Community gout management program needed for adult people in the rural area

https://doi.org/10.22146/jcoemph.61591

Ema Madyaningrum(1), Fitrina M. Kusumaningrum(2*), Ratri Kusuma Wardani(3), Annisa Ryan Susilaningrum(4), Anisah Ramadhani(5)

(1) Department of Mental and Community Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Department of Health Behavior, Environment and Social Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) 3Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(4) 3Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(5) 3Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Gout is one of the non-communicable diseases that can affect the quality of life. The high prevalence of gout is apparent in Indonesian research and records in primary health services. However, adult people's needs regarding gout management programs were barely explored. The study aimed to identify the association between the character of demographics, food consumption, and prevalence of gout in the rural areas in The Sleman Regency. This study is a quantitative study using a cross-sectional approach. Samples consisting of 109 adult people were chosen by purposive sampling with inclusion criteria: 1) residents of The Jaranan sub-village, Cangkringan, Sleman, D.I. Yogyakarta Province and 2) age over 25 years old. Data was collected through a survey using questionnaires adapted from the Indonesian Basic Health Survey Questionnaire, Gout Knowledge Questionnaire (GKQ) and Gout Assessment Questionnaire (GAQ), and food frequency form. Association between gout, food consumption, and knowledge were analyzed using the chi-square test.As a result, the prevalence of gout in adult people in rural areas was 18.35%. They have limited knowledge regarding gout diagnosis, treatment, and prevention (66,97%). Half of the respondents reported consuming food with medium content of purine such as tempeh (56%) and tofu (52%), and were not well-hydrated (63.3%). There was a significant relationship between gout and hypertension and meat consumption. Respondents reported they worried about the progress of gout (>70%) they will experience. In conclusion, the prevalence of gout is high in adult people in rural areas. The adult people who did not have formal education, hypertension, and meat consumption have a significant association with gout diseases. There is a need for a gout prevention program to maintain a healthy lifestyle and healthy diet, improve gout-related knowledge and control the progress of gout disease.

Keywords


food frequency; gout; Indonesia; knowledge

Full Text:

PDF


References

  1. Roddy E, Doherty M. Gout. Epidemiology of gout. Arthritis Res Ther. 2010 Dec;12(6):223.
  2. Scirè C, Manara M, Cimmino M, Govoni M, Salaffi F, Punzi L, et al. Gout impacts on function and health-related quality of life beyond associated risk factors and medical conditions: results from the KING observational study of the Italian Society for Rheumatology (SIR). Arthritis Res Ther. 2013;15(5):R101.
  3. Martillo MA, Nazzal L, Crittenden DB. The crystallization of monosodium urate. Curr Rheumatol Rep. 2014 Feb;16(2):400.
  4. Mak VP, Siu AM, Choi SY, Jun Ahn H, Lim SY. Patterns of health care utilization of gout patients in Hawai‘i-high rates of emergency department utilization as compared to rheumatoid arthritis. Kamolz L-P, editor. PLoS One. 2019 Aug;14(8):e0220978.
  5. Burke BT, Köttgen A, Law A, Gwen Windham B, Segev D, Baer AN, et al. physical function, hyperuricemia, and gout in older adults. Arthritis Care Res (Hoboken). 2015 Dec;67(12):1730–8.
  6. Dehlin M, Jacobsson L, Roddy E. Global epidemiology of gout: prevalence, incidence, treatment patterns and risk factors. Nat Rev Rheumatol. 2020 Jul;16(7):380–90.
  7. Doherty M. New insights into the epidemiology of gout. Rheumatology. 2009 May;48(suppl 2):ii2–8.
  8. Usman SY, Darmawan G, Hamijoyo L, Wachjudi RG. Hyperuricemia prevalence and its metabolic syndrome profiles. Indones J Rheumatol. 2019 Dec;11(2).
  9. Ministry of Health Republic of Indonesia. Riset kesehatan dasar (RISKESDAS) 2013 Laporan Nasional (Indonesia basic health research-national report 2013). Jakarta; 2013.
  10. Ministry of Health Republic of Indonesia. Laporan Nasional RISKESDAS 2018 (Indonesia basic health research profile 2018). Jakarta; 2019.
  11. Meiyetriani E, Hamzah H, Lima F. The prevalence of hyperuricemia and associated factors in Depok. AVERROUS J Kedokt dan Kesehat Malikussaleh. 2018 Feb;3(2):78.
  12. Wahyuni Y, Kholifah U, Jus’at I. Macronutrient intake, vitamin c, purine intake, body mass index and uric acid levels in man (aged 26-45 years old) in rw 05 sub-district Bukit Duri Jakarta. J Kesehat. 2020 Jan;12(2):73–80.
  13. Hariadi. Hubungan indeks massa tubuh dengan kadar asam urat di Dusun Niten Nogotirto Gamping Sleman Yogyakarta (Relationship between body mass index and uric acid levels in Dusun Niten Nogotirto Gamping Sleman Yogyakarta) [Bachelor Thesis]. 2016;10.
  14. Indonesian Rheumatology Association. Pedoman diagnosis dan pengelolahan gout (Guidelines for diagnosis and management of gout). Penghimpunan Rheumatologi Indonesia. 2018. 20 p.
  15. De Leonardis F, Govoni M, Colina M, Bruschi M, Trotta F. Elderly-onset gout: a review. Rheumatol Int. 2007 Nov;28(1):1–6.
  16. Bolzetta F, Veronese N, Manzato E, Sergi G. Chronic gout in the elderly. Aging Clin Exp Res. 2013 May;25(2):129–37.
  17. Abhishek A, Doherty M. Education and non-pharmacological approaches for gout. Rheumatology. 2018 Jan;57(suppl_1):i51–8.
  18. Fields TR, Batterman A. How can we improve disease education in people with gout? Curr Rheumatol Rep. 2018;20(3):1–9.
  19. Tetra Dewi FS, Lestari SK, Niamilah I, Wulandari H. Developing a system to utilize a surveillance data for evidence-based public health interventions: Sleman HDSS’s experience. J Community Empower Heal. 2020;3(1):8.
  20. BPS - Statistics of Daerah Istimewa Yogyakarta Province. Daerah Istimewa Yogyakarta dalam angka 2018 (Daerah Istimewa Yogyakarta Province in figures 2018). 2018;464.
  21. United Nations. Provisional Guidelines on standard international age classification. New York; 1982.
  22. Li Q-H, Dai L, Li Z-X, Liu H-J, Zou C-J, Ou-Yang X, et al. Questionnaire survey evaluating disease-related knowledge for 149 primary gout patients and 184 doctors in South China. Clin Rheumatol. 2013 Nov;32(11):1633–40.
  23. Singh JA, Taylor WJ, Simon LS, Khanna PP, Stamp LK, McQueen FM, et al. Patient-reported outcomes in chronic gout: a report from OMERACT 10. J Rheumatol. 2011 Jul;38(7):1452–7.
  24. Padang C, Muirden KD, Schumacher HR, Darmawan J, Nasution AR. Characteristics of chronic gout in Northern Sulawesi, Indonesia. J Rheumatol. 2006 Sep;33(9):1813—1817.
  25. Liu R, Han C, Wu D, Xia X, Gu J, Guan H, et al. Prevalence of hyperuricemia and gout in Mainland China from 2000 to 2014: A systematic review and meta-analysis. Biomed Res Int. 2015;2015:1–12.
  26. Song P, Wang H, Xia W, Chang X, Wang M, An L. Prevalence and correlates of hyperuricemia in the middle-aged and older adults in China. Sci Rep. 2018 Dec;8(1):4314.
  27. Darmawan J, Valkenburg HA, Muirden KD, Wigley RD. The epidemiology of gout and hyperuricemia in a rural population of Java. J Rheumatol. 1992 Oct;19(10):1595–9.
  28. Dirken-Heukensfeldt KJ, Teunissen T, van de Lisdonk E, Lagro-Janssen A. “Clinical features of women with gout arthritis.” A systematic review. Clin Rheumatol. 2010 Jun;29(6):575–82.
  29. Qiu L, Cheng X, Wu J, Liu J, Xu T, Ding H, et al. Prevalence of hyperuricemia and its related risk factors in healthy adults from Northern and Northeastern Chinese provinces. BMC Public Health. 2013 Dec;13(1):664.
  30. Sari I, Akar S, Pakoz B, Sisman AR, Gurler O, Birlik M, et al. Hyperuricemia and its related factors in an urban population, Izmir, Turkey. Rheumatol Int. 2009 Jun;29(8):869–74.
  31. Liu X, Huang S, Xu W, Zhou A, Li H, Zhang R, et al. Association of dietary patterns and hyperuricemia: a cross-sectional study of the Yi ethnic group in China. Food Nutr Res. 2018 Apr;62:1–7.
  32. Villegas R, Xiang Y-B, Elasy T, Xu WH, Cai H, Cai Q, et al. Purine-rich foods, protein intake, and the prevalence of hyperuricemia: The Shanghai Men’s Health Study. Nutr Metab Cardiovasc Dis. 2012 May;22(5):409–16.
  33. Teng GG, Pan A, Yuan J-M, Koh W-P. Food sources of protein and risk of incident gout in the Singapore Chinese Health Study. Arthritis Rheumatol. 2015 Jul;67(7):1933–42.
  34. Choi HK, Liu S, Curhan G. Intake of purine-rich foods, protein, and dairy products and relationship to serum levels of uric acid: The Third National Health and Nutrition Examination Survey. Arthritis Rheum. 2005 Jan;52(1):283–9.
  35. Major TJ, Topless RK, Dalbeth N, Merriman TR. Evaluation of the diet wide contribution to serum urate levels: A meta-analysis of population-based cohorts. BMJ. 2018 Oct;363:k3951.
  36. Li R, Yu K, Li C. Dietary factors and risk of gout and hyperuricemia: A meta-analysis and systematic review. Asia Pac J Clin Nutr. 2018;27(6):1344–56.
  37. Chiu THT, Liu C-H, Chang C-C, Lin M-N, Lin C-L. Vegetarian diet and risk of gout in two separate prospective cohort studies. Clin Nutr. 2020 Mar;39(3):837–44.
  38. Zhu Y, Pandya BJ, Choi HK. Comorbidities of gout and hyperuricemia in the US general population: NHANES 2007-2008. Am J Med. 2012;125(7):679–87.e1.
  39. Dessein PH. Beneficial effects of weight loss associated with moderate calorie/carbohydrate restriction, and increased proportional intake of protein and unsaturated fat on serum urate and lipoprotein levels in gout: A pilot study. Ann Rheum Dis. 2000 Jul;59(7):539–43.
  40. Rai SK, Fung TT, Lu N, Keller SF, Curhan GC, Choi HK. The dietary approaches to stop hypertension (DASH) diet, western diet, and risk of gout in men: Prospective cohort study. BMJ. 2017 May;357:j1794–j1794.
  41. Chandratre P, Roddy E, Clarson L, Richardson J, Hider SL, Mallen CD. Health-related quality of life in gout: A systematic review. Rheumatol (United Kingdom). 2013;52(11):2031–40.
  42. Darmawan J, Rasker JJ, Nuralim H. The Effect of control and self-medication of chronic gout in a developing country. outcome after 10 years. J Rheumatol. 2003;30(11):2437–43.
  43. Howren A, Bowie D, Choi HK, Rai SK, De Vera MA. Epidemiology of depression and anxiety in gout: A systematic review and meta-analysis. j Rheumatol. 2020 Mar;jrheum.190974.
  44. Lawrence A, Scott S, Saparelli F, Greville G, Miller A, Taylor A, et al. Facilitating equitable prevention and management of gout for Maori in Northland, New Zealand, through a collaborative primary care approach. J Prim Health Care. 2019;11(2):117–27.
  45. Erwin J, Edwards K, Woolf A, Whitcombe S, Kilty S. Better arthritis care: What training do community-based health professionals need to improve their care of people with arthritis? A Delphi study. Musculoskeletal Care. 2018 Mar;16(1):48–59.
  46. Kong DCH, Sturgiss EA, Dorai Raj AK, Fallon K. What factors contribute to uncontrolled gout and hospital admission? A qualitative study of inpatients and their primary care practitioners. BMJ Open. 2019;9(12).



DOI: https://doi.org/10.22146/jcoemph.61591

Article Metrics

Abstract views : 2981 | views : 2668

Refbacks

  • There are currently no refbacks.


Copyright (c) 2021 Journal of Community Empowerment for Health

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.