THE RELATIONSHIP OF OBESITY WITH THE INCIDENCE OF DIABETES MELLITUS IN WORKING AREA OF SUKODONO HEALTH CENTER

Abstract

Obesity is defined as the accumulation of excess fat in the body. Obesity causes various
health problems, one of which is diabetes mellitus. Diabetes mellitus (DM) is a chronic metabolic
disorder that causes the greatest morbidity and mortality characterized by high blood sugar levels. In
Sukodono Health Center, diabetes ranks fourth among 18 health centers in Sidoarjo. This study aims
to analyze the relationship of obesity, both obesity based on body mass index (BMI) or central obesity
based on abdominal circumference (LP) with the incidence of DM in the Sukodono Puskesmas work
area. The research design used analytic observations with a cross sectional approach. The sampling
technique used total sampling of 77 respondents. Of the 77 respondents, 37 people (48%) had BMI
obesity, 53 people (69%) had central obesity, and 20 people (26%) had DM. The results of the data
analysis of the chi-square test obtained p = 0.3 which means p > 0.05 so that there is no relationship
between BMI obesity and the incidence of DM and obtained p = 0.00 which means p < 0.05 so that
there is a relationship between central obesity and the incidence of DM. The majority of respondents
who have diabetes also have BMI obesity or central obesity. This condition occurs due to factors of
age, gender, accumulation of fat under the abdomen, and people who are less able to maintain an ideal
body IMT. It is known that accumulated fat (obesity) can cause inflammation in the body and if left
unchecked will interfere with the work of insulin, causing metabolic abnormalities that increase the
risk of insulin retention and diabetes mellitus.