Hubungan Depresi dan Perilaku Makan terhadap Berat Badan Lebih Mahasiswa Kedokteran

Muhammad Khotibuddin

Abstract


Prevalensi kegemukan pada penduduk Indonesia >18 tahun telah meningkat 2 kali lipat dalam 5 tahun. Penyebab obesitas bersifat multifaktorial, diantaranya adalah depresi dan perilaku makan. Hasil penelitian tentang penyebab obesitas yang sangat beragam terkait perbedaan demografi sosial dan budaya. Tujuan penelitian ini adalah untuk mengetahui hubungan antara depresi dan perilaku makan dengan berat badan lebih pada mahasiswa kedokteran. Desain penelitian adalah cross sectional menggunakan sampel acak sebanyak 147 mahasiswa. Berat badan lebih ditentukan dengan indeks masa tubuh (IMT) >25. Variabel depresi diukur dengan kuesioner Beck Depression Inventory (BDI), sedangkan perilaku makan diukur dengan Dutch Eating Behavior Questionaire (DEBQ). Kedua kuesioner sudah dilakukan adaptasi dan pengujian terhadap validitas dan reliabilitasnya. Analisis multivariat menggunakan metode statistik regresi logistik dengan =0,05 . Hasil menunjukkan bahwa prevalensi berat badan lebih pada mahasiswa kedokteran sebesar 28,6%. Sebanyak 19% responden mengalami depresi. Rata-rata skor BDI sebesar 5,07±6,446, rata-rata restrained eating adalah 21,9±8,57; emotional eating sebesar 27,83±8,67 dan external eating sebesar 28,9±6,65. Hasil regresi logistik menunjukkan bahwa berat badan lebih berhubungan secara signifikan dengan jenis kelamin laki-laki (OR 4,069; 95%CI: 1,491-11,104), skor BDI (OR 1,234; 95%CI: 1,051-1,47) dan restrained eating (OR 1,161; 95%CI: 1,088-1,238). Disimpulkan bahwa restrained eating dan depresi berhubungan dengan BB lebih pada responden terutama pada jenis kelamin laki-laki.

Recently, the prevalence of obesity has increased two-fold in 5 years. The cause of obesity is multifactorial, including depression and eating behavior. the research about causes obesity have various results and according to differences in social and cultural demographics. The purpose of this study was to determine how the relationship between depression and eating behavior with overweight at medical students. This cross-sectional study using a random samples of 147 medical students. Overweight is determined by body mass index (BMI) e”25. Depression measured by a questionnaire Beck Depression Inventory (BDI), while eating behavior was measured by the Dutch Eating Behavior Questionnaire (DEBQ). Both questionnaires have been done testing for the validity and reliability. Multivariate analysis using logistic regression with ± = 0.05. The prevalence of overweight among medical students was 28.6%. There is 19% of respondent are depressed. The average BDI score was 5.07 ± 6.446, the average restrained eating was 21.9 ± 8.57; emotional eating of 27.83 ± 8.67 and external eating of 28.9 ± 6.65. The results of logistic regression showed that overweight was significantly associated with male gender (OR 4.069; 95% CI: 1.491 to 11.104), BDI score (OR 1.234; 95% CI: 1.051 to 1.47) and restrained eating (OR 1.161; 95% CI: 1.088 to 1.238). In conclusion, restrained eating was associated with overweight among medical students, especially for the male gender.


Keywords


Overweight; depression; eating behavior; medical student; berat badan lebih; depresi; perilaku makan; mahasiswa kedokteran

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