HUBUNGAN POLA KONSUMSI GARAM DENGAN KEJADIAN HIPERTENSI PADA IBU HAMIL

Authors

  • Ristiani Ristiani Universitas Wirahusada Medan, Medan, Indonesia
  • Nurfatmawati Dewi Universitas Wirahusada Medan, Medan, Indonesia
  • Nelva Riza Universitas Bina Bangsa Getsempena, Banda Aceh, Indonesia
  • Ferdi Riansyah Universitas Bina Bangsa Getsempena, Banda Aceh, Indonesia
  • Reka Julia Utama Universitas Bina Bangsa Getsempena, Banda Aceh, Indonesia

DOI:

https://doi.org/10.51771/mj.v6i1.2123

Keywords:

Hipertensi Kehamilan, Ibu Hamil, Pola Konsumsi Garam

Abstract

Hipertensi dalam kehamilan merupakan salah satu penyebab utama morbiditas dan mortalitas maternal serta perinatal. Salah satu faktor yang diduga berperan dalam terjadinya hipertensi pada ibu hamil adalah pola konsumsi garam yang berlebihan. Penelitian ini bertujuan untuk mengetahui hubungan antara pola konsumsi garam dengan kejadian hipertensi pada ibu hamil. Penelitian menggunakan rancangan survei analitik dengan pendekatan cross sectional. Penelitian dilaksanakan di Klinik Bidan Juliana pada bulan November 2025. Populasi penelitian adalah seluruh ibu hamil yang melakukan pemeriksaan antenatal di Klinik Bidan Juliana, dengan teknik pengambilan sampel menggunakan total sampling sebanyak 22 responden. Data dikumpulkan menggunakan kuesioner terstruktur untuk menilai pola konsumsi garam dan data tekanan darah yang diperoleh dari hasil pemeriksaan antenatal. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square dengan tingkat kepercayaan 95% (α = 0,05). Hasil penelitian menunjukkan bahwa sebagian besar responden berada pada usia 20–35 tahun (68,2%), usia kehamilan trimester III (45,4%), dan multigravida (59,1%). Responden dengan pola konsumsi garam tinggi lebih banyak mengalami hipertensi (36,4%) dibandingkan dengan responden yang memiliki pola konsumsi garam normal. Hasil uji statistik menunjukkan nilai p = 0,01 (p < 0,05), yang menandakan adanya hubungan yang bermakna antara pola konsumsi garam dan kejadian hipertensi pada ibu hamil. Penelitian ini menyimpulkan bahwa pola konsumsi garam berhubungan signifikan dengan kejadian hipertensi pada ibu hamil. Edukasi gizi mengenai pembatasan konsumsi garam selama kehamilan perlu ditingkatkan sebagai upaya pencegahan hipertensi kehamilan.

References

Abate, B. A., Wordofa, M. A., & Dadhi, L. S. (2025). Maternal Hypertensive Disorders and Modifiable Risk Factors among Pregnant Women in North Central Ethiopia. Scientific Reports, 15(1), 12815. https://doi.org/10.1038/s41598-024-77451-1

Bailey, R., Pac, S., Fulgoni, I. V., & Reidy, K. (2019). Total Usual Dietary Intakes of Pregnant Women in the United States, 2001-2014 (FS08-01-19). Current Developments in Nutrition, 3, nzz048.FS08-01-19. https://doi.org/10.1093/cdn/nzz048.FS08-01-19

Bank, T. C., Grasch, J. L., Chung, J., Mercer, B. M., McNeil, R. B., Parry, S., Saade, G., Shanks, A., Silver, R. M., Simhan, H., Yee, L. M., Reddy, U., Grobman, W. A., & Frey, H. A. (2023). Sodium Intake and the Development of Hypertensive Disorders of Pregnancy. American Journal of Obstetrics & Gynecology MFM, 5(11), 101166. https://doi.org/10.1016/j.ajogmf.2023.101166

Collins, H. E., Alexander, B. T., Care, A. S., Davenport, M. H., Davidge, S. T., Eghbali, M., Giussani, D. A., Hoes, M. F., Julian, C. G., LaVoie, H. A., Olfert, I. M., Ozanne, S. E., Bytautiene Prewit, E., Warrington, J. P., Zhang, L., & Goulopoulou, S. (2024). Guidelines for Assessing Maternal Cardiovascular Physiology during Pregnancy and Postpartum. American Journal of Physiology-Heart and Circulatory Physiology, 327(1), H191–H220. https://doi.org/10.1152/ajpheart.00055.2024

Countouris, M., Mahmoud, Z., Cohen, J. B., Crousillat, D., Hameed, A. B., Harrington, C. M., Hauspurg, A., Honigberg, M. C., Lewey, J., Lindley, K., McLaughlin, M. M., Sachdev, N., Sarma, A., Shapero, K., Sinkey, R., Tita, A., Wong, K. E., Yang, E., Cho, L., & Bello, N. A. (2025). Hypertension in Pregnancy and Postpartum: Current Standards and Opportunities to Improve Care. Circulation, 151(7), 490–507. https://doi.org/10.1161/CIRCULATIONAHA.124.073302

Dewi, S. R., Ningsih, R., Rifah, M., Alfioni, D. R., Al Hajj, R. M., & Dahlia, F. A. (2022). Determinan Insiden Preeklamsia pada Ibu Primigravida. JKP (Jurnal Kesehatan Primer), 7(2), 124–138. https://doi.org/10.31965/jkp.v7i2.811

Espinoza, J., Vidaeff, A., Pettker, C., & Simhan, H. (2020). Gestational Hypertension and Preeclampsia. Obstetrics & Gynecology, 135(6), 1492–1495. https://doi.org/10.1097/AOG.0000000000003892

Grillo, A., Salvi, L., Coruzzi, P., Salvi, P., & Parati, G. (2019). Sodium Intake and Hypertension. Nutrients, 11(9), 1970. https://doi.org/10.3390/nu11091970

Gyselaers, W. (2022). Hemodynamic pathways of gestational hypertension and preeclampsia. American Journal of Obstetrics and Gynecology, 226(2), S988–S1005. https://doi.org/10.1016/j.ajog.2021.11.022

He, F. J., Tan, M., Ma, Y., & MacGregor, G. A. (2020). Salt Reduction to Prevent Hypertension and Cardiovascular Disease. Journal of the American College of Cardiology, 75(6), 632–647. https://doi.org/10.1016/j.jacc.2019.11.055

Jaques, D. A., Wuerzner, G., & Ponte, B. (2021). Sodium Intake as a Cardiovascular Risk Factor: A Narrative Review. Nutrients, 13(9), 3177. https://doi.org/10.3390/nu13093177

Jarvie, E. M., Lovegrove, J. A., Weech, M., Freeman, D. J., & Meyer, B. J. (2025). Dietary Micronutrient Intake During Pregnancy Is Suboptimal in a Group of Healthy Scottish Women, Irrespective of Maternal Body Mass Index. Nutrients, 17(3), 550. https://doi.org/10.3390/nu17030550

Jiang, K., He, T., Ji, Y., Zhu, T., & Jiang, E. (2023). The Perspective of Hypertension and Salt Intake in Chinese Population. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1125608

Khattak, M. I., Shahid, R., Khattak, S. N., Khan, J. A., Naveed, A., & Akram, U. (2022). Urinary Sodium and Pregnancy Induced Hypertension; A Unsolved Mystery. Pakistan Armed Forces Medical Journal, 72(4), 1406–1410. https://doi.org/10.51253/pafmj.v72i4.7363

Li, T., Feng, C., & Zong, G. (2025). Abstract MP63: Associations of Salt intake With Risk of Hypertensive Disorders of Pregnancy in Women with and Without Calcium Supplementation. Circulation, 151(Suppl_1). https://doi.org/10.1161/cir.151.suppl_1.MP63

Li, T., Wang, Z., Xiao, Z., Feng, C., Sun, Z., Mao, D., Zhou, P., Yuan, C., Zhao, D., Shang, W., Liu, Y., Yuan, C., Hong, L., Zang, J., & Zong, G. (2025). Associations of Cooking Salt Intake During Pregnancy with Low Birth Weight and Small for Gestational Age Newborns: A Large Cohort Study. Nutrients, 17(4), 642. https://doi.org/10.3390/nu17040642

Silaban, M. A., & Situmorang, D. M. (2025). Faktor Risiko Maternal yang Memengaruhi Kejadian Preeklamsia di RSU Rahmad Hidayah Provinsi Sumatera Utara. Jurnal Ilmiah Kedokteran Dan Kesehatan, 4(1), 21–27. https://doi.org/10.55606/klinik.v4i1.3982

Morton, A. (2021). Physiological Changes and Cardiovascular Investigations in Pregnancy. Heart, Lung and Circulation, 30(1), e6–e15. https://doi.org/10.1016/j.hlc.2020.10.001

Mui, K. (2025). Strategies and Technologies for Sodium Reduction in Processed Foods. American Journal of Student Research, 173–182. https://doi.org/10.70251/HYJR2348.35173182

Mulder, E., de Haas, S., Mohseni, Z., Schartmann, N., Abo Hasson, F., Alsadah, F., van Kuijk, S., van Drongelen, J., Spaanderman, M., & Ghossein‐Doha, C. (2022). Cardiac Output and Peripheral Vascular Resistance during Normotensive and Hypertensive Pregnancy – a Systematic Review and Meta‐Analysis. BJOG: An International Journal of Obstetrics & Gynaecology, 129(5), 696–707. https://doi.org/10.1111/1471-0528.16678

Ngene, N. C., & Moodley, J. (2019). Physiology of Blood Pressure Relevant to Managing Hypertension in Pregnancy. The Journal of Maternal-Fetal & Neonatal Medicine, 32(8), 1368–1377. https://doi.org/10.1080/14767058.2017.1404569

O’Nan, S. L., Huang, R., Zhao, P., Garr Barry, V., Lawlor, M., Carter, E. B., Kelly, J. C., Frolova, A. I., England, S. K., & Raghuraman, N. (2024). Dietary Risk Factors for Hypertensive Disorders of Pregnancy. Pregnancy Hypertension, 36, 101120. https://doi.org/10.1016/j.preghy.2024.101120

Seo, Y., Jeong, Y. S., Koo, K., Yang, J. I., & Park, Y. K. (2020). Maternal Nutrition Intervention Focused on the Adjustment of Salt and Sugar Intake can Improve Pregnancy Outcomes. Food Science & Nutrition, 8(7), 3900–3911. https://doi.org/10.1002/fsn3.1699

Sun, S., Li, W., Zhang, X., Aziz, A. ur R., & Zhang, N. (2025). Trends in Global and Regional Incidence and Prevalence of Hypertensive Disordersin Pregnancy (1990–2021): an Age-Period-Cohort Analysis. Scientific Reports, 15(1), 1513. https://doi.org/10.1038/s41598-025-85819-0

Tang, Z., Ma, C., Liu, J., & Liu, C. (2025). Global, Regional, and National Trends and Burden of Hypertensive Disorders in Pregnancy among Women of Childbearing Age from 1990 to 2021. Frontiers in Global Women’s Health, 6. https://doi.org/10.3389/fgwh.2025.1533843

Tao, J., Quan, J., El Helali, A., Lam, W. W. T., & Pang, H. (2023). Global Trends Indicate Increasing Consumption of Dietary Sodium and Fiber in Middle-Income Countries: A Study of 30-Year Global Macrotrends. Nutrition Research, 118, 63–69. https://doi.org/10.1016/j.nutres.2023.07.005

Vulin, M., Magušić, L., Metzger, A.-M., Muller, A., Drenjančević, I., Jukić, I., Šijanović, S., Lukić, M., Stanojević, L., Davidović Cvetko, E., & Stupin, A. (2022). Sodium-to-Potassium Ratio as an Indicator of Diet Quality in Healthy Pregnant Women. Nutrients, 14(23), 5052. https://doi.org/10.3390/nu14235052

Wooldridge, A. L., Kirschenman, R., Spaans, F., Pasha, M., Davidge, S. T., & Cooke, C.-L. M. (2024). Advanced Maternal Age Alters Cardiac Functional and Structural Adaptations to Pregnancy in Rats. American Journal of Physiology-Heart and Circulatory Physiology, 326(5), H1131–H1137. https://doi.org/10.1152/ajpheart.00057.2024

Wu, P., Green, M., & Myers, J. E. (2023). Hypertensive Disorders of Pregnancy. BMJ, e071653. https://doi.org/10.1136/bmj-2022-071653

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Published

2026-02-12