scholarly journals Ukuran Lingkar Pinggang Optimal untuk Identifikasi Sindrom Metabolik pada Populasi Perkotaan di Indonesia

2013 ◽  
Vol 7 (6) ◽  
pp. 284
Author(s):  
Krisnawaty Bantas ◽  
Hari Koesnanto Yoseph ◽  
Budi Moelyono

Sindrom metabolik (SM) adalah suatu kombinasi gangguan medis yang meningkatkan risiko diabetes tipe 2 dan penyakit kardiovaskuler. Salah satu kriteria sindrom metabolik adalah obesitas sentralis. Beberapa sumber mendefinisikan sindrom metabolik menggunakan ukuran lingkar pinggang yang berbeda yang belum tentu sesuai apabila diterapkan untuk populasi Indonesia. Penelitian ini bertujuan untuk mendapat nilai titik potong lingkar pinggang yang optimal sebagai salah satu kriteria SM yang sesuai dengan antropometri populasi Indonesia. Penelitian ini bersifat deskriptif menggunakan data sekunder yang berasal Riset Kesehatan Dasar (Riskesdas) Indonesia 2007. Sampel terdiri dari 13.262 orang berusia diatas 15 tahun pria dan wanita tidak hamil. Sebagai variabel dependen adalah S, dan variabel independen adalah ukuran lingkar pinggang. Analisis statistik yang digunakan adalah Receiver operating characteristic (ROC) curve dengan software analisis data. Hasil penelitian menunjukkan bahwa nilai titik potong optimal dari ukuran lingkar pinggang untuk mengidentifikasi subjek-subjek dengan faktor risiko multiple (ganda) dari SM di Indonesia adalah 85 cm untuk pria dan 83,5 cm untuk wanita. Disimpulkan bahwa penentuan kriteria ukuran lingkar pinggang sebagai salah satu komponen penentu SM harus disesuaikan untuk setiap komunitas.Metabolic syndrome (MS) is a combination of several medical conditions which increase the risk of type 2 diabetes and cardiovascular disease. One of the criteria of MS is central obesity. There are some resources which provide the definition of MS that used difference waist circumference, which was not always necessarelly in accordance with the Indonesian population. The aimed of this study was to determine the optimal cut-off point of waist circumference as a component of MS which appropiate to the anthopometric of Indonesia population. This was a descriptive study, and used a secondary data from Riskesdas 2007. Sample was consisted of 13.262 men and non pregnant women, age over 15 years-old. MS was as dependent variable, and waist circumference was as independent variable. Statitical analysis was done by using software data analyzes with ROC curve methode. The result of study showed that optimal cut-off point of waist circumference to identify subjects with multiple risk of MS was 85 cm for Indonesian men and 83,5 for Indonesian women. It was concluded that the determination of the criteria of waist circumference as one of the criteria of SM should be adjusted for every community.

2019 ◽  
Vol 5 (9) ◽  
pp. 743
Author(s):  
Kiki Novitasari ◽  
Suherman Rosyidi

The aim of this study was to know the impact of macroeconomic indicators changes toward the total amount of collected zakah in BAZNAS during the period 2012-2016. This study uses qualitative approach by using liniear regression analysis technique. Futhermore dependent variable used in this study is the amount of zakah, while the independent variable are inflation, gold price, money supply and industrial production index. The determination of sampling uses non probability sampling with saturated sample method, on the other hand, the whole population was used as the sample of this study. Moreover, the data used in this study is secondary data.


2019 ◽  
Vol 1 (2) ◽  
pp. 100-108
Author(s):  
Budi Rezky Setiawan ◽  
Muhammad Buhari Sibuea ◽  
Erwin Pane

This study aims to determine how the influence of land area, number of seedlings, the number of labor and fertilizer simultaneously and partially on pineapple production in Panai Tengah sub-district Labuhanbatu Regency. This research was conducted in the Central Panai District Labuhan Batu District in April to June 2017. Determination of the location was done intentionally (purposive) with the consideration that the pineapple farming in Central Panai District is a farm carried out on the condition of the land with peat soil types and the results of their production have been has a characteristic as panai pineapple. This research is a descriptive study with a quantitative approach. The number of samples was 86 samples. The data used are primary and secondary data. Primary data obtained by interview using a questionnaire. While secular data uses data obtained from the agency. In this research, the initial step taken is to form an equation with the Cobb Doughlas function, then the equation is transformed in the form of a natural logarithm to facilitate multiple regression analysis using the SPSS 19.0 program. The results showed that the factors affecting pineapple production were land area, number of seeds, and number of workers.


2007 ◽  
Vol 23 (2) ◽  
pp. 391-398 ◽  
Author(s):  
Eliana M. D. R. Wendland ◽  
Bruce Bartholow Duncan ◽  
Sotero Serrate Mengue ◽  
Luciana Bertoldi Nucci ◽  
Maria Inês Schmidt

The aim of this study is to evaluate the diagnostic properties of waist circumference in the prediction of obesity-related gestational outcomes. Pregnant women 20 years or older were consecutively enrolled in six Brazilian State capitals from 1991 to 1995. Weight, height, and waist circumference were measured and an oral glucose tolerance test was performed. Patients were followed through childbirth by chart review. Diagnostic performance for the different outcomes, as measured by area under the receiver operating characteristic (ROC) curve, was estimated through logistic regression. Areas under the ROC curve (95%CI) for waist circumference were 0.621(0.589-0.652) for gestational diabetes, 0.640 (0.588-0.692) for preeclampsia, and 0.645(0.617-0.673) for macrosomia. These areas were similar to those for BMI (p > 0.05). A waist circumference of 82cm jointly maximized sensitivity (63%) and specificity (57%). Cutoff points of 23kg/m² for pre-pregnancy BMI and 26kg/m² for BMI at enrollment produced similar diagnostic properties. In conclusion, waist circumference predicts obesity-related adverse pregnancy outcomes at least as well as BMI.


2015 ◽  
Vol 68 (1) ◽  
pp. 19-25 ◽  
Author(s):  
Mohsen Janghorbani ◽  
Masoud Amini

Background/Aim: It is not clear whether levels of continuous metabolic syndrome (cMetS) are associated with type 2 diabetes (T2D). The aim of this study was to determine the ability of the cMetS score to predict progression to T2D in non-diabetic first-degree relatives (FDRs) of patients with T2D in Isfahan, Iran. Methods: A total of 1,869 non-diabetic FDRs 30-70 years old in 2003-2005 were followed through 2014 for the occurrence of T2D. At baseline and through follow-ups, participants underwent a standard 75 g 2-h oral glucose tolerance test. MetS was defined by the National Cholesterol Education Program-Adult Treatment Panel III. The cMetS score was calculated using age- and gender-standardized Z-score for MetS components. Receiver operating characteristic (ROC) curve was used to assess the association between cMetS and components of MetS with T2D. Results: During 13,571 person-years of follow-up, 72 men and 210 women developed diabetes. Those in the top quartile of cMetS were 8.0 times more likely to develop diabetes than those in the bottom quartile (OR 7.96; 95% CI 4.88-12.99). On ROC curve analysis, a higher area under the ROC were found for FPG (74.3%; 95% CI 70.8-77.8), than for cMetS (69.4%; 95% CI 66.0-72.8). Conclusions: The cMetS score is a robust predictor of T2D and may be more effective and efficient than the current binary definition of MetS in predicting progression to T2D in our study population.


e-CliniC ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Nancy Kojo ◽  
James Siwu ◽  
Johannis F. Mallo

Abstract: Determination of time of death is very important in criminal or civil cases. Exhumation is demolition of grave or autopsy which is conducted for justice by the authorities and stakeholders and the corpse is subsequently examined by a forensic expert. It is expected that there will be some clues to reveal the time and cause of death. This study aimed to determine the effectiveness of exhumation by using the time span ratio of deaths according to the autopsy report and deaths according to the results of the examination after exhumation. This was a retrospective descriptive study with a cross-sectional design using secondary data in the Forensic Medicine and Medicolegal Department, Prof Dr. R. D. Kandou Hospital Manado. There were 13 cases of exhumation from October untul December 2014, with a percentage of 46% effective and ineffective 54%. From the 7 ineffective cases, 3 cases with undetermined time of death because they were preserved. Four cases had the comparison between the letter of request and the results of the examination. The other 6 cases had accuracy of effective. Conclusion: Exhumation cases became ineffective due to the lack of cases found and preservation of the corpses.Keywords: time of death, exhumationAbstrak: Menentukan saat kematian penting dilakukan baik pada kasus kriminal atau sipil. Ekshumasi adalah penggalian mayat atau pembongkaran kubur yang dilakukan demi keadilan oleh yang berwenang dan berkepentingan dimana selanjutnya mayat tersebut diperiksa secara ilmu kedokteran forensik. Dari hasil ekshumasi dapat dilihat temuan pemeriksaan pada mayat yang dapat menentukan atau memperkirakan lama kematian dan penyebab kematian. Penelitian ini bertujuan untuk menentukan efektif atau tidaknya ekshumasi dilihat dari perbandingan rentang waktu lama kematian menurut permintaan visum dan lama kematian menurut hasil pemeriksaan setelah ekshumasi. Penelitian ini bersifat deskriptif retrospektif dengan pendekatan potong lintang. Data sekunder diperoleh di Bagian Forensik dan Medikolegal FK Unsrat RSUP Prof. Dr. R. D. Kandou Manado bulan Oktober – Desember 2014. Kasus ekshumasi yang didapat sejumlah 13 kasus: 46% efektif dan 54% tidak efektif. Dari 7 kasus yang tidak efektif, 3 kasus tidak dapat ditentukan lama kematian menurut hasil pemeriksaan karena telah diawetkan terlebih dahulu dan 4 kasus mempunyai perbandingan hari antara surat permintaan dan hasil pemeriksaan. Enam kasus lainnya mempunyai ketepatan atau efektif. Simpulan: Pada penelitian ini, sebagian kasus ekshumasi tidak efektif karena minimnya kasus yang ditemukan dan sebagian kasus sudah dilakukan pengawetan.Kata kunci: saat kematian, ekshumasi


2008 ◽  
Vol 11 (10) ◽  
pp. 1037-1045 ◽  
Author(s):  
Cria O Gregory ◽  
Camila Corvalán ◽  
Manuel Ramirez-Zea ◽  
Reynaldo Martorell ◽  
Aryeh D Stein

AbstractBackgroundBMI and waist circumference (WC) are used to screen for cardio-metabolic risk; however it is unclear how well these indices perform in populations subject to childhood stunting.ObjectivesTo evaluate BMI and WC as indicators of cardio-metabolic risk and to determine optimal cut-off points among 1325 Guatemalan adults (44 % stunted: ≤150 cm women; ≤162 cm men).MethodsCardio-metabolic risk factors were systolic/diastolic blood pressure ≥130/≥85 mmHg, glucose ≥5·5 mmol/l, TAG ≥1·7 mmol/l, ratio of total cholesterol to HDL-cholesterol ≥5·0, and the presence of two or more and three or more of the preceding risk factors. Receiver operating characteristic (ROC) curve analysis was used.ResultsAreas under the ROC curve were in the range of 0·59–0·77 for BMI and 0·59–0·78 for WC among men and 0·66–0·72 and 0·64–0·72 among women, respectively. Optimal cut-off points for BMI were 24·7–26·1 kg/m2 among men (24·5–26·1 kg/m2 stunted; 24·8–26·3 kg/m2 non-stunted) and 26·5–27·6 kg/m2 among women (26·3–27·8 kg/m2 stunted; 26·6–27·9 kg/m2 non-stunted). Optimal cut-off points for WC were 87·3–91·1 cm among men (85·3–89·4 cm stunted; 88·5–93·3 cm non-stunted) and 91·3–95·3 cm among women (90·9–94·4 cm stunted; 91·8–95·6 cm non-stunted).ConclusionOptimal cut-off points for BMI were slightly higher among women than men with no meaningful differences by stature. Optimal cut-off points for WC were several centimetres lower for stunted compared with non-stunted men, and both were substantially lower than the current recommendations among Western populations. Cut-off points derived from Western populations may not be appropriate for developing countries with a high prevalence of stunting.


2021 ◽  
pp. 266-274
Author(s):  
A. F. Verbovoy ◽  
Yu. A. Dolgikh ◽  
T. Yu. Katorzhanskaya ◽  
V. K. Katorzhanskiy

Hypothyroidism is one of the most common diseases of the endocrine system. It is more often recorded in older women. This disease is characterized by nonspecific symptoms and a blurred clinical picture. Patients often have many symptoms from various organs and systems. Because of this, hypothyroidism often remains unrecognized, and patients are not prescribed the necessary therapy on time. Doctors of various specialties should pay attention to the symptoms that may manifest as hypothyroidism. This is especially true for elderly patients. As a screening, the definition of thyroid-stimulating hormone (TSH) is used. First of all, attention should be paid to the pathology of the cardiovascular system, the presence of arterial hypertension, often diastolic and poorly controlled, a decrease in stroke volume and heart rate. Also, in hypothyroidism, lipid metabolism disorders, an earlier onset of atherosclerosis, a connection with metabolic syndrome and type 2 diabetes mellitus were noted. Therefore, it is recommended to diagnose hypothyroidism in patients with these diseases. Screening should also be done in the presence of neurological disorders, depressive and anxiety disorders, gastrointestinal diseases, and hematological disorders (anemias). The determination of TSH is included in the examination plan for infertility, and may also be necessary for other disorders of the reproductive system: menstrual irregularities in women and androgen deficiency in men. Treatment of overt hypothyroidism consists in the appointment of replacement therapy with levothyroxine. If subclinical hypothyroidism is detected, the question of treatment is decided individually and depends on the level of TSH, the patient’s age, and the clinical manifestations of the disease.


Jurnal Ecogen ◽  
2019 ◽  
Vol 2 (3) ◽  
pp. 542
Author(s):  
Syafni Anita Putri ◽  
Yulhendri Yulhendri

Remaining business results is one of the important things in improving the welfare of members of cooperatives, because cooperatives are one of the forces that drive economic growth. This research is an associative descriptive study using panel data regression analysis method using Eviews version 8. Data was collected by documentation technique, the data in this study are secondary data, namely all Village Unit Cooperatives in Padang City totaling 6 KUD. The dependent variable in this study is the residual business results, while the independent variable is the number of members and own capital. The results of this study stated that the F test obtained a calculated f value of 24,90077 while the f table value of 3.28 so that the calculated f value is greater than the value of the f table and sig probability value. 0,000 <α = 0.05 which means Ho was rejected and Ha was accepted. This shows that there is a joint effect between the number of members (X1) and own capital (X2) on the Remaining Operations (Y) of the Village Unit Cooperative in Padang City. R Square value in this study amounted to 0.577 or 57.7%. This means that the amount of contribution between the number of members and own capital to the rest of the business results is 57.7% while 42.3% is influenced by other factors not examined in this study. Keyword: the number of member, equity, and SHU


2020 ◽  
Vol 2 (1) ◽  
pp. 30-43
Author(s):  
Albetris Albetris ◽  
Nuraini Nuraini

The purpose of this study was to analyze the influence of the contribution of the number of hotels, the number of hotel rooms and tourists to the absorption of labor. Tourism sector is one of the strategic sectors that must be utilized for tourism development as part of national development, having the aim of, among others, expanding business opportunities and opening jobs.  The data used in this study is secondary data. The data was obtained from literature related studies in jambi city such as BPS, Department of Culture and Tourism, Youth and Sports, previous research, and other relevant library materials. Data Analysis Method Tested with multiple linear regression models. Based on the results of the study found that Simultaneously independent variable Number of Hotels (X1), Number of Hotel Rooms (X2) and Tourist Visits (X3) affects the variable Absorption of Labor (Y) with a coefficient of determination of 6.5% which means independent variables Number of Hotels (X1), Number of Hotel Rooms (X2) and Tourist Visits (X3) of 6.5% and the remaining 93.5% are influenced by other variables outside this research. And the Number of Hotels had no significant effect on Labor Absorption with a regression coefficient of 0.141


2009 ◽  
Vol 102 (5) ◽  
pp. 786-791 ◽  
Author(s):  
Elaine C. Rush ◽  
Nic Crook ◽  
David Simmons

We sought to identify the sex-specific cut-off in waist circumference which best identifies those with metabolic abnormalities consistent with the metabolic syndrome (MS) among Maori, the indigenous people of New Zealand of Polynesian origin. In 3816 self-identified Maori (2742 women, 1344 men) a 75 g oral glucose tolerance test, fasting lipid, anthropometric and blood pressure measurements were made. MS components were defined by Adult Treatment Panel (ATP) III criteria. Waist cut-off was defined using receiver operating characteristic (ROC) curve analysis to define the presence of at least two of the other MS components ( ≥ 2MS). Prevalence of ≥ 2MS was high (42·1 %). In males and females, waist was as good, or better, a predictor of ≥ 2MS (area under ROC 0·73 women, 0·68 men) as waist:hip ratio (0·66, 0·67), BMI (0·72, 0·68) or percentage body fat (0·70, 0·68). The prediction of dysglycaemia using anthropometric variables followed a similar pattern to ≥ 2MS. Waist circumference to predict ≥ 2MS or dysglycaemia in Maori women and men was 98 cm and 103 cm. Applying this cut-off to the International Diabetes Federation (IDF) criteria would identify 27·8 % (34·0 % males, 25·5 % females) with the MS with an OR for ≥ 2MS (adjusted for sex, smoking and age) of 3·5 (95 % CI 3·1, 4·0). Age >48 years, smoking and being male increased the odds of the MS. These waist cut-offs should be considered in both clinical practice and to optimise the definition of the MS for Maori. The validity of these criteria in other Polynesian groups should be confirmed.


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