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Journal of Epidemiology and Public Health
Published by Universitas Sebelas Maret
ISSN : 25490273     EISSN : 25490273     DOI : -
Core Subject : Health,
Public Health
Background: Increased blood pressure for a long time can increase the risk of kidney failure, co­ronary heart disease, brain damage, and other di­seases. In 2019, it is estimated that hyper­tens­ion is experienced by 1.13 billion people in the world with most (two thirds) living in low and mid­­dle income countries. Other study also shows that the police and military are at risk of develop­ing hypertension due to a number of factors such as low know­led­ge about healthy and nutritious food, co-workers who are smokers, and consum­ing alco­hol. This study aimed to analyze the risk factors for hypertension in the police and military in the world using meta analysis. Subjects and Method: This was a meta-ana­lysis and systematic review. The articles used we­re obtained from Google Scholar, Springer Link, Pro­­Quest, and Science Direct databases. Selected arti­cles published from 2000 to 2020. Keywords to search for articles are as follows: hypertension po­lice personnel and military, or hypertension po­lice personnel and military. The articles studi­ed are 3 full text articles with cross sectional stu­dy designs and 1 full text articles with case cont­rol study design. Articles are col­lect­ed using PRI­S­­­MA diagrams, and analy­zed us­ing the Re­vi­ew Ma­nager application 5.3. Results: Overweight (aOR= 1.42; 95% CI = 1.01 to 2.00; p= 0.04), alcohol consumption (aOR­=­ 1.­55; 95% CI= 1.12 to 2.12; p= 0.007), ciga­rette con­­­­sumption (aOR= 1.45 ; 95% CI= 1.06 to 1.97; p= 0.020) is a risk factor for hyper­­­tension in the po­­­lice and military. Conclusion: Overweight, alcohol consump­tion, and cigarette consump­tion, are risk fac­tors for hypertension in po­lice and military personnel.
Arjuna Subject : -
Articles 659 Documents
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Childhood Physical and Sexual Violences as Potential Factors of Post Traumatic Stress Disorder: A Meta-Analysis Alfiasari, Fadila; Tamtomo, Didik; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.04

Abstract

Background: WHO states that as many as 300 million children have experienced physical punishment or psychological violence. These traumatic events can cause Post Traumatic Stress Disorder (PTSD) which has an impact on the lives of victims of physical and sexual violence. The purpose of this study was to analyze and estimate the average influence of physical and sexual violence in childhood on the incidence of Post Traumatic Stress Disorder (PTSD) using a meta-analysis study.Subjects and Method: This research is a systematic review and meta-analysis with the selection of PRISMA flow diagrams. Population= adults aged >18 years. Intervention= experience of physical and sexual violence as children. Comparison= no experience of physical and sexual violence as children. Outcome= PTSD. Article searches through journal databases include: Pubmed, Google Schoolar, Science Direct, Researchgate and Springerlink. The articles used in this study are articles that have been published from 2000-2022. The keywords used in the database are “Child Physical Abuse”[tw] OR “Childhood Physical Abuse”[tw] OR “Child Maltreatment”[tw] OR “Physical Violence”[tw] OR "Physical Abuse"[Mesh] OR " Child Abuse"[Mesh] AND “Sexual Abuse”[tw] OR “Child Sexual Molestation”[tw] OR "Child Abuse, Sexual"[Mesh] OR "Sexual Trauma"[Mesh] AND “Post-Traumatic Stress Disorder*” [tw] OR “Posttraumatic Stress Disorder*” OR “Post-Traumatic Neuroses”[tw] OR “Post-traumatic Neuroses”[tw] OR “PTSD”[tw] OR "Stress Disorders, Post-Traumatic"[Mesh]. Inclusion criteria included full-text articles with a cross-sectional study design. The analysis used multivariate logistic regression with adjusted Odds Ratio and published in English. Articles that met the requirements were analyzed using the Revman 5.4 application.Results: Meta-analysis of 10 articles showing for childhood physical abuse (aOR=1.87; 95% CI=1.47 to 2.37; p<0.001) and childhood sexual violence (aOR=2.67; 95% CI=2.02 up to 3.52; p<0.001).Conclusion: Experience of physical and sexual violence in childhood increases the risk of developing Post Traumatic Stress Disorder as an adult. Keywords: Post Traumatic Stress Disorder, physical violence, sexual violence, meta-analysis Correspondence: Fadila Alfiasari. Masters Program in Public Health, Universitas Sebelas maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: alfiasari3108@gmil.com. Mobile: +6285235358882.
Predictors of Positivity Yield among Index Contacts in Harare and Matabeleland South Provinces, Zimbabwe, 2022 Mugauri, Hamufare Dumisani; Mugurungi, Owen; Chikondowa, Ishmael; Chirenda, Joconiah; Takarinda, Kudakwashe; Tshimanga, Mufuta
Journal of Epidemiology and Public Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.03.05

Abstract

Background: Zimbabwe’s Index Testing programme has failed to achieve targets since its inception in 2017. We determined the index testing implementation modalities to identify and recommend effective contact elicitation, tracking and testing modalities to enhance positivity yield.Subjects dan Method: This study conducted a cross-sectional study on 50 multistage selected health facilities. Dependent variables were all clients, (≥15 years) diagnosed with HIV in 2021, whilst independent variables were contact tracking. The study instrument of variable measure was cascade analysis to identify tracing modalities against yield. Quantitative data were summarized as proportions, odds ratios, and adjusted odds ratios at a 5% significance level.Results: Of 6,308 index cases identified, females constituted 53.9% (n=3,401 and 67.6% (n=4,265) were retests. Index testing was offered to 66.4% (n=4,190), accepted by 93.1% (n=3,899) and the elicitation rate was 1:1.3 (n=5,080). A positivity yield of 27.5% (n=1,736) was achieved from 78.6% (n= 3,991) contacts. Mixed method tracking yielded 46.7% (n=349) positivity from a testing rate of 99.5% (n=748) in an urban setup, with 41.4% (n=1,243) preferring health worker referrals. As high as 202 contacts were not tested following elicitation through client referrals. In a rural setup, client referrals accounted for 53.1%, (n=1,103) yet 122 of these were not tested. The highest positivity yield was obtained from health worker referrals at 65.6% (n=196). Being male (aOR=3.09; 95%CI= 2.74 to 3.49), first tester (aOR=1.65; 95%CI= 1.43 to 1.91), anonymous tracking (aOR=8.46; 95%CI:3.37 to 22.75) and testing contacts within 7 days of elicitation (aOR=2.78; 95%CI=2.44 to 3.18) were identified as high predictors of positivity yield among index contacts.Conclusion: The identified high positivity yield among men, first-time testers and contacts tested within 7 days of elicitation may inform index testing focussing to improve program performance. Implementation fidelity and differentiated contact referrals were recommended to mitigate attritions at each stage of the index cascade to yield the best results on index contact tracing and testing. Keywords: targeted testing, HIV testing services, index contact tracing and testing, index testing cascade Correspondence:Hamufare Dumisani Mugauri. Faculty of Medicine and Health Sciences, Department of Primary Healthcare Sciences, New Health Sciences Building, Parirenyatwa Complex, Mazowe Road, Harare, Zimbabwe. Email: dumiwaboka@gmail.com. Mobile: +263772314894.
Meta-Analysis the Effectiveness of Fluoride Varnish Use to Prevent Deciduous Dental Caries in Children Utomo, Asrori Ibnu; Murti, Bhisma; Pamungkasari, Eti Poncorini
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.05

Abstract

Background: Oral health has improved in the last century but the prevalence of dental caries in children remains a significant clinical problem. Giving fluoride varnish directly to the surface of a child's teeth can prevent caries. This study aims to analyze the effect of using fluoride varnish on the prevention of dental caries in children.Subjects and Method: This research is a systematic review and meta-analysis research by considering the eligibility criteria using the PICO model. Population: children. Intervention: fluoride varnish. Comparison: do not use fluoride varnish. Outcome: DMF-T. Articles in this study were searched through the PubMed, Google Scholar, Science Direct, ProQuest databases with the keywords “effectiveness” AND “fluoride” AND “dental caries” AND “prevention” AND (“child OR children”) AND “randomized controlled trial”. The inclusion criteria in this study were full-text articles from 2000 to 2022 with randomized controlled trials (RCT) designs and mean SD effect sizes. This study uses PRISMA flow diagrams and uses the Revman 5.3 application for analysis.Results: A meta-analysis of 5 articles showed that the use of fluoride varnish reduced DMFT 1.21 units lower, compared to those not using fluoride varnish in children. The results of the meta-analysis were statistically significant (SMD = -1.21; 95% CI = -3.15 to 0.74; p= 0.220).Conclusion: The use of fluoride varnish may decrease DMFT in children. Keywords: dental caries, Fluoride varnish Correspondence: Asrori Ibnu Utomo, Masters’ Program in Public Health, Universitas Sebelas Maret. Jln. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: asrori.ibnu69@gmail.com. Mobile: +62895359099137.
Effect of Robot Assistive Therapy on Hand Functional Ability in Stroke Patients: Meta-Analysis Sutopo, Haris; Murti, Bhisma; Demartoto, Argyo
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.06

Abstract

Background: Stroke is a neurological deficit disease caused by bleeding or blockage of blood vessels in the brain which can cause disability or death. Vascular injuries cause various neurological disorders, motor disorders and functional disorders of the hands which are very necessary to carry out daily activities. Robot Assistive Therapy as a breakthrough in stroke rehabilitation technology can be used as an alternative therapy method for post-stroke rehabilitation. This study aims to determine the effectiveness of the use of robotic assistive therapy and conventional therapy on the functional abilities of stroke patients' hands. Subjects and Method: This study used a systematic review and meta-analysis design using the PRISMA flowchart guidelines and the PICO model (Population = Stroke patients. Intervention = Robot Assistive Therapy. Comparison = Conventional therapy. Outcome = Hand functional ability). The article search process was carried out using databases from PubMed, Science Direct, AJOT, Springer Link, and Google Scholar. The keywords used are “Robot Assistive Therapy” AND “stroke” AND “hand function” AND “randomized controlled trial” AND “Fugl Meyer Assessment”. The inclusion criteria in this study were full-text articles using the Randomized Controlled Trial (RCT) design from 2012 to 2022. The corresponding articles were then critically reviewed and analyzed using RevMan 5.3 software. Results: A meta-analysis was conducted on 9 randomized controlled trials (RCTs) from Belgium, Italy, Japan, Germany, Lithuania and Switzerland with a total sample of 537 stroke patients. The results of the meta-analysis showed that there was no difference in effectiveness between the use of robot assistive therapy and conventional therapy in improving the functional abilities of stroke patients' hands (SMD= -0.02; 95% CI= -0.42 to 0.38; p= 0.930). Conclusion: There is no difference in effectiveness between the use of assistive therapy robots and conventional therapy in improving the functional abilities of stroke patients' hands. Keywords: robot assistive therapy, stroke, hand functional abilities, meta-analysis Correspondence: Haris Sutopo, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: hartop4wd@gmail.com. Telepon: +628155010610.
Factors related to the Perception of Acupressure as Prevention of Anemia in the Elderly at the Nursing Home Sholihah, Imrok Atus; Haryanti, Titik; Ani, Nur
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.11

Abstract

Background: Anemia or known by the public as anemia in the elderly often occurs unknowingly. The prevalence of anemia in Indonesia in the elderly is 42.3%. Acupressure utilizes stimulation on the body's acupuncture points, ears and scalp to affect the flow of the body's bioenergy called qi as one of traditional medicine. Perceptions of the use of traditional medicine are of three types: holding belief in conventional medicine, doubting conventional medicine, and holding belief in both traditional medicine and conventional medicine. The purpose of this study was to determine the factors associated with the perception of acupressure as a prevention of anemia in the elderly at nursing homes.Subjects dan Method: This study was a cross-sectional study in January 2023. The sample used was 110 elderly people in nursing homes in the Surakarta area, selected using a purposive random sampling technique. The dependent variable of this research is the perception of acupressure as prevention of anemia. The independent variables in this study were education of the elderly, knowledge of acupressure, history of anemia, safety of acupressure and willingness to do acupressure. Data collected by questionnaire. Data analysis used multiple logistic regression with Stata 13.Results: Factors related to positive perceptions of acupressure as prevention of anemia in the elderly were higher education in the elderly (OR= 12.77; 95% CI= 1.842 to 88.74; p=0.010), high knowledge about acupressure (OR= 13.05; 95% CI= 2.22 to 76.78; p=0.004), had a history of anemia (OR= 13.50; 95% CI= 2.15 to 84.59; p=0.005), safety of acupressure (OR= 32.85; 95% CI= 4.96 to 217.55; p<0.001), and willingness performed acupressure (OR= 11.03; 95% CI= 1.97 to 61.71; p=0.006).Conclusion: Factors related to the perception of acupressure as prevention of anemia in the elderly are the elderly's higher education, high knowledge of acupressure, history of anemia, safety of acupressure, and willingness to do acupressure. Keywords: perception of acupressure, prevention of anemia, the elderly. Correspondence: Imrok Atus Sholihah. Public Health, Universitas Veteran Bangun Nusantara Sukoharjo. Jl. Letjend Sujono Humardani No. 1, Sukoharjo, Central Java, Indonesia. Email: imrokatussholihah6@gmail.com. Mobile: +6281225210252.
Meta-Analysis the Effect of Excessively Loud Sounds on Noise Induced Hearing Loss in Manufacturing Industry Workers Aqsyari, Rizki; Sumardiyono, Sumardiyono; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.12

Abstract

Background: Noise that exceeds the threshold value can cause work-related illness, which can be in the form of hearing loss or damage to the ear either temporarily or permanently after being exposed for a certain period of time without adequate protection. Noise-induced hearing loss (NIHL) is a working condition that often occurs in various industrial spectrums. This study aims to estimate the magnitude of the effect of noise on NIHL in manufacturing industry workers.Subjects and Method: This research is a systematic review and meta-analysis. Article search was carried out based on the PICO Model eligibility criteria including: P= Manufacturing industry worker; I= Noise intensity ≥85 dB; C= Noise intensity <85 dB; O= NIHL. The articles used come from 3 databases, namely: PubMed, Google Scholar, and Science Direct. The keywords used include “hearing loss” AND “noise-induced hearing loss” AND “manufacturing industry” AND “cross-sectional study”. The inclusion criteria in this study included full-text articles with a cross-sectional study design, the adjusted odds ratio (aOR) was used, the articles were published in the 2003-2022 range, and the outcome was NIHL. Articles were analyzed using the PRISMA diagram and the Review Manager 5.3 application.Results: A meta-analysis of 10 articles from Arab Saudi, Ethiopia, Kuwait, Tanzania, Thailand, Cina, Yordania, Norwegia, and Iran showed that ≥85 dB noise increases the likelihood of NIHL in industrial manufacturing workers. Manufacturing workers exposed to noise intensity of ≥85 dB increased NIHL by 1.90 times compared to manufacturing workers exposed to <85 dB of noise, and this result was statistically significant (aOR= 1.90; CI 95%= 1.61 to 2.26; p< 0.001).Conclusion: A meta-analysis of 10 cross-sectional studies concluded that noise increases the incidence of NIHL in manufacturing industry workers. Keywords: noise intensity, NIHL, manufacturing industry workers Correspondence: Rizki Aqsyari. Master’s Program in Public Health, Master’s Program, Universitas Sebelas Maret. Jl ir sutami no 36A Jebres, Surakarta. Email: Rizkiaqsyarid@gmail.com. Mobile: +6281272778423.
Meta-Analysis the Effects of Rotavirus Vaccine, Exclusive Breastfeeding, and Maternal Education on Diarrhea in Children Under Five Pratama, Genn Andrean; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.03.02

Abstract

Background: Diarrhea is an infectious disease that can cause death in children under five years. Diarrheal disease is a disease with the highest mortality and morbidity after pneumonia. The purpose of this study was to analyze and estimate the effect of rotavirus vaccine, exclusive breastfeeding, and mother's education level on the incidence of diarrhea in toddlers, with a meta-analysis based on previously conducted primary studies. Subjects and Method: This article was prepared using a systematic review and meta-analytic study. This research was conducted using the PICO model. Meta-analytic studies were conducted by searching for articles from databases in electronic form using PubMed, Google Scholar, Sciencedirect, and Springer Link. Article searches were conducted from 1-28 February 2023. The keywords used were “Vacinnation” OR “Exclusive breastfeeding” OR “Educational Mother” OR “Infection” OR “Diarrhea Childhood”. The inclusion criteria for this study were complete articles using cross-sectional research, published years from 2013-2022. Analysis of the articles used RevMan 5.3 software. Results: A total of 24 cross-sectional studies from Africa and Asia were selected for systematic review and meta-analysis. The results of the meta-analysis showed that not given rotavirus vaccine had a 3.60 times the risk of experiencing diarrhea compared to those given rotavirus vaccine (aOR= 3.60; 95% CI= 2.31 to 5.64; p<0.001), not given exclusive breastfeeding had a risk of experiencing diarrhea 3.28 times compared with those who were given exclusive breastfeeding (aOR= 3.28; 95% CI= 2.24 to 4.80; p<0.001), and children who had mothers with low education levels had a 2.08 times higher risk of experiencing diarrhea compared to children who had mothers with low education levels which is higher (aOR= 2.08; 95% CI= 1.71 to 2.54; p<0.001). Conclusion: Not being given the rotavirus vaccine, not being given exclusive breastfeeding, and the mother's low education level are at risk of increasing the incidence of diarrhea in toddlers. Keywords: rotavirus vaccine, exclusive breastfeeding, mother's level of education, child diarrhea Correspondence: Genn Andrean Pratama. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: andreanpratama0077@gmail.com. Mobile: +6282278467441.
Effect of Vitamin D Deficiency on Gestational Diabetes Mellitus: A Meta-Analysis Handayani, Dian; Pamungkasari, Eti Poncorini; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.03.03

Abstract

Background: Gestational diabetes mellitus increases the risk of a number of short-term and long-term health problems in both mother and baby. Some evidence states that one of the causes of gestational diabetes mellitus is vitamin D deficiency. This study aimed to estimate the magnitude of the influence of vitamin D deficiency on the incidence of gestational diabetes mellitus, through a meta-analysis of previous primary studies. Subjects and Method: This was a systematic review and meta-analysis with the following PICO, population: pregnant women, intervention: vitamin D deficiency, comparison: no vitamin D deficiency, outcome: gestational diabetes mellitus. The articles used in this study were obtained from four databases, namely PubMed, Google Scholar, Science Direct, and Springer Link, using the search keys "Vitamin D Deficiency"[Mesh] OR “Vitamin D Deficiency”[tw] AND "Diabetes, Gestational" [Mesh] OR “Gestational Diabetes Mellitus”[tw] OR “Gestational Diabetes”[tw]. The included article is a full-text cohort study design from 2018 to 2022 and reports the adjusted odds ratio (aOR) in a multivariate analysis. The selection of articles is done using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 9 cohort studies involving 42,972 pregnant women from the continents of Asia, Australia and Europe were used in the meta-analysis. Pregnant women with vitamin D deficiency had a risk of gestational diabetes mellitus 1.87 times compared to those without vitamin D deficiency (aOR= 1.87; 95% CI= 1.27 to 2.75; p= 0.002). Conclusion: Vitamin D deficiency increases the risk of developing gestational diabetes mellitus. Keywords: vitamin D deficiency, gestational diabetes mellitus, pregnancy Correspondence:Dian Handayani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Central Java, Indonesia. Email: dianhan1812@gmail.com. Mobile: +6285876686231.
Meta Analysis: Effects of Household Size, Maternal Education, and Family Income on Stunting Wahyuni, Septa Decelita; Murti, Bhisma; Adriani, Rita Benya
Journal of Epidemiology and Public Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.03.04

Abstract

Background: Nutrition is a requirement for every toddler. Inadequate nutritional intake will cause stunting problems. Stunting is a condition of failure to thrive in children where toddlers are shorter in age. This study aims to examine the effect of the number of family members, mother's education and family income on stunting by using meta-analysis. Subjects and Method: This was a systematic review and meta-analysis. Population was infants aged 6-59 months. Intervention: high number of family members, high mother's education, high family income. Comparison: low number of family members, low mother's education and low family income. Outcome: stunting. The online databases used are PubMed, Google Scholar, springerlink, and Science Direct with the keywords Stunting AND (“Family Size OR “Household Size”) AND (“Maternal Education” OR “Mother's Education”) AND “Wealth Status” OR “Household income”) AND “Cross sectional” AND aOR. There were 13 published cross-sectional studies from 2016-2022 that met the inclusion criteria. Analysis was performed using RevMan 5.4. Results: A meta-analysis was carried out on 13 articles with a cross-sectional study design originating from Ethiopia, Nigeria and Zambia and involving 63,888 aged 6-59 months. The results of the meta-analysis show that toddlers with a high number of family members have a risk of stunting 1.43 times compared to a low number of family members (aOR = 1.43; 95% CI = 1.17 to 1.75; p<0.001), toddlers with low maternal education can reduce stunting 0.65 times compared to mothers with high education (aOR= 0.65; 95% CI= 0.48 to 0.88; p= 0.005) and toddlers with low family income can reduce the risk of stunting 0.53 times compared to high family income (aOR= 0.53; 95% CI= 0.47 to 0.59; p<0.001). Conclusion: Toddlers with a high number of family members can increase the risk of stunting while high maternal education and low family income can reduce the risk of stunting. Keywords: number of family members, mother's education, family income, stunting Correspondence:Septa Decelita Wahyuni, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: septadeclita@gmail.com. Mobile: +6281373083322.
Meta-Analysis of the Effects of Sleep Duration, Exercise, and Family Income on Obesity in Children Hanifah, Hanifah; Dewi, Arddha Maha Pawitra Dwi Puspita; Yuhanani, Arinda Mukti; Sastrawijayah, Jemmi; Murti, Bhisma; Munawaroh, Siti Mar’atul
Journal of Epidemiology and Public Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.03.06

Abstract

Background: Obesity is still one of the problems in Indonesia. The obesity problem has grown into an epidemic, with more than 4 million people dying each year. Factors causing obesity such as lifestyle, lack of physical activity, poor diet habits, low family income, sleep duration, and others. This study aims to estimate the effect of sleep duration, exercise, and family income on obesity in children. Subjects and Method: A systematic review and meta-analysis were conducted using PRISMA guidelines and the PICO model. Population= children of 2-18 years. Intervention= short sleep duration, exercise, and high family income. Comparison= long sleep duration, no exercise, and low family income. Outcome= Obesity. Articles were collected from databases such as Google Scholar, PubMed, Science Direct, and ResearchGate. The literature search used the keywords “family income" AND “exercise” AND "sleep duration" AND “obesity” AND “children” AND "cross-sectional". A total of 19 articles met the inclusion criteria for the meta-analysis, and subsequently were assessed using RevMan 5.4. Results: A meta-analysis of studies from Japan, Korea, Ethiopia, China, Morocco, Saudi Arabia, and Ghana showed that children with short sleep duration (aOR= 1.83; CI 95%= 1.22 to 2.73; p= o.003), children with high family income (aOR= 1.18; CI 95%= 1.03 to 1.36; p= 0.020) could increase the incidence of obesity, and those results were statistically significant. Exercise can reduce the incidence of obesity in children, but this risk of reduction was not statistically significant (aOR= 0.80; CI 95%= 0.59 to 1.09; p= 0.15o). Conclusion: Short sleep duration and high family income increase the incidence of obesity in children, and these results are statistically significant. Exercise decreases the incidence of obesity in children, but the risk of decline is not statistically significant. Keywords: family income, exercise, sleep duration, obesity, children Correspondence: Hanifah. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: hanifah1611@gmail.com. Mobile: +6281226829788.

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