scholarly journals Pengaruh Senam PERSADIA 1 terhadap Lingkar Pinggang dan Rasio HDL-c LDL-c pada Wanita

2020 ◽  
Vol 2 (2) ◽  
pp. 94
Author(s):  
Hafizha Firdaus Al-Fuady ◽  
Bambang Purwanto ◽  
Soebagijo Adi Soelistijo

AbstrakLatar Belakang: Diabetes melitus tipe 2 menjadi penyebab kematian nomer 3 di Indonesia. Kelebihan berat badan atau lingkar pinggang diatas normal dan kadar HDL-c rendah merupakan faktor risiko diabetes melitus tipe 2. Faktor risiko tersebut dapat diatasi salah satunya dengan olahraga. Senam PERSADIA 1 dirancang khusus untuk pencegahan diabetes. Namun, efek dari senam ini dalam menurunkan lingkar pinggang dan meningkatkan rasio HDL-c LDL-c belum pernah diteliti.Metode: Desain penelitian ini adalah eksperimen lapangan. Pengaruh Senam PERSADIA 1 terhadap lingkar pinggang dan rasio HDL-c LDL-c dianalisis dengan uji statistik deskriptif, uji normalitas saphiro wilk-test, uji beda berpasangan paired t-test / Wilcoxon-test.Hasil: Penelitian ini melibatkan 12 ibu-ibu PKK Lidah Wetan Gang V RW 2 Surabaya. Dari hasil analisis, terdapat penurunan rerata lingkar pinggang dan bermakna namun sedikit (p= 0,032), tidak ada peningkatan kadar HDL-c yang bermakna (p= 0,301), terdapat penurunan rerata LDL-c namun belum bermakna (p= 0,755), terdapat peningkatan rerata rasio HDL-c LDL-c namun belum bermakna (p= 0,303).Kesimpulan: Senam PERSADIA 1 dapat menurunkan lingkar pinggang namun sedikit dan belum dapat meningkatkan rasio HDL-c/LDL-c pada wanita secara bermakna menurut statistika. Diperlukan penelitian lebih lanjut dengan menambah waktu pelaksaan senam dan mengontrol energy intake subjek penelitian. Kata Kunci:. Diabetes melitus, Senam PERSADIA 1, lingkar pinggang, rasio HDL-c LDL-c, wanita AbstractBackground: Type 2 diabetes mellitus is the third causes of death in Indonesia. Overweight or waist circumference above normal and low HDL-c levels are risk factors for type 2 diabetes mellitus. One of the risk factors can be resolve with exercise. First series PERSADIA exercise is specifically designed for the prevention of diabetes. Howefer, the effect of this exercise in reducing waist circumference and increase ratio HDL-c LDL-c had never been proven.Method: The design of this study was a field experiment. The effect of first series PERSADIA exercise on waist circumference and HDL-c LDL-c ratio was analyzed by descriptive statistical test, saphiro wilk-test for normality test, paired t-test / Wilcoxon-test for different paired test.Result: This study involved 12 Women lived in Lidah Wetan Gang V RW 2 Surabaya. From the analysis, there was a decrease in mean waist circumference and significant but slightly (p = 0.032), there was no significant increase in HDL-c levels (p = 0.301), there was a decrease in LDL-c mean but it was not significant (p = 0.755), there was an increase in the mean HDL-c LDL-c ratio but it was not significant (p = 0.303).Conclusion: First series PERSADIA exercise has been able to reduce waist circumference but slightly and not able to increase HDL-c / LDL-c ratio significantly in women according to statistics. Further research is needed by increasing the exercise time and controlling the energy intake of subjects. Keywords: diabetes mellitus, first series PERSADIA exercise, waist circumference, HDL-c LDL-c ratio, women 

2019 ◽  
Vol 3 (2) ◽  
pp. 17-25
Author(s):  
Rima Novia Putri ◽  
Agung Waluyo

Type 2 diabetes mellitus is one of the chronic diseases that has increased globally and is a cause of various organ dysfunction such as diabetic peripheral neuropathy. Early detection of diabetic peripheral neuropathy and identification of risk factors can reduce the morbidity of diabetic peripheral neuropathy. This literature review was written to present the risk factors of diabetic peripheral neuropathy in type 2 diabetes mellitus patients. Literature search was conducted to obtain appropriate articles through the electronic database Medline, Cinahl, Proquest, and Clinical Key with  keywords:  prevalence of diabetic peripheral neuropathy, risk factors and type 2 diabetes mellitus. The results obtained 16 articles according to the topic and through a review, it is known that risk factors of  diabetic peripheral neuropathy in type 2 diabetes mellitus patients are old age, male sex, duration of diabetes mellitus, poor glycemic control, retinopathy, nephropathy, and risk factors of cardiovascular diseases such as: obesity, overweight, hypertension,and  dyslipidemia.


2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Nadyah Awad ◽  
Yuanita A. Langi ◽  
Karel Pandelaki

Abstract: Given the high prevalence in patients with type 2 diabetes where the incidence of 650.000 new cases each year. In type-2, the pancreas does not make enough insulin to keep blood sugar levels remain normal, often because the body does not respond well to insulin. Most people do not realize had been suffering from type 2 diabetes, although the situation has become very serious. Type 2 diabetes has become a commonly experienced in the world and in Indonesia, and the numbers continue to grow due to unhealthy lifestyles, obesity and lazy to exercise. Purpose: To determine how the image of risk factors in patients with type 2 diabetes in the clinic Endocrine and Metabolic Section / SMF FK-UNSRAT BLU RSU Prof. Dr. R.D. Manado Kandou the period of May-October2011. Methods: This type of research is a descriptive study using secondary data. Population of type 2 DM patients who come for treatment at the Polyclinic Endocrine and Metabolic Section / SMF FK-UNSRAT BLU RSU Prof.Dr. R.D. Kandou Manado the period of May - October 2011. The number of samples of 138 patients comprising 60 men and 78 women. Result: The case of DM Tiipe 2 in Endocrine and Metabolic Clinic ever found in women than in men. Acquired risk factors for type 2 diabetes mellitus is a BMI> 23 ever found in an obese BMI groups 1 (25-29,9) of 37 patients, patients with stage 1 hypertension (130-159/80-99 mmHg) obtained by 80 patients , patients with dyslipidaemia as many as 22 patients, patients with a family history of as many as 45 patients, patients with age> 40 years as many as 130 patients, and patients who have risk factors for most of the patients with 3 risk factors as many as 74 patients. Conclusion: Risk factors affecting the incidence of type 2 diabetes mellitus in Endocrine and Metabolic Clinic is a BMI> 23, hypertension> 140/90 mmHg, family history,age> 40 years, dyslipidemia. Key words : Risk factors, Diabetes mellitus type 2, Endocrine and Metabolic Clinic.     Abstrak: Mengingat tingginya prevalensi untuk pasien dengan DM tipe 2 dimana insidennya sebesar 650.000 kasus baru tiap tahunnya. Pada tipe-2, pankreas tidak cukup membuat insulin untuk menjaga level gula darah tetap normal, seringkali disebabkan tubuh tidak merespon dengan baik terhadap insulin tersebut. Kebanyakan orang tidak menyadari telah menderita dibetes tipe 2, walaupun keadaannya sudah menjadi sangat serius. Diabetes tipe 2 sudah menjadi umum dialami didunia maupun di Indonesia, dan angkanya terus bertambah akibat gaya hidup yang tidak sehat, kegemukan dan malas berolahraga. Tujuan: Untuk mengetahui bagaimana gambaran faktor risiko pada pasien DM tipe 2 di Poliklinik Endokrin dan Metabolik Bagian/SMF FK-UNSRAT BLU RSU Prof. Dr. R.D. Kandou Manado periode Mei - Oktober 2011. Metode: Jenis penelitian merupakan penelitian deskriptif dengan menggunakan data sekunder. Populasi pasien DM tipe 2 yang datang berobat di Poliklinik Endokrin dan Metabolik Bagian/SMF FK-UNSRAT BLU RSU Prof.Dr. R.D. Kandou Manado periode Mei-Oktober 2011. Jumlah sampel 138 pasien yang terdiri dari 60 laki-laki dan 78 perempuan. Hasil: Kasus DM Tiipe 2 di Poliklinik Endokrin dan Metabolik terbanyak didapatkan pada perempuan dibandingkan pada laki-laki. Faktor risiko yang didapatkan untuk terjadinya DM tipe 2 adalah IMT >23 terbanyak didapatkan pada IMT golongan obes 1 (25-29,9) sebanyak 37 pasien, pasien dengan hipertensi stage 1 (130-159/80-99 mmHg) didapatkan sebanyak 80 pasien, pasien dengan dislipidemia sebanyak 22 pasien, pasien dengan riwayat keluarga sebanyak 45 pasien, pasien dengan umur >40 tahun sebanyak 130 pasien, dan pasien yang memiliki faktor risiko paling banyak adalah pasien dengan tiga faktor risiko yaitu sebanyak 74 pasien. Simpulan: Faktor risiko yang berpengaruh terhadap kejadian DM tipe 2 di Poliklinik Endokrin dan Metabolik adalah IMT >23, hipertensi >140/90 mmHg, riwayat keluarga, umur > 40 tahun, dislipidemia. Kata kunci : Faktor risiko, diabetes melitus tipe 2, Poliklinik Endokrin dan Metabolik.


2019 ◽  
Vol 8 (1) ◽  
pp. 46-52
Author(s):  
Ferianto ◽  
Mateus Sakundarno Adi ◽  
Nurullya Rachma

Background: Someone in middle adulthood has begun to experience changes leading to an aging process, so they are vulnerable to degenerative diseases. Diabetes mellitus is a degenerative disease which is still being a health problem in Indonesia. Problems and complications in people with DM can be minimized if the patient has sufficient knowledge and ability to carry out self-care. One effort that can be done is to provide health education about self-care to optimize metabolic control, prevent acute and chronic complications, optimize quality of life and able to carry out self-care behavior independently. Objective: The study aimed to determine the effect of health education on self-care activities in type 2 diabetes mellitus in Puskesmas Pandak I. Methods: This was a quasi-experimental study with a one group pretest-posttest study design. The samples used were 26 respondents. Data analysis technique used paired t-test with a significance level of p <0,05. Results: There is a significant enhancement in self-care activities. Statistical analysis using paired t-test found there were significant differences in the value of self-care activities between pre and post-education among type 2 diabetes mellitus diabetes (p <0,005). Conclusion: Health education can improve self-care activities for people with type 2 diabetes mellitus in Puskesmas Pandak I. Keywords : Health education, self-care, diabetes mellitus


2021 ◽  
Vol 3 (2) ◽  
pp. 155-162
Author(s):  
Luh Putu Indah Arviani ◽  
Dian Oktianti

Diabetes Mellitus is a disease characterized by hyperglycemia and disturbances of carbohydrate, fat and protein metabolism associated with absolute or relative deficiency of insulin action and secretion.The success of Diabetes Mellitus treatment is very affected by the patient compliance to maintain their health. The purpose of this research to know the effect of providing drug information with poster to the level of Type 2 Diabetes Mellitus patients taking medication compliance at Sahabat Pharmacy.The research method used in this research was Cross sectional with quasi-experimental by pretest-postest, with total sample of 28 people, by using MMAS-8 questionnaires (Morisky Medication Compliance Scale), analyzed by using not in pairs t-test. The percentage of adherence before being given drug information with poster media was 92.85% adherence, moderate adherence 7.15%. Patient compliance before being given drug information with poster media was low adherence 21.42%, moderate adherence 71.42%, and high adherence 7.15%. Giving drug information with poster media has an effect on increasing medication adherence in type 2 diabetes mellitus patients with a significance value of 0.000. ABSTRAK Diabetes Melitus adalah penyakit yang ditandai dengan terjadinya hiperglikemia dan gangguan metabolisme karbohidrat, lemak dan protein yang dihubungkan dengan kekurangan secara absolut atau relatif dari kerja dan atau sekresi insulin. Keberhasilan pada suatu pengobatan Diabetes Mellitus sangat dipengaruhi oleh kepatuhan penderita untuk menjaga kesehatannya. Tujuan penelitian ini untuk mengetahui adanya pengaruh pemberian informasi obat dengan media poster terhadap tingkat kepatuhan minum obat pasien Diabetes Mellitus Tipe 2 di Apotek Sahabat. Metode penelitian yang digunakan pada penelitian ini adalah Cross sectional bersifat eksperimen semu dengan pretest-postest, menggunakan jumlah sampel sebanyak 26 orang, dengan kuesioner MMAS-8 (Morisky Medication Compliance Scale), dianalisis menggunakan uji t-test berpasangan. Persentase kepatuhan pasien sebelum diberi informasi obat dengan media poster adalah kepatuhan rendah 92,85%, kepatuhan sedang 7,15%. Kepatuhan pasien sesudah diberi informasi obat dengan media poster adalah kepatuhan rendah 21,42%, kepatuhan sedang 71,42%, dan kepatuhan tinggi 7,15%. Pemberian informasi obat dengan media poster berpengaruh terhadap peningkatan kepatuhan minum obat pada pasien diabetes mellitus tipe 2 dengan nilai signifikansi 0,000.


e-CliniC ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 328
Author(s):  
Made K. Murtiningsih ◽  
Karel Pandelaki ◽  
Bisuk P. Sedli

Abstract: Type 2 diabetes mellitus (T2DM) is a metabolic disease caused by insulin resistance and beta cell dysfunction. It is ranked as the seventh of top 10 causes of death worldwide, and the highest prevalence of cases is T2DM. The dominant lifestyle that triggers T2DM is diet and physical inactivity. This study was aimed to determine whether lifestyle was a risk factor of T2DM. This was a literature review study using two databases, namely Pubmed and Google Scholar. The keywords used were "lifestyle risk factors and type 2 diabetes mellitus". There were 10 literatures obtained based on inclusion and exclusion criteria. The results showed that lifestyle such as unhealthy eating pattern and less physical activity significantly influence the risk factors of T2DM. In conclusion, lifestyles such as unhealthy foods and less physical activity are at high risk of suffering from T2DM.Keywords: risk factors, lifestyle, type 2 diabetes mellitus (T2DM)  Abstrak: Diabetes melitus tipe 2 (DMT2) merupakan penyakit metabolisme yang disebabkan karena resistensi insulin dan disfungsi sel beta pankreas. DM berada diperingkat ke tujuh sebagai 10 penyakit penyebab kematian di dunia, denganDMT2 sebagai prevalensi kasus tertinggi. Pola hidup yang dominan menjadi pencetus DMT2 ialah pola makan dan aktivitas fisik. Penelitian ini bertujuan untuk mengetahui gaya hidup sebagai faktor risiko DMT2. Jenis penelitian ialah literature review. Pencarian data menggunakan dua database yaitu Pubmed dan Google Scholar. Dengan kata kunci yaitu “faktor risiko gaya hidup dan diabetes melitus tipe 2”. Setelah diseleksi, didapatkan 10 literatur berdasarkan kriteria inklusi dan eksklusi. Hasil penelitian mendapatkan bahwa gaya hidup seperti pola makan yang tidak sehat dan pola aktivitas fisik kurang secara bermakna berpengaruh terhadap terjadinya faktor risiko DMT2. Simpulan penelitian ini ialah gaya hidup dengan mengonsumsi makanan tidak sehat dan aktivitas fisik yang kurang memiliki risiko tinggi mengalami DMT2.Kata kunci: faktor risiko, gaya hidup, diabetes melitus tipe 2 (DMT2)


2016 ◽  
Vol 45 (6) ◽  
pp. 1879-1891 ◽  
Author(s):  
Juan A Peraza-Zaldívar ◽  
Juan A Suárez-Cuenca ◽  
Rocío Aceves-Millán ◽  
Carlos Ixcamparij-Rosales ◽  
Lilia Amezcua ◽  
...  

Objective To evaluate the relationship between pro-atherogenic biomarkers and epicardial adipose tissue (EAT) thickness in patients with cardiovascular risk factors. Methods Plasma nitric oxide (NO), soluble intercellular adhesion molecule-1 and malondialdehyde (MDA) levels, EAT thickness, flow-mediated dilation (FMD) and carotid intima media thickness (CIMT) were determined in patients aged >18 years who were referred for echocardiography for heart ischemia or non-ischemic diseases. Cardiovascular risk factors (Framingham score [FS] ≥ 20) were weighted. Results Hypertension, dyslipidaemia and type 2 diabetes mellitus were prevalent (≥55% of 40 patients). Patients with FS ≥ 20 ( n = 21) showed significantly higher EAT and CIMT values. Globally, MDA, CIMT, age, waist circumference, high-density lipoprotein cholesterol (HDL-C) and FS were associated with EAT thickness. EAT was significantly associated with NO in patients with FS ≥ 20. Significant differences in EAT thickness were found between patients stratified by NO value, FMD, age, smoking status, dyslipidaemia, type 2 diabetes mellitus and FS. An EAT-associated atherogenic risk (CIMT ≥ 1 mm) model was statistically significant when MDA and type 2 diabetes mellitus were included. Conclusion EAT thickness was associated with MDA, CIMT, age, waist circumference, HDL-C and FS globally, but with NO only in patients with FS≥20. EAT may be used to identify vascular damage stage, possibly influenced by MDA and type 2 diabetes mellitus.


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