Factor associated with central obesity among patients with non-communicable disease in Urban area of Gorontalo

Fitri Yani Arbie* -  DIII Nutrition Study Program, Department of Nutrition, Poltekkes Kemenkes Gorontalo, Indonesia
Nuryani Nuryani -  Applied Nutrition and Dietetics Undergraduate Program, Poltekkes Kemenkes Gorontalo, Indonesia
Fatmayanti Nawai -  Poltekkes Kemenkes Gorontalo, Indonesia
Ayu Bulan Febry KD -  DIII Nutrition Study Program, Department of Nutrition, Poltekkes Kemenkes Gorontalo, Indonesia
Vera Tasintimbang Harikedua -  Applied Nutrition and Dietetics Undergraduate Program, Poltekkes Kemenkes Manado, Indonesia
Nonce Nova Legi -  Applied Nutrition and Dietetics Undergraduate Program, Poltekkes Kemenkes Manado, Indonesia
Non-communicable disease (NCD) is a chronic health condition caused by various factors, such as age, physical activity, obesity, and economic status, which can increase the risk of unhealthy living conditions. This study aimed to identify factors associated with the occurrence of central obesity in patients with NCDs using a quantitative approach with a cross-sectional study design calculated using the Slovin formula, involving 207 people who filled out the questionnaire instrument. Sample collection using stratified sampling with inclusion criteria for patients with NCD at five community health centers in Gorontalo City from June to October 2024. After normality testing, the independent sample t-test and Mann-Whitney U test were used to analyze the data. The research results showed the characteristics of the respondents with diabetes mellitus (52,7%) and hypertension (25,2%). The overall incidence of central obesity was 75,8%. Bivariate analysis indicated a relationship between physical activity (p=0,008), sex (p=0,000), smoking habits (p=0,000), long illness of NCDs (p=0,049), and the incidence of central obesity, while there was no association between family history of NCDs (p=0,935), income (p=0,941), and central obesity. The factors related to the incidence of central obesity in NCDs patients are physical activity, sex, smoking habits, and prolonged illness.

Keywords : Physical activity, Risk factors , central obesity

  1. Akhter, N., Begum, K., Nahar, P., Cooper, G., Vallis, D., Kasim, A., & Bentley, G. R. (2021). Risk factors for non-communicable diseases related to obesity among first-and second-generation Bangladeshi migrants living in north-east or south-east England. International Journal of Obesity, 45(7), 1588–1598.
  2. Al Rahmad, A. H. (2021). Faktor risiko obesitas pada guru sekolah perempuan serta relevansi dengan PTM selama pandemi Covid-19. Amerta Nutrition, 5(1), 31–40. https://doi.org/10.20473/amnt.v5i1.2021.31-40
  3. Al Rahmad, A. H., Fitri, Y., Suryana, S., Mulyani, N. S., Fajriansyah, F., & Abdul, H. (2020). Analysis of the Relationship between Nutritional Influence with the Obesity Phenomenon among Primary School Students in Banda Aceh Province, Indonesia. Open Access Macedonian Journal of Medical Sciences, 8(E), 267–270. https://doi.org/10.3889/oamjms.2020.3471
  4. Arundhana, A. I., Utami, A. P., Muqni, A. D., & Thalavera, M. T. (2018). Regional differences in obesity prevalence and associated factors among adults: Indonesia Basic Health Research 2007 and 2013. Malaysian Journal of Nutrition, 24(2).
  5. Bohari, B., Nuryani, N., Abdullah, R., Amaliah, L., & Hafid, F. (2021). Association physical activity and central obesity with hyperglycemia among adult women: Cross-sectional study. AcTion: Aceh Nutrition Journal, 6(2), 199–206.
  6. Cerf, M. E. (2021). Healthy lifestyles and noncommunicable diseases: nutrition, the life‐course, and health promotion. In Lifestyle Medicine (Vol. 2, Nomor 2, hal. e31). Wiley Online Library.
  7. Chen, J., Xiao, Y., Yan, C., Li, X., Zhang, Y., Chen, Y., Huang, Y., & Deng, R. (2024). The relationship between the number of chronic diseases and health-related quality of life among middle-aged and older adults in rural areas of Yunnan province, China: moderating effect of health lifestyle. Journal of Multidisciplinary Healthcare, 2425–2439.
  8. Ching, Y. K., Appukutty, M., Gan, W. Y., Chan, Y. M., & Chin, Y. S. (2020). Physical Activity Levels of Malaysian Vegetarians and Its Associated Factors: A Cross-Sectional Study. Malaysian Journal of Medicine & Health Sciences, 16(6).
  9. Chumpathat, N., Phosat, C., Uttamachai, C., Panprathip, P., & Kwanbunjan, K. (2018). Association between waist circumference at two measurement sites and indicators of metabolic syndrome and cardiovascular disease among Thai adults. 24(3), 371–380.
  10. Cohen, A. K., Rai, M., Rehkopf, D. H., & Abrams, B. (2013). Educational attainment and obesity: a systematic review. Obesity reviews, 14(12), 989–1005.
  11. Downing, K. L., Hesketh, K. D., Timperio, A., Salmon, J., Moss, K., & Mishra, G. (2020). Family history of non-communicable diseases and associations with weight and movement behaviours in Australian school-aged children: a prospective study. BMJ open, 10(11), e038789.
  12. Edwards, E. S., & Sackett, S. C. (2016). Psychosocial variables related to why women are less active than men and related health implications: supplementary issue: health disparities in women. Clinical Medicine Insights: Women’s Health, 9, CMWH-S34668.
  13. El Meouchy, P., Wahoud, M., Allam, S., Chedid, R., Karam, W., & Karam, S. (2022). Hypertension related to obesity: pathogenesis, characteristics and factors for control. International journal of molecular sciences, 23(20), 1–26.
  14. Hamzah, N. A. R., Adznam, S. N., Taib, M. N. M., Mun, C. Y., Ibrahim, Z., & Azam, S. (2018). Contributions of socio-demographic and psychosocial characteristics, functional status and physical activity level on prevalence of depressive symptoms among rural elderly in Johor state. Malaysian Journal of Nutrition, 24(2).
  15. Jane Ling, M. Y., Ahmad, N., & Aizuddin, A. N. (2023). Risk perception of non-communicable diseases: A systematic review on its assessment and associated factors. PLoS One, 18(6), e0286518.
  16. Karastergiou, K., & Fried, S. K. (2017). Cellular mechanisms driving sex differences in adipose tissue biology and body shape in humans and mouse models. Sex and gender factors affecting metabolic homeostasis, diabetes and obesity, 29–51.
  17. Kemenkes. (2018). Hasil Riset Kesehatan Dasar (Riskesdas) 2018. Kemenkes RI.
  18. Kemenkes. (2023). Survey Kesehatan Indonesia (SKI) dalam Angka. Kemenkes RI.
  19. Koceva, A., Herman, R., Janez, A., Rakusa, M., & Jensterle, M. (2024). Sex-and gender-related differences in obesity: From pathophysiological mechanisms to clinical implications. International Journal of Molecular Sciences, 25(13), 7342.
  20. Loos, R. J. F., & Yeo, G. S. H. (2022). The genetics of obesity: from discovery to biology. Nature Reviews Genetics, 23(2), 120–133.
  21. Mardotillah, S. F., Purwaningtyas, D. R., & Ningtyas, L. N. (2024). Waist Circumference, BMI, and Activity’s Role in Glucose Intolerance in Tangerang Adults (Nomor Icnsse 2023). Atlantis Press SARL. https://doi.org/10.2991/978-2-38476-242-2_63
  22. Matthews, C. E., Patel, S., Saint-Maurice, P., Loftfield, E., Keadle, S. K., Chen, K. Y., Brychta, R., LaMunion, S., & Berrigan, D. (2023). Physical Activity Levels (PAL) in United States Adults–2019. Medicine and science in sports and exercise, 55(5), 1–17.
  23. Miranda, V. P. N., dos Santos Amorim, P. R., Bastos, R. R., Canabrava, K. L. R., Júnior, M. V. M., Faria, F. R., do Carmo Castro Franceschini, S., do Carmo Gouveia Peluzio, M., & Priore, S. E. (2020). Association of lifestyle and body composition on risk factors of cardiometabolic diseases and biomarkers in female adolescents. Mediators of inflammation, 2020, 1–12. https://doi.org/doi:10.1155/2020/9170640
  24. Mohamed, W., Enre, S., Koon, P. B., & Talib, R. A. (2020). A qualitative study of motivators and barriers to weight reduction practices among overweight and obese suburban Malay adults. Malaysian Journal of Nutrition, 26(3).
  25. Motswagole, B., Jackson, J., Kobue-Lekalake, R., Maruapula, S., Mongwaketse, T., Kwape, L., Thomas, T., Swaminathan, S., Kurpad, A. V., & Jackson, M. (2020). The Association of General and Central Obesity with Dietary Patterns and Socioeconomic Status in Adult Women in Botswana. Journal of Obesity, 2020. https://doi.org/10.1155/2020/4959272
  26. Nagarkar, A. M., & Kulkarni, S. S. (2018). Obesity and its effects on health in middle-aged women from slums of Pune. Journal of Mid-life Health, 9(2), 79–84.
  27. Nawai, F., Syauqy, A., & Pramono, A. (2024a). Correlation of lipid profile , glucose , and body composition on insulin resistance in overweight and obese subjects. Aceh Nutrition Journal, 5741(1), 141–149. https://doi.org/doi: 10.1016/j.clnesp.2022.11.008
  28. Nawai, F., Syauqy, A., & Pramono, A. (2024b). Literature review : Benefits of Fiber and Resistant Starch on Metabolic Health. Jurnal Gizi Kerja dan Produktivitas, 5(1), 149–156.
  29. Nawai, F., Syauqy, A., Pramono, A., Afifah, D. N., & Ratna Noer, E. (2023). the Effect of “Mangpis” Cookies Consumption on Obesity Subject Periver and Vena Blood Sugar Examination. Panel Gizi Makanan, 2(46), 57–68.
  30. Niemiro, G. M., Rewane, A., & Algotar, A. M. (2019). Exercise and fitness effect on obesity.
  31. Nuryani, Muhdar IN, Ramadhani F, Paramata Y, Adi DI, B. (2021). Association of Physical Activity and Dietary Patterns with Adults Abdominal Obesity in Gorontalo Regency, Indonesia: A Cross-Sectional Study. Current research in nutrition and food science, 9(1), 280 – 292. https://doi.org/doi:10.12944/CRNFSJ.9.1.26.
  32. Puspitasari, N. (2018). Kejadian Obesitas Sentral pada Usia Dewasa. HIGEIA (Journal of Public Health Research and Development), 2(2), 249–259. https://doi.org/10.15294/higeia.v2i2.21112
  33. Putra, I. G. N. E., Daly, M., Sutin, A., Steptoe, A., Scholes, S., & Robinson, E. (2024). Obesity, psychological well-being related measures, and risk of seven non-communicable diseases: evidence from longitudinal studies of UK and US older adults. International Journal of Obesity, 1–9.
  34. Putra, E. S., Irfan, A., Nopindra, A., Al Rahmad, A. H., & Dahliansyah, D. (2025). Nutrition Education Based on The’My T Plate’Model Enhances Adolescents’ Knowledge in Preventing Central Obesity. Proceeding International Conference Health Polytechnic of Jambi, 5, 213–217.
  35. Raiman, L., Amarnani, R., Abdur-Rahman, M., Marshall, A., & Mani-Babu, S. (2023). The role of physical activity in obesity: let’s actively manage obesity. Clinical Medicine, 23(4), 311–317.
  36. Rezavitawanti, R., & Helda, H. (2024). Central Obesity as A Risk Factor For Prediabetes. Asian Journal of Social and Humanities, 2(9), 2068–2078. https://doi.org/10.59888/ajosh.v2i9.347
  37. Tegegne, K. D., Wagaw, G. B., Gebeyehu, N. A., Yirdaw, L. T., Shewangashaw, N. E., Mekonen, N. A., & Kassaw, M. W. (2022). Prevalence of central obesity and associated factors in Ethiopia: A systematic review and meta-analysis. Frontiers in Endocrinology, 13(August), 1–12. https://doi.org/10.3389/fendo.2022.983180
  38. WHO. (2023). Noncommunicable disease. WHO.
  39. WHO. (2024). Obesity and overweight. WHO.
  40. Witkam, R., Gwinnutt, J. M., Humphreys, J., Gandrup, J., Cooper, R., & Verstappen, S. M. M. (2021). Do associations between education and obesity vary depending on the measure of obesity used? A systematic literature review and meta-analysis. SSM-population Health, 15, 100884.

Open Access Copyright (c) 2025 Fitri Yani Arbie, Nuryani, Fatmayanti Nawai, Ayu Bulan Febry, Vera Tasintimbang Harikedua, Nonce Nova Legi
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AcTion: Aceh Nutrition Journal
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