Correlation of Body Mass Index (BMI), Abdominal Circumference, Total Cholesterol and Random Blood Glucose With Severity of Hypertension in Watubelah Community Health Center
Main Article Content
The prevalence of hypertension in Indonesia is predicted to continue to increase. Among the risk factors that can lead to hypertension are metabolic diseases caused by obesity (increased BMI and abdominal circumference) and increased total cholesterol and blood glucose levels. This study aimed to determine the correlation of Body Mass Index (BMI), abdominal circumference, total cholesterol, and random blood glucose with the severity of hypertension at Posbindu Watubelah Health Center. This research was conducted at the working area of the Watubelah Health Center using a cross-sectional method. The total sample in this study was 117 respondents, obtained using primary data through a consecutive sampling method and analyzed using Spearman’s test and logistic regression. The results of the bivariate analysis showed a significant correlation between BMI (p 0.001; r 0.306), abdominal circumference (p 0.000; r 0.326), and total cholesterol (p 0.000; r 0.328) with hypertension. Meanwhile, random blood glucose did not show significant results with hypertension (p 0.197; r 0.120). Logistic regression analysis showed that total cholesterol was the most influential factor for hypertension (OR = 2.448; 95% CI = 1.350–4.440). Risk factors related to blood pressure are body mass index, abdominal circumference, and total cholesterol.
Keywords:
Body Mass Index, Abdominal Circumference, Total Cholesterol, Blood Glucose, Blood Pressure
Adam, R., Masriadi, & Gobel, F. (2021). Faktor yang berhubungan dengan sindrom metabolik (hipertensi dan diabetes melitus tipe 2). Window of Public Health Journal, 2(3).
Burnier, M., & Egan, B. M. (2019). Adherence in hypertension: A review of prevalence, risk factors, impact, and management. Circulation Research, 124(7), 1124–1140. https://doi.org/10.1161/CIRCRESAHA.118.313220
Chen, J., Li, C., Bu, C. L. N., Wang, Y., Qi, M., Fu, P., & Zeng, X. (2025). Global burden of non-communicable diseases attributable to kidney dysfunction with projection into 2040. Chinese Medical Journal, 138(11), 1334–1344.
Farzadfar, F., Yousefi, M., Jafari-Khounigh, A., Khorrami, Z., Haghdoost, A., & Shadmani, F. K. (2024). Trend and projection of non-communicable diseases risk factors in Iran from 2001 to 2030. Scientific Reports, 14(1), 8092. https://doi.org/10.1038/s41598-024-58092-1
Firmansyah, Y., & Santoso, A. (2020). Hubungan obesitas sentral dan indeks massa tubuh berlebih dengan kejadian hipertensi. Hearty Jurnal Kesehatan Masyarakat, 8(1).
Kibria, G. M. A., Crispen, R., Chowdhury, M. A. B., Rao, N., & Stennett, C. (2023). Disparities in absolute cardiovascular risk, metabolic syndrome, hypertension, and other risk factors by income within racial/ethnic groups among middle-aged and older US people. Journal of Human Hypertension, 37(6), 480–490. https://doi.org/10.1038/s41371-022-00730-5
Leggio, M., Lombardi, M., Caldarone, E., Severi, P., D’Emidio, S., Armeni, M., Bravi, V., Bendini, M. G., & Mazza, A. (2017). The relationship between obesity and hypertension: An updated comprehensive overview on vicious twins. Hypertension Research, 40(12), 947–963. https://doi.org/10.1038/hr.2017.75
Li, L., Cheng, S., & Xu, G. (2023). Identification of risk factors for hypertension in overweight and obese people and analysis of risk factor interactions: An R-based analysis. Frontiers in Cardiovascular Medicine, 10, 1180698. https://doi.org/10.3389/fcvm.2023.1180698
Organization, W. H. (2023). Advancing the global agenda on prevention and control of noncommunicable diseases 2000 to 2020: Looking forwards to 2030. World Health Organization.
Owolabi, M. O., Sarfo, F., Akinyemi, R., Gebregziabher, M., Akpa, O., Akpalu, A., Wahab, K., Obiako, R., Owolabi, L., & Ovbiagele, B. (2018). Dominant modifiable risk factors for stroke in Ghana and Nigeria (SIREN): A case-control study. The Lancet Global Health, 6(4), e436–e446. https://doi.org/10.1016/S2214-109X(18)30002-0
Permatasari, R., Suriani, E., & Kurniawan. (2022). Hubungan kadar kolesterol total dengan tekanan darah pada pasien hipertensi pada usia >40 tahun. Jurnal Labora Medika Fakultas Ilmu Kesehatan, Universitas Perintis Indonesia.
Pradono, J., Kusumawardani, N., & Rachmalina, R. (2020). Hipertensi pembunuh terselubung di Indonesia. Kementerian Kesehatan Republik Indonesia.
Pratama, H., Hermawan, D., Amirus, K., et al. (2023). Hubungan kadar gula darah, kadar kolesterol dan kadar natrium dengan kejadian hipertensi pada pasien rawat jalan di RS Pertamina Bintang Amin tahun 2023. Jurnal Inovasi Kesehatan Adaptif, 6.
Ranti, I. (2022). Peningkatan pengetahuan dan keterampilan skrining penyakit tidak menular pada kader kesehatan Posbindu. Jurnal Surya Masyarakat, 4(2).
Sambah, F., McBain?Rigg, K., Seidu, A., & Emeto, T. I. (2025). Interpersonal factors influencing hypertension control: A cross?sectional study among hypertensive patients in the Ashanti Region, Ghana. Health Science Reports, 8(3), e70519. https://doi.org/10.1002/hsr2.70519
Sharma, S. R., Mishra, S. R., Wagle, K., Page, R., Matheson, A., Lambrick, D., Faulkner, J., Lounsbury, D., & Vaidya, A. (2017). Social determinants of common metabolic risk factors (high blood pressure, high blood sugar, high body mass index and high waist-hip ratio) of major non-communicable diseases in South Asia region: A systematic review protocol. Systematic Reviews, 6(1), 183. https://doi.org/10.1186/s13643-017-0574-0
Solikin, & Muradi. (2020). Hubungan kadar kolesterol dengan derajat hipertensi pada pasien hipertensi di Puskesmas Sungai Jingah. Jurnal Keperawatan Suaka Insan, 5(1).
Stanciu, S., Rusu, E., Miricescu, D., Radu, A. C., Axinia, B., Vrabie, A. M., Ionescu, R., Jinga, M., & Sirbu, C. A. (2023). Links between metabolic syndrome and hypertension: The relationship with the current antidiabetic drugs. Metabolites, 13(1), 87. https://doi.org/10.3390/metabo13010087
Yogeswara, P., Setyowati, R., Ruqayyah, S., & Wiatma, D. (2023). Pengaruh indeks massa tubuh (IMT) dan kadar kolesterol dengan hipertensi di Puskesmas Gerung Kabupaten Lombok Barat Nusa Tenggara Barat. Jurnal Ners, 7(1), 744–752.
Yulanda, B., & Yusias, D. (2021). Hubungan indeks massa tubuh dan hipertensi di Puskesmas Barimba Kapuas Hilir Kabupaten Kapuas tahun 2020. Majalah Kedokteran UKI, 47(2).
Zhang, H., Zhang, Z., Zhu, J., Du, C., Jin, H., Zhang, W., Liu, X., & Zeng, W. (2025). Bridging gaps in risk factor control and adherence to recommended lifestyle among non-elderly hypertensive patients. Scienti.fic Reports, 15(1), 29204. https://doi.org/10.1038/s41598-025-29204-0
Burnier, M., & Egan, B. M. (2019). Adherence in hypertension: A review of prevalence, risk factors, impact, and management. Circulation Research, 124(7), 1124–1140. https://doi.org/10.1161/CIRCRESAHA.118.313220
Chen, J., Li, C., Bu, C. L. N., Wang, Y., Qi, M., Fu, P., & Zeng, X. (2025). Global burden of non-communicable diseases attributable to kidney dysfunction with projection into 2040. Chinese Medical Journal, 138(11), 1334–1344.
Farzadfar, F., Yousefi, M., Jafari-Khounigh, A., Khorrami, Z., Haghdoost, A., & Shadmani, F. K. (2024). Trend and projection of non-communicable diseases risk factors in Iran from 2001 to 2030. Scientific Reports, 14(1), 8092. https://doi.org/10.1038/s41598-024-58092-1
Firmansyah, Y., & Santoso, A. (2020). Hubungan obesitas sentral dan indeks massa tubuh berlebih dengan kejadian hipertensi. Hearty Jurnal Kesehatan Masyarakat, 8(1).
Kibria, G. M. A., Crispen, R., Chowdhury, M. A. B., Rao, N., & Stennett, C. (2023). Disparities in absolute cardiovascular risk, metabolic syndrome, hypertension, and other risk factors by income within racial/ethnic groups among middle-aged and older US people. Journal of Human Hypertension, 37(6), 480–490. https://doi.org/10.1038/s41371-022-00730-5
Leggio, M., Lombardi, M., Caldarone, E., Severi, P., D’Emidio, S., Armeni, M., Bravi, V., Bendini, M. G., & Mazza, A. (2017). The relationship between obesity and hypertension: An updated comprehensive overview on vicious twins. Hypertension Research, 40(12), 947–963. https://doi.org/10.1038/hr.2017.75
Li, L., Cheng, S., & Xu, G. (2023). Identification of risk factors for hypertension in overweight and obese people and analysis of risk factor interactions: An R-based analysis. Frontiers in Cardiovascular Medicine, 10, 1180698. https://doi.org/10.3389/fcvm.2023.1180698
Organization, W. H. (2023). Advancing the global agenda on prevention and control of noncommunicable diseases 2000 to 2020: Looking forwards to 2030. World Health Organization.
Owolabi, M. O., Sarfo, F., Akinyemi, R., Gebregziabher, M., Akpa, O., Akpalu, A., Wahab, K., Obiako, R., Owolabi, L., & Ovbiagele, B. (2018). Dominant modifiable risk factors for stroke in Ghana and Nigeria (SIREN): A case-control study. The Lancet Global Health, 6(4), e436–e446. https://doi.org/10.1016/S2214-109X(18)30002-0
Permatasari, R., Suriani, E., & Kurniawan. (2022). Hubungan kadar kolesterol total dengan tekanan darah pada pasien hipertensi pada usia >40 tahun. Jurnal Labora Medika Fakultas Ilmu Kesehatan, Universitas Perintis Indonesia.
Pradono, J., Kusumawardani, N., & Rachmalina, R. (2020). Hipertensi pembunuh terselubung di Indonesia. Kementerian Kesehatan Republik Indonesia.
Pratama, H., Hermawan, D., Amirus, K., et al. (2023). Hubungan kadar gula darah, kadar kolesterol dan kadar natrium dengan kejadian hipertensi pada pasien rawat jalan di RS Pertamina Bintang Amin tahun 2023. Jurnal Inovasi Kesehatan Adaptif, 6.
Ranti, I. (2022). Peningkatan pengetahuan dan keterampilan skrining penyakit tidak menular pada kader kesehatan Posbindu. Jurnal Surya Masyarakat, 4(2).
Sambah, F., McBain?Rigg, K., Seidu, A., & Emeto, T. I. (2025). Interpersonal factors influencing hypertension control: A cross?sectional study among hypertensive patients in the Ashanti Region, Ghana. Health Science Reports, 8(3), e70519. https://doi.org/10.1002/hsr2.70519
Sharma, S. R., Mishra, S. R., Wagle, K., Page, R., Matheson, A., Lambrick, D., Faulkner, J., Lounsbury, D., & Vaidya, A. (2017). Social determinants of common metabolic risk factors (high blood pressure, high blood sugar, high body mass index and high waist-hip ratio) of major non-communicable diseases in South Asia region: A systematic review protocol. Systematic Reviews, 6(1), 183. https://doi.org/10.1186/s13643-017-0574-0
Solikin, & Muradi. (2020). Hubungan kadar kolesterol dengan derajat hipertensi pada pasien hipertensi di Puskesmas Sungai Jingah. Jurnal Keperawatan Suaka Insan, 5(1).
Stanciu, S., Rusu, E., Miricescu, D., Radu, A. C., Axinia, B., Vrabie, A. M., Ionescu, R., Jinga, M., & Sirbu, C. A. (2023). Links between metabolic syndrome and hypertension: The relationship with the current antidiabetic drugs. Metabolites, 13(1), 87. https://doi.org/10.3390/metabo13010087
Yogeswara, P., Setyowati, R., Ruqayyah, S., & Wiatma, D. (2023). Pengaruh indeks massa tubuh (IMT) dan kadar kolesterol dengan hipertensi di Puskesmas Gerung Kabupaten Lombok Barat Nusa Tenggara Barat. Jurnal Ners, 7(1), 744–752.
Yulanda, B., & Yusias, D. (2021). Hubungan indeks massa tubuh dan hipertensi di Puskesmas Barimba Kapuas Hilir Kabupaten Kapuas tahun 2020. Majalah Kedokteran UKI, 47(2).
Zhang, H., Zhang, Z., Zhu, J., Du, C., Jin, H., Zhang, W., Liu, X., & Zeng, W. (2025). Bridging gaps in risk factor control and adherence to recommended lifestyle among non-elderly hypertensive patients. Scienti.fic Reports, 15(1), 29204. https://doi.org/10.1038/s41598-025-29204-0
