Behavior risk factors and lipid profiles of diabetes mellitus with hypertension among adult population in Indonesia

Nunik Kusumawardani, Suhardi Suhardi, Julianty Pradono, Delima Delima, Ni Ketut Aryastami, Anand Krishnan

Abstract


Latar belakang: Penyakit Diabetes Mellitus (DM) yang disertai dengan Hipertensi dapat meningkatkan risiko terjadinya disabilitas dan kematian premature. Data besaran masalah DM yang disertai Hipertensi masih terbatas pada data dari fasilitas kesehatan sementara data berbasis populasi merupakan informasi penting untuk memberikan gambaran besaran masalah secara nasional di masyarakat. Studi ini bertujuan untuk mendapatkan gambaran besaran masalah DM dengan disertai Hipertensi serta hubungannya dengan faktor risiko PTM lainnya berdasarkan data RISKESDAS 2013 yang mencakup 34 Provinsi di Indonesia.

Metode: Studi Ini merupakan analisis data sekunder dari RISKESDAS 2013. Data dikumpulkan menggunakan kuesioner terstruktur dan pengukuran tekanan darah dan pemeriksaan darah. Jumlah sampel yang dianalisis adalah 35, 931 individu usia 18 tahun ke atas. Pemilihan sampel dengan cara “four stages stratified sampling method”.

Hasil: Hasil analisis menunjukkan bahwa prevalensi DM dengan disertai Hipertensi adalah sebesar 3,0%, dengan prevalensi tertinggi sebesar 14% pada laki-laki dan 8% pada perempuan. DM dan hipertensi mempunyai hubungan yang bermakna dengan indeks merokok (OR:2,94) pada laki-laki, dengan obesitas (OR: 2,35 pada laki-laki dan 2,19 pada perempuan), dan dengan kolesterol darah (OR: 1,86 pada laki-laki dan 3,45 pada perempuan).

Kesimpulan: Beberapa faktor risiko seperti indeks masa tubuh, profil lemak, konsumsi buah dan sayuran serta merokok dapat dijadikan indikator untuk pencegahan penyakit komplikasi DM dan hipertensi, risiko disabilitas dan kematian prematur. (Health Science Journal of Indonesia 2016;7(2):97-106)

Kata Kunci: diabetes mellitus, hipertensi, faktor risiko perilaku

 

Abstract

Background: Diabetes mellitus (DM) with hypertension increases risk of disability and premature death. Data on DM with hypertension is limited to hospital based data, while population-based data is important to provide problem magnitude in the population setting. This study aimed to describe issues magnitude of diabetes mellitus with hypertension and relationship with other NCD risk factors in Indonesia based on national population based survey.

Method: This is a data analysis from a cross sectional national health survey (RISKESDAS) in 2013 that covered 34 provinces in Indonesia. Data was collected using structured questionnaire and measurement. Sample was 35,931 people aged 18+ years. Sampling method used four stages stratified sampling method.

Results: This study showed prevalence of diabetes mellitus with hypertension was 3.0%, the highest prevalence was 14% for male and 8% in female. Diabetes mellitus with hypertension had significant relationship to smoking index in male (OR:2.94), obesity in male (OR: 2.35) and female (OR: 2.19) and blood cholesterol (OR: 3.45 in female and OR:1.86 in male).

Conclusion: Health risk monitoring on body mass index, lipid profile, fruits and vegetables consumption, and smoking, will be crucial as a secondary prevention among DM and Hypertension case towards further complication, and risk of disability and premature death. (Health Science Journal of Indonesia 2016;7(2):97-106)

Keywords : diabetes mellitus, hypertension, behaviour risk factors


 


Keywords


diabetes mellitus, hypertension, lipid profile behaviour risk factors

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Health Science Journal of Indonesia

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