Pola makan berhubungan dengan sindrom metabolik pada lanjut usia di Poliklinik Geriatri RSUP Sanglah Denpasar
IGA Sagung Kusuma Dewi(1*), I Dewa Putu Pramantara(2), Retno Pangastuti(3)
(1) Instalasi Gizi RSUP Sanglah Denpasar, Bali
(2) Bagian Penyakit Dalam RSUP Dr. Sardjito
(3) Instalasi Gizi RSUP Dr. Sardjito
(*) Corresponding Author
Abstract
Background: Food intake is a factor determining health status and risk for degenerative diseases including metabolic syndrome. The fundamental function of someone’s nutritional status in the process of the emergence of generative disease and metabolic syndrome can be identified through the effect of food to the prevalence of obesity, hypertension, dyslipidemia or glucose tolerance disorder.
Objective: To identify the association between eating pattern and the prevalence of metabolic syndrome among the elderly at Geriatric Polyclinic of Sanglah Hospital Denpasar.
Method: The study was analytic observational with matched case control study design using ratio 1:1. There were 80 samples consisting of 40 as control group and 40 as cases matched by age and gender. Eating pattern was identified through food frequency questionnaire and calculated and compared to the need. Statistical analysis used chi square and risk factors were measured using odds ratio (OR). Multivariate analysis used double logistic regression to find out risk factors dominantly affected metabolic syndrome.
Result: The result of bivariate statistical test showed significant difference in the prevalence of metabolic syndrome (p < 0.05) for energy intake (OR: 9.1; CI95%: 1.9-43.8), protein (OR: 3.8; CI95%: 1.5-9.7), fat (OR: 3.8; CI95%: 1.1-13.2), carbohydrate (OR:11.4; CI95%: 2.3-54.2). The result of multivariate analysis showed that the variables having dominant risk and significant difference in the prevalence of metabolic syndrome were carbohydrate consumption (OR: 8.1; CI95%: 1.29–50.89), fat consumption (OR: 4.9; CI95%: 1.17-20.61) and protein consumption (OR: 3.9; CI95%: 1.27-12.30).
Conclusion: There was difference in eating pattern, i.e. high consumption of carbohydrate, fat and protein which became risk factor for the prevalence of metabolic syndrome among the elderly at Geriatric Polyclinic of Sanglah Hospital Denpasar.Keywords
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Rochmah W. Diabetes Mellitus pada Usia Lanjut. In: Sudoyo AW, Setyohadi, B, Alwi I, Simadibrata K, Setiati S, et al. Buku Ajar Ilmu Penyakit Dalam. Jakarta: FKUI; 2006. p.1915–17.
Hardywinoto, Setiabudhi T. Panduan Gerontologi Tinjauan dari Berbagai Aspek. Jakarta: PT Gramedia Pustaka Utama; 1999.
Adam JMF Dislipidemia pada Sindroma Metabolik. Makalah Pertemuan Ilmiah Nasional Ilmu Penyakit Dalam Konkernas PAPDI X, 29 April–1 Mei 2005; Banjarmasin, Indonesia.
Dinarto M. Nutrisi Pada Usia Lanjut. In: Sastroamidjoyo S, Lestiani L. Pegangan Penatalaksanaan Nutrisi Pasien. Jakarta: Perhimpunan Dokter Gizi Medik Indonesia; 2000. p. 116.
Satoto Karjati S, Darmojo B, Tjokroprawiro A, Kodhyat BA. Kegemukan, Obesitas dan Penyakit Degeneratif: Epidemiologi dan Strategi Penanggulangannya. In: Winarno FG. Prosiding Widyakarya Nasional Pangan dan Gizi VI: 17 Februari 1998, Jakarta: LIPI; 1998.
Nilsson I G, Gherman S, Dey D K, Kennerfalk A, Steen. Prevalence of Metabolic Syndrome in an Elderly Swedish population. Acta Diabetol 2006; 43: 120-6.
Janus E D, Laatikainen T, Dunbar J A, Kilkkinen A, Bunker S J, Philpot B, et al. Overweight, Obesity and Metabolic Syndrome in Rural Southeastern Australia. MJA 2007; 187 (3): 147–152.
Nasution I R, Setiati S, Trisnohadi H B, Oemardi M. Gambaran Resistensi Insulin dan Sindroma Metabolik pada Perempuan Usia Lanjut di Panti Werda. Naskah Lengkap Health and Longevity Objecting to Successful Aging. Konkernas IV Pergemi: 19 Agustus 2005, Bali, Indonesia. p.158–66.
Tjokroprawiro A. New Approach in the treatment of T2 DM and Metabolic Syndrome. Ind Intern Med 2006; 38:166–66.
Prabowo F, Jim E, Langi Y, Rupang JM. Sindroma Metabolik pada Usia Lanjut di Minahasa. Naskah Lengkap Health and Longevity Objecting to Successful Aging. Konkernas IV Pergemi; 2005 Aug 19; Bali, Indonesia. p. 210-14.
Artana IGN B, Astika N, Kuswardhani T. Obesity in Elderly Among Geriatric Outpatients of Sanglah Hospital Denpasar. Naskah Lengkap Health and Longevity Objecting to Successful Aging. Konkernas IV PERGEMI; 2005 Aug 19; Bali, Indonesia. p. 220-33.
RSUP Sanglah Denpasar. Laporan Tahunan Poli Geriatri RSUP Sanglah Denpasar Tahun 2006. Denpasar: RSUP Sanglah; 2006.
RSUP Sanglah Denpasar. Laporan Tahunan Poli Geriatri RSUP Sanglah Denpasar Tahun 2007. Denpasar: RSUP Sanglah; 2007.
Tim Geriatri Terpadu. Buku Laporan Kesehatan Lanjut Usia. Denpasar: Instalasi Geriatri RSUP Sanglah Denpasar.
Sastroasmoro S, Ismael S. Dasar- Dasar Metodologi Penelitian Klinis. Bagian Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Indonesia. Jakarta: Binarupa Aksara; 2002.
Wiardani K. Pola Makan dan Obesitas sebagai Faktor Risiko Diabetes Mellitus tipe 2 di RSUP Sanglah Denpasar. Tesis. Universitas Gajah Mada; 2005.
Putri A. Tetap Sehat di Usia Lanjut. Yogyakarta: Genius Printika; 2009.
Cahyono JBSB. Gaya Hidup dan Penyakit Modern. Yogyakarta: Kanisius; 2008.
Isdiany, Widartika. Faktor Gaya Hidup dan Terjadinya Sindrom Metabolik. Makalah Pertemuan Ilmiah Nasional (PIN) ke III; 19 Juli 2007; Semarang.
Asdie AH. Patogenesis dan Terapi Diabetes Mellitus Tipe 2. Yogyakarta: Medika FK UGM; 2000.
Gross LS, Li Li, Ford ES, Liu S. Increased Consumption of Refined Carbohydrates and The Epidemic of type 2 Diabetes in The United States : An Ecologic Assessment. Am J Clin Nutr 2004; 79: 774-9.
Karyadi E. Hidup Bersama Penyakit Hipertensi, Asam Urat, Jantung Koroner. Jakarta: PT Intisari Mediatama; 2002.
Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azdbakht L, Hu FB, Willett WC. Dietary patterns, Insulin Resistance and Prevalence of The Metabolic Syndrome in Woman. Am J Clin Nutr 2007; 85: 910-8.
Lutsey PL, Steffen LM, Stevens J. Dietary Intake and the Development of the Metabolic Syndrome. The Atherosclerosis Risk in Communities Study. Circulation 2007; 117: 754-61.
Freire RD, Cardoso MA, Gimeno SGA, Ferreira SRG. Dietary Fat Is Associated With Metabolic Syndrome in Japanese Brazilians. Diabetes Care 2005; 28: 1779-85.
Hartono A. Terapi Gizi dan Diet Rumah Sakit. Jakarta: Penerbit Buku Kedokteran; 2006.
Wannamethee S, Goya Shaper G, Whincup PH. Modifiable Lifestyle Factors and the Metabolic Syndrome in Older Man : Effects of Lifestyle Changes. JAGS 2006; 54:1909–14.
Sudibyo K, Istanti R. Perencanaan Makan untuk Diabetes Berpuasa di Bulan Ramadhan. Media Dietetik Edisi Khusus. Jakarta; 2002.
Lairon D, Arnault N, Bertrais S, Planells R, Clero E, Herberg S, et al. Dietary Fiber Intake and Risk Factors for Cardiovascular Disease in French Adults. Am J Clin Nutr 2005; 82: 1185-94.
Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azdbakht L, Hu FB, Willett WC. Fruit and Vegetable Intakes, C Reactive Protein and The Metabolic Syndrome. Am J Clin Nutr 2006; 84:1489-97.
Brien SE, Katzmarzyk PT. Physical Activity and The Metabolic Syndrome in Canada. Appl Physiol Nutr Metab 2006; 31: 40-7.
DOI: https://doi.org/10.22146/ijcn.17718
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