Obesity and central obesity in Indonesia: evidence from a national health survey

Harbuwono, Dante Saksono; Pramono, Laurentius Aswin; Yunir, Em; Subekti, Imam

doi:10.13181/mji.v27i2.1512

Cited by 81 publications

(70 citation statements)

References 17 publications

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“…From 43 security personnel who took part in this study, there were 12 individuals (27.9%) who have waist circumference more than 90 cm. This condition is similar with central obesity proportion in Indonesia which is 28% and higher than the proportion of obesity itself which is 23.1% 9 . This result is different with central obesity proportion in China which is 10.2%.…”

Section: Discussionsupporting

confidence: 71%

Association Between Waist Circumference As Central Obesity Marker And Cooper Test Result In Security Personnel

Nathanael

Mirtha

Mansyur

2019

JEOH

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Background: Obesity is a problem that is found all over the world. Individuals who has increased of waist circumference or body mass index will have reduced physical fitness. This condition can also be found in security personnel who need great physical fitness for their occupation. Objectives: To find the correlation between waist circumference as marker of central obesity and Cooper test result in security personnel. Methods: This cross-sectional study was done to security personnel at Faculty of Medicine University as Indonesia with measuring waist circumference and Cooper test or 12-minutes run test distance covered. Result: From 43 subjects, we found that central or abdominal obesity prevalence is 27.9% and the mean of distance covered on Cooper test is 1787.41 ± 271.71 m. Spearman correlation test from both variables give significant inversely proportional correlation. (p value = 0.02; r = −0.430; 95% CI = −0.672 − −0.150). Conclusion: Increasing waist circumference in a person has correlation with decreasing physical fitness especially cardiorespiratory fitness.

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Section: Discussionsupporting

confidence: 71%

Association Between Waist Circumference As Central Obesity Marker And Cooper Test Result In Security Personnel

Nathanael

Mirtha

Mansyur

2019

JEOH

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“…The significant increase in the prevalence of obesity has become an important public health problem worldwide and in developing countries, including Indonesia [1,2]. According to the National basic health survey, the prevalence of obesity in Indonesia has increased from 14.8% in 2013 to 21.8% in 2018 [2], while the obesity burden is higher in women than in men [1,2]. The shift in dietary patterns from the traditional to a western diet, especially in urban areas, is one of the key drivers to the increased energy density and total calorie intake affecting the body weight [3].…”

Section: Introductionmentioning

confidence: 99%

Dietary and Plasma Carboxymethyl Lysine and Tumor Necrosis Factor-α as Mediators of Body Mass Index and Waist Circumference among Women in Indonesia

et al. 2019

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Dietary and plasma carboxymethyl lysine (dCML, pCML) and plasma tumor necrosis factor-α (pTNF-α) may be associated with obesity in affluent society. However, evidence in women from low-middle income countries with predominantly traditional diets is lacking. We investigated the mediator effects of dCML, pCML and pTNF-α on body mass index (BMI) and waist circumference (WC) among Indonesian women. A cross-sectional study was conducted among 235 non-diabetic, non-anemic and non-smoking women aged 19–50 years from selected mountainous and coastal areas of West Sumatra and West Java. Dietary CML, pCML, pTNF-α were obtained from 2 × 24-h recalls, ultra-performance liquid chromatography-tandem mass spectrometry and enzyme-linked immunosorbent assay, respectively. Between-group differences were analyzed by the Chi-square or Mann-Whitney test and mediator effects by Structural Equation Modeling. The medians and interquartile-ranges of dCML, pCML and pTNF-α were 2.2 (1.7–3.0) mg/day, 22.2 (17.2–28.2) ng/mL and 0.68 (0.52–1.00) IU/mL, respectively, and significantly higher in the WC ≥ 80 cm than in the WC < 80 cm group, but not in BMI ≥ 25 kg/m2 compared to BMI < 25 kg/m2 group. Plasma CML and pTNF-α were positively and directly related to WC (β = 0.21 [95% CI: 0.09, 0.33] and β = 0.23 [95% CI: 0.11, 0.35], respectively). Dietary CML that correlated with dry-heat processing and cereals as the highest contributions was positively related to WC (β = 0.33 [95% CI: 0.12, 0.83]). Ethnicity, level of education, intake of fat, and intake of energy contributed to dCML, pCML and pTNF-α, and subsequently affected WC, while only ethnicity contributed to BMI through dCML, pCML and pTNF-α (β = 0.07 [95% CI: 0.01, 0.14]). A positive direct effect of dCML on pCML and of pCML and pTNF-α on WC was seen among Indonesian women. Dietary CML seems to have several paths that indirectly influence the increases in WC if compared to BMI. Thus, intake of CML-rich foods should be reduced, or the foods consumed in moderate amounts to avoid the risk of central obesity in this population.

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“…The prevalence of obesity and central obesity in the Indonesian adult population according to National Health Census in 2007 were 23.1% and 28%, according to recent publication. 2 The prevalence of both obesity criteria are higher in females than males. This phenomenon has driven a global campaign to develop a prevention of overweight with an introduction of healthy diet and promotion of physical activity.…”

Section: Nia Kurniatimentioning

confidence: 99%