PREVALENCE AND DETERMINANTS OF RISK FOR TYPE 2 DIABETES MELLITUS IN ADOLESCENT

Authors

  • Ahmad baequny Poltekkes Kemenkes Semarang
  • Sri Hidayati Poltekkes Kemenkes Semarang
  • Didi Hermawan Poltekkes Kemenkes Semarang

DOI:

https://doi.org/10.31983/juk.v6i1.14359

Keywords:

Prevalence, Determinants, Risk Diabetes Mellitus, Adolescents

Abstract

Diabetes mellitus is a metabolic disorder characterized by elevated blood glucose levels. The incidence of Type 2 Diabetes Mellitus (T2DM) in children and adolescents is increasing alongside rising obesity and sedentary lifestyles. Early detection of T2DM risk in adolescents is important and can be performed using the non-invasive FINDRISC (Finnish Diabetes Risk Score). This study aimed to determine risk prevalence and identify determinants of T2DM risk among adolescents. A descriptive analytic cross-sectional design was used in adolescents from the Diploma III Nursing Program in Tegal, with 153 participants selected using the Gay & Diehl approach. Data were collected using the FINDRISC questionnaire and analyzed with descriptive statistics, chi-square tests, and multiple logistic regression. The prevalence of low risk was 69% (n=106), slightly elevated risk 27.5% (n=42), and moderate risk 3.5% (n=5). Factors associated with increased risk included BMI, waist circumference, physical activity, fruit and vegetable intake, and family history. The most dominant factor was family history (OR = 16.89). FINDRISC is effective for identifying at-risk adolescents.

 

References

Aguiar, E. J., Morgan, P. J., Collins, C. E., Plotnikoff, R. C., Young, M. D., & Callister, R. (2016). Efficacy of the Type 2 Diabetes Prevention Using LifeStyle Education Program RCT. American Journal of Preventive Medicine, 50(3), 353–364. https://doi.org/10.1016/j.amepre.2015.08.020

American Diabetes Association. (2020). Standards of medical care in diabetes—2020 abridged for primary care providers. In Clinical Diabetes (Vol. 38, Issue 1, pp. 10–38). American Diabetes Association Inc. https://doi.org/10.2337/cd20-as01

American Diabetes Association. (2024). Standards of medical care in diabetes. Diabetes Care, 47(1), 1–156. https://doi.org/https://doi.org/10.2337/dc24-S001

Ashtary-Larky, D., Bagheri, R., Naderi, J., & et al. (2018). Waist circumference to height ratio: better correlation than other anthropometric indices with visceral adipose tissue in patients with type 2 diabetes. International Journal of Endocrinology and Metabolism, 16(4). https://doi.org/10.5812/ijem.55023

Bandura, A. (2023). Social cognitive theory: An agentic perspective on human nature. Routledge.

Bansal, N. (2015). Prediabetes Diagnosis and Treatment: A Review. World Journal of Diabetes, 6(2), 296–303. https://doi.org/10.4239%2Fwjd.v6.i2.296

khasanah, D. U., Suparjo, S., & Fauziyah, A. (2025). Penilaian Lower Urinary Tract Symptoms (Luts) Pada Penderita Diabetes Melitus Di Kota Tegal. 5(2), 215–223. https://doi.org/https://doi.org/10.31983/juk.v5i2.13644

Fatmawati, A. (2010). Faktor Risiko Kejadian Diabetes Melitus Tipe 2 Pasien Rawat Jalan.

Fitriani, & Sanghati. (2021). Intervensi Gaya Hidup dalam Pencegahan Diabetes Mellitus Tipe 2 pada Pasien Pra-Diabetes. Jurnal Ilmiah Kesehatan Sandi Husada , 10(2). doi: 10.35816/jiskh.v10i2.682

Glanz, K., Rimer, B. K., & Viswanath, K. (2015). Health behavior: Theory, research, and practice (5th ed.). Jossey-Bass.

Hannon, T. S. (2020). Promoting Prevention, Identification, and Treatment of Prediabetes and Type 2 Diabetes in Youth. Pediatrics, 146(3), 1–5. doi: 10.1542/PEDS.2020-010272

Khokhar, A., & Chin, V. L. (2017). Metformin Use in Children and Adolescents with Prediabetes. Pediatric Clinics of North America , 64(6). doi: 10.1016/j.pcl.2017.08.010

Kim, J., Kim, K., & et al. (2023). CT-based measurement of visceral adipose tissue volume as a reliable tool for assessing metabolic risk factors in prediabetes across subtypes. . Scientific Reports, 13. https://doi.org/10.1038/s41598-023-49371-z

Lindström, J., & Tuomilehto, J. (2003). The diabetes risk score: A practical tool to predict type 2 diabetes risk. Diabetes Care, 26(3), 725–731. https://doi.org/10.2337/diacare.26.3.725

Lisnawati, N. (2023). Hubungan Indeks Massa Tubuh, Persen Lemak, dan Faktor Lainnya dengan Kadar Gula Darah Sewaktu pada Remaja. Jurnal Nutrisi Dan Kesehatan (JNC). https://ejournal3.undip.ac.id/index.php/jnc/article/view/36662

Pramanik, S., Mondal, S., Palui, R., & Ray, S. (2024). Type 2 diabetes in children and adolescents: Exploring the disease heterogeneity and research gaps to optimum management. World Journal of Clinical Pediatrics, 13(2). https://doi.org/10.5409/wjcp.v13.i2.91587

Pusdatin Kemenkes. (2020). Tetap Produktif, Cegah dan Atasi Diabetes Mellitus.

Rariden, C. (2019). Prediabetes : A Wake-up Call. Nursing, 49(4), 38–44. https://doi.org/10.1097/01.nurse.0000554281.77374.c9

Rother. (2007). Diabetes Mellitus dan Penanganannya. Medical Book.

Sahayati, S. (2019). Faktor risiko kemungkinan timbulnya diabetes melitus pada remaja di Kabupaten Sleman (Skoring DM menggunakan FINDRISC). Jurnal Formil (Forum Ilmiah) KesMas Respati, 4(2), 201–212.

Scott, R. A., Langenberg, C., Sharp, S. J., Franks, P. W., & Rolandsson, O. (2013). The link between family history and risk of type 2 diabetes is not explained by anthropometric, lifestyle or genetic risk factors. Diabetologia, 56(1), 60–69. https://doi.org/https://doi.org/10.1007/s00125-012-2715-x

Stefanaki, C., Bacopoulou, F., & Peppa, M. (2016). Prediabetes and Adolescence - Trends, Causes, Effects, and Screening. US Endocrinology , 12(2), 94–98. doi: 10.17925/USE.2016.12.02.9

Tagi, V. M., Giannini, C., & Chiarelli, F. (2019). Insulin resistance in children. Frontiers in Endocrinology. https://doi.org/10.3389/fendo.2019.00342

Tchernof, A., & Després, J. P. (2013). Pathophysiology of human visceral obesity: an update. Physiological Reviews, 93(1), 359–404. https://doi.org/10.1152/physrev.00033.2011

Terathongkum, S., Wangpitipanit, S., Kraithaworn, P., & Vallibhakara, S. A. O. (2018). A community-based lifestyle modification for prevention diabetes in pre-diabetes: A quasi-experimental study. Journal of the Medical Association of Thailand, 101(3), 297–304. https://repository.li.mahidol.ac.th/handle/123456789/46869

Tsyaniyah, A. A., Aisyah, I. S., & Husnul, N. (2024). Obesity status and blood sugar levels in productive age. Nutrition Scientific Journal, 3(1).

Wondmkun, Y. T. (2020). Obesity, insulin resistance, and type 2 diabetes: Associations and therapeutic implications. Diabetes, Metabolic Syndrome and Obesity, 13, 3611–3616. https://doi.org/https://doi.org/10.2147/DMSO.S275898

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Published

2026-04-02

How to Cite

baequny, A., Sri Hidayati, & Didi Hermawan. (2026). PREVALENCE AND DETERMINANTS OF RISK FOR TYPE 2 DIABETES MELLITUS IN ADOLESCENT. Juru Rawat. Jurnal Update Keperawatan, 6(1), 293–300. https://doi.org/10.31983/juk.v6i1.14359

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