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Journal > Health Science Journal of Indonesia > Low fiber intake increase risk of Diabetes mellitus in overweight people

 

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Health Science Journal of Indonesia
Vol 2, No 1 Apr (2011)
Low fiber intake increase risk of Diabetes mellitus in overweight people
Permanasari, Yurista ( National Institute of Health Research and Development, Indonesian Ministry of Health)
Rachmawati, Rika ( National Institute of Health Research and Development, Indonesian Ministry of Health)
Article Info   ABSTRACT
Published date:
10 Jul 2012
 
Latar belakang:  Pola makan yang tidak seimbang dan rendah serat merupakan salah satu penyebab timbulnya Diabetus mellitus (DM). Tujuan dari penelitian ini adalah menganalisis konsumsi serat terhadap penyakit DM pada orang dengan kelebihan berat badan di Indonesia. Metode: Data untuk analisis ini ialah sebagian data Riset Kesehatan Dasar (Riskesdas) 2007. Subjek yang dipakai ialah yang diperiksa laboratorium dan dipilih yang mempunyai kelebihan berat badan (IMT≥23) dan  berumur ≥15 tahun. Kriteria DM berdasarkan Perkumpulan Endokrinologi Indonesia (Perkeni) tahun 2006: Non DM=<200 mg/dl; DM=≥ 200 mg/dl. Hasil: Dari 7,807 subjek yang diperiksa laboratorium, terdapat 2.550 subjek dengan kelebihan berat badan yang berumur ≥15 tahun. Selanjutnya, 201 subjek (7,9%) berpenyakit DM dan 2.349 (92,1%) tidak berpenyakit DM. Subjek dengan konsumsi kurang serat dibanding yang cukup serat berisiko DM sebanyak 2 kali [rasio odds suaian (OR)=2,02; 95% interval kepercayaan (CI)=1,00-4,08). Risiko DM semakin naik dengan pertambahan umur. Bila dibandingkan dengan kelompok umur 15-39 tahun, kelompok umur 40-55 memiliki risiko DM sebesar 2,4 kali (OR)=2,42; 95% (CI)=1,66-3,51), dan yang berumur ≥56 tahun memiliki risiko DM sebesar 4,9 kali (OR)=4,88; 95% CI=3,18-7,49). Selanjutnya subjek yang hipertensi 57% lebih banyak berisiko DM dibandingkan yang tidak hipertensi (OR=1,57; 95% CI=1,15-2,16). Perokok tiap hari dibandingkan dengan yang tidak/kadang-kadang/pernah merokok memiliki risiko 40% lebih rendah untuk DM (OR=0.60; 95% CI=0.4-0.91). Kesimpulan: Kurang konsumsi serat, semakin tua umur, dan hipertensi meningkatkan risiko penyakit DM di antara subjek kelebihan berat badan. (Health Science Indones 2011;2:28-33) Abstract Background: A diet with unbalanced foods and low in fiber among others are the causes of Diabetes mellitus (DM). The purpose of this paper was to assess the risk of low fiber intake and several other factors on DM in overweight people in Indonesia. Methods: As part of Riskesdas 2007 data, we assessed and were overweight [body mass index (BMI) ≥ 23] and aged ≥ 15 years old among subjects who had laboratory test. They were divided into 2 groups based on reference value of the Indonesian Endocrinology Associations (Perkeni) in 2006: Non DM=<200 mg/dl; DM=≥ 200 mg/dl, Results: Out of 7,807 who underwent laboratory for glucose tests, 2.550 subjects were overweight and aged 15 years or over. Furthermore, 201 (7,9%) had DM dan 2.349 (92,1%) did not have DM. Compared to those with sufficient fiber intake, those with low fiber intake had a 2-fold risk for DM (adjusted odds ratio (ORa)=2.02; 95%  confidence interval (CI)=1.00-4.08). Risk of DM increased along with increased of age. Compared to those in the 15-39 years age group, those in the ≥56 years age group had a 4.9-fold risk for DM (ORa=4.88; 95% CI=3.18-7.49), whereas the 40-55 age group had a 2.4-fold risk for DM (ORa=2.42, 95% CI=1.66-3.51). In term of hypertension, those with hypertension had 57% more for DM (OR=1.57, 95% CI=1.15-2.16). Compared with those with no/sometimes/never smoking, daily smokers had a 40% less risk for DM (ORa=0.60, 95% CI=0.4-0.91). Conclusion: In overweight people, low fiber intake, older age, and hypertension may increase the risk of DM. (Health Science Indones 2011;2:28-33)
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