Abstracts e9
Method: The study was conducted in hemodialysis care unit Dr. Sardjito teaching
Downloaded from https://journals.lww.com/jhypertension by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3Gamkn0m7hy6RQdEwn41RO9x/i0vDDxQwBt4nF2XCv44= on 05/22/2019
Result: Spearman correlation analysis showed a significant correlation with negative
hospital in Yogyakarta, Indonesia at Januari 2016 - Desember 2016. It was cross
sectional study design, involving routine hemodialysis patients. Sample collected
by consecutive method. Hypertension defined based on JNC VII.
Results: This study included 184 patients; The average patient age was
50.79 ± 15.21 years old. Among the patients, 57.1% were men and 54.2 % had
diabetes. During the study mean of systolic blood pressure is 147.11 ± 23.4 and
diastolic blood pressure is 80.4 ± 15.1 mmHg. Mean ferritin level is 987 ± 64.2.
There are significant correlation between ferritin level and systolic blood pres-
sure (r = 0.39, p < 0.05) but not with diastolic blood pressure (r = 0.13, p = NS).
Neutrophil/lymphocyte ratio (N/L ratio) and ESR correlated with systolic blood
pressure (r = 0.43, p < 0.05; r = 0.31, p < 0.05).
Conclusions: This study shows correlation between hypertension and inflamma-
tory markers in maintenance hemodialysis patients.
Keywords: Inflammatory marker, Ferritin, N/L ratio, ESR
59 CONTRIBUTION OF AGE IN EFFECTIVENESS OF SLOW
DEEP BREATHING MANEUVER IN PATIENTS WITH
HYPERTENSION
Wendy Wiharja1, Raymond Pranata1, Abraham Fatah1, Hadrian Deka2,
Vito A. Damay3. 1Faculty of Medicine University PelitaHarapan, Karawaci,
Tangerang, Indonesia, 2Faculty of Medicine, GadjahMada University, Yogya-
karta, Indonesia, 3Department of Cardiology Siloam Hospital Lippo Village, Kar-
awaci, Tangerang, Indonesia
Objective: Slow Deep Breathing (SDB) may decrease Blood Pressure through
manipulation in sympathetic and parasympathetic pathway. Its effectiveness for
acute reducing of Blood Pressure depends on many contributing factors. Our
study aims to know the contribution of age while measuring the effectiveness of
SDB maneuver.
Method: Cross sectional method was used in this clinical research. Subjects
were collected through simple randomized sampling. Inclusion criteria were all
patients with essential hypertension ranging 40–65 years old, on the other hand
patients with secondary hypertension and those who took medicine regularly
was excluded. There were 24 male patients and 24 female patients. We catego-
rized patients using age (<50 years old, 50–60 years old, and >60 years old).
Before starting the maneuver, the subjects were trained to perform the maneuver
(6 times respiratory cycle within 1 minute). Subjects perform the maneuver for
5 minutes. BP was measured before and after maneuver. All data were processed
using SPSS Ver.22.
Result: Analytical study using paired T-Test compared Systolic Blood Pressure
(SBP) and Diastolic Blood Pressure (SBP) pre- and post- maneuver, result showed:
on age <50 years old; lowering SBP ( 10.91 mmHg) DBP ( 7,27 mmHg) P-
value 0.0000, age 50–60 years old; SBP ( 9.80 mmHg) DBP ( 7.50 mmHg)
p-value 0.0000, age >60 years old; SBP ( 9.80 mmHg) DBP ( 6.00 mmHg)
p-value 0.0000.
Conclusion: This maneuver’s effectiveness depends on the compliance of lung
capacity and how well the subjects follow the instruction to do the maneuver.
Since we assume that subjects who older might have low compliance, then we
did this study. Occasionally from the result, we conclude that age has no effect
in effectiveness of the maneuver, so this maneuver is useful for everyone with
secondary hypertension.
Keywords: Hypertension, Breathing, Maneuver
60 CORRELATION OF HAEMOGLOBIN LEVEL AND
HYPERTESION IN ADULT
Octavia Wenny, Krisnawati Ika. Medical Faculty, TrisaktiUniversity, Jakarta
Indonesia
Background: The cause of one-third mortality rate in the world is cardiovascular
disease, and hypertension is one of the risk factors from cardiovascular disease.
Some risk factors of hypertension are heredity, age, gender, race, lack of physi-
cal activity, unhealthy diet, obesity, smoking, stress, and anemia. Anemia is often
associated with chronic disease and anemia is independent risk factor from car-
diovascular disease.
Method: This study used a cross-sectional design using 209 adult subjects aged
18–60. The study using Hemoglobin data from Sumber Waras Hospital laboratory
and blood pressure data from direct measurements.
association (p = 0.046, r = −0.183) between haemoglobin level and hypertension.
Conclusion: There is a significant correlation between haemoglobin and
hypertension.
Keywords: haemoglobin level, hypertension
61 THE ASSOCIATION OF HYPERTENSION WITH
DEPRESSION, ANXIETY AND STRESS SCORE IN ATMA
JAYA HOSPITAL
Yohanes Edwin Jonatan, Josephine Retno Widayanti. Neurology Department,
Faculty of Medicine, Atma Jaya Catholic University, Jakarta, Indonesia
Background: Depression in hypertension leads to poorer outcome and quality
of life. Studies had shown a relation between hypertension and depression, anxi-
ety, and stress score. Some studies also reported no relation. In Atma Jaya, the
interaction between hypertension and depression, anxiety, and stress have not
been evaluated.
Method: We conducted a cross-sectional study with 58 outpatients in neurology
clinic who met the inclusion and exclusion criteria, between the period of October
2016 – November 2016. Data were gathered on patient’s demographic character-
istics, blood pressure level, history of hypertension treatment, and medical his-
tory. Depression, Anxiety, and Stress were evaluated using DASS-42 Question-
naire. Odds ratios (OR) and 95% confidence intervals (CI) based on Chi-Square
were used to analyze the correlation of hypertension with depression, anxiety, and
stress score.
Result: The subjects were 37 women (63.8%) compared to men (36.2%). Most
of the education levels were elementary school (31%) and non-educated (25.9%).
Duration of hypertension vary from >20 years to less than 1 year. Anxiety levels
were reported higher (58.6%) than depression (29.3%) and stress (31%). There
were no correlation between hypertension and depression (p > 0.05; OR: 0.38;
95% CI 0.12–1.24), hypertension and anxiety (p > 0.05; OR: 1.12; 95% CI 0.395–
3.201), hypertension and stress (p > 0.05; OR: 0.9; 95% CI 0.297–2.754), there
were also no correlation between the number of anti-hypertensive drugs taken
and depression (p > 0.05; OR: 1.588; 95% CI 0.509–4.952), anxiety (p > 0.05;
OR: 0.933; 95% CI 0.326–2.667), and stress score (p > 0.05; OR: 0.978; 95% CI
0.319–2.994).
Conclusion: Blood pressure levels did not correlate significantly with depression,
anxiety, and stress score in well-controlled hypertensive patients.
Keywords: Blood pressure, Depression, Anxiety, Stress
62 HYPERTENSION AS A RISK FACTOR FOR COGNITIVE
DECLINE IN THE ELDERLY WITH OBESITY
Yuda Turana1,2, Ika Suswanti1, Yvonne Suzy Handajani2, Josephine Retno Widay-
anti1. 1Department of Neurology, Faculty of Medicine, Atma Jaya Catholic Uni-
versity of Indonesia, 2Center of Health Research, Faculty of Medicine, Atma Jaya
Catholic University of Indonesia
Introduction: Obesity is an important predisposing factor for vascular diseases
and cognitive impairment. The aim of this study is to learn about the role of hy-
pertension in cognitive impairment among elderly with obesity.
Methods: A cross-sectional study involving 244 subjects with obesity. Partici-
pants were already recruited from Active Ageing Research (Atma Jaya Medi-
cal School) from 2011–2015. Cognitive functions are evaluated using MMSE,
WLMIR, Boston Naming Test and Verbal Fluency Test. Anthropometric measures
are collected to obtain Body Mass Index (BMI);obesity is defined by cut off value
25.
Results: The mean age is 64.95 ± 7.06 years old and most subjects are
women (77.5%). Bivariate analysis significantly shows that the level of
education is related with cognitive decline (MMSE, WLMIR, BNT, VFT)
(p < 0.05; OR: 14.3;2.25;4.29;2.91). Other variables (gender, hyperten-
sion, HDL level) are also significantly related with cognitive decline only
in certain domains (MMSE, BNT, VFT) (P < 0.05). In this study, low level
of education and hypertension are the two variables identified being the
risk factors for low MMSE & VFT scores in the elderly with obesity using
multivariate analysis.
Conclusion: Hypertension and low level of education are the risk factors for cog-
nitive decline in obese elderly.