Activity and Risk of Hypertension A Meta-Analysis of Prospective Cohort Studies Epidemiology/Population. [Internet]. 2013. Available from: http://hyper.ahajournals.org/lookup/suppl/doi:10.1161/HYPERTENSIONAHA.

Pavey TG, Peeters G, Bauman AE, Brown WJ. Does vigorous physical activity provide additional benefits beyond those of moderate? Med Sci Sports Exerc. 2013;45(10):1948–55.

Cohen L, Curhan GC, Forman JP. Influence of age on the association between lifestyle factors and risk of hypertension. J Am Soc Hypertens. 2012;6(4):284-90.

Cleven L, Krell-Roesch J, Nigg CR, Woll A. The association between physical activity with incident obesity, coronary heart disease, diabetes and hypertension in adults: A systematic review of longitudinal studies published after 2012. BMC Public Health. 2020;20(1).

Ahadiyati DM, Tamtomo DG, Widyaningsih V. The Effect of Physical Activity on Hypertension on Adults: Meta Analysis. JEPH. 2020;5(4):402–9.

Egan BM. Physical activity and hypertension. Vol. 69, Hypertension. Lippincott Williams and Wilkins; 2017. p. 404–6.

Cosimo Marcello B, Maria Domenica A, Gabriele P, Elisa M, Francesca B. Lifestyle and Hypertension: An Evidence-Based Review. J Hypertens Manag. 2018;4(1).

Kim SJ, Lee J, Jee SH, Nam CM, Chun K, Park IS, et al. Cardiovascular risk factors for incident hypertension in the prehypertensive population. Epidemiol Health. 2010;32:e2010003. doi: 10.4178/epih/e2010003

Zheng L, Sun Z, Zhang X, Xu C, Li J, Hu D, et al. Predictors of progression from prehypertension to hypertension among rural Chinese adults: results from Liaoning Province. Eur J Cardiovasc Prev Rehabil. 2010;17(2):217-22. doi: 10.1097/HJR.0b013e328334f417

Laukkanen JA, Kunutsor SK. Fitness and reduced risk of hypertension-approaching causality. J Hum Hypertens. 2021;35(11):943-5. doi: 10.1038/s41371-021-00545-0.

Sylvia LG, Bernstein EE, Hubbard JL, Keating L, Anderson EJ. Practical guide to measuring physical activity. J Acad Nutr Diet. 2014;114(2):199-208. doi: 10.1016/j.jand.2013.09.018

Prince SA, Cardilli L, Reed JL, Saunders TJ, Kite C, Douillette K, et al. A comparison of self-reported and device measured sedentary behaviour in adults: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2020;17(1):31.

Lassenius O, Akerlind I, Wiklund-Gustin L, Arman M, Söderlund A. Self-reported health and physical activity among community mental healthcare users. J Psychiatr Ment Health Nurs. 2013;20(1):82-90. doi: 10.1111/j.1365-2850.2012.01951.x

Martins JC, Aguiar LT, Nadeau S, Scianni AA, Teixeira-Salmela LF, Faria CD. Measurement properties of self-report physical activity assessment tools in stroke: a protocol for a systematic review. BMJ Open. 2017;7(2):e012655.

McCarthy C, Warne JP. Gender differences in physical activity status and knowledge of Irish University staff and students. Sport Sci Health. 2022;18(4):1283-91.

Azevedo MR, Araújo CL, Reichert FF, Siqueira FV, da Silva MC, Hallal PC. Gender differences in leisure-time physical activity. Int J Public Health. 2007;52(1):8-15. doi: 10.1007/s00038-006-5062-1

Gamage AU, Seneviratne RA. Physical inactivity, and its association with hypertension among employees in the district of Colombo. BMC Public Health. 2021;21(1):2186. doi: 10.1186/s12889-021-12013-y