Asupan lemak jenuh dan serat pada remaja obesitas kaitannya dengan sindrom metabolik

https://doi.org/10.22146/ijcn.22756

Nurmasari Widyastuti(1*), Fillah Fithra Dieny(2), Deny Yudi Fitranti(3)

(1) Departemen Ilmu Gizi, Fakultas Kedokteran Universitas Diponegoro, Semarang
(2) Departemen Ilmu Gizi, Fakultas Kedokteran Universitas Diponegoro, Semarang
(3) Departemen Ilmu Gizi, Fakultas Kedokteran Universitas Diponegoro, Semarang
(*) Corresponding Author

Abstract


Background: There is an emerging global increase of metabolic syndrome prevalence due to increasing of obesity. Obesity and metabolic syndrome beginning in childhood progressing into adulthood.  Dietary saturated fat and fiber intake play a role in etiology in obesity.

Objective: This study was to examine the associations between dietary saturated fat intake, fiber intake and components of metabolic syndrome among obese adolescents.

Method: A cross-sectional study was conducted to 57 obese students aged 13-15 years old of SMP Nasima and SMP Kesatrian 2 Semarang, based on body mass index for ages. Subjects of this study were collected consecutively. Data were collected through waist circumference and blood pressure measurements, fasting biochemical serum analysis and dietary intake assessment.  Rank Spearman and Pearson correlation test was used to examine the associations between of dietary saturated fat and fiber intake to components of metabolic syndrome.

Results: There were 46 subjects (80,7 %) had metabolic syndrome and 11 subjects (19,3 %) had the pre-metabolic syndrome. There was no association between dietary saturated fat intake and waist circumference, HDL cholesterol, triglyceride, fasting blood glucose levels and blood pressure. Fiber intake was negatively associated with blood triglyceride levels (r = -0.340; p = 0.01).

Conclusion: There was no association between dietary saturated fat intake and components of metabolic syndrome. There was an association between dietary fiber intake with blood triglyceride levels. Dietary fiber intake has an important role in lipid metabolism.


Keywords


adolescent; dietary fiber; dietary saturated fat; metabolic syndrome; obesity

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References

  1. Umboh A, Jully K, Johannes E. Hubungan antara resistensi insulin dan tekanan darah pada anak obese. Sari Pediatri 2007;8(4):289-93.
  2. 2. Mexitalia M, Utari A, Sakundarno M, Yamauchi T, Hertanto WS, Agustinus S. Sindrom metabolik pada Remaja Obesitas. M Med Indonesia 2009;43(6):300-6.
  3. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Riset Kesehatan Dasar 2013. [series online] 2013 [cited 21 Nov 2015]. Available from: URL: http://www.depkes.go.id.
  4. Raj M, Kumar RK. Obesity in children & adolescents. Indian J Med Res 2010;132(5):598-607.
  5. Sargowo D, Sri Andarini.The relationship between food intake and adolescent metabolic syndrome. J Kardiol Indones 2011;32:14-23.
  6. Djokomoeljanto. Metabolic syndrome and nutrition. Proceeding Seminar dan Pra Konggres PDGMI; 2009; Semarang.
  7. Miranda PJ, DeFronzo RA, Califf RM, Guyton JR. Metabolic syndrome: definition, pathophysiology, and mechanisms. Am Heart J 2005;149(1):33-45.
  8. Fan AZ. Etiology of the metabolic syndrome. Curr Cardiol Rev 2007;3:232-9.
  9. Grundy SM. Obesity, metabolic syndrome, and cardiovascular disease. J Clin Endocrinol Metab 2004;89(6):2595-600.
  10. Whitney EN, Rolfes SR. Understanding nutrition. USA: Thomson Wadsworth; 2002.
  11. Abudayya AH, et al. Sociodemoghrapic correlation of food habits among school adolescent (12-15 year) in North Gaza Strip. Norway: University of Oslo; 2009.
  12. Medawati A, Hamam H, IDP Pramantara. Hubungan antara asupan energi, asupan lemak, dan obesitas pada remaja sltp di kota yogyakarta dan di kabupaten bantul. Jurnal Gizi Klinik Indonesia 2005;1(3):119-29
  13. S, Zalilah M, Khor GL, Mirnalini K, Norimah AK, Ang M. Dietary intake, physical activity and energy expenditure of Malaysian adolescents. Singapore Medical Journal 2006;47(6):491-8.
  14. Suryaputra, Kartika, Siti RN. perbedaan pola makan dan aktivitas fisik antara remaja obesitas dengan non obesitas. Makara Kesehatan 2012;16(1):45-50.
  15. Allioua M, Rabah D, Moustafa YM, Semir BSG, Harek D, Slimane B. Dietary fat intake, micronutritient and obesity among adolescent in Tlemcen (Western Algeria). Food and Nutrition Sciences 2015;6:860-8.
  16. Hardinsyah, Hadi R, Victor N. Kecukupan energi, protein, lemak dan karbohidrat. [series online] 2013 [cited 21 Nov 2015]. Available from: URL: https://hadiriyadiipb.files.wordpress.com.
  17. Brauchla M, Juan W, Story J, Kranz S. Sources of dietary fiber and the association of fiber intake with childhood obesity risk (in 2–18 year olds) and diabetes risk of adolescents 12–18 year olds: NHANES 2003–2006. J Nutr Metab 2012;2012:736258.
  18. Sastroasmoro S. Dasar-dasar metodologi penelitian klinis Edisi 5. Jakarta: Sagung Seto; 2014.
  19. Lemeshow S, dkk. Besar sampel dalam penelitian kesehatan. Yogyakarta: Gadjah Mada University Press; 2002.
  20. Silveira LS, Buonani C, Monteiro PA, Mello Antunes BM, Freitas Júnior IF. Metabolic Syndrome: Criteria for Diagnosing in Children and Adolescents. Endocrinol Metab Synd 2013;2:118. doi: 10.4172/2161-1017.1000118
  21. Tang L, Kubota M, Nagai A, Mamemoto K, Tokuda M. Hyperuricemia in obese children and adolescents : the relationship with metabolic syndrome. Pediatr Rep 2010;2(1):e12.
  22. Gidding SS, Dennison BA, Birch LL, Daniels SR, Gillman MW, Van Horn L. Dietary recommendations for children and adolescents: a guide for practitioners: consensus statement from the American Heart Association. Circulation 2005;112(13):2061-75.
  23. Johnson WD, Kroon JJ, Greenway FL, Bouchard C, Ryan D, Katzmarzyk PT. Prevalence of risk factors for metabolic syndrome in adolescents National Health and Nutrition Examination Survey (NHNES), 2001-2006. Arch Pediatr Adolesc Med 2009;163(4):371-7.
  24. Haris S,Tambunan T. Hipertensi pada sindrom metabolik. Sari Pediatr 2009;11(4):257-63.
  25. Almatsier S. Prinsip dasar ilmu gizi. Jakarta: PT Gramedia Pustaka Utama; 2009
  26. Sizer FS, Whitney E. Nutrition concepts and controversies. USA: Thomson Wadsworth; 2006.
  27. Carlson JJ, Joey CE, Gregory JN, Karen AO, Paul CY. Dietary fiber and nutrient density are inversely associated with the metabolic syndrome in US adolescents. J Am Diet Assoc 2011;111:1688-95.



DOI: https://doi.org/10.22146/ijcn.22756

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