Hubungan Usia, Stres, dan Asupan Zat Gizi Makro dengan Kejadian Obesitas Abdominal pada Ibu Rumah Tangga di Kelurahan Sidotopo, Surabaya

Abstract

Background: Abdominal obesity is one of the risk factors of cardiovascular diseases. Obesity is caused by energy imbalance. Women have higher risk of abdominal obesity than men. Objectives: This study aimed to analyze the association between age, stress level, macronutrient intake with abdominal obesity among housewives in Sidotopo, Surabaya. Method: This cross sectional study was conducted between May and July of 2018 in Kelurahan Sidotopo, Kecamatan Semampir, Kota Surabaya. The sample was 46 housewives aged between 20 and 49 years which was selected using multistage random sampling method. The association between age, stress level, and macronutrient intake with abdominal obesity was analysed using Pearson correlation and logistic regression test with a significant level of 0.05. Results:This study showed that 52.17% of housewives had abdominal obesity. Most of housewives were Javanese and Maduranes between the ages of 30-39. This study showed the significant association between age (p=0.001) and stress level (p=0.017) with abdominal obesity. Meanwhile, energy intake (p=0.062), carbohydrate intake (p=0.300), protein intake (p=0.147), fat intake (p=0.188), and dietary fiber intake (p=0.062) did not show significant association. Conclusion: Age and stress level associated with abdominal obesity among housewives in Sidotopo. The risk of abdominal obesity increased with age and stress level.ABSTRAKLatar Belakang: Obesitas abdominal merupakan salah satu faktor risiko terjadinya penyakit kardiovaskuler. Obesitas terjadi akibat adanya ketidakseimbangan energi masuk dan keluar dari tubuh. Perempuan berisiko lebih tinggi mengalami obesitas abdominal dibandingkan laki-laki.Tujuan: Tujuan penelitian ini adalah untuk menganalisis hubungan usia, stres, dan asupan zat gizi makro dengan kejadian obesitas abdominal pada ibu rumah tangga di Kelurahan Sidotopo, Surabaya.Metode: Penelitian cross sectional ini dilakukan di Kelurahan Sidotopo, Kecamatan Semampir, Kota Surabaya pada bulan Mei-Juli 2018. Sebesar 46 orang ibu rumah tangga usia 20-49 tahun dipilih secara acak menggunakan metode multistage random sampling. Hubungan antara usia, stres, dan asupan zat gizi makro dengan kejadian obesitas abdominal dianalisis menggunakan uji korelasi Pearson dan regresi logistik dengan tingkat signifikansi <0,05. Hasil: Sebesar 52,17% responden mengalami obesitas abdominal. Sebagian besar responden berusia 30-39 tahun dimana berasal dari etnis Jawa dan Madura. Hasil penelitian menunjukkan bahwa obesitas abdominal berhubungan signifikan dengan usia (p=0,001) dan stres (p=0,017). Sebaliknya, asupan energi (p=0,234), karbohidrat (p=0,300), protein (p=0,147), lemak (p=0,188), dan asupan serat (p=0,062) tidak menunjukkan hubungan yang signifikan dengan kejadian obesitas abdominal.Kesimpulan: Usia dan tingkat stres berhubungan dengan kejadian obesitas abdominal pada ibu rumah tangga di Kelurahan Sidotopo. Semakin tinggi usia dan tingkat stres, maka resiko terjadinya obesitas abdominal akan semakin tinggi.

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