Dietary Compliance Associated with Blood Pressure among Hypertensive Patients
DOI:
https://doi.org/10.56303/jian.v1i1.1319Keywords:
Dietary compliance, Family support, Hypertension, KnowledgeAbstract
Hypertension, a non-communicable disease (NCD), is one of the most serious health issues today and is a major cause of stroke incidents, both systolic and diastolic blood pressure. Factors influencing hypertension include knowledge, dietary compliance, and eating patterns. The study aims to analyze the relationship between knowledge, dietary compliance, and family support with blood pressure in hypertensive patients. The study utilized an analytical survey with a cross-sectional design. The sample size was determined by Slovin formula as many as consisted of 67 hypertensive patients selected using accidental sampling. Data were processed using the chi-square test. The measurement of variable using structured questionnaire. Descriptive analysis revealed the majority nutritional status as normal (58.1%) and overweight (26.9%), the age category 56-65 years old as many as 43.3%, low level of knowledge (28.4%), low dietary compliance (41.8%), and low family support (25.4%). The measurement blood pressure indicated 56.7% of the subject have controlled blood pressure. The research finding revealed that hypertensive patients with knowledge level at good category in 20 (41.7%) and low level of knowledge in 9 (47.3%). Dietary compliance was categorized as compliant in 28 (58.2%) with normal blood pressure and 11 (16.4%) with hypertension, while family support was good 26 (52.0%) with normal blood pressure and 24 (48.0%) with hypertension. The results showed a significant association was found between dietary compliance and blood pressure (p=0.003), but there were not significant assocation between knowledge and family support with blood pressure (p=0.671 and p=0.181), respectively. The study indicated that association between dietary compliance and blood pressure in hypertensive patients. Lifestyle modification strategies should be promoted to maintain long-term dietary compliance among hypertension patients.
Downloads
References
McEvoy JW, McCarthy CP, Bruno RM, Brouwers S, Canavan MD, Ceconi C, et al. 2024 ESC Guidelines for the management of elevated blood pressure and hypertension: Developed by the task force on the management of elevated blood pressure and hypertension of the European Society of Cardiology (ESC) and endorsed by the European Society of Endocrinology (ESE) and the European Stroke Organisation (ESO). Eur Heart J. 2024;45(38):3912–4018.
Jariyasakulwong P, Wattanakitkrileart D, Pongthavornkamol K, Piaseu N, Roubsanthisuk W. Factors influencing self-care practices and blood pressure among individuals with uncontrolled hypertension: a cross-sectional study. Patient Prefer Adherence. 2024;1–17.
Damayantie N, Heryani E, Muazir M. Faktor-Faktor yang Mempengaruhi Perilaku Penatalaksanaan Hipertensi oleh Penderita di Wilayah Kerja Pskesmas Sekernan Ilir Kabupaten Muaro Jambi tahun 2018. J Ners dan Kebidanan (Journal Ners Midwifery). 2018;5(3):224–32.
Gömleksiz M, Gömleksiz MR, Gelen Ş, Uzala ES, Yakar B. Effectiveness of a Knowledge Level of Hypertension on Blood Pressure Control, Treatment Adherence, and Physical Activity of Hypertensive Individuals. J Clin Hypertens. 2025;27(1):e14958.
Utari M. Dukungan Keluarga tentang Kepatuhan Diet Hipertensi pada Lansia di Puskesmas Pembantu Kelurahan Persiakan Tebing Tinggi. 2017.
Hidayatulloh SR, Panglipur ED, Imas AF, Mahendra IPY, Sugiharto S. Hubungan Beberapa Faktor Internal Dan Eksternal Dengan Hipertensi Pada Pasien Usia 45-59 Tahun Di Puskesmas Tawangsari Kabupaten Mojokerto Pada Agustus 2021. CoMPHI J Community Med Public Heal Indones J. 2022;3(1):16–25.
Pristianty L, Hingis ES, Priyandani Y, Rahem A. Relationship between knowledge and adherence to hypertension treatment. J Public Health Africa. 2023;14(Suppl 1):2502.
Altawili AA, Altawili M, Alwadai AM, Alahmadi AS, Alshehri AMA, Muyini BH, et al. An exploration of dietary strategies for hypertension management: a narrative review. Cureus. 2023;15(12).
Theodoridis X, Chourdakis M, Chrysoula L, Chroni V, Tirodimos I, Dipla K, et al. Adherence to the DASH diet and risk of hypertension: a systematic review and meta-analysis. Nutrients. 2023;15(14):3261.
Rusyda AL. Exploring the Non-Communicable Disease Burden in Indonesia–Findings from the 2023 Health Survey. Indones J Public Heal Nutr. 2025;5(2):6.
Mancia G, Kreutz R, Brunström M, Burnier M, Grassi G, Januszewicz A, et al. 2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). J Hypertens. 2023;41(12):1874–2071.
Chacko S, Jeemon P. Role of family support and self-care practices in blood pressure control in individuals with hypertension: results from a cross-sectional study in Kollam District, Kerala. Wellcome open Res. 2020;5:180.
Astuti S, Paratmanitya Y, Wahyuningsih W. Tingkat pengetahuan dan dukungan keluarga tidak berhubungan dengan kepatuhan menjalani terapi diet penderita diabetes mellitus tipe 2 di Puskesmas Kasihan II Bantul Yogyakarta. J Gizi dan Diet Indones (Indonesian J Nutr Diet. 2016;3(2):105. https://doi.org/10.21927/ijnd.2015.3(2).105-112
WHO. Hypertension [Internet]. who. 2025. https://www.who.int/news-room/fact-sheets/detail/hypertension
Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, et al. Global disparities of hypertension prevalence and control: a systematic analysis of population-based studies from 90 countries. Circulation. 2016;134(6):441–50.
Kemenkes. Survey Kesehatan Indonesia (SKI) dalam Angka. Jakarta: Kemenkes RI; 2023.
Wang G, Zhou X, Zhuo X, Zhang P. Annual total medical expenditures associated with hypertension by diabetes status in US adults. Am J Prev Med. 2017;53(6):S182–9.
Arikunto S. Prosedur penelitian suatu pendekatan praktek. Rineka Cipta. Jakarta: Rineka Cipta; 2010.
Susriwenti F. Faktor yang mempengaruhi kepatuhan diet pasien hipertensi di rawat inap penyakit dalam RSUD Sultan Thaha Saifuddin Kabupaten Tebo. Sekolah Tinggi Ilmu Kesehatan Perintis Padang. Stikes Perintis Padang; 2018.
AHA. American Heart Association: blood pressure fact sheets. Blood Pressure Fact Sheets. [Internet]. AHA. 2023. https://www.heart.org/en/health-topics/high-blood-pressure/find-high-blood-pressure-tools--resources
Tajeu GS, Kent ST, Kronish IM, Huang L, Krousel-Wood M, Bress AP, et al. Trends in antihypertensive medication discontinuation and low adherence among Medicare beneficiaries initiating treatment from 2007 to 2012. Hypertension. 2016;68(3):565–75.
Almas A, Godil SS, Lalani S, Samani ZA, Khan AH. Good knowledge about hypertension is linked to better control of hypertension; a multicentre cross sectional study in Karachi, Pakistan. BMC Res Notes. 2012;5(1):579.
Subari S, Sulaiman S, Karjono K. The Relationship Knowledge and Attitudes of Patients in Preventing Hypertension Recurrence. Biosci J Ilm Biol. 2024;12(2):1555–68.
Glanz K, Rimer BK, Viswanath K. Health behavior: Theory, research, and practice. John Wiley & Sons; 2015.
Carey RM, Whelton PK. ACC/AHA Hypertension Guideline Writing. Prevention, detection, evaluation, and management of high blood pressure in adults: synopsis of the 2017 American College of Cardiology/American Heart Association Hypertension Guideline. Ann Intern Med. 2018;168(5):351–8.
WHO. Global report on hypertension 2025: high stakes–turning evidence into action. World Health Organization; 2025.
Stolarz-Skrzypek K, Kuznetsova T, Thijs L, Tikhonoff V, Seidlerová J, Richart T, et al. Fatal and nonfatal outcomes, incidence of hypertension, and blood pressure changes in relation to urinary sodium excretion. Jama. 2011;305(17):1777–85.
Beune EJAJ, Moll van Charante EP, Beem L, Mohrs J, Agyemang CO, Ogedegbe G, et al. Culturally adapted hypertension education (CAHE) to improve blood pressure control and treatment adherence in patients of African origin with uncontrolled hypertension: cluster-randomized trial. PLoS One. 2014;9(3):e90103.
Drury J, Carter H, Cocking C, Ntontis E, Tekin Guven S, Amlôt R. Facilitating collective psychosocial resilience in the public in emergencies: Twelve recommendations based on the social identity approach. Front public Heal. 2019;7:141.
Joseph LM, Lekha TR, Boban D, Jose P, Jeemon P. Perceived facilitators and barriers of enrolment, participation and adherence to a family based structured lifestyle modification interventions in Kerala, India: a qualitative study. Wellcome Open Res. 2019;4:131.
Uchino BN. Social support and health: a review of physiological processes potentially underlying links to disease outcomes. J Behav Med. 2006;29(4):377–87.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Annisa Latief, Nuryani, Misnati

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.


