Abstract
The present study rigorously examines the correlation between obesity, high-risk dietary consumption, and unhealthy lifestyles with the prevalence of non-communicable diseases (NCDs) in Indonesia. The study employed a cross-sectional study design using secondary data from the 2023 Indonesian Health Survey, analyzing 38 units (n) representing Indonesia's provinces in 2023. The correlation analysis, conducted using Pearson's test with a significance level of 95% (α<0.05), revealed significant regional disparities in the prevalence of NCDs, dietary consumption, and lifestyle factors across Indonesia. Moreover, the findings reveal a statistically significant positive correlation between obesity, high-risk food consumption, and lifestyle risk factors with the prevalence of several NCDs, including diabetes mellitus, heart disease, hypertension, and chronic kidney disease. These results underscore the potential impact of our research on public health in Indonesia. The results highlight also the urgent need for targeted public health initiatives, such as policies promoting healthier food choices, controlling the food environment, encouraging physical activity, and supporting smoking cessation to mitigate the growing burden of NCDs in Indonesia.
References
- GBD. Global Burden of Disease (GBD). 2021.
- Murray CJL. Findings from the Global Burden of Disease Study 2021. The Lancet. 2024 May;403(10440):2259–62.
- World Economic Forum. Economics of Non-Communicable Diseases in Indonesia. 2015.
- Tati Suryati. Burden of Disease (DALYs Loss) in Indonesia and Prediction Southeast Region East Nusa Islands Semiringkai. Buletin Penelitian Sistem Kesehatan. 2016;19(2):127–34.
- Adriani M, Wirjatmadi B. Peranan gizi dalam siklus kehidupan. Jakarta: Kencana Prenadamedia Group; 2012.
- Caballero B. A Nutrition Paradox — Underweight and Obesity in Developing Countries. New England Journal of Medicine. 2005 Apr 14;352(15):1514–6.
- Malik VS, Popkin BM, Bray GA, Després JP, Willett WC, Hu FB. Sugar-Sweetened Beverages and Risk of Metabolic Syndrome and Type 2 Diabetes. Diabetes Care. 2010 Nov 1;33(11):2477–83.
- Astuti IDW, Maryanto S, Pontang GS. Hubungan Konsumsi Minuman Berpemanis Dan Aktivitas Fisik Dengan Kejadian Diabetes Melitus Pada Dewasa Usia 30-50 Tahun Di Desa Nyatnyono Kecamatan Ungaran Barat Kabupaten Semarang. Jurnal Gizi Dan Kesehatan. 2018 Jun 4;10(24):20–9.
- Fiolet T, Srour B, Sellem L, Kesse-Guyot E, Allès B, Méjean C, et al. Consumption of ultra-processed foods and cancer risk: results from NutriNet-Santé prospective cohort. BMJ. 2018 Feb 14;k322.
- Monteiro CA, Levy RB, Claro RM, de Castro IRR, Cannon G. Increasing consumption of ultra-processed foods and likely impact on human health: evidence from Brazil. Public Health Nutr. 2010 Dec 20;14(1):5–13.
- Boeing H, Bechthold A, Bub A, Ellinger S, Haller D, Kroke A, et al. Critical review: vegetables and fruit in the prevention of chronic diseases. Eur J Nutr. 2012 Sep 9;51(6):637–63.
- Wang DD, Li Y, Bhupathiraju SN, Rosner BA, Sun Q, Giovannucci EL, et al. Fruit and Vegetable Intake and Mortality. Circulation. 2021 Apr 27;143(17):1642–54.
- Saqib ZA, Dai J, Menhas R, Mahmood S, Karim M, Sang X, et al. Physical Activity is a Medicine for Non-Communicable Diseases: A Survey Study Regarding the Perception of Physical Activity Impact on Health Wellbeing. Risk Manag Healthc Policy. 2020 Dec;Volume 13:2949–62.
- Kemenkes RI. Survei Kesehatan Indonesia (SKI) Tahun 2023. Jakarta: Kemenkes RI; 2024.
- IDF. IDF Diabetes Atlas 10th Edition. 2021.
- Widayanti AW, Green JA, Heydon S, Norris P. Health-Seeking Behavior of People in Indonesia: A Narrative Review. J Epidemiol Glob Health. 2020 Mar;10(1):6–15.
- Piche M, Tchernof A, Despres JP. Obesity Phenotypes, Diabetes, and Cardiovascular Diseases. Circulation Research. 2020; 126(11).
- Portha B, Grandjean V, Movassat J. Mother or father: who is in the front line? Mechanisms underlying the non-genomic transmission of obesity/diabetes via the maternal or the paternal line. Nutrients. 2019;11:E233.
- Shariq OA, McKenzie TJ. Obesity-related hypertension: a review of pathophysiology, management, and the role of metabolic surgery. Gland Surg. 2020 Feb;9(1):80-93.
- Hall JE, do Carmo JM, da Silva AA, Wang Z, Hall ME. Obesity, kidney dysfunction and hypertension: mechanistic links. Nat Rev Nephrol. 2019 Jun;15(6):367-385.
- Bogers RP. Association of Overweight With Increased Risk of Coronary Heart Disease Partly Independent of Blood Pressure and Cholesterol LevelsA Meta-analysis of 21 Cohort Studies Including More Than 300 000 Persons Arch Intern Med. 2007 Sep 10;167(16):1720.
- Caleyachetty R, Thomas GN, Toulis KA, Mohammed N, Gokhale KM, Balachandran K, et al. Metabolically Healthy Obese and Incident Cardiovascular Disease Events Among 3.5 Million Men and Women. J Am Coll Cardiol. 2017 Sep;70(12):1429–37.
- Ebong IA, Goff DC, Rodriguez CJ, Chen H, Bertoni AG. Mechanisms of heart failure in obesity. Obes Res Clin Pract. 2014 Nov;8(6):e540–8.
- Lavie CJ, Milani R V, Ventura HO. Untangling the heavy cardiovascular burden of obesity. Nat Clin Pract Cardiovasc Med. 2008 Jul 3;5(7):428–9.
- Lavie CJ, Amodeo C, Ventura HO, Messerli FH. Left Atrial Abnormalities Indicating Diastolic Ventricular Dysfunction in Cardiopathy of Obesity. Chest. 1987 Dec;92(6):1042–6.
- Alpert MA, Lambert CR, Panayiotou H, Terry BE, Cohen M V., Massey C V., et al. Relation of duration of morbid obesity to left ventricular mass, systolic function, and diastolic filling, and effect of weight loss. Am J Cardiol. 1995 Dec;76(16):1194–7.
- Nur A, Fitria E, Zulhaida A, Hanum S. Hubungan Pola Konsumsi dengan Diabetes Melitus Tipe 2 pada Pasien Rawat Jalan di RSUD Dr. Fauziah Bireuen Provinsi Aceh. Media Penelitian dan Pengembangan Kesehatan. 2017 Jan 4;26(3).
- Aringaneng Z, Laya AA, Riu SDM. Hubungan Pola Konsumsi Softdrink Dengan Kejadian DM Tipe 2 Pada Lansia di Puskesmas Wawonasa. Jurnal Kesehatan Amanah. 2020;4(2).
- Syauqy A, Fajar AD, Candra A, Nissa C. Unhealthy food pattern, physical activity, and the incidence of diabetes mellitus among adults with central obesity. AcTion: Aceh Nutrition Journal. 2023 Sep 21;8(3):426.
- Colozza D, Avendano M. Urbanisation, dietary change and traditional food practices in Indonesia: A longitudinal analysis. Social Science & Medicine. 2019; 233: 103-112.
- Anyanwu OA, Naumova EN, Chomitz VR, Zhang FF, Chui K, Kartasurya MI, Folta SC. The Socio-Ecological Context of the Nutrition Transition in Indonesia: A Qualitative Investigation of Perspectives from Multi-Disciplinary Stakeholders. Nutrients. 2022 Dec 21;15(1):25.
- Franco M, Diez-Roux AV, Nettleton JA, Lazo M, Brancati F, Caballero B, Glass T, Moore LV. Availability of healthy foods and dietary patterns: the Multi-Ethnic Study of Atherosclerosis. Am J Clin Nutr. 2009 Mar;89(3):897-904.
- Bazzano LA, Li TY, Joshipura KJ, Hu FB. Intake of Fruit, Vegetables, and Fruit Juices and Risk of Diabetes in Women. Diabetes Care. 2008 Jul 1;31(7):1311–7.
- Sulistyorini E, Noviati TD, Ma’arif MZ. Konsumsi Buah dan Sayur dan Kejadian Diabetes Melitus pada Usia Produktif. Jurnal Kesehatan Mahardika. 2023 Mar 25;10(1):7–12.
- Durao S, Visser ME, Ramokolo V, Oliveira JM, Schmidt BM, Balakrishna Y, Brand A, Kristjansson E, Schoonees A. Community-level interventions for improving access to food in low- and middle-income countries. Cochrane Database Syst Rev. 2020 Aug 5;8(8):CD011504.
- Katre A, Raddatz B. Low-Income Families' Direct Participation in Food-Systems Innovation to Promote Healthy Food Behaviors. Nutrients. 2023 Mar 3;15(5):1271.
- Shin HJ, Cho E, Lee HJ, Fung TT, Rimm E, Rosner B, et al. Instant Noodle Intake and Dietary Patterns Are Associated with Distinct Cardiometabolic Risk Factors in Korea. J Nutr. 2014 Aug;144(8):1247–55.
- Huh IS, Kim H, Jo HK, Lim CS, Kim JS, Kim SJ, et al. Instant noodle consumption is associated with cardiometabolic risk factors among college students in Seoul. Nutr Res Pract. 2017;11(3):232.
- Hernández-López R, Canto-Osorio F, Vidaña-Pérez D, Torres-Ibarra L, Rivera-Paredez B, Gallegos-Carrillo K, et al. Soft drink and non-caloric soft drink intake and their association with blood pressure: the Health Workers Cohort Study. Nutr J. 2022 Dec 7;21(1):37.
- Adamczak M, Wiecek A. Food Products That May Cause an Increase in Blood Pressure. Curr Hypertens Rep. 2020 Jan 8;22(1):2.
- Grillo A, Salvi L, Coruzzi P, Salvi P, Parati G. Sodium Intake and Hypertension. Nutrients. 2019 Aug 21;11(9):1970.
- Jee SH, Foong AW, Hur NW, Samet JM. Smoking and Risk for Diabetes Incidence and Mortality in Korean Men and Women. Diabetes Care. 2010 Dec 1;33(12):2567–72.
- Uchimoto S, Tsumura K, Hayashi T, Suematsu C, Endo G, Fujii S, et al. Impact of cigarette smoking on the incidence of Type 2 diabetes mellitus in middle‐aged Japanese men: the Osaka Health Survey. Diabetic Medicine. 1999 Nov 24;16(11):951–5.
Bahasa Abstract
Penelitian ini mengkaji hubungan antara obesitas, konsumsi makanan berisiko, dan gaya hidup tidak sehat dengan prevalensi penyakit tidak menular (PTM) di Indonesia. Penelitian ini menggunakan desain studi cross-sectional dengan data sekunder dari Survei Kesehatan Indonesia 2023, dengan unit analisis sebesar 38 (n) yang mewakili provinsi di Indonesia pada tahun 2023. Analisis korelasi dilakukan menggunakan uji Pearson dengan tingkat signifikansi 95% (α<0,05), dan mengungkapkan adanya disparitas regional yang signifikan dalam prevalensi PTM, konsumsi makanan, dan faktor gaya hidup di seluruh Indonesia. Selain itu, temuan menunjukkan adanya korelasi positif yang signifikan secara statistik antara obesitas, konsumsi makanan berisiko tinggi, dan faktor risiko gaya hidup dengan prevalensi beberapa PTM, termasuk diabetes melitus, penyakit jantung, hipertensi, dan penyakit ginjal kronis. Hasil penelitian menunjukkan potensi dampak penelitian terhadap kesehatan masyarakat di Indonesia. Hasil penelitian juga menekankan urgensi perlunya inisiatif kesehatan masyarakat yang terarah, seperti kebijakan yang mendorong pilihan makanan yang lebih sehat, pengelolaan lingkungan pangan, peningkatan aktivitas fisik, serta dukungan untuk berhenti merokok guna mengurangi beban PTM yang terus meningkat di Indonesia.
Recommended Citation
Rusyda, Akifa Laila
(2025)
"Exploring the Non-Communicable Disease Burden in Indonesia – Findings from the 2023 Health Survey,"
Indonesian Journal of Public Health Nutrition (IJPHN): Vol. 5:
Iss.
2, Article 6.
DOI: 10.7454/ijphn.v5i2.1064
Available at:
https://scholarhub.ui.ac.id/ijphn/vol5/iss2/6
Included in
Human and Clinical Nutrition Commons, International and Community Nutrition Commons, Nutritional and Metabolic Diseases Commons, Nutritional Epidemiology Commons, Other Nutrition Commons, Other Public Health Commons