Blood Pressure and Its Association with Sedentary Behaviour, Stress Level and Dietary Intake among Adults with Hypertension.

Roslim, Nurul Afiedia; Che Wan Mansor, Wan Ain Nadirah; Che Taha, Che Suhaili; Ismai, Karimah Fakhriah; Chin Yi Ying; Ahmad, Aryati; Harith, Sakinah

Introduction: The prevalence of hypertension, which is the primary determinant for cardiovascular illnesses, is projected to rise by 60% by the year 2025. This cross-sectional study sought to establish the correlation between sedentary behaviour, stress levels, and dietary intake with blood pressure among hypertensive people residing in FELDA's residence in Terengganu, Malaysia. Methods: Participants' data regarding sociodemographic, anthropometric, blood pressure, smoking status, physical activity, dietary intake and Perceived Stress Scale (PSS-10) were acquired. The IBM SPSS version 22.0 was used to perform descriptive statistics, simple and multiple linear regression. Results: Fifty-one individuals diagnosed with hypertension (median age: 57.0±7.0 years; female=66.7%) were recruited with 9.8% of them reporting smoking habits. A majority of the subjects were classified as obese (66.7%) and had uncontrolled blood pressure (51.0%). Majority of the participants had low stress level (86.3%) and moderate physical activity level (47.1%). The participants consumed 1772.7±774.7 kcal/day, which was comprised of 58.9% carbohydrate, 15.6% protein and 27.7% total fats. From the multivariable analysis, not smoking (β=-17.8, 95% CI: -32.4, -3.1; p=0.019), lower hip circumference (β=-0.50, 95% CI: -0.9, -0.1; p=0.018), and dietary fiber (β=-2.2, 95% CI: -3.9; -0.5; p=0.012) will decrease systolic blood pressure by 17.8, 0.50 and 2.2 units, respectively. Whereas, smoking (β=-9.4, 95% CI: -18.4; -0.4; p=0.041) and older age (β=0.7, 95% CI: 0.3; 1.1; p=0.002) will increase diastolic blood pressure by 9.4 and 0.7 units, respectively. Conclusion: These findings provide information for planning future hypertension preventive strategies, thereby reducing the occurrence of hypertension among individuals.

DIASTOLIC blood pressure; SYSTOLIC blood pressure; SEDENTARY behavior; PERCEIVED Stress Scale; BLOOD pressure

Malaysian Journal of Medicine & Health Sciences, 2024, Vol 20, p54

1675-8544

Academic Journal

10.47836/mjmhs.20.s10.8