The Effects of Hypertension, Smoking, and Obesity on Stroke Incidence in Riau

Armaliza Permata Sari, R. Lubis
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Abstract

Background: Global health has entered a stage where the recognition that tackling non communicable diseases (NCDs) including stroke is not only a clinical and public health issue but also an important challenge for global economic development. A stroke happens when blood stops flowing to any part of the brain. Strokes can be large or small, and the effects of stroke depend on the part of the brain affected and the extent of damage. The effects of stroke can include communication problems, tiredness and fatigue, emotional changes and pain. This study aimed to assess the effects of hypertension, smoking, and obesity, on stroke incidence in Riau. Subjects and Method: This was a case-control study conducted at Rokan Hulu General Hospital, Riau, in June 2018. A sample of 100 patients was selected for this study, consisting 50 patients with stroke and 50 patients without stroke. The dependent sample was stroke incidence. The independent variables were hypertension, smoking, and obesity. Hypertension was measured by sphygmomanometer. The smoking data was measured by questionnaire. The obesity data were measured by Body Mass Index (BMI). The data were analyzed by a multiple logistic regression. Results: Of 100 patients sampled, 72% had hypertension, 74% were smokers, and 68% had obesity. Stroke incidence increased with hypertension (OR= 5.44; 95% CI= 2.21 to 13.40; p<0.001). It also increased with smokers (OR= 1.83; 95% CI= 0.78 to 4.63; p= 0.207) and obesity (OR= 1.71; 95% CI= 0.69 to 4.24; p= 0.246) although it was statistically non-significant. Conclusion: The risk of stroke incidence increases with hypertension. The increased risk of stroke with smoking and obesity is statistically non-significant in this study.
廖内省高血压、吸烟和肥胖对脑卒中发病率的影响
背景:全球卫生已进入一个阶段,人们认识到应对包括中风在内的非传染性疾病(NCDs)不仅是一个临床和公共卫生问题,也是全球经济发展的一个重要挑战。当血液停止流向大脑的任何部位时,就会发生中风。中风可大可小,中风的影响取决于受影响的大脑部位和损伤程度。中风的影响包括沟通问题、疲劳、情绪变化和疼痛。本研究旨在评估高血压、吸烟和肥胖对廖内省中风发病率的影响。对象和方法:这是一项病例对照研究,于2018年6月在廖内省Rokan Hulu综合医院进行。本研究选取100例患者作为样本,其中卒中患者50例,非卒中患者50例。依赖样本为脑卒中发生率。自变量为高血压、吸烟和肥胖。采用血压计测量高血压。吸烟数据采用问卷调查法进行测量。肥胖数据通过身体质量指数(BMI)来测量。数据采用多元逻辑回归分析。结果:100例患者中,72%有高血压,74%有吸烟者,68%有肥胖。高血压患者脑卒中发生率增高(OR= 5.44;95% CI= 2.21 ~ 13.40;p < 0.001)。吸烟者也增加(OR= 1.83;95% CI= 0.78 ~ 4.63;p= 0.207)和肥胖(OR= 1.71;95% CI= 0.69 ~ 4.24;P = 0.246),但差异无统计学意义。结论:高血压患者脑卒中发生率增高。在这项研究中,吸烟和肥胖增加中风的风险在统计学上不显著。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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