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Kodim, Nasrin
- Stress and Conversion of Type 2 Diabetes Mellitus Among People with Prediabetes in Bogor, West Java, Indonesia
Authors
1 School of Public Health, University of Indonesia, ID
2 Departement of Epidemiology, School of Public Health, University of Indonesia, ID
Source
Indian Journal of Public Health Research & Development, Vol 10, No 12 (2019), Pagination: 1911-1915Abstract
Background: The study aim was to knowing the impact of stress on the conversion of prediabetes to type 2 diabetes mellitus in adults.
Method: This study used a prospective cohort design. The data used are secondary data from the Cohort Study of Risk Factors for Non-Communicable Diseases in Bogor, Indonesia. Data collection in this study was carried out since 2011 until 2015 with a total population of 5890. Based on the exclusion and inclusion criteria, the total of study participants were 1059.
Results: During 5 years of follow-up, among prediabetic adults there were 169 subjects categorized as T2DM and 219 subjects categorized as stressed. Bivariate analysis shows that stress and age at baseline is a risk factor on the conversion of prediabetes to T2DM (p < 0,05). Final model on multivariate analysis, shows the hazard ratio of stress was 1.815 (95% CI: 1.307 - 2.520) with p < 0.05.
Conclusion: This findings, expected to be used as information and motivation in an effort to make prevention and control of T2DM. Especially in individuals with prediabetes who suffer from stress because it has an impact with conversion of prediabetes to T2DM.
Keywords
Type 2 Diabetes Mellitus, Prediabetes, Stress, Prospective Study.
- A Cross-secsional Study: Analysis Risk Factors Against Hypertension in Indonesia 2014
Authors
1 Departement of Epidemiology, School of Public Health, University of Indonesia, ID
Source
Indian Journal of Public Health Research & Development, Vol 11, No 2 (2020), Pagination: 1833-1838Abstract
Background: Hypertension is one of the issues of global health problems. This is because hypertension can contribute greatly to the incidence of cardiovaskular disease, stroke, kidney failure and early death. Moreover hypertension rarely causes symptoms at an early stage, so many cases are undiagnosed. The prevalence of hypertension based on measurements in Indonesia through Riset Kesehatan Dasar in 2007 was around 31.7%, this figure declined in 2013 to around 25.8%, and increased in 2018 to around 34.1%, which was the largest prevalence in last ten years. This study aimed to look at risk factors that can affect the incidence of hypertension in Indonesia.
Method:This study was a quantitative study with a cross-sectional design using Indonesian Family Life Survey-5 (IFLS-5) datain 2014. The sample of this study amounted to 36,405.
Results: The results of this study obtained the prevalence of hypertension by 21.8%. Some risk factors that are proven statistically and substantially can affect the occurrence of hypertension, including age> 57 years (PR= 1.18; 95% CI 1.12-1.24), <=junior high school education level (PR=1.52: 95% CI 1.46-1.58), with mariage status (PR = 1.36; 95% CI 1.30-1.18), have a diabetes mellitus history (PR= 2.28; 95% CI 2.11-2.46), have a high cholesterol history (PR= 2.16; 95% CI 2.03-2.29), and have a sleep disorders (PR= 1.08; 95% CI 1.03-1.13).
Suggestion: The results of the study suggest people especially those aged 15 years and over who have risk factors for hypertension in order to routinely maintain a healthy lifestyle; became input to the Ministry of Health of the Republic of Indonesia to improve the quality of the implementation of Posbindu PTM such as providing blood pressure measuring devices and equipping cadres’ understanding of risk factors for hypertension.