Perbedaan Asupan Nutrisi Makanan dan Indeks Massa Tubuh (IMT) antara Perokok Aktif dan Non-perokok pada Usia Dewasa
Abstract
Rokok merupakan salah satu ancaman terbesar bagi kesehatan masyarakat di dunia, dan perokok cenderung memiliki indeks massa tubuh (IMT) lebih rendah dan penurunan status gizi yang dapat meningkatkan risiko malnutrisi yang makin memperburuk kondisi kesehatan perokok dibandingkan dengan non-perokok. Tujuan penelitian ini adalah mengetahui perbedaan asupan nutrisi makanan terkait kalori perhari dan indeks massa tubuh (IMT) antara perokok aktif dan non-perokok. Penelitian ini menggunakan metode cross-sectional dengan pengumpulan responden menggunakan purposive sampling. Variabel-variabel yang akan diukur dalam penelitian ini meliputi: asupan nutrisi makanan dengan metode recall 24 jam dan IMT. Sampel penelitian ini adalah perokok aktif dan non-perokok usia dewasa di Surabaya pada bulan November 2015 hingga Januari 2016. Penelitian ini melibatkan 110 responden yang terdiri dari 55 perokok aktif dan 55 non-perokok, dengan sebaran data usia dan jenis kelamin yang homogen di antara kedua kelompok. Hasil uji perbedaan menunjukkan bahwa tidak terdapat perbedaan antara asupan nutrisi perokok aktif dengan non-perokok dengan Sig. 0,972 (p>0,05), dan tidak terdapat perbedaan antara IMT perokok aktif dengan non-perokok asupan nutrisi dengan nilai Sig. 0,745 (p>0,05). Oleh karena itu, disimpulkan bahwa tidak ada perbedaan asupan nutrisi dan IMT antara perokok aktif dan non-perokok.
Kata kunci: Asupan nutrisi, indeks massa tubuh (IMT), perokok
Differences in Nutrition Food Intake and Body Mass Index between Smoker and Non-smoker in Adult
Smoking is one of the greatest threats to public health in the world, and smokers tend to have a lower body mass index (BMI) and the decline in nutritional status that can increase the risk of malnutrition which worsen the health condition of smokers compared to non-smokers. The purpose of this study was to determine differences in nutrition-related food calories per day and body mass index (BMI) between active smokers and non-smokers. This study used cross-sectional with a collection of respondents using purposive sampling. The variables measured in this study includes nutritional intake of food with a 24-hour recall method and IMT. Samples were active smokers and non-smokers adulthood in Surabaya from November 2015 until January 2016. Results of research on the use of 110 respondents consisting of 55 active smokers and 55 non-smokers, with a distribution of data for age and sex homogeneous between the two groups. The test results show that the difference there were no differences between the nutritional intake of active smokers and non‑smokers with Sig. 0.972 (p>0.05), and there is no difference between BMI active smokers and non‑smokers for nutrients intake by the Sig. 0.745 (p>0.05). It was therefore concluded that there is no nutritional intake and BMI between active smokers and non-smokers.
Keywords: Body mass index (BMI), nutrition, smoker
Keywords
Full Text:
PDF (Bahasa Indonesia)References
Shah A. Tobacco, global issues [diunduh 1 Januari 2016]. Tersedia dari: http://www.globalissues.org/article/533/tobacco.
Action on Smoking and Health (ASH) Fact Sheet. Smoking and eye disease [diunduh 1 Januari 2016]. Tersedia dari: http://ash.org.uk/files/documents/ASH_132.pdf.
American Heart Association. Smoking & cardiovascular disease (heart disease) [diunduh 1 Januari 2016]. Tersedia dari: http://www.heart.org/HEARTORG/HealthyLiving/QuitSmoking/QuittingResources/Smoking-Cardiovascular-Disease_UCM_305187_Article.jsp#.Vy65FFWLTIU.
Centers for Disease Control and Prevention (CDC). National center for chronic disease prevention and health promotion [diunduh 1 Januari 2016]. Tersedia dari: http://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effec ts/effects_cig_smoking/.
Warnakulasuriya S, Dietrich T, Bornstein MM, Peidró ES, Preshaw PM, Walter C, et al. Oral health risks of tobacco use and effects of cessation. Int Dent J. 2010;60(1):7–30.
Abate M, Vanni Daniele, Pantalone A, Salini V. Cigarette smoking and musculoskeletal disorders. Muscles Ligaments Tendons J. 2013;3(2):63–9. doi: 10.11138/mltj/2013.3.2.063
Yunus F. Tata laksana penyakit PPOK. Media Aesculapius. 2013;37:2–8.
Kementerian Kesehatan Republik Indonesia. Peraturan Pemerintah Republik Indonesia No. 109 Tahun 102 tentang pengamanan bahan yang mengandung zat adiktif berupa tembakau bagi kesehatan.
Martin WR, Loon GRV, Iwamato ET, David L. Tobacco smoking and nicotine: A neurobiological approach. Germany: Springer; 2012.
Grillner P, Svensson TH. Nicotine-induced excitation of mid-brain dopamine neurons in vitro involves onotropic glutamate receptor activation. Synapse. 2000;38(1): 1–9. doi: 10.1002/1098-2396(200010)38:1<1::AID-SYN1>3.0.CO;2-A
McGovern JA, Benowitz NL. Cigarette smoking, nicotine, and body weight. Clin Pharmacol Ther. 2011;90(1):164–8. doi: 10.1038/clpt.2011.105
von der Goltz C, Koopmann A, Dinter C, Richter A, Rockenbach C, Grosshans M, et al. Orexin and leptin are associated with nicotine craving: a link between smoking, appetite and reward. Psychoneuroendocrinology. 2010;35(4): 570–7. doi: 10.1016/j.psyneuen.2009.09.005
Zhou WL, Gao XB, Picciotto MR. Acetylcholine acts through nicotinic receptors to enhance the firing rate of a subset of hypocretin neurons in the mouse hypothalamus through distinct presynaptic and postsynaptic mechanisms. eNeuro. 2015;2(1):ENEURO.0052-14.2015.0052-14. doi: 10.1523/ENEURO.0052-14.2015
Reinholz J, Skopp O, Breitenstein C, Bohr I, Winterhoff H, Knecht S. Compensatory weight gain due to dopaminergic hypofunction: New evidence and own incidental observations. Nutr Metab. 2008;5:35. doi: 10.1186/1743-7075-5-35
Ioannides-Demos LL, Piccenna L, McNeil JJ. Pharmacotherapies for obesity: Past, current, and future therapies. J Obes. 2011;2011(2011):179674. doi: 10.1155/2011/179674
Schols E, Annemie M, Campfield A, Wouters E, Saris M. Plasma leptin is related to proinflammatory status and dietary intake in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 1999;160(4):1220–6. doi: 10.1164/ajrccm.160.4.9811033
Ypsilantis P, Politou M, Anagnostopoulos C, Tsigalou C, Kambouromiti G, Kortsaris A, Simopoulos C. Effects of cigarette smoke exposure and its cessation on body weight, food intake and circulating leptin, and ghrelin levels in the rat. Nicotine Tob Res. 2013;15(1):206–12. doi: 10.1093/ntr/nts113.
Jee SH, Sull JW, Park Jm Lee SY, Ohrr H, Guallar E, Samet JM. Body-mass index and mortality in Korean men and women. N Engl J Med. 2006;355(8):779–87. doi: 10.1056/NEJMoa054017
McDowell MA, Fryar CD, Ogden CL, Flegal KM. Anthropometric reference data for children and adults: United States, 2003–2006. National Health Statistics Reports. 2008;10:1–48.
Campillo B, Richardet JP, Bories PN. Validation of body mass index for the diagnosis of malnutrition in patients with liver cirrhosis. Gastroenterol Clin Biol. 2006;30(10):1137–43.
Chhabra P, Chhabra SK. Effect of smoking on body mass index: A community-based study. NJCM. 2011;2(3):325–30.
Global initiative for chronic obstructive lung disease (GOLD) 2015 [diunduh 1 Januari 2016]. Tersedia dari: http://gold copd.org/
Perhimpunan Dokter Paru Indonesia (PDPI). Pedoman dan diagnosis penatalaksanaan PPOK di Indonesia. Jakarta; PDPI: 2003.
Almagro P, Castro A. Helping COPD patients change health behavior in order to improve their quality of life. Int J Chron Obstruct Pulmon Dis. 2013;8:335–45. doi: 10.2147/COPD.S34211
Nutrition and Consumer Protection Division, Food and Agriculture Organization of the United Nations. Guidelines for measuring household and individual dietary diversity [diunduh 1 Januari 2016]. Tersedia dari: http://www.fao.org/3/a-i1983e.pdf
Kennedy G, Pedro MR, Seghieri C, Nantel G, Brouwer I. Dietary diversity score is a useful indicator of micronutrient intake in non breast-feeding Filipino children. J Nutr. 2007;137(2):472–7.
Ruel M, Graham J, Murphy S, Allen L. Validating simple indicators of dietary diversity and animal source food intake that accurately reflect nutrient adequacy in developing countries. Report submitted to GL-CRSP. 2004.
Steyn NP, Nel JH, Nantel G, Kennedy G, Labadarios D. Food variety and dietary diversity scores in children: Are they good indicators of dietary adequacy?. Public Health Nutrition. 2006;9(5):644–50.
McNaughton SA, Ball K, Crawford D, Mishra GD. An index of diet and eating patterns is a valid measure of diet quality in an Australian population. J Nutr. 2008;138(1):86–93. doi: 10.1093/jn/138.1.86
Arimond M, Wiesmann D, Becquey E, Carriquiry A, Daniels M, Deitchler M, et al. Simple food group diversity indicators predict micronutrient adequacy of women’s diets in 5 diverse, resource-poor settings. J Nutr. 2010;140(11):20595–695. doi: 10.3945/jn.110.123414
Centers for Disease Control and Prevention (CDC). National center for health statistics: National health interview survey [diunduh 1 Januari 2016]. Tersedia dari: http://www.cdc.gov/nchs/nhis/tobacco/tobacco_glossary.htm.
NHS Choices. Under -18s guide to quitting smoking [diunduh 1 Januari 2016]. Tersedia dari: http://www.nhs.uk /Livewell/smoking/Pages/Teensmokersquit.aspx.
Centers for Disease Control and Prevention (CDC), U.S. Departement of Health and Human Services. Health, United States, 2010: With special feature on death and dying [diunduh 1 Januari 2016]. Tersedia dari: http://www.cdc.gov/nchs/data/hus/hus10.pdf
Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia No. 75 Tahun 2013 tentang angka kecukupan gizi yang dianjurkan bagi bangsa Indonesia.
National Obesity Observatory. Body mass index as a measure of obesity [diunduh 1 Januari 2016]. Tersedia dari: http://www.noo.org.uk/uploads/doc789_40_noo_BMI.pdf
World Health Organization (WHO). BMI classifications [diunduh 1 Januari 2016]. Tersedia dari: http://www.who.int/bmi/index.jsp?introPage=intro_3.html
Dickson-Spillmann M, Siegrist M. Consumers’ knowledge of healthy diets and its correlation with dietary behaviour. J Hum Nutr Diet. 2011;24(1):54–60. doi: 10.1111/j.1365-277X.2010.01124.x
Vlismas K, Stavrinor V, Panagiotakos DB. Socio-economic status, dietary habits and health-related outcomes in various parts of the world: A review. Cent Eur J Public Health. 2009;17(2):55–63.
Jee SH, Sull JW, Park J, Lee AY, Ohrr H, Guallar E, Samet JM. 2006. Body-mass index and mortality in Korean men and women. N Engl J Med. 2006;355:779-87. doi: 10.1056/NEJMoa054017
Benowutz NL. Pharmacology of nicotine: Addiction, smoking-induced disease, and therapeutics. Annu Rev Pharmacol Toxicol. 2009;49:57–71. doi: 10.1146/annurev.pharmtox.48.113006.094742.
Audrain-McGovern J, Benowitz NL. 2011. Cigarette smoking, nicotine, and body weight. Clin Pharmacol Ther. 2011;90(1):164–8. doi: 10.1038/clpt.2011.105
DOI: https://doi.org/10.15416/ijcp.2017.6.3.171
Refbacks
- There are currently no refbacks.
Indonesian Journal of Clinical Pharmacy is indexed by