Hubungan antara Durasi Tidur dengan Asupan Makan, Aktivitas Fisik dan Kejadian Obesitas Pada Mahasiswa Program Studi Pendidikan Dokter UIN Maulana Malik Ibrahim Malang

Ermin Rahmawati, Nimas Eka Firdaningrum, Achdiat Agoes

Abstract


Durasi tidur yang pendek merupakan masalah yang kerap dihadapi oleh mahasiswa kedokteran. Disisi lain, obesitas merupakan salah satu masalah gizi utama di dunia termasuk Indonesia, dengan salah satu faktor resiko yaitu gangguan fungsi tidur. Penelitian ini bertujuan untuk meneliti hubungan antara durasi tidur dengan asupan makan, aktivitas fisik dan kejadian obesitas pada mahasiswa PSPD UIN Maulana Malik Ibrahim Malang. Penelitian ini merupakan studi cross sectional dengan teknik cluster sampling. Sebanyak 78 mahasiswa PSPD UIN Maulana Malik Ibrahim Malang berpartisipasi sebagai responden penelitian ini. Durasi tidur diukur dengan menggunakan kuisioner Rerata Durasi Tidur dalam 1 minggu, asupan makan diukur dengan kuisioner 24 Hours Food Recall, aktivitas fisik diukur dengan kuisioner GPAQ (Global Physical Activity Questionnaire) dan kejadian obesitas dinilai dari BMI (Body Mass Index), BMI diukur dengan menggunakan timbangan berat badan dan tinggi badan SMIC ZT-120. Data yang diperoleh diolah mengggunakan statistik deskriptif dan inferensial, dengan uji analisis chi-square. Dari total 78 responden, didapatkan bahwa sebagian besar mahasiswa memiliki durasi tidur yang buruk (<6 jam; 53,8%), sedangkan mahasiswa yang memiliki durasi tidur cukup (6 jam) sebesar 28,2% dan durasi tidur baik (7-9 jam) sebesar 17,9%. Hasil analisis chi-square menunjukkan bahwa durasi tidur memiliki hubungan yang signifikan dengan asupan makan (p-value= 0,000) dan kejadian obeistas (p-value= 0,000), tetapi durasi tidur tidak memiliki hubungan yang signifikan dengan aktivitas fisik (p-value= 0,171). Durasi tidur yang buruk memiliki hubungan dengan kejadian obesitas melalui asupan makan, tapi tidak dengan aktivitas fisik.

Kata kunci : Kata kunci : Body Mass Index, Asupan Makan, Kejadian Obesitas, Aktivitas Fisik, Durasi Tidur


Full Text:

PDF

References


Brick, C.A., Seely, D.L., Palermo, T.M., 2010. Association between Sleep Hygiene and Sleep Quality in Medical Students. Behav Sleep Med, 8(2):113-121.

Sweileh, W.M., Ali, I.A., Sawalha, A.F., Abu-Taha, A.S., Zyoud, S.H., Al-Jabi, S.W., 2011. Sleep Habits and Sleep Problems among Palestinian Students. Child Adolesc Ment Health, 5(1): 1-25.

Rachmawati, E., Farid Wafi, M., Resmi Melani, I., 2017. Correlation Between Academic Stress, Sleep Quality, Circadian Misalignment, Cortisol Concentration and Heart Rate Value at the First Year Medical Student at the State Islamic University Maulana Malik Ibrahim of Malang:, Dalam: Proceedings of Surabaya International Physiology Seminar. Presented at the Surabaya International Physiology Seminar, SCITEPRESS - Science and Technology Publications, Jawa Timur, Indonesia, 84-90.

Rachmawati, Ermin dan Riskiyana. 2018. Pengaruh Kekurangan Tidur terhadap Tekanan Sistolik dan Konsentrasi Nitric Oxide pada Mahasiswa Kedokteran Wilayah Malang. Unpublished.

Finkelstein, E.A., Khavjou, O.A., Thompson, H., Trogdon, J.P., Pan, L., Sherry, B., Dietz, W., 2012. Obesity and Severe Obesity Forecasts through 2030. Am J Prev Med, 42(6): 563-570.

KEMENKES RI. 2018. Hasil Utama Riset Kesehatan Dasar 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia.

WHO. 2016. World Health Statistics 2015 Part II: Global Health Indicators. Geneva: World Health Organization.

KEMENKES RI. 2017. Panduan Pelaksanaan Gerakan Nusantara Tekan Angka Obesitas (GENTAS). Jakarta: Direktorat Pencegahan dan Pengendalian Penyakit Tidak Menular Kementrian Kesehatan Republik Indonesia.

Hayes, J.F., Balantekin, K.N., Altman, M., Wilfley, D.E., Taylor, C.B., Williams, J., 2018. Sleep Patterns and Patterns and Quality are Associated with Severity of Obesity and WeightRelated Behaviors in Adolescents with Overweight and Obesity. Childhood Obesity, 14(1): 11-17.

Marfuah, D., Hadi, H., Huriyati, E., 2016. Durasi dan Kualitas Tidur Hubungannya dengan Obesitas pada Anak Sekolah Dasar di Kota Yogyakarta dan Kabupaten Bantul. Jurnal Gizi dan Dietik Indonesia, 1(2): 93-101.

Chung, K.F., Kan, K.K.K., Yeung, W.F., 2013. Sleep Duration, Sleep– Wake Schedule Regularity and Body Weight in Hong Kong Chinese Adolescents. Biol Rhythm Res, 44:169–179.

Adamo, K.B., Wilson, S., Belanger, K., Chaput, J.P., 2014. Later Bedtime is Associated with Greater Daily Energy Intake and Screen Time in Obese Adolescents Independent of Sleep Duration. Dalam: Vash PD. Complexity of Adolescent Obesity: Causes, Correlates, and Consequences. Canada: Apple Academic Press Oakville.

Zimberg, I.Z., Dâmaso, A., Del Re, M., Carneiro, A.M., Sá Souza, H., Lira, F.S., Tufik, S., Mello, M.T., 2012. Short sleep duration and obesity: mechanisms and future perspectives: SLEEP AND OBESITY. Cell Biochem. Funct. 30, 524–529.

Ramadhaniah, R., Julia, M., Huriyati, E., 2014. Durasi tidur, Asupan energi dan Aktivitas fisik dengan Kejadian Obesitas pada Tenaga Kesehatan Puskesmas. Jurnal Gizi Klinik Indonesia, 11(2): 85-96.

Karen, J.M., Robert, K., Hal, J., Richard, B., 2014. Nelson Ilmu Kesehatan Anak Esensial. Jakarta: ELSEVIER.

Chaput, J.P., Dutil, C., SampasaKanyinga, H., 2018. Sleeping Hours: What is The Ideal Number and How does Age Impact This. Dovepress Journal: Nature and Science of Sleep, 10: 421-430.

Brick, C.A., Seely, D.L., Palermo, T.M., 2010. Association between Sleep Hygiene and Sleep Quality in Medical Students. Behav Sleep Med, 8(2):113-121.

Feng, G., Chen, J., Yang, X. 2005. Study on The Status and Quality of Sleep-Related Influencing Factors in Medical College Students. Zhonghua Liu Xing Bing Xue Za Zhi, 26: 328– 331.

Suen, L.K.P., Ellis Hon, K.L., Tam, W.W.S. 2008. Association between Sleep Behavior and Sleep‐Related Factors among University Students in Hong Kong. Chronobiology International, 25(5): 760–775.

Alaswad, W., Renad, A., Fawzy, S., 2017. Differene of Sleeping Patterns and Habit between First and Third Year Medical Students. Internatonal Journal of Medical and Health Research, 3(12): 16-21.

Chaput, J.P., Dutil, C., SampasaKanyinga, H., 2018. Sleeping Hours: What is The Ideal Number and How does Age Impact This. Dovepress Journal: Nature and Science of Sleep, 10: 421-430

Del Pozo-Cruz, B., Gant, N., Del Pozo-Cruz, J., Maddison, R. 2017. Relationships Between Sleep Duration, Physical Activity and Body Mass Index in Young New Zealanders: An Isotemporal Substitution Analysis. Plos One, 12(9): 1-12.

Maugeri, A., Medina-Inojosa, J., Kunzova, S., Agodi, A., Barchitta, M., Sochor, O., Lopez-Jimenez, F., Geda, Y., Vinciguerra, M., 2018. Sleep Duration and Excessive Daytime Sleepiness Are Associated with Obesity Independent of Diet and Physical Activity. Nutrients 10 (1219): 1-13.

Hagenauer MH dan Lee TM. 2013. Adolescent Sleep Patterns in Humans and Laboratory Animals. Horm Behav 64:270–279.

Patterson, R.E., Emond, J.A., Natarajan, L., Wesseling-Perry, K., Kolonel, L.N., Jardack, P., AncoliIsrael, S., Arab, L., 2014. Short Sleep Duration is Associated with Higher Energy Intake and Expenditure among African-American and Non-Hispanic White Adults. J. Nutr. 144: 461–466.

Weiss, A., Xu, F., Storfer-Isser, A., Thomas, A., Ievers-Landis, C.E., Redline, S. 2010. The Association of Sleep Duration with Adolescent’s Fat and Carbohydrate Consumption. Sleep. 33(9): 1201-1209.

Sutanto, C. M., Wang, M. X., Tan, D., Kim, J. E. 2020. Association of Sleep Quality and Macronutrient Distribution: A Systematic Review and Meta-Regression. MDPI.J. Nutrients. 12(126): 1-21.

Spiegel, K., Esra, T., Plamen, P., Eve, V.C. 2004. Brief Communication: Sleep Curtailment in Healthy Young Men Is Associated With Decreased Leptin Levels, Elevated Ghrelin Levels, And Increased Hunger And Appetite. Ann Intern Med, 141: 846– 850

Spaeth, A.M., Dinges, D.F., Goel, N. 2013. Effects of Experimental Sleep Restriction on Weight Gain, Caloric Intake, and Meal Timing in Healthy Adults. Sleep. 36:981–990.

Silva, M.-R.G., Silva, H.-H., Paiva, T. 2018. Reduced or Escessive Sleep Duration is Associated to The Consumption of High Caloric Food in Young Roller-Hockey Players. Clinical Nutrition. 37: S231.

Dashti, H.S., Scheer, F.A., Jacques, P.F., Lamon-Fava, S., Ordovás, J.M., 2015. Short Sleep Duration and Dietary Intake: Epidemiologic Evidence, Mechanisms and Health Implications. Adv Nutr American Society for Nutrition, 6: 648–659.

Carneiro, B.T.; Araujo, J.F. 2009. The food-entrainable oscillator: A network of interconnected brain structures entrained by humoral signals? Chronobiol. Int. 26:1273–1289.

Bel, S., Michels, N., De Vriendt, T., Patterson, E., Cuenca-García, M., Diethelm, K., Gutin, B., Grammatikaki, E., Manios, Y., Leclercq, C., Ortega, F.B., Moreno, L.A., Gottrand, F., Gonzalez-Gross, M., Widhalm, K., Kafatos, A., Garaulet, M., Molnar, D., Kaufman, J.-M., Gilbert, C.C., Hallström, L., Sjöström, M., Marcos, A., De Henauw, S., Huybrechts, I. 2013. Association Between Self-Reported Sleep Duration And Dietary Quality In European Adolescents. British Journal of Nutrition, 110: 949–959.

Štefan, L., Vrgoč, G., Rupčić, T., Sporiš, G., Sekulić, D. 2018. Sleep Duration and Sleep Quality Are Associated with Physical Activity in Elderly People Living in Nursing Homes. Int. J. Environ. Res. Public Health 15, 2512: 19.

Riso, E.M., Kull, M., Mooses, K., Jürimäe, J. 2018. Physical Activity, Sedentary Time and Sleep Duration: Associations with Body Composition in 10-12-year-old Estonian School Children. BMC Public Health. 18(496): 1-7.

Garaulet, M., Ortega, F.B., Ruiz, J.R., Rey-Lo´pez, J.P., Be´ghin, L., Manios, Y., Cuenca-Garcı´a, M., Plada, M., Diethelm, K., Kafatos, A., Molna´r, D., Al-Tahan, J., Moreno, L.A., 2011. Short Sleep Duration is Associated with Increased Obesity Markers in European Adolescents: Effect of Physical Activity and Dietary Habits. The HELENA Study. International Journal of Obesity. 35(10):1308–1317.

Shlisky, J.D., Hartman, T.J., KrisEtherton, P.M., Rogers, C.J., Sharkey, N.A., Nickols-Richardson, S.M. 2012. Partial Sleep Deprivation and Energy Balance in Adults: An Emerging Issue for Consideration by Dietetics Practitioners. J. Acad. Nutr. Diet, 112(11): 1785–1797.

Klingenberg, L., Sjodin, A., Holmback, U., Astrup, A., Chaput, J.P. 2012. Short Sleep Duration and Its Association with Energy Metabolism. Obes. Rev, 13(7): 565– 577.

Kobel, S., Wartha, O., Dreyhaupt, J., Kettner, S., Steinacker, J.M. 2019. Cross-Sectional Associations of Objectively Assessed Sleep Duration With Physical Activity, BMI And Television Viewing In German Primary School Children. BMC Pediatr. 19, 54: 1-10.




DOI: https://doi.org/10.18860/jim.v5i1.11674

Refbacks

  • There are currently no refbacks.


 

Editorial Office:

Faculty of Medical and Health Sciences,
Universitas Islam Negeri Maulana Malik Ibrahim
Gedung Ibnu Thufail Lt.1, Jln. Locari, Desa Tlekung, Kota Batu
Phone (+62) 85746163772, (+62) 85259506000, Faximile (+62) 341 558933
e-mail: medicaljournal@uin-malang.ac.id


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