PENGARUH PERILAKU EMPAT PILAR GIZI SEIMBANG TERHADAP KEJADIAN HIPERTENSI PADA PASIEN RAWAT JALAN DI RSUD KOTA BIMA
Published:
2026-07-05Downloads
Abstract
Hypertension is a noncommunicable disease with a steadily rising prevalence and is a major risk factor for cardiovascular disease. This study aims to analyze the effect of the four pillars of balanced nutrition on the incidence of hypertension among outpatients at the Bima City General Hospital. The study used a quantitative analytical approach with a case-control design. The study population consisted of 305 outpatients, with a sample of 78 respondents comprising 39 cases and 39 controls selected using purposive sampling. The research instruments consisted of a questionnaire on the four pillars of balanced nutrition and a blood pressure monitor. Data analysis used univariate and bivariate tests with the Chi-Square test and Odds Ratio at a significance level of 0.05. The results of the study indicate that a varied diet (p = 0.039), physical activity (p = 0.000), weight monitoring (p = 0.042), and the total score for the four pillars of balanced nutrition (p = 0.000) have a significant effect on the incidence of hypertension, while clean living behaviors did not have a significant effect (p = 0.481). The conclusion of this study is that the four pillars of balanced nutrition play an important role in controlling hypertension, particularly physical activity as the most dominant factor.
Keywords:
Physical Activity Balanced Nutrition Hypertension Outpatients Health BehaviorsReferences
Afnam, M., et al. (2024). Hubungan pola makan dan aktivitas fisik terhadap kejadian hipertensi pada pasien rawat jalan. Jurnal Kabar Kesehatan Masyarakat (Journal of Public Health News), 1, 1–5.
Ajzen, I. (2022). The theory of planned behavior: Frequently asked questions. Human Behavior and Emerging Technologies.
Akbar, M., & Yusran, H. (2023). Hubungan aktivitas fisik dan status gizi dengan kejadian hipertensi pada pasien rawat jalan RSUD Dr. La Palaloi Kabupaten Maros. Jurnal Kesehatan Terpadu. Available at: https://journal.universitaspahlawan.ac.id/index.php/jkt/article/view/36560
Anwari, F., et al. (2025). Balanced diet and its impact on blood pressure and blood sugar in type 2 diabetes: A socio-behavioral literature review. Jurnal Konseling dan Pendidikan, 13(3).
Appel, L. J. (2022). Effects of dietary patterns on blood pressure. Journal of the American College of Cardiology.
Bull, F. C., et al. (2025). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 14. Available at: https://doi.org/10.1136/bjsports-2020-102955
Creswell, J. W., & Creswell, J. D. (2023). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). Sage Publications.
Dahlan, M. S. (2021). Besar sampel dan cara pengambilan sampel dalam penelitian kedokteran dan kesehatan. Epidemiologi Indonesia.
Emzir. (2023). Metodologi penelitian kuantitatif dan kualitatif. Rajawali Pers.
Filippou, C. D., Tsioufis, C. P., Thomopoulos, C. G., Mihas, C. C., Dimitriadis, K. S., Sotiropoulou, L. I., Chrysochoou, C. A., Nihoyannopoulos, P. I., & Tousoulis, D. M. (2020). Dietary approaches to stop hypertension (DASH) diet and blood pressure reduction in adults: A systematic review and meta-analysis of randomized controlled trials. Advances in Nutrition, 11(5), 1150–1160. https://doi.org/10.1093/advances/nmaa041
Fitriani, et al. (2023). Hubungan pengetahuan dengan perilaku diet hipertensi relationship between knowledge and hypertension diet behavior. LENTORA NURSING JOURNAL, 4, 20–26.
Fitriani, E., & Sari, M. (2022). Hubungan pola makan dan status gizi dengan kejadian hipertensi di Desa Rantau Panjang. Jurnal Kesehatan Tropis. Available at: https://journal.universitaspahlawan.ac.id/index.php/jkt/article/view/15586
Glanz, K., Rimer, B. K., & Viswanath, K. (2023). Health behavior: Theory, research, and practice.
Hall, J. E. (2021). Obesity-induced hypertension. Circulation Research.
Hardiansyah, & Supariasa, I. D. N. (2021). Ilmu gizi: Teori dan aplikasi. Penerbit Buku Kedokteran EGC.
Kementerian Kesehatan Republik Indonesia. (2022). Pedoman gizi seimbang. Kementerian Kesehatan RI.
Kementerian Kesehatan Republik Indonesia. (2023). Survei kesehatan Indonesia tahun 2023. Kementerian Kesehatan RI.
Komite Akreditasi Rumah Sakit. (2024). Surat penetapan hasil akreditasi paripurna RSUD Kota Bima. Jakarta: KARS.
NCD Risk Factor Collaboration. (2021). Rising rural body-mass index is the main driver of the global obesity epidemic in adults. Nature, 569(7755), 260–264. Available at: https://doi.org/10.1038/s41586-019-1171-x
Ndanuko, R. N., et al. (2025). Dietary patterns and blood pressure in adults: A systematic review and meta-analysis of randomized controlled trials. American Society for Nutrition, (6), 76–89. Available at: https://doi.org/10.3945/an.115.009753.76
Notoatmodjo, S. (2022). Metodologi penelitian kesehatan. Rineka Cipta.
Notoatmodjo, S. (2023). Ilmu perilaku kesehatan. Jakarta: Rineka Cipta.
Nugraheni, H. (2023). Promosi kesehatan berbasis perilaku. Deepublish.
Panjaitan, R., Mastiur, S., & Ginting, W. M. (2023). Knowledge, nutrition behavior conduct toward incidence of hypertension in Sugiharjo Village Batang Kuis Sub-District. Jurnal Kesehatan Masyarakat & Gizi, 5(2), 247–252.
Pengelola Sistem Informasi Kesehatan. (2022). Profil Dinas Kesehatan Kota Bima tahun 2022. Pemerintah Kota Bima. Available at: https://dikes.bimakota.go.id/upload/download/1761613330_ec037ebcf251fca35d71.pdf
Regina, M. O., & Damayanti, D. (2024). Knowledge and food habits of hypertensive adults after counseling using nutrition & hypertension flipchart at Tanjung Priok Public Health Center. AcTion: Aceh Nutrition Journal, 9(1), 21–28.
Riyadi, A., Wiyono, P., & Budiningsari, R. D. (2022). Asupan gizi dan status gizi sebagai faktor risiko hipertensi esensial pada lansia di Puskesmas Curup dan Perumnas Kabupaten Rejang Lebong Provinsi Bengkulu. Jurnal Gizi Klinik Indonesia, 4(1).
RSUD Kota Bima. (2024). Profil Rumah Sakit Umum Daerah Kota Bima tahun 2024. Bima: RSUD Kota Bima.
Sari, N. P., & Kurniawan, D. (2021). Hubungan asupan gizi dan obesitas sentral dengan kejadian hipertensi di Puskesmas Rajabasa Indah. Jurnal Kesehatan. Available at: https://ejurnal.poltekkes-tjk.ac.id/index.php/JK/article/view/116
Siregar, D. S., & Lubis, Z. (2021). Hubungan pengetahuan dan perilaku gizi seimbang dengan kejadian hipertensi di Desa Sugiharjo Kecamatan Batang Kuis. Jurnal Kesehatan Gizi. Available at: https://ejournal.medistra.ac.id/index.php/JKG/article/view/1677
Siregar, R. N., & Harahap, R. (2023). Hubungan status gizi dengan kejadian hipertensi pada lansia di wilayah kerja Puskesmas Rantang Kota Medan. Galenical Journal. Available at: https://ojs.unimal.ac.id/index.php/galenical/article/view/19555
Sonavel, Y. D. M., et al. (2024). Hubungan antara penerapan empat pilar gizi seimbang dengan hipertensi di wilayah kerja Puskesmas Bengkunat Kecamatan Ngaras Kabupaten Pesisir Barat. Jurnal Gizi Kerja dan Produktivitas. Available at: https://jurnal.untirta.ac.id/index.php/JGKP/article/view/25137
Sudaryono. (2022). Metodologi penelitian kuantitatif, kualitatif, dan mix method. Rajawali Pers.
Sugiyono. (2021). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
Sugiyono. (2022). Metode penelitian kuantitatif. Alfabeta.
Unit Rekam Medis RSUD Kota Bima. (2024). Laporan akumulasi kasus penyakit tidak menular (hipertensi) periode 2025–2026. Bima: RSUD Kota Bima.
Whelton, P. K. (2023). Guideline for the prevention, detection, evaluation, and management of high blood pressure. Hypertension.
World Health Organization. (2021). Hypertension and noncommunicable diseases. WHO.
World Health Organization. (2024). Hypertension fact sheets. WHO.
Zhao, J., et al. (2022). Exploring the association of dietary patterns with the risk of hypertension using principal balances analysis and principal component analysis. Public Health Nutrition, 26(1), 160–170. Available at: https://doi.org/10.1017/S136898002200091X
License
Copyright (c) 2026 Aiska Fahrani, Alkhair, Darmin, Dea Zara Avila

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


