7. The Effect of Sleep Duration on Systolic Pressure and Nitric Oxide Concentration in Hypertensive Patients

Abstract

Background: Hypertension still becomes a menacing worldwide problem. Ninety percent of people over 55 years will develop hypertension. DASH (Dietary Approaches to Stop Hypertension) diet proven to have substantial blood pressure (BP)-lowering action. Captopril is one of the fi rst-line hypertension treatments in Indonesia since it was accessible and affordable. We conducted SEHAT (Seleksi Gaya Hidup Anti Hipertensi), a more adapted hypertension intervention program based on the DASH diet.Objective: Here we are going to report the results of adding SEHAT in an ongoing regiment of captopril in a hypertension patient in a primary healthcare setting. Method:We conducted SEHAT counseling in the monthly "PROLANIS'' in Sutojayan Primary Health Care. 14 patients with essential hypertension divided into 2 groups: 7 patients accustomed to SEHAT and received 3x25 mg Captopril, while 7 others with only captopril consumption as a control group. We measured the difference value of systolic, diastolic, and Mean Arterial Pressure (MAP) pre and post 4-weeks intervention. Statistical analysis was done using an independent t-test.Result: Based on mmHg measurement, there were a greater reduction of systolic blood pressure (-11,43 vs 1,71; p=0,259), diastolic blood pressure 57; p = 0,833),86; p = 0,517) between SEHAT and control group respectively. Conclusion:SEHAT has the potency to become a promising antihypertension program in primary health care. As there was no signifi cant result, further studies need to be carried out with a greater sample to strengthen its effi cacy.