Tingkat Asupan Makronutrien dan Gaya Hidup terhadap Risiko terjadinya Obesitas di Lima Provinsi di Indonesia
The problem of obesity is increasing in developed and developing countries. This study aims to analyze data on sociodemographic, consumption behavior, lifestyle, macronutrient intake, and adequacy of nutrition on the prevalence of obesity in adults based on secondary data from RISKESDAS 2013 and SKMI 2014 for the 19–55-year age group in the provinces of North Sulawesi, DKI Jakarta, East Kalimantan, West Papua, and North Sumatra. The relationship of obesity factors was analyzed by bivariate analysis, the risk factors of obesity were analyzed by multivariate analysis, and the level of macronutrients adequacy refers to recommended dietary allowances for adults. Results showed that sociodemographic factors, consumption behavior, and lifestyle were associated significantly with obesity. Sufficient consumption of fruits (at least 5 servings/day for 7 days/week) reduced the risk by 0.957 times. Consumption of energy (1759.22 kcal/ person/day), protein (77.82 g/person/day), and fat (52.49 g/person/day) in obese adults was higher than in normal adults (1690.14 kcal/person/day; 68.80 g/person/day; 45.34 g/person/day). The intake of protein (p = 0.018) and fat (p = 0.002) also the adequacy of protein (p = 0.015) in obese and normal adults showed significant differences.
Aljadani HM, Patterson A, Sibbritt D, Hutchesson MJ, Jensen ME, Collins CE. 2013. Diet quality, measured by fruit and vegetable intake, predicts weight change in young women. J Obes 2013: 525161. DOI: 10.1155/2013/525161.
Back IR, Oliveira RR, Silva ES, Marcon SS. 2018. Risk factors associated with overweight and obesity in Japanese-Brazilians. J Nutr Metab 2018: 5756726. DOI: 10.1155/2018/5756726.
Bjeeregaard LG, Jensen BW, Angquist L, Osler M, Sørensen TIA, Baker JL. 2018. Change in over-weight from childhood to early adulthood and risk of type 2 diabetes. N Engl J Med 378(14): 2537-2538. DOI: 10.1056/NEJMc1805984.
Brosnan ME, Brosnan JT, Young VR. 2011. Integration of Metabolism 3: Protein and Amino Acids. Nutrition and Metabolism, Second Edition. Chichester: Willey-Blackwell. DOI: 10.1002/9781444327779. ch5.
Chung W, Lim S. 2020. Factors contributing to educational differences in obesity among women: Evidence from South Korea. BMC Public Health 20: 1136. DOI: 10.1186/s12889-020-09221-3.
Gbary AR, Kpozehouen A, Houehanou YC, Djrolo F, Amoussou MPG, Tchabi Y, Salamon R, Houinato DS. 2014. Prevalence and risk factors of overweight and obesity: Findings from a cross-sectional community-based survey in Benin. Glob Epidemic Obes 2014: 1-8. DOI: 10.7243/2052-5966-2-3.
Gibson RS. 2005. Principles of Nutritional Assessment. Oxford University Press, Oxford UK.
Hernández-Alonso P, Sala-Salvadό J, Ruiz-Canela M, Corella D, Estruch R, Fito M, Arόs F, Gόmez-Gracia E, Fiol M, Lapetra J, Basora J, Serra-Majem L, Muñoz MA, Buil-Cosiales, Saiz C, Bullό M. 2015. High dietary protein intake is associated with an increased body weight and total death risk. Clin Nutr 35(2): 496-506. DOI: 10.1016/j.clnu.2015.03. 016.
Hsieh T-H, Lee JJ, Yu EW-R, Hu H-Y, Lin S-Y, Ho C-Y. 2020. Association between obesity and education level among the elderly in Taipei, Taiwan between 2013 and 2015: A cross-sectional study. Sci Rep 10: 20285. DOI: 10.1038/s41598-020-77306-5.
Jakicic JM, Rogers RJ, Davis KK, Collins KA. 2018. Role of physical activity and exercise in treating patients with overweight and obesity. Clin Chem 64(1): 99-107. DOI: 10.1373/clinchem.2017.272 443.
Jura M, Kozak LP. 2016. Obesity and related consequences to ageing. Age 38(1): 23. DOI: 10.1007/s11357-016-9884-3.
[Kemenkes] Kementerian Kesehatan RI. 2013. Riset Kesehatan Dasar 2013. Jakarta (ID): Kemenkes.
[Kemenkes] Kementerian Kesehatan RI. 2014. Buku Studi Diet Total: Survei Konsumsi Makanan Individu. Jakarta (ID): Kemenkes.
[Kemenkes] Kementerian Kesehatan RI. 2018. Riset Kesehatan Dasar 2013. Jakarta (ID): Kemenkes.
Lemeshow S, Hosmer D, Janelle K, Stephen L. 2003. Adequacy of Sample Size in Health Studies. University of Massachusetts.
Litwin S. 2014. Childhood obesity and adulthood cardiovascular disease: Quantifying the lifetime cumulative burden of cardiovascular risk factors. J Am Coll Cardiol 64(15): 1588-1590. DOI: 10.1016/ j.jacc.2014.07.962.
Mannar MGV, Micha R. 2020. 2020 Global Nutrition Report 2020. Development Initiatives Poverty Research Ltd, UK.
Mobbs CV. 2014. Encyclopedia of the Neurological Sciences. Massachusetts (MA): Academic Press.
Monsivais P, Martin A, Suhrcke M, Forouhi NG, Wareham NJ. 2015. Jobloss and weight gain in British adults: Evidence from two longitudinal studies. Soc Sci Med 143: 223-231. DOI: 10.1016/j. socscimed.2015.08.052.
Mosli HH, Kutbi HA, Alhasan AH, Mosli RH. 2020. Understanding the interrelationship between education, income, and obesity among adults in Saudi Arabia. Obes Facts 13: 77-85. DOI: 10.1159/00050 5246.
Nasution R, Herqutanto, Yuliana. 2016. Eating sweet foods habit and other factors that related to obesity on civil pilot in Indonesia. Health Sci J Indonesia 7(2): 134-139. DOI: 10.22435/hsji.v7i2.5437.134-139.
Nurwanti E, Hadi H, Chang J-S, Chao JCJ, Paramashanti BA, Gittelsohn J, Bai CH. 2019. Rural-urban differences in dietary behavior and obesity: Results of the Riskesdas study in 10-18-year-old Indonesian children and adolescents. Nutrients 18(11): 2813. DOI: 10.3390/nu11112813.
Oddo VM, Maehara M, Rah JH. 2019. Overweight in Indonesia: An observational study of trends and risk factors among adults and children. BMJ Open 9(9): e031198. DOI: 10.1136/bmjopen-2019-031198.
Palupi MP. 2016. Faktor Risiko Obesitas Sentral pada Orang Dewasa di Indonesia. [Tesis]. Bogor: Sekolah Pascasarjana, Institut Pertanian Bogor.
Peters R, Amugsi DA, Mberu B, Ensor T, Hill AJ, Newell JN, Elsey H. 2019. Nutrition transition, overweight and obesity among rural-to-urban migrant women in Kenya. Public Health Nutr 22(17): 3200-3210. DOI: 10.1017/S1368980019001204.
Rautiainen S, Wang L, Lee I-M, Manson JE, Buring JE, Sesso HD. 2015. Higher intake of fruit, but not vegetables or fiber, at baseline is associated with lower risk of becoming overweight or obese in middle-aged and older women of normal BMI at Baseline. J Nutr 145(5): 960-968. DOI: 10.3945/jn. 114.199158.
Sari K, Amaliah N. 2014. Hubungan Faktor sosial demografi dan kegemukan pada penduduk dewasa di Indonesia tahun 2007 dan 2010 (Analisis data RISKESDAS 2007 dan 2010). J Ekologi Kesehatan 13(4): 328-339.
[UU] Undang-undang Republik Indonesia Nomor 26 Tahun 2007 Tentang Penataan Ruang. 2007.
[WHO] World Health Organization. 2000. Obesity: Preventing and Managing the Global Epidemic. Geneva: WHO.
[WHO] World Health Organization. 2014. Indonesia: NCD Country Profile. Geneva: WHO.
Wang L, Wang H, Zhang B, Popkin BM, Du S. 2020. Elevated Fat intake increases body weight and the risk of overweight and obesity among Chinese adults: 1991-2015 trends. Nutrients 12(11): 3272. DOI: 10.3390/nu12113272.
Wulansari A, Martianto D, Baliwati YF. 2016. Estimasi kerugian ekonomi akibat obesitas pada orang dewasa di Indonesia. J Gizi Pangan 11(2): 159-168.