FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN OBESITAS SENTRAL PADA PEKERJA DI PT. X KOTA SEMARANG
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Abstract
ABSTRACT
Central obesity is obesity that resembles an apple, where fat is stored in the waist and abdominal cavity. This study aims to identify factors associated with central obesity among workers at PT. X Semarang City and the factors most related to the incidence of central obesity. This study uses a cross-sectional design on 110 workers in the production unit. Data collected included measurements of height, weight, and waist circumference; 1 x 24-hour recall; and risk behavior factors, including physical activity, smoking status, and nutritional intake (energy, protein, fat, and carbohydrates). Social factors include education level, marital status, and level of knowledge. Factors that cannot be changed include age and gender. The analysis in this study used the chi-square test and multiple logistic regression. The results of this study indicate that risk behavior factors, including energy intake, fat intake, and carbohydrate intake, and social factors, including marital status, are significantly related to central obesity. Factors that cannot be changed, such as gender, are also significantly associated with central obesity. The risk behavior factor, namely carbohydrate intake, is most strongly associated with central obesity, with an OR of 11.580 (95% CI: 1.208 – 111.047). Excessive carbohydrate intake can increase the risk of central obesity by 11.58 times compared with adequate carbohydrate intake, after controlling for physical activity, energy intake, protein intake, fat intake, marital status, level of knowledge, age, and gender. It is recommended that workers apply balanced nutritional guidelines in their daily lives.
Keywords: factors, central obesity, workers
ABSTRAK
Obesitas sentral yaitu obesitas yang menyerupai apel, di mana lemak disimpan dibagian pinggang dan rongga perut. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan obesitas sentral pada pekerja di PT. X Kota Semarang dan faktor yang paling berhubungan terhadap kejadian obesitas sentral. Penelitian ini menggunakan desain cross-sectional pada 110 pekerja bagian unit produksi. Data yang dikumpulkan meliputi pengukuran tinggi badan, berat badan, lingkar pinggang, recall 1 x 24 jam, faktor perilaku berisiko meliputi aktivitas fisik, status merokok, dan asupan gizi (energi, protein, lemak dan karbohidrat). Faktor sosial meliputi tingkat pendidikan, status pernikahan dan tingkat pengetahuan. Faktor yang tidak dapat diubah meliputi usia dan jenis kelamin. Analisis dalam penelitian ini menggunakan uji chi-square dan regresi logistik ganda. Hasil dalam penelitian ini menunjukkan faktor perilaku berisiko yakni asupan energi, asupan lemak, dan asupan karbohidrat; faktor sosial yakni status pernikahan dan faktor yang tidak dapat diubah yaitu jenis kelamin berhubungan signifikan dengan obesitas sentral. Faktor perilaku berisiko yakni asupan karbohidrat paling berhubungan dengan obesitas sentral dengan OR 11,580 (95% CI: 1,208 – 111,047). Asupan karbohidrat berlebih dapat meningkatkan 11,58 kali lebih tinggi risiko obesitas sentral dibandingkan asupan karbohidrat cukup, dikontrol aktvitas fisik, asupan energi, asupan protein, asupan lemak, status pernikahan, tingkat pengetahuan, usia, dan jenis kelamin. Disarankan pekerja untuk menerapkan pedoman gizi seimbang dalam konsumsi makanan sehari-hari.
Kata kunci: faktor-faktor, obesitas sentral, pekerja
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