scholarly journals HUBUNGAN KEGEMUKAN, KONSUMSI SAYUR DAN BUAH DENGAN KEJADIAN TOLERANSI GULA TERGANGGU (TGT) DI INDONESIA

2019 ◽  
Vol 18 (1) ◽  
pp. 27-36
Author(s):  
Bunga Ch Rosha ◽  
Dwi Sisca Kumalaputri ◽  
Indri Yunita Suryaputri

ABSTRACT The incidence of diabetes has been increasing gradually each year. According to WHO, diabetes is the leading cause of blindness, kidney failure, heart attack, and stroke. Prevention strategies are needed, especially for people with Impaired Glucose Tolerance (IGT), as IGT is an intermediate stage in the natural course of type 2 diabetes and a predictor of type 2 diabetes. This paper is a secondary-data analysis of 2013 Basic Health Research aiming to identify IGT predictors. Samples were the respondents aged 15 years and over, with a total of 38,149. Analysis was carried out using logistic regression with odds ratios and 95% confidence intervals. Results showed that factors associated with IGT were age (OR (95% CI): 1.51 (1.43-1.59)), gender (OR (95% CI): 1.54 (1.46- 1.62)), education ((OR (95% CI): 1.18 (1.10-1.26), overweight (OR (95% CI): 1.24 (1.17-1.31) ) and fruit and vegetable consumption (OR (95% CI): 0.89 (0.80-0.99)). To conclude, obesity is a risk factor of IGT prevalence, while consumption of fruits and vegetables less than 4 portions per day was protective against IGT. There is a need of IGT prevention strategy, such as regular blood sugar checks, weight control and increased physical activity (exercise) and consume fruits and vegetables that are low in glucose and fluctose. Keywords: IGT, obesity, fruit and vegetable consumption, Riskesdas   ABSTRAK Kejadian diabetes dari tahun ketahun semakin meningkat. Menurut WHO, diabetes merupakan penyebab utama kebutaan, gagal ginjal, serangan jantung, dan stroke. Perlu upaya pencegahan terutama pada orang dengan Toleransi Glukosa Terganggu (TGT), karena TGT merupakan tahap pertengahan di dalam perjalanan alamiah DM tipe 2 dan faktor prediktor terhadap terjadinya DM tipe 2. Artikel ini adalah analisis lanjut Riskesdas 2013, yang bertujuan untuk mengidentifikasi faktor prediktor TGT. Sampel adalah responden dengan umur 15 tahun ke atas berjumlah  38.149. Analisis dilakukan dengan regresi logistik dengan odds ratio dan 95 % confidence Interval. Hasil menunjukkan bahwa faktor yang berhubungan dengan TGT ialah umur (OR (95% CI): 1,51 (1,43-1,59)), jenis kelamin (OR (95% CI): 1,54 (1,46-1,62)), pendidikan ((OR (95% CI): 1,18 (1,10-1,26), kegemukan (OR (95% CI): 1,24 (1,17-1,31))  dan konsumsi buah dan sayur (OR (95% CI): 0,89 (0,80-0,99)). Dapat disimpulkan bahwa kegemukan berisiko terhadap kejadian TGT  dan konsumsi buah dan sayur < 4 porsi perhari  protektif terhadap kejadian TGT. Perlu adanya upaya pencegahan TGT,  seperti  pemeriksaan gula darah secara berkala, mengontrol berat badan meningkatkan aktifitas fisik (olahraga),  serta mengkonsumsi jenis buah dan sayur yang rendah glukosa dan fluktosa. Kata kunci: TGT, kegemukan, konsumsi buah dan sayur, Riskesdas

2019 ◽  
Vol 10 (5) ◽  
pp. 731-738 ◽  
Author(s):  
John Finley ◽  
Lindsay M Jaacks ◽  
Christian J Peters ◽  
Donald R Ort ◽  
Ashley M Aimone ◽  
...  

ABSTRACT Efforts to promote health through improved diet and nutrition demand an appreciation of the nutritional ecology that accounts for the intersection of agriculture, food systems, health, disease and a changing environment. The complexity and implications of this ecology is exemplified by current trends and efforts to address nutrition-related non-communicable diseases (NCDs), most prominently type 2 diabetes. The global prevalence of type 2 diabetes continues to rise unabated. Of particular concern is how to address the unhealthy dietary patterns that are contributing to this pandemic in a changing environment. A multi- disciplinary approach is required that will engage those communities that comprise the continuum of effort from research to translation and implementation of evidence-informed interventions, programs and policies. Using the prevention of type 2 diabetes by increasing fruit and vegetable consumption as an exemplar, we argue that the ability to effect positive change in this and other persistent nutrition-related problems can be achieved by moving away from siloed approaches that limit the integration of key components of the diet–health continuum. Ultimately the impact of preventing type 2 diabetes via increased fruit and vegetable consumption will depend on how the entire diet changes, not just fruits and vegetables. In addition, the rapidly changing physical environment that will confront our food production system going forward will also shape the interventions that are possible. Nonetheless, the proposed “team science” approach that accounts for all the elements of the nutrition ecology will better position us to achieve public health goals through safe and sustainable food systems.


2017 ◽  
Vol 10 (2) ◽  
pp. 75
Author(s):  
Mindo Lupiana ◽  
Sadiman Sadiman

<em>Indonesian people's fruit consumption is still relatively low compared to other countries that do not have the resources to produce fruits. <strong>Purpose:</strong> this study was to determine the factors associated with fruit and vegetable consumption in elementary school students. <strong>Method</strong><strong>s:</strong> This research method uses a cross sectional design. The research population was all students in class V totaling 123 students and the study sample was 100 students who were determined using simple random sampling. This research was conducted in Negeri 1 Rajabasa Raya Bandar Lampung City. Data processing in this study was univariate and bivariate using the chi square test. <strong>Results:</strong> The results showed that the factors associated with fruit and vegetable consumption were preference (p = 0.001), knowledge (p = 0,000) and attitude (p = 000). The unrelated variable is the availability at home (p = 0.813). <strong>Conclusion:</strong> Factors that increase consumption of fruit and vegetables in elementary school students are preference, good knowledge, and supportive attitude. Socialization needs to be done to increase knowledge about the benefits and effects of less consumption of fruit and vegetables, put up a poster media about the benefits and effects of less consumption of fruits and vegetables.</em>


2020 ◽  
Vol 29 (1) ◽  
Author(s):  
Paul Branscum ◽  
Chen Ling ◽  
Xiaoqian Wang

The purpose of this study was to evaluate the role of social support and social connectedness for five weight control behaviors among overweight/obese adults (N=118) participating in an online weightloss community. The five weight control behaviors investigated were physical activity, screen time, and the consumption of sugar-free drinks, sugar-sweetened drinks, and fruits and vegetables. Step-wise multiple regression was used to predict each weight control behavior with constructs of social support and social connectedness. Social support was highly predictive of all behaviors under investigation. Furthermore, interactions within the community (active or passive users) were significant for two behaviors (screen time and fruit and vegetable consumption), and number of minutes engaged in the community per week was significant for fruit and vegetable consumption only. These results suggest that promoting social support is likely the most important feature for online weight loss communities.


2021 ◽  
pp. 1-3
Author(s):  
Joreintje Dingena Mackenbach

Abstract I reflect upon the potential reasons why American low-income households do not spend an optimal proportion of their food budgets on fruits and vegetables, even though this would allow them to meet the recommended levels of fruit and vegetable consumption. Other priorities than health, automatic decision-making processes and access to healthy foods play a role, but solutions for the persistent socio-economic inequalities in diet should be sought in the wider food system which promotes cheap, mass-produced foods. I argue that, ultimately, healthy eating is not a matter of prioritisation by individual households but by policymakers.


Author(s):  
Irma Nuraeni ◽  
Hamam Hadi ◽  
Yhona Paratmanitya

ABSTRACT<br /><br />Background: Curently, Indonesia has double burden problems nutrition, such as malnutrition and over nutrition. Overnutrition or obesity are not just happening in adults only, but also can occur in childhood. If the problem of obesity in children and adolescents cannot be resolved, it can be infl uenced obese in adulthood then potentially to have noncommunicable diseases, such as cardiovascular disease, hypertension and diabetes mellitus. Prevalence of obesity in<br />children at Yogyakarta Province increases year by year (1;2). Obesity was caused by an imbalance in energy intake and<br />energy expenditure. Children tend to consume high energy-dense, sweet  taste meal, high fat foods and less dietary fiber from fruits and vegetables. Several studies showed that there was increasing in risk of obesity from someone who have less consumption of fruits and vegetables.<br /><br />Objective:<br />To determine differences in frequency and amount of fruit and vegetable consumption in elementary school children obese and non-obese at Yogyakarta Municipality and  District of Bantul and to find out the risk of obesity in children who have less consumption of fruits and vegetables. <br /><br />Methods:<br />The study design was a case-control, 244 samples as cases (obese children) and 244 controls (non-obesechildren). The subject of this study was children aged 6-12 years who were seated in class 1 to class 5 elementary schools at Yogyakarta Municipality and District of Bantul. Identity data obtained from a structured questionnaire respondent, frequency and amount of fruit and vegetable consumption were taken from Semi Quantitative Food Frequency Questioner(SQFFQ).Then the results analyzed using statistical test.<br /><br />Results: <br />Statistical test showed that there were significant differences (p&lt;0,05) in the frequency and number of fruit and vegetable consumption in obese and non-obese elementary school children at Yogyakarta Municipality and District of Bantul. Multivariate analysis after controlled by gender and energy intake, showed that obese  children who rarely consuming fruits (&lt;7 times/week) (OR=2,24, 95%CI: 1.53-3.28), rarely consuming vegetables (&lt;7 times/week) (OR=2,52, 95%CI: 1,70-3,73), and consuming fruits and vegetables less than 5 servings/day (equivalent to 400 g/day) (OR= 4,59, 95%CI:2,11-10,00) were greater risk for being obesity.<br /><br />Conclusion:<br />Obese children had rarely and less consume of fruits and vegetables than that did in non-obese children at Yogyakarta Municipality and District of Bantul. The children rarely and less consuming fruits and vegetables increased the risk of obesity.<br /><br />KEYWORDS: children obesity, vegetable, fruit<br /><br />ABSTRAK<br /><br />Latar Belakang: Indonesia saat ini mengalami masalah gizi ganda, yaitu masalah gizi kurang dan gizi lebih. Kelebihan  gizi atau obesitas pada anak dan remaja apabila tidak diatasi maka berdampak menjadi obesitas pada masa dewasa yang berpotensi mengalami penyakit tidak menular, seperti jantung, hipertensi dan diabetes mellitus. Prevalensi obesitas pada anak di Provinsi Daerah Istimewa Yogyakarta mengalami peningkatan dari tahun ke tahun (1; 2). Obesitas disebabkan ketidakseimbangan antara masukan dengan keluaran energi. Anak cenderung mengkonsumsi padat energi yang berasa manis dan berlemak tinggi serta makanan kurang serat dari buah dan sayur. Beberapa penelitian menunjukkan peningkatan risiko obesitas pada orang yang kurang konsumsi buah dan sayur.<br /><br />Tujuan: Untuk mengetahui perbedaan frekuensi dan jumlah konsumsi buah dan sayur pada anak SD obes dan tidak obes di Kota Yogyakarta dan Kabupaten Bantul serta peran konsumsi buah dan sayur terhadap kejadian obesitas. <br /><br />Metode: Rancangan penelitian ini adalah case-control, 244 kasus (anak obes) dan 244 kontrol (anak tidak obes). Subjek penelitian adalah anak usia 6-12 tahun yang duduk di kelas 1 hingga kelas 5 sekolah dasar di Kota Yogyakarta dan di Kabupaten Bantul. Data identitas diperoleh dari kuesioner terstruktur, sedangkan data frekuensi dan jumlah konsumsi buah dan sayur diperoleh dari semikuantitatif FFQ. Hasilnya kemudian dianalisis menggunakan uji statistik.<br /><br />Hasil: Pada anak SD obes dan tidak obes di Kota Yogyakarta dan Kabupaten Bantul terdapat perbedaan yang signifikan(p&lt;0,05) dalam frekuensi dan jumlah konsumsi buah dan sayur. Hasil analisis multivariat setelah dikontrol dengan jenis kelamin dan asupan energi menunjukkan bahwa anak SD obes yang mengkonsumsi buah jarang (&lt; 7 kali/minggu) (OR=2,24, 95%CI:1,53-3,28), frekuensi konsumsi sayur jarang (&lt;7 kali/minggu) (OR=2,52, 95%CI: 1,70-3,73), jumlah konsumsi buah dan sayur kurang dari 5 porsi/hari atau setara dengan 400 gr/hari (OR=4,59, 95%CI: 2,11-10,00) berisiko lebih besar untuk terjadinya obesitas. <br /><br />Kesimpulan: Anak SD yang obes lebih jarang dan lebih sedikit mengkonsumsi buah dan sayur dibandingkan dengan anak SD yang tidak obes di Kota Yogyakarta dan Kabupaten Bantul. Anak yang jarang dan sedikit mengkonsumsi buah dan sayur dapat meningkatkan risiko terjadinya obesitas.<br /><br />KATA KUNCI: obesitas anak, sayur, buah


Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Jessie L Parker ◽  
Liwei Chen ◽  
Diane C Mitchell ◽  
Hsin-Chieh Yeh ◽  
Cheryl Anderson ◽  
...  

Background: Increased intake of fruits and vegetables (F/V) may protect against adiposity, but effects on weight have been inconsistent. Our objective was to examine the relationship between fruit and vegetable intake and weight, using direct and indirect measures of dietary intake: self-reported 24-hour recall and serum carotenoid levels. Methods: Participants from the PREMIER lifestyle intervention trial were included in this analysis (n=554). Dietary measures included 24-hour dietary recalls and serum carotenoid levels, from a fasting blood sample. The outcome was weight in pounds. Nested linear mixed models were used to examine the association between F/V and weight. Results: Mean F/V increased from 4.6 (SD 2.4) to 5.6 (SD 3.2) (p=<.01), mean serum carotenoids increased from 53.2 (SD 31.9) to 68.1 (SD 42.5) (p=<.01). At 18 months, participants in the lowest quintile of fruit and vegetable change reported an average intake of 4.42.8 servings of fruits and vegetables, and those in the highest quintile of change reported an average intake of 7.73.2 servings. In a multivariate model adjusting for age, race, gender, intervention, energy, study site, and time, lower body weight was associated with higher F/V intake measured by dietary recall (−0.63 lbs, 95% CI −0.83 to −0.42, per 1 serving increase in F/V) and serum carotenoids (−0.13 lbs, 95% CI −0.15 to −0.11, per 1 ug/dl increase in carotenoids). Results were somewhat attenuated but consistent after additional adjustments for working heart rate, exercise, calories from sugar-sweetened beverages, marital and employment status, and alcohol use . Conclusions: Greater fruit and vegetable consumption was associated with decreased body weight. Results were consistent for both objective and self-reported measures of fruit and vegetable intake.


Medicina ◽  
2019 ◽  
Vol 55 (7) ◽  
pp. 397 ◽  
Author(s):  
Łuszczki ◽  
Sobek ◽  
Bartosiewicz ◽  
Baran ◽  
Weres ◽  
...  

Background and Objectives: Eating habits acquired or changed during childhood are likely to track into adulthood. Due to the fact that nutritional behaviours are not so strongly formed among children, it is easier to change and develop them in children than in adults. The aim of this study was to assess the impact of selected sociodemographic factors affecting fruit and vegetable consumption (i.e., age, parents’ body mass index, parents’ level education, duration of breastfeeding, child’s time spent in front of computer/television) among children in school canteens. Materials and Methods: The sample consisted of 106 participants (52 girls, 54 boys) aged 6–12. The frequency of consuming fruits and vegetables at a school canteen was assessed using bar code cards for two weeks. Body composition estimates were obtained using a foot-to-foot bioelectrical impedance analysis, body height was measured using a stadiometer Seca 213. The questionnaire contained questions about selected factors which can have an influence on fruit and vegetable consumption. In the study group, 13.2% of participants were overweight and 17.9% were obese. Results: Our results showed a statistically significant relationship between age and fruit and vegetable consumption, and it increased with age in both sexes. Conclusions: Bearing in mind the various conditions discussed when shaping the eating habits of pre-school- and early-school-aged children, the importance of proper nutritional education should be stressed both among children and parents.


2014 ◽  
Vol 112 (6) ◽  
pp. 1004-1018 ◽  
Author(s):  
Mary M. Murphy ◽  
Leila M. Barraj ◽  
Judith H. Spungen ◽  
Dena R. Herman ◽  
R. Keith Randolph

Despite dietary recommendations that have repeatedly underscored the importance of increasing consumption of fruits and vegetables, intakes worldwide are lower than recommended levels. Consequently, the diets of many individuals may be lacking in nutrients and phytonutrients typical of a diet rich in a variety of fruits and vegetables. In the present study, we estimated phytonutrient intakes by adults categorised by sex, level of fruit and vegetable consumption ( < 5v.≥ 5 servings/d), and geographic diet cluster. Intakes of nine select phytonutrients were estimated from the 2002–4 World Health Survey fruit and vegetable servings intake data (n198 637), the FAO supply utilisation accounts data, and phytonutrient concentration data obtained from the US Department of Agriculture databases and the published literature. Percentage contributions to each phytonutrient intake from fruit and vegetable sources were also estimated. Estimated intakes of phytonutrients from fruits and vegetables varied across the thirteen geographic diet clusters, reflecting regional differences in both numbers and proportions of fruit and vegetable servings consumed, and the specific types of fruits and vegetables available in the diet. The mean phytonutrient intakes by adults consuming ≥ 5 servings/d of fruits and vegetables were approximately 2- to 6-fold the mean phytonutrient intakes by adults with low fruit and vegetable consumption ( < 5 servings/d). In some cases, phytonutrient intakes by adults consuming ≥ 5 servings/d of fruits and vegetables in one geographic diet cluster were lower than the intakes by adults reporting < 5 servings/d in another cluster. The findings from this assessment provide important information regarding the major dietary patterns of phytonutrient intakes across geographic diet clusters.


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