Fenomena TOFI (thin-outside-fat-inside) pada Pengunjung Mobil Layanan Konsultasi Kesehatan dan Keluarga di Kota Bogor
Keywords:
adipositas, pembangunan berkelanjutan, KesejahteraanAbstract
Mobile health and family consulting services aims to provide public health-related services for free and as a data collection tool to formulate policies related to efforts to improve public health. Service activities were carried out at various locations in Bogor City by collecting data in the form of age, weight, height, percent body fat, and visceral fat. Data collected in the period of March 2015 to March 2020 (n = 3,482) showed that almost half of subjects with normal nutritional status had excess adiposity. Men were found to have higher visceral fat than women at normal nutritional status. Excess adiposity in normal nutritional status is associated with the incidence of metabolic syndrome. Therefore, the results of examination of body composition are needed as the basis for the formulation of a metabolic syndrome prevention program.
ABSTRAK
Mobil layanan konsultasi kesehatan dan keluarga bertujuan untuk memberikan pelayanan terkait kesehatan masyarakat secara gratis serta sebagai alat pengumpulan data untuk merumuskan kebijakan terkait upaya peningkatan kesehatan masyarakat. Kegiatan layanan dilakukan pada berbagai lokasi di Kota Bogor dengan mengumpulkan data berupa usia, berat badan, tinggi badan, persen lemak tubuh, dan lemak visceral. Data yang dikumpulkan pada periode Maret 2015 hingga Maret 2020 (n=3,482) menunjukkan bahwa hampir separuh subjek dengan status gizi normal memiliki adipositas berlebih. Pria ditemukan memiliki lemak visceral lebih tinggi daripada Wanita pada status gizi normal. Kejadian adipositas berlebih pada status gizi normal dikaitkan dengan kejadian sindrom metabolik. Oleh karena itu, diperlukan hasil pemeriksaan komposisi tubuh sebagai dasar perumusan program pencegahan sindrom metabolik.
References
Arner, P., Bernard, S., Appelsved, L., Fu, K.-Y., Andersson, D. P., Salehpour, M., … Spalding, K. L. (2019). Adipose lipid turnover and long-term changes in body weight. Nature Medicine, 25(9), 1385–1389. https://doi.org/10.1038/s41591-019-0565-5
Ashwell, M., Gunn, P., & Gibson, S. (2012). Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obesity Reviews, 13(3), 275–286. https://doi.org/10.1111/j.1467-789X.2011.00952.x
Dybala, M. P., Brady, M. J., & Hara, M. (2019). Disparity in Adiposity among Adults with Normal Body Mass Index and Waist-to-Height Ratio. IScience, 21, 612–623. https://doi.org/10.1016/j.isci.2019.10.062
Gallagher, D., Heymsfield, S. B., Heo, M., Jebb, S. A., Murgatroyd, P. R., & Sakamoto, Y. (2000). Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. The American Journal of Clinical Nutrition, 72(3), 694–701. https://doi.org/10.1093/ajcn/72.3.694
Hocking, S., Samocha-Bonet, D., Milner, K.-L., Greenfield, J. R., & Chisholm, D. J. (2013). Adiposity and Insulin Resistance in Humans: The Role of the Different Tissue and Cellular Lipid Depots. Endocrine Reviews, 34(4), 463–500. https://doi.org/10.1210/er.2012-1041
Jackson, A., Stanforth, P., Gagnon, J., Rankinen, T., Leon, A., Rao, D., … Wilmore, J. (2002). The effect of sex, age and race on estimating percentage body fat from body mass index: The Heritage Family Study. International Journal of Obesity, 26(6), 789–796. https://doi.org/10.1038/sj.ijo.0802006
Kim, Y. J., Lee, Y. H., Lee, Y. J., Kim, K. J., & Kim, S. G. (2021). Weight Gain Predicts Metabolic Syndrome among North Korean Refugees in South Korea. International Journal of Environmental Research and Public Health, 18(16), 8479. https://doi.org/10.3390/ijerph18168479
Kristensen, J. B., Jørgensen, H., & Mu, H. (2006). Diacylglycerol Oil Does Not Affect Portal Vein Transport of Nonesterified Fatty Acids but Decreases the Postprandial Plasma Lipid Response in Catheterized Pigs1. The Journal of Nutrition, 136(7), 1800–1805. https://doi.org/10.1093/jn/136.7.1800
Kuk, J. L., Saunders, T. J., Davidson, L. E., & Ross, R. (2009). Age-related changes in total and regional fat distribution. Ageing Research Reviews, 8(4), 339–348. https://doi.org/10.1016/j.arr.2009.06.001
Lee, S.-Y., Chang, H.-J., Sung, J., Kim, K. J., Shin, S., Cho, I.-J., … Chung, N. (2014). The impact of obesity on subclinical coronary atherosclerosis according to the risk of cardiovascular disease. Obesity, 22(7), 1762–1768. https://doi.org/10.1002/oby.20760
Mayneris-Perxachs, J., Sala-Vila, A., Chisaguano, M., Castellote, A. I., Estruch, R., Covas, M. I., … López-Sabater, M. C. (2014). Effects of 1-Year Intervention with a Mediterranean Diet on Plasma Fatty Acid Composition and Metabolic Syndrome in a Population at High Cardiovascular Risk. PLoS ONE, 9(3), e85202. https://doi.org/10.1371/journal.pone.0085202
Nauli, A. M., & Matin, S. (2019). Why Do Men Accumulate Abdominal Visceral Fat? Frontiers in Physiology, 10. https://doi.org/10.3389/fphys.2019.01486
Navratilova, H. F., Nurdin, N. M., Ekawidyani, K. R., & Sulaeman, A. (2019). Sosialisasi Program Mobil Curhat di Kota Bogor Tahun 2015–2017. Agrokreatif Jurnal Ilmiah Pengabdian Kepada Masyarakat, 5(2), 150–158. https://doi.org/10.29244/agrokreatif.5.2.150-158
Neeland, I. J., Turer, A. T., Ayers, C. R., Powell-Wiley, T. M., Vega, G. L., Farzaneh-Far, R., … de Lemos, J. A. (2012). Dysfunctional Adiposity and the Risk of Prediabetes and Type 2 Diabetes in Obese Adults. JAMA, 308(11), 1150. https://doi.org/10.1001/2012.jama.11132
Rustika, R., Driyah, S., Oemiati, R., & Hartati, N. S. (2019). Prediktor Sindrom Metabolik : Studi Kohor Prospektif Selama Enam Tahun di Bogor, Indonesia. Media Penelitian Dan Pengembangan Kesehatan, 29(3), 215–224. https://doi.org/10.22435/mpk.v29i3.654
Shah, R. v., Murthy, V. L., Abbasi, S. A., Blankstein, R., Kwong, R. Y., Goldfine, A. B., … Allison, M. A. (2014). Visceral Adiposity and the Risk of Metabolic Syndrome Across Body Mass Index. JACC: Cardiovascular Imaging, 7(12), 1221–1235. https://doi.org/10.1016/j.jcmg.2014.07.017
Sihombing, M., & Tjandrarini, D. H. (2015). Faktor Risiko Sindrom Metabolik pada Orang Dewasa di Kota Bogor. Penelitian Gizi Dan Makanan, 38(1), 21–30. https://kink.onesearch.id/Record/IOS1884.article-4418
Smith, U. (2015). Abdominal obesity: a marker of ectopic fat accumulation. Journal of Clinical Investigation, 125(5), 1790–1792. https://doi.org/10.1172/JCI81507
United Nations. (2015). Transforming our world: The 2030 agenda for sustainable development. https://sdgs.un.org/2030agenda
World Health Organization. (2000). Obesity: Preventing and Managing the Global Epidemic. Report of a WHO consultation. https://apps.who.int/iris/handle/10665/42330
Zdrojewicz, Z., Popowicz, E., Szyca, M., Michalik, T., & Śmieszniak, B. (2017). TOFI phenotype – its effect on the occurrence of diabetes. Pediatric Endocrinology Diabetes and Metabolism, 23(2), 96–100. https://doi.org/10.18544/PEDM-23.02.0079
Published
How to Cite
Issue
Section
Copyright (c) 2022 Hana Fitria Navratilova, Sekar Kuswidiarani
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with Poltekita: Jurnal Pengabdian Masyarakat agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
This work is licensed under a Creative Commons Attribution-Share Alike 4.0 International License
You are free to:
- Share, copy and redistribute the material in any medium or format
- Adapt, remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.