Gambaran Status Gizi pada Penderita Osteoporosis Dinilai dari Indeks Massa Tubuh, Lingkar Pinggang, dan Rasio Pinggang Panggul (Kajian Kasus di Poli Ortopedi Rumah Sakit Al-Islam Periode April-Juni 2016)

Mohammad Faridza Setyo Hadikusumah, R. Rizky suganda, Lisa Adhia Garina

Abstract


Abstract: Life expectancy improvement and economical growth that increase every year cause chronic disease increased incidence of chronic disease. Osteoporosis is one of chronic disease that increase because improvement of life expectancy. Obesity is one of disease that also increase because improvement of economical growth. Obese people with high index of fat mass have a hisgher risk develop osteoporosis than people with lower fat mass index. The aim of this research was to know the features between nutritional status and incidence in osteoporosis people in Al-Islam Hospital.This research was an observational study using cross-sectional method. The subjects of the research were osteoporotic patient in ortophaedic department in Al-Islam Hospital. Samples chosen by consecutive sampling method. This research is done by see the features of nutritional status in osteoporotic patient by calculate the Body Mass Index (BMI), Waist Circumference (WC), Waist to Hip Ratio (WHR). The research result based upon BMI showed that most of osteoporotic patient that can be categorized in Obesity I people. The research result based upon WC showed that most of osteoporotic patient can be categorized in at risk people.The research result based upon WC showed that most of osteoporotic patient can be categorized in at risk people. 

Abstrak: Peningkatan angka harapan hidup dan pertumbuhan ekonomi yang setiap tahun semakin tinggi menyebabkan peningkatan angka kejadian penyakit kronis. Osteoporosis merupakan salah satu penyakit kronis yang terjadi akibat peningkatan angka harapan hidup. Obesitas pun merupakan penyakit yang meningkat akibat peningkatan status ekonomi masyarakat. Penderita obesitas yang memiliki massa lemak yang tinggi memiliki risiko terkena osteoporosis yang lebih tinggi. Tujuan penelitian ini untuk mengetahui gambaran antara status gizi dan kejadian osteoporosis pada pasien osteoporosis di RS Al-Islam Bandung.Penelitian ini menggunakan metode observasi dengan rancangan studi potong lintang. Subjek penelitian merupakan pasien osteoporosis di poli ortopedi RS Al-Islam.. Sampel dipilih dengan menggunakan metode consecutive sampling. Penelitian dilakukan dengan cara melihat gambaran status gizi penderita osteoporosis dengan menghitung Indeks Massa Tubuh (IMT), Lingkar Pinggang (LP), dan Rasio Pinggang Panggul (RPP). Hasil penelitian berdasarkan IMT menunjukkan bahwa sebagian besar penderita osteoporosis termasuk kategori obesitas 1. Hasil penelitian berdasarkan LP menunjukan sebagian besar penderita termasuk dalam kategori berisiko. Hasil penelitian berdasarkan RPP menunjukkan sebagian besar penderita termasuk dalam kategori berisiko.


Keywords


Body Mass Index , Obesity, Osteoporotic, Waist Circumference, Waist to Hip Ratio

References


Anthony S. Fauci M, Dan L, Longo M., 2008. Harrison’s Principles of Internal Medicine. Anthony S, Fauci M, Dennis L. Hauser M, J. Larry Jameson M, PhD, et al., editors. United States of America: McGraw-Hill Companies. USA

Cao JJ., 2011. Effects of obesity on bone metabolism. Cao Journal of Orthopaedic Surgery and Research. Korea

Depkes R.I., 2008. Pedoman Pengendalian Osteoporosis, Jakarta

Dytfeld J, Ignaszak-Szczepaniak M, Gowin E, Michalak M., 2011. Influence of lean and fat mass on bone mineral density (BMD) in postmenopausal women with osteoporosis. Archives of Gerontology and Geriatrics. USA

Fawzy T, Muttappallymyalil J, Sreedharan J., 2011. Association between Body Mass Index and Bone Mineral Density in Patients Referred for Dual Energy X-Ray Absorptiometry Scan in Ajman. Journal of Osteoporosis. Saudi Arabia

Foundation NO., 2010. Clinician’s Guide to Prevention and Treatment of Osteoporosis.

Hi'miyah DA, Martini S., 2013. Hubungan antara Obesitas dengan Osteoporosis studi di Rumah Sakit Husada Utama Surabaya. Jurnal Berkala Epidemiologi. Surabaya

Jeejeebhoy KN., 2007. Nutritional Assessment

Kataria SK, Pareek P, Dadhich A., 2012. The Effect of Body Mass Index on Bone Mineral Dencity in pre and post menopausal women of Western Rajasthan Population. International Journal of Biological & Medical Research.

Kim KC, Shin DH, Lee SY, Im JA, Lee DC., 2010. Relationship between Obesity and Bone Mineral Density and Vertebral Fractures in Korean Postmenopausal Women. Yones Med Journal. Korea

Meybodi HR, Abadi MH, Hesmat R., 2011. Association between Anthropometric Measures and Bone Mineral Density : Population-Based Study. Iran

Prihatini S, Mahirawati VK, Jahari AB, Sudiman H., 2010. Faktor Determinan Risiko Osteoporosis di Tiga Provinsi di Indonesia. Media Litbang Kesehatan. Jawa Barat

Seagaard AJ, Holvik K, Omsland TK, et al., 2014. Abdominal obesity increase the risk of hip fracture – A population based study of 43,000 women and men aged 60-79 years followed for 8 years. Norwegia

Supariasa IDN, Bakri B, Fajar I., 2014. Penilaian Status Gizi. Ester M, editor. Jakarta

Unicef., 2008. Nutrition Glossary a Resource for Communicators

Zhao L-J, Jiang H, Papasian CJ, Maulik D., 2008. Correlation of Obesity and Osteoporosis: Effect of Fat Mass on the Determination of Osteoporosis.




DOI: http://dx.doi.org/10.29313/kedokteran.v0i0.4573

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