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"Tujuan Untuk menganalisis apakah bising pesawat terbang denyut nadi istirahat, dan faktor lain berperan meningkatkan risiko kejadian tekanan darah diastolik (TDD) pada penerbang TNI AU.Metode Desain penelitian nested case-control. Data berasal dari rekam medis hasil pemeriksaan kesehatan berkala dan indoktrinasi latihan aerofi siologi di LAKESPRA Saryanto di Jakarta antara Januari 2003 ? September 2008. Kelompok kasus ialah subjek dengan TDD ≥90 mmHg; kelompok kontrol adalah dengan TDD ≤89 mmHg. Setiap kasus dipadankan dengan 12 kontrol.Hasil Di antara 567 penerbang, 544 (95,9%) mempunyai rekam medis yang lengkap, dan diperoleh 40 kasus dan 480 kontrol. Penerbang yang biasa terpajan bising dalam pesawat 90-95 dB dibandingkan 70-80 dB mempunyai risiko 2,7 kali menderita TDD tinggi [rasio odds (ORa) = 2,70; 95% interval kepercayaan (CI) = 1,05-6,97]. Penerbang dengan frekuensi nadi istirahat ≥ 81/menit dibandingkan ≤ 80/minute mempunyai risiko 2,7 kali TDD tinggi (ORa = 2,66; 95% CI = 1,26- 5,61). Ditinjau dari segi total jam terbang, penerbang dengan total jam terbang 1401-11125 jam dibandingkan 147-1400 jam mempuyai risiko 3,2 kali menderita TDD tinggi (ORa = 3,18; 95% CI = 1,01-10,03).Kesimpulan Intensitas bising dalam pesawat yang tinggi, frekuensi nadi istirahat yang tinggi, jumlah jam terbang total yang tinggi meningkatkan risiko TDD tinggi. Pemeriksaan mawas diri frekuensi nadi istirahat oleh penerbang dapat dipakai untuk pengendalian TDD tinggi.

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Aim To analyze the effects of aircraft noise, resting pulse rate, and other factors on the risk of high diastolic blood pressure (DBP) in Indonesian Air Force pilots.

Methods A nested case-control study was conducted using data extracted from annual medical check-ups indoctrination aerophysiologic training records at the Saryanto Aviation and Aerospace Health Institute (LAKESPRA) in Jakarta from January 2003 ? September 2008. For analysis of DBP: the case group with DBP = 90 mmHg were compared with contral group with DBP < 79 mmHG. One case matched to 12 controls.

Results Out of 567 pilots, 544 (95.9%) had complete medical records. For this analysis there were 40 cases of high DBP and 480 controls for DBP. Pilots exposed to aircraft noise 90-95 dB rather than 70-80 dB had a 2.7-fold increase for high DBP [adjusted odds ratio (ORa) = 2.70; 95% confi dence interval (CI ) = 1.05-6.97]. Pilots with resting pulse rates of = 81/minute rather than = 80/minute had a 2.7-fold increase for high DBP (ORa = 2.66; 95% CI = 1.26-5.61). In terms of total fl ight hours, pilots who had 1401-11125 hours rather than 147-1400 hours had a 3.2-fold increase for high DBP (ORa = 3.18; 95% CI = 1.01-10.03).

Conclusion High interior aircraft noise, high total fl ight hours, and high resting pulse rate, increased risk for high DBP. Self assessment of resting pulse rate can be used to control the risk of high DBP."

"Diet mengendalikan hipertensi orang Indonesia di Jakarta (dietary approach to stop hypertension for Indonesian at Jakarta, disingkat DASHI-J) dan olahraga jalan cepat dapat mengurangi berat badan dan menurunkan tekanan darah pada pasien prahipertensi. Tujuan penelitian ini adalah mengevaluasi diet dan olahraga tersebut dengan desain penelitian clinical trial terhadap 100 laki-laki berusia 25 ? 55 tahun di PT Krama Yudha Ratu Motor. Responden dialokasikan secara acak dalam 4 kelompok perlakuan meliputi kelompok diet (A), kelompok olahraga jalan cepat (B), kelompok diet dan olahraga jalan cepat (C), dan kelompok kontrol (D). Kelompok A dan C menerima diet 5 hari dalam seminggu selama 8 minggu. Kelompok diet DASHI-J diberikan makan siang dan makan malam. Setelah 2 bulan intervensi, berat badan, indeks massa tubuh, visceral fat, body fat, lingkar perut, tekanan darah sistolik dan diastolik, kolesterol serum dari semua kelompok menurun secara signifikan. Penurunan tertinggi terjadi pada kelompok diet DASHI-J dan olahraga jalan cepat dengan penurunan berat badan 4,18kg, indeks massa tubuh 1,50 kg/m2, tekanan darah 12,00 mmHg/8,60 mmHg. Diet DASHI-J dan olahraga jalan cepat berperan menurunkan berat badan, indeks massa tubuh, serta tekanan darah sistolik dan diastolik.

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Dietary approach to stop hypertension for Indonesian at Jakarta (DASHI-J) and brisk walking exercise could reduce body weight and blood pressure of males prehypertension. The objective of the study was to evaluate DASHI-J by an experimental clinical trial conducted with 100 male subjects, aged 25 ? 55 years divided randomly into 4 groups: DASHI-J diet group (A), brisk walking exercise group (B), DASHI-J and brisk walking exercise group (C), and control group (D). Group A and C got 5 days a week for 8 weeks diet. DASHI-J group was given lunch and dinner. After 2 months of intervension, the body weight, body mass index, body fat, visceral fat, waist circumference, systole, diastole, cholesterol serum of the groups all reduce significantly. The highest reduction of those intervention achieved by DASHI-J and brisk walking exercise group with body weight decreased 4.18 kg, Body Mass Index (BMI) 1.50 kg/m2, blood pressure 12.00/8.60 mmHg. This implies that DASHI-J and brisk walking exercise play a significant role in reducing body weight, BMI, and both sistolic and diastolic blood pressure."