Obesity in urban Indonesia: evidence from the 2007 and 2018 Basic Health Research

Authors

  • Ayunina Rizky Ferdina Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Bogor, Indonesia https://orcid.org/0000-0001-9025-9689
  • Prisca Petty Arfines Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Bogor, Indonesia https://orcid.org/0000-0002-5118-7536
  • Ni Ketut Aryastami Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Bogor, Indonesia https://orcid.org/0000-0001-9989-8663

DOI:

https://doi.org/10.13181/mji.oa.247183

Keywords:

noncommunicable diseases, obesity, urban health
Abstract viewed: 461 times
PDF downloaded: 261 times
HTML downloaded: 35 times
EPUB downloaded: 130 times

Abstract

BACKGROUND The prevalence of obesity in urbanizing Indonesia is rising, where the double burden of malnutrition poses a significant challenge. This study aimed to examine the prevalence and increment of obesity-related noncommunicable diseases (NCDs) of diabetes and hypertension.

METHODS Secondary data from the latest 2018 Basic Health Research (RISKESDAS) were used to analyze the obesity rate and its associations with lifestyle, sociodemographics, and certain comorbidities among urban Indonesians. This study included non-pregnant adults aged ≥18 years who lived in the urban area and whose blood pressure and glucose levels were measured in the survey. Results were compared to a similar study using data from 2007.

RESULTS The proportion of obesity among Indonesia’s urban population was more than doubled from 23.0% in 2007 to 50.1% in 2018 for obesity and 28.0% to 57.2% for central obesity. Additionally, females, individuals with higher socioeconomic status, and higher education levels exhibited a higher obesity prevalence.

CONCLUSIONS Urban Indonesia has witnessed a dramatic rise in obesity prevalence. Our findings highlighted the urgent need for policymakers to consider the escalating prevalence of NCDs associated with obesity. Strengthening and concretizing health promotion and prevention policies at the community level are crucial to combat this alarming public health challenge.

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Author Biographies

Ayunina Rizky Ferdina, Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Bogor, Indonesia

Research Center for Public Health and Nutrition

Prisca Petty Arfines, Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Bogor, Indonesia

Research Center for Public Health and Nutrition

Ni Ketut Aryastami, Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Bogor, Indonesia

Research Center for Public Health and Nutrition

References

Islam KM, Kenway SJ. The food-water-renewable energy nexus resource security examples for Asia-Pacific cities. In: Lazaro LL, Giatti LL, Valente de Macedo LS, Puppim de Oliveira JA, editors. Water-energy-food nexus and climate change in cities. Sustainable development goals series. Switzerland: Springer, Cham; 2022. https://doi.org/10.1007/978-3-031-05472-3_14

Roberts M, Sander FG, Tiwari S, editors. Time to ACT: realizing Indonesia's urban potential. Washington, DC: World Bank; 2019. https://doi.org/10.1596/978-1-4648-1389-4

Congdon P. Obesity and urban environments. Int J Environ Res Public Health. 2019;16(3):464. https://doi.org/10.3390/ijerph16030464

World Health Organisation (WHO). Obesity and overweight [Internet]. World Health Organization (WHO); 2021 [cited 2023 Jul 1]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.

Popkin BM, Corvalan C, Grummer-Strawn LM. Dynamics of the double burden of malnutrition and the changing nutrition reality. Lancet. 2020;395(10217):65-74. https://doi.org/10.1016/S0140-6736(19)32497-3

Health Development Policy Agency Ministry of Health of the Republic of Indonesia. [Pocket book of results of the Indonesian Nutrition Status Survey (SSGI)] [Internet]. Health Development Policy Agency Ministry of Health of the Republic of Indonesia; 2022 [cited 2023 Jul 1]. Available from: https://kesmas.kemkes.go.id/assets/uploads/contents/attachments/09fb5b8ccfdf088080f2521ff0b4374f.pdf. Indonesian.

The National Institute of Health Research and Development Ministry of Health of the Republic of Indonesia. [National report on basic health research 2018] [Internet]. Jakarta: The National Institute of Health Research and Development Ministry of Health of the Republic of Indonesia; 2018 [cited 2023 Jul 1]. Available from: https://repository.badankebijakan.kemkes.go.id/3514/1.haslightboxThumbnailVersion/Laporan%20Riskesdas%202018%20Nasional.pdf. Indonesian.

The National Institute of Health Research and Development Ministry of Health of the Republic of Indonesia. [Basic health research (RISKESDAS) 2007: national report 2007] [Internet]. Jakarta: The National Institute of Health Research and Development Ministry of Health of the Republic of Indonesia; 2007 [cited 2023 Jul 1]. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/4378/1/Laporan%20Riset%20Kesehatan%20Dasar%20Nasiona%3B%202007.pdf. Indonesian.

Purnamasari D. The emergence of non-communicable disease in Indonesia. Acta Med Indones. 2018;50(4):273-4.

Hall JE, do Carmo JM, da Silva AA, Wang Z, Hall ME. Obesity-induced hypertension: interaction of neurohumoral and renal mechanisms. Circ Res. 2015;116(6):991-1006. https://doi.org/10.1161/CIRCRESAHA.116.305697

Wondmkun YT. Obesity, insulin resistance, and type 2 diabetes: associations and therapeutic implications. Diabetes Metab Syndr Obes. 2020;13:3611-6. https://doi.org/10.2147/DMSO.S275898

Harbuwono DS, Pramono LA, Yunir E, Subekti I. Obesity and central obesity in Indonesia: evidence from a national health survey. Med J Indones. 2018;27(2):114-20. https://doi.org/10.13181/mji.v27i2.1512

Choi D, Choi S, Son JS, Oh SW, Park SM. Impact of discrepancies in general and abdominal obesity on major adverse cardiac events. J Am Heart Assoc. 2019;8(18):e013471. https://doi.org/10.1161/JAHA.119.013471

Purnell JQ. Definitions, classification, and epidemiology of obesity. [Updated 2018 Apr 12]. In: Feingold KR, Anawalt B, Blackman MR, Boyce A, Chrousos G, Corpas E, et al, editors. Endotext [Internet]. South Dartmouth: MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK278943/.

WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157-63. Erratum in: Lancet. 2004;363(9412):902. https://doi.org/10.1016/S0140-6736(03)15268-3

World Health Organization (WHO). WHO STEPS surveillance manual: the WHO STEPwise approach to chronic disease risk factor surveillance [Internet]. Geneva: World Health Organization (WHO);2005 [cited 2023 Jul 1]. Available from: https://iris.who.int/bitstream/handle/10665/43376/9241593830_eng.pdf?sequence=1&isAllowed=y.

The National Institute of Health Research and Development Ministry of Health of the Republic of Indonesia. [Guidebook for completing the 2018 RISKESDAS questionnaire] [Internet]. 2018 [cited 2023 Jul 1]. Jakarta: The National Institute of Health Research and Development Ministry of Health of the Republic of Indonesia Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/4606/1/Pedoman_Kues_Rkd_2018_1.pdf. Indonesian.

Boutari C, Mantzoros CS. A 2022 update on the epidemiology of obesity and a call to action: as its twin COVID-19 pandemic appears to be receding, the obesity and dysmetabolism pandemic continues to rage on. Metabolism. 2022;133:155217. https://doi.org/10.1016/j.metabol.2022.155217

Leeners B, Geary N, Tobler PN, Asarian L. Ovarian hormones and obesity. Hum Reprod Update. 2017;23(3):300-21. https://doi.org/10.1093/humupd/dmw045

Rai RK, Kumar C, Singh L, Singh PK, Acharya SK, Singh S. Rising burden of overweight and obesity among Indian adults: empirical insights for public health preparedness. J Biosoc Sci. 2021;53(5):709-23. https://doi.org/10.1017/S0021932020000486

Chiolero A, Faeh D, Paccaud F, Cornuz J. Consequences of smoking for body weight, body fat distribution, and insulin resistance. Am J Clin Nutr. 2008;87(4):801-9. https://doi.org/10.1093/ajcn/87.4.801

Dare S, Mackay DF, Pell JP. Relationship between smoking and obesity: a cross-sectional study of 499,504 middle-aged adults in the UK general population. PLoS One. 2015;10(4):e0123579. https://doi.org/10.1371/journal.pone.0123579

Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in obesity among adults in the United States, 2005 to 2014. JAMA. 2016;315(21):2284-91. https://doi.org/10.1001/jama.2016.6458

Mah PM, Wittert GA. Obesity and testicular function. Mol Cell Endocrinol. 2010;316(2):180-6. https://doi.org/10.1016/j.mce.2009.06.007

Ponti F, Santoro A, Mercatelli D, Gasperini C, Conte M, Martucci M, et al. Aging and imaging assessment of body composition: from fat to facts. Front Endocrinol (Lausanne). 2020;10:861. https://doi.org/10.3389/fendo.2019.00861

Pampel FC, Krueger PM, Denney JT. Socioeconomic disparities in health behaviors. Annu Rev Sociol. 2010;36:349-70. https://doi.org/10.1146/annurev.soc.012809.102529

Venn D, Strazdins L. Your money or your time? How both types of scarcity matter to physical activity and healthy eating. Soc Sci Med. 2017;172:98-106. https://doi.org/10.1016/j.socscimed.2016.10.023

Kasper NM, Herrán OF, Villamor E. Obesity prevalence in Colombian adults is increasing fastest in lower socio-economic status groups and urban residents: results from two nationally representative surveys. Public Health Nutr. 2014;17(11):2398-406. https://doi.org/10.1017/S1368980013003418

Gordon-Larsen P. Food availability/convenience and obesity. Adv Nutr. 2014;5(6):809-17. https://doi.org/10.3945/an.114.007070

Sun X, Yan AF, Shi Z, Zhao B, Yan N, Li K, et al. Health consequences of obesity and projected future obesity health burden in China. Obesity (Silver Spring). 2022;30(9):1724-51. https://doi.org/10.1002/oby.23472

Jan Mohamed HJ, Yap RW, Loy SL, Norris SA, Biesma R, Aagaard-Hansen J. Prevalence and determinants of overweight, obesity, and type 2 diabetes mellitus in adults in Malaysia. Asia Pac J Public Health. 2015;27(2):123-35. https://doi.org/10.1177/1010539514562447

Huse O, Hettiarachchi J, Gearon E, Nichols M, Allender S, Peeters A. Obesity in Australia. Obes Res Clin Pract. 2018;12(1):29-39. https://doi.org/10.1016/j.orcp.2017.10.002

Mawaw PM, Yav T, Mukuku O, Lukanka O, Kazadi PM, Tambwe D, et al. Increased prevalence of obesity, diabetes mellitus and hypertension with associated risk factors in a mine-based workforce, Democratic Republic of Congo. Pan Afr Med J. 2019;34:135. https://doi.org/10.11604/pamj.2019.34.135.20226

Tramunt B, Smati S, Grandgeorge N, Lenfant F, Arnal JF, Montagner A, et al. Sex differences in metabolic regulation and diabetes susceptibility. Diabetologia. 2020;63(3):453-61. https://doi.org/10.1007/s00125-019-05040-3

Frank AP, de Souza Santos R, Palmer BF, Clegg DJ. Determinants of body fat distribution in humans may provide insight about obesity-related health risks. J Lipid Res. 2019;60(10):1710-9. https://doi.org/10.1194/jlr.R086975

GBD 2019 Indonesia Subnational Collaborators. The state of health in Indonesia's provinces, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Glob Health. 202;10(11):e1632-45. Erratum in: Lancet Glob Health. 2023;11(6):e832. https://doi.org/10.1016/S2214-109X(23)00174-2

Cohen N. Roles of cities in creating healthful food systems. Annu Rev Public Health. 2022;43:419-37. https://doi.org/10.1146/annurev-publhealth-052220-021059

UNICEF Indonesia. Landscape analysis of overweight and obesity in Indonesia [Internet]. UNICEF Indonesia; 2022 [cited 2023 Jul 1]. Available from: https://www.unicef.org/indonesia/reports/landscape-analysis-overweight-and-obesity-indonesia.

Directorate of Health Promotion and People Empowerment Ministry of Health of the Republic of Indonesia. [Three years of GERMAS: lessons learned] [Internet]. Jakarta: Directorate of Health Promotion and People Empowerment Ministry of Health of Indonesia; 2019 [cited 2023 Jul 1]. Available from: https://kesmas.kemkes.go.id/assets/uploads/contents/others/Buku_Tiga_Tahun_Germas_Lesson_Learned.pdf. Indonesian.

Rahajeng E, Kusumawardani N, Ratih O, Permana M, Delima D, Suhardi S. Monitoring and evaluation of the integrated community-based intervention for the prevention of NCD in Depok West Java, Indonesia [Internet]. Jakarta: Centre for Disease Research and Development NHRD Ministry of Health Republic of Indonesia; 2006 [cited 2023 Jul 1]. Available from: https://cdn.who.int/media/docs/default-source/ncds/ncd-surveillance/data-reporting/indonesia/steps/steps-report-indonesia-depok-2006.pdf?sfvrsn=79b35523_2&download=true.

Directorate General of Disease Prevention and Control Ministry of Health of the Republic of Indonesia. [Policy on prevention and control of non-communicable diseases] [Internet]. Jakarta: Directorate General of Disease Prevention and Control Ministry of Health of the Republic of Indonesia; 2018 [cited 2023 Jul 1]. Available from: https://p2ptm.kemkes.go.id/uploads/VHcrbkVobjRzUDN3UCs4eUJ0dVBndz09/2018/05/Kebijakan_P2PTM_dr_Cut_Putri_Arianie_MH_Kes_Direktur_Pencegahan_dan_Pengendalian_Penyakit_Tidak_Menular_Media_Briefing_Hipertensi_16_Mei_2018.pdf. Indonesian.

Published

2024-07-24

How to Cite

1.
Ferdina AR, Arfines PP, Aryastami NK. Obesity in urban Indonesia: evidence from the 2007 and 2018 Basic Health Research. Med J Indones [Internet]. 2024Jul.24 [cited 2024Dec.21];33(2):119-27. Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/7183

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Section

Community Research
Abstract viewed = 461 times
PDF downloaded = 261 times HTML downloaded = 35 times EPUB downloaded = 130 times