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DETERMINAN OBESITAS PADA WANITA PASCA MENOPAUSE DI KOTA BOGOR TAHUN 2014 Riyadina, Woro; Kodim, Nasrin; Madanijah, Siti
GIZI INDONESIA Vol 40, No 1 (2017): Maret 2017
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v40i1.226

In Indonesia, the trends of the prevalence of obesity is incresing from year to year, especially in the group of postmenopausal women. Further analysis purposes determine the primary determinant of obesity in postmenopausal women in the city of Bogor A number of samples analyzed 888 postmenopausal women from subset data of research "Risk Factors Cohort Study of Non-communicable Diseases" follow-up of 2 years (2011-2013 and 2012-2014). Data were collected by interview, measurement and examination in 5 villages in the city of Bogor. Obesity is determined based on BMI ≥25. Determinant included demographic, health status and risk behavior. Data were analyzed with multiple logistic regression. The prevalence of obesity in postmenopausal women 57.2 percent. The main determinant of obesity are sufficient levels of carbohydrate aOR 4.6 (95% CI 2.55 to 8.23) than less. Other factors include abnormal hypertriglyceride aOR 3.2 (95% CI 1,85- 4.93) than normal levels, less physical activity aOR 1.6 (95% CI 1.08 to 2.38) than enough activities, the adequacy of excessive protein and family history of obesity with aOR 0.23 (95% CI 0.15 to 0.36) and aOR 0.42 (95% CI 0.28 to 0.61), respectively. Lifestyle modification by limiting carbohydrate intake, walking every day and aerobic exercise at least 1 times a week for one hour and monitor blood triglyceride levels are expected to prevent obesity and decrease overweight. ABSTRAK Di Indonesia, kecenderungan prevalensi obesitas meningkat dari tahun ke tahun, terutama pada kelompok perempuan pasca-menopause. Tujuan analisis lanjut untuk menentukan determinan utama obesitas pada perempuan pasca-menopause di Kota Bogor. Analisis lanjut pada 888 perempuan pasca-menopause yang merupakan subset data penelitian “Studi Kohor Faktor Risiko Penyakit Tidak Menular” follow-up 2 tahun (2011-2013 dan 2012-2014). Data dikumpulkan dengan metode wawancara, pengukuran dan pemeriksaan di 5 kelurahan Kota Bogor tahun 2011– 2014. Obesitas berdasarkan IMT ≥25. Determinan meliputi faktor demografi, status kesehatan dan perilaku berisiko. Data dianalisis dengan uji regresi logistik ganda. Prevalensi obesitas pada perempuan pasca-menopause 57,2 persen. Determinan utama obesitas adalah tingkat kecukupan karbohidrat berlebih aOR 4,6 (95% CI 2,55 – 8,23) dibandingkan kurang. Determinan lain meliputi trigliserida abnormal aOR 3,2 (95% CI 1,85– 4,93) dibandingkan normal, aktivitas fisik kurang aOR 1,6 (95% CI 1,08 – 2,38) dibandingkan aktivitas cukup, tingkat kecukupan protein berlebih dan riwayat keluarga obesitas masing-masing aOR 0,23 (95% CI 0,15 – 0,36) dan aOR 0,42 (95% CI 0,28 – 0,61). Modifikasi gaya-hidup melalui pembatasan asupan karbohidrat, jalan kaki setiap hari dan senam aerobik minimal 1 kali seminggu selama 1 jam serta memantau kadar trigliserida darah diharapkan mencegah dan menurunkan kegemukan. Kata kunci: determinan, obesitas, pasca-menopause

SURVIVAL RATE PENYANDANG HIPERTENSI DENGAN KONSUMSI NATRIUM RENDAH TERHADAP KEJADIAN STROKE Rahajeng, Ekowati; Riyadina, Woro
GIZI INDONESIA Vol 39, No 2 (2016): September 2016
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Stroke is the leading cause of death and disability in the world. Several studies have shown that stroke can be prevented through modifiable risk factors. The adequate treatment of hypertension may reduce the risk of stroke. Lifestyle modification such as reducing salt intake in hypertension management have demonstrated lowering blood pressure, enhancing the effectiveness of antihypertension drugs and also reducing stroke risk. This study aims to verify the survival rate of hypertension with lower sodium intake (<2000 mg per day) on the incidence of stroke. The study was conducted through a prospective cohort study (4 years of follow-up) in 1082 people with confirmed hypertension. Stroke were confirmed by neurologist. The consumption of sodium, sugar and fat were collected through 24-hour dietary recall. Hypertension survival rate was calculated using Life Table Survival analysis. This study has demonstrated evidence of the higher survival rate of hypertension with low sodium intake on the incidence of stroke, with the difference 2-year survival rate is 3 percent higher and 4-year survival rate is 5 percent higher. Sodium consumption of <2000 mg per day in people with hypertension has prevented a 78 percent incidence of stroke. Therefore, the intervention programs to reduce of the consumption of salt or sodium in Indonesia should be prioritized.

OBESITAS SENTRAL PADA ORANG DEWASA: STUDI KOHOR PROSPEKTIF DI KOTA BOGOR Sudikno, Sudikno; Riyadina, Woro; Rahajeng, Ekowati
GIZI INDONESIA Vol 41, No 2 (2018): September 2018
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Central obesity is one of the public health problems in developing countries. This study aims to analyze the dynamic risk factors for central obesity in adults. This study used secondary data "Cohort Study of Non-Communicable Diseases Risk Factors" observing period for six years. The study design was a prospective cohort. The subjects were all household members aged 25 years and above with the criteria remaining in the study area, healthy, non-physically disabled, non-pregnant, having normal abdominal circumference (male ≤ 90 cm and female ≤80 cm) on baseline study, not suffering from non-communicable diseases (hypertension, diabetes mellitus, cancer, stroke, chronic obstructive pulmonary disease) at the baseline of the study, and completeness of the data. The number of subjects at the baseline of the study were 1510, consisting of 613 men and 897 women. The results showed that a cumulative incidence of central obesity during the 6-year observation period of 837 (55.4%). Multivariate cox regression analysis showed that the risk factors for central obesity in adults were gender, age group, marital status, and physical activity. This study concluded that female subjects with physical inactivity had more central obesity compared to male subjects with physical inactivity.ABSTRAK Obesitas sentral merupakan salah satu masalah kesehatan masyarakat di negara berkembang. Penelitian ini bertujuan untuk menganalisis faktor risiko dinamis terjadinya obesitas sentral pada orang dewasa. Penelitian ini menggunakan data sekunder “Studi Kohor Faktor Risiko Penyakit Tidak Menular (FRPTM)” periode pemantauan selama enam tahun. Desain penelitian adalah kohor prospektif. Subjek adalah semua anggota rumah tangga yang berumur 25 tahun ke atas dengan kriteria tetap tinggal di wilayah penelitian, sehat, tidak cacat fisik, subjek perempuan tidak hamil, memiliki lingkar perut normal (laki-laki ≤ 90 cm dan perempuan ≤80 cm) pada awal studi, tidak menderita penyakit tidak menular (hipertensi, diabetes mellitus, kanker, strok, PPOK) pada awal studi, dan kelengkapan data. Jumlah subjek pada awal penelitian 1510 orang, yang terdiri dari 613 laki-laki dan 897 perempuan. Hasil penelitian menunjukkan kumulatif insiden obesitas sentral selama 6 tahun periode pengamatan sejumlah 837 orang (55,4%). Hasil analisis multivariat cox regression menunjukkan bahwa faktor risiko terjadinya obesitas sentral pada orang dewasa adalah jenis kelamin, kelompok umur, status kawin, dan aktivitas fisik. Penelitian ini menyimpulkan bahwa subjek perempuan dengan aktivitas fisik kurang lebih cepat mengalami obesitas sentral dibandingkan subjek laki-laki dengan aktivitas fisik kurang. Kata kunci: faktor risiko, obesitas sentral, dewasa

DETERMINAN OBESITAS PADA WANITA PASCA MENOPAUSE DI KOTA BOGOR TAHUN 2014 Riyadina, Woro; Kodim, Nasrin; Madanijah, Siti
GIZI INDONESIA Vol 40, No 1 (2017): Maret 2017
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (212.05 KB)

In Indonesia, the trends of the prevalence of obesity is incresing from year to year, especially in the group of postmenopausal women. Further analysis purposes determine the primary determinant of obesity in postmenopausal women in the city of Bogor A number of samples analyzed 888 postmenopausal women from subset data of research "Risk Factors Cohort Study of Non-communicable Diseases" follow-up of 2 years (2011-2013 and 2012-2014). Data were collected by interview, measurement and examination in 5 villages in the city of Bogor. Obesity is determined based on BMI ≥25. Determinant included demographic, health status and risk behavior. Data were analyzed with multiple logistic regression. The prevalence of obesity in postmenopausal women 57.2 percent. The main determinant of obesity are sufficient levels of carbohydrate aOR 4.6 (95% CI 2.55 to 8.23) than less. Other factors include abnormal hypertriglyceride aOR 3.2 (95% CI 1,85- 4.93) than normal levels, less physical activity aOR 1.6 (95% CI 1.08 to 2.38) than enough activities, the adequacy of excessive protein and family history of obesity with aOR 0.23 (95% CI 0.15 to 0.36) and aOR 0.42 (95% CI 0.28 to 0.61), respectively. Lifestyle modification by limiting carbohydrate intake, walking every day and aerobic exercise at least 1 times a week for one hour and monitor blood triglyceride levels are expected to prevent obesity and decrease overweight. ABSTRAK Di Indonesia, kecenderungan prevalensi obesitas meningkat dari tahun ke tahun, terutama pada kelompok perempuan pasca-menopause. Tujuan analisis lanjut untuk menentukan determinan utama obesitas pada perempuan pasca-menopause di Kota Bogor. Analisis lanjut pada 888 perempuan pasca-menopause yang merupakan subset data penelitian “Studi Kohor Faktor Risiko Penyakit Tidak Menular” follow-up 2 tahun (2011-2013 dan 2012-2014). Data dikumpulkan dengan metode wawancara, pengukuran dan pemeriksaan di 5 kelurahan Kota Bogor tahun 2011– 2014. Obesitas berdasarkan IMT ≥25. Determinan meliputi faktor demografi, status kesehatan dan perilaku berisiko. Data dianalisis dengan uji regresi logistik ganda. Prevalensi obesitas pada perempuan pasca-menopause 57,2 persen. Determinan utama obesitas adalah tingkat kecukupan karbohidrat berlebih aOR 4,6 (95% CI 2,55 – 8,23) dibandingkan kurang. Determinan lain meliputi trigliserida abnormal aOR 3,2 (95% CI 1,85– 4,93) dibandingkan normal, aktivitas fisik kurang aOR 1,6 (95% CI 1,08 – 2,38) dibandingkan aktivitas cukup, tingkat kecukupan protein berlebih dan riwayat keluarga obesitas masing-masing aOR 0,23 (95% CI 0,15 – 0,36) dan aOR 0,42 (95% CI 0,28 – 0,61). Modifikasi gaya-hidup melalui pembatasan asupan karbohidrat, jalan kaki setiap hari dan senam aerobik minimal 1 kali seminggu selama 1 jam serta memantau kadar trigliserida darah diharapkan mencegah dan menurunkan kegemukan. Kata kunci: determinan, obesitas, pasca-menopause

HUBUNGAN KONSUMSI KOPI TERHADAP STROK ATAU PENYAKIT JANTUNG KORONER (Baseline Data Studi Kohor Faktor Risiko Penyakit Tidak Menular) Tuminah, Sulistyowati; Riyadina, Woro
GIZI INDONESIA Vol 37, No 1 (2014): Maret 2014
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Hubungan antara kebiasaan konsumsi kopi dengan penyakit Strok dan Penyakit Jantung Koroner (PJK) masih menjadi perdebatan apakah bersifat prediktif atau protektif. Tujuan penelitian ini adalah menentukan hubungan antara kebiasaan konsumsi kopi terhadap penyakit Strok atau PJK. Data merupakan subset dari data baseline penelitian “Studi Kohor Faktor Risiko Penyakit Tidak Menular (FRPTM)” yang diperoleh dengan metode wawancara menggunakan kuesioner dan pemeriksaan kesehatan terhadap penduduk tetap umur 25-65 tahun di 5 kelurahan di Kecamatan Bogor Tengah, Kota Bogor pada tahun 2011-2012 yaitu sebanyak 3.296 responden. Hasil menunjukkan kebiasaan minum kopi bersifat protektif terhadap penyakit Strok atau PJK dengan besaran risiko OR=0,76 (95% CI: 0,64–0,91). Kesimpulan penelitian adalah bahwa kebiasaan minum kopi mempunyai risiko mengalami Strok atau PJK lebih rendah (OR<1) dibandingkan dengan responden yang tidak terbiasa minum kopi setelah dikontrol faktor jenis kelamin dan tekanan darah. Untuk penelitian lebih lanjut disarankan untuk mengkaji jumlah (dosis) kopi yang dikonsumsi orang Indonesia karena data ini sangat dibutuhkan untuk melihat pengaruhnya pada penyakit Strok atau PJK.ABSTRACTHABITUAL COFFEE CONSUMPTION ON STROKE OR CORONARY HEART DISEASE (CHD)(Baseline of Cohort Study on Risk Factors of Non Communicable Disease) The relationship between habitual coffee consumption on Stroke or Coronary Heart Disease (CHD) is still debatable whether predictive or protective. The objective of the study is to establish the association between habitual coffee consumption on stroke or CHD. The analysis used subset data from baseline of cohort study of non communicable disease’s risk factors. Data were obtained through interview method using questionnaire and health examination of 3.296 respondents aged 25-65 years old from five villages in the District of Bogor Tengah, Bogor City in 2011-2012. The result showed that habitual coffee consumption had protective effect on stroke or CHD [OR=0,76 (95% CI: 0,64–0,91)]. It is concluded that subject who had habitual coffee consumption had a lower risk on stroke or CHD (OR<1) compared to subject who had no habitual coffee consumption after adjusted by sex and blood pressure. Further investigation about different doses of coffee intake according to Indonesian is still needed to see the dose effects to stroke and CHD.Keywords: stroke, coronary heart disease, habitual coffee consumption

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