Dieting Patterns With Hypertension In Menopause 56-60 Years Old

Non-communicable diseases are the leading cause of death globally with the highest rates of cardiovascular disease with one of them being an increase in blood pressure or what is commonly called hypertension. 32 cases of hypertension were experienced in menopausal women aged 56-60 years as many as 59% of the incidence. The purpose of this study was to find out the relationship between eating patterns and the incidence of hypertension in menopausal women aged 56-60 years (in Village health hut Sugihwaras, Jenu subdistrict, Tuban regency). The study design was non-experimental with a correlational approach, the population used in this study were all 56-60-year-old Menopause Women (in village health hut Sugihwaras, Jenu District, Tuban Regency). with a large sample of research 30 respondents who were determined using systematic random sampling techniques. The independent variable in this study is diet, while the dependent variable is blood pressure. The instruments used in data collection are SOPs and Observation sheets. Analysis of the study used the coefficient test phi significance of the Asymp value. Sig. (2-sided) (α) = <0.05. Based on the results of the statistical test research the Asymp value was obtained. Sig. (2-sided) (α) = 0.003 (α <0.05). Statistical test results show that dietary variables affect blood pressure.


INTRODUCTION
According to WHO data, around the world around 972 million people have hypertension. The results showed that in terms of the age of the respondents, the highest percentage was dominated by respondents aged 51-60 years (71.4%) and respondents with the lowest age were those aged 40-50 years (28.6%). This is adjusted to the theory expressed data in the Village health hut Sugihwaras data on menopausal women with hypertension aged 56-60 years were 32 people and were sampled to be 30 respondents. 1 Data from the Health Office in 2018 recapitulated data on the highest hypertension sufferers in Semanding District with a total of 14,255 and the second in Jenu District with a total of 13,020 and the third highest in Tuban District with a total of 12,957. Data in the Village health hut Sugihwaras data on menopausal women aged 56-60 years as many as 54 people, 22 people with normal blood pressure (41%), and 32 people with high blood pressure or what is called hypertension (59%).
Hypertension can cause heart attacks, Naingglan Yanti, 2017 said that hypertension at a young age generally tends to attack men, but the opposite occurs in menopausal women due to reduced estrogen. Lack of estrogen has been shown to damage the lining of blood vessel walls called end oils.
This situation can trigger plaque formation in addition to activating body systems that can increase blood pressure. 2 To inhibit the changes that occur in menopause, it is necessary to adapt to the limitations that accompany the aging process, it is necessary to prepare a special menu for menopause so that the nutritional needs of menopause are fulfilled optimally. 3 The proper intake of nutrients plays a role in creating optimal health for menopausal women. Nutritional adequacy will be fulfilled if menopause pays attention to a diverse diet and balanced nutrition. So is there a relationship between dieting patterns with hypertension in menopause 56-60 years old?

METHOD
The research design was non-experimental with a correlational approach. Time approach.
Researchers used a case-control type of research. The population in this study were 32 people with menopausal women with hypertension at the age of 56-60 years in Village health hut Sugihwaras, Jenu District, Tuban Regency, a sample of 30 people. Data analysis used the phi coefficient test. The independent variable in this study is diet. The dependent variable in this study was the incidence of hypertension. The instruments used in this study were the Standard Operational Procedure (SOP) for measuring blood pressure and a questionnaire sheet for diet. The research results obtained by respondents were almost half at the age of 58 years with a total of 8 (26.7%). The results obtained by the study of respondents Nearly half of them had a history of hypertension in one of the parents 13 (43.3%). The results showed that most hypertension sufferers were 16 (53.3%). The results showed that almost half of the respondents had a diet of less than 13 (43.3%).  Research shows menopausal women aged 56 years who have a Good diet amounting to 1 (25%), a moderate diet with 1 (25%), fewer eating patterns by 1 (25%), and with a deficit diet of 1 (25%). %). Postmenopausal women aged 57 years with a good diet with a total of 2 (28.5%), a moderate diet with 2 (28.5%), a low diet with a total of 3 (43%), and with a deficit diet. 0 (0%). In postmenopausal women aged 58 years, the results obtained with a good diet with a total of 2 (25%), a moderate diet with 2 (25%), a low diet with a total of 4 (50%), and a deficit diet with many (0%). At the age of 59 years, menopausal women with a good diet with 2 (33.3%), a moderate diet 1 (16.7%), and 3 (50%) deficient eating patterns, and a deficit diet with 0 ( 0%). And at the age of 60, postmenopausal women with a good diet of 1 (20%), a moderate diet with 1 (20%), 2 (40%) less diet, and 1 (20%) deficit diet. Nutritional status is the final result of a balance between the food that enters the body (nutrient input) and the body's needs (nutrient output) for these nutrients. 6 From the results of this study, it was found that the elderly who had malnutrition status even though there were nutritionists who regulated the elderly's diet, nurses who took nursing actions to control the health conditions of the elderly, and also the consumption of food given to each elderly, the amount and type they were given was the same which can be caused by the elderly who experience complaints of lack of appetite due to non-varied food and also because of decreased  found that there was an influential family history factor and almost half of it was one of the parents of a menopausal woman who suffered from hypertension. The results of research at the Sugihwaras village health hut, Jenu District, Tuban

Analyzing Diet and Incidence of Hypertension in Menopausal Women
Regency, found that menopausal women who experience hypertension are due to increasing age and less control over their diet according to the dash diet according to the Ministry of Health of the Republic of Indonesia, 2018, due to a lack of information about the importance of controlling blood pressure regularly and controlling diet according to diet dash such as the lack of fruit consumption of fewer than 4 times per day, never consuming milk, using more than 1 tablespoon of oil 2-3 times per day, consumption of nuts in the amount of 40 grams with a frequency of more than 4-5 times per week and the use of 1 spoon of sugar or sweet consumption more than 5 times per day. In addition to age and dietary factors, some results indicate that the occurrence of hypertension is also an influence from family history, namely from parents, especially if both parents have a history of hypertension .8