Skrining dan Uji Diagnostik Abnormalitas Lemak pada Lansia di Kecamatan Pundong, Kabupaten Bantul
Abstract: Cardiovascular
diseases occupied top ten disease in Bantul district. Dyslipidemia become a
major risk factor. Screening for hypercholesterolemia in Indonesia were rarely
carried out and usually took urban background. Validity test of the Body Fat
Analyzer (BFA) for public health screening also have not been reported.
Therefore, this study aims to determine the prevalence of lipid abnormalities
and the validity of BFA as a screening tool. Method: Using crosssectional
design, this study was located in Pundong that had rural characteristics. With
convenience sampling method, subjects were 82 elderly in 4 hamlet. Lipid
abnormalities were measured by BFA. Blood cholesterol became gold standard on
the cut off point of 239 mg/dl. Diagnostic test is made using 2x2 table
calculation and X2 test. Results: This study found the prevalence of overweight
and obesity (19.5% and 2.4%), prevalence of abnormal body faat (75.6%);
prevalence of abnormal abdominal fat (20.8%); and prevalence of
hypercholesterolemia (15.9%). Best validity demonstrated by the examination of
a single Body Mass Index (BMI) (sensitivity 61.54%, specificity 85.51% NDP
44.44%; nd 92.19%, p=0.001). Conclusion: This result most closely approximates
the prevalence in rural China. Besides being more valid, a single BMI checks
are also easier and cheaper than the BFA. Therefore, the use of normal scales
can be maximized. BMI measurement and interpretation should be socialized.
Keywords: abnormality; body
fat analyzer; body mass; elderly; fat, hypercholesterolemia; screening
Penulis: Maftuhah Nurbeti,
Theodola Baning Rahayujati, Tarsisius Bintarta Heru Santosa
Kode Jurnal: jpkesmasdd170407
