HUBUNGAN ASUPAN GULA DALAM MINUMAN BERSODA DENGAN OBESITAS PADA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS TARUMANAGARA

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Gracelya Liwanto
Alexander Halim Santoso

Abstract

Obesitas adalah suatu keadaan akumulasi atau penimbunan lemak yang tidak normal atau berlebihan di jaringan adiposa yang dapat mengganggu kesehatan. Prevalensi penduduk dewasa muda yang menderita gizi lebih adalah 13,6% dan obesitas adalah 21,8%.Status gizi remaja banyak dipengaruhi oleh gaya hidupnya. Minuman bersoda merupakan salah satu jenis minuman yang banyak dikonsumsi remaja dan diduga berperan terhadap meningkatnya obesitas di kalangan remaja. Kelompok usia 19-24 tahun rata-rata mengonsumsi minuman bersoda sebanyak 681mL perhari.Penelitian ini bertujuan untuk melihat hubungan antara konsumsi asupan gula dalam minuman bersoda terhadap kejadian obesitas pada mahasiswa fakultas kedokteran universitas Tarumanagara. Penelitian merupakan penelitian analitik dengan design cross sectional. Analisis statistik menggunakan uji chi-square. Dari 200 subjek, didapatkan 100% subjek mengonsumsi minuman bersoda, dimana 45% subjek mengonsumsi gula dalam minuman bersoda lebih dari 50g/hari dan 57,5% subjek mengalami gizi lebih hingga obesitas. Didapatkan hubungan yang bermakna secara statistik antara asupan gula dalam minuman bersoda terhadap obesitas (p=0,001). Asupan gula dalam minuman bersoda berperan terhadap obesitas pada mahasiswa. 


Obesity is a condition of abnormal or excessive accumulation or accumulation of fat in adipose tissue that can interfere with health. The prevalence of young adults suffering from overnutrition is 13.6% and obesity is 21.8%. The nutritional status of adolescents is greatly influenced by their lifestyle. Fizzy drinks are one type of drink that is widely consumed by teenagers and is thought to play a role in increasing obesity among adolescents. The 19-24 year age group consumed an average of 681mL of soft drinks per day. This study aims to see the relationship between the consumption of sugar intake in soft drinks to the incidence of obesity in medical students at Tarumanagara University. This research is an analytic study with a cross sectional design. Statistical analysis using chi-square test. From 200 subjects, it was found that 100% of subjects consumed soft drinks, where 45% of subjects consumed sugar in soft drinks more than 50g/day and 57.5% of subjects were overweight to obesity. There was a statistically significant relationship between sugar intake in soft drinks and obesity (p=0.001). Sugar intake in soft drinks contributes to obesity in college students.


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References

International Diabetes Institute/ Western Pacific World Health Organization/ International, Force A for the study of OIOT. The Asia-Pacific perspective: redefining obesity and its treatment. Geneva, Switzerland: World Health Organization. 2000. p. 56.

Mokolensang OG, Manampiring AE. Hubungan Pola Makan Dan Obesitas Pada Remaja Di Kota Bitung. J e-Biomedik [Internet]. 2016;4(1):128–35. Available from: https://media.neliti.com/media/publications/68509-ID-hubungan-pola-makan-dan-obesitas-pada-re.pdf

Badan Penelitian dan Pengembangan Kesehatan. Riset Kesehatan Dasar (RISKESDAS) 2013. Lap Nas 2013. 2013;1–384.

Maria P, Evagelia S. Obesity disease. Heal Sci J. 2009;3(3):132–8.

WHO. Obesity and Overweight. Glob Strateg Diet, Phys Act Heal. 2003;1–2.

Oxford Dictionaries. soda | Definition of soda in English by Oxford Dictionaries [Internet]. [cited 2018 Sep 8]. Available from: https://en.oxforddictionaries.com/definition/soda

Direktorat P2PTM. Berapa anjuran konsumsi Gula, Garam, dan Lemak per harinya? [Internet]. [cited 2018 Oct 3]. Available from: http://www.p2ptm.kemkes.go.id/infographic/berapa-anjuran-konsumsi-gula-garam-dan-lemak-per-harinya

Direktorat P2PTM. Kandungan gula dalam makanan sehari-hari berikut ini [Internet]. [cited 2018 Oct 3]. Available from: http://www.p2ptm.kemkes.go.id/infographic/kandungan-gula-dalam-makanan-sehari-hari-berikut-ini

Hector D, Rangan A, Louie J, Flood V, Gill T. A NSW Centre for Public Health Nutrition project for NSW Health. 2009;1–60.

Department of Nutrition/Harvard School of Public Health. Fact Sheet: Sugary Drink Supersizing and the Obesity Epidemic. 2012;2–3. Available from: http://www.hsph.harvard.edu/nutritionsource/healthy-drinks/

Wulansari A, Martianto D, Baliwati YF. Estimasi Kerugian Ekonomi Akibat Obesitas. J Gizi Pangan. 2016;11(2):159–68.

Latief A. Pemeriksaan Klinis pada Bayi dan Anak. 1st ed. Wahidiyat PD dr. I, editor. 2014.

Chan RSM, Woo J. Prevention of overweight and obesity: How effective is the current public health approach. Int J Environ Res Public Health. 2010;7(3):765–83.

Cahyaningrum A. Leptin Sebagai Indikator Obesitas. 2015;I(1):1364–71.

Morris D, Rui L. Recent Advances In Understanding Leptin Signaling And Leptin Resistance. Am J Physiol Endocrinol Metab. 2009;

Zhang Y, Liu J, Yao J, Ji G, Qian L, Wang J, et al. Obesity: Pathophysiology and intervention. Nutrients. 2014;6(11):5153–83.

Kurdanti W, Suryani I, Syamsiatun NH, Siwi LP, Adityanti MM, Mustikaningsih D, et al. Faktor-Faktor Yang Mempengaruhi Kejadian Obesitas Pada Remaja. J Gizi Klin Indones. 2015;11(04):179–90.

Wulandari S, Lestari H, Faizal A. Faktor Yang Berhubungan Dengan Kejadian Obesitas Pada Remaja Di SMA Negeri 4. 2016;1–13.

Racette SB, Deusinger SS. Obesity: Overview of Prevalence, Etiology, and Treatment. Phys Ther [Internet]. 2003;(June). Available from: https://academic.oup.com/ptj/article/83/3/276/2857568/Obesity-Overview-of-Prevalence-Etiology-and

Swastika MIV. Hubungan Jesnis Kelamin, Karakteristik Ibu Dan Faktor Lain Dengan Status Gizi Lebih Pada Siswa SD Mardiyuana Depok Tahun 2012. 2012.

Nishida C, Borghi E, Branca F, Onis M De. Global trends in overweight and obesity. 2014;(May):1–8.

Sudoyo A. Ilmu Penyakit Dalam. 2014;9–31.

Sharma J. Etiology Of Obesity- What A Family Practitioner Needs To Know. 2010;1(9):1–9.

Mushtaq MU, Gull S, Abdullah HM, Shahid U, Shad MA, Akram J. Prevalence and socioeconomic correlates of overweight and obesity among Pakistani primary school children. BMC Public Health [Internet]. 2011 Dec 25 [cited 2018 Sep 3];11(1):724. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21943029

Breum L, Fernstrom MH. Drug-induced Obesity. In: international textbook of obesity. 2001. p. 269–81.

Eating H, Pyramid F, Parents S. Definition of obesity Remember : Student Health Service Department of Health. :2–3.

Daniel D Ranggadwipa. Obesitas. 2010.

Arif A. Obat-Obat Obesitas. Meditek. 2000;8(23).

Snow V, Barry P, Fitterman N, Qaseem A, Weiss K, Clinical Efficacy Assessment Subcommittee of the American College of Physicians. Pharmacologic and surgical management of obesity in primary care: a clinical practice guideline from the American College of Physicians. Ann Intern Med [Internet]. 2005 Apr 5 [cited 2018 Nov 11];142(7):525–31. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15809464

Rothman RB, Zolkowska D, Baumann MH. Serotonin (5-HT) Transporter Ligands Affect Plasma 5-HT in Rats. Ann N Y Acad Sci [Internet]. 2008 Oct [cited 2018 Nov 11];1139(1):268–84. Available from: http://doi.wiley.com/10.1196/annals.1432.042

Cosgrove KP, Staley JK, Baldwin RM, Bois F, Plisson C, Al-Tikriti MS, et al. SPECT imaging with the serotonin transporter radiotracer [123I]p ZIENT in nonhuman primate brain. Nucl Med Biol [Internet]. 2010 Jul [cited 2018 Nov 11];37(5):587–91. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0969805110000648

Preissner S, Kroll K, Dunkel M, Senger C, Goldsobel G, Kuzman D, et al. SuperCYP: a comprehensive database on Cytochrome P450 enzymes including a tool for analysis of CYP-drug interactions. Nucleic Acids Res [Internet]. 2010 Jan [cited 2018 Nov 11];38(suppl_1):D237–43. Available from: https://academic.oup.com/nar/article-lookup/doi/10.1093/nar/gkp970

Albaugh VL, Abumrad NN. Surgical treatment of obesity. F1000Research [Internet]. 2018;7(May):617. Available from: https://f1000research.com/articles/7-617/v1

Bray GA, Nielsen SJ, Popkin BM. Consumption of high-fructose corn syrup in beverages may play a role in the epidemic of obesity. Am J Clin Nutr [Internet]. 2004 Apr 1 [cited 2018 Oct 3];79(4):537–43. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15051594

Apriliati EKAC. Soft Drink. Universitas Sumatera Utara; 2012.

Kassem NO, Lee JW, Modeste NN, Johnson PK. Understanding soft drink consumption among female adolescents using the Theory of Planned Behavior. Health Educ Res [Internet]. 2003;18(3):278–91. Available from: http://her.oxfordjournals.org/content/18/3/278.short

Apovian CM. Sugar-sweetened soft drinks, obesity, and type 2 diabetes. J Am Med Assoc. 2004;292(8):978–9.

Cahyadi. Pemanis Sintetik. Universitas Sumatera Utara; 2006.

Partington G. Creating new choises. Soft Drink Association. 2014;

Kregiel D. Health safety of soft drinks: Contents, containers, and microorganisms. Biomed Res Int. 2015;2015.

Dhingra R, Sullivan L, Jacques PF, Wang TJ, Fox CS, Meigs JB, et al. Soft Drink Consumption and Risk of Developing Cardiometabolic Risk Factors and the Metabolic Syndrome in Middle-Aged Adults in the Community. Circulation [Internet]. 2007 Jul 31 [cited 2018 Oct 7];116(5):480–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17646581

Xavier R, Sreeramanan S, Diwakar A, Sivagnanam G, Sethuraman KR. Soft drinks and hard facts: A health perspective. Int Food Res J. 2007;14(2):69–81.

Steen DP, Ashurst PR. Carbonated Soft Drinks : Formulations and Manufacture. Blackwell Publishing. 2006;

Malik VS, Popkin BM, Bray GA, Despres J-P, Willett WC, Hu FB. Sugar-Sweetened Beverages and Risk of Metabolic Syndrome and Type 2 Diabetes: A meta-analysis. Diabetes Care [Internet]. 2010 Nov 1 [cited 2018 Oct 7];33(11):2477–83. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20693348

Ardisson Korat A V., Willett WC, Hu FB. Diet, Lifestyle, and Genetic Risk Factors for Type 2 Diabetes: A Review from the Nurses’ Health Study, Nurses’ Health Study 2, and Health Professionals’ Follow-Up Study. Curr Nutr Rep [Internet]. 2014 Dec 25 [cited 2018 Sep 27];3(4):345–54. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25599007

de Koning L, Malik VS, Kellogg MD, Rimm EB, Willett WC, Hu FB. Sweetened Beverage Consumption, Incident Coronary Heart Disease, and Biomarkers of Risk in Men. Circulation [Internet]. 2012 Apr 10 [cited 2018 Oct 7];125(14):1735–41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22412070

Choi HK, Willett W, Curhan G. Fructose-Rich Beverages and Risk of Gout in Women. JAMA [Internet]. 2010 Nov 24 [cited 2018 Oct 7];304(20):2270. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21068145

Baxter R, Hastings N, Law A, Glass EJ. Panduan Pengukuran Antropometri. 2008;39(5):561–3.

BPS Provinsi DKI Jakarta. Proyeksi Penduduk Perempuan Provinsi DKI Jakarta Menurut Kelompok Umur 2010-2035 [Internet]. BPS Provinsi DKI Jakarta. 2019 [cited 2019 May 7]. Available from: https://jakarta.bps.go.id/dynamictable/2019/03/05/46/proyeksi-penduduk-perempuan-provinsi-dki-jakarta-menurut-kelompok-umur-2010-2035.html

BPS Provinsi DKI Jakarta. Proyeksi Penduduk Laki-Laki Provinsi DKI Jakarta Menurut Kelompok Umur 2010-2035 [Internet]. BPS Provinsi DKI Jakarta. 2019 [cited 2019 May 7]. Available from: https://jakarta.bps.go.id/dynamictable/2019/03/05/45/proyeksi-penduduk-laki-laki-provinsi-dki-jakarta-menurut-kelompok-umur-2010-2035.html

Waalen J. The genetics of human obesity. Transl Res. 2014;164(4):293–301.

Campbell L V. Genetics of obesity. Aust Fam Physician. 2017;46(7):456–

Sabila Rusyadi. Pola Makan dan Tingkat Aktivitas Fisik Mahasiswa Dengan Berat Badan Berlebih Di Universitas Yogyakarta. 2010;33(1):37–49.

Purni R. Hubungan Antara Pengetahuan Bahaya Merokok Dengan Perilaku Merokok Pada Mahasiswa Di Universitas Muhammiyah Surakarta. Universitas Muhammadiyah Surakarta; 2017.

National Sleep Foundation. How Much Sleep Do We Really Need? [cited 2019 May 7]; Available from: https://www.sleepfoundation.org/excessive-sleepiness/support/how-much-sleep-do-we-really-need

Tandy S. Hubungan Kualitas Tidur dengan Obesitas pada Mahasiswa Fakultas Kedokteran Universitas Sumatera Utara Angkatan 2014. Universitas Sumatera Utara; 2017.

Kusuma P. Pemanfaatan Gadget Pada Mahasiswa Universitas Muhammadiyah Surakarta. Universitas Muhammadiyah Surakarta; 2016.

Wulansari N. Reality Show Prososial Dengan Perilaku Oleh : Universitas Islam Negeri Sultan Syarif Kasim Riau. Universitas Islam Negeri Sultan Syarif Kasim Riau; 2013.

Boo, N. Y, Chia, G., J. Q, Wong, L. C, Chew, R. M, Chong W, Loo, R., C. N. The prevalence of obesity among clinical students in Malaysian medical school The prevalence of obesity among clinical students in a Malaysian medical school. Singapore Med J. 2010;51(2):126–32.

Ekpanyaskul C, Sithisarankul P, Wattanasirichaigoon S. Overweight/obesity and related factors among Thai medical students. Asia-Pacific J Public Heal. 2013;25(2):170–80.

Gillis LJ, Bar-Or O. Food away from home, sugar-sweetened drink consumption and juvenile obesity. J Am Coll Nutr [Internet]. 2003 Dec [cited 2019 May 7];22(6):539–45. Available from: http://www.ncbi.nlm.nih.gov/pubmed/14684760