Penentuan titik potong skor sindroma metabolik remaja dan penilaian validitas diagnostik parameter antropometri: analisis Riskesdas 2013
Abstract: The risk of death
caused by non-communicable diseases is related to metabolic syndrome. Metabolic
syndrome not only occurs in adults, but also occurs in adolescents. The problem
of metabolic syndrome in adolescents shows the importance of early detection
and management. Early detection of metabolic syndrome in adolescents can be
done through non-invasive approaches such as anthropometric measurements.
However, the definition of metabolic syndrome has so far not reached an
agreement.
Objective: This study aims 1) To know the intersection points of
adolescent metabolic syndrome 2) To know the best anthropometry parameters for
detecting metabolic syndrome in adolescents.
Method: This study used cross sectional design, using Riskesdas 2013
survey data. The sample size of this study was 3273 adolescents aged 15-24
years. The analysis using receiver operating characteristic curve (ROC)
indicated the accuracy of the score to diagnose metabolic syndrome, supported
by area under the curve (AUC) results. The best parameters were seen from the
largest AUC values, taking into account the sensitivity and specificity values.
Results: The metabolic syndrome scores in general for Indonesian
adolescents=2.21 (sensitivity=83%, specificity=84%). Specific cutoff point for
women=2.02 (sensitivity=84%, specificity=85%), and for males=2.40
(sensitivity=86%, specificity=82%). The best anthropometric parameters for
detecting metabolic syndrome in adolescents are abdominal circumference
(AUC=0.77; sensitivity=71%, specificity=67%).
Conclusion: Abdominal circumference has the best validity and can be used
for early detection of the risk of metabolic syndrome in adolescents
Keywords: anthropometric
parameter; cut off point; Indonesian adolescent; metabolic syndrome score
Penulis: Zahra Anggita Pratiwi
Kode Jurnal: jpkesmasdd170545
