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All Journal Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Talib, Ruzita ABD
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Health Professions Public Health

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Physiological Factors and Physical Activity Contribute to the Incidence of Type 2 Diabetes Mellitus in Indonesia Simbolon, Demsa; Siregar, Afriyana; Talib, Ruzita ABD
Kesmas Vol. 15, No. 3
Publisher : UI Scholars Hub

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Type 2 diabetes mellitus (T2DM) is the sixth highest cause of death in Indonesia. Thus, it must be prevented and overcome with appropriate management. This study aimed to determine the contribution of physiological factors and physical activities to the incidence of T2DM. The study used a cohort retrospective design using secondary data from the Indonesian Family Life Survey (IFLS) from 2007 to 2014, which included a sample of 14,517 people involved for more than 20 years. Data analysis was performed using multiple logistic regressions. The results revealed a 3.8% incidence of T2DM in Indonesia. Record of hypertension risk increased the likelihood of T2DM by 1.7 times compared to without hypertension. A normal body mass index (BMI) increased the risk by 2.2 times, a higher BMI at 5.5 times, and BMI whose risk obesity was 7 times had greater likelihood of having T2DM compared with respondents with a thin BMI. After controlling for sex, age, marital status, record of parents’ DM, residence, employment, and education, results also indicated that people with less active physical activity were likely to have T2DM compared to those who were very active. Controlling blood pressure, maintaining a normal BMI, and increasing physical activity since adolescence can prevent T2DM.
The Risk of Hypertension in Adulthood as a Consequence of Adolescent Obesity Simbolon, Demsa; Yorita, Epti; Talib, Ruzita ABD
Kesmas Vol. 14, No. 1
Publisher : UI Scholars Hub

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Population increase in adolescence are associated with increased overweight and obesity problems. If this problem not early intervention will have an impact on increasing hypertension prevalence and risk of death. This research aimed to explain the consequences of overweight and obesity in adolescent to hypertension in adults. The study used Indonesian Family Life Survey (IFLS) data with a retrospective cohort study. Adolescent BMI measurements on 2007 and the risk of hypertension on 2014. Population are all adolescents aged 10-20 years in 2007. Sample of 1,697 adolescent who randomly IFLS 2007 with the inclusion criteria: biological children and a single birth, children living with biological parents, children remain alive until adulthood on 2014. Multivariate analysis used logistic regression. The study found 8.1% women and 5.6% men were overweight and obes. In adulthood, there was a 45.4% incidence of hypertension. Incidence of hypertension in men (67.3%) more than women (26.8%). The multivariate model showed adolescence BMI affects the blood pressure after controlled the BMI adult, adolescence blood pressure, area of residence, and gender.Gender interacts with adolescence BMI. The risk of hypertension in adulthood based on overweight and obese in adolescent boys is 3 times and girls is 2 times.
Co-Authors Demsa Simbolon Siregar, Afriyana Yorita, Epti