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Journal : Althea Medical Journal

Association Between Smoking and Central Obesity in Individuals Aged ≥40 Years Based on the Indonesian Family Life Survey-5 Hendri, Gabriel Anetta; Kurniawan, Felicia; Astiarani, Yunisa; Santi, Bryany Titi; Kristian, Kevin
Althea Medical Journal Vol 12, No 3 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n3.4272

Abstract

Background: Obesity and smoking are major public health concerns and leading causes of preventable morbidity and mortality. Smoking may contribute to central obesity through multiple mechanisms, and individuals aged ≥40 years are at higher risk. This study aimed to examine the association between smoking and central obesity, considering sociodemographic factors, using data from the Indonesian Family Life Survey-5 (IFLS-5).Methods: A cross-sectional study was conducted using secondary data from IFLS-5. Participants included Indonesians aged ≥40 years with complete data on smoking and waist circumference. Smoking status was assessed using the Brinkman Index (BI) and classified as light (0–199), moderate (200–599), or heavy (>600). Central obesity was defined as waist circumference ≥90 cm for male and ≥80 cm for female. Associations were analyzed using Chi-square tests at 95% confidence interval.Results: Of 3,391 participants, the majority were male (95.4%) with a mean age of 52.76±9.78 years (range 40–101). The prevalence of central obesity was 22.3% (n=790), and the largest group of participants were moderate smokers (54.9%). Central obesity was significantly associated with smoking status (p=0.003), age (p<0.001), gender (p<0.001), and education level (p<0.001). No significant associations were found with marital status (p=0.826), occupation (p=0.374), or residence (p=0.750).Conclusions: Smoking, age, gender, and education level are significantly associated with central obesity among Indonesians aged ≥40 years. Preventive measures, including smoking cessation and lifestyle interventions, are essential to reduce central obesity and the risk of cardiovascular disease.
Cognitive Function and Nutritional Status in Pre-Elderly Individuals with Human Immunodeficiency Virus Putri, Felicia Cahyadi; Vetinly, Vetinly; Ayu, Astri Parawita; Hardi, Nicholas; Kristian, Kevin
Althea Medical Journal Vol 12, No 4 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n4.4179

Abstract

Background: Human immunodeficiency virus (HIV) infection remains a global health issue, particularly in Africa and Asia. Cognitive impairment may early develop in individuals living with HIV and can therefore potentially impact nutritional status. This study aimed to assess the correlation between cognitive function and nutritional status in pre-elderly individuals with HIV.Methods: A cross-sectional study was conducted from March 2023 to October 2024 among individuals living with HIV aged 45–59 years in Jakarta, Indonesia. Cognitive function was measured using the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina) and nutritional status was evaluated using body mass index (BMI). Data were analyzed using the Chi-square test with Jeffrey’s Amazing Statistics Program (JASP).Results: Of the 157 respondents, most were male (75.2%) with a mean age of 49±4.17 years. The majority were unmarried (44.6%), employed (70.1%), had incomes below the Jakarta minimum wage (74.5%), and had completed senior high school education (56.0%). Mild cognitive impairment was found in 70.7% of participants, whereas normal nutritional status was the most common (45.9%). However, no significant relationship was found between cognitive function and nutritional status (p=0.161).  Conclusion: Mild cognitive impairment is prevalent among pre-elderly individuals with HIV, most of whom have normal nutritional status. Although no significant relationship is observed between cognitive function and nutritional status, these findings highlight the importance of incorporating early cognitive screening into routine HIV care to support healthy aging and timely identification and management of cognitive decline.