Faktor-Faktor Yang Memengaruhi Indeks Massa Tubuh Terhadap Pasien Skizofrenia Di Rs. Jiwa Daerah Provinsi Lampung

Festy Ladyani Mustofa, Agnes Novena Kurniawan, Ni Putu Sudiadyani

Sari


Skizofrenia ditandai dengan gangguan pikiran, emosi, perilaku, dan dapat dipicu oleh faktor genetik, usia, jenis kelamin, pekerjaan, konflik keluarga, dan status ekonomi. Kesehatan gizi juga berperan penting dalam pengelolaan skizofrenia, karena masalah gizi dapat memperburuk kondisi dan kualitas hidup penderita. Masalah gizi menjadi penyebab penting dalam kesehatan penderita skizofrenia, dengan gizi kurang atau lebih dapat memperburuk kondisi fisik dan fungsional. Risiko berat badan berlebih dan peningkatan Indeks Massa Tubuh (IMT) pada penderita skizofrenia berhubungan dengan penurunan kualitas hidup. Untuk mengetahui faktor-faktor yang mempengaruhi indeks massa tubuh terhadap pasien skizofrenia di Rumah Sakit Jiwa Provinsi Lampung. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan desain penelitian deskriptif analitik dengan pendekatan cross sectional, dengan menggunakan data sekunder berupa rekam medik pasien RS. Jiwa Daerah Provinsi Lampung tahun 2023 berjumlah 160 sampel yang memenuhi kriteria. Penelitian ini dilaksanakan pada 26 April – 4 Mei 2024. Berdasarkan hasil penelitian didapatkan distribusi frekuensi dari karakteristik reponden di RS. Jiwa Daerah Provinsi Lampung tahun 2023 didominasi pasien skizofrenia terinci (56,3%%), IMT tidak normal (63,7%), berusia >25 tahun (60%), berjenis kelamin laki-laki (53.8%), tidak bekerja (51,3%), dan berpendidikan dasar (88,7%). Terdapat pengaruh IMT terhadap faktor risiko usia dengan peluang sebanyak 0.342 kali, jenis kelamin dengan peluang sebanyak 1.977 kali, dan pekerjaan dengan peluang sebanyak 4.364 kali. Sedangkan faktor pendidikan tidak memiliki pengaruh terhaadap IMT dengan nilai P=0.115.


Kata Kunci


Indeks Massa Tubuh; Faktor risiko; Skizofrenia

Teks Lengkap:

PDF

Referensi


Auliati, O. (2021). Pengaruh Perbedaan Jenis Kelamin Terhadap Indeks Massa Tubuh Pada Pasien Skizofrenia. 2021.

Bramming, M., Jørgensen, M.B., Christensen, A.I., Lau, C.J., Egan, K.K., Tolstrup, J.S., 2019. BMI and Labor Market Participation: A Cohort Study of Transitions Between Work, Unemployment, and Sickness Absence. Obesity 27. https://doi.org/10.1002/oby.22578

Fawaid, S. M. (2021). Hubungan Indeks Massa Tubuh (Imt) Dengan Hipertensi Pada Pra Lansia Di Puskesmas Sumbersari Skripsi.

Fitrikasari, A., & Kartikasari, L. (2022). Buku Ajar Skizofrenia Final 2022. Fakultas Kedokteran Universitas Diponegoro.

Galderisi, S., Rucci, P., Kirkpatrick, B., Mucci, A., Gibertoni, D., Rocca, P., Rossi, A., Bertolino, A., Strauss, G.P., Aguglia, E., Bellomo, A., Murri, M.B., Bucci, P., Carpiniello, B., Comparelli, A., Cuomo, A., De Berardis, D., Dell’Osso, L., Di Fabio, F., Gelao, B., Marchesi, C., Monteleone, P., Montemagni, C., Orsenigo, G., Pacitti, F., Roncone, R., Santonastaso, P., Siracusano, A., Vignapiano, A., Vita, A., Zeppegno, P., Maj, M., 2018. Interplay among psychopathologic variables, personal resources, context-related factors, and real-life functioning in individuals with schizophrenia a network analysis. JAMA Psychiatry 75. https://doi.org/10.1001/jamapsychiatry.2017.4607

Golenkov, A. V., Madyanov, I. V., Shmeleva, S. V., Petrova, G.D., Kamynina, N.N., Logachov, N. V., 2020. The relationship between body mass index and mental disorders in the adult population. Health Care of the Russian Federation 64. https://doi.org/10.46563/0044-197X-2020-64-6-336-342

Hidese, S., Matsuo, J., Ishida, I., Hiraishi, M., Teraishi, T., Ota, M., Hattori, K., Kunugi, H., 2018. Relationship of handgrip strength and body mass index with cognitive function in patients with schizophrenia. Front Psychiatry 9. https://doi.org/10.3389/fpsyt.2018.00156

Jones, C., Hacker, D., Meaden, A., Cormac, I., Irving, C. B., Xia, J., Zhao, S., Shi, C., & Chen, J. (2018). Cognitive behavioural therapy plus standard care versus standard care plus other psychosocial treatments for people with schizophrenia. In Cochrane Database of Systematic Reviews (Vol. 2018, Issue 11). John Wiley and Sons Ltd. https://doi.org/10.1002/14651858.CD008712.pub3

Jeong, S.M., Lee, D.H., Rezende, L.F.M., Giovannucci, E.L., 2023. Different correlation of body mass index with body fatness and obesity-related biomarker according to age, sex and race-ethnicity. Sci Rep 13. https://doi.org/10.1038/s41598-023-30527-w

Kim, S.W., Park, W.Y., Jhon, M., Kim, M., Lee, J.Y., Kim, S.Y., Kim, J.M., Shin, I.S., Yoon, J.S., 2019. Physical health literacy and health-related behaviors in patients with psychosis. Clinical Psychopharmacology and Neuroscience 17. https://doi.org/10.9758/cpn.2019.17.2.279

Kemenkes. (2019). Keputusan Menteri Kesehatan Republik Indonesia.

Le Strat, Y., Melchior, M., Gorwood, P., Tebeka, S., Dubertret, C., 2020. The role of comorbidity in the association of obesity with unemployment and disability. Ann Epidemiol 45. https://doi.org/10.1016/j.annepidem.2020.03.004

Marthoenis, M., Martina, M., Alfiandi, R., Dahniar, D., Asnurianti, R., Sari, H., Nassimbwa, J., & Arafat, S. M. Y. (2022). Investigating Body Mass Index and Body Composition in Patients with Schizophrenia: A Case-Control Study. Schizophrenia Research and Treatment, 2022. https://doi.org/10.1155/2022/1381542

Miller, K.B., Stuart, D.A., Smith, N.L., Lee, C.Y., McHale, N.L., Flanagan, J.A., Ou, B., Hurst, W.J. 2006. Antioxidant Activity and Polyphenols and Procyanidin Contents of Selected Commercially Available Cocoa Containing and Chocolate Product in The United States. Journal of Agricultural and Food Chemistry. 54 (11): 4062-4068

Rokayah, I. (2021). Gambaran asuhan keperawatan jiwa dengan gangguan sensori persepsi : halusinasi pendengaran pada kasus skizofernia terhadap Tn. H di Rumah Sakit Jiwa Daerah Provinsi Lampung.

Seeman, M. V., 2021. Sex differences in schizophrenia relevant to clinical care. Expert Rev Neurother. https://doi.org/10.1080/14737175.2021.1898947

Stauder, J., 2019. Unemployment, unemployment duration, and health: selection or causation? European Journal of Health Economics 20. https://doi.org/10.1007/s10198-018-0982-2

Stubbs, B., Vancampfort, D., Hallgren, M., Firth, J., Veronese, N., Solmi, M., Brand, S., Cordes, J., Malchow, B., Gerber, M., Schmitt, A., Correll, C.U., De Hert, M., Gaughran, F., Schneider, F., Kinnafick, F., Falkai, P., Möller, H.J., Kahl, K.G., 2018. EPA guidance on physical activity as a treatment for severe mental illness: a meta-review of the evidence and Position Statement from the European Psychiatric Association (EPA), supported by the International Organization of Physical Therapists in Mental Health (IOPTMH). European Psychiatry 54. https://doi.org/10.1016/j.eurpsy.2018.07.004

Sun, M.J., Jang, M.H., 2020. Risk factors of metabolic syndrome in communitydwelling people with schizophrenia. Int J Environ Res Public Health 17. https://doi.org/10.3390/ijerph17186700

Tzeng, W.C., Chiang, Y.S., Feng, H.P., Chien, W.C., Tai, Y.M., Chen, M.J., 2020. Gender differences in metabolic syndrome risk factors among patients with serious mental illness. Int J Ment Health Nurs 29. https://doi.org/10.1111/inm

Wei, C. W., Chen, Y. Q., Ma, M., Xiu, M. H., & Zhang, X. Y. (2020). Sex differences in the association of body mass index with symptoms and cognitive deficits in Chinese patients with chronic schizophrenia. Translational Psychiatry, 10(1). https://doi.org/10.1038/s41398-020-0717-x

WHO. Schizophrenia [Internet]. 2019. Available from:

Zhou, Y., Li, Y., Meng, Y., Wang, J., Wu, F., Ning, Y., Li, Y., Cassidy, R. M., Li, Z., & Zhang, X. Y. (2020). Neuregulin 3 rs10748842 polymorphism contributes to the effect of body mass index on cognitive impairment in patients with schizophrenia. Translational Psychiatry, 10(1). https://doi.org/10.1038/s41398-020-0746-5




DOI: https://doi.org/10.33024/jikk.v11i11.16019

Refbacks

  • Saat ini tidak ada refbacks.


##submission.copyrightStatement##

##submission.license.cc.by-nc4.footer##

Pendidikan Dokter Universitas Malahayati Lampung



Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.