Abstract

Background: Hypertension is a condition when blood pressure at constant state is over 140190 mmHg. According to National Health Survey in 2001 the proportion of hypertension in Indonesia was 27% in male and 29% in female. The prevalence of hypertension at Bengkulu Municipality in 2005 was 1.7% (6.098), increased to 2.6% (7,244) in 2006, 2.6% (7,514) in 2007 and 7,175 in 2008. Respectively the management of hypertension therapy and lifestyle modification become important in the management of hypertensive patients. Objective: The study aimed to identify the impact of sports and nutrition counseling to blood pressure and nutrition status based on waist circumference in hypertensive patients at Bengkulu Municipality. Method: The study was a quasi experiment. Subject were hypertensive patients that fulfilled inclusion criteria (newly-diagnosed hypertension, age of 20-50 years, living in Bengkulu and willing to become respondents). Samples consisted of 120 people divided into 3 groups with intervention; Each group consisted of 40 people. Analysis used chi square, t-test, Anova and double linear regression. Result There was difference (p = 0.000) in waist circumference in female subject but not in male subject. Mutivariate test showed that aerobic sports within 60 minutes 3 times/week largely insignificant. T-test showed there was impact (p = 0.000) of nutrition counseling and sports to blood pressure status. Multivariate test showed that aerobic sports within 60 minutes 3 times/week largely affected systolic and diastolic blood pressure by controlling nutrition  counseling  and frequency of antihypertensive drug taking. Conclusion: The main factors affected to decrease of blood pressure and nutrional status patients based on waist circumference were nutritional counseling and sports.  Key words: sports, nutritional counseling, nutritional status, waist circumference, blood pressure