Faktor Risiko Perilaku Pra-Diabetes di Kota Padang Panjang

Pre-diabetes is a condition leading to the risk of Diabetes Mellitus (DM) type 2, that can be caused by genetic factor and behavior risk factors, such as fat consumption, insufficient fiber consumption, low carbohydrate consumption, sedentary life, and smoking. Prevalence of pre-diabetic has been estimated as higher than prevalence of DM. This research purposed to assess association of behavior risk factors with pre-diabetes incident among population of 40-59 years old in Padang Panjang City in 2008 after controlled by genetic factor. Survey was conducted to the respondents selected using multistage random sampling (n = 174). Data were analyzed with design complex by partial regression, simple logistic regression and multivariate (multiple logistic regression). The study found that the prevalence of pre-diabetes is 57,5% with Plasma Glucose Test (RPG) 115,4 mg/dl in average. There is a significant association between fat consumption, fiber consumption and physical activity with pre-diabetes incident after adjusted by genetic. Dominant factors were fat consumption (OR = 18,0); fiber consumption (OR = 9,5); and physical activity (OR = 13,7 times). District Health Office should develop primary prevention through communication, information and education about pre-diabetes condition and related behavior risk factors. Pre-diabetes peer group should be established to increase community awareness to pre-diabetes condition in order to prevent the DM type 2. Key words: Pre-diabetes, behavior risk factors, genetic factors