Sosialisasi Perilaku Hidup Sehat Sebagai Upaya Pencegahan Diabetes Melitus Pada Remaja Putri di SMPN 11 Gorontalo Provinsi Gorontalo

Magdalena M. Tompunuh; Siti Choirul Dwi Astuti; Nanda Wahyudi; Fahria Alamri; Delviana Mohi; Cesilia Pratiwi Yusuf; Anisa Humairah Usman

doi:10.53770/amjpm.v5i1.567

Authors

Magdalena M. Tompunuh Jurusan Kebidanan, Politeknik Kesehatan Kementerian Kesehatan Gorontalo, Kota Gorontalo, Provinsi Gorontalo, Indonesia
Siti Choirul Dwi Astuti Jurusan Kebidanan, Politeknik Kesehatan Kementerian Kesehatan Gorontalo, Kota Gorontalo, Provinsi Gorontalo, Indonesia
Nanda Wahyudi Jurusan Kebidanan, Politeknik Kesehatan Kementerian Kesehatan Gorontalo, Kota Gorontalo, Provinsi Gorontalo, Indonesia
Fahria Alamri Jurusan Kebidanan, Politeknik Kesehatan Kementerian Kesehatan Gorontalo, Kota Gorontalo, Provinsi Gorontalo, Indonesia
Delviana Mohi Jurusan Kebidanan, Politeknik Kesehatan Kementerian Kesehatan Gorontalo, Kota Gorontalo, Provinsi Gorontalo, Indonesia
Cesilia Pratiwi Yusuf Jurusan Kebidanan, Politeknik Kesehatan Kementerian Kesehatan Gorontalo, Kota Gorontalo, Provinsi Gorontalo, Indonesia
Anisa Humairah Usman Jurusan Kebidanan, Politeknik Kesehatan Kementerian Kesehatan Gorontalo, Kota Gorontalo, Provinsi Gorontalo, Indonesia

DOI:

https://doi.org/10.53770/amjpm.v5i1.567

Keywords:

Diabetes, Edukasi Kesehatan,, Gaya Hidup, Remaja Putri, Sosialisasi

Abstract

Peningkatan prevalensi diabetes melitus tipe 2 pada remaja putri menjadi perhatian serius dalam upaya pencegahan penyakit tidak menular sejak dini. Gaya hidup tidak sehat, seperti konsumsi makanan tinggi gula, kurang aktivitas fisik, dan kebiasaan sedentari, merupakan faktor risiko utama yang memicu resistensi insulin. Kegiatan pengabdian masyarakat ini dilakukan oleh tim dosen dan mahasiswa Jurusan Kebidanan Poltekkes Gorontalo di SMPN 11 Gorontalo, bertujuan meningkatkan pengetahuan dan kesadaran remaja putri mengenai gaya hidup sehat sebagai upaya preventif terhadap diabetes. Metode yang digunakan meliputi penyuluhan interaktif, demonstrasi makanan tinggi gula, simulasi aktivitas fisik sederhana, pemeriksaan antropometri dan lingkar perut, serta evaluasi pengetahuan melalui pre-test dan post-test. Hasil menunjukkan peningkatan signifikan pengetahuan peserta, dengan rata-rata skor pre-test 58,2 meningkat menjadi 84,7 pada post-test. Selain itu, sebanyak 17% peserta teridentifikasi memiliki risiko obesitas sentral berdasarkan pengukuran lingkar perut. Kebaruan program ini terletak pada pendekatan edukasi visual dan praktik langsung berbasis sekolah, yang mendorong partisipasi aktif siswa. Berbeda dengan program sejenis yang bersifat teoritis dan satu arah, intervensi ini bersifat kontekstual, aplikatif, dan juga berfungsi sebagai skrining dini yang dapat ditindaklanjuti oleh pihak sekolah dan tenaga kesehatan. Kesimpulannya, pendekatan edukatif berbasis komunitas dengan metode partisipatif dan visual efektif dalam meningkatkan literasi kesehatan serta mendorong perubahan perilaku sehat pada remaja. Program ini selaras dengan strategi nasional pengendalian penyakit tidak menular dan layak direplikasi di sekolah lain.

References

Abad, P. J., Joy Tumulak, M.-A., Sook-Yee, Y., Laurino, M. Y., & Hasan, Q. (2024). Bibliometric analysis of genetic counseling publications in Asia: Insights and implications. Genetics in Medicine Open, 101861. https://doi.org/10.1016/j.gimo.2024.101861

Absil, H., Baudet, L., Robert, A., & Lysy, P. A. (2019). Benefits of physical activity in children and adolescents with type 1 diabetes: A systematic review. Diabetes Research and Clinical Practice, 156, 107810. https://doi.org/10.1016/j.diabres.2019.107810

Bandeira, C. P., Schaan, B. D., & Cureau, F. V. (2024). Association of BMI and WC for insulin resistance and type 2 diabetes among Brazilian adolescents. Jornal de Pediatria, 101(1). https://doi.org/10.1016/j.jped.2024.07.007

Barboza, B. P., Bricarello, L. P., Alves, M. de A., Tureck, C., Retondario, A., Longo, G. Z., Souza, A. de M., & de Vasconcelos, F. de A. G. (2024). Dietary patterns and biochemical markers related to diabetes mellitus: an association analysis based on data from the Study of Cardiovascular Risk in Adolescents (ERICA). Nutrition, 118, 112283. https://doi.org/10.1016/j.nut.2023.112283

Bleker, C., Ramšak, Ž., Bittner, A., Podpečan, V., Zagorščak, M., Wurzinger, B., Baebler, Š., Petek, M., Križnik, M., van Dieren, A., Gruber, J., Afjehi-Sadat, L., Weckwerth, W., Županič, A., Teige, M., Vothknecht, U. C., & Gruden, K. (2024). Stress Knowledge Map: A knowledge graph resource for systems biology analysis of plant stress responses. Plant Communications, 5(6), 1–15. https://doi.org/10.1016/j.xplc.2024.100920

Bonora, E., Cataudella, S., Marchesini, G., Miccoli, R., Vaccaro, O., Fadini, G. P., Martini, N., & Rossi, E. (2021). Incidence of diabetes mellitus in Italy in year 2018. A nationwide population-based study of the ARNO Diabetes Observatory. Nutrition, Metabolism and Cardiovascular Diseases, 31(8), 2338–2344. https://doi.org/10.1016/j.numecd.2021.04.017

Deter, M. (2023). Journal of Behavioral and Experimental Economics Selection , socialization , and risk preferences in the finance industry : Longitudinal evidence for German finance professionals. 106(June). https://doi.org/10.1016/j.socec.2023.102071

Diaz Caro, D., & Simone, L. (2024). The Role of The Latin American Professional Society of Genetic Counseling (SPLAGen): Advancing Genetic Counseling in Latin America. Genetics in Medicine Open, 101870. https://doi.org/10.1016/j.gimo.2024.101870

Dom, A., Gray, L., Liew, Z. Q., Glantz, J. C., Rogg, K., Mather, A., Olson-Chen, C., & Malshe, A. (2021). 407 Accelerated fetal abdominal circumference growth velocity (ACGV): a predictor of adverse outcomes in diabetic pregnancies. American Journal of Obstetrics and Gynecology, 224(2), S263. https://doi.org/10.1016/j.ajog.2020.12.428

García-Hermoso, A., Huerta-Uribe, N., Hormazábal-Aguayo, I., Muñoz-Pardeza, J., Chueca-Guindulain, M. J., Sánchez, E. B., Ezzatvar, Y., & López-Gil, J. F. (2025). Development and validation of a scale measuring perceived barriers to physical activity in Spanish for children and adolescents with type 1 diabetes: the Physical Activity Barriers Scale for pediatric type 1 diabetes (PABS-1) questionnaire. Diabetes Research and Clinical Practice, 224(May). https://doi.org/10.1016/j.diabres.2025.112223

García-Hermoso, A., Huerta-Uribe, N., Izquierdo, M., González-Ruíz, K., Correa-Bautista, J. E., & Ramírez-Vélez, R. (2025). Comparative lipidomic profiling in adolescents with obesity and adolescents with type 1 diabetes. Current Problems in Cardiology, 50(3), 102991. https://doi.org/10.1016/j.cpcardiol.2025.102991

Harbuwono, D. S., Sazli, B. I., Kurniawan, F., Darmowidjojo, B., Koesnoe, S., & Tahapary, D. L. (2021). The impact of Ramadan fasting on Fetuin-A level in type 2 diabetes mellitus. Heliyon, 7(5), e06773. https://doi.org/10.1016/j.heliyon.2021.e06773

Hennecke, M., & Kulkarni, P. (2024). Metacognitive knowledge about self-control. Current Opinion in Psychology, 59, 101861. https://doi.org/10.1016/j.copsyc.2024.101861

Hunt, E. T., Brazendale, K., Augusto, C., Nascimento-ferreira, M. V., Pfledderer, C. D., Sampaio, S., Dooley, E. E., Chen, B., Fernandez, A., Johnson, M. E., Garavan, H., Potter, A. S., Dube, S. L., Allgaier, N., Hoelscher, D. M., & Tapert, S. F. (2025). Child Protection and Practice Examining the impact of early life adversity on adolescent sleep health : Findings from the ABCD study. 5(March).

Kakazu, K., & Yi, J. (2023). Asian Journal of Sport and Exercise Psychology Influence of acculturation and professional socialization on student teachers ’ beliefs about teaching physical education. Asia Journal of Sport and Exercise Psychology, 3(3), 192–199. https://doi.org/10.1016/j.ajsep.2023.06.002

Kargar, S., Kowsar, Z., Poorhamdollah, M., Kanani, M., Asasi, K., & Ghaffari, M. H. (2021). Effects of replacing steam-flaked corn with shredded sugar beet pulp on feed sorting, behavior, blood metabolites, and growth performance of dairy calves. Animal Nutrition, 7(4), 917–926. https://doi.org/10.1016/j.aninu.2021.07.003

Klafke, N., Bossert, J., Boltenhagen, U., Froehlich, D., Mahler, C., Joos, S., & Wensing, M. (2024). Counseling lifestyle medicine in oncology: A qualitative analysis of interprofessional patient-nurse-physician interactions. Patient Education and Counseling, 127(May), 108352. https://doi.org/10.1016/j.pec.2024.108352

Marigliano, M., Lanzinger, S., Zineb, I., Barcala, C., Shah, A. S., Svensson, J., Tsochev, K., Mazur, A., Galli-Tsinopoulou, A., Ioacara, S., Jothydev, K., & Maffeis, C. (2024). The role of sex on the prevalence of cardiovascular risk factors in children and adolescents with Type 1 diabetes: The SWEET international database. Diabetes Research and Clinical Practice, 210(December 2023), 111616. https://doi.org/10.1016/j.diabres.2024.111616

Marlow, A. L., King, B. R., Trost, S. G., Weaver, N., & Smart, C. E. (2023). Healthy weight and overweight adolescents with type 1 diabetes mellitus do not meet recommendations for daily physical activity and sleep. Diabetes Research and Clinical Practice, 203(June), 110879. https://doi.org/10.1016/j.diabres.2023.110879

Marlow, A. L., Lawrence, C. M., Smith, T. A., Wynne, K., King, B. R., & Smart, C. E. (2024). Modifiable lifestyle risk factors for overweight and obesity in children and adolescents with type 1 diabetes: A systematic review. Diabetes Research and Clinical Practice, 212(November 2023), 111724. https://doi.org/10.1016/j.diabres.2024.111724

Martínez-herrada, A., Paz, A. De, & Pell, R. (2023). Physiology & Behavior Socialization , and its modulation by sex , on the development and recovery of activity-based anorexia in rats ✰. 270(June). https://doi.org/10.1016/j.physbeh.2023.114271

Mohammedsaeed, W., & Binjawhar, D. N. (2024). Microalbuminuria and lipid variations in adolescents diagnosed with type 1 diabetes. Heliyon, 10(12), e32824. https://doi.org/10.1016/j.heliyon.2024.e32824

Moon, S., & Jung, S. (2024). Heliyon Comparing the effects of patient safety education using design thinking and case based learning on nursing students ’ competence and professional socialization : A quasi-experimental design. Heliyon, 10(9), e29942. https://doi.org/10.1016/j.heliyon.2024.e29942

Morandi, A., Piona, C., Corradi, M., Marigliano, M., Giontella, A., Orsi, S., Emiliani, F., Tagetti, A., Marcon, D., Fava, C., & Maffeis, C. (2023). Risk factors for pre-clinical atherosclerosis in adolescents with type 1 diabetes. Diabetes Research and Clinical Practice, 198(March), 110618. https://doi.org/10.1016/j.diabres.2023.110618

Ninomiya, Y., Kawasoe, S., Kubozono, T., Tokushige, A., Ichiki, H., Ikeda, Y., Miyahara, H., Tokushige, K., & Ohishi, M. (2022). Sex Differences in Future Hypertension Caused By Increased Abdominal Circumference in Mildly Obese Middle-Aged Participants. Journal of the American College of Cardiology, 79(9), 1576. https://doi.org/10.1016/s0735-1097(22)02567-0

Njuguna, V., Ramalingam, N., Chandra, M., Darbinian, J., & Lo, J. (2023). Type 2 Diabetes Prevalence in a Diverse Cohort of Adolescent Girls With Obesity. Journal of the American College of Cardiology, 81(8), 1814. https://doi.org/10.1016/s0735-1097(23)02258-1

Ouyang, A., Hu, K., & Chen, L. (2024). Trends and risk factors of diabetes and prediabetes in US adolescents, 1999–2020. Diabetes Research and Clinical Practice, 207(November 2023), 111022. https://doi.org/10.1016/j.diabres.2023.111022

Pressman, K., Odibo, L., Duncan, J. R., & Odibo, A. (2021). 725 Impact of using abdominal circumference independently in the diagnosis of fetal growth restriction. American Journal of Obstetrics and Gynecology, 224(2), S454–S455. https://doi.org/10.1016/j.ajog.2020.12.748

Sial, M. A., Paul, Z. I., Rafiq, Z., & Abid, G. (2023). Does mobile technology shape employee socialization and enable tacit knowledge sharing in public sector organizations. Journal of Open Innovation: Technology, Market, and Complexity, 9(3), 100089. https://doi.org/10.1016/j.joitmc.2023.100089

Stahl-Pehe, A., Baechle, C., Lanzinger, S., Urschitz, M. S., Reinauer, C., Kamrath, C., Holl, R. W., & Rosenbauer, J. (2024). Trends in the incidence of type 1 diabetes and type 2 diabetes in children and adolescents in North Rhine-Westphalia, Germany, from 2002 to 2022. Diabetes and Metabolism, 50(5), 101567. https://doi.org/10.1016/j.diabet.2024.101567

Stocker, R., Gupta, A., Taylor, G. S., Shaw, J. A., & West, D. J. (2024). Adapting to compromised routines: Parental perspectives on physical activity and health for children and adolescents with type 1 diabetes in the UK during COVID-19 lockdown. Journal of Pediatric Nursing, 77, e242–e250. https://doi.org/10.1016/j.pedn.2024.04.035

Stotz, S. A., Hebert, L. E., Scarton, L., Begay, K., Gonzales, K., Garrow, H., Manson, S. M., Sereika, S. M., & Charron-Prochownik, D. (2024). Relationship Between Food Insecurity and Healthy Eating Behavior for Gestational Diabetes Risk Reduction Among American Indian and Alaska Native Adolescent and Young Adult Females: A Qualitative Exploration. Journal of Nutrition Education and Behavior, 56(9), 622–630. https://doi.org/10.1016/j.jneb.2024.06.004

Turnhout, E. (2024). A better knowledge is possible: Transforming environmental science for justice and pluralism. Environmental Science and Policy, 155(January), 103729. https://doi.org/10.1016/j.envsci.2024.103729

Wieringen, M. Van. (2023). Nurse Education Today ‘ They ’ re not doing too much are they ? ’ How the socialization of registered nurses perpetuates status differences with certified nursing assistants : A qualitative study. 131(September). https://doi.org/10.1016/j.nedt.2023.105984

Wong, E. B., Olivier, S., Gunda, R., Koole, O., Surujdeen, A., Gareta, D., Munatsi, D., Modise, T. H., Dreyer, J., Nxumalo, S., Smit, T. K., Ording-Jespersen, G., Mpofana, I. B., Khan, K., Sikhosana, Z. E. L., Moodley, S., Shen, Y. J., Khoza, T., Mhlongo, N., … Harilall, S. (2021). Convergence of infectious and non-communicable disease epidemics in rural South Africa: a cross-sectional, population-based multimorbidity study. The Lancet Global Health, 9(7), e967–e976. https://doi.org/10.1016/S2214-109X(21)00176-5

Xiong, S., Cai, C., Jiang, W., Ye, P., Ma, Y., Liu, H., Li, B., Zhang, X., Wei, T., Sun, H., Hone, T., Peiris, D., Mao, L., & Tian, M. (2022). Primary health care system responses to non-communicable disease prevention and control: A scoping review of national policies in Mainland China since the 2009 health reform. The Lancet Regional Health - Western Pacific, 00, 100390. https://doi.org/10.1016/j.lanwpc.2022.100390