Deteksi Dini Risiko Sindrom Metabolik pada Remaja di Daerah Urban dan Rural Early Detection of Metabolic Syndrome Risk in Adolescents in Urban and Rural Areas
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Abstract
Metabolic syndrome is a collection of metabolic disorders that are closely related to an increased risk of developing diabetes mellitus and cardiovascular diseases in obese adolescents. Metabolic syndrome in adolescents is still reversible with varying timeframes. In adolescents with metabolic syndrome, the transition from homeostasis with normal blood sugar levels to type 2 diabetes occurs more rapidly compared to adults. Early diagnosis of metabolic syndrome is essential for prevention through lifestyle changes. Living in urban areas has a higher risk of obesity compared to living in rural areas after controlling for other variables. This activity aims to initially screen metabolic syndrome in middle school adolescents in urban and rural areas. The measurement of metabolic syndrome parameters involved 107 students, consisting of 47 middle school students in urban areas and 60 in rural areas. The measurement and data analysis results showed significant differences in body mass index (p<0,001), waist size (p=0.03), waist circumference (p=0.007), and upper arm circumference (p=0.002) between students in urban and rural areas, while blood sugar levels, blood pressure, and neck circumference did not show significant differences.
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References
Aisyah, R., Jatmiko, S.W., Bestari, R.S., Kamila, A.A., Anam, I.H.M., Anggitaratri, Z.N. (2024). Peningkatan Pengetahuan tentang Diabetes Melitus, Sindrom Metabolik, dan Faktor Risikonya melalui Edukasi pada Remaja Sekolah Menengah Pertama di Surakarta. SSEJ, 5(1), 10-16.
Alberga, A. S., Sigal, R. J., Goldfield, G., Prud’ Homme, D., & Kenny, G. P. (2012). Overweight and obese teenagers: Why is adolescence a critical period?. Pediatric Obesity, 7(4), 261–273. https://doi.org/10.1111/j.2047-6310.2011.00046.x
Al-Hamad, D., & Raman, V. (2017). Metabolic syndrome in children and adolescents. Transl Pediatr, 6(4), 397–407. https://doi.org/10.21037/tp.2017.10.02
Al-khalifa, I. I., Mohammed, S. M., & Ali, Z. M. (2016). Cigarette Smoking as Relative Risk Factor for Metabolic Syndrome. J Endocrin Metab, 6(6), 178–182. https://doi.org/10.14740/jem390e.
Bibiloni, M. D. M., Pons, A., & Tur, J. A. (2013). Prevalence of Overweight and Obesity in Adolescents: A Systematic Review. ISRN Obesity, 1–14. https://doi.org/10.1155/2013/392747
Bilog, N. C., Mekoulou Ndongo, J., Bika Lele, E. C., Guessogo, W. R., Assomo-Ndemba, P. B., Ahmadou, Etaga, N. B., Mbama Biloa, Y. J., Bindi, J. G. B. N., Temfemo, A., Mandengue, S. H., Guyot, J., Dupré, C., Barth, N., Bongue, B., Etoundi Ngoa, L. S., & Ayina Ayina, C. N. (2023). Prevalence of metabolic syndrome and components in rural, semi-urban and urban areas in the littoral region in Cameroon: Impact of physical activity. Journal of Health, Population and Nutrition, 42(1), 95. https://doi.org/10.1186/s41043-023-00415-0.
Chung, Y. L., & Rhie, Y.-J. (2022). Metabolic Syndrome in Children and Adolescents. The Ewha Med J, 45(4), e13. https://doi.org/10.12771/emj.2022.e13.
Codazzi, V., Frontino, G., Galimberti, L., Giustina, A., & Petrelli, A. (2023). Mechanisms and risk factors of metabolic syndrome in children and adolescents. Endocrine, 84(1), 16–28. https://doi.org/10.1007/s12020-023-03642-x
Dinas Kesehatan Kabupaten Karanganyar. (2018). Profil Kesehatan Kabupaten Karanganyar Tahun 2018. Karanganyar: Dinkes Karanganyar.
Dinas Kesehatan Pemerintah Provinsi Jawa Tengah. (2024). Profil Kesehatan Jawa Tengah 2023. Semarang: Dinkes Jateng.
Dinas Kesehatan Kabupaten Sukoharjo. (2022). Profil Kesehatan Kabupaten Sukoharjo Tahun 2022. Sukoharjo: Dinkes Sukoharjo
Iafusco, D., Franceschi, R., Maguolo, A., Guercio Nuzio, S., Crinò, A., Delvecchio, M., Iughetti, L., Maffeis, C., Calcaterra, V., & Manco, M. (2023). From Metabolic Syndrome to Type 2 Diabetes in Youth. Children, 10(3), 516. https://doi.org/10.3390/children10030516
Ikatan Dokter Anak Indonesia. (2014). Diagnosis dan Tata laksana Sindrom Metabolik pada Anak dan Remaja. Ikatan Dokter Anak Indonesia.
Kansra, A. R., Lakkunarajah, S., & Jay, M. S. (2021). Childhood and Adolescent Obesity: A Review. Front Pediatr, 8, 581461. https://doi.org/10.3389/fped.2020.581461
Lee, S., Shin, Y., & Kim, Y. (2018). Risk of Metabolic Syndrome among Middle-Aged Koreans from Rural and Urban Areas. Nutrients, 10(7), 859. https://doi.org/10.3390/nu10070859
Magge, S.N., Goodman, E., and Armstrong, S.C. The Metabolic Syndrome in Children and Adolescents: Shifting the Focus to Cardiometabolic Risk Factor Clustering. Clinical Report, 140(2).
Mohamed, S. M., Shalaby, M. A., El-Shiekh, R. A., El-Banna, H. A., Emam, S. R., & Bakr, A. F. (2023). Metabolic syndrome: Risk factors, diagnosis, pathogenesis, and management with natural approaches. Food Chemistry Advances, 3, 100335. https://doi.org/10.1016/j.focha.2023.100335
Nurzakiah, N., Achadi, E., and Sartika, R.A. 2010. Faktor Risiko Obesitas pada Orang Dewasa Urban dan Rural. Kesmas, Jurnal Kesehatan Masyarakat Nasional, 5(1), p. 29-34.
Rus, M., Crisan, S., Andronie-Cioara, F. L., Indries, M., Marian, P., Pobirci, O. L., & Ardelean, A. I. (2023). Prevalence and Risk Factors of Metabolic Syndrome: A Prospective Study on Cardiovascular Health. Medicina, 59(10), 1711. https://doi.org/10.3390/medicina59101711
Soelistijo, S.A., Lindarto, D., Decroli, E., Permana, H., Sucipto, K.W., Kusnadi, Y. (2019). Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia. PB Perkeni.
Sundarakumar, J. S., Stezin, A., Menesgere, A. L., & Ravindranath, V. (2022). Rural-urban and gender differences in metabolic syndrome in the aging population from southern India: Two parallel, prospective cohort studies. eClinicalMedicine, 47, 101395. https://doi.org/10.1016/j.eclinm.2022.101395.
Trivedi, T., Liu, J., Probst, J. C., & Martin, A. B. (2013). The Metabolic Syndrome: Are Rural Residents at Increased Risk? The Journal of Rural Health, 29(2), 188–197. https://doi.org/10.1111/j.1748-0361.2012.00422.x
Utari, W. N., Arlianti, N., & Abdullah, A. (2024). Faktor – Faktor Yang Mempengaruhi Sindrom Metabolik Di Wilayah Perdesaan : Literature Review. Jurnal Kesehatan Tambusai, 5(2), 3809-3818.
Xiao, J., Shen, C., Chu, M. J., Gao, Y. X., Xu, G. F., Huang, J. P., Xu, Q. Q., & Cai, H. (2016). Physical Activity and Sedentary Behavior Associated with Components of Metabolic Syndrome among People in Rural China. PLoS ONE, 11(1), e0147062. https://doi.org/10.1371/journal.pone.0147062
Zafar, K. S., Pious, T., Singh, P. S., Gautam, R. K., Yadav, S. K., Singh, P., & Sharma, H. (2017). Prevalence of metabolic syndrome in a rural population- a cross sectional study from Western Uttar Pradesh, India. International Journal of Research in Medical Sciences, 5(5), 2223. https://doi.org/10.18203/2320-6012.ijrms20171873