Zakaria, Radhiah
Program Studi Magister Kesehatan Masyarakat, Universitas Muhammadiyah Aceh, Banda Aceh

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Faktor Keturunan sebagai Determinan Utama Onset Dini Penyakit Diabetes Mellitus Tipe 2 Elviza, Yenni; Hermansyah, Hermansyah; Nurjannah, Nurjannah; Abdullah, Asnawi; Zakaria, Radhiah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 1 (2025): Januari-Maret 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v16i1.5545

Abstract

Socioeconomic and lifestyle have been considered as the main social factors that influence the prevalence of type 2 diabetes mellitus (DM). In addition, the presence of other diseases also increases the risk of type 2 DM. The purpose of this study was to analyze the relationship between socioeconomic, lifestyle and comorbidities with type 2 DM in women aged 15-45 years. The study used a case-control design, involving 75 type 2 DM patients as the case group and 150 healthy controls, or with a case-control ratio of 1:2. Data on risk factors were analyzed using the conditional logistic regression test. The results of the study showed that factors associated with type 2 DM were civil servant work (OR = 2.1; 95%CI: 1.09-4.29; p = 0.026), lifestyle including sleep time ≥9 hours (OR = 2.6; 95%CI: 1.18-5.82; p = 0.017), sleep time <7 hours (OR = 2.9; 95%CI: 1.42-5.95; p = 0.003), severe stress (OR = 2.4; 95%CI: 1.05-5.79; p = 0.036), risky diet (OR = 2.4; 95%CI: 1.40-4.37; p = 0.002), family history of DM (OR = 2.8; 95%CI: 1.59-5.26; p = 0.000), hypertension (OR = 3; 95%CI: 1.09-8.35; p = 0.033) and history of giving birth to a baby >4 kg (OR = 5.99; 95%CI: 1.21-29.72; p = 0.028). Furthermore, it was concluded that hereditary diabetes is a dominant risk factor for the occurrence of type 2 DM in women aged 15-45 years.Keywords: diabetes mellitus; hereditity; lifestyle ABSTRAK Sosial ekonomi dan gaya hidup telah dianggap sebagai faktor sosial utama yang memengaruhi prevalensi diabetes melitus (DM) tipe 2. Di samping itu, adanya penyakit lain ikut memperbesar risiko DM tipe 2. Tujuan penelitian ini menganalisis hubungan antara sosial ekonomi, gaya hidup dan penyakit penyerta dengan DM tipe 2 pada wanita usia 15-45 tahun. Penelitian menggunakan rancangan case-control, yang melibatkan 75 pasien DM tipe 2 sebagai kelompok kasus dan 150 orang sehat kontrol, atau dengan perbandingan kasus dengan kontrol adalah 1:2. Data mengenai faktor risiko dianalisis menggunakan uji conditional logistic regresi. Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan penyakit DM tipe 2 adalah pekerjaan PNS (OR = 2,1; 95%CI: 1,09-4,29; p = 0,026), gaya hidup meliputi waktu tidur ≥9 jam (OR = 2,6; 95%CI: 1,18-5,82; p = 0,017), waktu tidur <7 jam (OR = 2,9; 95%CI: 1,42-5,95; p = 0,003), stres berat (OR = 2,4; 95%CI: 1,05-5,79; p = 0,036), diet berisiko (OR = 2,4; 95%CI: 1,40-4,37; p = 0,002), riwayat keturunan DM (OR = 2,8; 95%CI: 1,59-5,26 ; p = 0,000), hipertensi (OR = 3; 95%CI: 1,09-8,35; p = 0,033) dan riwayat melahirkan bayi >4 kg (OR=5,99; 95%CI: 1,21-29,72; p=0,028). Selanjutnya disimpulkan bahwa faktor keturunan diabetes merupakan faktor risiko yang dominan bagi kejadian DM tipe 2 pada wanita berusia 15-45 tahun. Kata kunci: diabetes mellitus; keturunan; gaya hidup
Obesitas Pra Kehamilan sebagai Determinan Utama Berat Badan Ibu Hamil di Aceh Barat Kamaruzzaman, Ilham; Maidar, Maidar; Zakaria, Radhiah; Abdullah, Asnawi; Ichwansyah, Fahmi
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 1 (2025): Januari-Maret 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16150

Abstract

Maternal weight gain during pregnancy indicates physiological and somatic changes that are very important in fetal development and growth. The purpose of this study was to analyze the socioeconomic significance as a determinant of maternal weight in West Aceh Regency. This study used a cross-sectional approach, involving 196 mothers who had just given birth at a community health center in West Aceh Regency. Data were obtained from questionnaires and records in secondary data. Statistical analysis was performed using logistic regression tests. The results of the analysis showed that socioeconomic factors related to maternal weight were pregnancy occupation (OR = 2.11, p = 0.031). Maternal factors related to maternal weight were multigravida (OR = 1.94, p = 0.045), grandemultigravida (OR = 7.47, p = 0.007), overweight before pregnancy (OR = 2.07, p = 0.028), obesity before pregnancy (OR = 6.97, p = 0.001). The conclusion of this study states that obesity before pregnancy have the greatest influence on maternal weight gain during pregnancy.Keywords: weight gain during pregnancy; socioeconomic status; maternal; antenatal care ABSTRAK Bertambahnya berat badan ibu selama hamil menandakan perubahan fisiologis dan somatik yang sangat penting dalam perkembangan dan pertumbuhan janin. Tujuan penelitian ini adalah menganalisis signifikansi sosial ekonomi sebagai determinan dengan berat badan ibu hamil di Kabupaten Aceh Barat. Penelitian ini menggunakan pendekatan cross-sectional, yang melibatkan 196 ibu yang baru melahirkan di puskesmas yang berada di wilayah Kabupaten Aceh Barat. Data didapatkan dari kuesioner dan catatan dalam data sekunder. Analisis statistik dilakukan dengan uji regresi logistik. Hasil analisis menunjukkan bahwa faktor sosial ekonomi yang berhubungan dengan berat badan ibu hamil yaitu pekerjaan hamil (OR = 2,11, p = 0,031). Faktor maternal yang berhubungan dengan berat badan ibu hamil yaitu multigravida (OR = 1,94, p = 0,045), grandemultigravida (OR = 7,47, p = 0,007), overweight sebelum hamil (OR = 2,07, p = 0,028), obesitas sebelum hamil (OR = 6,97, p = 0,001). Kesimpulan penelitian ini menyatakan bahwa obesitas sebelum hamil paling berpengaruh terhadap kenaikan berat badan ibu saat hamil dibandingkan variabel lain.Kata kunci: berat badan saat hamil; sosial ekonomi; maternal; antenatal care