Analisis hubungan lingkar pinggang terhadap kadar albumin urin serta gambaran profil sedimen urin pada penderita hipertensi
DOI: https://doi.org/10.33024/hjk.v20i4.3151
Central Obesity Hypertension Urinary Albumin Level Urinary Sediment Waist Circumference
Abstract
Background: Hypertension is a condition characterized by persistently elevated blood pressure and is often referred to as the "silent killer" because it can progressively impair kidney function if left untreated. To assess the extent of hypertension-related renal damage, urinary albumin levels and urinary sediment profiles are important clinical parameters.
Purpose: To analyze the relationship between waist circumference and urinary albumin levels, as well as to describe the urinary sediment profile in patients with hypertension.
Method: This analytical observational study employed a cross-sectional design. A total of 43 patients with hypertension were recruited using a consecutive sampling technique. Waist circumference was measured anthropometrically, urinary albumin levels were determined spectrophotometrically using the biuret method, and urinary sediment was examined microscopically.
Results: A high prevalence of central obesity was observed among the respondents (90.7%). Microscopic urinalysis revealed the presence of squamous epithelial cells (88.4%), amorphous crystals (69.8%), calcium oxalate crystals (60.5%), and granular casts (37.2%). Spearman correlation analysis demonstrated no statistically significant relationship between waist circumference and urinary albumin levels (p = 0.775), with a very weak correlation coefficient (r = 0.045).
Conclusion: Waist circumference was not significantly associated with urinary albumin excretion in patients with hypertension. These findings may have been influenced by potential confounding factors, including patients' physical activity levels and the duration of hypertension.
Suggestion: Further research can use a longitudinal study design to see the exact cause-and-effect relationship between increasing waist circumference and the development of kidney damage as indicated by changes in albumin levels and urinary sediment profile characteristics.
Keywords: Central Obesity; Hypertension; Urinary Albumin Level; Urinary Sediment; Waist Circumference.
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