Abstract
Stroke is a major and growing global health problem. Stroke is a leading cause of illness and death worldwide and can be broadly classified as hemorrhagic stroke or ischemic stroke. There are many risk factors for stroke, including modifiable and non-modifiable risk factors. This study aims to investigate the correlation between central obesity and stroke incidence in adults and middle-aged using a systematic review. This study was conducted through a comprehensive search of several electronic databases, including Scopus, Science Direct, Proquest, and Google Scholar from June 2024 - September 2024. A total of 2,482 articles were screened based on the suitability of title, abstract, and type (original or non-original research). The remaining 549 articles were read in full text and entered into the data chart for identification, resulting in 8 articles that met the inclusion criteria for review. Data analysis included study identification, objectives, location (country), methodology (PEO and PRISMA-ScR flowcharts), and study findings. The study findings showed an association between abdominal obesity and stroke incidence and that body fat distribution is closely associated with cardiovascular disease incidence. Understanding the underlying mechanisms, risk factors, and management strategies is critical in reducing the impact of this widespread neurological condition.
References
1. Murphy SJX, Werring DJ. Stroke: causes and clinical features. Medicine (Abingdon). September 2020;48(9):561–6.
2. Global Burden of Stroke - ClinicalKey [Internet]. [dikutip 23 September 2024]. Tersedia pada: https://remote-lib.ui.ac.id:2224/#!/content/book/3-s2.0-B9780323694247000144
3. GBD 2019 Stroke Collaborators. Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol. Oktober 2021;20(10):795–820.
4. Campbell BCV, De Silva DA, Macleod MR, Coutts SB, Schwamm LH, Davis SM, dkk. Ischaemic stroke. Nat Rev Dis Primers. 10 Oktober 2019;5(1):70.
5. Unnithan AKA, Das JM, Mehta P. Hemorrhagic Stroke. Dalam: StatPearls [Internet] [Internet]. StatPearls Publishing; 2023 [dikutip 24 September 2024]. Tersedia pada: https://www.ncbi.nlm.nih.gov/books/NBK559173/
6. Chohan SA, Venkatesh PK, How CH. Long-term complications of stroke and secondary prevention: an overview for primary care physicians. Singapore Med J. Desember 2019;60(12):616–20.
7. Pollock D, Peters MDJ, Khalil H, McInerney P, Alexander L, Tricco AC, dkk. Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evidence Synthesis. Maret 2023;21(3):520.
8. Pillay P, Lewington S, Taylor H, Lacey B, Carter J. Adiposity, Body Fat Distribution, and Risk of Major Stroke Types Among Adults in the United Kingdom. JAMA Netw Open. 1 Desember 2022;5(12):e2246613–e2246613.
9. Cong X, Liu S, Wang W, Ma J, Li J. Combined consideration of body mass index and waist circumference identifies obesity patterns associated with risk of stroke in a Chinese prospective cohort study. BMC Public Health. 18 Februari 2022;22(1):347.
10. Xue Y, Yang X, Liu G. Association of combined body mass index and central obesity with cardiovascular disease in middle-aged and older adults: a population-based prospective cohort study. BMC Cardiovasc Disord. 23 Agustus 2024;24(1):443.
11. Kim JY, Cho SM, Yoo Y, Lee T, Kim JK. Association between Stroke and Abdominal Obesity in the Middle-Aged and Elderly Korean Population: KNHANES Data from 2011–2019. Int J Environ Res Public Health. 18 Mei 2022;19(10):6140.
12. Chen MQ, Shi WR, Wang HY, Sun YX. Sex Differences of Combined Effects Between Hypertension and General or Central Obesity on Ischemic Stroke in a Middle-Aged and Elderly Population. Clin Epidemiol. 10 Maret 2021;13:197–206.
13. Orupabo CD, Owualah SD, David IC. Anthropometric indices, a predictive marker for stroke and other metabolic disorders. IJMMR. 28 Mei 2024;1(10):23–31.
14. Lin M, Zhou S, Gu S. Association between dynamic change patterns of body mass or fat mass and incident stroke: results from the China Health and Retirement Longitudinal Study (CHARLS). Front Cardiovasc Med [Internet]. 21 November 2023 [dikutip 27 September 2024];10. Tersedia pada: https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2023.1269358/full
15. Association of general and abdominal obesity and their changes with stroke in Chinese adults: Results from an 11.8-year follow-up study. Nutrition, Metabolism and Cardiovascular Diseases. 30 Oktober 2020;30(11):2001–7.
16. Wang B, Yang X, Wei B, Ren T, Huang N, Escobar C, dkk. Associations between waist circumference, central obesity, and the presence of non-valvular atrial fibrillation patients with heart failure. Journal of Thoracic Disease [Internet]. 29 Maret 2024 [dikutip 30 September 2024];16(3). Tersedia pada: https://jtd.amegroups.org/article/view/84562
17. Quiñones-Ossa GA, Lobo C, Garcia-Ballestas E, Florez WA, Moscote-Salazar LR, Agrawal A. Obesity and Stroke: Does the Paradox Apply for Stroke? Neurointervention. 4 Januari 2021;16(1):9–19.
18. Katta N, Loethen T, Lavie CJ, Alpert MA. Obesity and Coronary Heart Disease: Epidemiology, Pathology, and Coronary Artery Imaging. Current Problems in Cardiology. 1 Maret 2021;46(3):100655.
19. Liu S, Gao Z, Dai Y, Guo R, Wang Y, Sun Z, dkk. Association of general and abdominal obesity and their changes with stroke in Chinese adults: Results from an 11.8-year follow-up study. Nutrition, Metabolism and Cardiovascular Diseases. 30 Oktober 2020;30(11):2001–7.
20. Chen Q, Li L, Yi J, Huang K, Shen R, Wu R, dkk. Waist circumference increases risk of coronary heart disease: Evidence from a Mendelian randomization study. Mol Genet Genomic Med. 24 Februari 2020;8(4):e1186.
21. Laily SR, Martini S. Abdominal Obesity as a Risk Factor of Ischemic Stroke Incidence in Lamongan Distric, Indonesia. 2020;
22. Septiyanti S, Seniwati S. Obesity and Central Obesity in Indonesian Urban Communities. JIKA. 31 Desember 2020;2(3):118–27.
Bahasa Abstract
Stroke adalah masalah kesehatan global yang utama dan terus meningkat. Stroke adalah penyebab utama penyakit dan kematian di seluruh dunia dan dapat diklasifikasikan secara luas sebagai stroke hemoragik atau stroke iskemik. Ada banyak faktor risiko stroke, termasuk faktor risiko yang dapat dimodifikasi dan tidak dapat dimodifikasi. Penelitian ini bertujuan untuk menyelidiki korelasi antara obesitas sentral dengan kejadian stroke pada usia dewasa dan paruh baya menggunakan tinjauan sistematis. Studi ini dilakukan melalui pencarian komprehensif dari beberapa database elektronik, termasuk Scopus, Science Direct, Proquest, dan Google Scholar dari bulan Juni 2024 – September 2024. Sebanyak 2.482 artikel disaring berdasarkan kesesuaian judul, abstrak, dan jenis (penelitian asli atau tidak asli). Sisanya sebanyak 549 artikel kemudian dilakukan pembacaan teks lengkap dan dimasukkan ke dalam bagan data untuk diidentifikasi sehingga menghasilkan 8 artikel yang sesuai dengan kriteria inklusi untuk ditinjau. Analisis data mencangkup identifikasi studi, tujuan, lokasi (negara), metodologi (diagram alur PEO dan PRISMA-ScR), dan hasil temuan studi. Temuan studi menunjukkan adanya hubungan antara obesitas abdominal dengan kejadian stroke juga dapat dikaitkan dengan adanya distribusi lemak tubuh berhubungan erat dengan kejadian penyakit kardiovaskular. Memahami mekanisme yang mendasarinya, faktor risiko, dan strategi manajemen sangat penting dalam mengurangi dampak dari kondisi neurologis yang meluas ini.
Recommended Citation
Silalahi, Jessica Veronica and Ronoatmodjo, Sudarto
(2024)
"Hubungan Antara Obesitas Abdominal Dengan Kejadian Stroke Pada Penduduk Usia Dewasa Dan Paruh Baya : Tinjauan Literatur,"
Jurnal Epidemiologi Kesehatan Indonesia: Vol. 8:
Iss.
2, Article 3.
DOI: 10.7454/epidkes.v8i2.1109
Available at:
https://scholarhub.ui.ac.id/epidkes/vol8/iss2/3