Abstract

Type 2 diabetes mellitus (T2DM) is the sixth highest cause of death in Indonesia. Thus, it must be prevented and overcome with appropriate management. This study aimed to determine the contribution of physiological factors and physical activities to the incidence of T2DM. The study used a cohort retrospective design using secondary data from the Indonesian Family Life Survey (IFLS) from 2007 to 2014, which included a sample of 14,517 people involved for more than 20 years. Data analysis was performed using multiple logistic regressions. The results revealed a 3.8% incidence of T2DM in Indonesia. Record of hypertension risk increased the likelihood of T2DM by 1.7 times compared to without hypertension. A normal body mass index (BMI) increased the risk by 2.2 times, a higher BMI at 5.5 times, and BMI whose risk obesity was 7 times had greater likelihood of having T2DM compared with respondents with a thin BMI. After controlling for sex, age, marital status, record of parents’ DM, residence, employment, and education, results also indicated that people with less active physical activity were likely to have T2DM compared to those who were very active. Controlling blood pressure, maintaining a normal BMI, and increasing physical activity since adolescence can prevent T2DM.

References

1. Simbolon D, Suryani D, Yandrizal. Buku saku kader kesehatan: deteksi dini faktor risiko penyakit tidak menular (PTM); Accessed 2 July 2018.

2. Perkumpulan Endokrinologi Indonesia. Consensus on the management and prevention of type 2 diabetes mellitus in Indonesia. Jakarta: Perkeni; 2015.

3. Badan Penelitian dan Pengembangan Kesehatan Kemeterian Kesehatan Republik Indonesia. National Basic Health Study Report 2013 (Laporan Nasional RISKESDAS 2013). Jakarta: Health Study and Development Agency; 2019.

4. Hill J. Diabetes monitoring: risk factors, complications and management. Nursing Prescribing. 2011; 9 (3): 122-30.

5. Webb DR, Khunti K, Srinivasan B, Gray LJ , Taub N, Campbell S, et al. Rationale and design of the ADDITION-Leicester study, a systematic screening programme and randomised controlled trial of multi-factorial cardiovascular risk intervention in people with type 2 diabetes mellitus detected by screening. Trials. 2010; 11: 16.

6. van Dijk JW, Tummers K, Stehouwer CD, Hartgens F, van Loon LJ. Exercise therapy in type 2 diabetes: is daily exercise required to optimize glycemic control?. Diabetes Care. 2012; 35 (5): 948-54.

7. Ariza MA, Vimalananda VG, Rosenzweig JL. The economic consequences of diabetes and cardiovascular disease in the United States. Springer. 2010; 11 (1): 1-10.

8. Ministry of Health of Republic Indonesia. Buku pintar kader Posbindu PTM. South Jakarta: Directorate General of Control of NonCommunicable Diseases; 2019.

9. Trisnawati SK, Setyorogo S. 2013. Faktor risiko kejadian diabetes melitus tipe 2 di Puskesmas Kecamatan Cengkareng Jakarta Barat tahun 2012. Jurnal Ilmiah Kesehatan. 2013; 5 (1) : 6-11.

10. Indris H, Hasyim H, Feranita U. Analysis of diabetes mellitus determinants in Indonesia: a study from Indonesian basic health study 2013. Acta Medica Indonesia. 2017; 49 (4): 291-8.

11. Bilous R, Donelly R. Handbook of diabetes. 4th edition. Jakarta: Bumi Medika; 2015.

12. Tong WT, Vethakkan SR, Ng CJ. Why do some people with type 2 diabetes who are using insulin have poor glycemic control? a qualitative study. Diabetes and Endocrinology. 2015; 5 (1): 1-9.

13. Dwyer JT, Melanson KJ, Sriprachy-Anunt U, Cross P, and Wilson M. Dietary treatment of obesity. [Update 2015 Feb 28]. In: Feingold KR, Anawalt B, Boyce A, et al., editors. Endotext. South Dartmouth (MA): MDText.com, Inc.: 2000-; Accessed 2 July 2018.

14. Martiner. Prevalence of diabetes in the world, 2013. Health Intelligence; Accessed 12 June 2018.

15. Smeltzer SC, Bare BG. Brunner and Suddarh's textbook of medical nursing. 8th edition. Philadelphia: Lippincott Williams &Wilkin; 2008.

16. Min-Ju K, Nam-Kyoo L, Sun-Ja C, Hyun-Young P. Hypertension is an independent risk factor for type 2 diabetes: the Korean genome and epidemiology study. Hypertension Research. 2015; 38: 783–9.

17. Setyaningrum DE, Sugiyanto Z. Faktor risiko yang berhubungan dengan kejadian diabetes mellitus tipe 2 pada usia kurang dari 45 tahun di RSUD Tugurejo Semarang.Visikes: Jurnal Kesehatan Masyarakat. 2015; 14 (2): 115-22.

18. Chew BW, Mastura I, Shariff-Ghazali S, Lee PY, Cheong AT, Ahmad Z, et al. Determinants of uncontrolled hypertension in adult type 2 diabetes mellitus: an analysis of the Malaysian diabetes registry 2009. Cardiovascular Diabetology. 2012; 11 (54): 1-8.

19. Adnan M, Mulyati T, Isworo JT. Hubungan indeks massa tubuh (IMT) dengan kadar gula darah penderita diabetes mellitus (DM) tipe 2 rawat jalan di RS Tugurejo Semarang. Jurnal Gizi Universitas Muhammadiyah Semarang. 2013; 2 (1): 19-24.

20. Waspadji S. Diabetes melitus, penyulit kronik dan pencegahannya, dalam buku penatalaksanaan diabetes melitus terpadu (panduan penatalaksanaan diabetes melitus bagi dokter dan edukator). Edisi ke-2, cetakan ke-7. Jakarta: Balai Penerbit FKUI; 2009.

21. D'adamo PJ. Diet sehat diabetes sesuai golongan darah. Yogyakarta: Delapratasa; 2008.

22. Ganz ML, Wintfeld N, Li Q, Alas V, Langer J, Hammer M. The association of body mass index with the risk of type 2 diabetes: a case-control study nested in the electronic health records system in the United States. Diabetology & Metabolic Syndrome. 2014; 6 (50): 1-8.

23. Teixeira-Lemos E, Nunes S, Teixeira F, Reis F. Regular physical exercise training assists in preventing type 2 diabetes development: focus on its antioxidant and anti-inflammatory properties. Cardiovascular Diabetology. 2011; 10: 12.

24. Werdani AR, Triyanti. Asupan karbohidrat sebagai faktor dominan yang berhubungan dengan kadar gula darah puasa. Kesmas: Jurnal Kesehatan Masyarakat Nasional. 2014; 9 (1): 71-7.

25. Valliyot B, Sreedharan J, Muttappallymyalil J, Valliyot SB. Risk factors of type 2 diabetes mellitus in the rural population of North Kerala, India: a case control study. Diabetologia Croatica. 2013; 42 (1): 33-40.

26. Soetiarto F, Roselinda, Suhardi. Hubungan diabetes mellitus dengan obesitas berdasarkan indeks massa tubuh dan lingkar pinggang data Riskesdas 2007. Buletin Penelitian Kesehatan. 2010; 38 (1): 36-42.

27. Forouhi NG, Misra A, Mohan V, Taylor R, Yancy W. Dietary and nu - tritional approaches for prevention and management of type 2 diabetes. BMJ. 2018; 361: 1-9.

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