HUBUNGAN INDEKS MASSA TUBUH DAN JENIS KELAMIN DENGAN DERAJAT KEPARAHAN CARPAL TUNNEL SYNDROME DI RSUD KOTA MATARAM

Pande Kadek Deva Widya Iswara Oka; Sukandriani Utami; Nyoman Cahyadi Tri Setiawan; I Wayan Tunjung

doi:10.59003/nhj.v2i10.795

Authors

Pande Kadek Deva Widya Iswara Oka Fakultas Kedokteran Universitas Islam Al-Azhar
Sukandriani Utami Fakultas Kedokteran Universitas Islam Al-Azhar
Nyoman Cahyadi Tri Setiawan Fakultas Kedokteran Universitas Islam Al-Azhar
I Wayan Tunjung Fakultas Kedokteran Universitas Islam Al-Azhar

DOI:

https://doi.org/10.59003/nhj.v2i10.795

Keywords:

BMI, Gender, Carpal Tunnel Syndrome Severity

Abstract

Carpal Tunnel Syndrome (CTS) is a common disorder with symptoms involving the median nerve. The risk factors for the occurrence of CTS are grouped into individual and physical factors related to work. Individual factors consisted of a history of diabetes mellitus, hypothyroidism, obesity, rheumatoid arthritis, age and gender. In addition, there are work-related physical factors, namely work with repetitive hand movements, gripping or clamping work with force, abnormal postures on the wrist for a long time. Purpose to determine the relationship between BMI and gender with the degree of severity of CTS in Mataram City Hospital. Observational analytic quantitative research with a cross-sectional study design. The sampling technique used a random sampling technique of 34 samples. The research was conducted at the Mataram City Hospital, from November to December 2022. The data obtained was analyzed using the spermaman rank test. Results of the 34 study samples, there were 8 people (23.5%) with BMI < 24.9 kg/m2 and, 26 people (76.5%) with BMI ≥ 25 kg/m2. A total of 13 men (38.2%) and 21 women (61.8%) suffered from CTS. The value of p = 0.001 (p <0.05) with a correlation value of 0.528 for the relationship between BMI and the severity of CTS, and p = 0.001 (p <0.05) with a correlation value of 0.531 for the relationship between gender and the severity of CTS . There is a significant relationship between BMI and gender with the degree of severity of CTS in Mataram City Hospital.

Downloads

Download data is not yet available.

References

Aripin, T. N., Rasjad, A. S., Nurimaba, N., Djojosugito, M. A., & Irasanti, S. N. (2019). Hubungan Durasi Mengetik Komputer dan Posisi Mengetik Komputer dengan Gejala Carpal Tunnel Syndrome (CTS) pada Karyawan Universitas Islam Bandung. Jurnal Integrasi Kesehatan & Sains, 1(2), 97–101. https://doi.org/10.29313/jiks.v1i2.4352

Aboonq MS. Pathophysiology of carpal tunnel syndrome. Neurosciences (Riyadh) [Internet]. 2015;20(1):4–9

Badan Penelitian dan Pengembangan Kesehatan, [RISKESDAS] Riset Kesehatan Dasar. Departemen Kesehatan, Republik Indonesia. Jakarta;2007

Bonfiglioli R, Mattioli S, Armstrong TJ, Graziosi F, Marinelli F, Farioli A, et al. Validation of the ACGIH TLV for hand activity level in the OCTOPUS cohort: A two-year longitudinal study of carpal tunnel

Callaghan BC, Gao LL, Li Y, Zhou X, Reynolds E, Banerjee M, et al. Diabetes and obesity are the main metabolic drivers of peripheral neuropathy. Ann Clin Transl Neurol. 2018;5(4):397–405

Craig E, Bland R, Ndirangu J, Reilly JJ. Use of mid-upper arm circumference for determining overweight and overfatness in children and adolescents. Arch Dis Child. 2014;99(8):763–6

Duarsa, A. B. S., Arjita, I. P. D., Ma’ruf, F., Mardiah, A., Anafi, F., Budiarto, J., & Utami, S. (2021). Buku Ajar Penelitian kesehatan (B. Murti, Musyarafah, I. P. D. Arjita, & I. G. A. Adnyana (eds.); 1st ed.). Fakultas Kedokteran Universitas Islam Al-Azhar.

Dinas Kesehatan Provinsi Sumatera Barat. Profil Kesehatan Sumatera Barat Tahun 2015. Padang;2016.

Duncan SFM, Kakinoki R. Carpal Tunnel Syndrome and Related Median Neuropathies [Internet]. 2017.

DeTata V. Age-related impairment of pancreatic beta-cell function: Pathophysiological and cellular mechanisms. Front Endocrinol (Lausanne). 2014;5(SEP):1–8

Ghaisani, D. A., Jayanti, S., & Ekawati, E. (2021). Faktor risiko kejadian carpal tunnel syndrome (cts) pada pekerjaan pengguna komputer: literature review. Jurnal Kesehatan Masyarakat, 9(1), 104–111.

Grantham JP, Henneberg M. The estrogen hypothesis of obesity. PLoS One. 2014;9(6):1–7

Gerrits EG. Limited joint mobility syndrome in diabetes mellitus: A minireview. World J Diabetes [Internet]. 2015;6(9):1108.

Govindan M, Gurm R, Mohan S, Kline-Rogers E, Corriveau N, Goldberg C, et al. Gender Differences in Physiologic Markers and Health Behaviors Associated WithChildhood Obesity. Pediatrics[Internet]. 2013;132(3):468– 74.

Ginsberg, Lionel. Lecture Notes: Neurologi. Edisi Delapan. Erlangga Jakarta. 2007.

Harrianto, Ridwan. “Occupational Overuse Syndrome”. Jurnal Kedokteran Trisakti.Vol. 18 No. 2. 1999.

Huldani. Carpal Tunnle Syndrome. Referat. Universitas Lambung Mangkurat. Fakultas kedokteran Banjarmasin. 2013.

Hruby A, Hu FB. HHS Public Access. Pharmacoeconomics: The Epidemiology of Obesity. 2016;33(7):673–89.

Heymsfield SB, Wadden TA. Mechanisms, Pathophysiology, and Management of Obesity.

Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of Obesity Among Adults and Youth: United States, 2015–2016. NCHS Data Brief [Internet]. 2017;288(288):1–8.

Iriani, T. Hubungan Repetitive Motion dengan Keluhan Carpal Tunnel Syndrome pada Pekerja Menjahit di Bagian Konveksi PT Dan Liris Sukoharjo Surakarta. Solo. Skripsi FK Universitas Sebelas Maret ¬Sukoharjo . 2010.

Irmawartini, & Nurhaedah. (2017). Bahan Ajar Kesehat Lingkungan Metodelogi Penelitian.

Jeffrey n. Katz, et al. Carpal Tunnel Syndrome. N Engl J Med, 2002. Vol. 346, No. 23.2011.

Kurniawan, B., Jayanti, S., & Setyaningsih, Y. (2014). Faktor Risiko Kejadian Carpal Tunnel Syndrome (CTS) pada Wanita Pemetik Melati di Desa Karangcengis, Purbalingga. Jurnal Promosi Kesehatan Indonesia, 3(1), 31–37.

Kurniawan, et al. Faktor Risiko Kejadian Carpal Tunnel Syndrome pada Wanita Pemetik Melati di Desa Karangcengis, Purbalingga. Jurnal Promosi Kesehatan Indonesia. Vol.3, No.1.2008.

Kuroda M, Sakaue H. Adipocyte Death and Chronic Inflammation in Obesity. J Med Investig [Internet]. 2017;64(3.4):193–6

Kemenkes RI. Laporan Hasil Riset Kesehatan Dasar (Riskesdas) Indonesia tahun 2013. Jakarta : Badan Penelitian dan Pengembangan Kesehatan Kemenkes RI; 2013

Kementrian Kesehatan RI. Buku saku pemantauan Status Gizi dan Indikator Kinerja Gizi tahun 2017.Kemenkes RI. Jakarta;2018

Khabazkhoob M, Emamian MH, Hashemi H, Shariati M, Fotouhi A. Prevalence of Overweight and Obesity in the Middle-age Population: A Priority for the Health System. Iran J Public Health

Levy et al., Occupational and Enviromental Health Recognizing and Preventing Disease and Injury. Sixth Edition. Oxford University Press.2011

Lubis, Halinda Sari. Sindroma Terowongan Karpal Akibat Kerja. Jurnal Departemen Kesehatan dan Keselamatan Kerja, FKM USU.2006.

Lukman dan Nurna Ningsih. Asuhan Keperawatan pada Klien dengan Gangguan Sistem Muskuloskeletal. Salemba Medika. Jakarta. 2009.

Merijanti S, Lie T. Gerakan Repetitif Berulang sebagai Faktor Risiko Terjadinya Sindrom Terowongan Karpal pada Pekerja Wanita di Pabrik Pengol

Mansoor S, Siddiqui M, Mateen F, Saadat S, Khan ZH, Zahid M, et al. Prevalence of Obesity in Carpal Tunnel Syndrome Patients: A Cross-Sectional Survey. Cureus [Internet]. 2017;9(7):3–9.

Mondelli M, Aretini A, Ginanneschi F, Greco G, Mattioli S. Journal of the Neurological Sciences Waist circumference and waist-to-hip ratio in carpal tunnel syndrome : A case – control study. J Neurol Sci [Internet]. 2014;338(1– 2):207–13.

Notoatmodjo, Soekidjo, 2003. Pendidikan Dan Prilaku Kesehatan, Jakarta: Rineka Cipta.

Nageeb RS, Shehta N, Nageeb GS, Omran AA. Body mass index and vitamin D level in carpal tunnel syndrome patients. Egypt J Neurol Psychiatry Neurosurg [Internet]. 2018;54(1):14.

Notoatmodjo, S. (2018). Metodelogi Penelitian Kesehatan (3rd ed.). PT Rineka Cipta.

Nakamoto H, Hamada C, Shimaoka T, Sekiguchi Y, Io H, Kaneko K, et al. Accumulation of advanced glycation end products and beta2-microglobulin in fibrotic thickening of the peritoneum in long-term peritoneal dialysis patients. J Artif Organs. 2014;17(1):60–8

Paramita, Tini, K., Budiarsa, I. G. N. K., & Samatra, D. P. G. P. (2021). Prevalensi dan Karakteristik Carpal Tunnel Syndrome pada Pekerja Garmen di Kota Denpasar. Jurnal Medika Udayana, 10(2), 6–11. https://ojs.unud.ac.id/index.php/eum.

Puchalski P, Zyluk P, Szlosser Z, Zyluk A. Factors involved in the clinical profile of carpal tunnel syndrome. Handchirurgie · Mikrochirurgie · Plast Chir [Internet]. 2018;50(01):8–13.

Pinto KA, Griep RH, Rotenberg L, Da Conceição Chagas Almeida M, Barreto RS, Aquino EML. Gender, time use and overweight and obesity in adults: Results: Of the Brazilian Longitudinal Study of Adult Health (ELSA- Brasil). PLoS One. 2018;13(3):1–13.

Priyono. (2016). Metode Penelitian Kuantitatif. Zifatama Publishing.

Putra. 2019. Hubungan Indeks Massa Tubuh dengan Derajat Keparahan Carpal Tunnel Syndrome di RSUP DR. M. DJAMIL Periode 2017-2018. Fakultas Kedokteran Universitas Andalas Padang.

Rm, Y., & Sitompul, B. (2019). 350-Article Text-1045-4-10-20190619 (3). 5.

Sekarsari, D., pratiwi, A., & Farzan, A. (2017). Hubungan Lama Kerja, Gerakan Repetitif Dan Postur Janggal Pada Tangan Dengan Keluhan Carpal Tunnel Syndrome (Cts) Pada Pekerja Pemecah Batu Di Kecamatan Moramo Utara Kabupaten Konawe Selatan Tahun 2016. Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat Unsyiah, 2(6), 184961.

Sharief F, Kanmani J, Kumar S. Risk factors, symptom severity and functional status among patients with carpel tunnel syndrome.Neurol India 2018;66:743- 46

Tamba LMT, Pudjowidyanto H. Media Medika. Karakteristik Penderita Sindroma Terowongan Karpal di Poliklinik Instalasi Rehabilitasi Medik RS dr. Kariadi Semarang 2006.Semarang;2008

World Health Organization (2018). Obesity and overwheight. World Health Organization.http://www.who.int/en/news-room/fact-sheets/detail/obesityand-overweight - Diakses September 2018

Watanabe Y, Saito I, Henmi I, Yoshimura K, Maruyama K, Yamauchi K, et al. Skipping Breakfast is Correlated with Obesity. J Rural Med JRM / Japanese Assoc Rural Med [Internet]. 2014;9(2):51–8

Wyatt HR. Update on Treatment Strategies for Obesity. J Clin Endocrinol Metab [Internet]. 2013;98(4):1299–306

Yuliarmi, N. N., & Marhaeni, A. A. I. N. (2019). Metode Risert Jilid ke 2. cv. sastra.