Association of physical activity, blood pressure, and nutritional intake with Troponin I levels in elderly patients with coronary heart disease

Authors

  • Witi Karwiti Department of Medical Laboratory Technology, Health Polytechnic of the Ministry of Health Jambi, Jambi, Indonesia
  • Sholeha Rezekiyah Department of Medical Laboratory Technology, Health Polytechnic of the Ministry of Health Jambi, Jambi, Indonesia
  • Eka Fitriana Department of Medical Laboratory Technology, Health Polytechnic of the Ministry of Health Jambi, Jambi, Indonesia
  • Nasrazuhdy Nasrazuhdy Department of Medical Laboratory Technology, Health Polytechnic of the Ministry of Health Jambi, Jambi, Indonesia
  • Fardiah Tilawati Sitanggang Department of Medical Laboratory Technology, Health Polytechnic of the Ministry of Health Jambi, Jambi, Indonesia
  • Larasti Putri Umizah Department of Medical Laboratory Technology, Health Polytechnic of the Ministry of Health Jambi, Jambi, Indonesia

DOI:

https://doi.org/10.47197/retos.v80.119279

Keywords:

Blood pressure, coronary heart disease, fatty foods, physical activity, sodium intake, Troponin I

Abstract

Background: Coronary heart disease is a major cause of illness and death in the elderly. Troponin I is a biomarker of myocardial injury and is often elevated in cardiovascular conditions. Lifestyle factors such as physical activity, blood pressure, and diet may influence cardiovascular health and troponin levels.

Objective: This study aimed to analyze the association between physical activity, blood pressure, and nutritional intake, including sodium and fatty foods, with troponin I levels among elderly patients with coronary heart disease at Baiturrahim Hospital, Jambi.

Methods: This cross-sectional study included 100 elderly patients with coronary heart disease using consecutive sampling. Physical activity was assessed using IPAQ, blood pressure was measured with a sphygmomanometer, and dietary intake was evaluated using SQ-FFQ. Troponin I levels were obtained from hospital laboratory records. Data were analyzed using chi-square and multivariate regression tests (p < 0.05).

Results: A total of 37% of respondents had elevated troponin I levels. Bivariate analysis showed that low physical activity (p = 0.018), hypertension (p = 0.006), high sodium intake (p = 0.013), and high fatty food consumption (p = 0.041) were significantly associated with elevated troponin I levels. Multivariate logistic regression analysis indicated that hypertension was the most strongly associated factor (AOR = 3.12; 95% CI: 1.68–5.79), followed by low physical activity (AOR = 2.48; 95% CI: 1.32–4.65), high sodium intake (AOR = 2.36; 95% CI: 1.27–4.41), and high fatty food consumption (AOR = 1.94; 95% CI: 1.05–3.58).

Conclusion: Physical activity, blood pressure, and dietary intake (sodium and fatty foods) were significantly associated with troponin I levels in elderly patients with coronary heart disease.

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Published

01-06-2026

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Original Research Article

How to Cite

Karwiti, W., Rezekiyah, S., Fitriana, E., Nasrazuhdy, N., Sitanggang, F. T., & Umizah, L. P. (2026). Association of physical activity, blood pressure, and nutritional intake with Troponin I levels in elderly patients with coronary heart disease. Retos, 79, 995-1004. https://doi.org/10.47197/retos.v80.119279