INTEGRATING HEALTH EDUCATION AND PHYSICAL ACTIVITY TO REDUCE HYPERTENSION RISK: A COMMUNITY ENGAGEMENT APPROACH
Keywords:
Hypertension, health education, physical activity, behavioral change, health promotionAbstract
Background: Hypertension is a major contributor to global morbidity and mortality. In Indonesia, its prevalence among adults has increased significantly, reaching 34.1% in 2018. Banten Province mirrors this trend, particularly in urban areas, due to poor dietary habits, inactivity, and stress. Modifiable and non-modifiable risk factors contribute to the burden, making community-based interventions essential. Methods: This community service initiative aimed to reduce hypertension risk through health education and physical activity. It targeted 30 adults and elderly residents of RT 02/RW 01, Babakan Subdistrict, South Tangerang. The program integrated an interactive educational session based on the local CERIA campaign (Limit salt, Take medication, Monitor blood pressure, Manage stress, Exercise, and Don’t smoke) and a tailored group exercise activity. Local health cadres were actively involved. Results: Participants showed good knowledge of hypertension but struggled to adopt healthy behaviors such as low-sodium diets, regular exercise, and stress management. Many were unaware of genetic risk factors and lacked routine blood pressure monitoring. Group exercise sessions enhanced physical engagement and community bonding. Gender disparities were observed, with higher hypertension prevalence among women, particularly postmenopausal. Conclusion: The integration of the CERIA program and group exercise effectively promoted awareness and encouraged lifestyle modification. Sustainable health promotion requires ongoing community participation, cadre empowerment, and accessible education. This approach demonstrates how localized, participatory strategies can transform hypertension prevention into a collective health movement.
References
1. World Health Organization. A global brief on hypertension: silent killer, global public health crisis. Geneva: WHO; 2013.
2. World Health Organization. Hypertension (Internet). Geneva: WHO; 2021 (cited 2025 Jul 13). Available from: https://www.who.int/news-room/fact-sheets/detail/hypertension
3. World Health Organization. Global report on hypertension: the race against a silent killer (Internet). Geneva: WHO; 2023 (cited 2025 Jul 13). Available from: https://www.who.int/publications/i/item/9789240081481
4. Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar (Riskesdas) 2013. Jakarta: Badan Litbangkes; 2013. p. 110–9.
5. Badan Penelitian dan Pengembangan Kesehatan. Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Kemenkes RI; 2018.
6. Notoatmodjo S. Promosi Kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta; 2012.
7. Mulyana A, Juhrodin J. Hipertensi dan penanggulangannya. Surabaya: Pustaka Medika; 2019.
8. Kementerian Kesehatan Republik Indonesia. Pedoman Pencegahan dan Penanggulangan Hipertensi. Jakarta: Ditjen P2P Kemenkes RI; 2015.
9. Suparmi, Wulandari RD, Lestari SK. Peran Kader Posyandu dalam Pencegahan Penyakit Tidak Menular. Buletin Penelitian Kesehatan. 2017;45(3):195–202.
10. Sharman JE, La Gerche A, Coombes JS. Exercise and hypertension: still worth the sweat? Hypertension. 2015;65(5):933–9.
11. Kementerian Kesehatan Republik Indonesia. Situasi Hipertensi di Indonesia. Jakarta: Pusat Data dan Informasi; 2022.
12. Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2018.
13. Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Dennison Himmelfarb C, et al. 2017. Guideline for The Prevention, Detection, Evaluation, And Management Of High Blood Pressure In Adults. J Am Coll Cardiol. 2018;71(19):e127–248. doi:10.1016/j.jacc.2017.11.006.
14. World Health Organization. WHO guideline: Sodium intake for adults and children (Internet). Geneva: WHO; 2021 (cited 2025 Jul 13). Available from: https://www.who.int/publications/i/item/9789241555553
15. Carey RM, Whelton PK, Aronow WS, et al. 2017 Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. J Am Coll Cardiol. 2018;71(19):e127–248. doi:10.1016/j.jacc.2017.11.006
16. Mulyana A, Juhrodin J. Hipertensi dan Penanggulangannya. Surabaya: Pustaka Medika; 2019.
17. Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Dennison Himmelfarb C, et al. Hypertension guideline update: a report from the American College of Cardiology and American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018;71(6):e13–115.
18. Reckelhoff JF. Gender differences in the regulation of blood pressure. Hypertension. 2001;37(5):1199–1208. doi:10.1161/01.hyp.37.5.1199
19. Lenz BK. Social support, self-efficacy, and health behavior change among young adults. Nurs Res. 2006;55(3):208–213. doi:10.1097/00006199-200605000-00007
20. Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000;15(3):259–267. doi:10.1093/heapro/15.3.259
21. Uchino BN. Social support and health: a review of physiological processes potentially underlying links to disease outcomes. J Behav Med. 2006;29(4):377–387. doi:10.1007/s10865-006-9056-5
