Primary Hypertension Screening in the Urban Community of Ngawi Regency
Abstract
Background: The urban population experienced epidemiological changes affecting health, with hypertension being a major issue. This study identified risk factors for primary hypertension in the urban population of Ngawi Regency.
Methods: It used quantitative research with a cross-sectional approach and proportional random sampling. The sample consisted of 170 respondents aged 15–59 years, selected based on inclusion and exclusion criteria. Data collection used a sphygmomanometer for blood pressure, a scale and stature meter to calculate Body Mass Index (BMI), an Food and Agriculture Organization (FAO) questionnaire for physical activity, and a Food Frequency Questionnaire for dietary patterns. Data analysis was performed using univariate and bivariate analyses using the chi-square test with a significance level of <0.05.
Results: The results showed that four variables were significantly associated with the incidence of primary hypertension: age ≥45 years (p<0.001; OR=9.178), family history of hypertension (p<0.001; OR=3.218), overeating (p=0.010; OR=3.102), and BMI and obesity (p<0.001; OR=4.970). Meanwhile, gender, physical activity, alcohol consumption, and smoking habits did not show a significant association.
Conclusion: It was concluded that age, family history, diet, and BMI are the main determinants of primary hypertension in the urban area of Ngawi. Preventive measures can be implemented through health education, regular blood pressure checks, adopting a low-salt diet, increasing physical activity, and weight control to reduce the incidence of hypertension in urban communities.
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- Oyebamiji A. Genetic and Environmental Determinants of Hypertension in African Populations. Journal of Pharma Insights and Research. 2025;3(3):253-68.
- Weber MA, Schiffrin EL, White WB, Mann S, Lindholm LH, Kenerson JG, et al. Clinical practice guidelines for the management of hypertension in the community: a statement by the American Society of Hypertension and the International Society of Hypertension. Journal of hypertension. 2014;32(1):3-15.
- Members* WC, Jones DW, Ferdinand KC, Taler SJ, Johnson HM, Shimbo D, et al. 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM guideline for the prevention, detection, evaluation and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2025;152(11):e114-e218.
- Iqbal AM, Jamal SF. Essential hypertension. StatPearls [Internet]: StatPearls Publishing; 2023.
- Organization WH. Hypertension Fact Sheet: WHO; 2025 [Available from: https://www.who.int/news-room/fact-sheets/detail/hypertension?
- Organization WH. Global report on hypertension: The race against a silent killer. Geneva: World Health Organization; 2023.
- Kemenkes. Laporan Nasional Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI; 2019.
- Timur DKPJ. Profil Kesehatan Provinsi Jawa Timur. Surabaya; 2023.
- Ngawi DKK. Profil Kesehatan Kabupaten Ngawi. Ngawi; 2023.
- Ranzani OT, Kalra A, Di Girolamo C, Curto A, Valerio F, Halonen JI, et al. Urban-rural differences in hypertension prevalence in low-income and middle-income countries, 1990–2020: A systematic review and meta-analysis. PLoS medicine. 2022;19(8):e1004079.
- Perloff D, Grim C, Flack J, Frohlich ED, Hill M, McDonald M, et al. Human blood pressure determination by sphygmomanometry. Circulation. 1993;88(5):2460-70.
- Owolabi IE, Akpan VA, Oludola OP. A Low-Cost Automatic Body Mass Index Machine: The Design, Development, Calibration, Testing and Analysis. International Journal of Biomedical and Clinical Sciences. 2021;6(3):100-19.
- Bauman A, Craig CL. The place of physical activity in the WHO Global Strategy on Diet and Physical Activity. International Journal of Behavioral Nutrition and Physical Activity. 2005;2(1):10.
- Shahar D, Shai I, Vardi H, Brener-Azrad A, Fraser D. Development of a semi-quantitative Food Frequency Questionnaire (FFQ) to assess dietary intake of multiethnic populations. European journal of epidemiology. 2003;18(9):855-61.
- Wilopo SA. Sampling dan Estimasi Besar Sampel. Yogyakarta: Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada 2021.
- Pagonas N, Sasko B, Ritter O. Managing hypertension in the future: a multifactorial approach. Oxford University Press US; 2023. p. 46-7.
- Volschenk C, Jansen van Vuren E, Wentzel A, Kruger R. A prospective analysis to assess the multifactorial risk of childhood-onset hypertension: the ExAMIN Youth SA study. Hypertension Research. 2025:1-13.
- Anderson GH. Effect of age on hypertension: analysis of over 4,800 referred hypertensive patients. Saudi Journal of Kidney Diseases and Transplantation. 1999;10(3):286-97.
- Johnson HM, Thorpe CT, Bartels CM, Schumacher JR, Palta M, Pandhi N, et al. Undiagnosed hypertension among young adults with regular primary care use. Journal of hypertension. 2014;32(1):65-74.
- Sun Z. Aging, arterial stiffness, and hypertension. Hypertension. 2015;65(2):252-6.
- Zhao W, Mo L, Pang Y. Hypertension in adolescents: The role of obesity and family history. The Journal of Clinical Hypertension. 2021;23(12):2065-70.
- Olczak KJ, Taylor‐Bateman V, Nicholls HL, Traylor M, Cabrera CP, Munroe PB. Hypertension genetics past, present and future applications. Journal of internal medicine. 2021;290(6):1130-52.
- Garimella PS, Du Toit C, Le NN, Padmanabhan S. A genomic deep field view of hypertension. Kidney International. 2023;103(1):42-52.
- Jia SS, Wardak S, Raeside R, Partridge SR. The impacts of junk food on health. Frontiers for Young Minds. 2022;10(694523):1-7.
- Hunter RW, Dhaun N, Bailey MA. The impact of excessive salt intake on human health. Nature Reviews Nephrology. 2022;18(5):321-35.
- Gupta DK, Lewis CE, Varady KA, Su YR, Madhur MS, Lackland DT, et al. Effect of dietary sodium on blood pressure: a crossover trial. Jama. 2023;330(23):2258-66.
- Kartika M, Subakir S, Mirsiyanto E. Faktor-faktor risiko yang berhubungan dengan hipertensi di wilayah kerja Puskesmas Rawang Kota Sungai Penuh tahun 2020. Jurnal Kesmas Jambi. 2021;5(1):1-9.
- Seravalle G, Grassi G. Obesity and hypertension. Obesity: clinical, surgical and practical guide. 2024:65-79.
- Ren J, Wu NN, Wang S, Sowers JR, Zhang Y. Obesity cardiomyopathy: evidence, mechanisms, and therapeutic implications. Physiological reviews. 2021;101(4):1745-807.
- Ghazi RM. Renin-Angiotensin-System imbalance contributes to cardiac autonomic and renal dysfunction in early metabolic challenge 2021.
- Temirova N, Asadova F. The Role of the Kidneys in the Regulation of Blood Pressure. American Journal of Pediatric Medicine and Health Sciences. 2025;3(1):253-7.
DOI: https://doi.org/10.20961/placentum.v14i1.100502
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