The Relationship of Physical Activity and Central Obesity With Type 2 Diabetes Mellitus


Type 2 diabetes mellitus (T2DM) is a public health problem in developing countries and has become the six highest cause of death in Indonesia. This study aimed to determine the relationship of physical activity and central obesity with T2DM. This was a case-control study, with a sample of 25 patients with T2DM in the Internist Polyclinic Dustira Hospital in Cimahi. The independent variables examined were gender, physical activity and central obesity, while the dependent variable was T2DM. Data were analyzed using the Chi-square test and odds ratios of the magnitude of the risk factor were calculated. Gender did not have a significant influence on the occurrence of T2DM (p-value = 0.40; OR = 0.5; 95% CI = 0.15-1.71). Physical activity did have a statistically significant relationship with the occurrence of T2DM (p-value = 0.0001; OR = 16.6; 95% CI = 4.04–68.04). Central obesity was also a risk factor for the occurrence of T2DM (p-value = 0.001; OR = 10.3; 95% CI = 2.77–38.21). We can conclude that the occurrence of T2DM is influenced by lifestyle factors such as low physical activity and central obesity.

Keywords: T2DM, physical activity, central obesity

[1] Ramachandran A. Trends in prevalence of diabetes in Asian countries. World Journal of Diabetes. 2012;3(6):110.

[2] Soewondo P, Ferrario A, Tahapary DL. Challenges in diabetes management in Indonesia: a literature review. Globalization and health. 2013 Dec;9(1):1-7.

[3] Simbolon D, Siregar A, Talib RA. Physiological factors and physical activity contribute to the incidence of type 2 diabetes mellitus in Indonesia. Kesmas. 2020;15(3):120– 127.

[4] Duncan GE. Exercise, fitness, and cardiovascular disease risk in type 2 diabetes and the metabolic syndrome. Current diabetes reports. 2006 Jan;6(1):29-35.

[5] Hamasaki H. Daily physical activity and type 2 diabetes: A review. World Journal of Diabetes. 2016;7(12):243.

[6] Colosia AD, Palencia R, Khan S. PDB14 Prevalence of Hypertension and/or Obesity in Patients With Type 2 Diabetes Mellitus in Asia: A Systematic Literature Review. Value in Health. 2012 Nov 1;15(7):A661.

[7] Munir M, Sutjahjo A, Sustini F. Profile of type Ii diabetes mellitus with central obesity in Dr. Soetomo Hospital. Folia Medica Indonesiana. 2016;51(3):177-179.

[8] Kurniati N. Obesity and central obesity. Medical Journal of Indonesia. 2018;27(2):1–2.

[9] Rush E, Laulu MS, Mitchelson E, Plank L. Central obesity and risk for type 2 diabetes in Maori Pacific and European young man in New Zealand. Food and Nutrition Bulletin. 2002;23(3):143–154.

[10] Barrios P, Martin-Biggers J, Quick V, Byrd-Bredbenner C. Reliability and criterion validity of self-measured waist, hip, and neck circumferences. BMC Medical Research Methodology. 2016;16(1):1–12.

[11] Mumu SJ, Ali L, Barnett A, Merom D. Validity of the global physical activity questionnaire (GPAQ) in Bangladesh. BMC Public Health. 2017;17(1):1–10.

[12] Ma WY, Yang CY, Shih SR, et al. Measurement of waist circumference: midabdominal or iliac crest?. Diabetes care. 2013 Jun 1;36(6):1660-6.

[13] Werdani AR, Triyanti T. Asupan Karbohidrat sebagai Faktor Dominan yang Berhubungan dengan Kadar Gula Darah Puasa. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal). 2014 Aug 1;9(1):71-7.

[14] Trisnadewi NW, Widarsih NL, Pramesti TA. Hubungan obesitas sentral dan aktivitas fisik dengan kejadian diabetes melitus tipe 2 di puskesmas Iii denpasar utara. Bali Medika Journal. 2019;6(2):119–129.

[15] Freemantle N, Holmes J, Hockey A, Kumar S. How strong is the association between abdominal obesity and the incidence of type 2 diabetes? International Journal of Clinical Practice. 2008;62(9):1391–1396. 1241.2008.01805.x

[16] Fajarini IA, Sartika RAD. Obesity as a common type-2 diabetes comorbidity: Eating behaviors and other determinants in Jakarta, Indonesia. Kesmas. 2019;13(4):157–163.

[17] Kahn BB, Flier JS. Obesity and insulin resistance. The Journal of Clinical Investigation. 2000;106(4):473–481.