Pengaruh Puasa Ramadhan Terhadap Tekanan Darah Dan Profil Lipid Pada Pasien Hipertensi Studi Kasus : Denpasar Selatan

I Wayan Happy Candra Dinata, Dhiancinantyan Windydaca Brata Putri, Gusti Ngurah Agung Windra Wartana Putra, I Gusti Ngurah Mayun

Abstract


Hypertension is the most common cardiovascular disease in society. Management of hypertension can be pharmacological and non-pharmacological. One of the nonpharmacological therapies for hypertension is fasting therapy. Ramadan fasting is fasting that is obligatory for Muslims and has been set in the month of Ramadan for one month (29 or 30 days). Fasting changes a person's eating and drinking patterns which affect the body's metabolism which results in increased production of angiotensinogen which impacts blood pressure and increases in High-density Lipoprotein cholesterol. The purpose of this study was to determine the effect of Ramadan fasting on blood pressure and lipid profiles in hypertensive patients. This study used a pre-experimental research design with the One Group Pretest-Posttest model. The sampling method used non-probability sampling with purposive sampling technique. Measurements were taken before the fasting month of Ramadan and one month of fasting. Data analysis using the Wilcoxon test. The results of the study in the form of systolic and diastolic blood pressure before fasting with one month of Ramadan fasting, the mean ± SD respectively were 145 ± 17.45 p-value (<0.001); 87.70 ± 9.82 p-value (<0.001). For lipid profiles (cholesterol, triglycerides, HDL, LDL) before fasting with one month of Ramadan fasting, the mean ± SD respectively were 181.60 ± 26.63 p-value (<0.001); 113.65 ± 43.91 p-value (<0.001); 53 ± 7.71) p-value (<0.001); 116.30 ± 18.38 p-value (<0.001). This study concluded that there was a decrease in systolic and diastolic blood pressure, and an improvement in fasting lipid profile levels during Ramadan fasting in hypertensive patients.

Keywords


Blood Pressure; Lipid Profiles; Ramadhan Fasting

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References


P. Lamelas et al., “Prevalence, awareness, treatment and control of hypertension in rural and urban communities in Latin American countries,†J. Hypertens., vol. 37, no. 9, pp. 1813–1821, 2019, doi: 10.1097/HJH.0000000000002108.

Riskesdas, Laporan Provinsi Bali RISKESDAS 2018. 2018.

N. T. and S. M. Fujikawa Shohei, Iguchi Ryo, “In the perioperative period of urinary diversion for bladder cancer A case of cholesterol crystal embolism,†vol. 61, no. 3, pp. 99–102, 2015.

Fadiyah, “Pengaruh Terapi Puasa terhadap Tekanan Darah Pada Hipertensi di Wilayah Kerja UPTD Puskesmas Gang Sehat Kota Pontianak,†J. Chem. Inf. Model., vol. 53, no. 9, pp. 1689–1699, 2016.

E. Wulandari and Alfiah, “Pengaruh Puasa Ramadhan Terhadap Profil Lipid Darah,†Med. Islam. J. Kedokt. dan Kesehat., vol. 13, no. 1, pp. 61–68, 2016.

A. Tri Hardati and R. Andono Ahmad, “Aktivitas fisik dan kejadian hipertensi pada pekerja: analisis data Riskesdas 2013,†BKM J. Community Med. Public Heal., vol. 34, no. 2, pp. 467–474, 2017.

O. F. Sinubu R.B., Rondonuwu R., “Hubungan Beban Kerja Dengan Kejadian Hipertensi Pada Tenaga Pengajar Di SMA N 1 Amurang Kabupaten Minahasa Selatan,†Teach. Teach. Educ., vol. 3, no. 1, pp. 1–17, 2015.

P. Pebrisiana, L. N. Tambunan, and E. P. Baringbing, “Hubungan Karakteristik dengan Kejadian Hipertensi pada Pasien Rawat Jalan di RSUD Dr. Doris Sylvanus Provinsi Kalimantan Tengah,†J. Surya Med., vol. 8, no. 3, pp. 176–186, 2022, doi: 10.33084/jsm.v8i3.4511.

Aristoteles, “Korelasi Umur Dan Jenis Kelamin Dengan Penyakit Hipertensi,†Indones. J. Perawat, vol. 3, no. 1, pp. 9–16, 2018, [Online]. Available: https://ejr.stikesmuhkudus.ac.id/index.php/ijp/article/view/576/409

E. Yunus M., Aditya., “Hubungan Usia dan Jenis Kelamin dengan Kejadian Hipertensi di Puskesmas Haji Pemanggilan Kecamatan Anak Tuha Kab. Lampung Tengah,†vol. 11, no. September, pp. 192–201, 2021, [Online]. Available: https://journals.ekb.eg/article_243701_6d52e3f13ad637c3028353d08aac9c57.pdf

A. Norouzy et al., “Trend of blood pressure in hypertensive and normotensive volunteers during Ramadan fasting,†Blood Press. Monit., vol. 22, no. 5, pp. 253–257, 2017, doi: 10.1097/MBP.0000000000000272.

R. Al-Jafar et al., “Effect of religious fasting in ramadan on blood pressure: Results from lorans (london ramadan study) and a meta-analysis,†J. Am. Heart Assoc., vol. 10, no. 20, 2021, doi: 10.1161/JAHA.120.021560.

A. Yoeantafara and S. Martini, “Pengaruh Pola Makan Terhadap Kadar Kolesterol The Influence of Diet to Total Cholesterol Levels,†vol. 13, no. 4, pp. 304–309, 2017.

J. N. Sitepu, “Hubungan Indeks Massa Tubuh Dengan Profil Lipid Serum Sebagai Faktor Risiko Penyakit Kardiovaskuler Pada Mahasiswa Universitas HKBP Nommensen,†Nommensen J. Med., vol. 3, no. 1, pp. 7–13, 2017, [Online]. Available: https://uhn.ac.id/files/akademik_files/1804200832_2017_Nommensen Journal of Medicine Vol 3 No 1 Juli 2017_6. Hubungan Indeks Massa Tubuh Dengan Profil Lipid Serum Sebagai Faktor Risiko Penyakit Kardiovaskuler Pada Mahasiswa Universitas HKBP Nommensen.pdf

G. M. Tinsley and P. M. La Bounty, “Effects of intermittent fasting on body composition and clinical health markers in humans,†Nutr. Rev., vol. 73, no. 10, pp. 661–674, 2015, doi: 10.1093/nutrit/nuv041.

katerina Tosheska-Trajkovska et al., “Effects of Ramadan fasting on some biochemical parameters,†Acad. Med. J., vol. 1, no. 2, pp. 35–45, 2021, doi: 10.53582/amj2112035tt.

M. Abdel-hassib, M. Ghowinam, F. Khalil, A. Mohamed, and A. Mahmoud, “Effect of Ramadan Fasting on Glycemic Status , Lipid Profile and Quality of Life in Type I Dm Adolescent Egyptian Patients,†vol. 12, no. 4, pp. 8006–8013, 2023, doi: 10.48047/ecb/2023.12.si4.715.

S. A. Akthar Perveen, Kazmi AMir, Sharma Tarun, “Effects of Ramadan fasting on serum lipid profile Perveen,†J. Fam. Med. Prim. Care, vol. 6, no. 2, pp. 169–170, 2020, doi: 10.4103/jfmpc.jfmpc.

T. Ara, N. Jahan, N. Sultana, R. Choudhury, and T. Yeasmin, “Effect of Ramadan Fasting on Total cholesterol (TC) Low density lipoprotein cholesterol (LDL-C) and High density lipoprotein cholesterol (HDL-C) in Healthy Adult Male,†J. Bangladesh Soc. Physiol., vol. 10, no. 2, pp. 46–50, 2016, doi: 10.3329/jbsp.v10i2.27163.




DOI: https://doi.org/10.37311/ijpe.v3i3.21914

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