Obesity and cardiovascular risk factors among internists in Indonesia

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Sally Aman Nasution, Lugyanti Sukrisman, Eka Ginanjar, Evy Yunihastuti, Simon Salim, Rudy Hidayat, Muhadi Muhadi, Siprianus Ugroseno Yudho Bintoro, Asri Ludin Tambunan, Hery Djagat Purnomo, Andi Makbul Aman, Mohammad Robikhul Ikhsan, Ahmad Mekah, Angkasa R. Hamdan, Indra Wijaya, I. Made Siswadi Semadi, Wira Gotera, Putri Muthia, Zen Ahmad, Muhammad Diah, Nur Samsu, Santy A. P. Perdhana, Tatar Sumandjar, Johana Prihatini, Juwanto Wakimin, Linda Wilhelma Ancella Rotty, Harnavi Harun, Kuntjoro Yakti, Erwin Erwin, Lukman Pura, Abimanyu Abimanyu, Sutiadi Kusuma, Suharno Hakim, Riskadwi Septianti, Budiman Gunawan, Faradiesa Addiena, Kongko H. Nursetiyanto, Arif Koswandi, Andreas N. F. Lewai, Joko Anggoro, Maria Nainggolan, Arfan Sanusi, Petrus Irianto, Komariatun Komariatun, Annelin Kurniati, Haeril Aswar, Nelyan H. Mokoginta, Leily D. Pawa, Edwin Ambar, Feliks Duwit

2025 Frontiers in Endocrinology Vol. 16 Article Cited by 1 Quartile

Abstract

Background: Obesity constitutes a significant global health concern, including in Indonesia, through increased risk of non-communicable diseases. Physicians, as healthcare providers, are not exempt from the impact of obesity toward general health, quality of life, and work performance. Among physicians, internists are particularly significant, as they assume primary responsibility for the management of obesity, thus the primary focus in this study. Obesity in internists is related to modifiable and non-modifiable risk factors. Therefore, identification of prevalence and risk factors of obesity in internists may aid in the improvement of their health through risk factor modification. Methods: A multicenter randomized cross-sectional study with a total sample of 1,064 internists across Indonesia is conducted to identify obesity profile and risk factors. Data were collected through questionnaire, physical examination, and biochemical testing and were analyzed using descriptive, bivariate, and multivariate analyses. Results: The prevalence of obesity in Indonesian internists is 61.4%, higher than the general population. Risk factors associated with obesity in Indonesian internists after adjusting for confounding factors were male gender (aOR 1.43, 95% CI 1.08-1.90), hypertension (aOR 1.88, 95% CI 1.26-2.79), history of diabetes mellitus (aOR 2.93, 95% CI 1.53-5.60), newly diagnosed diabetes mellitus (aOR 2.41, 95% CI 1.22-4.77), newly diagnosed prediabetes (aOR 1.70, 95% CI 1.26-2.30), and inadequate physical activity (aOR 1.85, 95% 1.15-2.98). Conclusion: Internists are a special population differing in prevalence of obesity and its related risk factors compared with the general population, due to high professional demand impacting healthy lifestyle and behavior. Copyright © 2025 Nasution, Sukrisman, Ginanjar, Yunihastuti, Salim, Hidayat, Muhadi, Bintoro, Tambunan, Purnomo, Aman, Ikhsan, Mekah, Hamdan, Wijaya, Semadi, Gotera, Muthia, Ahmad, Diah, Samsu, Perdhana, Sumandjar, Prihatini, Wakimin, Rotty, Harun, Yakti, Erwin, Pura, Abimanyu, Kusuma, Hakim, Septianti, Gunawan, Addiena, Nursetiyanto, Koswandi, Lewai, Anggoro, Nainggolan, Sanusi, Irianto, Komariatun, Kurniati, Aswar, Mokoginta, Pawa, Ambar and Duwit.

Affiliations

Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Special Capital Region of Jakarta, Jakarta, Indonesia; Faculty of Medicine Universitas Airlangga, Dr. Soetomo General Academic Hospital, East Java, Surabaya, Indonesia; Department of Internal Medicine Drs. H. Amri Tambunan General Hospital, Deli Serdang, North Sumatra, Indonesia; Faculty of Medicine Universitas Diponegoro, Dr. Kariadi Hospital, Central Java, Semarang, Indonesia; Department of Internal Medicine Ibnu Sina Yayasan Wakaf Universitas Muslim Indonesia Hospital, South Sulawesi, Makassar, Indonesia; Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada, Dr. Sardjito Hospital, Special Region of Yogyakarta, Yogyakarta, Indonesia; Department of Internal Medicine, Sari Asih Sangiang Hospital, Banten, Tangerang, Indonesia; Faculty of Medicine Universitas Padjadjaran, Hasan Sadikin Hospital, West Java, Bandung, Indonesia; Faculty of Medicine Universitas Udayana, Prof. dr. I Goesti Ngoerah Gde Ngoerah General Hospital, Denpasar, Bali, Indonesia; Faculty of Medicine Universitas Sriwijaya, Mohammad Hoesin General Hospital, South Sumatra, Palembang, Indonesia; School of Medicine Universitas Syiah Kuala, Dr. Zainoel Abidin Hospital, Aceh, Banda Aceh, Indonesia; Faculty of Medicine Universitas Brawijaya, Saiful Anwar General Hospital, East Java, Malang, Indonesia; Faculty of Medicine Universitas Sebelas Maret, dr. Moewardi General Hospital, Central Java, Surakarta, Indonesia; Department of Internal Medicine, Primaya Hospital, West Java, Bekasi, Indonesia; Faculty of Medicine Universitas Riau, Arifin Achmad General Hospital, Riau, Pekanbaru, Indonesia; Faculty of Medicine, Universitas Sam Ratulangi, Prof. dr. R. D. Kandou Hospital, North Sulawesi, Manado, Indonesia; Faculty of Medicine Universitas Andalas, Dr. M. Djamil General Hospital, West Sumatra, Padang, Indonesia; Department of Internal Medicine, Abdul Wahab Sjahranie Hospital, East Kalimantan, Samarinda, Indonesia; Department of Internal Medicine, Indonesia Red Cross General Hospital, West Java, Bogor, Indonesia; Faculty of Medicine Lampung University, Abdul Moelok Hospital, Lampung, Bandar Lampung, Indonesia; Faculty of Medicine Universitas Lambung Mangkurat, Ulin Hospital, South Kalimantan, Banjarmasin, Indonesia; Gunung Jati General Hospital, Cirebon, West Java 28 Emanuel Hospital, Central Java, Banjarnegara, Indonesia; Faculty of Medicine Universitas Jenderal Soedirman, Dr. Margono Soekarjo Hospital, Central Java, Purwokerto, Indonesia; Department of Internal Medicine, H. Abdurrahman Sayoeti General Hospital, Riau, Jambi, Indonesia; Department of Internal Medicine, Kharitas Bhakti Hospital, West Kalimantan, Pontianak, Indonesia; Department of Internal Medicine, Permata Hospital, West Java, Depok, Indonesia; Department of Internal Medicine, Mayapada Hospital Jakarta Selatan, Special Capital Region of Jakarta, Jakarta, Indonesia; Department of Internal Medicine, Awal Bros Hospital Batam, Riau Islands, Indonesia; Faculty of Medicine Universitas Nusa Cendana, Wilhelmus Zakaria Johannes Hospital, Kupang, Indonesia; Faculty of Medicine University of Mataram, West Nusa Tenggara Regional General Hospital, West Nusa Tenggara, Mataram, Indonesia; Department of Internal Medicine, dr. Doris Sylvanus Hospital, Central Kalimantan, Palangkaraya, Indonesia; Faculty of Medicine Alkhairaat University, Anutaparu General Hospital, Central Sulawesi, Palu, Indonesia; Department of Internal Medicine, Jayapura Regional General Hospital, Papua, Jayapura, Indonesia; Faculty of Medicine, Universitas Bangka Belitung, Bangka Belitung Islands, Pangkal Pinang, Indonesia; Department of Internal Medicine, Harapan dan Doa Regional Hospital, Bengkulu, Bengkulu, Indonesia; Department of Internal Medicine, Bahteramas General Hospital, South East Sulawesi, Kendari, Indonesia; Department of Internal Medicine, Aloei Saboe Hospital, Gorontalo, Gorontalo, Indonesia; Department of Internal Medicine, Piru Hospital, West Seram, Maluku, Indonesia; Faculty of Medicine Universitas Negeri Khairun, Chasan Boesoirie General Hospital, Ternate, North Maluku, Indonesia; Department of Internal Medicine, Sele be Solu Hospital, West Papua, Sorong, Indonesia