ABSTRAKPenyakit jantung koroner merupakan pembubuh utama di negara maju maupun
negara berkembang. Salah satu faktor risiko utama penyebab arterosclerosis adalah
hiperkolesterolemia yang ditunjukkan dengan peningkatan kadar kolesterol LDL.
Perubahan pola hidup yang ditandai dengan kurangnya mengkonsumsi buah dan
sayuran serta banyak mengkonsumsi makanan yang tinggi lemak, merupakan salah
satu risiko terjadinya peningkatan kadar kolesterol LDL. Penelitian ini bertujuan
untuk mengetahui hubungan asupan serat dengan kadar kolesterol LDL penduduk
usia 25-65 tahun di Kelurahan Kebon Kalapa Bogor tahun 2013. Penelitian dilakukan
dengan desain cross sectional menggunakan data baseline Studi Kohor Faktor Risiko
Penyakit Tidak Menular Badan Litbangkes tahun 2011. Analisis multivariate
menggunakan regresi logistik. Hasil analisis data diperoleh proporsi kolesterol LDL
tinggi sebesar 78.3% dengan rata-rata kadar kolesterol 120 mg/dl. Rata-rata asupan
serat sebesar 7 gram/hari dengan proporsi asupan serat <6.6 gram/hari sebesar 50.5%.
Hasil multivariate menunjukkan asupan serat rendah merupakan faktor protektif (OR
= 0.182) terhadap kadar kolesterol LDL tinggi setelah dikontrol oleh variabel umur,
asupan lemak dan asupan protein nabati. Faktor determinan dalam model ini terhadap
kadar kolesterol LDL adalah asupan protein nabati (OR = 13.356). Model ini mampu
memprediksi kejadian kadar kolesterol LDL sebesar 79.4% dan sisanya dipengaruhi
oleh variabel lain yang tidak tercantun didalam model. Dengan melakukan
penyuluhan akan pentingnya mengkonsumsi makanan yang banyak mengandung
serat merupakan salah satu upaya pencegahan terjadinya penyakit yang berhubungan
dengan arterocslerosis. Merubah pola makan dengan memperbanyak konsumsi buah
akan mengurangi kadar kolesterol LDL dalam darah.
ABSTRACTCoronary heart disease considers as one of the major killers both in developed
and developing countries. One of the main risk factors that caused artherosclerosis is
hypercholesterolemia which indicates by elevated LDL cholesterol level. Life style
changing by lack of consuming fruits and vegetables while excess in consuming food
high in fat content considered one of risk to have elevated cholesterol level. The aim
of this research is to identify the relationship between fiber consumption and the
content of LDL cholesterol for the people of 25-65 years of age at Kebon Kelapa
Village in Bogor on the Year of 2013. The research is conducted by Cross Sectional.
The analytic design utilizes the baseline data from Cohort Study of Contagious
Disease Risk Factors of the Research and Development of Health Agency of the
Republic of Indonesia in the year of 2011. Stratification is used in analyzing data and
cog regression is utilized in multivariate analysis. The analysis of the result obtained
that the prevalence of LDL cholesterol is 78.3% with the average of cholesterol
content 120 mg/dl. The average of daily fiber consumption is 7 gram/day with the
proportion of fiber consumption <6.6 gram/day is 50.5%. The result of multivariate
analysis indicates that low fiber consumption considers as a protective factor
(OR=0.182) toward high level of LDL cholesterol level after having controlled by
such variables as age, consumptions of fat and vegetable protein. Determinant factor
in this model toward LDL cholesterol content is the consumption of vegetable protein
(OR=13.356). This model has the ability to predict in experiencing LDL cholesterol
level 79.4% and the remaining would be influenced by other factors that have not
written down in the model. By educating the community about the important of
consuming high fiber foods consider as one of the effort to prevent the occurrence of
diseases relate with artherosclerosis. Changing the eating pattern by consuming more
fiber will decrease the content of cholesterol level in the blood