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Liberty IA, Septadina IS, Mariana, Novita E, Amalia R, Ananingsih ES, Hasyim H, Hanifah L. The characteristics and risk of obesity central and concomitant impaired fasting glucose: Findings from a cross-sectional study. PLoS One 2024; 19:e0305604. [PMID: 38917085 PMCID: PMC11198825 DOI: 10.1371/journal.pone.0305604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 06/03/2024] [Indexed: 06/27/2024] Open
Abstract
INTRODUCTION Obesity is associated with concomitant chronic conditions. An early metabolic consequence of obesity is disruption of glucose and insulin homeostasis. One of the consequences is impaired fasting glucose (IFG). Visceral fat is metabolically more harmful than subcutaneous fat, but few information is available regarding the association between the risk of abnormal glucose in increased waist circumference. METHODS This study is based on a cross sectional of 1,381 population-based from Palembang, Indonesia. The eligibility requirements subject were to be older than 18 and consent to taking fasting glucose and lipid profile tests as well as physical exams measuring their body weight, height, blood pressure, abdominal circumference, and waist circumference. RESULTS The number of subjects consisting of 798 noncentral obesity with normoglycemia, 376 central obesity with normoglycemia, and 207 central obesity with concomitant IFG. The prevalence central obesity with concomitant IFG was 35.51%. In subjects with central obesity, there were significant differences in proportions based on sex, age, marital status, education, and occupation. In multivariate analysis show that the risk factors that contribute to having a significant association with central obesity with concomitant IFG are sex (female), age (>40 years), blood pressure (hypertension), and HDL-C <50 mg/dL (p<0.001). The analysis also founded that there was a significant difference in the dietary pattern of sweet foods (p = 0.018), sweet drinks (p = 0.002), soft drinks (p = 0.001) and smoking habit (p<0.001) between subjects with obesity central and concomitant IFG compared to subjects with noncentral obesity. The majority of subjects with obesity central and concomitant IFG had consuming these risky foods >6 times/week. CONCLUSION The prevalence of central obesity with IFG is quite high. There are significant differences in the characteristics, lipid profile, blood pressure, dietary pattern, and smoking habit of central obesity with concomitant IFG was confirmed in this population-based observational study.
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Affiliation(s)
- Iche Andriyani Liberty
- Department of Public Health and Community Medicine, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
| | - Indri Seta Septadina
- Department of Anatomy, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
| | - Mariana
- Department of Public Health and Community Medicine, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
| | - Emma Novita
- Department of Anatomy, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
| | - Resi Amalia
- Faculty of Medicine, Universitas Muhammadiyah, Palembang, Indonesia
| | | | - Hamzah Hasyim
- Faculty of Public Health, Universitas Sriwijaya, Palembang, Indonesia
| | - Laily Hanifah
- Universitas Pembangunan Nasional Veteran Jakarta, Jakarta, Indonesia
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Sanip A, Isa MH, Abd Samat AH, Jaafar MJ, Abdul Manaf MR, Silvalila M, Saiboon IM. Fit-cardiopulmonary resuscitation approach in public mass cardiopulmonary resuscitation teaching: A randomized control trial. Saudi Med J 2023; 44:463-470. [PMID: 37182912 PMCID: PMC10187741 DOI: 10.15537/smj.2023.44.5.20220941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 04/09/2023] [Indexed: 05/16/2023] Open
Abstract
OBJECTIVES To improve public awareness and the rate of bystander cardiopulmonary resuscitation (CPR), a novel and exciting approach called fit-CPR that incorporates mass CPR with high-intensity physical activity into the beat of locally favoured music was proposed. This study was conducted to measure the effectiveness of fit-CPR compared to the standard classroom method (CCM). METHODS Between 30th August to 29th November 2018, 129 participants from Syiah Kuala University, Banda Aceh, Indonesia, were randomized to learn CPR, either through fit-CPR or CCM protocol. All participants underwent pre, post, and 6-month retention tests. Each test had a 10-item questionnaire with CPR performance on a manikin that was assessed using a validated checklist. RESULTS Sixty-one (47.3%) participants completed the fit-CPR while 68 (52.7%) completed the CCM. There was a significant improvement in knowledge, performance, and quality of CPR from pre, post, and 6-month retention tests (p<0.01) in both groups. On high-quality CPR, the fit-CPR and CCM groups obtained an increased score of 285.0% and 151%, respectively, p=0.014 between pre and immediate post-test. Knowledge scores between fit-CPR and CCM groups showed an increase of 79.5% and 111.2%, respectively, p=0.002. Fit-CPR was completed between 52.5-57.5 minutes, while CCM took 75 minutes. CONCLUSION The fit-CPR demonstrated a comparable outcome to standard CPR when teaching to the mass public with less time spent.
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Affiliation(s)
- Amirudin Sanip
- From the Department of Emergency Medicine (Sanip, Isa, Abd Samat, Jaafar, Saiboon), Faculty of Medicine, Department of Public Health (Manaf), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, and from the Department of Emergency Medicine (Silvalila), Faculty of Medicine, Unversitas Syiah Kuala, Banda Aceh, Indonesia.
| | - Mohd H. Isa
- From the Department of Emergency Medicine (Sanip, Isa, Abd Samat, Jaafar, Saiboon), Faculty of Medicine, Department of Public Health (Manaf), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, and from the Department of Emergency Medicine (Silvalila), Faculty of Medicine, Unversitas Syiah Kuala, Banda Aceh, Indonesia.
| | - Azlan H. Abd Samat
- From the Department of Emergency Medicine (Sanip, Isa, Abd Samat, Jaafar, Saiboon), Faculty of Medicine, Department of Public Health (Manaf), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, and from the Department of Emergency Medicine (Silvalila), Faculty of Medicine, Unversitas Syiah Kuala, Banda Aceh, Indonesia.
| | - Mohd J. Jaafar
- From the Department of Emergency Medicine (Sanip, Isa, Abd Samat, Jaafar, Saiboon), Faculty of Medicine, Department of Public Health (Manaf), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, and from the Department of Emergency Medicine (Silvalila), Faculty of Medicine, Unversitas Syiah Kuala, Banda Aceh, Indonesia.
| | - Mohd R. Abdul Manaf
- From the Department of Emergency Medicine (Sanip, Isa, Abd Samat, Jaafar, Saiboon), Faculty of Medicine, Department of Public Health (Manaf), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, and from the Department of Emergency Medicine (Silvalila), Faculty of Medicine, Unversitas Syiah Kuala, Banda Aceh, Indonesia.
| | - Meilya Silvalila
- From the Department of Emergency Medicine (Sanip, Isa, Abd Samat, Jaafar, Saiboon), Faculty of Medicine, Department of Public Health (Manaf), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, and from the Department of Emergency Medicine (Silvalila), Faculty of Medicine, Unversitas Syiah Kuala, Banda Aceh, Indonesia.
| | - Ismail M. Saiboon
- From the Department of Emergency Medicine (Sanip, Isa, Abd Samat, Jaafar, Saiboon), Faculty of Medicine, Department of Public Health (Manaf), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, and from the Department of Emergency Medicine (Silvalila), Faculty of Medicine, Unversitas Syiah Kuala, Banda Aceh, Indonesia.
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