Relationship of vegetable and fruit consumption with farmers' blood sugar levels in Pakusari Health Center, Jember

https://doi.org/10.22146/jcoemph.66469

Ayu Pricilia Fatimah(1), Tantut Susanto(2*), Latifa Aini Susumaningrum(3), Mokhlas Kholidi(4)

(1) Department of Community, Family & Geriatric Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia.
(2) Department of Community, Family & Geriatric Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia.
(3) Department of Community, Family & Geriatric Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia.
(4) Puskesmas Pakusari, Kabupaten Jember
(*) Corresponding Author

Abstract


Low consumption of vegetables and fruits are one of the causes of digestive problems, coronary heart disease, and diabetes. Farmers are a vulnerable group for consuming vegetables and fruit less than the recommended 5 portions (250 grams) a day. The aim of this study was to analyze the relationship between vegetable and fruit consumption and the level of blood sugar among farmers with non-communicable diseases in the integrated health post (Posbindu) of Pakusari Health Center, Jember Regency. A retrospective cohort study design was used to analyze secondary data of Posbindu registered patients from January to March 2020 among 140 farmers. The characteristics of participants, vegetable and fruit consumption, and blood sugar were measured through the monitoring card of Posbindu. The data were analyzed using Chi-square tests (p-value <0.05). Among 140 farmers as many as 71.4% were identified who consumed vegetables and fruit less than 5 portions a day and 35.7% who have hyperglycemia. There was a relationship between vegetable and fruit consumption and the farmer's blood sugar level (p-value: <0.001; χ2: 13.144). Farmers who consumed vegetables and fruits less than 5 portions a day were 5 times more likely to experience hyperglycemia (RR:5.727; 95% CI=2.072–15.827). Therefore, community health nurses and health care providers should provide counseling to improve the consumption of vegetables and fruits to prevent the incidence of hyperglycemia among farmers.


Keywords


blood glucose; farmers; hyperglycemia; non-communicable disease; vegetable and fruit consumption

Full Text:

PDF


References

  1. World Health Organization. Non-communicable Diseases [Internet]. Available on https://www.who.int/publications/i/item/ncd-progress-monitor-2020.pdf Accessed on 22 December 2020
  2. Ministry of Health of Indonesia. Report of Basic Health Research of Indonesia [Internet]. 2018. Available on https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf Accessed 22 December 2020
  3. Susanto T, Purwandari R, Wuryaningsih EW. Prevalence and associated factors of health problems among indonesian farmers. Chin Nurs Res. 2017;4(1):31–37.
  4. McRae MP. Dietary fiber intake and type 2 diabetes mellitus: an umbrella review of meta-analyses. J Chiropr Med. 2018;17(1):44–53.
  5. Fitriani LI, Murbawani EA, Nissa C. Hubungan asupan vitamin c, vitamin e dan β-karoten dengan kadar gula darah puasa pada wanita usia 35-50 tahun. Journal of Nutrition College. 2018; 7(2):84.
  6. Ministry of Health of Indonesia. Report of Basic Health Research of Indonesia. Gizi Dalam Daur Kehidupan. 2017. Jakarta: Kementrian Kesehatan Republik Indonesia.
  7. Ministry of Health of Indonesia. Infodatin of Indonesia. 2020 [Internet. Available on https://pusdatin.kemkes.go.id/download.php?file=download/pusdatin/infodatin/Infodatin-2020-Diabetes-Melitus.pdf. Accessed on 22 December 2020
  8. Kurniawati N, Suryawati C, Arso PS. Evaluasi program pengendalian diabetes mellitus pada usia produktif di puskesmas Sapuran tahun 2019. Jurnal Kesehatan Masyarakat (Undip); 2019;7(4):633–646.
  9. Rakotoniaina ALH. How to increase fruit and vegetable consumption: a multistakeholder approach for improved health outcomes: a report from the alliance for food & health. J Am Coll Nutr. 2018;37(3):251–266.
  10. Lim M, Kim J. Association between fruit and vegetable consumption and risk of metabolic syndrome determined using the Korean Genome and Epidemiology Study (KoGES). Eur J Nutr. 2020;59(4):1667-1678.
  11. Diabetes Research and Clinical Practice. IDF Atlas 10th Edition. 2021. [Internet] 10, p.108905. Available at: https://diabetesatlas.org/atlas/tenth-edition/. Acces on 6 January 2022
  12. Ministry of Health of Indonesia. Petunjuk Teknis Pos Pembinaan Terpadu Penyakit Tidak Menular (Posbindu). Avalaible at http://p2ptm.kemkes.go.id/uploads/VHcrbkVobjRzUDN3UCs4eUJ0dVBndz09/2019/03/Petunjuk_Teknis_POSBINDU_Bagi_Kader.pdf Access on 6 January 2022
  13. Li M, Fan Y, Zhang X, Hou W, Tang Z. Fruit and vegetable intake and risk of type 2 diabetes mellitus: meta-analysis of prospective cohort studies. BMJ Open. 2014;4(11):e005497.
  14. Friedman M, Bowden RV, Elaine GJ. Family Nursing: Research, Theory, & Practice (Alih Bahasa). Vol. 5. 2010. Jakarta; EGC.
  15. Prahastuti, S. 2011. Consuming excessive amount of fructose may affect our health. Jurnal Kesehatan Masyarakat. 10(2):173–189.



DOI: https://doi.org/10.22146/jcoemph.66469

Article Metrics

Abstract views : 257 | views : 90

Refbacks

  • There are currently no refbacks.


Copyright (c) 2022 Journal of Community Empowerment for Health

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.