Faktor-Faktor yang Berhubungan dengan Tingkat Aktivitas Fisik pada Pasien Diabetes Melitus di Puskesmas Buho-Buho, Kecamatan Morotai Timur

Authors

  • Tarmizi M Ahsan Institut Teknologi Sains dan Kesehatan RS dr Soepraoen Kesdam V/Brawijaya
  • Dion Kunto AP Institut Teknologi Sains dan Kesehatan RS dr Soepraoen Kesdam V/Brawijaya
  • Yuni Asri Institut Teknologi Sains dan Kesehatan RS dr Soepraoen Kesdam V/Brawijaya

DOI:

https://doi.org/10.61132/vitamin.v4i1.2046

Keywords:

Diabetes Mellitus, Hypertension, Indonesia, Primary Services, Severity of Hypertension

Abstract

Background: Hypertension remains a major public health problem, particularly in primary health care settings. The coexistence of diabetes mellitus may contribute to increased hypertension severity; however, evidence from primary care data in Indonesia remains limited. Objective: This study aimed to examine the association between diabetes mellitus and hypertension severity among patients attending a primary health care center in Indonesia. Methods: A cross-sectional study was conducted using secondary data obtained from medical records at a primary health care center in 2025. A total of 84 patients with hypertension were included using total sampling. Hypertension severity was classified into stage 1 and stage 2. Bivariate analysis was performed using the Chi-square test or Fisher’s exact test as appropriate, with statistical significance set at p < 0.05. Data were analyzed using SPSS version 26. Results: Of the 84 participants, 33.3% had diabetes mellitus. Stage 2 hypertension was more prevalent than stage 1 hypertension. Diabetes mellitus was significantly associated with hypertension severity (p = 0.029), with a higher proportion of patients with diabetes mellitus presenting with stage 2 hypertension. Conclusion: Diabetes mellitus was significantly associated with greater hypertension severity in a primary health care setting. These findings highlight the importance of integrated management of diabetes mellitus in patients with hypertension at the prizary care level.

Downloads

Download data is not yet available.

References

Alzahrani, A. M., Albakri, S. B. B., Alqutub, T. T., Alghamdi, A. A., & Rio, A. A. (2019). Physical activity level and its barriers among patients with type 2 diabetes mellitus attending primary healthcare centers in Saudi Arabia. Journal of Family Medicine and Primary Care, 8(8), 2671–2675. https://doi.org/10.4103/jfmpc.jfmpc

American Diabetes Association. (2024). Introduction and methodology: Standards of care in diabetes-2024. Diabetes Care, 47(Supplement_1), S1–S4. https://doi.org/10.2337/dc24-SINT

Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., … Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955

Ding, D., Varela, A. R., Bauman, A. E., Ekelund, U., Lee, I.-M., Heath, G., … Pratt, M. (2020). Towards better evidence-informed global action: Lessons learnt from the Lancet series and recent developments in physical activity and public health. British Journal of Sports Medicine, 54(7), 462–468. https://doi.org/10.1136/bjsports-2019-101001

Edmealem, A. (2020). Level of physical activity and its associated factors among type II diabetes patients in Dessie Referral Hospital, Northeast Ethiopia. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(10), 4067–4075.

Granner, M. L., Sharpe, P. A., Hutto, B., Wilcox, S., & Addy, C. L. (2020). Perceived individual, social, and environmental factors for physical activity and walking. Journal of Physical Activity & Health, 4(3), 278–293. https://doi.org/10.1123/jpah.4.3.278

Guthold, R., Stevens, G. A., Riley, L. M., & Bull, F. C. (2018). Worldwide trends in insufficient physical activity from 2001 to 2016: A pooled analysis of 358 population-based surveys with 1·9 million participants. The Lancet Global Health, 6(10), e1077–e1086. https://doi.org/10.1016/S2214-109X(18)30357-7

International Diabetes Federation. (2021). IDF Diabetes Atlas (10th ed.). https://diabetesatlas.org/

Kärmeniemi, M., Lankila, T., Ikäheimo, T., Koivumaa-Honkanen, H., & Korpelainen, R. (2018). The built environment as a determinant of physical activity: A systematic review of longitudinal studies and natural experiments. Annals of Behavioral Medicine, 52(3), 239–251. https://doi.org/10.1093/abm/kax043

Kementerian Kesehatan Republik Indonesia. (2018). Laporan nasional Riskesdas 2018.

Kementerian Kesehatan Republik Indonesia. (2022). Profil kesehatan Indonesia 2022.

Mangoma, J., Mangoma, J., & Sulistiadi, W. (2024). Island health crisis: Bridging gaps in Indonesia’s healthcare deserts. Island Health Policy & Administration, 9(2). https://doi.org/10.7454/ihpa.v9i2.1005

McNeill, L. H., Wyrwich, K. W., Brownson, R. C., Clark, E. M., & Kreuter, M. W. (2021). Individual, social environmental, and physical environmental influences on physical activity among black and white adults: A structural equation analysis. Annals of Behavioral Medicine, 31(1), 36–44. https://doi.org/10.1207/s15324796abm3101_7

Musdalifah, A., & Prabaningrum, N. (2025). Social and environmental determinants of physical activity among elderly in Yogyakarta city. Jurnal Kesehatan Masyarakat, 16(1), 23–39.

Prince, S. A., Reed, J. L., McFetridge, C., Tremblay, M. S., & Reid, R. D. (2017). Correlates of sedentary behaviour in adults: A systematic review. Obesity Reviews, 18(8), 915–935. https://doi.org/10.1111/obr.12529

Purwito, D., Linggardini, K., & Jaitieng, A. (2025). Barriers to healthcare access: Examining travel time, waiting times, and service costs in Indonesia primary health care. Jurnal Kesehatan Indonesia, 18(2), 236–245.

Rhodes, R. E., Janssen, I., Bredin, S. S. D., Warburton, D. E. R., & Bauman, A. (2017). Physical activity: Health impact, prevalence, correlates and interventions. Psychology & Health, 32(8), 942–975. https://doi.org/10.1080/08870446.2017.1325486

Setyaningtyas, R. C., & D. A. (2025). Efforts to improve access to primary healthcare services in archipelagic regions: A literature review. Jurnal Kesehatan Masyarakat, 7(1), 885–894.

Shiriyedeve, S., Dlungwane, T. P., Tlou, B., & Sciences, H. (2019). Factors associated with physical activity in type 2 diabetes mellitus patients at a public clinic in Gaborone, Botswana. African Health Sciences, 19(1), 1–7.

World Health Organization. (2023). Global report on diabetes. Geneva: WHO. https://www.who.int/publications/i/item/9789240062729

Downloads

Published

2026-01-26

How to Cite

Ahsan, T. M., AP, D. K., & Asri, Y. (2026). Faktor-Faktor yang Berhubungan dengan Tingkat Aktivitas Fisik pada Pasien Diabetes Melitus di Puskesmas Buho-Buho, Kecamatan Morotai Timur . Vitamin : Jurnal Ilmu Kesehatan Umum, 4(1), 113–121. https://doi.org/10.61132/vitamin.v4i1.2046

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.