Sedentary lifestyle, persentase lemak tubuh, dan massa otot berhubungan dengan kejadian obesitas pada usia paruh baya dan lanjut usia
DOI:
https://doi.org/10.33024/hjk.v18i8.548Keywords:
Kejadian Obesitas, Massa Otot, Persentase Lemak Tubuh, Sedentary LifestyleAbstract
Background: Obesity is a complex chronic disorder and plays a role in increasing degenerative diseases. Obesity is related to one of its risk factors, namely a sedentary lifestyle, body fat percentage, and muscle mass.
Purpose: To analyze the relationship between sedentary lifestyle, body fat percentage, and muscle mass with the incidence of obesity in middle-aged and elderly.
Method: Using a cross-sectional study approach involving 153 respondents selected through purposive sampling technique. The instruments used were the Sedentary Behavior Questionnaire (SBQ) to obtain data on sedentary lifestyle on weekdays and weekends, Bioelectrical Impedance Analytic (BIA) to obtain data on body fat percentage, muscle mass, and obesity incidence. Data analysis used univariate and bivariate chi-square tests.
Results: The majority of respondents were aged ≥60 years, female as many as 124 respondents (81.0%) with an education level of ≤ junior high school as many as 106 respondents (69.3%), and unemployed as many as 131 respondents (85.6%). The sedentary lifestyle on weekdays and weekends was classified as high, the percentage of body fat of respondents was classified as very high, and the majority of respondents' muscle mass was classified as low and most were obese. The correlation test of sedentary lifestyle on weekdays and weekends, percentage of body fat, and muscle mass was 0.000.
Conclusion: Sedentary lifestyle, body fat percentage, and muscle mass are significantly related to the incidence of obesity in middle age and old age.
Keywords: Body Fat Percentage; Muscle Mass; Obesity; Sedentary Lifestyle.
Pendahuluan: Obesitas merupakan gangguan kronis yang kompleks dan berperan dalam peningkatan penyakit degeneratif. Obesitas berkaitan dengan salah satu faktor risikonya yaitu sedentary lifestyle, persentase lemak tubuh, dan massa otot.
Tujuan: Untuk menganalisis hubungan antara sedentary lifestyle, persentase lemak tubuh, dan massa otot dengan kejadian obesitas pada usia paruh baya dan lanjut usia.
Metode: Menggunakan pendekatan studi cross-sectional dengan melibatkan 153 responden yang dipilih melalui teknik pengambilan sampel yaitu purposive sampling. Instrumen yang digunakan yaitu Sedentary Behaviour Questionnaire (SBQ) untuk mendapatkan data sedentary lifestyle pada weekday dan weekend, Bioelectrical Impedance Analytic (BIA) untuk mendapatkan data persentase lemak tubuh, massa otot, dan kejadian obesitas. Analisis data menggunakan univariat dan bivariat uji chi-square.
Hasil: Responden mayoritas berusia ≥60 tahun, berjenis kelamin perempuan sebanyak 124 responden (81.0%) dengan tingkat pendidikan ≤ SMP sebanyak 106 responden (69.3%), dan tidak bekerja sebanyak 131 responden (85.6%). Sedentary lifestyle pada hari kerja dan akhir pekan tergolong tinggi, persentase lemak tubuh responden yang tergolong sangat tinggi, dan massa otot responden mayoritas tergolong rendah serta kebanyakan mengalami obesitas.Uji korelasi pada sedentary lifestyle weekday dan weekend, persentase lemak tubuh, dan massa otot sebesar 0.000.
Simpulan: Sedentary lifestyle, persentase lemak tubuh, dan massa otot berhubungan signifikan dengan kejadian obesitas pada usia paruh baya dan lanjut usia.
Kata Kunci: Kejadian Obesitas; Massa Otot; Persentase Lemak Tubuh; Sedentary Lifestyle.
References
Akindele, M. O., Phillips, J. S., & Igumbor, E. U. (2016). The relationship between body fat percentage and body mass index in overweight and obese individuals in an urban African setting. Journal of public health in Africa, 7(1).
Amrynia, S. U., & Prameswari, G. N. (2022). Hubungan Pola Makan, Sedentary Lifestyle, dan Durasi Tidur dengan Kejadian Gizi Lebih Pada Remaja (Studi Kasus di SMA Negeri 1 Demak). Indonesian Journal of Public Health and Nutrition, 2(1), 112-121.
Bradbury, K. E., Guo, W., Cairns, B. J., Armstrong, M. E., & Key, T. J. (2017). Association between physical activity and body fat percentage, with adjustment for BMI: a large cross-sectional analysis of UK Biobank. BMJ open, 7(3), e011843.
Chooi, Y. C., Ding, C., & Magkos, F. (2019). The epidemiology of obesity. Metabolism, 92, 6-10.
Colón, C. J. P., Vicenty, I. L. M., Rodríguez, M. F., Ferré, A. G., Rivera, B. P., Vélez, G. C., & Rodríguez, S. F., (2018). Muscle and Bone Mass Loss in the Elderly Population: Advances in diagnosis and treatment. Journal of Biomedicine (Sydney, NSW), 3, 40.
De Gouw, L., Klepp, K. I., Vignerová, J., Lien, N., Steenhuis, I. H., & Wind, M. (2010). Associations between diet and (in) activity behaviours with overweight and obesity among 10–18-year-old Czech Republic adolescents. Public health nutrition, 13(10A), 1701-1707.
Demiot, C., George, F. D., Fortrat, J. O., Sabatier, F., Gharib, C., Larina, I., & Custaud, M. A. (2007). WISE 2005: chronic bed rest impairs microcirculatory endothelium in women. American Journal of Physiology-Heart and Circulatory Physiology, 293(5), H3159-H3164.
Global Burden of Disease 2015 Obesity Collaborators. (2017). Health effects of overweight and obesity in 195 countries over 25 years. New England journal of medicine, 377(1), 13-27.
Guthold, R., Stevens, G. A., Riley, L. M., & Bull, F. C. (2018). Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1• 9 million participants. The lancet global health, 6(10), e1077-e1086.
Hamburg, N. M., McMackin, C. J., Huang, A. L., Shenouda, S. M., Widlansky, M. E., Schulz, E., & Vita, J. A. (2007). Physical inactivity rapidly induces insulin resistance and microvascular dysfunction in healthy volunteers. Arteriosclerosis, thrombosis, and vascular biology, 27(12), 2650-2656.
Hanna, F., Daas, R. N., El-Shareif, T. J., Al-Marridi, H. H., Al-Rojoub, Z. M., & Adegboye, O. A. (2019). The relationship between sedentary behavior, back pain, and psychosocial correlates among university employees. Frontiers in public health, 7, 80.
Kementerian Kesehatan Republik Indonesia (2018). Laporan Riskesdas 2018 Nasional.pdf. In Lembaga Penerbit Balitbangkes. Diakses dari: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf
Li, Z., Zhang, Z., Ren, Y., Wang, Y., Fang, J., Yue, H., & Guan, F. (2021). Aging and age‐related diseases: from mechanisms to therapeutic strategies. Biogerontology, 22(2), 165-187.
Macek, P., Derszniak, M. T., Biskup, M., Krol, H., Kalwat, J. K, Gozdz, S., & Zak, M. (2020). Assessment of age-induced changes in body fat percentage and BMI aided by Bayesian modelling: a cross-sectional cohort study in middle-aged and older adults. Clinical Interventions in Aging, 2301-2311.
Moser, A. D., Hembecker, P. K., & Nakato, A. M. (2021). Relationship between functional capacity, nutritional status and sociodemographic variables of institutionalized older adults. Revista Brasileira de Geriatria e Gerontologia, 24, e210211.
Nomani, A. N., Fatma, B., Anjum, R., Firdaus, S., & Sariq, M. (2021). Effect of Sedentary Lifestyle on Obesity. Journal of Integrated Community Health (ISSN 2319-9113), 10(2), 12-17.
Novitasari, T. (2015). Hubungan Penggunaan Waktu Perilaku Kurang Gerak (Sedentary Behaviour) Dengan Obesitas Pada Anak Usia 9-11 Tahun Di Sd Negeri Beji 02 Kabupaten Tulungagung (Doctoral dissertation, Universitas Brawijaya).
Ohlsson, C., Gidestrand, E., Bellman, J., Larsson, C., Palsdottir, V., Hägg, D., & Jansson, J. O. (2020). Increased weight loading reduces body weight and body fat in obese subjects–A proof of concept randomized clinical trial. EClinicalMedicine, 22.
Park, J. H., Moon, J. H., Kim, H. J., Kong, M. H., & Oh, Y. H. (2020). Sedentary lifestyle: overview of updated evidence of potential health risks. Korean journal of family medicine, 41(6), 365.
Ponti, F., Santoro, A., Mercatelli, D., Gasperini, C., Conte, M., Martucci, M., & Bazzocchi, A. (2020). Aging and imaging assessment of body composition: from fat to facts. Frontiers in endocrinology, 10, 861.
Rai, R., Ghosh, T., Jangra, S., Sharma, S., Panda, S., & Kochhar, K. P. (2023). Relationship Between Body Mass Index and Body Fat Percentage in a Group of Indian Participants: A Cross-Sectional Study From a Tertiary Care Hospital. Cureus, 15(10).
Ribeiro, S. M., & Kehayias, J. J. (2014). Sarcopenia and the analysis of body composition. Advances in nutrition, 5(3), 260-267.
Stettler, N., Zemel, B. S., Kumanyika, S., & Stallings, V. A. (2002). Infant weight gain and childhood overweight status in a multicenter, cohort study. Pediatrics, 109(2), 194-199.
Su, Y., Li, X., Li, H., Xu, J., & Xiang, M. (2023). Association between sedentary behavior during leisure time and excessive weight in Chinese children, adolescents, and adults. Nutrients, 15(2), 424.
Tomlinson, D. J., Erskine, R. M., Morse, C. I., Winwood, K., & Pearson, G.O., (2016). The impact of obesity on skeletal muscle strength and structure through adolescence to old age. Biogerontology, 17, 467-483.
Valenzuela, P. L., Garcia, A. C., Morales, J. S., Izquierdo, M., Rexach, J. A. S., Lozano, A. S., & Lucia, A. (2019). Physical exercise in the oldest old. Age, 5(11.16).
Valenzuela, P. L., Maffiuletti, N. A., Tringali, G., De Col, A., & Sartorio, A. (2020). Obesity-associated poor muscle quality: prevalence and association with age, sex, and body mass index. BMC Musculoskeletal Disorders, 21, 1-8.
Wang, Y. Y., Tian, T., Pan, D., Zhang, J. X., Xie, W., Wang, S. K., & Sun, G. (2021). The relationship between dietary patterns and overweight and obesity among adult in Jiangsu Province of China: a structural equation model. BMC Public Health, 21(1), 1225.
Yanagibori, R., Kondo, K., Suzuki, Y., Kawakubo, K., Iwamoto, T., & Itakura, H. (1998). Effect of 20 days' bed rest on the reverse cholesterol transport system in healthy young subjects. Journal of internal medicine, 243(4), 307-312.
Yoshiko, A., Hioki, M., Kanehira, N., Shimaoka, K., Koike, T., Sakakibara, H., & Akima, H. (2017). Three-dimensional comparison of intramuscular fat content between young and old adults. BMC medical imaging, 17, 1-8.
Zerwekh, J. E., Ruml, L. A., Gottschalk, F., & Pak, C. Y. (1998). The effects of twelve weeks of bed rest on bone histology, biochemical markers of bone turnover, and calcium homeostasis in eleven normal subjects. Journal of Bone and Mineral Research, 13(10), 1594-1601.
