Cardiometabolic and Blood Glucose Factors in Merdeka, Gandus, Sei Selincah and Basuki Rahmat Palembang Health Centers

2021 ◽  
Vol 2 (2) ◽  
pp. 165-171
Author(s):  
Dhanty Mukhlisa ◽  
Jason Liando ◽  
Helen ◽  
Wahyu Arfina Juwita
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Health Center ◽  
Cross Sectional Study ◽  
Study Data ◽  
Health Centers ◽  
Cross Sectional ◽  
Gender Specific ◽  
Populous Country ◽  
Diabetes Melitus

Indonesia is the fourth most populous country in the world. One third of all deaths in Indonesia are caused by cardiovascular and cardiometabolic diseases. We estimate this is related to gender, specific age and vascular risk factors and other modifiable risk factors, such as smoking, hypertension, diabetes, increased total cholesterol and overweight. This research is a cross sectional study. The study was conducted in four Palembang City Health Centers namely Sei Selincah Health Center, Merdeka Health Center, Basuki Rahmat Health Center and Gandus Health Center. The study data was taken consecutively for each adult patient who came for treatment at the puskesmas, met the inclusion criteria and agreed to participate in the study. The data that has been collected is then analyzed using SPSS 18.0 for Windows. In this study obtained cases of hypertension, diabetes mellitus, hypercholesterolemia in the four health centers period 30 October - 25 November 2017 as many as 200 respondents. Obtained cases of hypertension as many as 152 respondents (76%), cases of diabetes melitus as many as 73 respondents (36.5%) and hypercholesterolemia as many as 39 respondents (19.5%). In this study no association was found between Diabetes mellitus and hypertension and hypercholesterolemia. risk factors for sex, age, BMI and smokers are risk factors that influence hypertension, while risk factors for diabetes mellitus are, gender, age, and BMI. As for hypercholesterolemia, the only risk factor that influences education level.

scholarly journals Optimal BMI cut-off values for predicting diabetes, hypertension and hypercholesterolaemia in a multi-ethnic population

2012 ◽  
Vol 16 (3) ◽  
pp. 453-459 ◽  
Author(s):  
Kee Chee Cheong ◽  
Ahmad F Yusoff ◽  
Sumarni M Ghazali ◽  
Kuang H Lim ◽  
Sharmini Selvarajah ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Population Based ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Receiver Operating Characteristic Curves ◽  
Gender Specific

AbstractObjectiveTo determine the optimal cut-offs of BMI for Malaysian adults.DesignPopulation-based, cross-sectional study. Receiver operating characteristic curves were used to determine the cut-off values of BMI with optimum sensitivity and specificity for the detection of three cardiovascular risk factors: diabetes mellitus, hypertension and hypercholesterolaemia. Gender-specific logistic regression analyses were used to examine the association between BMI and these cardiovascular risk factors.SettingAll fourteen states in Malaysia.SubjectsMalaysian adults aged ≥18 years (n 32 703) who participated in the Third National Health and Morbidity Survey in 2006.ResultsThe optimal BMI cut-off value for predicting the presence of diabetes mellitus, hypertension, hypercholesterolaemia or at least one of these cardiovascular risk factors varied from 23·3 to 24·1 kg/m2 for men and from 24·0 to 25·4 kg/m2 for women. In men and women, the odds ratio for having diabetes mellitus, hypertension, hypercholesterolaemia or at least one cardiovascular risk factor increased significantly as BMI cut-off point increased.ConclusionsOur findings indicate that BMI cut-offs of 23·0 kg/m2 in men and 24·0 kg/m2 in women are appropriate for classification of overweight. We suggest that these cut-offs can be used by health professionals to identify individuals for cardiovascular risk screening and weight management programmes.

scholarly journals KADAR HBA1C PADA PASIEN DIABETES MELITUS TIPE 2 DI PUSKESMAS BAHU KECAMATAN MALALAYANG KOTA MANADO

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Mohammad R. S. Utomo ◽  
Herlina Wungouw ◽  
Sylvia Marunduh
Keyword(s):  
Diabetes Mellitus ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Sugar Levels ◽  
Diabetes Melitus

Abstract: Diabetes mellitus (DM) is a chronic disease characterized by blood glucose levels that exceed normal values. Riskesdas in 2013 showed that North Sulawesi is one of the provinces with the highest prevalence of diabetes in Indonesia. HbA1c measurement is the most accurate way to determine blood sugar levels over the past two to three months. HbA1c is also the best single examination to assess risks to the tissue damage caused by high blood sugar levels. This study aims to determine the levels of HbA1c in patients with type 2 diabetes mellitus in Bahu Community Health Center Manado. This study is a descriptive cross sectional study. Primary data were collected through interviews, physical examination and laboratory tests. Respondents were all patients with type 2 diabetes mellitus who came in Bahu Community Health Center and willing to become respondents. The sample size is 22 people. The results of this study prove that more than half of the respondents have not controlled HbA1c levels (> 7%) of 17 respondents. Of the 17 respondents were 9 respondents have overweight body mass index, 13 respondents not take the medicine as directed by doctor and 9 respondents did not exercise regularly. It can be concluded that the blood glucose levels of patients in Bahu Community Health Center is still not controlled, by HbA1c values above 7%.Keywords: HbA1c, Diabetes Mellitus Type 2Abstrak: Diabetes mellitus (DM) merupakan penyakit menahun yang ditandai oleh kadar glukosa darah yang melebihi nilai normal. Laporan Riskesdas tahun 2013 menunjukkan bahwa Sulawesi Utara merupakan salah satu provinsi dengan angka prevalensi DM yang tertinggi di Indonesia. Pengukuran HbA1c adalah cara yang paling akurat untuk menentukan tingginya kadar gula darah selama dua sampai tiga bulan terakhir. HbA1c juga merupakan pemeriksaan tunggal terbaik untuk menilai risiko terhadap kerusakan jaringan yang disebabkan oleh tingginya kadar gula darah. Penelitian ini bertujuan untuk mengetahui kadar HbA1c pada pasien diabetes melitus tipe 2 di Puskesmas Bahu Kota Manado. Penelitian ini bersifat deskriptif dengan rancangan cross sectional study. Data primer dikumpulkan melalui wawancara, pemeriksaan fisik dan pemeriksaan laboratorium. Responden adalah semua pasien diabetes melitus tipe 2 yang datang di Puskesmas Bahu dan bersedia menjadi responden. Besar sampel penelitian adalah 22 orang. Hasil penelitian ini membuktikan bahwa lebih dari setengah jumlah responden memiliki kadar HbA1c tidak terkontrol (> 7%) sebanyak 17 responden. Dari 17 responden tersebut 9 responden memiliki indeks massa tubuh overweight, 13 responden tidak mengkonsumsi obat sesuai anjuran dokter dan 9 responden tidak rutin berolahraga. Dapat disimpulkan bahwa kadar gula darah pasien di Puskesmas Bahu masih belum terkontrol berdasarkan nilai HbA1c di atas 7%.Kata kunci: HbA1c, Diabetes Melitus tipe 2

scholarly journals Factors Associated with Poor Glycemic and Lipid Levels in Ambulatory Diabetes Mellitus Type 2 Patients in Asmara, Eritrea: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-12 ◽  
Author(s):  
Oliver Okoth Achila ◽  
Millen Ghebretinsae ◽  
Abraham Kidane ◽  
Michael Simon ◽  
Shewit Makonen ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Waist Circumference ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Specific Lipid

Objective. There is a dearth of relevant research on the rapidly evolving epidemic of diabetes mellitus (particularly Type 2 diabetes mellitus) in sub-Saharan Africa. To address some of these issues in the Eritrean context, we conducted a cross-sectional study on glycemic and lipid profiles and associated risk factors. Methods. A total of 309 patients with diabetes mellitus on regular follow-up at the Diabetic and Hypertensive Department at Halibet Regional Referral Hospital, Asmara, were enrolled for the study. Data on specific clinical chemistry and anthropomorphic parameters was collected. Chi-squared (χ2) test or Fischer’s exact test was used to evaluate the relationship between specific variables. Multivariate logistic regression (backward: conditional) was undertaken to identify the factors associated with increased odds of suboptimal values in glucose and specific lipid panel subfractions. Results. High proportions of patients (76.7%) had suboptimal levels of HbA1c with a mean±SD of 8.6%±1.36, respectively. In multivariate regression analysis, the likelihood of HbA1c≥7% was higher in patients with abnormal WHR (AOR=3.01, 95% CI, 3.01 (1.15–7.92=0.024)) and in patients without hypertension (AOR=1.97, 95% CI (1.06–3.56), p=0.021). A unit reduction in eGFR was also associated with HbA1c≥7% (AOR=0.99, 95% CI (0.98–1=0.031)). In a separate analysis, the data shows that 80.9% of the patients had dyslipidemia. In particular, 62.1% of the patients had TC≥200 mg/dL (risk factors: sex, hypertension, and HbA1c concentration), 81.6% had LDL‐C≥100 mg/dL (risk factors: sex and hypertension), 56.3% had TG≥150 (risk factors: sex, HbA1c, and waist circumference), 62.8% had abnormal HDL-C (risk factors: waist circumference), 78.3% had non‐HDL<130 mg/dL (risk factors: duration of disease, reduced estimated glomerular filtration rate, and HbA1c), and 45.3% had abnormal TG/HDL (risk factors: sex, age of patient, FPG, and waist circumference). Conclusions. The quality of care, as measured by glycemic and specific lipid targets, in this setting is suboptimal. Therefore, there is an urgent need for simultaneous improvements in both indicators. This will require evidence-based optimization of pharmacological and lifestyle interventions. Therefore, additional studies, preferably longitudinal studies with long follow-up, are required on multiple aspects of DM.

scholarly journals Gender-specific physical activity-related injuries and risk factors among university students in China: a multicentre population-based cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e040865
Author(s):  
Weicong Cai ◽  
Shangmin Chen ◽  
Liping Li ◽  
Pengying Yue ◽  
Xiaofan Yu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
University Students ◽  
Leisure Time ◽  
Population Based ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Past ◽  
Chinese University ◽  
Gender Specific

ObjectivesData on the problem of physical activity-related injury (PARI) in university students and the risk factors for PARI among different genders are rare. We conducted a multicentre population-based study to investigate the occurrence of PARI and to explore the gender-specific risk factors for PARI among Chinese university students.DesignCross-sectional study.ParticipantsA total of 5341 students in grades 1–3 at eight universities in four Chinese cities were selected to complete the online questionnaires during March and April 2017. The questionnaires assessed sociodemographic characteristics, physical activity PA) involvement, sleep duration, sedentary behaviour and PARI experiences in the past 12 months.Main outcome measuresPARI during the past 12 months.ResultsAmong the 5341 participants, 1293 suffered from at least one PARI in the past 12 months, with an overall incidence rate of 24.2% (males: 26.2%, females: 23.2%) and an injury risk of 0.38 injuries/student/year (males: 0.48, females: 0.32). Over half of the injured (57.3%) experienced a withdrawal time of PA and nearly two-fifths (39.6%) required medical attention. Irrespective of gender, Shantou and Xi’an students, sports team members and those who engaged in sports and leisure-time vigorous-intensity PA (VPA) at a higher frequency were more likely to suffer from PARI. Male students who participated in sports and leisure-time VPA for long durations had a greater likelihood of sustaining PARI, while having a chronic condition and being involved in sports and leisure-time moderate-intensity PA at a higher frequency and longer duration were potential contributors to PARI among females.ConclusionsThe occurrence of PARI and its risk factors differed by gender, which provides a direction towards developing targeted and effective gender-specific preventative programmes to protect Chinese university students from PARI.

scholarly journals Diabetes Mellitus and Its Associated Risk Factors among adult Population in Bisha Province, Southwest of Saudi Arabia

2016 ◽  
Vol 9 (6) ◽  
pp. 22 ◽  
Author(s):  
Abdullah M. Al-Shahrani ◽  
Mohammed A. Al-Saleem ◽  
Mohamed O’haj ◽  
Faleh Th. Mohammed ◽  
Mutasim E. Ibrahim
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Healthy Lifestyle ◽  
Adult Population ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Married Individuals ◽  
Health Organization ◽  
Associated Risk Factors

OBJECTIVES: To determine the prevalence and associated risk factors of diabetes mellitus (DM) among the adult population in Bisha province, Saudi Arabia.METHODS: A cross sectional study was conducted during December, 2015 using the World Health Organization STEPS wise approach for data collection. Blood glucose level and anthropometric measurements of blood pressure, height, weight, and waist circumference were performed per standard methods.  Logistic regression analysis was used to assess the prevalence and risk of diabetes.RESULTS: Of 542 adult individuals included in the study, 13.3% (72) had diabetes, of which 8.1% were previously diagnosed and 5.2% represented new cases. The proportions of DM were 14.7% for men and 10.8% for women. Diabetes was significantly higher among married compared to unmarried individuals (19.3% vs 5.5 %; p<0.001) and among individuals aged ≥40 years old compared to those <40 years (31.3% vs 9.3%; p<0.001). The risk of diabetes was significantly increased with older age (Odds Ratio=4.470; 95% CI 2.264-7.614), married individuals (OR=4.097; 95% CI 2.188-7.672), weight/obesity (OR=2.827; 95% CI 1.567-5.072), hypertension (OR=4.383; 95% CI 2.085-9.214) and having a job (OR=2.327; 95% CI 1.347-4.02). The independent risk factors predicted diabetes were hypertension (Adjusted OR=2.897; 95% CI 1.269-66.13) and job patterns (Adjusted OR=2.793; 95% CI 1.064-7.329).CONCLUSION: Different risk factors alarming diabetes among adult population in Bisha province were detected.  Strategies aimed to improving a healthy lifestyle are necessary to reduce the burden of the disease. 

scholarly journals Pengetahuan pencegahan kaki diabetik penderita diabetes melitus berpengaruh terhadap perawatan kaki

MEDISAINS ◽  
2018 ◽  
Vol 16 (2) ◽  
pp. 76
Author(s):  
Srimiyati Srimiyati
Keyword(s):  
Diabetes Mellitus ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Diabetes Melitus

Latar Belakang: Komplikasi yang sering terjadi pada penderita diabetes melitus salah satunya kaki diabetik.  Masalah kaki diabetik memerlukan waktu dan biaya cukup banyak. Pencegahan kaki diabetik dapat dilakukan dengan perawatan kaki. Penderita diabetes yang memiliki pengetahuan cukup tentang perawatan kaki diabetik menjadi dasar dan memotivasi untuk mengendalikan komplikasi penyakitnya.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan pencegahan kaki diabetik bagi penderita diabetesMetode: Penelitian ini adalah descriptive correlational, menggunakan pendekatan cross sectional study.  Populasinya seluruh penderita diabetes melitus yang berobat jalan. Sampel berjumlah 53 responden, pengambilan sampel menggunakan purposive sampling. Pengumpul data menggunakan kuesioner terdiri dari 20 item untuk menggali pengetahuan pencegahan kaki diabetik dan 15 item perawatan kaki. Penelitian dilakukan di RSI Siti Khatijah PalembangHasil: penelitian menunjukkan sebagian besar responden perempuan  (58,5%), usia > 55 tahun (83,0%), pendidikan menengah kebawah (67,9%), menderita diabetes mellitus > 5 tahun (58,5%), responden yang memiliki pengetahuan pencegahan kaki diabetik dengan kriteria tinggi  sebanyak 36 (67,9%), melakukan perawatan kaki diabetik (60,4%). Hasil uji statistik chi squere menunjukkan ada hubungan yang signifikan antara pengetahuan dan perawatan kaki (p= 0,024; OR= 4.767). .Kesimpulan: Ada hubungan yang signifikan antara pengetahuan dan perawatan kaki pada pasien diabetes. Pasien diabetes yang memiliki pengetahuan baik mengenai perwatan kaki berpeluang 4.767 kali lebih besar dalam melakukan perawatan kaki dari pada yang memiliki pengetahuan kurang.

scholarly journals Faktor-Faktor yang Berhubungan dengan Kejadian Diabetes Mellitus di UPTD Diabetes Center Kota Ternate Tahun 2018

2019 ◽  
Vol 1 (01) ◽  
pp. 38-45
Author(s):  
Helena Wadja ◽  
Hamidah Rahman ◽  
Nani Supriyatni
Keyword(s):  
Diabetes Mellitus ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Diabetes Center ◽  
Diabetes Melitus

Diabetes adalah penyakit yang berlangsung lama atau kronis serta ditandai dengan kadar gula (glukosa) darah yang tinggi atau di atas nilai normal. Glukosa yang menumpuk di dalam darah akibat tidak diserap sel tubuh dengan baik dapat menimbulkan berbagai gangguan organ tubuh. Diabetes melitus (DM) menjadi ancaman serius bagi kesehatan manusia pada abad ke-21. Jumlah penderita DM mencapai 422 juta orang di dunia pada tahun 2014. Sebagian besar dari penderita tersebut berada di negara berkembang. Indonesia sebagai salah satu negara berkembang memiliki jumlah penderita yang cukup tinggi. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan, tingkat stres, dan durasi tidur terhadap kejadian Diabetes Mellitus. Metode penelitian dengan menggunakan desain cross sectional study. Populasi dalam penelitian ini adalah  pasien yang datang memeriksakan kadar gula darah di UPTD Diabetes Center Kota Ternate Tahun 2018. Jumlah sampel 95 orang yang diambil dengan cara accidental sampling. Hasil uji statistik dengan menggunakan uji chi square menunjukkan bahwa faktor-faktor yang berhubungan dengan penyakit Diabetes Mellitus adalah tingkat stres dengan p-value = 0,037 ( <0,1 ) dan durasi tidur dengan p-value = 0,025 ( <0,1 ), sedangkan yang tidak berhubungan adalah tingkat pengetahuan dengan p-value = 0,709 ( >0,1 ). Oleh karena itu, disarankan kepada petugas kesehatan lebih meningkkatkan lagi  informasi kepada masyarakat tentang penyakit Diabetes Mellitus, agar masyarakat lebih tahu tentang penyakit Diabetes Mellitus.

scholarly journals MDCT evaluation of coronary artery calcification in Nepalese population undergoing CT thorax examination for non-cardiac pathology

2014 ◽  
Vol 6 (4) ◽  
pp. 40-44
Author(s):  
Mukesh Kumar Gupta ◽  
Raj Kumar Rauniyar ◽  
Naveen Kumar Pandey ◽  
Deepak Kumar Yadav
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Cross Sectional Study ◽  
Age Group ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Cardiac Pathology ◽  
Patients With Diabetes ◽  
Ct Evaluation ◽  
Atherosclerotic Risk Factors

Background:Coronary artery calcification (CAC) is frequently encountered as incidental findings during CT evaluation of thorax; however, little is known about its magnitude and association with atherosclerotic risk factors in Nepalese population. The purpose of this study was to evaluate the frequency of incidental CAC in patients undergoing standard thoracic CT examination for non-cardiac pathology and to correlate it with risk factors for coronary atherosclerosis.Methods: A hospital based prospective cross-sectional study was conducted on 216 patients over 8 month duration. The coronary arteries were evaluated for calcification on 16-slice MDCT and the frequency of CAC was correlated with atherosclerotic risk factors viz. age, sex, diabetes mellitus, hypertension, smoking and obesity.Results: Incidental CAC was seen in 72(33.3%) of total 216 patients. The rates of CAC below 40, 40-60 and above 60 years age group were 0%, 31.6% and 43.9% respectively. The frequency of CAC in male and female were 35% and 31.2% for all ages, 43.6% and 20% for 40-60 years group, and 35.2% and 61.1% for above 60 years age group respectively. The frequency of CAC was higher in patients with diabetes mellitus (47.5%), hypertension (42.3%), smoking (43%) and obesity (38.9%).Conclusion: Incidental CAC was seen in 33.3% of the patients and it had significant association with advancing age, diabetes mellitus, hypertension and smoking. Rate of CAC was significantly higher in male for 40-60 years group but the frequency drastically increased in female for above 60 years group. DOI: http://dx.doi.org/10.3126/ajms.v6i4.11205 Asian Journal of Medical Sciences Vol.6(4) 2015 40-44

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