CITRAKESUMASARI,
A.R.THAHA, YUSUF, T.SUNDORO, A.JAHARI,
A.ASPAR, B.BAHAR, V. HADJU
HASANUDDIN UNIVERSITY
CVD Luepker : CHD 69,8% ; stroke 21,476% ; PAD 8,699%
45-49 0 1 13,79-25,99 0
35-44 1 2 26,00-29,99 1
<35 2 5 30,00-35,58 2
Systolic Blood Pressure
My research Question , it is possible smoking
<120 0 -3 no 0
120-129 0 0 to develop new model without lab
ex. Smoker 3
130-139 1 1 assesmen to predict CHD in smoker 4
140-159 2 2
community Diabetes Mellitus
≥160 3 3
Diabetes Mellitus No 0
no 0 0 yes 2
yes 2 4 Physical Activity
smoking none 2
no 0 0 low 1
yes 2 2 middle 0
high -3
Research Methods
Y=-5.930-0.662(sex)+0.505(aged)-0.505(education)+1.190(Psychological
health)+0.744(offal)+0199(activity)+0.505(abdominal
circumference)+0.381(BP)+2.568(DM)+0.210(smoking).
CHDSuspect Variables Prediktor
Total scores P Value
n % 1. aged
2. sex
0 96 0.7 0.000 3. Blood pressure
1
4. abdominal circumference
255 0.9
5. smoking
2 366 0.7
3 419 0.9
Jakarta CV scores
35-39 -3
Male 1
RECOMMENDATION
- Need to Manage obesity, hypertension, and
smoking for prevent CHD
PREVALENSI PJK*) UMUR ≥ 15 TAHUN BERDASARKAN
WAWANCARA
MENURUT PROVINSI, 2013
40,0
26,6
30,0
20,0
10,0
18,8
0,0
2007 2013
KECENDERUNGAN PREVALENSI DIABETES
MELLITUS MENURUT PROVINSI
L.18
Sumber Data : Riskesdas 2013
KECENDERUNGAN PREVALENSI HIPERTENSI
BERDASARKAN PENGUKURAN MENURUT PROVINSI
L.20
Sumber Data : Riskesdas 2013
Proporsi Obesitas Sentral: 2007-2013
(Lingkar Perut: Lk>90 cm, Prp>80cm)
50,0
40,0
26,6
30,0
20,0
10,0
18,8
0,0
2007 2013
Body Mass Index (BMI) with Economy Status
30 28.4 28
27.1
24.8 24.1
21.6 21.7 21.7
20.6 2019.7
18.2 18.918.319.1 18.9
17.7
15.6 15.9 15.515.1
14.3
15 12.8
8.8
0%
Kuintil 1 Kuintil 2 Kuintil 3 Kuintil 4 Kuintil 5
Nutrients Intake Related Hiperhomosistein, Base on RDA
100% RDA
80% RDA
77% RDA
100%
40.6 36.4 22.4
90%
80%
70%
60%
50% 97.7 97.9 99
90
40% 78.1 78.2
70.9
30% 60.2 62.5
20%
10%
0%
PROTEIN VIT.B6 VIT.B12 AS.FOLAT
< ≥ < ≥
Protein
Intake ≥
80% B6, B12, Folat Intake Obesity
RDA < 80% RDA (1.4%)
Risk Faktor
Hyperhomocysteinemia
Intake Protein Intake B6B12FA
BMI ≥ 80% RDA BMI < 80% RDA
n % n %
Very thin 61 30.0 Very Thin 177 87.2
Gizi pada
1000 hari pertama
kehidupan Pertumbuhan (pendek)
Kekebalan
(janin dan massa tubuh
Kapasitas kerja
bayi 2 tahun) dan komposisi badan
Diabetes, Obesitas,
Metabolisme Penyakit jantung dan
glukosa, lipids, protein pembuluh darah,
Mati
Hormon/receptor/gen kanker, stroke,
dan disabilitas lansia
Sumber: Short and long term effects of early nutrition (James et al 2000) 29