Relationship of High Stress with Hypertension in Adults: Meta Analysis
DOI:
https://doi.org/10.26911/jepublichealth.2022.07.01.11Abstract
Background: Hypertension is a condition that causes a person to experience a drastic increase in blood pressure. Hypertension is often referred to as the silent killer because it can damage target organs such as the brain, eyes, kidneys, heart and arteries. Based on the cause, the increase in blood pressure can occur due to essential or primary hypertension such as high stress. The aim of this study was to estimate the relationship between high stress and hypertension in adults, with a meta-analysis of the primary study conducted by the previous authors.
Subjects and Method: This study is a meta-analysis using the PICO ie, population: adults; Intervention: high stress; Comparison: low stress; Result: hypertension. The articles used in this study were obtained from two databases, namely Pubmed and Google scholar. The keywords in the article search were “adults” AND “high stress” AND “low stress” AND “hypertension” cross-sectional or “Stress” AND “hypertension”. The included article is in full English with a cross-sectional study design for 2014 to 2021 and reports the adjusted odds ratio (aOR) in a multivariate analysis. Article selection using PRISMA flow chart. Article analysis using the Review Manager 5.3 application.
Results: 10 articles with a cross sectional study involving 3,436 adults from 4 continents namely Asia, Europe, Africa and America to be used as a systematic review and meta-analysis. The data collected showed that high stress had a relationship with the occurrence of hypertension in adults as much as 1.66 times compared to adults with low stress (aOR=1.66; 95%CI= 1.28 to 2.17; p= 0.002).
Conclusion: High stress has a relationship with hypertension in adults.
Keywords: adults, high stress, hypertension
Correspondence: Siti Luluk Khamidahtun Ni’mah. District Health Office of Ponorogo. Jl. Basuki Rahmad, Ponorogo, East Java, Indonesia. Email: lulupanma@gmail.com. Mobile: 08562563503.
References
Addison AK, Yankyera G (2015). An investigation into how female teachers manage stress and teacher burnout: a case study of Westakim municipality of Ghana. Journal of Education and Practice. 6(10): 1–24. ISSN 2222-288X.
Agyei B, Nicolaou M, Boateng L, Dijkshoorn H, Van DBBJ, Agyemang C (2014). Relationship between psychosocial stress and hypertension among Ghanaians in Amsterdam, the Netherlands - The GHAIA study. BMC Public Health. 14(1): 1–10. doi: 10.1186/1471-2458-14-692.
Arifin MHBM, Weta2 IW, Ratnawati LKA (2016). Faktor-faktor yang kelompok lanjut usia di wilayah kerja UPT Pus-kesmas Petang 1 kabupaten Badung tahun 2016 (the elderly groups in the working area of UPT Puskesmas Pe-tang 1, Badung Regency in 2016). Medika. 5(7): 1–23. doi: 10.24922/eum.
Bhelkar S, Deshpande S, Mankar S, Hiwarkar (2018). Association between stress and hypertension among adults more than 30 years: A Case-Control Study. Natl J Community Med. 9(6): 430–433. doi: 10.5455/njcm.20200212074659.
Conversano C, Orru G, Pozza A, Miccoli M, Ciacchini R, Marchi L, Gemignani A (2021). Is mindfulness-based stress reduction effective for people with hypertension? A systematic review and meta-analysis of 30 years of evidence. Int. J. Environ. Res. Public Health. 18(6): 1–22. doi: 10.3390/ijerph18062882.
Cuffee Y, Ogedegbe C, Facep M, Williams NJ, Ogedegbe G, Facp M, Schoen-thaler A (2014). Psychosocial risk factors for hypertension: an update of the literature compliance with ethics guidelines human and animal rights and informed consent. Curr Hypertens Rep. 16(10): 483. doi: 10.1007/s11906-014-0483-3.
Esaningsih P, Yuniastuti A, Handayani O (2018). The Influence of stress level and genetics on hypertension status age range 36-45 years in sawit health center boyolali regency. Public Heal Perspect J. 3 (3): 167-175.
Ganesh KS, Naresh AGV, Bammigatti C (2014). Prevalence and risk factors of hypertension among male police personnel in urban Puducherry, India. Kathmandu Univ Med J (KUMJ). 12(48): 242–246. doi: 10.3126/kumj.v12i4.13728.
Jadhav SB, Jatti GM, Jadhav A S, Sakha-ramrajderkar S, Naik JD, Ashoknan-dimath V (2014). Stressing “mental stress” in hypertension: A rural background study. JCDR. 8(6): 7–10. doi: 10.7860/JCDR/2014/8209.4506.
Kementrian Kesehatan RI (2021). Hipertensi penyebab utama penyakit jantung, gagal ginjal, dan stroke (hypertension is the main cause of heart disease, kidney failure, and stroke). P2PTM Kemenkes RI, 1. http://p2ptm.kemkes.go.id/artikel-sehat/-hipertensi-penyebab-utama-penyakit-jantung-gagal-ginjal-dan-stroke. Accessed in februari 08,2022.
Langford, AT, Butler M, Booth IJN, Jin P, Bress AP, Tanner RM, et al. (2021). Stress and depression are associated with life’s simple 7 among African Americans with hypertension: Findings from the Jackson Heart Study. Am. J. Hypertens. 34(12): 1311–1321. doi: 10.1093/ajh/hpab116.
Levenstein S, Smith MW, Kaplan GA (2001). Psychosocial predictors of hypertension in men and women. Arch. Intern. Med. 161(10): 1341–1346. doi: 10.1001/archinte.161.10.1341.
Lu X, Juon H-S, He X, Dallal CM, Wang MQ, Lee S (2017). The association between perceived stress and hypertension among Asian Americans: does social support and social network make a difference? Xiaoxiao. Physiol. Behav. 176(12): 139–148. doi: 10.1007/s10900-018-00612-7.
Metungku, Mauruh F, Sari CV, Salamung ANI, Uswatun N, Uswatun (2021). Relationship between lifestyle and stress with hypertension among of communities in Sigi Regency. D'NUR-SING. 2(1): 52-59. doi: 10.36835/dnursing.v2i1.134.
Perhimpunan Dokter Hipertensi Indonesia (2019). Konsensus hipertensi (Hy-pertension Consensus) (HN Lukito AL, Harmeiwaty E (ed.)). ISBN 978-6026162434. http://www.inash.or.id/upload/event/event-Update-kon-sensus-2019123191.pdf. Accesed in februari 07, 2022.
Pogosova N, Boytsov S, Bacquer DDe, So-kolova O, Ausheva A, Kursakov A, Sa-ner H (2021). Factors associated with anxiety and depressive symptoms in 2775 patients with arterial hypertension and coronary heart disease: Results from the COMETA Multi-center Study. Glob. Heart, 16(1), 1–12. doi: 10.5334/gh.1017.
Rahmadani Y, saleh L, Bintara A, et al. (2020). Level stress, blood pressure, and pulse air rate traffic controller Makasar.EASJPBS.1(02): 58-63. doi: 10.36349/EASJPBS.2019.v01i06.008.
Rengganis AD, Rakhimullah AB, Garna H (2020). The correlation between work stress and hypertension among industrial workers: A Cross-sectional Study. IOP Conf. Ser. Earth Environ. Sci. 441(1): 1–5. doi: 10.1088/1755-1315/441/1/012159.
Tangkudung J (2018). Sport Psychometrics. https://scholar.google.com/Sport Psychometrics. Accessed in februari 2022.
Tengnah MAJ, Sooklall R, Nagowah SD (2019). A predictive model for hypertension diagnosis using machine learning techniques. In Telemedicine Technologies: Big data, deep learning, robotics, mobile and remote applications for global healthcare. Elsevier Inc. doi: 10.1016/B978-0-12-8169483.00009-X.
Yulianto FA, Romadhona N, Rosarianto F, Rahmanda V, Barlia S, Tania TA, Gu-nawan RR et al. (2020). Probability of Hypertension in Advancing Ages of Women. GMHC. 8(2): 148–154. doi: 10.29313/gmhc.v8i2.6340.
