HUBUNGAN INDEKS MASA TUBUH (IMT) DENGAN KEJADIAN HEMOROID DI BAGIAN BEDAH RSI SITI RAHMAH

Authors

  • Ahmad Dzaki Universitas Baiturrahmah
  • Melya Susanti Universitas Baiturrahmah
  • Zukhri Zainun Universitas Baiturrahmah

DOI:

https://doi.org/10.59003/nhj.v5i3.1635

Keywords:

Body Mass Index (BMI), Hemorrhoids

Abstract

Hemorrhoids are localized dilations of vascular structures caused by the migration or pathological hypertrophy of the pads in the submucosal layer of the lower rectum. In the United States, hemorrhoids are the fourth most common outpatient gastrointestinal diagnosis, accounting for 3.3 million outpatient visits annually. According to Basic Health Research (Riskesdas) data in 2018, approximately 12.5 million Indonesians suffer from hemorrhoidal disease. Factors commonly associated with an increased risk of hemorrhoids include constipation, a low-fiber diet, high body mass index (BMI), pregnancy, and a sedentary lifestyle. This study aims to determine the relationship between body mass index (BMI) and the occurrence of hemorrhoids in the surgical department of RSI Siti Rahmah Padang during the period January 2022 to August 2023. This research employed an observational analytic method with a cross-sectional design. The study sample consisted of patients from the surgical clinic of RSI Siti Rahmah Padang within the specified period who were diagnosed with hemorrhoids, selected using a simple random sampling technique. Data were obtained from the medical records of 166 patients who met the inclusion criteria and were analyzed using the chi-square test. The results showed that the highest incidence of hemorrhoids occurred in adults, with 23 cases (51.1%). Based on gender distribution, females accounted for 27 cases (60%). Regarding BMI, the majority of patients were classified as overweight, with 22 individuals (48.9%) suffering from hemorrhoids. Data analysis demonstrated a significant relationship between BMI and the incidence of hemorrhoids (p = 0.000).

Downloads

Download data is not yet available.

References

Schubert MC, Sridhar S, Schade RR, Wexner SD. (2009). Hemorrhoid pathology and classification. World J Gastroenterol.

Hollingshead JR, Phillips KR. (2016). Clinical manifestations of hemorrhoids. Postgrad Med J.

Riss S, Weiser FA, Schwameis K. (2023). Prevalence of hemorrhoidal disease in the general population: a prospective study. Heme, V (1).

Kementerian Kesehatan. (2018). Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Kementerian Kesehatan.

Data prevalensi hemoroid di RSUP Dr. M. Djamil dan RS TKT III Dr. Reksodiwiryo Padang 2011-2017.

De Marco S. (2021). Lifestyle and risk factors in hemorrhoidal disease. Front Med.

World Health Organization. (2005). BMI classification and epidemiological relevance.

Riss S. (2023). Heme, V (1).

Karim J, Abdullah AAA, Zolkifle AK. (2020). Association of BMI and physical activity with hemorrhoids. J Ners, 14 (3): 121-125.

Kibret AA. (2021). Prevalence and associated factors of hemorrhoids among surgical patients. BMC Gastroenterol, 21.

Huang J. (2023). Causal association between adiposity and hemorrhoids: Mendelian randomization study. PLoS One.

Hong YS. (2022). Risk factors for hemorrhoidal disease among healthy adults. Int J Colorectal Dis.

Karim J, Abdullah AAA, Zolkifle AK. (2020). Association of body mass index and physical activity with hemorrhoids: a case-control study. J Ners, 14 (3): 121-125.

Hong YS, Kim HC, Kang JH. (2022). Risk factors for hemorrhoidal disease among healthy adults in Korea. Int J Colorectal Dis, 37 (3): 639-647.

De Marco S, Tiso D, Graziano V. (2021). Lifestyle and risk factors in hemorrhoidal disease. Front Med (Lausanne), 8: 728904.

Lee JH, Kim HE, Kang JH. (2014). Factors associated with hemorrhoids in Korean adults: Korean National Health and Nutrition Examination Survey. Korean J Fam Med, 35 (5): 227-236.

Obesity Action Coalition. Obesity and hemorrhoids. Obesity Action Coalition.

Wikipedia contributors. Hemorrhoid. Wikipedia.

Reni. (2022). Distribusi hemoroid berdasarkan usia di RSI Siti Rahmah Padang periode Januari–Desember 2018. Padang: RSI Siti Rahmah.

Nazwa. (2023). Karakteristik pasien hemoroid di RSUD Ulin Banjarmasin tahun 2023. Banjarmasin: RSUD Ulin.

Nindya. (2023). Distribusi kasus hemoroid berdasarkan usia dan jenis kelamin di RSUD Dr. H. Chasan Boesoirie Ternate. Ternate: RSUD Dr. H. Chasan Boesoirie.

Guyton AC, Hall JE. (2021). Textbook of Medical Physiology. 14th ed. Philadelphia: Elsevier.

Anteneh A. (2021). Prevalence and risk factors of hemorrhoids in University of Gondar Comprehensive Specialized Hospital. Ethiop Med J, 59 (3): 207-214.

Lohsiriwat V. (2012). Hemorrhoids: from basic pathophysiology to clinical management. World J Gastroenterol, 18 (17): 2009-2017.

Abramowitz L, Batallan A. (2003). Epidemiology of hemorrhoids. Rev Gastroenterol Clin Biol, 27 (5): 533-538.

Maria. (2022). Hubungan IMT dengan kejadian hemoroid di RSUP Sanglah Denpasar. Bali Med J, 11 (3): 102-108.

Stefania M, Rossi G. (2021). Association between body mass index and hemorrhoidal disease: an Italian cross-sectional study. Int J Colorectal Dis, 36 (9): 1857-1864.

Avsar AF, Keskin HL. (2010). Haemorrhoids during pregnancy. J Obstet Gynaecol, 30 (3): 231-237.

Sanchez C, Chinn BT. (2011). Hemorrhoids. Clin Colon Rectal Surg, 24 (1): 5-13.

Jong-Hyun L, Kim H. (2019). Factors associated with hemorrhoids in Korean adults: a cross-sectional study. Int J Colorectal Dis, 34 (8): 1393-1401.

Tilg H, Moschen AR. (2006). Adipocytokines: mediators linking adipose tissue, inflammation, and immunity. Nat Rev Immunol, 6 (10): 772-783.

Peery AF, Shaukat A, Strate LL. (2020). Epidemiology, risk factors, and pathophysiology of hemorrhoids. Gastroenterol Clin North Am, 49 (1): 1-15.

Downloads

Published

2025-08-30

How to Cite

Ahmad Dzaki, Melya Susanti, & Zukhri Zainun. (2025). HUBUNGAN INDEKS MASA TUBUH (IMT) DENGAN KEJADIAN HEMOROID DI BAGIAN BEDAH RSI SITI RAHMAH. Nusantara Hasana Journal, 5(3), 359–367. https://doi.org/10.59003/nhj.v5i3.1635