Cardiometabolic Risk Among Internal Medicine Specialists in Indonesia (CARMEINA)

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Eka Ginanjar, Simon Salim, Sally Aman Nasution, Lugyanti Sukrisman, Evy Yunihastuti, Andhika Rachman, Ceva Wicaksono Pitoyo, Hayatun Nufus, Muhadi Muhadi, Hermawan Susanto, Siprianus Ugroseno Yudho Bintoro, Darmadi Darmadi, Asri Ludin Tambunan, Hery Djagat Purnomo, Andi Makbul Aman, Anggoro Budi Hartopo, Mohammad Robikhul Ikhsan, Selfie Selfie, Ahmad Mekah, Ervita Ritonga, Indra Wijaya, Gede Wira Mahadita, Wira Gotera, Radiyati Umi Partan, Zen Ahmad, Azzaki Abubakar, Muhammad Diah, Nur Samsu, Wachid Putranto, Tatar Sumandjar, Reinaldo Alexander, Johana Prihatini, Dani Rosdiana, Juwanto Wakimin, Cecilia Hendratta, Linda Wilhelma Ancella Rotty, Akmal Mufriady Hanif, Harnavi Harun, Astried Indrasari, Kuntjoro Yakti, Erwanto Budi Winulyo, Erwin Erwin, Lukman Pura, Djallalluddin Djallalluddin, Abimanyu Abimanyu, Giri Satriya, Sutiadi Kusuma, Andi M.H. Panjaitan, Suharno Hakim, Elfiani Elfiani, Budiman Gunawan, Annisa Puspitasari Nachrowi, Kongko H. Nursetiyanto, Kurniakin W.S. Girsang, Arif Koswandi, Erwin A. Pangkahila, Andreas N.F. Lewai, Joko Anggoro, Dayang Nurbayati, Fahmi R. Darkuthni, Arfan Sanusi, Petrus Irianto, Komariatun Komariatun, Annelin Kurniati, Haeril Aswar, Nelyan H. Mokoginta, Leily D. Pawa, Edwin Ambar, Riswan Riswan, Feliks Duwit

2026 JACC: Asia Vol. 6 Issue 4 Article Cited by 2

Abstract

Background Cardiovascular and cerebrovascular diseases are the top global causes of mortality. Internal medicine professionals are vital in educating the public on prevention, yet they themselves may experience the very risk factors they warn against. Objectives This study aimed to assess cardiometabolic risk factors among Indonesian internal medicine specialists to raise awareness among health care workers. Methods This cross-sectional study was conducted by the Indonesian Society of Internal Medicine (INASIM). Our study recruited 1,568 internal medicine specialists from 39 INASIM branches in Indonesia using clustered random sampling (December 2023-March 2024). Cardiometabolic risk was calculated using atherosclerotic cardiovascular disease (ASCVD) risk scores and SCORE-2 (Systematic Coronary Risk Evaluation-2) Asia Pacific. Results The mean age of 1,064 participants who completed the study was 45 ± 10.4 years. The prevalences of dyslipidemia, obesity, hypertension, and diabetes mellitus were 84.6% (95% CI: 82.4%-86.9%), 61.4% (95% CI: 58.5%-64.3%), 20.3% (95% CI: 17.9%-22.7%), and 10.2% (95% CI: 8.4%-12.1%), respectively. Participants’ 10-year ASCVD risk scores were 6.0% (95% CI: 4.4%-8.1%) high, 18.5% (95% CI: 15.7%-21.7%) intermediate, 9.6% (95% CI: 7.5%-12.1%) borderline, and 66.0% (95% CI: 62.2%-69.6%) low. Their SCORE-2 Asia Pacific risk scores were 1.2% (95% CI: 0.5%-2.5%) very very high, 10.7% (95% CI: 8.3%-13.7%) very high, 46.5% (95% CI: 42.1%-50.9%) high, and 41.6% (95% CI: 37.3%-46.1%) moderate. Conclusions The prevalences of dyslipidemia and obesity were high among internal medicine specialists in Indonesia. The prevalences of highest risk category profile were 6.0% (ASCVD) and 1.2% (SCORE-2). © 2026 The Authors.

Affiliations

Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Special Capital Region of Jakarta, Jakarta, Indonesia; Faculty of Medicine Universitas Indonesia, Persahabatan Central General Hospital, Jakarta, Special Capital Region of Jakarta, Jakarta, Indonesia; Faculty of Medicine Universitas Airlangga, Dr Soetomo General Academic Hospital, East Java, Surabaya, Indonesia; Faculty of Medicine Universitas Sumatera Utara, North Sumatra, Medan, Indonesia; Faculty of Medicine Universitas Diponegoro, Dr Kariadi Hospital, Central Java, Semarang, Indonesia; Universitas Hasanuddin Hospital, South Sulawesi, Makassar, Indonesia; Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada, Dr Sardjito Hospital, Special Region of Yogyakarta, Yogyakarta, Indonesia; Balaraja Hospital, Banten, Tangerang, Indonesia; 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, Bali, Denpasar, 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; Siloam Hospitals Bekasi Sepanjang Jaya, West Java, Bekasi, Indonesia; 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; Abdul Wahab Sjahranie Hospital, East Kalimantan, Samarinda, Indonesia; Hermina Hospital, West Java, Bogor, Indonesia; 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; Juanda Hospital, West Java, Kuningan, Indonesia; Gunung Jati General Hospital, West Java, Cirebon, Indonesia; Emanuel Hospital, Central Java, Banjarnegara, Indonesia; Faculty of Medicine Universitas Jenderal Soedirman, Dr Margono Soekarjo Hospital, Central Java, Purwokerto, Indonesia; Faculty of Medicine Universitas Jambi, Raden Mattaher Hospital, Jambi, Jambi, Indonesia; Kharitas Bhakti Hospital, West Kalimantan, Pontianak, Indonesia; Mayapada Hospital Jakarta Selatan, Jakarta, Special Capital Region of Jakarta, Indonesia; Engku Haji Daud Hospital, Riau Islands, Bintan, Indonesia; Awal Bros Hospital Batam, Riau Islands, Batam, Indonesia; Karitas Weetabula Hospital, East Nusa Tenggara, West Sumba, Indonesia; Faculty of Medicine Universitas Nusa Cendana, Prof Dr W. Z. Johannes Kupang Regional General Hospital, East Nusa Tenggara, Kupang, Indonesia; Faculty of Medicine University of Mataram, West Nusa Tenggara Regional General Hospital, West Nusa Tenggara, Mataram, Indonesia; dr Doris Sylvanus Hospital, Central Kalimantan, Palangkaraya, Indonesia; Faculty of Medicine Universitas Tadulako, Central Sulawesi, Palu, Indonesia; Faculty of Medicine Alkhairaat University, Central Sulawesi, Palu, Indonesia; Jayapura Regional General Hospital, Papua, Jayapura, Indonesia; Faculty of Medicine Universitas Bangka Belitung, Bangka Belitung Islands, Pangkal Pinang, Indonesia; Harapan dan Doa Regional Hospital, Bengkulu, Bengkulu, Indonesia; Faculty of Medicine Universitas Hasanuddin, South Sulawesi, Makassar, Indonesia; Aloei Saboe Hospital, Gorontalo, Gorontalo, Indonesia; Piru Hospital, Maluku, West Seram, Indonesia; Faculty of Medicine Universitas Negeri Khairun, Chasan Boesoirie General Hospital, North Maluku, Ternate, Indonesia; Faculty of Medicine Universitas Papua, John Piet Wanane Regional General Hospital, Southwest Papua, Sorong, Indonesia; Faculty of Medicine Universitas Papua, West Papua, Manokwari, Indonesia