HUBUNGAN ASUPAN MAGNESIUM DAN ASUPAN ZINK DENGAN KADAR GLUKOSA DARAH PUASA PADA LANJUT USIA DI KECAMATAN JUWIRING KABUPATEN KLATEN

Main Article Content

Aruni Aruan
Anik Lestari
Eti Poncorini Pamungkasari

Abstract

The elderly population in the world and Indonesia continues to increase. The increased population of elderly is a positive achievement of government programs in the health sector but it creates new problems because the elderly are more susceptible to degenerative diseases due to decreased organ function. One of the degenerative diseases is diabetes. Diabetes is a chronic metabolic disease characterized by elevated blood sugar levels. This study aims to determine the relationship between magnesium intake, and zinc intake with fasting blood glucose levels in the elderly in Juwiring District, Klaten Regency. The subjects of this study were elderly in Juwiring District. Samples were taken using a multistage random sampling technique and obtained from 158 people. Characteristic data (gender, age, and education) were obtained from interviews. Magnesium and zinc intake were obtained from interviews using a recall 24 and a semi-quantitative food frequency questionnaire (SQ-FFQ). Fasting blood sugar data were obtained from blood sugar examination using a glucometer, the subject had been conditioned to fast for 8 hours. Statistical analysis using Pearson product-moment. the results showed that there was a relationship between magnesium intake (p= 0.02, r=-0.249) and zinc intake (p= 0.04, r = -0.229) with fasting blood sugar levels. It is recommended that the elderly adjust their diet by consuming food sources of magnesium and zinc.

 

ABSTRAK

Peningkatan populasi lansia merupakan capaian positif program pemerintah dalam sektor kesehatan namun hal tersebut menimbulkan masalah baru dikarenakan lansia lebih rentan terhadap penyakit degeneratif yang disebabkan penurunan fungsi organ tubuh. Salah satu penyakit degeneratif tersebut adalah diabetes. Diabetes adalah penyakit metabolik kronis yang ditandai dengan peningkatan kadar gula darah. Penelitian ini bertujuan untuk mengetahui hubungan asupan magnesium, asupan zink dengan kadar glukosa darah puasa pada lanjut usia di wilayah Kecamatan Juwiring, Kabupaten Klaten. Subjek penelitian ini yaitu lansia di wilayah Kecamatan Juwiring. Sampel diambil menggunakan teknik multistage random sampling dan didapatkan 158 orang. Data karakteristik (jenis kelamin, usia, dan pendidikan) didapatkan dari wawancara secara langsung. Data asupan magnesium dan zink subjek diperoleh dari wawancara menggunakan kueisioner recall 24 dan semi quantitatif food frequency questionnare (SQ-FFQ). Data gula darah puasa didapatkan dari pemeriksaan gula darah menggunakan glukometer yang sebelumnya subjek telah dikondisikan untuk berpuasa selama 8 jam. Analisa statistik menggunakan korelasi pearson product moment. Kesimpulan dari penelitian ini yaitu terdapat hubungan antara asupan magnesium (p= 0,02 , r= -0,249) dan asupan zink (p= 0,04, r =-0,229) dengan kadar gula darah puasa. Disarankan lansia untuk mengatur pola makan dengan mengonsumsi makanan sumber magnesium dan zink.

 

Kata kunci: asupan magnesium, asupan zink, gula darah puasa, lansia

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References

United Nations. World Population Ageing 2015. Demographic Research Monographs. 2015. 7–22 p.

WHO. Ageing and health [Internet]. 2021 [cited 2022 Jul 21]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

Badan Pusat Statistik (BPS). Statistik Lansia 2018. 2018. 260 p.

Badan Pusat Statistik (BPS). Statistik Indonesia (Statistical Yearbook of Indonesia) 2022. dalam Direktorat Diseminasi Statistik (edt). BPS. 2022.

Kementerian PPN/Bapennas, Badan Pusat Statistik Indonesia, UNFPA. Proyeksi Penduduk Indonesia 2015-2045, Hasil SUPAS 2015. Subdirektorat Statistik Demografi, BPS; 2018.

WHO. Diabetes [Internet]. 2021 [cited 2022 Jul 21]. Available from:https://www.who.int/health-topics/diabetes#tab=tab_1

Soelistijo SA. Pedoman Pengelolaan Diabetes Melitus Tipe 2 di Indonesia 2021. PB.PERKENI; 2021.

WHO. WHO reveals leading causes of death and disability worldwide: 2000-2019 [Internet]. 2021 [cited 2021 Jul 21]. Available from:https://www.who.int/news/item/09-12-2020-who-reveals-leading-causes-of-death-and-disability-worldwide-2000-2019

Kementerian Kesehatan RI. Riset Kesehatan Dasar (Riskesdas 2018). Badan Penelitian dan Pengembangan Kesehatan. 2018.

Halter JB. Diabetes Mellitus in an Aging Population: The Challenge Ahead. Journals Gerontol Ser A [Internet]. 2012 Dec 1;67(12):1297–9. doi:10.1093/gerona/gls201.

Dinas Kesehatan Kabupaten Klaten. Profil Kesehatan Kabupaten Klaten Tahun 2018. In Dinas Kesehatan Kabupaten Klaten; 2018.

Chia CW, Egan JM, Ferrucci L. Age-Related Changes in Glucose Metabolism, Hyperglycemia, and Cardiovascular Risk. Circ Res. 2018 Sep;123(7):886–904. doi: 10.1161/CIRCRESAHA.118.312806

Digestive NI of D and KD (NIDDK). Symptoms & Causes of Diabetes [Internet]. 2021 [cited 2022 Jul 19]. Available from: https://www.niddk.nih.gov/health-information/diabetes/overview/symptoms-causes.

Hruby A, Ngwa JS, Renström F, Mary MK, Ganna A, Hallmans G, et al. Higher magnesium intake is associated with lower fasting glucose and insulin, with no evidence of interaction with select genetic loci, in a meta-analysis of 15 CHARGE consortium studies1-4. J Nutr. 2013;143(3):345–53. doi: 10.3945/jn.112.172049

Pelczyńska M, Moszak M, Bogdański P. The Role of Magnesium in the Pathogenesis of Metabolic Disorders. Vol. 14, Nutrients . 2022. doi: 10.3390/nu14091714

Simental-Mendía LE, Sahebkar A, Rodríguez-Morán M, Guerrero-Romero F. A systematic review and meta-analysis of randomized controlled trials on the effects of magnesium supplementation on insulin sensitivity and glucose control. Pharmacol Res [Internet]. 2016;111:272–82. Available from:https://www.sciencedirect.com/science/article/pii/S1043661816303085.doi: 10.1016/j.phrs.2016.06.019

Piuri G, Zocchi M, Della Porta M, Ficara V, Manoni M, Zuccotti GV, et al. Magnesium in Obesity, Metabolic Syndrome, and Type 2 Diabetes. Nutrients. 2021 Jan;13(2). doi: 10.3390/nu13020320

Barbagallo M, Dominguez LJ. Magnesium and type 2 diabetes. World J Diabetes. 2015 Aug;6(10):1152–7. doi: 10.4239/wjd.v6.i10.1152

Zhao B, Zeng L, Zhao J, Wu Q, Dong Y, Zou F, et al. Association of magnesium intake with type 2 diabetes and total stroke: an updated systematic review and meta-analysis. BMJ Open [Internet]. 2020 Mar 1;10(3):e032240. doi: 10.1136/bmjopen-2019-032240

Tamura Y. The Role of Zinc Homeostasis in the Prevention of Diabetes Mellitus and Cardiovascular Diseases. J Atheroscler Thromb. 2021 Nov;28(11):1109–22. doi: 10.5551/jat.RV17057

Fernández-Cao JC, Warthon-Medina M, Moran VH, Arija V, Doepking C, Serra-Majem L, et al. Zinc intake and status and risk of type 2 diabetes mellitus: A systematic review and meta-analysis. Nutrients. 2019;11(5):1–26. doi:10.3390/nu11051027

Kemenkes RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2019 Tentang Angka Kecukupan Gizi. In PB.PERKENI; 2019. p. 33. Available from: www.ginasthma.org.

Fitriani LI, Murbawani EA, Nissa C. Hubungan Asupan Vitamin C, Vitamin E Dan Β-Karoten Dengan Kadar Gula Darah Puasa Pada Wanita Usia 35-50 Tahun. J Nutr Coll. 2018;7(2):84. Online di : http://ejournal3.undip.ac.id/index.php/jnc/

Brandão-Lima PN, De Carvalho GB, Santos RKF, Santos B da C, Dias-Vasconcelos NL, Rocha V de S, et al. Intakes of Zinc, Potassium, Calcium, and Magnesium of individuals with type 2 diabetes mellitus and the relationship with glycemic control. Nutrients. 2018;10(12):1–12. doi: 10.1080/10408398.2019.1624498

Kostov K. Effects of Magnesium Deficiency on Mechanisms of Insulin Resistance in Type 2 Diabetes: Focusing on the Processes of Insulin Secretion and Signaling. Int J Mol Sci. 2019; 20(6):1351. doi: 10.3390/ijms20061351

Zhang Y, Li Q, Xin Y, Lv W, Ge C. Association between serum magnesium and common complications of diabetes mellitus. Technol Heal Care. 2018;26(S1):S379–87. doi: 10.3233/THC-174702

Cruz KJC. Antioxidant role of zinc in diabetes mellitus. World J Diabetes. 2015;6(2):333. doi: 10.4239/wjd.v6.i2.333

Peel R, Hure A, Wiggers J, McEvoy M, Holliday E, Searles A, Reeves P et al. Zinc in Preventing the Progression of pre-Diabetes (ZIPPeD Study) – Study Protocol for A Randomised Placebo-Controlled Trial in Australia. Trials. 2019; 20 (1), 219.