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14 COMPARISON OF PHYSICAL WORKER STATUS, ANTHROPOMETRIC STATUS AND DYSLIPIDEMIA TOWARD PREVALENCE OF HYPERTENSION IN HOTEL STAFFS IN BALI: A PILOT STUDY

Background: Tourism is one of the main work fields in Bali. Almost 23 percent of working-age people in Bali work in the tourism area directly or indirectly. There are about 2000 hotels in Bali. Housekeeping is one of the physically demanding professions in tourism. Their job is to maintain cleanliness and neatness all over area in the hotel. Their work time is 8–9 hours each shift every day. So it can be inferred that this kind of job needs a lot of physical activity. It is inferred that regular physical activity (PA) reduces the blood pressure (BP) of individuals with hypertension and also can reflects to individual anthropometric status and lipid profile. Objective: The aim of this study is to investigate the relationship between physical worker and non-physical worker with incidence of hypertension in hotel staffs in Bali. This study also investigates the relationship between anthropometric status and dyslipidemia with incidence of hypertension in hotel staffs in Bali. Method: A total of 291 hotel staffs that worked in Discovery Kartika Plaza Hotel (DKP Hotel) were included in this cross-sectional analysis. DKP Hotel was randomly selected with multi-stage random sampling around other 5-stars hotels in Bali. Self-reported information was collected by interviewer-administered questionnaire. Physical worker status was chosen only from Housekeeping department, and non-physical workers were selected from Finance, Sales Marketing, Human Resources and Executive Office Department. Anthropometric measurement included Body Mass Index, waist circumference, and percentage body fat (by bio-impedance analysis). We also collect blood sample from this study sample to collect total cholesterol and triglyceride data. This study uses ACC AHA 2017 criteria for hypertension, ATP III guideline for dyslipidemia and obesity, and WHO-Gallagher criteria for body fat percentage. We use Pearson Chi-Square to analyze the data with SPSS 24. Result: We found that there is a significant relationship between physical workers with prevalence of hypertension compared with non-physical workers. About 12.5% of physical worker has hypertension and 30.3% of non-physical worker has hypertension (p-value = 0.025). Dyslipidemia also has a significant relationship with hypertension (p-value = 0.013). In this study Body Mass Index status and abdominal obesity doesn’t have significant relationship with hypertension (p-value = 0.310, and p-value = 0.569), but BMI status and abdominal obesity have a significant relationship with dyslipidemia (p-value = 0.03 and p-value = 0.024), so with these results we can conclude that BMI and abdominal obesity also has indirect relationship with hypertension in hotel staffs. Body Fat Percentage also has a significant relationship with hypertension (p value = 0.031). Conclusion: Physical workers has lower hypertension prevalence compared with non-physical worker among Hotel Staffs in Bali. Anthropometric status and dyslipidemia has significant relationship with prevalence of hypertension.