Central obesity increases the risk of type 2 diabetes mellitus among urban adults
Abstract: In Indonesia the
number of persons with type 2 diabetes mellitus (T2DM) was 8.5 million in 2013,
and is estimated to be 11.8 million in 2030. The aim of this study was to
determine the major risk factors associated with T2DM prevalence in urban aged
>15 years.
An observational study with cross-sectional design was used with the data
from Riskesdas 2007 and 2013 on population aged >15 years. Total respondents
were 294,352 (2007) and 368,281 (2013). Data were collected by trained
personnel through interviews, blood pressure and anthropometry measurements,
and blood glucose and lipid tests. Odds ratio (OR) was used to test the
relationship between T2DM and a number of other variables. Multiple logistic
regression analysis was obtained to determine the main risk factor associated
with T2DM prevalence.
Type 2 diabetes mellitus prevalence increased from 2.3% (2007) to 2.5%
(2013). T2DM tended to be increased in the younger age groups. Low education,
middle-to-high economic status, less physical activity, smoking >200
cigarettes, and high risk blood lipid levels were strongly associated with T2DM
prevalence. The main risk factors were inadequate physical activity (2007: OR
1.9;95% CI:1.16–2.98 and 2013: OR 2.44;95% CI: 1.57-3.78) and central obesity
(2007: OR 1.8;95% CI:0.99–3.10, and 2013:OR 3.84; 95% CI: 2.49-5.93) after
controlling for age, gender, employment and economic status.
Type 2 diabetes mellitus prevalence in the population aged >15 years
increased within 5 years. Lack of physical activity and central obesity were
the major risk factors of T2DM prevalence in urban adults.
Author: Julianty Pradono,
Nunik Kusumawardani, Delima Delima
Journal Code: jpkedokterangg150285