Risk factors of non-communicable diseases among productive age in Universitas Pasundan: a cross-sectional study

Sitti Khadijah Rakhmania(1*), Shellita Melanie Astuti Setiawan(2), Dimaz Rafly Inzaghi(3)
(1) Faculty of Medicine, Universitas Pasundan
(2) Faculty of Medicine, Universitas Pasundan
(3) Faculty of Medicine, Universitas Pasundan
(*) Corresponding Author
Abstract
Introduction: Non-communicable diseases (NCDs) remain the leading cause of death in Indonesia, including in Bandung City, where hypertension, heart disease, and stroke are the highest causes of mortality. Recently, the prevalence of NCDs has increased, frequently ranking among the top ten diseases reported in primary healthcare centres in Bandung. Furthermore, the epidemiological trend for NCDs has shifted from predominantly affecting older adults to increasingly affecting the productive age group. However, Indonesia still lacks research on NCD risk factors specifically within the productive age group, including in higher education populations where many individuals in this age group are present.
Methods: This study aims to describe NCD risk factors in the productive age group (15-59 years), based on NCD risk factor screening data from the total sampling of 333 students and staff at Universitas Pasundan.
Results: According to the data, 42.6% of respondents were in the pre-hypertension category and 5.4% already had hypertension, 36.6% had excessive body mass index (BMI), and 26.1% had central obesity. High blood pressure and central obesity were more prevalent in males, while excessive BMI was more prevalent in females. It was also found that 54.4% of respondents were exposed to cigarette smoke, 52.9% had insufficient physical activity, 49.8% consumed excessive sugar, 58.6% consumed excessive salt, 50.5% consumed excessive fat, and 57.4% had insufficient vegetable and fruit intake. Excessive consumption of sugar, salt, and fat was more prevalent in females.
Conclusion: The study found that productive age population has a high risk of developing NCDs. Immidiate interventions are needed especially for at-risk populations, together with bolstering preventive and promotional efforts for those not yet at risk. The university should schedule regular annual screenings targeting a broader and more representative sample.
Keywords
Full Text:
PDFReferences
1. WHO. Non-Communicable Diseases Country Profiles 2018. World Health Organization. 2018. Available from : https://iris.who.int/bitstream/handle/10665/274512/9789241514620-eng.pdf
2. CDC. Overview of Noncommunicable Diseases and Related Risk Factors. Centers for Disease Control and Prevention. Available from : https://www.cdc.gov/globalhealth/healthprotection/fetp/training_modules/new-8/overview-of-ncds_ppt_qa-revcom_09112013.pdf
3. WHO. Noncommunicable diseases. World Health Organization. 2023. Available from : https://www.who.int/health-topics/noncommunicable-diseases#tab=tab_2
4. Profil Kesehatan Kota Bandung. 2022. Dinas Kesehatan Kota Bandung. Available from: https://dinkes.bandung.go.id/download-category/profil-kesehatan/
5. Siswati T, Paramashanti BA, Rialihanto MP, Waris L. Epidemiological transition in Indonesia and its prevention: A narrative review. J Complement Altern Med Res. 2022 May 20;18(1):50-60. DOI: 10.9734/JOCAMR/2022/v18i130345
6. Kemenkes. Hasil Utama Riskesdas 2018. Kementerian Kesehatan Republik Indonesia. 2018. Available from : https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
7. Asturiningtyas IP, Ashar H, Purwoko S, Annashr NN. Non-Communicable Disease Morbidity Among Young Adults: A Cross-Sectional Study in Indonesia. Al-Sihah: The Public Health Science Journal. 2023 Jun 29;63–74. DOI: https://doi.org/10.24252/al-sihah.v15i1.33605
8. Sarma PS, Sadanandan R, Thulaseedharan JV, Soman B, Srinivasan K, Varma RP, et al. Prevalence of risk factors of non-communicable diseases in Kerala, India: Results of a cross-sectional study. BMJ Open. 2019 Nov 1;9(11). DOI: https://doi.org/10.1136/bmjopen-2018-027880
9. Peters, R., Ee, N., Peters, J., Beckett, N., Booth, A., Rockwood, K., & Anstey, K. J. (2019). Common risk factors for major noncommunicable disease, a systematic overview of reviews and commentary: the implied potential for targeted risk reduction. Sage Journals. 2019;10. DOI: https://doi.org/10.1177/2040622319880392
10. Ihyauddin Z, Marthias T, Anindya K, Ng N, Dewi FST, Hulse ESG, et al. The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample. BMC Health Serv Res. 2022 Dec 1;22(1). DOI: https://doi.org/10.1186/s12913-022-08546-6
11. Yuniati F, Kamso S. Assessing the Quality of Life Among Productive Age in the General Population: A Cross-Sectional Study of Family Life Survey in Indonesia. Asia Pac J Public Health. 2021 Jan 1;33(1):53–9. DOI: https://doi.org/10.1177/1010539520956411
12. Jakovljevic M, Jakab M, Gerdtham U, McDaid D, Ogura S, Varavikova E, et al. Comparative financing analysis and political economy of noncommunicable diseases. Journal of Medical Economics. Taylor and Francis Ltd; 2019;22(8):722–7. DOI: https://doi.org/10.1080/13696998.2019.1600523
13. Agustina, F., Harmendo, H., & Rizkiah, F. Faktor-faktor yang berhubungan dengan rendahnya kunjungan ke Posbindu Penyakit Tidak Menular (PTM. Jurnal Penelitian Perawat Profesional, 6(5), 1865-1878. (2024). Available from: http://jurnal.globalhealthsciencegroup.com/index.php/JPPP
14. McKenzie JF, Neiger BL, Thackeray Rosemary. Planning, implementing, & evaluating health promotion programs. Jones & Bartlett Learning, 2022. Chapter 8: Intervensions. p.193–225.
15. Buku Monitoring Faktor Risiko Penyakit Tidak Menular. 2013. Kementerian Kesehatan Republik Indonesia (KEMENKES-RI). Available from: https://p2ptm.kemkes.go.id/uploads/2016/10/Buku-Monitoring-Faktor-Risiko-Penyakit-Tidak-Menular.pdf
16. Srour B, Fezeu LK, Kesse-Guyot E, Allès B, Méjean C, Andrianasolo RM, et al. Ultra-processed food intake and risk of cardiovascular disease: Prospective cohort study (NutriNet-Santé). The BMJ. 2019;365. DOI: https://doi.org/10.1136/bmj.l145
17. Perak AM, Ning H, Khan SS, Bundy JD, Allen NB, Lewis CE, et al. Associations of Late Adolescent or Young Adult Cardiovascular Health With Premature Cardiovascular Disease and Mortality. J Am Coll Cardiol. 2020 Dec 8;76(23):2695–707. DOI: https://doi.org/10.1016/j.jacc.2020.10.002
18. Sukmawati S, Yuwono DK, Galenso N, Wijianto W. Early Non-Communicable Disease Risks Detection in College Student. Mattawang: Jurnal Pengabdian Masyarakat. 2022 Nov 9;3(4):473–7. DOI: https://doi.org/10.35877/454RI.mattawang1294
19. Supriyati S, Wicaksana AL, Sundari E, Pangastuti HS, Dewi FST. Why do we need to empower university staffs and students for tackling the non-communicable diseases? Journal of Community Empowerment for Health. 2021 Jul 29;4(2):80. DOI: https://doi.org/10.22146/jcoemph.61619
20. Siswati T, Margono, Husmarini N, Purnamaningrum YE, Paramashanti BA. Health-promoting university: the implementation of an integrated guidance post for non-communicable diseases (Posbindu PTM) among university employees. Glob Health Promot. 2022 Sep 1;29(3):31–9. DOI: https://doi.org/10.1177/17579759211021363
21. Survey Kesehatan Indonesia (SKI). 2023. Badan Kebijakan Pembangunan Kesehatan. Kementerian Kesehatan Republik Indonesia (KEMENKES-RI). Available from: https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/
22. Yang L, Magnussen CG, Yang L, Bovet P, Xi B. Elevated blood pressure in childhood or adolescence and cardiovascular outcomes in adulthood: a systematic review. Hypertension. 2020 Apr;75(4):948-55. DOI: https://doi.org/10.1161/HYPERTENSIONAHA.119.14168
23. Ok I, Owoaje A, Oa. Non communicable disease and risky behaviour in an urban university community Nigeria. African Health Sciences. 2013;13(1):62–67. DOI: https://doi.org/10.4314/ahs.v13i1.9
24. Rahamathulla M P, Mohemmed S M. Frequency and awareness of risk factors of non-communicable diseases among university students in Saudi Arabia. Pak J Med Sci. 2020 May-Jun;36(4):740–5. DOI: http://dx.doi.org/10.12669/pjms.36.4.2400
25. Nasution HS, Ridwan M, Wisudariani E. Pembentukan POSBINDU Penyakit Tidak Menular Institusi Dalam Mendukung Kampus Sehat. JMM (Jurnal Masyarakat Mandiri). 2023 Apr 9;7(2):1619. DOI: https://doi.org/10.31764/jmm.v7i2.13928
26. Marthias T, Anindya K, Ng N, McPake B, Atun R, Arfyanto H, et al. Impact of non-communicable disease multimorbidity on health service use, catastrophic health expenditure and productivity loss in Indonesia: A population-based panel data analysis study. BMJ Open. 2021 Feb 17;11(2). DOI: https://doi.org/10.1136/bmjopen-2020-041870
27. Malkin J, Finkelstein E, Baid D, Alqunaibet A, Almudarra S, Herbst CH, et al. Impact of noncommunicable diseases on direct medical costs and worker productivity, Saudi Arabia. Eastern Mediterranean Health Journal. 2022 Apr 1;28(4):296–301. DOI: https://doi.org/10.26719/emhj/22.015
28. Endarti AT, Handito A. The Relationship between Non-Communicable Diseases History and Health-Related Quality of Life. Jurnal Kesehatan Masyarakat. 2016 Sep 15;12(1). DOI: https://doi.org/10.15294/kemas.v12i1.4853

Article Metrics


Refbacks
Copyright (c) 2025 Journal of Community Empowerment for Health

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.