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Prevalence of Hypertension and Its Determinants in Indonesia Rahajeng, Ekowati; Tuminah, Sulistyowati
Journal of the Indonesian Medical Association Vol. 59 No. 12 December 2009
Publisher : Journal of the Indonesian Medical Association

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Abstract

In developing countries, non-communicable diseases such as cardiovascular disease, cancer and depression will immediately substitute communicable diseases and malnutrition as cause of early mortality as well as disability. The result of Basic Health Research 2007 conducted in Indonesia showed that non-communicable disease which caused the highest proportion of mortality was cardiovascular disease (31.9%) included hypertension (6.8%) and stroke (15.4%). The aims of this study were to evaluate: (1) hypertension prevalence in Indonesia based on blood pressure measurements and interview about of the history of diseases; (2) characteristics and determinants of hypertension in Indonesia; (3) the risk factors of hypertension. This valuable information could guide evidence based plans on prevention and control program of non-communicable diseases and their risk factors in Indonesia. This study used cross sectional design for prevalence analysis and case control design for risk factor analysis. For case control analysis, the cases were respondents who had systolic blood pressure >140 mmHg and/or diastolic >90 mmHg (new hypertension case). While controls were the respondents who had systolic blood pressure <140 mmHg and diastolic <90 mmHg and they never have been diagnosed by health officer. The analysis was done using multivariate regression logistic complex samples analysis. The hypertension prevalence in Indonesia based on measurements and diseases history was 32.2%. The significant risk factors were elderly (OR 11.5), male gender (OR 1.3), low education (OR 1.6), obesity (OR 2.8), and abdominal obesity (OR 1.4). However, prevention programs and control of NCD and its risk factors will be needed to decrease the prevalence of hypertension in Indonesia.Keywords: hypertension, prevalence, determinants
HUBUNGAN LAMA KERJA DAN POSISI KERJA DENGAN KELUHAN OTOT RANGKA LEHER DAN EKTREMITAS ATAS PADA PEKERJA GARMEN PEREMPUAN DI JAKARTA UTARA Tana, Lusianawaty; Delima, Delima; Tuminah, Sulistyowati
Buletin Penelitian Kesehatan Vol 37, No 1 Apr (2009)
Publisher : Buletin Penelitian Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/BPK/article/view/129

Abstract

ABSTRACT Background: Neck and upper extremity musculoskeletal complaints are the common symptoms in occupational diseases that can cause workers disability and absenteeism. Objectives: to evaluate the percentage of neck and upper extremity musculoskeletal symptoms and its relation with occupational and individual factors (socioeconomic, smoking habit, blood sugar level, and body mass index). Methods: a cross sectional study among 778female garment workers in North Jakarta in 2005. Samples were selected purposively with inclusion criteria (age 18—55 years old, minimal 1 year working period). Results: The percentage of neck and upper extremity musculoskeletal symptom was 75.7 % (in detail 59.9 % on hands, 32 % on neck, 11.8% on shoulders, 11.1 % on back, and 9.6 % on elbow). The symptoms were weariness 81.2 %, hyperesthesia 50.6 %, pain 16.1 %, parasthesia 12.4 %, and weakness 11 %. The factors significantly related to neck and upper extremity musculoskeletal symptoms were working period and work position. The musculoskeletal symptoms in persons who had 1—10 years working period was higher than 11—25 years working period (OR 1.78 95 %CI 1.15-2.76 p=0.01), and working in sitting position was higher than standing position (OR 1.44 95 %CI 1.02-2.05p=0.038). Intervention through workplace modification such as the table or the chair height can protect workers from neck and upper extremity musculoskeletal symptoms.   Keyword : neck and upper extremity musculoskeletal symptoms, female workers, garment
Hubungan Komponen Sindrom Metabolik dengan Risiko Diabetes Melitus Tipe 2 di Lima Kelurahan Kecamatan Bogor Tengah Sihombing, Marice; Tuminah, Sulistyowati
Media Penelitian dan Pengembangan Kesehatan Vol 25, No 4 Des (2015)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

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Abstract

AbstrakSindrom metabolik (SM) merupakan prediktor diabetes melitus (DM). Penelitian ini bertujuan untuk menganalisis hubungan komponen SM dengan risiko DM di lima kelurahan di Kecamatan Bogor Tengah. Data yang dianalisis dalam penelitian ini adalah data responden yang tidak DM pada tahun 2011-2012 (data baseline), Penelitian Studi Kohor Penyakit Tidak Menular di lima kelurahan di Kecamatan Bogor Tengah yang diikuti hingga tahun kedua (2013-2014). Data dikumpulkan melalui wawancara menggunakan kuesioner, pemeriksaan fisik (lingkar perut, dan tekanan darah), dan pemeriksaanlaboratorium (gula darah puasa, gula darah 2 jam beban glukosa, kolesterol HDL, dan trigliserida). Diabetes ditentukan berdasarkan hasil pemeriksaan gula darah puasa ≥ 126 mg/dL, dan atau gula darah 2 jam beban glukosa ≥ 200 mg/dL. Pada tahun kedua jumlah responden sebanyak 4.342 dan yang melakukan pemeriksaan secara lengkap sebanyak 3.320 responden. Dari 3.320 responden yang tidak DM, setelah diikuti selama 2 tahun ditemukan 161 orang (4,8%) menjadi DM, laki-laki 42 orang (4,2%) dan perempuan 119 orang (5,2%). Faktor yang berhubungan secara bermakna dengan kejadian DM adalah umur dan seluruh komponen SM (obesitas sentral, hiperglikemia, hipertrigliserida, kolesterol HDL rendah, dan hipertensi). Semakin bertambah umur semakin meningkat juga risiko insiden DM. Komponen SM yang memiliki hubungan yang sangat kuat untuk terjadinya DM adalah gula darah puasa dengan risiko 6,71 kali lipat (95%CI; 4,76-9,47). Risiko insiden penyakit DM meningkat tajam hingga 65,94 kali lebih besar bila memiliki 5 komponen SM dibandingkan dengan yang tidak mempunyai komponen SM. Disimpulkan bahwa jumlah komponen SM berisiko meningkatkan kejadian DM setelah diikuti selama 2 tahun.Kata Kunci : sindrom metabolik, diabetes melitus, insiden, risiko AbstractMetabolic syndrome (MetS) is a predictor of diabetes mellitus (DM). This study aimed to analyze the association between the components of MetS and the risk of DM in five villages in Bogor Tengah subdistrict. Data being used in this analysis were baseline data of non-DM respondents for Non-Communicable Diseases Cohort Study during period of 2011-2012, which has been followed up to the second year (2013-2014). Data were collected using interviews and questionnaires, physical measurements (waist circumference and blood pressure) and laboratory measurements (fasting blood glucose, two-hour postprandial glucose, HDL cholesterol and triglyceride profile). Diagnosis of DM was determined based on the result of fasting blood concentration ≥ 126 mg/dL) and or 2 hours postprandial glucose ≥ 200 mg/dL. There were 4,342 respondents during the second year follow-up and 3,320 respondents had completed examinations. During the two-years of follow-up, 161 respondents (4.8%) had developed DM, which consisted of 42 men (4.2%) and 119 women (5.2%). Factors associated with the incidence of DM were age and all components of the MetS (central obesity, hyperglycemia, hypertriglycerides, low level of HDL cholesterol, and hypertension). The risk of DM incidence increased with increasing age. The component of MetS that strongly associated with DM incidence was fasting blood glucose level with RR 6.71 fold (95% CI; 4.76 - 9:47). The risk of DM incidence was significantly increased about 65.94 times greater when five components were present compared with that do not have components at all. The conclusion of this study based on the two-years of follow up is that the number of MetS component increases the incidence of DM.Keywords : metabolic syndrome, diabetes mellitus, incidence, risk
Frequent coconut milk intake increases the risk of vascular disease in adults Tuminah, Sulistyowati; Sihombing, Marice
Universa Medicina Vol 34, No 2 (2015)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2015.v34.149-158

Abstract

Background Coconut milk is an essential ingredient of the Indonesian cuisine. In view of its saturated fatty acid content, coconut milk has frequently been blamed as a cause of cardiovascular disease. The objective of this study was to determine any association between coconut milk intake and vascular disease among adults.MethodsA cross-sectional study was conducted in 2011-2012 on adults aged 25-65 years. Self-reported health and nutritional data were collected by means of questionnaire-based interviews, with the aid of 3-D food models. Medical data comprised blood pressure and anthropometry (waist circumference and body mass index), neurological status, ECG, blood glucose and lipid profile. Data analysis was done using multiple logistic regression. ResultsA total of 4,187 respondents fullfilled the inclusion criteria. Frequent coconut milk intake (>3 times/week) significantly increased the risk of vascular disease by 1.3-fold compared with infrequent coconut milk intake (<2 times/week) (OR=1.33; 95% CI: 1.11-1.60; p=0.002) after controlling for age, gender, hypertension, diabetes mellitus and stress. The influence of coconut milk intake on vascular disease risk was lower than that of age, gender, hypertension and diabetes mellitus. ConclusionFrequent coconut milk intake increased the risk of vascular disease in adults. Further investigations are needed about the effect of coconut milk intake on noncommunicable diseases.
HUBUNGAN KONSUMSI KOPI TERHADAP STROK ATAU PENYAKIT JANTUNG KORONER (Baseline Data Studi Kohor Faktor Risiko Penyakit Tidak Menular) Tuminah, Sulistyowati; Riyadina, Woro
GIZI INDONESIA Vol 37, No 1 (2014): Maret 2014
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Hubungan antara kebiasaan konsumsi kopi dengan penyakit Strok dan Penyakit Jantung Koroner (PJK) masih menjadi perdebatan apakah bersifat prediktif atau protektif. Tujuan penelitian ini adalah menentukan hubungan antara kebiasaan konsumsi kopi terhadap penyakit Strok atau PJK.  Data merupakan subset dari data baseline penelitian “Studi Kohor Faktor Risiko Penyakit Tidak Menular (FRPTM)” yang diperoleh dengan metode wawancara menggunakan kuesioner dan pemeriksaan kesehatan terhadap penduduk tetap umur 25-65 tahun di 5 kelurahan di Kecamatan Bogor Tengah, Kota Bogor pada tahun 2011-2012 yaitu sebanyak 3.296 responden. Hasil menunjukkan kebiasaan minum kopi bersifat protektif terhadap penyakit Strok atau PJK dengan besaran risiko OR=0,76 (95% CI: 0,64–0,91). Kesimpulan penelitian adalah bahwa kebiasaan minum kopi mempunyai risiko mengalami Strok atau PJK lebih rendah (OR<1) dibandingkan dengan responden yang tidak terbiasa minum kopi setelah dikontrol faktor jenis kelamin dan tekanan darah. Untuk penelitian lebih lanjut disarankan untuk mengkaji jumlah (dosis) kopi yang dikonsumsi orang Indonesia karena data ini sangat dibutuhkan untuk melihat pengaruhnya pada penyakit Strok atau PJK.ABSTRACTHABITUAL COFFEE CONSUMPTION ON STROKE OR CORONARY HEART DISEASE (CHD)(Baseline of Cohort Study on Risk Factors of Non Communicable Disease)  The relationship between habitual coffee consumption on Stroke or Coronary Heart Disease (CHD) is still debatable whether predictive or protective. The objective of the study is  to establish the  association between habitual coffee consumption on stroke or CHD. The analysis used subset data from baseline of cohort study of non communicable disease’s risk factors. Data were obtained through interview method using questionnaire and health examination of 3.296 respondents aged 25-65 years old from five villages in the District of Bogor Tengah, Bogor City in 2011-2012. The result showed that habitual coffee consumption had protective effect on stroke or CHD [OR=0,76 (95% CI: 0,64–0,91)]. It is concluded that  subject who had habitual coffee consumption had a lower risk on stroke or CHD (OR<1) compared to subject who had no habitual coffee consumption after adjusted by sex and blood pressure. Further investigation about different doses of coffee intake according to Indonesian is still needed to see the dose effects to stroke and CHD.Keywords: stroke, coronary heart disease, habitual coffee consumption
PERAN KOLESTEROL HDL TERHADAP PENYAKIT KARDIOVASKULER DAN DIABETES MELLITUS Tuminah, Sulistyowati
GIZI INDONESIA Vol 32, No 1 (2009): Maret 2009
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

ROLE OF HDL-CHOLESTEROL ON CARDIOVASCULAR DISEASE AND DIABETES MELLITUSMortality in Indonesia which caused by cardiovascular disease showed an enhancing prevalent. Oneof the risk factors of cardiovascular disease is Dyslipidemia, marked by increasing on total,triglycerides and LDL but decreasing on HDL cholesterol. HDL cholesterol is a good cholesterol thathas an important role in prevention of cardiovascular disease as well as diabetes mellitus. Two kindsof natural matters have known as elevator for HDL cholesterol are dark chocolate and virgin coconutoil.Keywords: cardiovascular disease, HDL cholesterol, diabetes mellitus
PERAN KOLESTEROL HDL TERHADAP PENYAKIT KARDIOVASKULER DAN DIABETES MELLITUS Tuminah, Sulistyowati
GIZI INDONESIA Vol 32, No 1 (2009): Maret 2009
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

ROLE OF HDL-CHOLESTEROL ON CARDIOVASCULAR DISEASE AND DIABETES MELLITUSMortality in Indonesia which caused by cardiovascular disease showed an enhancing prevalent. Oneof the risk factors of cardiovascular disease is Dyslipidemia, marked by increasing on total,triglycerides and LDL but decreasing on HDL cholesterol. HDL cholesterol is a good cholesterol thathas an important role in prevention of cardiovascular disease as well as diabetes mellitus. Two kindsof natural matters have known as elevator for HDL cholesterol are dark chocolate and virgin coconutoil.Keywords: cardiovascular disease, HDL cholesterol, diabetes mellitus
HUBUNGAN KONSUMSI KOPI TERHADAP STROK ATAU PENYAKIT JANTUNG KORONER (Baseline Data Studi Kohor Faktor Risiko Penyakit Tidak Menular) Tuminah, Sulistyowati; Riyadina, Woro
GIZI INDONESIA Vol 37, No 1 (2014): Maret 2014
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Hubungan antara kebiasaan konsumsi kopi dengan penyakit Strok dan Penyakit Jantung Koroner (PJK) masih menjadi perdebatan apakah bersifat prediktif atau protektif. Tujuan penelitian ini adalah menentukan hubungan antara kebiasaan konsumsi kopi terhadap penyakit Strok atau PJK.  Data merupakan subset dari data baseline penelitian “Studi Kohor Faktor Risiko Penyakit Tidak Menular (FRPTM)” yang diperoleh dengan metode wawancara menggunakan kuesioner dan pemeriksaan kesehatan terhadap penduduk tetap umur 25-65 tahun di 5 kelurahan di Kecamatan Bogor Tengah, Kota Bogor pada tahun 2011-2012 yaitu sebanyak 3.296 responden. Hasil menunjukkan kebiasaan minum kopi bersifat protektif terhadap penyakit Strok atau PJK dengan besaran risiko OR=0,76 (95% CI: 0,64–0,91). Kesimpulan penelitian adalah bahwa kebiasaan minum kopi mempunyai risiko mengalami Strok atau PJK lebih rendah (OR<1) dibandingkan dengan responden yang tidak terbiasa minum kopi setelah dikontrol faktor jenis kelamin dan tekanan darah. Untuk penelitian lebih lanjut disarankan untuk mengkaji jumlah (dosis) kopi yang dikonsumsi orang Indonesia karena data ini sangat dibutuhkan untuk melihat pengaruhnya pada penyakit Strok atau PJK.ABSTRACTHABITUAL COFFEE CONSUMPTION ON STROKE OR CORONARY HEART DISEASE (CHD)(Baseline of Cohort Study on Risk Factors of Non Communicable Disease)  The relationship between habitual coffee consumption on Stroke or Coronary Heart Disease (CHD) is still debatable whether predictive or protective. The objective of the study is  to establish the  association between habitual coffee consumption on stroke or CHD. The analysis used subset data from baseline of cohort study of non communicable disease’s risk factors. Data were obtained through interview method using questionnaire and health examination of 3.296 respondents aged 25-65 years old from five villages in the District of Bogor Tengah, Bogor City in 2011-2012. The result showed that habitual coffee consumption had protective effect on stroke or CHD [OR=0,76 (95% CI: 0,64–0,91)]. It is concluded that  subject who had habitual coffee consumption had a lower risk on stroke or CHD (OR<1) compared to subject who had no habitual coffee consumption after adjusted by sex and blood pressure. Further investigation about different doses of coffee intake according to Indonesian is still needed to see the dose effects to stroke and CHD.Keywords: stroke, coronary heart disease, habitual coffee consumption