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Objectives: The prevalence of hypertension, diabetes mellitus, dyslipidemia, and obesity in developing countries was high regardless the socioeconomicstatus, whereas the awareness and the control of these metabolic disorders were inadequate. The aim was to compare the cardiovascular risk basedon numbers of metabolic disorders among lower socioeconomic subjects.Methods: The study was done with the analytical cross-sectional method. The subjects were selected with cluster random sampling from four villages.We included the subjects of 30-65 years old and signed the informed consent but excluded the subjects who had not fasted for 8-10 hrs. We analyzedthe cardiovascular parameters among groups with ANOVA statistics, the difference between actual and heart vascular age (HVA) with paired t-test,and the change of six cardiovascular parameters with radar diagram.Results: The eligible subjects (n=222) comprised 0-4 metabolic disorders at 25.2%, 33.8%, 28.8%, 9.9%, and 1.8%, respectively; with age at50.1±9.0 years; body mass index (BMI) 24.1±4.8 kg/m2; blood pressure (BP) 141.6±23.4/82.8±11.7 mmHg; fasting blood sugar (FBS) 98.7±37.4 mg/dL;total and high-density lipoprotein cholesterol 201.0±37.9 and 55.1±12.7 mg/dL; Framingham score was 11.4±8.9% (referred as medium risk); thedifference between actual and HVA at 13.2±13.0 (p<0.05). Increasing metabolic disorders lead to higher BP, FBS, cholesterol, Framingham score, andthe difference between actual and HVA (p<0.05) excluding BMI in the four metabolic disorder subgroup.Conclusion: The subjects had the medium cardiovascular risk with above normal BMI, BP, and total cholesterol profiles. The average age, BP, FBS,cholesterol, Framingham score, and HVA were likely to increase equivalent to the numbers of metabolic disorders.Keywords: Hypertension, Diabetes mellitus, Dyslipidemia, Obesity, Cardiovascular risk, Metabolic disorders.

<p><br />Remaja dan perilaku akan makanan dan kesehatannya perlu mendapat perhatian utama. Perilaku tersebut akan berlanjut hingga usia dewasa. Penelitian ini bertujuan untuk melihat preferensi makanan pada remaja di Indonesia. Penelitian dengan desain potong lintang menggunakan kuesioner untuk melihat preferensi makanan remaja siswa sekolah menengah atas. Informasi yang diperoleh adalah preferensi makanan utama, minuman dan perilaku snack serta karateristik responden. Responden yang terlibat dalam penelitian sejumlah 774 orang. Ayam merupakan makanan utama yang disebutkan remaja di Indonesia dari 3 jenis makanan utama. Air putih dan biskuit merupakan preferensi minum dan dan snack yang dikonsumsi remaja di Indonesia, sedangkan sayur hanya dipilih oleh sebagian kecil remaja.</p>

<p><strong>Objective: </strong>To measure the comorbid effect on blood pressure and therapy expenditure in 4 secondary care hospitals in Jogjakarta.</p><p><strong>Methods: </strong>We conducted an 8-month prospective pharmacoeconomic study with hospital perspective. All hypertensive outpatients, with <em>Askes</em>-insurance whose beneficiaries were governmental employees, with at least 2 moly visits at the index date were included. The subjects with malignancy, hemodialysis, and less than 4 visits were excluded. The expenditure comprised the cost for cardiovascular medicine, doctor, physical/laboratory test, emergency visit, and physiotherapy. We analyzed the expenditure change and sensitivity analysis with Anova-test, whereas the proportion of subjects with good controlled blood pressure with the chi-square test.</p><p><strong>Results: </strong>The eligible subjects (N=656) consisted of no comorbid (n=105), stroke (n=82), cardiovascular (n=209), diabetes mellitus/chronic kidney disease or DM/CKD (n=149), and combined comorbid (n=111) groups. The baseline blood pressure was similar to no comorbid (p&gt;0.05), except for the diastolic blood pressure in a cardiovascular group. The stroke and cardiovascular groups had more subjects at mean systolic blood pressure lower than 140 mmHg with odds ratio (OR) 2.01 (CI95%:1.12-3.62) and 2.10 (CI95%:1.31-3.39) respectively than no comorbid group; but the mean blood pressure was not clinically different. The total therapy expenditure increased at 6.5% (p&lt;0.61); 22.7% (p&lt;0.03); 78.6% (p&lt;0.01); 78.5% (p&lt;0.01) per subject-visit for stroke, cardiovascular, DM/CKD, and combined-comorbid groups than no comorbid group respectively. Except for stroke group, the incremental expenditure was price-sensitive (p&lt;0.05).</p><p><strong>Conclusion</strong>:<strong> </strong>The total therapy expenditure but not blood pressure was likely to be influenced by hypertension comorbidity. We suggest that preventing hypertension comorbidity has the benefit to reduce total therapy expenditure.</p>

Objectives: The subjects in the Sleman District of Yogyakarta had medium Framingham risk score (FRS) in the preceding year study. The 10-year atherosclerotic cardiovascular disease (ASCVD) risk was a newer risk estimator than FRS. This study aimed to associate the lipid profiles with the ASCVD risk. Methods:The study was conducted with a cross-sectional design and the subjects were selected with cluster random sampling. The association of lipid profiles and ASCVD risk was analyzed with Mann-Whitney/Kruskal-Wallis tests and Spearman's rho correlation, whereas the categorical scores within sub-groups were analyzed Chi-square statistics, respectively.