ABSTRAK

Penyakit jantung koroner merupakan pembubuh utama di negara maju maupunnegara berkembang. Salah satu faktor risiko utama penyebab arterosclerosis adalahhiperkolesterolemia yang ditunjukkan dengan peningkatan kadar kolesterol LDL.Perubahan pola hidup yang ditandai dengan kurangnya mengkonsumsi buah dansayuran serta banyak mengkonsumsi makanan yang tinggi lemak, merupakan salahsatu risiko terjadinya peningkatan kadar kolesterol LDL. Penelitian ini bertujuanuntuk mengetahui hubungan asupan serat dengan kadar kolesterol LDL pendudukusia 25-65 tahun di Kelurahan Kebon Kalapa Bogor tahun 2013. Penelitian dilakukandengan desain cross sectional menggunakan data baseline Studi Kohor Faktor RisikoPenyakit Tidak Menular Badan Litbangkes tahun 2011. Analisis multivariatemenggunakan regresi logistik. Hasil analisis data diperoleh proporsi kolesterol LDLtinggi sebesar 78.3% dengan rata-rata kadar kolesterol 120 mg/dl. Rata-rata asupanserat sebesar 7 gram/hari dengan proporsi asupan serat <6.6 gram/hari sebesar 50.5%.Hasil multivariate menunjukkan asupan serat rendah merupakan faktor protektif (OR= 0.182) terhadap kadar kolesterol LDL tinggi setelah dikontrol oleh variabel umur,asupan lemak dan asupan protein nabati. Faktor determinan dalam model ini terhadapkadar kolesterol LDL adalah asupan protein nabati (OR = 13.356). Model ini mampumemprediksi kejadian kadar kolesterol LDL sebesar 79.4% dan sisanya dipengaruhioleh variabel lain yang tidak tercantun didalam model. Dengan melakukanpenyuluhan akan pentingnya mengkonsumsi makanan yang banyak mengandungserat merupakan salah satu upaya pencegahan terjadinya penyakit yang berhubungandengan arterocslerosis. Merubah pola makan dengan memperbanyak konsumsi buahakan mengurangi kadar kolesterol LDL dalam darah.

ABSTRACT

Coronary heart disease considers as one of the major killers both in developedand developing countries. One of the main risk factors that caused artherosclerosis ishypercholesterolemia which indicates by elevated LDL cholesterol level. Life stylechanging by lack of consuming fruits and vegetables while excess in consuming foodhigh in fat content considered one of risk to have elevated cholesterol level. The aimof this research is to identify the relationship between fiber consumption and thecontent of LDL cholesterol for the people of 25-65 years of age at Kebon KelapaVillage in Bogor on the Year of 2013. The research is conducted by Cross Sectional.The analytic design utilizes the baseline data from Cohort Study of ContagiousDisease Risk Factors of the Research and Development of Health Agency of theRepublic of Indonesia in the year of 2011. Stratification is used in analyzing data andcog regression is utilized in multivariate analysis. The analysis of the result obtainedthat the prevalence of LDL cholesterol is 78.3% with the average of cholesterolcontent 120 mg/dl. The average of daily fiber consumption is 7 gram/day with theproportion of fiber consumption <6.6 gram/day is 50.5%. The result of multivariateanalysis indicates that low fiber consumption considers as a protective factor(OR=0.182) toward high level of LDL cholesterol level after having controlled bysuch variables as age, consumptions of fat and vegetable protein. Determinant factorin this model toward LDL cholesterol content is the consumption of vegetable protein(OR=13.356). This model has the ability to predict in experiencing LDL cholesterollevel 79.4% and the remaining would be influenced by other factors that have notwritten down in the model. By educating the community about the important ofconsuming high fiber foods consider as one of the effort to prevent the occurrence ofdiseases relate with artherosclerosis. Changing the eating pattern by consuming morefiber will decrease the content of cholesterol level in the blood