HUBUNGAN INDEKS MASSA TUBUH, USIA DAN JENIS KELAMIN TERHADAP DERAJAT KEPARAHAN OSTEOARTRITIS DI RSUD WALED KABUPATEN CIREBON

Abstract

ABSTRAK
Latar Belakang : Osteoartritis (OA) adalah penyakit degeneratif yang melibatkan kartilago, lapisan
sendi, ligamen dan tulang sehingga dapat menyebabkan kekakuan sendi. Perjalanan penyakit biasanya
lambat, namun dapat menyebabkan nyeri sendi hebat hingga disabilitas berupa kegagalan gerak sendi.
Perubahan radiografi, terutama osteofit sangat umum pada osteoartritis yang dapat dinilai bedasarkan
kriteria Kellgren-Lawrence. Obesitas, penuaan dan jenis kelamin perempuan merupakan faktor risiko
dalam tingkat keparahan pasien OA.
Tujuan : Mengetahui hubungan antara indeks massa tubuh, usia dan jenis kelamin terhadap derajat
keparahan osteoartritis di RSUD Waled Kabupaten Cirebon.
Metode : Penelitian observasional dengan desain Cross Sectional dari data rekam medis pasien
osteoartritis tahun 2021 di Rawat Jalan Poliklinik Orthopaedi RSUD Waled Kabupaten Cirebon.
Analisis statistik dilakukan dengan uji kolerasi Spearman dan Regresi Logistik dengan aplikasi SPSS
versi 25 for windows. Untuk mengetahui hubungan antara indeks massa tubuh, usia dan jenis kelamin
terhadap derajat keparahan osteoartritis.
Hasil : Hasil analisis didapatkan p=0,042 (p<0,05) pada indeks massa tubuh dengan derajat
osteoartritis. Pada usia terhadap derajat keparahan osteoartritis didapatkan p=0,001 (p<0,05) dan pada
jenis kelamin terhadap derajat keparahan osteoartritis didapatkan p=0,008 (<0,05). Dengan hasil regresi
logistik didapatkan variabel yang memiliki pengaruh yang paling besar dengan derajat osteoartritis
terdapat pada variabel jenis kelamin karena nilai Exp(B) (10,772) lebih besar dari variabel IMT (2,166)
dan usia (5,262).
Kesimpulan : Terdapat hubungan yang bermakna antara indeks massa tubuh, usia dan jenis kelamin
terhadap derajat keparahan osteoartritis di RSUD Waled Kabupaten Cirebon.

ABSTRACT
Introduction : Osteoarthritis (OA) is a degenerative disease that involves cartilage, joint lining,
ligaments and bones so that it can cause joint stiffness. The course of the disease is usually slow, but
can cause severe joint pain to disability in the form of joint motion failure. Radiographic changes,
especially osteophytes, are very common in osteoarthritis which can be assessed according to the
Kellgren-Lawrence criteria. Obesity, aging and female gender are risk factors in the severity of OA
patients.
Purposes : Knowing the relationship between body mass index, age and gender on the severity of
osteoarthritis in the Waled Hospital, Cirebon District
Methods : Observational research with a cross sectional design from medical record data of
osteoarthritis patients in 2021 at the Outpatient Orthopedic Polyclinic of Waled Hospital, Cirebon
Regency. Statistical analysis was performed with Spearman correlation test and logistic regression with
SPSS version 25 for windows application. To determine the relationship between body mass index, age
and gender to the severity of osteoarthritis.
Hasil : The results of the analysis obtained p = 0.042 (p <0.05) on the body mass index with the degree
of osteoarthritis. For age, the severity of osteoarthritis was found to be p=0.001 (p<0.05) and for
gender, the severity of osteoarthritis was p=0.008 (<0.05). With the results of logistic regression, it was found that the variable that had the greatest influence on the degree of osteoarthritis was found in
the sex variable because the value of Exp(B) (10.772) was greater than BMI (2,166) and age (5,262).
Discussion : There is a significant relationship between body mass index, age and gender on the
severity of osteoarthritis in Waled Hospital, Cirebon Regency.
Keywords : Osteoarthritis, Osteoarthritis Severity, Obesity, Aging