Gambaran NAFLD pada Pasien dengan Sindrom Metabolik di Poliklinik Penyakit Dalam RSUP Dr. M. Djamil Padang
DOI:
https://doi.org/10.25077/jka.v4i2.269Abstract
Abstrak
Sindrom metabolik adalah kumpulan faktor risiko penyakit kardiovaskular yang terjadi secara bersamaan pada seorang individu, antara lain: peningkatan glukosa darah puasa, obesitas sentral, dislipidemia, dan hipertensi. Salah satu manifestasi sindrom metabolik adalah non alcoholic fatty liver disease (NAFLD). Tujuan penelitian ini adalah untuk mengetahui gambaran NAFLD pada pasien dengan sindrom metabolik di poliklinik penyakit dalam RSUP Dr. M. Djamil Padang. Penelitian ini bersifat deskriptif dengan bentuk cross sectional dan pendekatan retrospektif menggunakan data primer berupa hasil USG hati dan lingkar perut serta data sekunder berupa data rekam medis hasil pemeriksaan tekanan darah dan lab darah (gula darah, kolesterol, dan trigliserida) pasien dengan sindrom metabolik di RSUP Dr. M. Djamil Padang periode Oktober 2013 – Agustus 2014. Dari 30 subjek yang didapatkan, didapatkan 20 diantaranya menderita NAFLD (67%). Dari 20 orang penderita NAFLD, 20 orang (100%) obesitas sentral, 19 orang (95%) menderita gula darah puasa terganggu, 13 orang (65%) mengalami peningkatan trigliserida darah, 13 orang (65%) mengalami penurunan kadar HDL darah, dan 15 orang (75%) hipertensi.
Kata kunci: sindrom metabolik, NAFLD, obesitas
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Abstract
Metabolic syndrome is a set of cardiovascular disease risk factors that occur simultaneously on an individual, i.e. increase in fasting blood sugar, central obesity, dyslipidemia, and hypertension. Non alcoholic fatty liver disease (NAFLD) is one of the manifestations of metabolic syndrome. The objective of this study was to determine description of NAFLD on patients with metabolic syndrome at internal medicine polyclinic RSUP. Dr. M. Djamil Padang. Descriptive research has been conducted with a cross-sectional study and a retrospective approach using liver USG result and waist circumference as primary data and medical record of blood pressure and lab (triglyceride, HDL, fasting blood sugar) as secondary data on patients with metabolic syndrome at RSUP Dr. M. Djamil Padang during October 2013 – August 2014. The result of this study showed 20 cases of NAFLD (67%) from 30 subjects found. From those 20 cases, 20 have central obesity (100%), 19 have impaired fasting blood sugar (95%), 13 have hypertriglyceridemia (65%), 13 have decrease of blood HDL level (65%), and 15 have hypertension (75%).
Keywords: metabolic syndrome, NAFLD, obesity
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