Factors Associated with Fasting Hyperglycemia

Abstract

The aim of this study is to find out the relationship between age, gender, fat intake, obesity, physical activity, and tobacco smoke exposure with fasting hyperglycemia among adults, belonging as participants in PROLANIS programme at Puskesmas Kedungmundu, one of primary health care in Semarang City. The study was conducted on 100 adults using accidental sampling technique, consisting of 74 women and 26 men. The study design used is cross sectional. Fasting hyperglycemia is defined when blood glucose is above 130 mg/dl, physical activity measurement using the PAL, FFQ and Food Recall to measure the intake of fat, nutritional status measurement using the BMI, and interviews to determine the age, sex, and history of tobacco smoke
exposure. The average fasting blood sugar was 104.2 mg / dl, the mean of fat intake was 70 grams / day, and the mean BMI of 23.9 kg / m2. The prevalence of fasting hyperglycemia was higher in the majority of women (14,9%), p=0,551. It was also higher among respondents aged above 40 years old (16,7%), p=0.302; among them
who had excess fat intake (15.2%), p=0.564; among obesity respondents (21.1%), p=0,061, among them who had sedentary physical activity (11.8%), p=0.791; and exposed to smoke (15.1%%), p=0.716. There were no associations between age, gender, fat intake, obesity, physical activity, and tobacco smoke exposure with fasting hyperglycemia.



Keywords: Fasting Hyperglycemia, Gender, Age, Fat Intake, Body Mass Index, Physical Activity, Tobacco Smoke Exposure

References
[1] Alireza, E. 2014. Trends in the Prevalence of Diabetes and Impaired Fasting Glucose in Association with Obesity in Iran. Diabetes Research and Clinical Practice. Vol. xxx pp.1-9.


[2] American Diabetes Association. Hyperglycemia (High Blood Glucose). http://www.diabetes.org/living-with-diabetes/treatment-and-care/ blood-glucose-control/hyperglycemia.html. Accessed August, 1, 2017.


[3] Amina Khambalia, et al. 2011. Prevalence and Risk Factors of Diabetes and Impaired Fasting Glucose in Nauru. BMC Public Health, 11:719.


[4] Anastasia, C. 2003. Dietary Fat Intake as Risk Factor for The Development of Diabetes. Diabetes Care. Vol. 26 pp. 302-307.


[5] Chiolero. 2008. Consequences of Smoking for Body Weight, Body Fat Distribution and Insulin Resistance. American Journal of Clinical Nutrition. Vol. 87 pp. 801-9.


[6] Dewan, M. 2007. A Prospective Study of Physical Activity and Its Role in Management and Prevention of Diabetes. Journal of Excercise Science and Physiotherapy. Vol 3 pp. 111-119.


[7] Genievieve N. Healy, et al. 2007. Objective Measured Light-Intensity Physical Activity Is Independently Associated With 2-h Plasma Glucose. Diabetes Care Vol. 30 page 1384-1389.


[8] Guo, S. 2015. Prevalence of Diabetes Mellitus and Impaired Fasting Glucose, Associated with Risk Factors in Rural Kazakh Adults in Xinjiang, China. International Journal of Environmental Research and Public Health. Vol. 12 pp. 554-565.


[9] Hermawan, W. 2012. Hubungan Index Massa Tubuh dengan Kadar Gula Darah Sewaktu pada Pegawai Pria di Dinas Pertanian dan Peternakan Provinsi Sulawesi Utara. Jurnal Fakultas Kesehatan Masyarakat Universitas Sam Ratulangi Manado.


[10] Ministry of Health in Indonesia. 2013. Riset Kesehatan Dasar. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Depkes RI.


[11] Mustofa, Z. 2016. Blood Glucose and Cholesterol Levels in Adult Population of Bangladesh: Result. Indian Heart Journal. Vol. 68 pp. 52-56.


[12] Oba, S. 2015. Active and Passive Exposure to Tobacco Smoke in Relation to Insulin Sensitivity and Pancreatic B-Cell Function in Japanese Subjects. Journal of Diabetes and Metabolism. Vol. 41 pp. 160-167.


[13] Shweta Sahai, et al. 2011. Impaired Fasting Glucose: A Study of its Prevalence Documented at a Tertiary Care Centre of Central India and its Association with Anthropometric Variables. Journal Indian Academy of Clinical Medicine Vol. 12 , No. 3, pp 188-192.


[14] Sion A. Parry, et al. 2017. A Single Day of Excessive Dietary Fat Intake Reduces WholeBody Insulin Sensitivity: The Metabolic Consequence of Binge Eating. Nutrients Vol 9 pp 818.


[15] Teruna, Effendi A. 2013. Diabetes Melitus dalam Aspek Biomolekular. Jakarta: Balai Penerbit FKUI.


[16] The Global Diabetes Community. 2016. Impaired Fasting Glycemia. Available from: http://www.diabetes.co.uk/impaired-fasting-glycemia.html.


[17] Weitzman et al. 2005. Smoke Exposure and Metabolic Syndrome in Adolescents. Circulation Vol 112 page 862-869.


[18] Wen CP. 2009. Are Asian at Greater Mortality Risks for Being Overweight than Caucasians. Redefining Obesity for Asians. Public Health Nutr. Vol 12 (4) pp 497-506.


[19] WHO. 2016a. Non Communicable Disease Action Plan. Available from: http://www. who.int/nmh/ncd-tools/diabetes/en/.


[20] WHO. 2016b. Fact Sheets Diabetes. Available from: http://www.who.int/ mediacentre/factsheets/fs312/en/#.


[21] WHO. 2015. Ageing and Health. Available from: http://www.who.int/mediacentre/ factsheets/fs404/en/.