KINANSI, Revi Rosavika and Shaluhiyah, Zahroh and Kartasurya, Martha Irene (2023) FAKTOR DETERMINAN KEJADIAN OBESITAS PADA WANITA USIA 20-35 TAHUN : STUDI DI PROVINSI SULAWESI UTARA, DKI JAKARTA DAN KALIMANTAN TIMUR. Masters thesis, UNIVERSITAS DIPONEGORO.

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Abstract

Data Riskesdas 2018 menunjukkan proporsi obesitas tertinggi pada wanita usia dewasa (umur > 18 tahun) terjadi di Provinsi Sulawesi Utara, DKI Jakarta dan Kalimantan Timur. Tujuan penelitian ini untuk menganalisis faktor determinan kejadian obesitas pada wanita usia 20-35 tahun di tiga Provinsi. Penelitian ini menggunakan desain potong lintang (Cross Sectional) dari data Riskesdas 2018. Pemilihan subjek pada Riskesdas 2018 menggunakan metode two stage systematic random sampling sampai tingkat kabupaten. Subjek penelitian sebanyak 5971 dipilih dengan kriteria inklusi wanita usia 20-35 tahun dan tidak sedang hamil. Kriteria obesitas menggunakan IMT >25 kg/m2 dan obesitas sentral menggunakan lingkar pinggang >80 cm. Analisis data dilakukan dengan uji Chi square dan regresi logistik. Hasil penelitian menunjukkan bahwa faktor determinan kejadian obesitas dan obesitas sentral di 3 provinsi adalah tinggal di perdesaan, kebiasaan minum bersoda, kurang aktifitas fisik dan penggunaan kontrasepsi hormonal. Faktor determinan kejadian obesitas dan obesitas sentral di Provinsi Sulawesi Utara adalah konsumsi minuman manis dan bersoda serta kurang konsumsi buah, sedangkan di Provinsi DKI Jakarta adalah kebiasaan konsumsi makanan dan minuman manis serta makanan yang mengandung tinggi lemak. Di Provinsi Kalimantan Timur, faktor determinan adalah konsumsi makanan manis, asin, tinggi lemak dan makanan instan. Disimpulkan bahwa tiga faktor determinan terkuat kejadian obesitas dan obesitas sentral berturut-turut adalah tinggal di perdesaan, kurang aktivitas fisik dan konsumsi tinggi lemak.
Kata Kunci : faktor determinan, obesitas, wanita dewasa

The 2018 Riskesdas data shows that the highest proportion of obesity in adult women (age > 18 years) occurs in the provinces of North Sulawesi, DKI Jakarta and East Kalimantan. The purpose of this study was to analyze the determinants of obesity in women aged 20-35 years in three provinces. This study used a cross-sectional design from the 2018 Riskesdas data. Subject selection in the 2018 Riskesdas used a two-stage systematic random sampling method down to the district level. 5971 research subjects were selected with the inclusion criteria of women aged 20-35 years and not currently pregnant. Obesity criteria used BMI > 25 kg/m2 and central obesity used waist circumference > 80 cm. Data analysis was performed by Chi square test and logistic regression. The results showed that the determinants of the incidence of obesity and central obesity in 3 provinces were living in rural areas, drinking fizzy habits, lack of physical activity and use of hormonal contraception. The determinants of the incidence of obesity and central obesity in North Sulawesi Province are consumption of sweet and carbonated drinks and less consumption of fruit, while in DKI Jakarta Province are the habit of consuming sweet foods and drinks as well as foods containing high fat content. In East Kalimantan Province, the determinant factors are the consumption of sweet, salty, high-fat and instant foods. It was concluded that the three strongest determinants of obesity and central obesity successively are living in rural areas, lack of physical activity and high fat consumption.
Keywords: determinant factors, obesity, adult women

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