Hubungan pola makan dengan sindrom metabolik pada karyawan PT Unocal Oil Company di Offshore Balikpapan Propinsi Kalimantan Timur

SUDARMININGSIH, Sri, Prof.Dra. Wiryatun Lestariana, Apt.,SU

2007 | Tesis | S2 Ilmu Kesehatan Masyarakat (Gizi dan Kesehatan M

Latar Belakang: Prevalensi sindrom metabolik meningkat tajam baik di negara maju maupun di negara berkembang. Kriteria sindroma metabolik adalah IMT ≥ 27, LP pada laki-laki ≥ 102 diikuti dengan peningkatan glukosa darah puasa >= 110 mg/dl, tekanan darah >= 130/85 mmHg, trigliserida >= 150 mg/dl dan kolestrol HDL < 40 mg/dl. Tujuan Penelitian: Mengkaji hubungan pola makan dengan sindrom metabolik pada karyawan PT.Unocal Oil Company di Offshore Balikpapan. Metode Penelitian: Penelitian ini observasional analitik dengan desain Case Control Study, dengan perbandingan 1 : 1 (Matched Case Control). Kasus diambil 62 orang dan kontrol 62 orang, diambil secara Stratified random sampling dan memenuhi kriteria inklusi. Pola makan dilakukan recall 3 x 24 jam lalu dihitung dan dibandingkan dengan AKG pekerja. Analisis statistik menggunakan uji t dan kai kuadrat, hubungan kemaknaan Odds Ratio (OR) dan uji regresi logistik. Hasil : Hasil uji statistik bivariat signifikan (p< 0,05) dengan terjadinya sindrom metabolik adalah asupan energi >=110 (OR=7,7, 95%CI= 3,1-18,8). Asupan total karbohidrat ≥ 60% (OR=3,98, 95%CI= 1,6-9,8), refined karbohidrat > 5% (OR=7,4, 95%CI=2,9-18,7), total protein ≥ 20% (OR= 3,2, 95%CI=1,2-8,4), lemak >20% (OR= 5,04 95%CI=1,578-16,1). Analisis multivariat dengan menguji seluruh variabel kandidat diperoleh hubungan yang signifikan (p <0,05) adalah refined KH (OR=2,9), asupan energi OR = 1,2 dan lama bekerja di Offshore ≥ 10 th (OR= 3,2). Kesimpulan : Terdapat hubungan pola makan dengan sindrom metabolik yaitu: asupan refined karbohidrat, asupan energi dan lama bekerja di offshore ≥ 10 tahun (p< 0,05) .

Background: Prevalence of metabolic syndrome have significantly increased in both developed and developing countries. Criteria metabolic syndrome: body mass index of ≥27, and male waist circumference of ≥ 102 cm which could be followed by fasting blood glucose level of ≥110 mg/dl. Other symptoms are blood pressure and triglyceride (of ≥ 130/85 mm Hg and ≥ 150 mg/dl respectively) and decrease in high density lipoprotein to < 40 mg/dl. Purpose of Study: This research was aimed to explore the extent to which food habit relates with Metabolic Syndrome among offshore workers employed by Unocal Oil Company Ltd. Located in Balikpapan. Research Method: The main study which was a observational-analytical was then carried out using case-control design, with comparition 1:1 (Matched Case Control). The number case and control samples were equal, 62 workers within each group. The study participants were drawn using stratified random sampling technique from workers who meet inclusive criteria Food habit of the participants were retrospectively assessed and nutrients intake also measured using the 3 x 24 hours recall method. Chi squares,t- test, odd ratios, and logistic regressions were performed to determine statistical significant among variables. Result: The study showed that energy intake ≥ 110 between case and control group was significantly different (OR= 7,7 95% CI= 3,1-18,8). This was also true for the case of total carbohydrate ≥ 60%, (OR= 3,98, 95% CI= 1,6-9,8), refined carbohydrate ≥ 5% (OR= 7,4 95% CI= 2,9-18,7), total protein ≥ 20% (OR= 3,2, 95% CI= 1,2-8,4), and fat ≥ 20% (OR= 5,04, 95% CI= 1,578-16,1). logistic regressions were performed to determine statistical significant among variables candidate : refined carbohydrate, energy intake and old work in offshore(p < 0,05). Conclusion: This study indicates that food habit, in which nutrient intake was higher than of recommended daily allowance (RDA), was closely related to incidence of Metabolic Syndrome : refined carbohydrate, energy intake and old offshore workers employed (p < 0,05) .

Kata Kunci : Sindrom Metabolik,Pola Makan,Asupan Gizi, Background: Prevalence of metabolic syndrome have significantly increased in both developed and developing countries. Criteria metabolic syndrome: body mass index of ≥27, and male waist circumference of ≥ 102