Electronic Theses and Dissertation

Latar belakang: Sindrom metabolik merupakan kelainan metabolik terdiri dari peningkatan lingkar pinggang, peningkatan trigliserida, penurunan high density lipoprotein (HDL), peningkatan tekanan darah, dan peningkatan glukosa darah. Menurut World Health Organization (WHO) seseorang individu yang mempunyai 3 dari 5 gejala/tanda tersebut dinyatakan menderita sindrom metabolik. Sindrom metabolik diketahui memengaruhi terhadap kejadian penyakit kardiovaskular dan diabetes melitus pada remaja.
Tujuan: Mengetahui faktor risiko terjadinya sindrom metabolik pada remaja di Sekolah Keberbakatan Olahraga.
Metode: Penelitian menggunakan rancangan analitik cross sectional. Populasi penelitian berjumlah 86 siswa. Terdapat 43 siswa memenuhi kriteria penelitian. Penelitian dilakukan pada bulan Januari s.d Agustus Tahun 2024. Data penelitian diperoleh dari pengukuran berat badan, tinggi badan, lingkar pinggang, pengukuran tekanan darah, kadar glukosa darah sewaktu, HDL, dan trigliserida. Uji bivariat menggunakan uji-chi square, analisis multivariat dengan uji regresi logistik.
Hasil: Subjek penelitian didominasi siswa laki-laki berjumlah 25 orang (58,1%). Berdasarkan IMT, 32 subjek (74,4%) memiliki status gizi normal, sedangkan 11 subjek gizi kurang (11,6%), 11 subjek gizi lebih (11,6%), dan 1 subjek (2,3 %) obesitas. Tidak ada subjek yang mengalami peningkatan tekanan darah dan glukosa darah. Terdapat 13 subjek (30,2%) mengalami peningkatan lingkar pinggang, 4 subjek (9,3%) mengalami penurunan kadar HDL, dan 11 subjek (25,6%) mengalami peningkatan trigliserida. Analisis bivariat dan multivariat menunjukkan variabel berpengaruh terhadap kejadian sindrom metabolik adalah lingkar pinggang dan kadar trigliserida (nilai p 0,012, IK 95%;1,107-2,319 dan p 0,014 IK 95%;1,023-1,220).
Kesimpulan: Peningkatan lingkar pinggang dan trigliserida berpengaruh terhadap kejadian sindrom metabolik pada remaja.

Kata kunci: sindrom metabolik, jenis kelamin, IMT, lingkar pinggang, tekanan darah, glukosa darah, trigliserida, HDL, remaja.

Background: Metabolic syndrome is a metabolic disorders that consist of increased waist circumference, increased blood triglyceride levels, decreased blood high density lipoprotein (HDL) levels, high blood pressure, and increased blood glucose. According to the World Health Organization (WHO), an individual who has 3 of the 5 symptoms/signs is considered to have metabolic syndrome. Metabolic syndrome is known to influence the incidence of cardiovascular disease and diabetes mellitus in adolescents. Objective: To determine the risk factors that cause metabolic syndrome in adolescents at Aceh Sport Senior High School. Methods: This study used an analitic cross-sectional design. The total number of research population was 86 students, There were 43 students who fulfill the research criteria.The research was conducted from January to August 2024. Data were collected from anthropometric measurements of body weight, height, and waist circumference, blood pressure measurements, blood glucose, HDL, and triglycerides. Bivariate test was conducted with chi-square test, then continued multivariate analysis with logistic regression test. Results: The research subjects were dominated by male students totaling 25 people (58.1%). Based on BMI, 32 subjects (74.4%) had normal nutritional status, while 11 subjects were underweight (11.6%), 11 subjects were overweight (11.6%), and 1 subject (2.3%) was obese. None of the subjects had elevated blood pressure and blood glucose. There were 13 subjects (30.2%) had an increase in waist circumference above the 90th percentile, 4 subjects (9.3%) had a decrease in HDL levels, 11 subjects (25.6%) had an increase in triglycerides. Bivariat and multivariate analysis showed that the variables that influenced the incidence of metabolic syndrome were waist circumference and triglyceride levels (p value 0.012, 95% CI 1.107-2.319 and p 0.014 95% IK 1.023-1.220). Conclusion: Increased waist circumference and triglycerides significantly influenced the incidence of metabolic syndrome in adolescents. Keywords: metabolic syndrome, gender, BMI, waist circumference, blood pressure, blood glucose, triglycerides, high density cholesterol, adolescent.