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Journal : Universa Medicina

Central obesity increases the risk of type 2 diabetes mellitus among urban adults Pradono, Julianty; Kusumawardani, Nunik; Delima, Delima
Universa Medicina Vol 34, No 3 (2015)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2015.v34.187-196

Abstract

BackgroundIn Indonesia the number of persons with type 2 diabetes mellitus (T2DM) was 8.5 million in 2013, and is estimated to be 11.8 million in 2030. The aim of this study was to determine the major risk factors associated with T2DM prevalence in urban aged >15 years.MethodsAn observational study with cross-sectional design was used with the data from Riskesdas 2007 and 2013 on population aged >15 years. Total respondents were 294,352 (2007) and 368,281 (2013). Data were collected by trained personnel through interviews, blood pressure and anthropometry measurements, and blood glucose and lipid tests. Odds ratio (OR) was used to test the relationship between T2DM and a number of other variables. Multiple logistic regression analysis was obtained to determine the main risk factor associated with T2DM prevalence.ResultsType 2 diabetes mellitus prevalence increased from 2.3% (2007) to 2.5% (2013). T2DM tended to be increased in the younger age groups. Low education, middle-to-high economic status, less physical activity, smoking >200 cigarettes, and high risk blood lipid levels were strongly associated with T2DM prevalence. The main risk factors were inadequate physical activity (2007: OR 1.9;95% CI:1.16–2.98 and 2013: OR 2.44;95% CI: 1.57-3.78) and central obesity (2007: OR 1.8;95% CI:0.99–3.10, and 2013:OR 3.84; 95% CI: 2.49-5.93) after controlling for age, gender, employment and economic status.ConclusionsType 2 diabetes mellitus prevalence in the population aged >15 years increased within 5 years. Lack of physical activity and central obesity were the major risk factors of T2DM prevalence in urban adults.
Co-Authors Abdul Rahman Afdal Afdal, Afdal Ahmad Taufik Alwine, Alwine Amalia, Tharisa Amin, Afriadi Anda Yani, Duwi Anggraini, Sila Dewi Anggreni, Sila Dewi Ariyani, Irgi Asep Irfan Azhar, Rudi Azizah, Isnaini Bebasari, Mardiani Budiarta, Kustoro Diana Sari, Ida Dinata, Konto Iskandar Dwi Octa Amalia, Dwi Octa Efitra Ella Anugrarista Eye Sapalakkai, Yori Wahono Fadhila, Aprisa Noor Firman Firman Gusnedi Gusnedi Hadi Siswoyo Hadibowo , Ronald Halim Akbar, Halim Hamdani Hamdani hartika, Afifah hasibuan, Seri minta uba HASYIM, HASYIM Heppi Sasmita Hermayani, Naodila Prahmana Herwati Ifdil Ifdil Ilda, Zolla Amely Irmawartini, Irmawartini Jalil, St. Nurhafsa Japaris, Wiily Joshua, William Julianty Pradono Lelly Andayasari Lucie Widowati Lusianawaty Tana Maria Ulfah Marjohan Marjohan Mazwan Mazwan Metti, Elvia Mukhlissul Faatih Nasution, Muhammad Shofwan Rusdy Neviyarni, Neviyarni Nunik Kusumawardani Nur Ahmad Habibi Nurul Wahdah, Nurul Pananrang, Ayyub Dg Pransiska, Mila Purba, Budiman Purba, Sri Hajijah Putri, Yolanda Eka qulsum, Nessa ovia Rachmadanur, N. Rafli, Muhammad Rahmah, Yulia Rahmah,, Yulia Ramadhina, Widya Ramayani, Fitri Renidayati, Renidayati Renita Afriza Rini Sasanti Rizki Ramadhani Rodiyah, Lulu Fitri Rustiyarso, Rustiyarso S Siswanto Sabeni, Aolia Sepdian, Sepdian Septiani Septiani Silaban, Evi Maria Silalahi, Masna Sopiah Siregar, Tanti Jumaisyaroh Sufyarma Marsidin Suhaimi Suhaimi Suyadi Suyadi Tania, Elsa TISNAWATI M.Kep Tobing, Karisma Utami , Citra Tristi Wirasmi, Sundari Yosi Suryarinilsih Yulianto, Aris