Kecenderungan dehidrasi pada remaja obesitas

Abstract

Background : The content of water in fat cells in obese people is lower than muscle cells so that obese people are more easily dehydrated.Objective : The purpose of this study is to determine the risk factors of dehydration in adolescents.Methods : This study was a cross sectional study which began with screening of 168 students at SMA N 1 and 2 Semarang and found 63 students fulfilled the inclusion criteria. Subjects were selected by consecutive sampling. The dependent variable of this study is hydration status measured by the urine spesific gravity method. The independent variables consisted of obesity status that determined by the BMI/Age Z-score value, fluid intake was assessed using Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), physical activity was assessed using physical activity questionnaire, whereas knowledge regarding fluid was assessed by questionnaire. Data were analyzed using Chi Square test.Results ; There were 52,4% (n=33) subjects who were obese and only 9,5% (n=6) subjects were well-hydrated. The incidence of dehydration in obese adolescents (63,6%) was higher than non obese adolescents (36,7%). Obese subjects was 1.73 times more dehydrated than non obese subjects. Subject with deficiency of fluid intake was 1,85 times more dehydrated than subject with adequate fluid intake. Knowledge regarding fluid and physical activity was not a risk factor for dehydration in adolescents.Conclusion :Obesity and inadequate fluid intake ia risk factor for dehydration in adolescents

Promosi Kesehatan “Peduli Kesehatan Ginjal Remaja” Pada Peserta Didik SMA Muhammadiyah 2 Pontianak

“…Diantara kelompok usia tersebut, remaja menjadi kelompok rentan, karena terjadi perubahan hormonal, fisik, psikologis maupun sosial yang berlangsung secara cepat 3 . Di masa ini, remaja cenderung lebih aktif melakukan kegiatan fisik dan terdapat pula perubahan metabolisme dalam tubuh sehingga kebutuhan akan asupan cairan meningkat.…”

“…Penelitian The Indonesian Regional Hydration Study (THIRST) pada tahun 2009, mengemukakan bahwa sebesar 46,1% penduduk Indonesia mengalami dehidrasi ringan, dimana remaja memiliki tingkat dehidrasi ringan yang lebih tinggi (49,5%) dibandingkan dengan dewasa (42,5%) 3 . Sebanyak 24,75% remaja di dataran tinggi dan 41,70% remaja di dataran rendah mengalami dehidrasi ringan.…”

“…Hilangnya cairan dalam tubuh yang berlebih yang diikuti kurangnya konsumsi cairan akan menyebabkan dehidrasi. Dehidrasi yang tidak segera diatasi akan menyebabkan gangguan mood, kelelahan dan memberikan efek lemah 3 . Jika dehidrasi berlanjut, maka akan meningkatkan risiko penyakit batu ginjal, infeksi saluran kencing, kanker usus besar, konstipasi, obesitas, stroke pembuluh darah otak, dan gangguan yang lainnya 6 .…”