Konsumsi lemak total, lemak jenuh, dan kolesterol sebagai faktor risiko sindroma metabolik pada masyarakat perkotaan di Denpasar
Ni Komang Wiardani(1*), Pande Putu Sri Sugiani(2), Ni Made Yuni Gumala(3)
(1) Jurusan Gizi Poltekes Denpasar
(2) Jurusan Gizi Poltekes Denpasar
(3) Jurusan Gizi Poltekes Denpasar
(*) Corresponding Author
Abstract
Background: Metabolic syndrome is a health problem with its prevalence increasing in the worldwide. It is characterized by a group metabolic factor including abdominal obesity, dyslipidemia, elevated blood pressure and insulin resistance. Metabolic syndrome affected by changes in lifestyle and unhealthy dietary patterns with high cholesterol, saturated fatty acid and trans fatty acid.
Objective: The study conducted to know relationship between fat consumption with metabolic syndrome among adult people in Denpasar city.
Method: The case control study designed was applied. The cases were adult people who had metabolic syndrome, and the control was healthy people from the case-neighboring household. Total subject were 130, taken by consecutive sampling: 65 cases and 65 controls. The subject identity, fat intake, waist circumference, blood pressure and fasting blood sugar were collected. The food frequency questionnaire (FFQ) was used to measure fat consumption and blood glucose test meter for measuring fasting blood sugar. Mantel Haenzel statistic analysis were used to test the association of fat intake with metabolic syndrome.
Result: The study showed that means of syndrome metabolic component in case higher than control (p<0.05). Waist circumference in case was 97.23 cm, blood pressure was 141.4/93.3 mmHg, fasting blood glucose was 132 mg/dl. There were significant difference between intake fat total, cholesterol, saturated fatty acid (SAFA) and frequency of intake in case and control (p<0.05). Intake fat on cases were fat total 85.5% >25% energy total/day, SAFA 90.8% >10%, cholesterol 55.4% >300 mg/day. Odd Ratio Mantel Haenzel analysis showed that fat consumption (fat total, cholesterol and frequency consumption of fat were risk factor to metabolic syndrome (OR >1)).
Conclusion: There was significant relations between fat consumption (fat total cholesterol, SAFA, frequency of fat consumption) with metabolic syndrome among adult people for Denpasar City.
Keywords
Full Text:
PDFReferences
Nursanyoto H, Yuni G, Suiraoka. Dampak pergeseran pola konsumsi terhadap derajat kesehatan dalam konteks dinamika variabel demografi masyarakat perkotaan di Denpasar. Jakarta: Depkes RI; 1999.
Satoto. Kegemukan, obesitas dan penyakit degeneratif: epidemiologi dan strategi penanggulangan dalam FG Winarno. Prosiding Widya Karya Pangan Dan Gizi VI. Jakarta: LIPI; 1998.
Esmaillzadeh A, Mosug KFB, Willet W. Dietary pattern, insulin resistance and prevalence of the metabolic syndrome in women. Am J Clin Nutr 2007; 85: 910-8.
Mayo Clinic. Metabolic syndrome [serial online] 2007 [cited 2009 Feb 20]. Avalaible from: http://www.mayoclinic.com.
Badan Penelitian dan Pengembangan Kesehatan Depkes RI. Laporan hasil riset kesehatan dasar (Riskesdas) [serial online] 2007 [cited 2010 Des 2]. Available from http://www.dostoc.com/18707850. Laporan Hasil Riset Kesehatan Dasar 2007.
Gotera W. Studi epidemiologis obesitas sentral dan sindrome metabolik pada penduduk desa dan kota di Bali. Majalah Penyakit Dalam 2003; 4(3).
Waspadji S. Diabetes mellitus: mekanisme dasar dan pengelolaan yang rasional. dalam: penatalaksanaan diabetes mellitus terpadu cet 3. Jakarta: Pusat Diabetes dan Lipid RSUP Nasional Cipto Mangunkusuma dan FKUI; 2007.
Klein S, Sheard NF, Sunyer XP, Daly A, Rosett JW, Kulkarni K, Clark NG. Weight management trought life style modifcation for prevention and management type 2 diabetes. Am J Nutr 2004; 80:257-63.
Dewi IGASK, Pramantara IDP, Pangastuti R. Pola makan berhubungan dengan sindrom metabolik pada lanjut usia di Poliklinik Geriatri RSUP Sanglah Denpasar. Jurnal Gizi Klinik Indonesia 2010; 6(3):105-13.
Sudarminingsih S, Lestariana W, Susetyowati. Hubungan pola makan dengan sindroma metabolik pada karyawan PT.Unocal Oil Company di offshore Balikpapan Propinsi Kalimantan Timur. Jurnal Gizi Klinik Indonesia 2007; 4(2):63-8.
Sastroasmoro, S. Dasar-dasar metodologi penelitian klinis edisi II. Jakarta: Sugeng Seto; 2002.
Arifn A. Obesitas visceral dan sindroma metabolik. Prosiding Pertemuan Ilmiah Nasional Dietetik II. Bandung: ASDI; 2005.
Soegondo S, Gustaviani R. Sindroma metabolik buku ajar ilmu penyakit dalam II. Jakarta: FK UI; 2006.
Reaven, Gerad M. The metabolic syndrome: is this diagnosis necessary. J Am Clin Nutr 2006; 83:1237- 47.
Rolfes SR, Kathryn P, Ellie W. Understanting normal and clinical nutrition. New York: Thomson Wadsworth; 2004.
Tomisaka K, Lako J, Maruyama C, Anh NTL, Lien DTK, Khoi H, Chuyen VN. Dietary pattern and risk factor for type 2 diabetes mellitus in Fijian, Japanese, Vietnamese populations. Asia Pacific J Clin Nutr 2002; 11(1):8-12.
WHO. Facts related to chronic disease: non communicable disease prevention and health promotion [serial online] 2003 [cited 2005 Apr 14]. Available from: http://www.who.int.
Mathur R. Metabolic sindrome [serial online] 2009 [cited 2009 Feb 20]. Avalaible from: http//:www.medecin.com.
DOI: https://doi.org/10.22146/ijcn.17751
Article Metrics
Abstract views : 12543 | views : 24426Refbacks
- There are currently no refbacks.
Copyright (c) 2017 Jurnal Gizi Klinik Indonesia (The Indonesian Journal of Clinical Nutrition)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.