1.Contribution of Snacks and Physical Activities to Elevated Blood Pressure of Adolescent Girls in West Java, Indonesia
Mohammad Zen Rahfiludin ; Alfi Fairuz Asna ; Suroto ; Lilik Hidayanti
Malaysian Journal of Medicine and Health Sciences 2023;19(No.4):53-60
Introduction: The prevalence of hypertension in Indonesia has continued to increase over the last few years. An
unhealthy diet and lack of physical activity can elevate blood pressure, particularly if an unhealthy lifestyle has been
followed since adolescence. This study aimed to analyze the correlation between snack consumption and physical
activity with blood pressure in adolescent girls. Methods: A cross-sectional study was conducted with 349 adolescent girls from seven Islamic boarding schools in West Java, Indonesia. Data on daily food and snack consumption
were obtained by the 24-hour recall for 3 non-consecutive days. Blood pressure was measured using a digital blood
pressure instrument, and the results were categorized by age, gender, and height. Linear regression analyses were
performed to investigate determinants of blood pressure. Results: A total of 120 (34.4%) of the adolescent girls in
the study had hypertension. A majority of girls had inadequate daily intake (energy, fat, carbohydrates, and sodium;
only total protein intake met Indonesia’s recommended dietary allowance). Snacks were found to be high in protein,
fat, and carbohydrates, with consumption levels above 15%. More than half (61.9%) of the subjects’ daily sodium
intake came from snacks. Low-fat intake from snacks was associated with an increase in blood pressure in this study.
Daily nutritional intake affecting blood pressure included sodium and total fat intake. Lack of physical activity in
adolescent girls was not a risk factor for elevated blood pressure. Conclusion: Fat and sodium intake was associated
with elevated blood pressure in adolescent girls.