The Effect Of Consumption Of A High-Purine Diet On Increasing Uric Acid Levels And Blood Pressure In The Elderly In Kediri District
DOI:
https://doi.org/10.30994/jrph.v6i1.88Keywords:
Blood Pressure, Elderly, High Purine Diet, Uric acid levelsAbstract
High purine consumption is a factor that is closely related to hyperuricemia. Apart from that, hyperuricemia is also closely related to the occurrence of increased blood pressure (hypertension). The aim of this research is to determine the effect of consuming a high purine diet on increasing uric acid levels and blood pressure in the elderly in Kediri Regency. The research method used was observational analytics with a cross sectional design. The research results in this study are that there is a significant influence between a high purine diet and uric acid levels and blood pressure in the elderly in Kediri Regency. This can be seen from statistical tests using Linear Regression, which showed a significant influence of Sig (2-tailed) between high purine diet consumption and uric acid levels (DP-AU=0.000) with a value of α≤0.05, there was a significant influence of Sig. (2-tailed) between Uric Acid Levels and Increased Systolic Blood Pressure in the elderly (AU-TS=0.028) and diastolen blood pressure (AU-TD = 0.032) with a value of α≤0.05, meaning the hypothesis is accepted that there is a significant influence Between a high purine diet and uric acid levels and blood pressure in the elderly in Kediri Regency. Excessive intake of a diet high in purine causes the accumulation of purine crystals to build up in certain joints which can increase uric acid levels in the blood. High uric acid levels can cause increased blood pressure through the mechanisms, inflammation of the kidneys and endothelium, activation of the renin-angiotensin system, depletion of nitric oxide, proliferation of smooth muscle cells, formation of superoxide, mitochondrial dysfunction, and activation of the polyol pathway.
References
Agustira, V., Simbolon, D. and Kusdalinah, K. (2023) ‘Hubungan Kadar Asam Urat Dengan Tekanan Darah Pada Civitas Akademik Poltekkes Kemenkes Bengkulu’, Quality : Jurnal Kesehatan, 17(2), pp. 86–95. Available at: https://doi.org/10.36082/qjk.v17i2.1288.
Ali, N. et al. (2019) ‘Relationship between serum uric acid and hypertension: a cross-sectional study in Bangladeshi adults’, Scientific Reports, 9(1), pp. 1–7. Available at: https://doi.org/10.1038/s41598-019-45680-4.
Borghi, C. et al. (2022) ‘Uric Acid and Hypertension: a Review of Evidence and Future Perspectives for the Management of Cardiovascular Risk’, Hypertension, 79(9), pp. 1927–1936. Available at: https://doi.org/10.1161/HYPERTENSIONAHA.122.17956.
Castilla-Ojo, N. et al. (2023) ‘Effects of the DASH diet and losartan on serum urate among adults with hypertension: Results of a randomized trial’, Journal of Clinical Hypertension, 25(10), pp. 915–922. Available at: https://doi.org/10.1111/jch.14721.
Diantari, E. and Kusumastuti, A.C. (2013) ‘Pengaruh Asupan Purin Dan Cairan Terhadap Kadar Asam Urat Wanita Usia 50-60 Tahun Di Kecamatan Gajah Mungkur, Semarang’, Journal of Nutrition College, 2(1), pp. 44–49. Available at: https://doi.org/10.14710/jnc.v2i1.2095.
Fitriani, R. et al. (2021) ‘Hubungan Pola Makan Dengan Kadar Asam Urat (Gout Artritis) Pada Usia Dewasa 35-49 Tahun’, Jurnal Ners, 5(23), pp. 20–27. Available at: http://journal.universitaspahlawan.ac.id/index.php/ners.
Juraschek, S.P. et al. (2021) ‘Effects of Dietary Patterns on Serum Urate: Results From the DASH Randomized Trial’, Arthritis and Rheumatology, 73(6), pp. 1–16. Available at: https://doi.org/10.1002/art.41614.
Kementrian Kesehatan RI (2019) Laporan Nasional RISKESDAS 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan (LPB).
Lindawati R. Yasin, Rona Febriyona and Andi Nur Aina Sudirman (2023) ‘Pengaruh Air Rebusan Kumis Kucing Terhadap Penurunan Asam Urat Di Desa Manawa Kecamatan Patilanggio’, Jurnal Rumpun Ilmu Kesehatan, 3(1), pp. 49–59. Available at: https://doi.org/10.55606/jrik.v3i1.1223.
Pualillin, R., Rampengan, S.H. and Wantania, F. (2015) ‘Hubungan Kadar Asam Urat Dengan Kejadian Gagal Jantung Akut Pada Pasien Hipertensi’, e-CliniC, 3(1). Available at: https://doi.org/10.35790/ecl.3.1.2015.7389.
Rajagukguk, T. et al. (2021) ‘Pemeriksaan Kadar Asam Urat Pada Lansia Penderita Hipertensi Di Rsu Bandung Medan’, Anatomica Medical Journal | Amj, 4(2), pp. 54–57. Available at: https://doi.org/10.30596/amj.v4i2.7928.
Suntara, D.A., Alba, A.D. and Hutagalung, M. (2022) ‘Hubungan Antara Aktifitas Fisik Dengan Kadar Asam Urat (Gout) Pada Lansia Di Wilayah Kerja Puskesmas Batu Aji Kota Batam’, Jurnal Inovasi penelitian, 2(12), pp. 3805–3812.
Syawali, M. and Ciptono, F. (2022) ‘Hubungan kadar asam urat dengan hipertensi pada lanjut usia di Puskesmas Sukanagalih Kecamatan Pacet Kabupaten Cianjur’, Tarumanagara Medical Journal, 4(2), pp. 295–301. Available at: https://doi.org/10.24912/tmj.v4i2.17740.
Szydlik, J. et al. (2023) ‘The relation between uric acid level and blood pressure values among patients hospitalized in a department of internal medicine’, Postepy w Kardiologii Interwencyjnej, 19(2), pp. 142–151. Available at: https://doi.org/10.5114/aic.2023.129213.