HUBUNGAN DIABETES MELITUS DENGAN OBESITAS BERDASARKAN INDEKS MASSA TUBUH DAN LINGKAR PINGGANG DATA RISKESDAS 2007

摘要

Criteria of obesity based on Body Mass Index (BMI) only, might be inappropriate for Asian population. Increasing trend of Diabetes Mellitus (DM) related to central obesity occurred among Asian population with low BMI. Objectives: to compare the obesity a risk factor of DM based on BMI versus waist circumference among aged 25-64 in urban areas. Method: the database of Riskesdas 2007 were obtained: respondents with blood glucose variable, consists of 18.612 records of individuals from urban areas. DM was diagnosed if plasma glucose level > 200 mg/dL 2 hours after a glucose load of 75 g. Complex design approach was applied in data analysis. Results: The prevalence of abdominal obesity among aged >25 years in Indonesia were 7.8 % in males, 33.5 % in females, while the prevalence of general obesity were 17.2 % in males, 29.3 % in females. The adjusted OR of obesity based on waist circumference versus BMI were 2,26 (1.77-2.88) versus 1.03 (0.78-1.35) respectively as risk factors of DM among aged 25-64 in urban areas. Conclusion : The waist circumference is preferred to be measured in a survey, as a proxy indicator of DM burden, whenever the glucose load is not feasible to be carried out.Key words : Obesity, BMI, Waist Circumference, Diabetes Mellitus