The Correlation of Waist Hip Ratio to Ischemic Stroke Probability

Abstract

ABSTRAKLatar belakang. Stroke merupakan penyebab kematian ketiga di dunia. Stroke iskemik merupakan jenis stroke dengan prevalensi tertinggi. Obesitas merupakan salah satu faktor risiko stroke iskemik, namun korelasinya dengan peningkatan risiko stroke iskemik masih belum jelas. Penelitian mengenai korelasi rasio lingkar pinggang-panggul (RLPP) dengan risiko stroke iskemik masih kontradiktif. Tujuan. Mengetahui korelasi RLPP dengan probabilitas stroke iskemik. Metode. Penelitian deskriptif analitik dengan pendekatan potong lintang. Populasi dalam penelitian ini adalah penduduk di Kecamatan Sekarbela Mataram berusia 55-84 tahun. Penduduk yang memenuhi kriteria inklusi dimasukkan sebagai subyek penelitian dan didapatkan 63 subyek penelitian, kemudian dilakukan wawancara untuk pengisian kuesioner, pengukuran RLPP, dan penilaian probabilitas stroke iskemik menurut Framingham Study. Analisis data digunakan uji korelasi Pearson. Hasil. Dari 63 subyek penelitian, terdapat 51 orang (81%) yang tergolong obesitas abdominal dan 12 orang (19%) yang tergolong normal berdasarkan RLPP. Berdasarkan uji korelasi Pearson diperoleh hasil bahwa RLPP tidak berkorelasi dengan probabilitas terjadinya stroke iskemik (p = 0,11). Simpulan. Tidak terdapat korelasi RLPP terhadap probabilitas terjadinya stroke iskemik pada penduduk di Kecamatan Sekarbela Mataram. Kata kunci:Obesitas abdominal, RLPP, stroke iskemik ABSTRACT Background. Stroke is the third cause of death worldwide. Ischemic stroke is the most common type of stroke with high prevalence. Obesity is one of ischemic stroke risk factor, but its correlation with higher ischemic stroke risk remains unclear. Studies about correlation of waist hip ratio (WHR) and ischemic stroke risk is still contradictive. Objective. This study was aimed to explore the correlation between WHR and ischemic stroke probability. Methods. This was a descriptive analytic study using cross sectional design. The population of this study was resident in Sekarbela Mataram aged 55-84 years old. This study was conducted 63 participants. They were interviewed and received a measurement of WHR and ischemic stroke probability. The ischemic stroke probability was assessed by using assessment of Framingham stroke risk score. Data were analyzed by using Pearson correlation. Results. Among 63 participants, 51 (81%) were abdominal obesity and 12 (19%) were normal based on WHR measurement. Pearson correlation analysis showed that there was no correlation between WHR and ischemic stroke probability (p = 0,11). Conclusion. There was no correlation between WHR and ischemic stroke probability of population in Sekarbela Mataram.

Vertebrobasilar Blood Flow in Geriatric Patients With Hip Fractures

“…Authors emphasizes that it is important to reduce the mechanic obstacles against the exercise programs for balance and flexibility and in living environments. 4,7 Due to the possibility that vertebral artery insufficiency may lead to falls in people aged 70 years and older, vertebral arterial doppler USG, which is an risk-free and noninvasive method, should be applied in routine check-ups; if vertebrobasilar artery insufficiency is detected, obstacles around the elderly causing falls should be eliminated as much as possible due to the risk of falling in addition to the related medical treatments, and holding equipment should be placed in the areas important for the life activities of the elderly such as restrooms and bathrooms.…”

“…Falls and resulting hip fractures increase with the advancing age, especially in those at 70 years of age and above. Most of the falls occur in consequence of postural imbalance and stroke 1,2,3,4 Visual, vestibular, proprioceptive and mechanoceptive systems have effects on postural balance 4,5,6,7 Postural hypotension, insufficiency in the veins feeding the balance center, associatively vertigo play a key role in the falling etiologies of the elderly and accordingly in the indirect etiologies of hip fractures 7,8 Studies show that 1/3 of the elderly aged 70 years and older are exposed to serious falls at least once a year. 9,10 Approximately 30% of the elderly aged 70 years and older have vertigo.…”