Risk Factors for Type 2 Diabetes Mellitus in the Elderly at the Muhammadiyah General Hospital in North Sumatra

Oct 13, 2025 by windailys.com 30 views

Risk Factors for Type 2 Diabetes Mellitus in the Elderly at the Muhammadiyah General Hospital in North Sumatra

Introduction

Non-communicable diseases (PTM) are a significant concern in the elderly population, with diabetes mellitus (DM) being one of the most common conditions. Type 2 diabetes mellitus (T2DM) is characterized by chronic hyperglycemia and disorders of carbohydrate, lipids, and protein metabolism caused by insulin secretion and/or insulin effects that are inadequate. This study aims to examine the risk factors for T2DM in the elderly at the Muhammadiyah General Hospital in North Sumatra.

Background

Diabetes mellitus is a chronic condition that affects millions of people worldwide. The prevalence of T2DM is increasing, particularly in the elderly population. The degenerative process that occurs with aging reduces endurance, making the elderly more susceptible to infectious diseases. Understanding the risk factors for T2DM is crucial in preventing and managing the condition.

Methodology

This study was a case study conducted at the North Sumatra Muhammadiyah Hospital in 2018. A total of 148 elderly patients were chosen for this study, consisting of 74 patients with T2DM and 74 patients without T2DM. The dependent variable was T2DM events, while the independent variables included family history, smoking habits, physical activity, carbohydrate diet, fiber diet, body mass index (IMT), abdominal circumference, and hypertension. Data was collected through a questionnaire and analyzed using multivariate analysis.

Results

The results showed that the risk of T2DM increased with a family history (OR = 4.44; 95% CI = 1.92 to 10.27), lack of physical activity (OR = 2.31; 95% CI = 1.01 to 5.32), smoking habits (OR = 3.92; 95% CI = 1.70 to 9.04), abdominal circumference > 80 cm for men and/or > 90 cm for women (OR = 2.73; 95% CI = 1.20 to 6.19), lack of fiber intake (OR = 4.833; 95% CI = 2.017 to 11.578), and carbohydrates (OR = 2.894; 95% CI = 1.132 to 7.399). The relationship between T2DM and BMI and blood pressure was not statistically significant.

Discussion

This study shows that several lifestyle and genetic factors can increase the risk of T2DM in the elderly. History of family DM, lack of physical activity, smoking habits, large abdominal circumference, and lack of fiber intake are the main factors that increase the risk of T2DM in the elderly at the Muhammadiyah General Hospital in North Sumatra. These findings are in line with previous studies that show that factors such as family DM history, obesity, lack of physical activity, and unhealthy diet are the main risk factors for T2DM.

Deeper Analysis

The results of this study are consistent with previous studies that have shown that factors such as family DM history, obesity, lack of physical activity, and unhealthy diet are the main risk factors for T2DM. It is essential to note that although IMT and blood pressure were not statistically significant in this study, this does not mean that these factors are not important. BMI and blood pressure are strong risk factors for T2DM, and may not be significant in this study due to limited sample size.

Recommendation

This study provides important information about the risk factors for T2DM in the elderly at the Muhammadiyah General Hospital in North Sumatra. Recommendations that can be taken based on this research are:

Increased awareness: Increased awareness about risk factors for T2DM in the elderly is very important. Effective health education and promotion programs can help the elderly and their families to understand the risk factors for T2DM and take the necessary prevention steps.
Lifestyle Interventions: Lifestyle interventions, such as diet and sports programs, can help reduce the risk of T2DM in the elderly. These programs can be focused on weight loss, increased physical activity, and consumption of healthy food.
Early detection: Early detection of T2DM is very important to prevent complications. Routine health checks, including blood sugar examination, can help detect T2DM in the early stages, when it can still be overcome more easily.

By understanding the risk factors for T2DM and implementing the right prevention strategy, it is expected to reduce the incidence of T2DM in the elderly at the Muhammadiyah General Hospital in North Sumatra and improve their quality of life.

Conclusion

This study highlights the importance of understanding the risk factors for T2DM in the elderly. The findings of this study can be used to develop effective prevention and management strategies for T2DM in the elderly. By increasing awareness, implementing lifestyle interventions, and promoting early detection, it is possible to reduce the incidence of T2DM in the elderly and improve their quality of life.

Limitations

This study has several limitations, including the small sample size and the limited number of variables included in the analysis. Future studies should aim to include a larger sample size and a more comprehensive set of variables to better understand the risk factors for T2DM in the elderly.

Future Research Directions

Future research should focus on developing effective prevention and management strategies for T2DM in the elderly. This can include the development of lifestyle interventions, such as diet and sports programs, and the promotion of early detection through routine health checks. Additionally, future research should aim to include a larger sample size and a more comprehensive set of variables to better understand the risk factors for T2DM in the elderly.

References

World Health Organization. (2018). Diabetes. Retrieved from https://www.who.int/news-room/fact-sheets/detail/diabetes
American Diabetes Association. (2020). Standards of Medical Care in Diabetes. Diabetes Care, 43(1), S1-S212.
Centers for Disease Control and Prevention. (2020). National Diabetes Statistics Report, 2020. Retrieved from https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report-findings.pdf
Frequently Asked Questions (FAQs) about Risk Factors for Type 2 Diabetes Mellitus in the Elderly

Q: What are the risk factors for type 2 diabetes mellitus (T2DM) in the elderly?

A: The risk factors for T2DM in the elderly include family history, lack of physical activity, smoking habits, large abdominal circumference, and lack of fiber intake.

Q: Why is family history a risk factor for T2DM?

A: Family history is a risk factor for T2DM because it indicates a genetic predisposition to the condition. If a family member has T2DM, it increases the likelihood that the individual will also develop the condition.

Q: How does lack of physical activity contribute to the risk of T2DM?

A: Lack of physical activity contributes to the risk of T2DM because it can lead to weight gain and insulin resistance, making it more difficult for the body to regulate blood sugar levels.

Q: What is the relationship between smoking habits and T2DM?

A: Smoking habits are a risk factor for T2DM because smoking can damage the blood vessels and nerves that regulate blood sugar levels, making it more difficult for the body to regulate blood sugar levels.

Q: How does large abdominal circumference contribute to the risk of T2DM?

A: Large abdominal circumference contributes to the risk of T2DM because it is a sign of insulin resistance, which can lead to weight gain and an increased risk of developing T2DM.

Q: Why is lack of fiber intake a risk factor for T2DM?

A: Lack of fiber intake is a risk factor for T2DM because fiber helps to regulate blood sugar levels and prevent weight gain, which can reduce the risk of developing T2DM.

Q: Can T2DM be prevented?

A: Yes, T2DM can be prevented by making lifestyle changes, such as increasing physical activity, eating a healthy diet, and maintaining a healthy weight.

Q: What are the symptoms of T2DM?

A: The symptoms of T2DM include increased thirst and urination, blurred vision, and fatigue.

Q: How is T2DM diagnosed?

A: T2DM is diagnosed through a combination of physical examination, medical history, and laboratory tests, including blood sugar tests and urinalysis.

Q: What are the complications of T2DM?

A: The complications of T2DM include heart disease, stroke, kidney disease, and nerve damage.

Q: Can T2DM be managed?

A: Yes, T2DM can be managed through lifestyle changes, such as increasing physical activity, eating a healthy diet, and maintaining a healthy weight, as well as through medication and other treatments.

Q: What is the importance of early detection of T2DM?

A: Early detection of T2DM is important because it can help to prevent complications and improve the quality of life for individuals with the condition.

Q: How can individuals reduce their risk of developing T2DM?

A: Individuals can reduce their risk of developing T2DM by making lifestyle changes, such as increasing physical activity, eating a healthy diet, and maintaining a healthy weight.

Q: What role does healthcare play in the prevention and management of T2DM?

A: Healthcare plays a critical role in the prevention and management of T2DM, including providing education and support, conducting regular check-ups, and prescribing medication and other treatments as needed.

Q: What are the future directions for research on T2DM?

A: Future directions for research on T2DM include developing new treatments and therapies, improving the accuracy of diagnostic tests, and identifying new risk factors for the condition.