Sindrom metabolik pada remaja obes: prevalensi dan hubungannya dengan kualitas diet
Abstract: The increasing
prevalence of adolescents obesity in the last decade have an impact on the
increased prevalence of adolescents metabolic syndrome (MetS). Diet quality is
one of the determining factors in the incidence of adolescents obesity, so it
can also be a factor for MetS.
Objective: To analyze the relationship between diet quality and MetS risk
factors in obese adolescents.
Method: A cross-sectional study was conducted on the 57 obese students in
7th and 8th grades of Nasima and Kesatrian Junior High School in Semarang.
Blood pressure (BP) and waist circumference (WC) measurements, as well as blood
samples for measurement of fasting blood glucose (FBG), triglyceride (TG) and
HDL cholesterol (HDL-C), were conducted to determine the number of risk factors
experienced by the subject. Diet quality was measured through assessment of
food consumption using a food frequency questionnaire (FFQ). Pearson and
Spearman's test was used to determine the correlation between diet quality and
MetS risk factors.
Results: The majority of obese adolescents (96.5%) had a low-quality of
diet. There were 31.6% subjects experienced pre-metabolic syndrome and 68.4%
had MetS, with the prevalence of MetS, was higher in male subjects. The diet
quality, variety, adequacy scores and fiber intake of the pre-metabolic
syndrome group were higher than MetS group. Variety and adequacy scores had
significant negative correlation with TG (r = -0.374, p=0.004; r = -0.357,
p=0.006, respectively). There was no significant relationship between diet
quality score and the number of MetS risk factors (p=0.538), although they had
a negative correlation (r = -0.083).
Conclusion: Prevalence of pre-metabolic syndrome and MetS was 31.6% and
68.4%. Though there was no significant relationship, diet quality had a
negative correlation with the number of MetS risk factors. Variety and adequacy
scores had a significant relationship with triglyceride levels.
Keywords: diet quality;
metabolic syndrome; obese adolescents
Penulis:Fillah Fithra Dieny
Kode Jurnal: jpkesmasdd150760
