Gaya Hidup dan Hipertensi Pada Lanjut Usia di Kecamatan Kasihan Bantul Yogyakarta

Life style plays important role toward emerging chronic diseases including hypertension. This is an observationanalytical research using cross-sectional design. It was 100 respondents in the research obtained using Slovin formula from 9887 population. Stratified random sampling and simple random sampling were assigned to select sample. Variables were measured with FFQ (food frequency questionnaire), International Physical Activity Questionnaire, and Smoking Questioner. Data was analyzed using Chi-Square and the result was junk food consumption leading to 4 times risk for hypertension (OR, 4,083). In addition, sedentary behavior (p 0.004) and smoking (p 0.001) were significant factors to lead hypertension for older people. Conclusion, junk food, sedentary behavior, and smoking habits can be the risk factors of hypertension. Thus, it is imperative to develop health promotion program focusing on the changing life style for aged group

Paparan iklan junk food dan pola konsumsi junk food sebagai faktor risiko terjadinya obesitas pada anak sekolah dasar kota dan desa di Daerah Istimewa Yogyakarta

ABSTRACTBackground: Increasing prevalence of obesity may be caused by junk food advertised while children are watching television.Preference for foods requested by the children is much infl uenced by junk food advertisement, so that it can affect calori intakeand correlates with obesity. Obesity in children can cause obesity during adulthood and may increase the risk of degenerativedisease, like diabetes and cardiovascular.Objective: To analyze the level of risk exposure to junk food advertising and junk food consumption on the incidence of obesityin primary school children in elementary school children at the area of Yogyakarta Municipality and District of Bantul.Method: This study was an observational study with case-control design. The study population was elementary school childrenin the City of Yogyakarta and Bantul Regency. Cases were elementary school children who were obese, while the controlswere children who were not obese and sat closest the cases regardless of age and sex. Number of subjects for each groupwere 244 (1:1). Obesity was defi ned as BMI / U>95th percentile curves NCHS/CDC. Sampling to fi nd obesity with probabilityproportional to size (PPS) and sampling for cases and controls using random sampling techniques. Univariate analysis ofthe data using frequency distributions, bivariate analysis using Chi-square, and multivariate analysis using multiple logisticregression. Data were analyzed using STATA 11 program with a 95% signifi cance level and nutrisurvey.Result: Bivariate analysis using Chi Square shows the variables that infl uence the incidence of obesity, such as junkfood ads exposure (OR=1.70, 95%CI: 1.17-2.48, and p=0.004), junk food energy intake (OR=1.58, 95%CI:  1.08-2.32and p=0.01), intake of saturated fat junk food (OR=1.74, 95%CI: 1.18-2.56 and p=0.004), sodium intake of junk food(OR=1.83, 95%CI: 1.25-2.69 and p=0.001) and sex (OR=0.58, 95%CI: 0.40-0.85 and p= 0.0035). Multivariate analysiswith logistic regression showed that the variables affect obesity is junk food ads exposure (OR=1.63, 95%CI: 1.13-2.36and p <0.05) and sex (OR=0.62, 95% CI:0.43-0.91 and p<0.05).Conclusion : Exposure to junk food advertising can increase the risk of obesity.KEYWORDS: obesity, ads, junk food, energy, saturated fat, natrium, sucroseABSTRAKLatar Belakang: Peningkatan prevalensi obesitas dapat disebabkan oleh iklan makanan junk food ketika anak menontontelevisi. Pemilihan makanan yang diinginkan oleh anak banyak dipengaruhi oleh iklan tersebut, sehingga mempengaruhiasupan kalori dan berkorelasi dengan obseitas. Obesitas pada anak dapat menyebabkan obesitas saat dewasa dandapat meningkatkan risiko penyakit degeneratif, seperti diabetes dan kardiovaskuler.Tujuan: Untuk mengukur tingkat risiko paparan iklan junk food dan konsumsi junk food terhadap   kejadian obesitaspada anak SD di Kota Yogyakarta dan Kabupaten Bantul.Metode: Penelitian ini merupakan penelitian observasional dengan rancangan kasus-kontrol. Populasi penelitian adalah anak SD di Kota Yogyakarta dan Kabupaten Bantul. Kelompok kasus adalah anak yang mengalami obesitas,sedangkan kelompok kontrol adalah teman sekelas yang tidak mengalami obesitas dan duduk paling dekat di sebelahkanan kasus tanpa melihat umur dan jenis kelaminnya Jumlah subjek untuk masing-masing kelompok sebesar 244(1:1). Obesitas didefi nisikan dengan IMT/U>persentil 95th kurva NCHS/CDC. Pengambilan sampel untuk menemukanobesitas dengan probability proportional to size (PPS) dan pengambilan sampel untuk kasus dan kontrol menggunakanteknik random sampling. Analisis univariat menggunakan distribusi frekuensi, analisis bivariat menggunakan Chi-square,dan multivariat menggunakan regresi logistik ganda. Data dianalisis dengan menggunakan program STATA 11 dengantingkat kemaknaan 95% dan nutrisurvey.Hasil: Analisis bivariat dengan Chi-square menunjukkan variabel yang berpengaruh dengan kejadian obesitas, di antaranyapaparan iklan junk food (OR=1,70, 95%CI:1,17-2,48, dan p=0,004), asupan energi junk food (OR= 1,58,  95%CI:1,08-2,32dan p=0,01), asupan lemak jenuh junk food (OR=1,74 95%CI 1,18-2,56 dan p=0,004), asupan natrium junk food (OR=1,83,95%CI:1,25-2,69 dan p=0,001) serta jenis kelamin (OR= 0,58, 95%CI:0,40-0,85 dan p= 0,0035). Hasil analisis multivariatdengan regresi logistik memperlihatkan variabel yang berpengaruh terhadap obesitas adalah paparan iklan junk food (OR=1,63,95%CI:1,13-2,36 dan nilai p <0,05) dan jenis kelamin (OR=0,62, 95%CI:0,43-0,91 dan p<0,05).Kesimpulan: Paparan iklan junk food dapat meningkatkan risiko terjadinya obesitas.KATA KUNCI: obesitas, iklan, junk food, energi, lemak jenuh, natrium, sukros

Validation Study of MyFitnessPal App for the Dietary Assessment among College Students non-English Speakers in Indonesia and Taiwan

Background: Dietary assessment using smartphone could solve problem related nutrition especially among college student in Indonesia and Taiwan. College students tend to choose unhealthy food in new environment that increase obesity risk. Dietary pattern in Taiwan and Indonesia were different so the validity of dietary assessment using smartphone application was important among both country. Monitoring dietary intake using smartphone are accurate, not time consuming, decrease burdensome, and low measurement error. MyfitnessPal (MFP) is a smartphone application which very helpful for monitoring dietary intake even though among non-English speaker country. Objectives: The study aimed to compare the relative validity of smartphone app-based food records (MFP) versus 7-days computer-based food record for assessing energy, macronutrient and micronutrient of Taiwanese and Indonesian College Students. Methods: Indonesian students (n=17) and Taiwanese students (n=9) volunteered and recorded 7-day dietary intake using MFP and 7-days computer-based food record with additional food picture. The values of energy, macronutrients and fiber from MFP were compared with data from food record, calculated using Taiwan and Indonesia food composition software. Comparisons were made between each data set using the Wilcoxon rank test, paired t-test, linear regression, and the Bland-Altman agreement plots. Results: Repeated measures Bland-Altman plots showed good agreement for both methods. These finding showed that among Indonesian and Taiwanese, there was a non-significant difference in energy, macronutrients (protein, carbohydrate, fat) and sodium intake between the two methods. Moreover, some nutrients such as fiber and cholesterol found a significant difference between MFP and 7d food record. Conclusions: MFP showed good relative validity, especially for energy, macronutrients (protein, carbohydrate, fat) and sodium intake. Keyword: Dietary Assessmen

Paparan iklan junk food dan pola konsumsi junk food sebagai faktor risiko terjadinya obesitas pada anak sekolah dasar kota dan desa di Daerah Istimewa Yogyakarta

ABSTRACTBackground: Increasing prevalence of obesity may be caused by junk food advertised while children are watching television.Preference for foods requested by the children is much infl uenced by junk food advertisement, so that it can affect calori intakeand correlates with obesity. Obesity in children can cause obesity during adulthood and may increase the risk of degenerativedisease, like diabetes and cardiovascular.Objective: To analyze the level of risk exposure to junk food advertising and junk food consumption on the incidence of obesityin primary school children in elementary school children at the area of Yogyakarta Municipality and District of Bantul.Method: This study was an observational study with case-control design. The study population was elementary school childrenin the City of Yogyakarta and Bantul Regency. Cases were elementary school children who were obese, while the controlswere children who were not obese and sat closest the cases regardless of age and sex. Number of subjects for each groupwere 244 (1:1). Obesity was defi ned as BMI / U&gt;95th percentile curves NCHS/CDC. Sampling to fi nd obesity with probabilityproportional to size (PPS) and sampling for cases and controls using random sampling techniques. Univariate analysis ofthe data using frequency distributions, bivariate analysis using Chi-square, and multivariate analysis using multiple logisticregression. Data were analyzed using STATA 11 program with a 95% signifi cance level and nutrisurvey.Result: Bivariate analysis using Chi Square shows the variables that infl uence the incidence of obesity, such as junkfood ads exposure (OR=1.70, 95%CI: 1.17-2.48, and p=0.004), junk food energy intake (OR=1.58, 95%CI:  1.08-2.32and p=0.01), intake of saturated fat junk food (OR=1.74, 95%CI: 1.18-2.56 and p=0.004), sodium intake of junk food(OR=1.83, 95%CI: 1.25-2.69 and p=0.001) and sex (OR=0.58, 95%CI: 0.40-0.85 and p= 0.0035). Multivariate analysiswith logistic regression showed that the variables affect obesity is junk food ads exposure (OR=1.63, 95%CI: 1.13-2.36and p &lt;0.05) and sex (OR=0.62, 95% CI:0.43-0.91 and p&lt;0.05).Conclusion : Exposure to junk food advertising can increase the risk of obesity.KEYWORDS: obesity, ads, junk food, energy, saturated fat, natrium, sucroseABSTRAKLatar Belakang: Peningkatan prevalensi obesitas dapat disebabkan oleh iklan makanan junk food ketika anak menontontelevisi. Pemilihan makanan yang diinginkan oleh anak banyak dipengaruhi oleh iklan tersebut, sehingga mempengaruhiasupan kalori dan berkorelasi dengan obseitas. Obesitas pada anak dapat menyebabkan obesitas saat dewasa dandapat meningkatkan risiko penyakit degeneratif, seperti diabetes dan kardiovaskuler.Tujuan: Untuk mengukur tingkat risiko paparan iklan junk food dan konsumsi junk food terhadap   kejadian obesitaspada anak SD di Kota Yogyakarta dan Kabupaten Bantul.Metode: Penelitian ini merupakan penelitian observasional dengan rancangan kasus-kontrol. Populasi penelitian adalah anak SD di Kota Yogyakarta dan Kabupaten Bantul. Kelompok kasus adalah anak yang mengalami obesitas,sedangkan kelompok kontrol adalah teman sekelas yang tidak mengalami obesitas dan duduk paling dekat di sebelahkanan kasus tanpa melihat umur dan jenis kelaminnya Jumlah subjek untuk masing-masing kelompok sebesar 244(1:1). Obesitas didefi nisikan dengan IMT/U&gt;persentil 95th kurva NCHS/CDC. Pengambilan sampel untuk menemukanobesitas dengan probability proportional to size (PPS) dan pengambilan sampel untuk kasus dan kontrol menggunakanteknik random sampling. Analisis univariat menggunakan distribusi frekuensi, analisis bivariat menggunakan Chi-square,dan multivariat menggunakan regresi logistik ganda. Data dianalisis dengan menggunakan program STATA 11 dengantingkat kemaknaan 95% dan nutrisurvey.Hasil: Analisis bivariat dengan Chi-square menunjukkan variabel yang berpengaruh dengan kejadian obesitas, di antaranyapaparan iklan junk food (OR=1,70, 95%CI:1,17-2,48, dan p=0,004), asupan energi junk food (OR= 1,58,  95%CI:1,08-2,32dan p=0,01), asupan lemak jenuh junk food (OR=1,74 95%CI 1,18-2,56 dan p=0,004), asupan natrium junk food (OR=1,83,95%CI:1,25-2,69 dan p=0,001) serta jenis kelamin (OR= 0,58, 95%CI:0,40-0,85 dan p= 0,0035). Hasil analisis multivariatdengan regresi logistik memperlihatkan variabel yang berpengaruh terhadap obesitas adalah paparan iklan junk food (OR=1,63,95%CI:1,13-2,36 dan nilai p &lt;0,05) dan jenis kelamin (OR=0,62, 95%CI:0,43-0,91 dan p&lt;0,05).Kesimpulan: Paparan iklan junk food dapat meningkatkan risiko terjadinya obesitas.KATA KUNCI: obesitas, iklan, junk food, energi, lemak jenuh, natrium, sukrosa</p

Asupan vitamin C berhubungan dengan kadar glukosa darah pada pasien rawat jalan DM tipe 2

ABSTRACKBackground: High sugar levels in people with diabetes mellitus causes changes in the body. One of its detrimental process called oxidation reaction that causes the increased formation of harmful substances called free radicals. Antioxidant vitamin A, C, and E helpful to reduce oxidative damage in people with diabetes mellitus and prevent complications. Objectives: The know relationship intake antioxidant with blood glocuse level outpatient type 2 diabetes mellitus in RSUD Panembahan Senopati Bantul Yogyakarta. Methods: This study was observasional with of cross sectional. The subjects in this study were outpatients with diabetes mellitus type 2 with sampels of 89 respondents. Purposive sampling technique. Data consumption pattern of antioxidant, used semi quantitative food frequency (SQFFQ) laboratories to examination and blood glucose levels. Data analysis used Fisher’s Exact Test. Results: There is significant association between vitamin C intake with blood sugar levels in patients diabetes mellitus the value of p = 0.004. The existence of a no signifi cant association between vitamin E intake with blood sugar levels in patients diabetes mellitus the value of p = 0.073 and there is no signifi cant association between vitamin A intake with blood sugar levels in patients diabetes mellitus the value of p = 0.252. Conclusion: There is a relationship between vitamin C intake with blood sugar levels, while the intake of vitamin A and E are not related to blood sugar levels KEYWORDS: type 2 diabetes mellitus, blood glucose level, vitamin C intake, vitamin A intake, vitamin E intake. ABSTRAK Latar Belakang : Kadar glukosa yang tinggi pada penderita kencing manis/DM menyebabkan berbagai perubahan di dalam tubuh. Salah satu proses merugikan dinamakan reaksi oksidasi yang menyebabkan peningkatan pembentukan zat berbahaya yang disebut radikal bebas. Antioksidan vitamin A,C dan E bermanfaat dapat menurunkan kadar glukosa darah. Tujuan: Untuk mengetahui hubungan antara asupan antioksidan dengan kadar glukosa darah pada pasien rawat jalan DM tipe 2 di RSUD Panembahan Senopati Bantul Yogyakarta. Metode: Penelitian ini bersifat observasional dengan pendekatan cross-sectional. Subyek dalam penelitian ini adalah pasien rawat jalan diabetes melitus tipe 2 dengan jumlah sampel 89 responden. Teknik pengambilan sampel yaitu purposive sampling. Data asupan antioksidan menggunakan semi quantitative food frequency (SQFFQ) dan hasil pemeriksaan laboratorium untuk kadar glukosa darah. Analisis data menggunakan Fisher’s Exact Test. Hasil : Terdapat hubungan yang bermakna antara asupan vitamin C dengan kadar glukosa darah pada pasien diabetes melitus tipe 2 dengan p value 0,004, tidak ada hubungan asupan vitamin E dengan kadar glukosa darah pada pasien diabetes melitus tipe 2 dengan p value 0,073 dan tidak ada hubungan asupan vitamin A dengan kadar glukosa darah pada pasien diabetes melitus tipe 2 dengan nilai p value 0,252. Kesimpulan: Ada hubungan antara asupan vitamin C dengan kadar glukosa darah sedangkan vitamin A dan E tidak ada hubungan dengan kadar glukosa darah. KATA KUNCI: diabetes melitus tipe 2, kadar glukosa darah, vitamin A, vitamin E dan vitamin

Jajanan tradisional jawa meningkatkan kadar gula darah pasien diabetes mellitus tipe 2 rawat jalan di RSUD Panembahan Senopati Bantul

ABSTRACTBackground: Yogyakarta is province in Indonesia with the highest prevalence of diabetes mellitus (DM) (2.6%). Blood sugar levels in diabetic patients tend to be high. One cause of the increase in blood sugar levels is the intake of traditional snacks. Energy intake and sucrose that consist of traditional snacks can increase blood sugar levels in diabetic patients.Objectives: To determine the relationship between the intake of traditional snacks with blood sugar levels among patients with type 2 DM in Panembahan Senopati Bantul Hospital.Methods: This was an observational study with cross sectional design. The study population was all patients with type 2 DM outpatient in Panembahan Senopati Bantul Hospitals. This included 89 samples who meet the inclusion and exclusion criteria. The sampling method was purposive sampling. The patient’s weight was measured by using a digital bathroom scales to the nearest 0.1 kg and height was measured using microtoice to the nearest 0.1 cm assisted by trained enumerators. Data of intake frequency, energy intake, and sucrose from traditional snacks were obtained by using a semi-quantitative food frequency questionnaire (SQFFQ). Data were analyzed using univariate analysis (descriptive) and bivariate (Fisher’s exact test).Results: The analysis Fisher’s exact test showed that there was significant relationship between sucrose intake (p=0.024), energi (p=0.021), and frequency (p=0.046) consumption of traditional snacks with blood sugar levels of patients with type 2 DM in Panembahan Senopati Bantul Hospital.Conclusions: Consumption of traditional snacks had a significant association with the rise in blood sugar levels in patients with type 2 DM.KEYWORDS: traditional snacks, blood sugar levels, diabetes mellitus (DM)ABSTRAKLatar belakang: Prevalensi diabetes mellitus (DM) tertinggi di Indonesia terdapat di DI Yogyakarta (2,6%). Kadar gula darah pada pasien DM cenderung tinggi. Salah satu penyebab kenaikan kadar gula darah yaitu asupan jajanan tradisional. Asupan energi dan sukrosa yang berlebih dari jajanan tradisional dapat meningkatkan kadar gula darah pada pasien DM.Tujuan: Mengetahui hubungan antara asupan jajanan tradisional dengan kadar gula darah pasien DM tipe 2 rawat jalan di RSUD Panembahan Senopati Bantul.Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross sectional. Populasi penelitian adalah semua pasien DM tipe 2 rawat jalan di RSUD Panembahan Senopati Bantul. Sampel penelitian berjumlah 89 orang yang memenuhi kriteria inklusi dan eksklusi. Metode pengambilan sampelyang digunakan yaitu purposive sampling. Berat badan pasien diukur dengan menggunakan timbangan injak digital dengan ketelitian 0,1 kg, sedangkan tinggi badan diukur menggunakan microtoice dengan ketelitian 0,1 cm yang dibantu oleh enumerator terlatih. Data frekuensi asupan, asupan energi dan sukrosadari jajanan tradisional diperoleh menggunakan semi quantitative food frequency questionnaire (SQFFQ). Data dianalisis menggunakan analisis univariat (deskriptif) dan bivariat (fisher’s exact test).Hasil: Hasil analisis Fisher’s exact test menunjukkan terdapat hubungan yang signifikan antara asupan sukrosa (p=0,024), energi (p=0,021), dan frekuensi (p=0,046) konsumsi jajanan tradisional dengan kadar gula darah pasien DM tipe 2 di RSUD Panembahan Senopati Bantul.Kesimpulan: Konsumsi jajanan tradisional memiliki hubungan yang signifikan dengan kenaikan kadar gula darah pada pasien DM tipe 2.KATA KUNCI : jajanan tradisional, kadar gula darah, diabetes mellitus (DM)</p