Hyperglycemic and Hypertension are Major Component of Metabolic Syndrome that Caused Circulatory Morbidity in Hajj Pilgrims

Hajj is a community that needs special attention, the series of worship activities during in the holy places in Makkah and Madinah must be supported by physical and mental prime. One of the health problems has related to circulatory disease. This study presents the impact of metabolic syndrome (hyperglycemic, hypertension, and obesity) that caused circulatory morbidity in Indonesian Hajj Pilgrims. The design study is Retrospective Cohort, conducted on 152, 429 Indonesian pilgrims departing in the Hajj season 2016/1437H sourced from The Siskohatkes data of the Ministry of Health of the Republic of Indonesia. The prevalence of metabolic syndrome (hyperglycemic, hypertension, and central obesity) on Indonesian pilgrims 1.6% and significant differences were found in all characteristic: sex, age, employment, and education, BMI, istitha'ah, and smoking behaviour. Hyperglycemic had greater HR than hypertension and central obesity with HR of 2.06 (1.63–2.60) adjusted by BMI, smoking, age, and sex as a risk of inpatient care. While, hypertension had greater HR than hyperglycemic and central obesity with HR 2.04 (1.99–2.09) adjusted by smoking, age, and sex as a risk of outpatient care in the holy places in Makkah or Madinah. Regulation for additional history of drugs consumed on screening of pre-existing disease before departure is needed.