scholarly journals Hubungan Status Obesitas Sentral dengan Pengalaman Karies (Indeks DMFT) pada Individu Dewasa Muda

2021 ◽  
Vol 10 (2) ◽  
pp. 51-57
Author(s):  
Dzanuar Rahmawan ◽  
Rudi Irawan ◽  
Ige Frameski Radila Muga ◽  
Catur Septommy

Karies dan obesitas merupakan permasalahan yang sering dihadapi pada bidang kesehatan masyarakat terutama pada individu dewasa muda dan prevalensi kondisi tersebut terus meningkat di seluruh dunia. Status obesitas sentral telah dilaporkan memiliki korelasi dengan pengalaman karies, hal tersebut belum bayak dipelajari di Indonesia. Tujuan dari penelitian ini adalah untuk menganalisis hubungan antara pengalaman karies dan status obesitas sentral pada mahasiswa dengan kondisi sehat usia 18-22 tahun. Penelitian cross-sectional ini dilakukan di Institut Ilmu Kesehatan Bhakti Wiyata Kediri dengan jumlah sampel 120. Pengalaman karies dinilai dengan indeks decayed missing filled teeth index (DMFT) dan status obesitas sentral dinilai dengan waist hip ratio (WHR) yang merupakan rasio dari lingkar pinggang (waist circumference) dan lingkar pangggul (hip circumference). Data dianalisa menggunakan SPSS 17 dengan tingkat signifikansi p0,05. Terdapat korelasi antara WHR dan waist circumference (WC) dengan indeks DMFT (p=0,028, r= 0,201; p=0,025, r=0,204). Pada pemerikasaan indeks DMFT didapatkan persentase individu dengan pengalaman karies kategori sangat rendah 14,2% (n=17), kategori rendah 17,5% (n=21) kategori sedang 23,3% (n=28), kategori tinggi 29,1% (n=35) dan kategori sangat tinggi 15,8% (n=19). Pengukuran antropometri didapatkan rerata WC=78,6, hip circumference (HC)=97,3 dan WHR=0,81. Persentase individu yang mengalami obesitas sentral pada laki-laki sebesar 13,3% (n=8) dan pada perempuan 28,3% (n=17). Pada penelitian ini status obesitas sentral memiliki hubungan signifikan terhadap indeks DMFT.

2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Attah Martha Orendu ◽  
Chiroma Musa Samaila ◽  
Helga Bedan Ishaya ◽  
Akpan Paul ◽  
Attah Jacob

AbstractBackground: Body Mass Index (BMI) which is often calculated by dividing the weight (kg) by height squared (m2), was chosen as a simple measurement of body weight in relation to height. Waist circumference (WC) and Waist-hip-ratio (WHR) are important indices to assess abdominal obesity. Waist circumference (WC) is an expedient and easy measurement of intra-abdominal fat mass and total body bulk.Methods: This cross-sectional study was conducted on 130 undergraduate students of University of Maiduguri (comprising of 65 male students and 65 female students), with their ages ranging from 18-30 years. A written or verbal consent was obtained from the subjects after explaining to them the objectives as well as the methodology of the study.  Information about age and socioeconomic status was collected from each student in a pre-designed questionnaire. The height, weight, waist circumference, hip circumference were also taken on each individual using standard anthropometric methodology.Results: The prevalence of abdominal obesity in the present study, according to waist circumference (WC), and waist-hip-ratio (WHR) was 24.6% and 67.7% in males respectively, while 66.2% and 92.3% in female students respectively. Conclusion: The females in the same age group as males showed a tendency towards higher BMI and were classified as overweight and this could be attributed to reduced physical exercise and diet compared to their male counterparts.Keywords: body mass index, hip circumference, obesity, waist circumference, waist-hip ratio


2019 ◽  
Vol 59 (5) ◽  
pp. 265-70
Author(s):  
Esti Istiqomah ◽  
Dida A. Gurnida ◽  
Dany Hilmanto ◽  
Dzulfikar Djalil Lukmanul Hakim ◽  
Prima Nanda Fauziah

Background Hypertension in children is associated with obesity. 7 The renin-angiotensin-aldosterone system has been associated with intra-abdominal fat tissue. Anthropometric parameters for determining nutritional status include waist circumference and waist-hip ratio. Many studies have shown that waist circumference and waist-hip ratio are more precise to determine overweight or obese. Objective To determine the usefulness of waist circumference and waist-hip ratio as hypertensive screening tools for children aged 6-11 years. Methods This analytical study with cross-sectional design and multistage cluster sampling method was conducted in August-September 2017 at a primary school in Bandung, West Java, Indonesia. Subjects underwent height, weight, waist circumference, hip circumference, and blood pressure measurements. Receiver operating characteristic (ROC) curve analysis was done to obtain the area under curve (AUC), cut-off point, sensitivity, specificity, and prevalence ratio. Results Subjects were 325 children consisting of 187 males and 138 females. Hypertension was diagnosed in 47 children (37 males and 10 females). Mean waist circumference and waist-hip circumference ratio were significantly higher in the hypertensive group than in the normotensive group. The hypertensive group had a mean waist circumference of 72.6 (SD 12.8) cm, AUC 0.779 (95%CI 0.730 to 0.823; P<0.001), cut-off point >65 cm, sensitivity 66.0%, specificity 76.3%, and prevalence ratio 4.55. This group had mean waist-hip ratio of 0.94 (SD 0.10), AUC 0.724 (95%CI 0.672 to 0.772; P<0.001), waist-hip ratio cut-off >0.91, sensitivity 59.6%, specificity 77.0%, and prevalence ratio 3.73. Conclusion Waist circumference >65 cm or waist-hip ratio >0.91 can be used to screen for hypertension in children aged 6-11 years with negative predictive values of 92.0% and 91.8%, respectively.  


2005 ◽  
Vol 164 (4) ◽  
pp. 216-222 ◽  
Author(s):  
A. Miranda Fredriks ◽  
Stef van Buuren ◽  
Minne Fekkes ◽  
S. Pauline Verloove-Vanhorick ◽  
Jan Maarten Wit

2020 ◽  
Vol 2020 ◽  
pp. 1-14
Author(s):  
Yanling Gao ◽  
Yi Wang ◽  
Jing Zhou ◽  
Zhihai Hu ◽  
Yin Shi

Objective. To evaluate the effectiveness of electroacupuncture in the treatment of simple obesity. Methods. Randomized clinical trials concerning electroacupuncture as a treatment of simple obesity published prior to October 31, 2019, were searched in the following Chinese and English databases: Chinese National Knowledge Infrastructure (CNKI), WanFang Database, China Science and Technology Journal Database (VIP), Chinese Biomedical Literature Database (CBM), PubMed, Cochrane Library, Web of Science, and Scopus. After data collection and quality evaluation, meta-analysis was performed using RevMan 5.3 software and Stata 15.0 software. Results. A total of 13 studies involving 937 patients with simple obesity were included in the meta-analysis. Results revealed that the total effective rate (RR = 1.29, 95% CI [1.13, 1.48]; P=0.0002), BMI (MD = −1.82, 95% CI [−2.21, −1.43]; P<0.000), waist circumference (MD = −2.39, 95% CI [−3.95, −0.84]; P=0.003), hip circumference (MD = 0.31, 95% CI [−2.37, 2.99]; P=0.82), waist-hip ratio (MD = −0.05, 95% CI [−0.07, −0.03]; P<0.00), and body fat rate (MD = −1.56, 95% CI [−2.35, −0.78]; P=0.0001) in the electroacupuncture group were superior to those in the control group. Analysis of acupoint clustering and correlation using SPSS 24.0 and Clementine 12.0 revealed the highest statistical support for acupoint groups CV12-CV4 and CV12-ST25-CV4, while ST36-CV12-ST25, SP6, and ST40-ST24-SP15-ST37-CV4 were found to be validly clustered acupoints. Conclusion. For treating simple obesity, electroacupuncture is superior to other interventions such as acupuncture, acupoint catgut embedding therapy, and simple lifestyle modification for improvement in body fat rate, waist circumference, and waist-hip ratio, although not hip circumference. Acupoint analysis revealed that ST25, CV12, CV4, SP6, and ST36 can form the basis for electroacupuncture therapy for the treatment of simple obesity.


2020 ◽  
Vol 8 (10) ◽  
pp. 4593-4599
Author(s):  
Aabha Sharma

Background: Obesity (Medo Roga) is a Kapha Pradhana, Atibrimhana Janya Vyadhi, where Shleshma Dosha seated in (Medodhatu). According to Ayurvedic perspective, it is clear that Kledaka Kapha, Sama-na-Vyana Vata, Pachaka Pitta, Medo Dhatu and Medodhatwagni are involved in the pathogenesis of Medo Roga1. The excessively increased Asthayi Medo Dhatu is Ama in nature, due to which it is retained in the body for a longer period resulting in further complications. For this Langhana treatment is mainly high-lighted in Grantha2. The challenging nature (relapsing) of the disease makes it difficult to be treated. Aim and Objective: The aim of the present study was to evaluate the efficacy of Madhavimoola in the reduc-tion of female waist circumference. Settings and Design: Single arm, Open Randomised clinical trial. Ma-terials and Methods: Here, Madhavimoola is selected for the study to evaluate its efficacy over female’s waist circumference, on 30 patients for 45 days on empty stomach with (Nisneha Takra) fat-free butter-milk, early in the morning, in single group. Results: The results were highly significant (p<0.001) in the objective criteria  Waist Circumference, Hip Circumference, Waist-Hip Ratio, Weight, except than in BMI = 0.161. In subjective criteria Abdomen-Breast movements (Udara-Stana Chalatva) and symptom of weakness (Daurbalya) showed significant difference (p=0.016). Conclusion: The study showed good re-sults in reducing waist circumference (Katibhaga) in female subjects.


2018 ◽  
Vol 2 (1) ◽  
pp. 67-71
Author(s):  
Richard K.D Ephraim ◽  
Dennis Acquah ◽  
Enos Oduro Amoako ◽  
Prince Adoba ◽  
Hope Agbodzakay ◽  
...  

Background: Despite increasing prevalence of hyperglycemia leading to a type 2 diabetes mellitus (T2DM) in the urban areas, relatively little is known about its actual prevalence and associations in the rural population. This study sought to determine hyperglycemia and its associated risk factors among rural dwellers in the Effutu Municipality.Method: A simple-random cross-sectional study was conducted from January 2015 to May 2015 at the Effutu Municipality, in the Central region of Ghana. One hundred and forty-nine (149) participants were enrolled onto the study. A structured questionnaire was administered to obtain information on demography, alcohol use, tobacco use, educational status, visual challenges, sugary food intake and late-night eating. Blood samples were obtained for determination of fasting blood glucose (FBG). Body mass index (BMI), waist to hip ratio (WHR) and waist circumference (WC) were determined and hip circumference (HC) using standard protocols. Data obtained was analyzed with Statistical Package for Social Sciences (SPSS) and p < 0.05 was considered statistically significant.Results: The study showed 8.1% hyperglycemia among the rural dwellers and advanced age showed significant association with glycemic status (P = 0.0376). BMI, gender, waist hip ratio, waist circumference and hip circumference were higher in hyperglycemic participants than in normogylcaemic participants, however there was no significant difference when these parameters were compared by glycemic status.Conclusion: The prevalence of hyperglycemia in rural dwellers was 8.1% and it was significantly associated with advanced age. BMI, gender, HC, WC, WHR showed no association with hyperglycaemia.


Author(s):  
Amit Saxena ◽  
Atishay Jain

Method: This Prospective cross–sectional study was carried out in the Department of Medicine; we studied 211 consecutive patients of obesity presenting in general medicine OPD and general medical wards having associated co-morbidity. All patients or their relatives provided valid informed written consent for participation. Result: The above table shows the mean comparison of FBS, BMI, waist hip ratio, waist circumference, hip circumference, weight and age between presence and absence of CAD. The difference was found to be statistically significant for hip circumference (P < 0.05) with a larger hip circumference in CAD present patients in comparison to the CAD absent patients. While the difference in all the other parameters were found to be statistically not significant (P>0.05), showing that all the parameters were comparable. Conclusion: Conclusion derived from the study conducted on 211 patients of diabetes mellitus type II and overweight W.C., WHR and BMI are important, simple, cost effective, anthropometric measurements. Hence we recommended that all patients of obesity visiting Medical OPD and admitted in medical wards should not only be assessed for associated co-morbidities but for time tested anthropometric measurements. The above table shows the mean comparison of FBS, BMI, waist hip ratio, waist circumference, hip circumference, weight and age between presence and absence of CVA. Statistically significant difference was seen in the waist circumference and WHR higher in patients with CVA in comparison to patients without CVA (P < 0.05). No statistically significant difference was seen in any of the parameters (P>0.05) between absence and presence of CVA, showing that all the parameters were comparable. Keywords: Aanthropometric, Proforma, Clinical & Obesity.


2013 ◽  
Vol 1 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Nayera Hassan ◽  
Sahar El-Masry ◽  
Mohamed El Hussieny ◽  
Rokia El-Banna ◽  
Safenaz El Sherity ◽  
...  

Objective: To determine appropriate visceral fat cut-off values using ultrasound (USVF); for obesity according to existing waist circumference (WC), waist/hip ratio (WHR) and BMI cut-off levels.Methods: 998 Egyptian adults, aged 25- 55 years, were studied in a cross-sectional survey for evaluation of “Visceral and Central Obesity as an Early Estimator for Obesity Health Risk”. Results:  Using WC as standard for classification of  central obesity, cut-off points of USVF were found to be 6.5 cm for men and 5 cm for women; using ROC analysis; with 76 % sensitivity, 83% specificity, 1.06 PPV/NPV, and 81% accuracy for men, and with 77 % sensitivity, 76% specificity, 0.99 PPV/NPV, and 76% accuracy for women. Same cut-off points of USVF were detected using BMI as standard; with 71 % sensitivity, 77% specificity, 1.04 PPV/NPV, and 75% accuracy for men, and 74% sensitivity, 79% specificity, 1.03 PPV/NPV, and 77% accuracy for women. Even by using WHR as standard, these cut-offs increased 0.5 cm only for both men and women (7 and 5.5 cm respectively).Conclusion: The best cut-off points of visceral fat; using US in Egyptian adults; is 6.5 cm for men and 5 cm for women.en


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