Faktor risiko obesitas pada ibu rumah tangga miskin
Abstract: Food insecurity is
associated with allocation of income for high energy density food consumption
that may cause obesity in poor family. In addition, low physical activity may
lead to obesity, particularly in individual living in disadvantaged situation.
Objective: To identify risk factors of obesity among poor housewives in
Yogyakarta.
Method: This was a case control study, case group was obese housewives
and the control group was non obese housewives. The locations of the study were
Bumijo and Pringgokusuman which have high population density. The samples were
taken purposively. Each group consisted of 70 housewives (1:1) and were matched
according to age. Mc.Nemar test and conditional logistic regression were used
to identify the risk factors of obesity.
Results: There was no difference in characteristics between the two
groups. Food insecurity reached 91,43% in the control group, proportion of
excessive energy intake reached 37.86% in the case group, higher than in
control group (24.29%). Excessive fat intake in the case group reached 30%
whereas in the control group was 28.57%. Low physical activity reached 40% in
the case group, and 10% in the control group. The result of Mc.Nemar test
showed that food insecurity, energy and fat intake had no significant association
with obesity (p>0.05). While physical activity was associated with obesity
(p=0.0001). The result of conditional logistic regression showed physical
activity was dominant risk factor for obesity among poor housewives
(R2=0.1916).
Conclusion: Food security status was not a risk factor for obesity in
poor families; energy intake and fat intake contributed to the prevalence of
obesity though the influence was smaller than physical activity.
Penulis: Digna Niken
Purwaningrum, Hamam Hadi, I Made Alit Gunawan
Kode Jurnal: jpkesmasdd120420
