Kecenderungan dehidrasi pada remaja obesitas


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Published: 30-12-2018
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Background : The content of water in fat cells in obese people is lower than muscle cells so that obese people are more easily dehydrated.
Objective : The purpose of this study is to determine the risk factors of dehydration in adolescents.
Methods : This study was a cross sectional study which began with screening of 168 students at SMA N 1 and 2 Semarang and found 63 students fulfilled the inclusion criteria. Subjects were selected by consecutive sampling. The dependent variable of this study is hydration status measured by the urine spesific gravity method. The independent variables consisted of obesity status that determined by the BMI/Age Z-score value, fluid intake was assessed using Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), physical activity was assessed using physical activity questionnaire, whereas knowledge regarding fluid was assessed by questionnaire. Data were analyzed using Chi Square test.
Results ; There were 52,4% (n=33) subjects who were obese and only 9,5% (n=6) subjects were well-hydrated. The incidence of dehydration in obese adolescents (63,6%) was higher than non obese adolescents (36,7%). Obese subjects was 1.73 times more dehydrated than non obese subjects. Subject with deficiency of fluid intake was 1,85 times more dehydrated than subject with adequate fluid intake. Knowledge regarding fluid and physical activity was not a risk factor for dehydration in adolescents.
Conclusion :Obesity and inadequate fluid intake ia risk factor for dehydration in adolescents


urine specific gravity; hydration status; adolescent obesity; fluid intake

  1. Deny Yudi Fitranti  Sinta
    Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
    Google Scholar Profile:
  2. Fillah Fithra Dieny 
    Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
  3. Binar Panunggal 
    Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
  4. Vintantiana Sukmasari 
    Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
  5. Gardinia Nugrahani 
    Rumah Sakit Islam Sultan Agung, Indonesia
  1. Stang J. Adolescent Nutrition. In : Brown JE, editors. Nutrition Through the Life Cycle. 4th ed. USA: Wardsworth Cengange Learning; 2011. p 357-384.
  2. Badan Penelitian dan Pengembangan Kesehatan Kemenkes. Riset Kesehatan Dasar 2010. Jakarta .Kementrian Kesehatan RI. 2010. Hal 50-59.
  3. Badan Penelitian dan Pengembangan Kesehatan Kemenkes. Riset Kesehatan Dasar 2013. Jakarta. Kementrian Kesehatan RI. 2013.
  4. Muhammad D, Dieny FF. Hubungan asupan vitamin A,C, dan E dengan kejadian sindrom metabolik pada remaja obesitas. Journal of Nutrition College.2016; 5(4): 289-297.
  5. Liu W, Lin R, Liu A, Du L,Chen Q. Prevalence and association between obesity and metabolic syndrome among chinese elementary school children: a school- based survey. Biomedical Central Journal. 2010;10: 1-7.
  6. Prayitno SO, Dieny FF. Perbedaan konsumsi cairan dan status hidrasi pada remaja obesitas dan non obesitas. Journal of Nutrition Collage. 2012;1(1): 1-8.
  7. Buanasita A, Andriyanto, Sulistyowati I. Perbedaan tingkat konsumsi energi, lemak, cairan dan status hidrasi mahasiswa obesitas dan non obese. Indonesian Journal of Human Nutrition. 2015; 2(1): 11-22.
  8. Santoso BI, Hardinsyah, Siregar P, Pardede SO. Air Bagi Kesehatan. Jakarta: Centra Communication. 2011
  9. Muckelbauer R, Sarganas G, Gruneis A, Muller-Nordhorn J. Association between water consumption and body weight outcomes: a systematic review. American Journal and Clinical Nutrition .2015; 98(2):282-299.
  10. Whitney E, Rolfes SR. Water and The Major Minerals. In: Williams P, editors. Understanding Nutrition. 12th ed. USA: Wadsworth Cengange Learning; 2011 p. 384-421
  11. Daniels, Melissa C, barry M, Popkin. The impact of water intake on energy intake and weight status: a systemic review. Nutr Rev.2010; 68(9):505-521.
  12. Marsetyo, Kartasapoetra. Korelasi Gizi, Kesehatan dan produktivitas kerja. Jakarta:Rineka Cipta;1995.
  13. Susanti T, Astiti D, Paratmanitya Y. Hubungan pola konsumsi fast food denan kejadian obesitas pada remaja SMA Muhammadiyah 3 Yogyakarta. Universitas Alma ata. Naskah Publikasi. 2016
  14. Kussoy K, Fatimawali, Kepel B. Prevalensi obesitas pada remaja di kabupaten Minahasa. Jurnal e-Biomedik (eBM). 2013;1(2): 981-985.
  15. Perrier E, Vergne S, Klein A, Poupin M, Rondeou P. Hydration biomarkers in free-living adults with different levels of habitual fluid consumption. Br. J Nutr, 2013 ;109 : 1678-1687.
  16. Hastuti YD, Nasution E, Aritonang E. Perilaku konsumsi air minum pada Siswa/ Siswi SMA Negeri 3 Medan Tahun 2015. Gizi, Kesehatan Reproduksi dan Epidemiologi. 2015;1(3): 1-6
  17. Kleiner SM. Water : An essential but overlooked nutrient. J Am Diet Assoc. 1999;99:200-206.
  18. Bird ET, Parker BD, Kim HS, Coffield SK. Caffeine ingestion and lower urinary tract symptoms in healthy volunteers. Neurourology and Urodynamics. 2005; 24: 611-615.
  19. Killer SC, Blannin AK, Jeukendrup AE. No evidence of dehydration with moderate daily coffee intake : a counterbalanced cross over study in a free living population. PLoS ONE. 2014; 9(1); e84154.
  20. Chang T, Ravi N, Plegue MA, Sonneville KR, Davis MM. Inadequate hydration, BMI, and obesity among US adults : NHANES 2009-2012. Ann Fam Med. 2016;14:320-324.
  21. Gustam, Hardinsyah, Briawan D. Faktor Resiko Dehidrasi pada Remaja dan Dewasa. Bogor: Departemen Gizi Masyarakat FEMA IPB;2012
  22. Hardinsyah, Soenaryo ES, Briawan D, Damayanthi E, Dwiriani CM, Effendi YH, Dewi M, Aries M. Studi Kebiasaan Minum & Status Hidrasi pada Remaja dan Dewasa di Dua Wilayah Ekologi yang Berbeda. Bogor: Perhimpunan Peminat Gizi & Pangan Indonesia (PERGIZI PANGAN INDONESIA), Departemen Gizi Masyarakat, Fakultas Ekologi Manusia, IPB Bogor. Danone Aqua Indonesia. 2009.
  23. Stahl A, Kroke A, Bolzenius K, Manz F. Relation between hydration status in children and their dietary profile result from the DONALD study, Eur J Clin Nutr. 2007;61: 1386-1392.
  24. O’Connell BN, Weinheimer EM, Martin BR, Weaver CM, Campbell WW. Water turnover assessment in overweight adolescents. Obesity. 2011; 19(2): 292-297.
  25. Gordon RE, Kassier SM, Biggs C. Hydration status and fluid intake of urban, underprivileged south african male adolescent soccer players during training. Journal of International Society of Sport Nutrition. 2015;12(2): 1-10.
  26. Putri RT, Jus’at I, Angkasa D. Pengetahuan tentang cairan, konsumsi cairan, IMT dan status hidrasi pada atlet marching band di Platda PON Banten 2016. Jakarta: Fakultas Ilmu Kesehatan, Universitas Esa Unggul. Repository;2016.