Cardiovascular Risk Profile in Health Cadres in Jatinangor, West Java

Abstract

Background: Cardiovascular disease has very high morbidity and mortality, therefore, prevention of this disease becomes a national priority in the health programs. Health cadres, as an agent in community primary prevention, should have a good health condition. This study aimed to describe the cardiovascular risk profile in health cadresin Jatinangor, West Java. Methods: This was a cross-sectional study, conducted in Cilayung Village, Jatinangor, in September 2018. Consecutive sampling was performed on 20 health cadres aged 25 -64 years old who did not have previous cardiovascular events such as coronary heart disease or stroke. Clinical data were collected consisting of blood pressure, body mass index (BMI), random blood glucose, history of diabetes mellitus, physical activity and active smoking habits. Cardiovascular risk was assessed using Jakarta cardiovascular scores and European Relative Risk Score. Results: Only 17 of 20 health cadres fulfilled the inclusion criteria with a systolic and diastolic blood pressure of 133.5±27.8 mmHg and 81.1±14.8 mmHg, respectively, and BMI of 27.4±5.3 kg/m2.The risk of cardiovascular disease in healthy cadres was at low (47.1%), moderate (41.2%) and high risk (11.7%). The average of the European Relative Risk score was 1.88±0.9. BMI >30 has a 40% high risk of cardiovascular disease. Conclusions: Most of the health cadres in Jatinangor, West Java have a low and moderate risk of cardiovascular disease, even though there is a small percentage that is at a high risk. The awareness for prevention and management programs for risk factors needs to be raised among health cadres.

Peningkatan Kapasitas Kader Kesehatan dalam Upaya Skrining dan Pencegahan Penyakit Kronis di Wilayah Kabupaten Bandung

“…Pihak Puskesmas juga bisa menindaklanjuti hasil skrining ini, terutama yang teridentifikasi memeliki risiko tinggi untuk mendapatkan pemeriksaan lebih lanjut guna mengantisipasi serta menentukan tindak lanjut yang diperlukan. Temuan risiko DM pada kader ini juga sejalan dengan temuan penelitian yang dilakukan oleh Tiksnadi et al, (2019) Penelitian ini menemukan bahwa sebagian kader memiliki risiko sedang untuk menderita penyakit jantung. Kedua temuan ini menguatkan bahwa penyakit kronik bisa mengenai siapa saja (El Gihart, 2020) termasuk kader kesehatan.…”

Description of the Risk Factors of Coronary Heart Disease According to the Jakarta Cardiovascular Score in Workers in Cimahi Selatan Sub-District Office for the Period of April-November 2022

“…The Jakarta Cardiovascular Score is based on gender, age, blood pressure, smoking, diabetes mellitus, body mass index and weekly physical activity. 12 Several studies have been conducted in Indonesia to predict coronary heart disease (CHD) incidence using the Jakarta Cardiovascular Score tool. The research conducted on workers at Company X in Jakarta in 2018, showed that 141 people (37.8%) were in the high-risk category, while 118 people (1.6%) were at medium risk for heart and blood vessel disease.…”