[ABSTRAK
Prevalensi obesitas di Indonesia menunjukkan peningkatan yang bermakna daritahun ke tahun, termasuk di dalamnya prevalensi obesitas sentral yang dapatdiukur melalui lingkar pinggang. Penelitian ini merupakan penelitian dengandesain potong lintang yang bertujuan untuk melihat korelasi antara asupan energitotal, asupan lemak, dan lingkar pinggang dengan kadar HbA1c pada obesitas.Penelitian dilakukan di kantor Balai Kota DKI Jakarta dari akhir bulan Novembersampai Desember 2013. Pengambilan subyek dilakukan dengan cara consecutivesampling, didapatkan 47 subyek yang memenuhi kriteria penelitian. Karakteristiksubyek yang diambil adalah usia, jenis kelamin dan indeks massa tubuh (IMT).Variabel data yang diteliti adalah asupan energi total, asupan lemak, lingkarpinggang, dan kadar HbA1c. Hasil penelitian didapatkan subyek terbanyakberusia antara 36-50 tahun (93,6%), sebagian besar berjenis kelamin perempuansebanyak 27 subyek (57,4%), dan sebanyak 35 subyek (74,5%) termasuk kategoriobes I, karena sebagian besar subyek berada pada rentang usia 36 sampai 50tahun, maka selanjutnya analisis data dan pembahasan dilakukan pada 44 subyekdengan rentang usia tersebut. Asupan energi total 32 subyek (72,7%) dibawahAKG (˂ 70% AKG). Median (min-maks) asupan energi total adalah sebesar1225,8(766,0-4680) kkal. Sebagian besar subyek penelitian mengonsumsi lemaklebih dari persentase KET yang dianjurkan yaitu sebanyak 42 orang subyek(95,5%). Seluruh subyek laki-laki dan sebagian besar subyek perempuan (84%)memiliki LP lebih. Rerata kadar HbA1c pada subyek laki-laki adalah 6,3±0,2%dan perempuan 6,3±0,3%, dan hampir sebagian besar (68,2%) memiliki kadarHbA1c berisiko tinggi. Terdapat korelasi negatif tidak bermakna antara asupanenergi total dengan kadar HbA1c pada subyek laki-laki (r=-0,15, p=0,536) dankorelasi positif tidak bermakna pada subyek perempuan (r=0,28, p=0,898).Korelasi negatif tidak bermakna dijumpai antara asupan lemak dengan kadarHbA1c pada seluruh subyek (r=-0,06, p=0,687). Korelasi positif tidak bermaknaantara lingkar pinggang dengan kadar HbA1c terdapat pada seluruh subyek(r=0,18, p=0,236).
ABSTRACT
The prevalence of obesity in Indonesia is increasing and also the prevalence ofcentral obesity which can be measured by waist circumference. The aim of thiscross sectional study was to find the correlation between total energy intake, fatintake, and waist circumference with HbA1c levels in obes subject. Datacollection was conducted during November to December 2013 in the institution ofBalaikota DKI Jakarta. The subjects was obtained by consecutive sampling, and47 subjects who meet study criteria were enrolled in this study. The datacollection were characteristics of the subjects including age, gender and bodymass index (BMI), as well as total energy intake, fat intake, waist circumference,and HbA1c levels. The results showed the highest age between 36-50 years(93.6%), majority of the subjects were female (57.4%), and catagorized as obese I(74.5%). Because most of the subjects were in the range of age 36 to 50 years, thedata analysis and discussion conducted on 44 subjects. Most of the subject hadtotal energy intake under RDI requirements, i.e., 13 people (68.4 %) of male and19 subjects (76%) of female subjects. Most of the subjects (42 subjects, 95.5%)had fat intake over recommended percentage of total energy requirement. All ofthe male and most of female subjects (84%) have waist circumference greater thanthe normal criteria. Mean of HbA1c levels were 6.3±0.2%, for male subjects andalmost the same levels for female subjects, while 68.2% of the subjects werecategorized as high risk. The were no significant negative correlation betweentotal energy intake and HbA1c levels in male subjects (r =-0.15, p=0,536) and nosignificant in female subjects (r=0.28, p=0.898). There were no significantnegative correlation between fat intake and HbA1c levels in all subjects (r=-0.06,p=0.687), while non significant positive correlation between waist circumferenceand HbA1c levels were found in all subjects (r=0.18, p=0.236).;The prevalence of obesity in Indonesia is increasing and also the prevalence ofcentral obesity which can be measured by waist circumference. The aim of thiscross sectional study was to find the correlation between total energy intake, fatintake, and waist circumference with HbA1c levels in obes subject. Datacollection was conducted during November to December 2013 in the institution ofBalaikota DKI Jakarta. The subjects was obtained by consecutive sampling, and47 subjects who meet study criteria were enrolled in this study. The datacollection were characteristics of the subjects including age, gender and bodymass index (BMI), as well as total energy intake, fat intake, waist circumference,and HbA1c levels. The results showed the highest age between 36-50 years(93.6%), majority of the subjects were female (57.4%), and catagorized as obese I(74.5%). Because most of the subjects were in the range of age 36 to 50 years, thedata analysis and discussion conducted on 44 subjects. Most of the subject hadtotal energy intake under RDI requirements, i.e., 13 people (68.4 %) of male and19 subjects (76%) of female subjects. Most of the subjects (42 subjects, 95.5%)had fat intake over recommended percentage of total energy requirement. All ofthe male and most of female subjects (84%) have waist circumference greater thanthe normal criteria. Mean of HbA1c levels were 6.3±0.2%, for male subjects andalmost the same levels for female subjects, while 68.2% of the subjects werecategorized as high risk. The were no significant negative correlation betweentotal energy intake and HbA1c levels in male subjects (r =-0.15, p=0,536) and nosignificant in female subjects (r=0.28, p=0.898). There were no significantnegative correlation between fat intake and HbA1c levels in all subjects (r=-0.06,p=0.687), while non significant positive correlation between waist circumferenceand HbA1c levels were found in all subjects (r=0.18, p=0.236)., The prevalence of obesity in Indonesia is increasing and also the prevalence ofcentral obesity which can be measured by waist circumference. The aim of thiscross sectional study was to find the correlation between total energy intake, fatintake, and waist circumference with HbA1c levels in obes subject. Datacollection was conducted during November to December 2013 in the institution ofBalaikota DKI Jakarta. The subjects was obtained by consecutive sampling, and47 subjects who meet study criteria were enrolled in this study. The datacollection were characteristics of the subjects including age, gender and bodymass index (BMI), as well as total energy intake, fat intake, waist circumference,and HbA1c levels. The results showed the highest age between 36-50 years(93.6%), majority of the subjects were female (57.4%), and catagorized as obese I(74.5%). Because most of the subjects were in the range of age 36 to 50 years, thedata analysis and discussion conducted on 44 subjects. Most of the subject hadtotal energy intake under RDI requirements, i.e., 13 people (68.4 %) of male and19 subjects (76%) of female subjects. Most of the subjects (42 subjects, 95.5%)had fat intake over recommended percentage of total energy requirement. All ofthe male and most of female subjects (84%) have waist circumference greater thanthe normal criteria. Mean of HbA1c levels were 6.3±0.2%, for male subjects andalmost the same levels for female subjects, while 68.2% of the subjects werecategorized as high risk. The were no significant negative correlation betweentotal energy intake and HbA1c levels in male subjects (r =-0.15, p=0,536) and nosignificant in female subjects (r=0.28, p=0.898). There were no significantnegative correlation between fat intake and HbA1c levels in all subjects (r=-0.06,p=0.687), while non significant positive correlation between waist circumferenceand HbA1c levels were found in all subjects (r=0.18, p=0.236).] |
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