Analisis Faktor Gaya Hidup Terhadap Kejadian Diabetes Melitus Tipe2 Di Puskesmas Stabat

Aurel Stefani Tindaon; Wyona Fiana Br Ginting; Tarianna Ginting; Eva Ellya Sibagariang

doi:10.62027/vitamedica.v4i4.1051

Authors

Aurel Stefani Tindaon Universitas Prima Indonesia, Medan
Wyona Fiana Br Ginting Universitas Prima Indonesia, Medan
Tarianna Ginting Universitas Prima Indonesia, Medan
Eva Ellya Sibagariang Universitas Prima Indonesia, Medan

DOI:

https://doi.org/10.62027/vitamedica.v4i4.1051

Keywords:

Dietary Pattern, Lifestyle, Physical Activity, Stress, Type 2 Diabetes Mellitus

Abstract

Type 2 Diabetes Mellitus (T2DM) is a chronic non-communicable disease with a steadily rising global and local prevalence, in which unhealthy lifestyle choices play a critical role. This study aimed to analyze the association of lifestyle factors (dietary pattern, physical activity, sleep pattern, stress, and smoking habits) with the incidence of T2DM at Stabat Public Health Center. A quantitative study with a cross-sectional design was conducted on 1,123 T2DM patients recorded in 2025, with a sample of 92 respondents selected using Slovin's formula. Data were collected through questionnaires and analyzed using univariate, bivariate (Chi-Square), and multivariate (multiple logistic regression) analyses. Bivariate analysis revealed significant associations between T2DM incidence and dietary pattern (p = 0.002; OR = 8.333), physical activity (p = 0.000; OR = 13.839), sleep pattern (p = 0.008; OR = 4.059), stress (p = 0.000; OR = 11.420), and smoking habits (p = 0.021; OR = 3.235). Multivariate analysis confirmed that physical activity was the most dominant lifestyle factor associated with T2DM incidence (p = 0.008; OR = 10.091; 95% CI: 1.820–55.947). All evaluated lifestyle factors are significantly associated with T2DM, with physical inactivity identified as the primary determinant. Stabat Public Health Center is recommended to strengthen promotive-preventive programs focusing primarily on physical activity and comprehensive healthy lifestyle interventions.

References

Badriyah, L., & Pratiwi, R. I. R. (2024). Hubungan Obesitas dengan Kejadian Hipertensi dan Association of Obesity with Hypertension and Hyperglycemia in Indonesia. Ghidza: Jurnal Gizi dan Kesehatan, 8(1), 33–38.

Darraj, A. (2023). The Link Between Sleeping and Type 2 Diabetes: A Systematic Review. Cureus, 15(11). https://doi.org/10.7759/cureus.48228

de Oliveira, V. L. P., de Paula, T. P., & Viana, L. V. (2024). Pedometer- and accelerometer-based physical activity interventions in Type 2 diabetes: A systematic review and meta-analysis. Nutrition, Metabolism, and Cardiovascular Diseases, 34(3), 548–558. https://doi.org/10.1016/j.numecd.2023.11.017

Delfina, S., Carolita, I., Habsah, S., & Ayatillahi, S. (2021). Analisis Determinan Faktor Risiko Kejadian Diabetes Mellitus Tipe 2 pada Usia Produktif. Jurnal Kesehatan Tambusai, 2(4), 141–151. https://doi.org/10.31004/jkt.v2i4.2823

Hartono, H., & Ediyono, S. (2024). Hubungan Antara Tingkat Pendidikan, Lama Menderita Sakit, dengan Pengetahuan tentang Lima Pilar Penatalaksanaan Diabetes Melitus pada Populasi Penderita Diabetes di Wilayah Kerja Puskesmas Sungai Durian. Journal of TSCS1Kep, 9(1), 2775–0345.

Hsieh, P. P., Sindhu, F. C., Dewi, M. R., & Sidhiarta, I. G. L. (2023). Hubungan antara durasi tidur dengan kejadian obesitas pada anak: sebuah tinjauan sistematis. Intisari Sains Medis, 14(1), 229–236. https://doi.org/10.15562/ism.v14i1.1303

Hulu, V., & Sinaga, T. (2019). Analisis Data Statistik Parametrik Aplikasi SPSS dan STATCAL: Sebuah Pengantar untuk Kesehatan. Medan: Yayasan Kita Menulis.

International Diabetes Federation. (2023). IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Brussels: IDF.

Irwan, Ahmad, F., & Bialangi, S. (2021). Hubungan Riwayat Keluarga dan Perilaku Sedentari terhadap Kejadian Diabetes Melitus. Jambura Journal of Health Sciences and Research, 3(1), 103–114.

Istigfarin, A., Purwanto, B., & Sa'adi, A. (2021). The Relation Between Quality and Quantity of Sleep with Blood Glucose Levels in Women Childbearing Age. Indonesian Midwifery and Health Sciences Journal, 4(1), 1–7. https://doi.org/10.20473/imhsj.v4i1.2020.1-7

Jubaidi, F. F., Zainalabidin, S., Taib, I. S., Abd Hamid, Z., & Budin, S. B. (2022). Pemodelan Semula Jantung dalam Kardiomiopati Diabetes: Peranan Inflamasi, Tekanan Oksidatif dan Apoptosis yang Mendasari Pembentukan dan Perkembangannya. Sains Malaysiana, 51(12), 4043–4057. https://doi.org/10.17576/jsm-2022-5112-14

Kamilah, F. Z., Habibie, F., Rahma, G. R., Sofyan, M. N. F., Isnaini, N. S., Nadhilah, N. D., & Sihaloho, E. D. (2021). Analysis of the Determinants of Diabetes Mellitus in Indonesia: A Case Study of the 2014 Indonesian Family Life Survey. Disease Prevention and Public Health Journal, 15(2), 88. https://doi.org/10.12928/dpphj.v15i2.3079

Kardina, R. N., Nuriannisa, F., Putri, F. K., Putri, E. B. P., Puspitasari, M., Alfiyanti, R., & Ramadany, N. (2022). Edukasi Bahan Makanan untuk Pencegahan Diabetes Mellitus pada Ibu-Ibu PKK RT 05 RW 09, Surabaya. Seminar Nasional Pengabdian kepada Masyarakat 2021, 1(1), 49–56. https://doi.org/10.33086/snpm.v1i1.777

Kisnawaty, S. W., Pertiwi, M. A., Ariyani, I., & Mustikaningrum, F. (2023). Education on preventing diabetes mellitus for prolanis through the introduction of high-fiber foods and glycemic index variations. Community Empowerment, 8(11), 1776–1784. https://doi.org/10.31603/ce.10245

Komalasari, D. R., & Pristianto, A. (2023). Peningkatan Pengetahuan tentang Cara Melakukan Latihan Fisik atau Olahraga yang Aman bagi Penderita Diabetes Mellitus. Warta LPM, 26(2), 207–217. https://doi.org/10.23917/warta.v26i2.1247

Li, W., Yi, G., Chen, Z., Dai, X., Wu, J., Peng, Y., Ruan, W., Lu, Z., & Wang, D. (2021). Is job strain associated with a higher risk of type 2 diabetes mellitus? A systematic review and meta-analysis of prospective cohort studies. Scandinavian Journal of Work, Environment and Health, 47(4), 249–257. https://doi.org/10.5271/sjweh.3938

Li, W., Zhang, W., & Xing, Z. (2023). Device-measured physical activity and type 2 diabetes mellitus risk. Frontiers in Endocrinology, 14, 1275182. https://doi.org/10.3389/fendo.2023.1275182

Liu, H., Zhu, H., Lu, Q., Ye, W., Huang, T., Li, Y., Li, B., Wu, Y., Wang, P., Chen, T., Xu, J., & Ji, L. (2025). Sleep features and the risk of type 2 diabetes mellitus: a systematic review and meta-analysis. Annals of Medicine, 57(1). https://doi.org/10.1080/07853890.2024.2447422

Lu, H., Yang, Q., Tian, F., Lyu, Y., He, H., Xin, X., & Zheng, X. (2021). A meta-analysis of a cohort study on the association between sleep duration and type 2 diabetes mellitus. Journal of Diabetes Research, 2021, 8861038. https://doi.org/10.1155/2021/8861038

Marlyn Olivia, Triandhini, R., & Mangalik, G. (2021). Pola Makan dan Aktivitas Fisik Penderita Diabetes Melitus Tipe II di RSUD Kota Salatiga. Jurnal Keperawatan Muhammadiyah, 6(2).

Montororing, M. A., Darwis, D., & Dewi, I. (2024). Hubungan antara Pola Makan dengan Peningkatan Kadar Glukosa Darah pada Penderita Diabetes Melitus Tipe 2. Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 4, 17–23.

Prof. Ghozali, H. I. (2018). Aplikasi Analisis Multivariate dengan Program IBM SPSS. Semarang: Badan Penerbit Universitas Diponegoro.

Purwandari, C. A. A., Wirjatmadi, B., & Mahmudiono, T. (2022). Faktor Risiko Terjadinya Komplikasi Kronis Diabetes Melitus Tipe 2 pada Pra Lansia. Amerta Nutrition, 6(3), 262–271. https://doi.org/10.20473/amnt.v6i3.2022.262-271

Qin, G. Q., Chen, L., Zheng, J., Wu, X. M., Li, Y., Yang, K., Liu, T. F., Fang, Z. Z., & Zhang, Q. (2023). Effect of passive smoking exposure on risk of type 2 diabetes: a systematic review and meta-analysis of prospective cohort studies. Frontiers in Endocrinology, 14, 1195354. https://doi.org/10.3389/fendo.2023.1195354

Rosmiati, R., Haryana, N. R., Firmansyah, H., & Purba, R. (2022). The Association Between Dietary Patterns and Type 2 Diabetes Mellitus Among Indonesian Urban Workers. Proceeding of 3rd International Conference on Research and Development, (Icorad), 193–201. https://doi.org/10.47841/icorad.v2i2.135

Ryan Rachmandani, Hadiyanto, H., & Lutiyah, L. (2024). Pengaruh Konsumsi Beras Merah terhadap Perubahan Kadar Glukosa Darah. Jurnal Ilmu Kesehatan Bhakti Husada, 15(1), 252–259.

Salisa, I., Triana, W. N., & Tri Ningsih, W. (2023). Gambaran Pola Makan, Pola Istirahat, Pola Aktivitas dan Pengelolaan Stres pada Penderita Diabetes Mellitus Tipe 2 di Kelurahan Mondokan Wilayah Kerja Puskesmas Tuban. Jurnal Media Ilmiah.

Sanogo, F., Xu, K., Cortessis, V. K., Weigensberg, M. J., & Watanabe, R. M. (2023). Mind- and Body-Based Interventions Improve Glycemic Control in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis. Journal of Integrative and Complementary Medicine, 29(2), 69–79. https://doi.org/10.1089/jicm.2022.0586

Sari, S., Andini, D., & Rahman, F. (2025). Faktor Risiko Kebiasaan Merokok terhadap Kejadian Diabetes Melitus Tipe 2. Jurnal Kesehatan Masyarakat Indonesia. [PERLU VERIFIKASI – sitasi dalam skripsi tidak lengkap]

Sekarbumi, A., Olipia, J., Issyakirawahyu, K., Khairan, M. A. D., Hafiza, N., Meilani, R., Safarina, R. P. A., Irmawati, S. P., Qolbi, S., & Sopiah, P. (2025). Literature Review: Peran Manajemen Stres dan Pola Hidup Sehat dalam Mencegah Diabetes Mellitus Tipe 2 pada Remaja. Jurnal Penelitian Inovatif, 5(2), 2219–2228. https://doi.org/10.54082/jupin.1456

Sia, H. K., Kor, C. T., Tu, S. T., Liao, P. Y., & Wang, J. Y. (2022). Association between smoking and glycemic control in men with newly diagnosed type 2 diabetes: a retrospective matched cohort study. Annals of Medicine, 54(1), 1385–1394. https://doi.org/10.1080/07853890.2022.2075559

Supriyanti, Elfida, Sulistiany, E., Junaida, Erni, & Afnina. (2025). Penyuluhan Gaya Hidup sebagai Upaya Pencegahan Diabetes Melitus di Kota Langsa. Jurnal Penyuluhan dan Pemberdayaan Masyarakat, 4(2), 58–67.

WHO. (2023). Diabetes. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/diabetes

Wu, L., Wang, X., Dong, J. Y., Zhao, Y. T., & Lou, H. (2022). Smoking Cessation, Weight Gain, and Risk for Type 2 Diabetes: A Prospective Study. International Journal of Public Health, 67, 1604654. https://doi.org/10.3389/ijph.2022.1604654

Wulandari, D. D., Salim, H. M., Santoso, R. P. A., & Putri, P. B. E. (2021). Pencegahan Penyakit Diabetes Mellitus melalui Pelatihan Pembuatan Jamu Saintifik. Jurnal Surya Masyarakat, 4(1), 104–111.