Obesitas sebagai faktor risiko penurunan aktivitas fisik vs. penurunan aktivitas fisik sebagai faktor risiko obesitas

Fatimah Zahra Burhan; Susetyowati Susetyowati; Madarina Julia

doi:10.22146/ijcn.86821

Obesitas sebagai faktor risiko penurunan aktivitas fisik vs. penurunan aktivitas fisik sebagai faktor risiko obesitas

https://doi.org/10.22146/ijcn.86821

Fatimah Zahra Burhan⁽¹⁾, Susetyowati Susetyowati⁽²⁾, Madarina Julia^(3*)

(1) Departeman Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Departemen Gizi Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract

Obesity as a risk factor for decreased physical activity vs. decreased physical activity as a risk factor for obesity

Background: The worldwide prevalence of obesity keeps increasing. The increase is closely associated with the worldwide increase in physical inactivity. Obesity and inactivity have formed a vicious cycle that is difficult to disentangle, inactivity precedes obesity or the other way around.

Objective: This study aimed to assess the association between obesity and physical inactivity in Indonesian population aged 18-65 years.

Methods: This was a longitudinal study using the Indonesian Family Life Survey data in 2007 (IFLS 4) and 2014 (IFLS 5). The sample was 16,166 respondents aged 18-65 years who had data on physical activity, age, sex, weight, and height in both IFLS 4 and 5.

Results: The prevalence of obesity increased as our subjects became older, from 25.5% in 2007 to 38.9% in 2014. At the same time, the prevalence of sedentary lifestyles increased from 29.8% to 43.0%. Obese individuals had a higher risk of decreasing their activity level, with RR (95%CI) of 1.27 (1.23-1.31), p<0.001. Compared to women, men were less likely to decrease their activity level, RR (95%CI) of 0.91 (0.89-0.94), p<0.001. Individuals with lower education were also less likely to decrease their activity level, RR (95%CI) of 0.94 (0.90-0.98), p<0.001. The decrease in physical activity was a risk factor for obesity observed in later IFLS, OR (95%CI) of 1.21 (1.13-1.29), p<0.001.

Conclusions: Obesity was a risk factor for the decrease in physical activity, while the decrease in physical activity was also a risk factor for later obesity. Both conditions indeed formed a vicious cycle

Keywords

adult; Indonesia; Indonesian Family Life Survey (IFLS); obesity; physical activity

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References

The Lancet Gastroenterology & Hepatology. Obesity: another ongoing pandemic. Lancet Gastroenterol Hepatol. 2021;6(6):411. doi: 10.1016/S2468-1253(21)00143-6
Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI. Laporan nasional Riskesdas 2007. [series online] 2008 [cited 2018 Mei 19]. Available from: URL: https://repository.badankebijakan.kemkes.go.id/id/eprint/4378/
Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI. Laporan nasional Riskesdas 2013. [series online] 2013 [cited 2018 Mei 19]. Available from: URL: https://repository.badankebijakan.kemkes.go.id/id/eprint/4467/1/Laporan_riskesdas_2013_final.pdf
Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI. Laporan nasional Riskesdas 2018. [series online] 2018 [cited 2019 April 15]. Available from: URL: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf
WHO Press, World Health Organization. Global status report on physical activity 2022. [series online] 2022 [cited 2023 Maret 18]. Available from: URL: https://www.who.int/teams/health-promotion/physical-activity/global-status-report-on-physical-activity-2022
Martínez-Ramos E, Beltran AM, Martín-Borràs C, Lasaosa-Medina L, Real J, Trujillo JM, et al. Patterns of sedentary behavior in overweight and moderately obese users of the Catalan primary-health care system. PLoS One. 2018;13(1):1–15. doi: 10.1371/journal.pone.0190750
Ghosh S, Paul M, Mondal KK, Bhattacharjee S, Bhattacharjee P. Sedentary lifestyle with increased risk of obesity in urban adult academic professionals: an epidemiological study in West Bengal, India. Sci Rep. 2023;13(1):1–10. doi: 10.1038/s41598-023-31977-y
Strauss J, Witoelar F, Sikoki B. The fifth wave of the Indonesia Family Life Survey: overview and field report. [series online] 2016 [cited 2018 Mei 19]. Available from: URL: https://www.rand.org/content/dam/rand/pubs/working_papers/WR1100/WR1143z1/RAND_WR1143z1.pdf
Edwards MK, Loprinzi PD. Affective responses to acute bouts of aerobic exercise, mindfulness meditation, and combinations of exercise and meditation: a randomized controlled intervention. Psychol Rep. 2019;122(2):465–84. doi: 10.1177/0033294118755099
Silveira EA, Mendonça CR, Delpino FM, Elias Souza GV, Pereira de Souza Rosa L, de Oliveira C, et al. Sedentary behavior, physical inactivity, abdominal obesity and obesity in adults and older adults: A systematic review and meta-analysis. Clin Nutr ESPEN. 2022;50:63–73. doi: 10.1016/j.clnesp.2022.06.001
WHO. Seventy-fifth World Health Assembly. Annex 7 acceleration plan to support member states in implementing the recommendations. [series online] 2022 [cited 2023 Maret 18]. Available from: URL: https://apps.who.int/gb/ebwha/pdf_files/WHA75-REC1/A75_REC1_Interactive_en.pdf#page=105
Ward ZJ, Long MW, Resch SC, Giles CM, Cradock AL, Gortmaker SL. Simulation of growth trajectories of childhood obesity into adulthood. N Engl J Med. 2017;377(22):2145–53. doi: 10.1056/NEJMoa1703860
Llewellyn A, Simmonds M, Owen CG, Woolacott N. Childhood obesity as a predictor of morbidity in adulthood: a systematic review and meta-analysis. Obes Rev. 2016;17(1):56–67. doi: 10.1111/obr.12316