Choirun Nissa Choirun Nissa
Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Semarang

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Pengaruh Pemberian Sari Belimbing Wuluh (Averrhoa bilimbi. L) terhadap Kadar Glukosa Darah Puasa Wanita Dewasa Emil Yunia Susanti; Choirun Nissa
JNH (Journal of Nutrition and Health) Vol 5, No 2 (2017): JOURNAL OF NUTRITION AND HEALTH
Publisher : Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (575.456 KB) | DOI: 10.14710/jnh.5.2.2017.102-115

Abstract

Latar Belakang : Hiperglikemia adalah suatu kondisi kadar glukosa dalam darah diatas normal yang biasanya ditemukan pada penderita Diabetes Melitus (DM). Keadaan hiperglikemia pada penderita DM yang tidak terkontrol dapat menyebabkan kerusakan berat pada jaringan tubuh, seperti saraf dan pembuluh darah. Manajemen DM efektif dilakukan pada tahap awal sebelum timbul gejala atau prediabetes. Belimbing wuluh merupakan salah satu bahan alam mengandung zat antidiabetes, diantaranya flavonoid, saponin, serta vitamin C yang berperan sebagai antioksidan. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian sari belimbing wuluh terhadap kadar glukosa darah puasa wanita dewasa.Metode: Penelitian ini menggunakan desain quasi experiment dengan rancangan pre-post control group design. Subjek penelitian adalah 31 karyawati usia 40-60 tahun yang dibagi menjadi 2 kelompok, yaitu sebanyak 16 subjek termasuk kelompok perlakuan  yang mendapat sari belimbing wuluh 100 ml/hari dan 15 subjek termasuk kelompok kontrol yang mendapat sirup rendah kalori 100ml/hari selama 14 hari. Kadar glukosa darah puasa diukur sebelum dan setelah intervensi menggunakan metode GOD-PAP melalui pembuluh darah vena setelah subjek penelitian berpuasa selama 8-10 jam. Selama intervensi, asupan makan kedua kelompok diperoleh dengan metode food recall 6x24 jam. Data yang diperoleh dikategorikan kemudian dianalisis menggunakan uji statistik Independent t-test, Mann-Whitney, Wilcoxon test dan Fisher’s Exact.Hasil :  Terdapat pengaruh yang signifikan pemberian sari belimbing wuluh terhadap penurunan kadar GDP (p = 0,001). Ada perbedaan GDP sebelum dan setelah intervensi pada kelompok perlakuan dengan penurunan sebesar -9,56 ± 5,78 mg/dl (p = 0,001). Sedangkan, pada kelompok kontrol terjadi peningkatan kadar GDP sebesar 1,93 ± 7,39 mg/dl, namun hasil uji statistik menunjukkan tidak ada perbedaan yang signifikan (p = 0,345).Kesimpulan :  Terdapat penurunan kadar GDP sebesar 9,56 mg/dl setelah pemberian 100 ml sari belimbing wuluh selama 14 hari.Kata kunci : sari belimbing wuluh, kadar glukosa darah puasa, hiperglikemia
DEFISIENSI BESI PADA WANITA USIA SUBUR PRANIKAH OBESITAS Fillah Fithra Dieny; Nurmasari Widyastuti; Deny Yudi Fitranti; Choirun Nissa; A. Fahmy Arif Tsani; Firdananda Fikri Jauharany
Media Gizi Mikro Indonesia Vol 10 No 2 (2019): Media Gizi Mikro Indonesia Juni 2019
Publisher : Balai Penelitian dan Pengembangan Kesehatan Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.735 KB) | DOI: 10.22435/mgmi.v10i2.599

Abstract

Latar Belakang. Wanita usia subur (WUS) terutama di Indonesia saat ini menghadapi masalah gizi ganda yang kompleks. Obesitas merupakan salah satu masalah gizi yang paling banyak dialami oleh WUS. Anemia merupakan satu sisi lain dari masalah gizi ganda yang banyak dialami di negara berkembang. Obesitas diketahui memiliki hubungan dengan anemia pada WUS. Tujuan. Menganalisis status besi pada WUS pranikah dengan status gizi obesitas dan non obesitas. Metode. Penelitian ini merupakan penelitian observasional dengan desain cross-sectional yang dilakukan pada 50 mahasiswi Universitas Diponegoro, Semarang. Subjek berusia 18-25 tahun dan dipilih dengan metode systematic random sampling. Subjek terdiri dari 25 mahasiswi obesitas dan 25 mahasiswi non obesitas. Status besi diukur melalui serum besi, serum Transferrin Saturation (TSAT), dan Total Iron Binding Capacity (TIBC). Status obesitas dilihat melalui pengukuran antropometri persen lemak tubuh. Uji T tidak berpasangan digunakan untuk mengetahui perbedaan status besi pada WUS pranikah obesitas dan non obesitas. Hasil. Ada perbedaan kadar serum besi (p=0,027), TIBC (p=0,034), dan TSAT (p=0,004) antara kelompok obesitas dan non obesitas. Kadar serum besi kelompok obesitas lebih rendah, ditunjukkan dengan rerata sebesar 83,99±20,66 μg/dl pada kelompok obesitas, sedangkan kelompok non obesitas sebesar 99,2±26,03 μg/dl. Kadar TIBC kelompok obesitas lebih tinggi dilihat dari reratanya sebesar 420,98±47,22 μg/dl, sedangkan kelompok non obesitas 389,94±53,35 μg/dl. Pengukuran TSAT menunjukkan kelompok obesitas memiliki kadar yang lebih rendah ditunjukkan dengan reratanya 20,13±5,27%, sedangkan kelompok non obesitas memiliki rerata sebesar 25,99±7,92%. Kesimpulan. Kelompok obesitas memiliki rata-rata kadar serum besi dan TSAT lebih rendah serta rata-rata kadar TIBC lebih tinggi.
Perilaku makan sebelum dan selama pandemi covid-19 pada kelompok remaja dan dewasa di Indonesia Fillah Fithra Dieny; Firdananda Fikri Jauharany; A. Fahmy Arif Tsani; Choirun Nissa
AcTion: Aceh Nutrition Journal Vol 6, No 2 (2021): November
Publisher : Jurusan Gizi Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v6i2.418

Abstract

The COVID-19 pandemic impacts lifestyle changes, one of which is the eating behavior of people. The research aims to examine changes in eating behavior before and during the COVID-19 pandemic among adolescents and adult groups in Indonesia. A cross-sectional study on 563 subjects, with the subject's inclusion criteria, namely living in Indonesia, aged 12-55 years, willing to participate in the research by filling in informed consent and filling out a questionnaire via an online google form. The data obtained were grouped based on variables before and after the pandemic, then tested the normality of the data. Bivariate analysis used the Wilcoxon text because the data were not normally distributed. As a result, there was an increase in the subject's breakfast habits and frequency of eating. Subjects experienced changes in eating habits, namely an increase in the frequency, variety, and portion of consumption of animal protein, vegetable protein, vegetables, and fruit between before and during the COVID-19 pandemic (p <0,001). In addition, the habit of consuming fluids, supplements, and spices also experienced a significant increase, while the pattern of snacking decreased between before and during the pandemic (p <0,001). In conclusion, there were differences in eating behavior: breakfast habits, dietary variations, consumption of animal and vegetable protein, vegetables, fruits, fluids, supplements, spices, and snacking patterns outside the home between before and during the pandemic in the subject
Lingkar pinggang dan lingkar leher dengan kadar kolesterol total pada wanita usia subur obesitas Rifial Ramadhan Manik; Nurmasari Widyastuti; Choirun Nissa
Jurnal Gizi Klinik Indonesia Vol 15, No 3 (2019): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.38171

Abstract

Waist circumference, and neck circumference correlated to total cholesterol among reproductive-age women with obesityBackground: Dyslipidemia is a metabolic disorder condition that is closely related to cholesterol and obesity. The prevalence of obesity in reproductive-age women (>18 years) in Indonesia increased dramatically. Reproductive age women with obesity are at greater risk of hypercholesterolemia compared with non-obese. Waist circumference (WC), mid-upper arm circumference (MUAC), and neck circumference (NC) can be used as a marker of higher or low cholesterol levels. Objective: This study aimed to determine the relationship between WC, MUAC, and NC with total cholesterol. Methods: The study design was cross-sectional with several subjects were 54 women of reproductive-aged 18-29 years. Subject with obese category (BMI ≥25kg/m2) was measured the WC, MUA, and NC as an independent variable and total cholesterol as the dependent variable, and dietary intake (total fat, cholesterol, and saturated fat) as confounding variables. The bivariate analysis used the Pearson correlation test. Multivariate analysis used multivariate linear regression. Results: Bivariate analysis showed there was a significant relationship between WC and NC to total cholesterol (p=0.006 and p=0.001), but not on MUAC (p=0.063). In multivariate analysis, NC is the most significantly related to total cholesterol (β=0.367; p=0.004; Adjusted R Square 24%) than WC. Conclusions: There is a significant relationship between WC and NC to the total cholesterol in women of reproductive age obesity. NC more significantly related to total cholesterol.
Total Lactic Acid Bacteria and Antibacterial Activity in Yoghurt with Addition of Ananas comosus Merr. and Cinnamomum burmannii Lusia Yotista Enggal Parasthi; Diana Nur Afifah; Choirun Nissa; Binar Panunggal
Amerta Nutrition Vol. 4 No. 4 (2020): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v4i4.2020.257-264

Abstract

Background: Diarrhea disease is one of gastrointestinal disorders which is the second leading cause of death in children under five years. Food and beverage contamination is the biggest cause of diarrhea in developing countries. Nanas madu (Ananas comosus Merr.) and cinnamon (Cinnamomum burmannii) have antibacterial properties that can inhibit the growth of Escherichia coli and Salmonella typhi causing diarrhea.Objective: This study aimed to analyze the total differences of Lactic Acid Bacteria (LAB) and antibacterial activity in yoghurt with the addition of nanas madu and cinnamon extract.Methods: This was an experimental study with various treatment in adding honey cream pineapple (0%, 20%, 40%, and 60%) and cinnamon extract (4% and 6%). Total LAB was calculated using the Total Plate Count (TPC) method and antibacterial activity was tested using Kirby Bauer method.Results: There was no significant difference in yoghurt with the addition of honey cream pineapple and cinnamon extract. Yoghurt with the highest LAB was yoghurt with addition 40% of honey cream pineapple and 6% of cinnamon extract (N40M2) with total LAB 1,43 x 1019 CFU/ml. The results of the antibacterial activity showed no significant difference of inhibition zone against S. typhi¸ while there was significant difference of inhibition zone against E. coli. The highest activity against S. typhi was yoghurt with addition 60% of honey cream pineapple and 4% of cinnamon extract (N60M1) resulting 6,81 mm inhibition zone and the highest activity against E. coli was N40M1 resulting 6,77 mm of inhibition zone. Conclusion: Total LAB yoghurt with the addition of nanas madu and cinnamon extract have met FAO and SNI standards with LAB minimum 107 CFU/ml. Antibacterial activity of all yoghurt treatment categorized as medium inhibition (5-10 mm). 
HUBUNGAN ANTARA POLA MAKAN DAN KONDISI PENYERTA DENGAN PREVALENSI STROK PADA USIA DEWASA DI INDONESIA: ANALISIS DATA RISKESDAS 2018 Ahmad Syauqy; Lydia Ratnadewi Wiragapa; Moesijanti Yudiarti Endang Soekatri; Fitrah Ernawati; Choirun Nissa; Fillah Fithra Dieny
GIZI INDONESIA Vol 46, No 1 (2023): Maret 2023
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v46i1.785

Abstract

The prevalence of stroke tends to increase with age. Several risk factors for stroke including frequent unhealthy food patterns and having comorbidities would be analyzed. The study aimed to evaluate the association between food patterns and comorbidities with stroke among adults in Indonesia. This study utilized 2018 Indonesian Basic National Health Survey (Riskesdas) data with a cross-sectional design among 15,539 subjects aged ³45 in Indonesia. Data were taken using a food frequency questionnaire and a structured questionnaire. Logistic regression analysis was used to analyze food patterns and comorbidities with stroke. The results showed that frequent consumption of sugary drinks (OR: 1.389; 95% CI: 1.142-1.689), salty foods (OR: 1.936; 95% CI: 1.639-2.286), processed foods (OR: 1.694; 95% CI: 1.321-2.172), instant food (OR: 2,104; 95% CI: 1,771-2.498), fatty rich foods (OR: 2,139; 95% CI: 1,757-2,605), and grilled goods (OR: 1,473; 95% CI: 1,166-1,860), and low consumption of fruits (OR: 1.474; 95% CI: 1.164-1.865) and vegetables (OR: 1.358; 95% CI: 1.087-1.698) were significantly associated with an increased risk of stroke. Central obesity (OR:1.198; 95% CI:1.021-1.405), hypertension (OR:1.802; 95% CI:1.528-2.125), dyslipidemia (OR:1.187; 95% CI:1.012-1.392), and diabetes mellitus (OR:1.902; 95% CI:1.516-2.386) were significantly associated with an increased risk of stroke. Consumption of unhealthy food ≥3 times/week, consumption of less healthy food 5 servings/week, and having comorbidities increased risks of stroke among adults in Indonesia.Keywords: food patterns, comorbidities, adults, stroke  ABSTRAK Prevalensi strok cenderung meningkat seiring bertambahnya usia. Beberapa faktor penyebab strok yaitu sering mengonsumsi makanan berisiko, kurang mengonsumsi buah dan sayur, serta memiliki kondisi penyerta. Penelitian ini bertujuan untuk menganalisis hubungan pola makan dan kondisi penyerta dengan prevalensi strok pada usia dewasa di Indonesia. Penelitian ini menggunakan data Riskesdas 2018 dengan desain cross-sectional pada 15.539 subjek berusia 45 tahun keatas di Indonesia. Pengumpulan data  menggunakan food frequency questionnaire dan kuesioner terstruktur. Penelitian ini menggunakan analisis deskriptif, chi-square, independent t-test, serta regresi logistik. Sering mengonsumsi minuman manis (OR:1,389; 95% CI:1,142-1,689), makanan asin (OR:1,936; 95% CI:1,639-2,286), makanan olahan berpengawet (OR:1,694; 95% CI:1,321-2,172), makanan instan (OR:2,104; 95% CI:1,771-2,498), makanan berlemak (OR:2,139; 95% CI:1,757-2,605), dan makanan yang dibakar (OR:1,473; 95% CI:1,166-1,860), serta kurang mengonsumsi buah (OR:1,474; 95% CI:1,164-1,865) dan sayur (OR:1,358; 95% CI:1,087-1,698) berhubungan signifikan dengan peningkatan risiko strok. Obesitas sentral (OR:1,198; 95% CI:1,021-1,405), hipertensi (OR:1,802; 95% CI:1,528-2,125), dislipidemia (OR:1,187; 95% CI:1,012-1,392), diabetes melitus (OR:1,902; 95% CI:1,516-2,386) berhubungan signifikan dengan peningkatan risiko strok. Sering mengonsumsi makanan berlemak dan menderita diabetes melitus merupakan faktor risiko strok terbesar pada subjek. Konsumsi makanan berisiko ≥3 kali/minggu, konsumsi buah dan sayur 5 porsi/minggu, serta memiliki kondisi penyerta meningkatkan risiko strok pada dewasa di Indonesia.Kata kunci: pola makan, kondisi penyerta, dewasa, strok
HUBUNGAN DAYA TERIMA MAKANAN DENGAN KUALITAS DIET PADA SANTRI Nida Nur Amalia; Fillah Fithra Dieny; Aryu Candra; Choirun Nissa
GIZI INDONESIA Vol 46, No 1 (2023): Maret 2023
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v46i1.761

Abstract

Santri is one of the adolescent age groups who are prone to problems with food intake and low quality of diet and become one of the factors causing nutritional problems in the next phase of life. Nutrition compliance for a student depends on food service management, and an indicator of a student’s food quality is needed. The purpose of this study was to analyze the correlations between food acceptance and diet quality in Islamic boarding school students. This study was observational with a cross-sectional design. This study was held in Askhabul Kahfi Islamic Boarding School Semarang and consisted of 69 subjects chosen by simple random sampling. Diet quality data was measured through the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) and Diet Quality Index - International (DQI-I), food acceptance data were collected using questionnaires and food waste forms. The data were analyzed by the Pearson correlation test. This study showed that 66 subjects (95,7%) had a low diet quality and only 4,3 percent of subjects have high nutrition knowledge. There was no correlation between food acceptance and diet quality (p=0.346), but the components of diet quality which is variation score indicated significant positive correlations with a variety of food menus (p=0.020) and significant negative correlations between food acceptance with overall balance score (p=0.030). There was no correlation between food acceptance with diet quality among Santri. The incompatibility of portion standards with dietary recommendations was the most influential factor in food acceptance and diet quality of santri.Keywords: food acceptance, diet quality, santri, nutrition knowledge ABSTRAK Santri merupakan kelompok usia remaja yang rentan mengalami masalah asupan makanan maupun rendahnya kualitas diet dan menjadi salah satu faktor penyebab masalah gizi pada fase kehidupan selanjutnya. Pemenuhan gizi pada santri sangat bergantung pada penyelenggaraan makanannya, sehingga diperlukan indikator mutu kualitas makanan yang diberikan. Tujuan penelitian ini untuk menganalisis hubungan antara daya terima makanan dengan kualitas diet pada santri. Penelitian observasional dengan desain cross sectional. Penelitian dilaksanakan di Pondok Pesantren Askhabul Kahfi Semarang dengan 69 subjek dipilih menggunakan metode simple random sampling. Data kualitas diet diukur menggunakan Semi Quantitative Food Frequency Questionnaire (SQ-FFQ) dan formulir Diet Quality Index – International (DQI-I), daya terima makanan dengan formulir sisa makanan dan kuesioner. Data dianalisis dengan uji korelasi Pearson. Hasil analisis menunjukkan 95,7% subjek memiliki kualitas diet rendah dan hanya 4,3 persen subjek yang memiliki pengetahuan gizi tinggi. Tidak ada hubungan signifikan antara daya terima makanan dengan kualitas diet (p=0,346) namun komponen kualitas diet yaitu skor variasi memiliki hubungan positif signifikan dengan variasi menu (p=0,020), dan skor keseimbangan keseluruhan memiliki hubungan negatif signifikan dengan daya terima makanan (p=0,030). Tidak ada hubungan antara daya terima makanan dengan kualitas diet pada santri. Ketidaksesuaian standar porsi dengan rekomendasi kebutuhan.Kata kunci: daya terima makanan, kualitas diet, santri, pengetahuan gizi
Healthy Lifestyle Behaviour Changes During the Covid-19 Pandemic in Youth and Adult Groups in Indonesia Fillah Fithra Dieny; Firdananda Fikri Jauharany; A.Fahmy Arif Tsani; Choirun Nissa
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 4: December 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (647.707 KB) | DOI: 10.30604/jika.v7i4.663

Abstract

The Covid-19 pandemic has changed various kinds of human behavior, especially behavior related to health. Health institutions have issued protocols to prevent the virus so that it affects people's lifestyles a lot. This study aims to analyze changes in people's behavior, especially healthy lifestyles before and during the Covid-19 pandemic in Indonesia. A cross-sectional study that involved 563 subjects. The inclusion criteria are that the subject lives in Indonesia, aged 12-55 years, is willing to take part in the research and fill out an online questionnaire. The independent variable is the time that is divided into before and during the Covid-19 pandemic. The dependent variable is healthy lifestyle behavior which includes hand washing habits, exercise habits, weight checking habits, sunbathing habits and smoking habits. The analysis includes univariate analysis, normality test and bivariate analysis using the Wilcoxon test to analyze differences in healthy lifestyle behavior before and during the Covid-19 pandemic. The results showed that 425 subjects (75.5%) were female, and more than 50% of subjects had a bachelor's level education and above. Most of the subjects live in urban areas (69.1%), come from the island of Java (86.0%), have daily activities not related to health (58.1%) and carry out government recommendations, namely stay at home (76.4%). There were differences in hand washing frequency (p less than 0.001), exercise frequency (p=0.037), sunbathing frequency (p less than 0.001), and sunbathing duration (p less than 0.001) between before the pandemic compared to during the Covid-19 pandemic. However, there was no change in smoking habits based on the number of cigarettes before and during the Covid-19 pandemic. The conclusion of the research that during the Covid-19 pandemic, public awareness to have a clean and healthy lifestyle, namely increasing the frequency of washing hands, doing sports and sunbathing.Abstrak: Pandemi Covid-19 telah merubah berbagai macam perilaku manusia, khususnya perilaku yang terkait dengan kesehatan. Lembaga kesehatan telah mengeluarkan protokol pencegahan virus tersebut sehingga banyak mempengaruhi gaya hidup masyarakat. Penelitian ini bertujuan untuk menganalisis perubahan perilaku masyarakat khususnya perilaku gaya hidup sehat (healthy lifestyle) sebelum dan saat terjadi pandemi Covid-19 di Indonesia. Penelitian dengan design cross-sectional yang dilakukan pada 563 subjek. Kriteria inklusi adalah subjek tinggal di Indonesia, berusia 12-55 tahun, bersedia mengikuti penelitian dan mengisi kuesioner secara online. Variabel bebas adalah waktu yang dibedakan menjadi sebelum dan saat pendemic Covid-19. Variabel terikat perilaku gaya hidup sehat (healthy lifestyle) yang meliputi kebiasaan cuci tangan dengan sabun, kebiasaan olahraga kebiasaan pengecekan berat badan, kebiasaan berjemur dan kebiasaan merokok. Analisis meliputi analisis univariat, uji kenormalan dan analisis bivariat menggunakan uji Wilcoxon untuk menganalisis perbedaan perilaku healthy lifestyle sebelum dan selama pandemi Covid-19. Hasil penelitian menunjukkan bahwa sebanyak 425 seubjek (75,5%) berjenis kelamin perempuan, dan lebih dari 50% subjek memiliki tingkat pendidikan sarjana dan diatasnya. Sebagian besar subjek tinggal di perkotaan (69,1%), berasal dari pulau jawa (86,0%), aktifitas sehari hari tidak berhubungan dengan kesehatan (58,1%) dan melakukan anjuran pemerintah yaitu stay at home (76,4%). Ada perbedaan frekuensi cuci tangan (p kurang dari 0,001), frekuensi olahraga (p=0,037), frekuensi berjemur (p kurang dari 0,001), dan durasi berjemur (p kurang dari 0,001) antara sebelum pandemi dibandingkan dengan selama pandemi Covid-19. Namun tidak ada perubahan pada kebiasaan merokok berdasarkan jumlah batang rokok sebelum dan selama pandemi Covid-19. Simpulan dari penelitian ini adalah masa pandemi Covid-19 meningkatkan kesadaran masyarakat untuk berperilaku hidup bersih dan sehat yaitu meningkatnya frekuensi cuci tangan dengan sabun, melakukan olahraga dan berjemur.
Unhealthy food pattern, physical activity, and the incidence of diabetes mellitus among adults with central obesity Ahmad Syauqy; Amatulloh Dewi Fajar; Aryu Candra; Choirun Nissa
AcTion: Aceh Nutrition Journal Vol 8, No 3 (2023): September
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v8i3.1028

Abstract

The prevalence of diabetes mellitus (DM) in Indonesia is increasing. A significant risk factor for developing DM is central obesity. Lifestyles, including diet and physical activity, strongly influence the high prevalence of DM and obesity. The study aimed to analyze the association between unhealthy food consumption and physical activity among adults with central obesity in Indonesia. This study used secondary data from Riskesdas 2018 with a cross-sectional design. The subjects in this study were adults (≥ 19 years old) with central obesity. A total of 7493 subjects were included in the analysis. Food intake data were taken using a validated FFQ, and physical activity using the GPAQ questionnaire. The data were analyzed using a chi-square test and multiple logistic regression. Frequent consumption of sweet foods (p=0,001, OR=1,235), sweetened beverages (p=0,042, OR=1,157), carbonated drinks (p=0,001, OR=1,324), instant noodles (p<0,001, OR=1,845), salty foods (p<0,001, OR=1,669), seasoning (p<0,001, OR=1,514), processed meats  (p=0,009, OR=1,199), fatty foods (p<0,001, OR=1,687), and grilled foods (p<0,001, OR=1,243) were positively associated with the incidence of DM among adults with central obesity after adjusted with confounding variables. Low physical activity  increased the incidence of DM among adults with central obesity in the unadjusted model (p=1,161, OR=1,161). In conclusion, there is a relationship between the consumption of unhealthy foods and physical activity with the incidence of DM in Indonesian adults with central obesity.