Korelasi antara Indeks Massa Tubuh, Jenis Kelamin, Usia dan Hipermobilitas Sendi pada Anak Usia Sekolah Dasar

Correlations between Body Mass Index, Gender, Age, and Joint Hypermobility in Elementary School Students

Authors

  • Wahyu Tri Sudaryanto Program Studi Fisioterapi, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta, Indonesia
  • Yuni Sandra Repisalta Program Studi Fisioterapi, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta, Indonesia
  • Nur Juniarti Bintari Program Studi Fisioterapi, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v9i2.747

Keywords:

anak usia sekolah dasar, hipermobilitas sendi, indeks massa tubuh

Abstract

Latar belakang : Hipermobilitas sendi (joint hypermobility) merupakan suatu faktor risiko yang mendasari berbagai jenis gangguan muskuloskeletal pada anak-anak. Keterlambatan dalam diagnosis pada hipermobilitas sendi berisiko terhadap rasa nyeri dan gangguan fungsional dan kemampuan akademis anak di sekolah. Penelitian ini bertujuan untuk menganalisis hubungan antara indeks massa tubuh, jenis kelamin, dan usia, terhadap hipermobilitas sendi pada Anak Usia Sekolah Dasar.

Metode : Penelitian cross-sectional dilakukan di Sekolah Dasar Kleco 1, Surakarta, Jawa Tengah, Indonesia. Subjek penelitian sebanyak 261 siswa sekolah dasar dipilih dengan purposive sampling. Variabel dependen adalah hipermobilitas sendi. Variabel independen adalah indeks massa tubuh, jenis kelamin, dan usia. Hipermobilitas sendi diukur dengan skor Beighton. Data dianalisis dengan regresi logitik ganda dengan software Stata 13.

Hasil : Analisis regresi logistik ganda menunjukkan bahwa jenis kelamin laki-laki memiliki risiko lebih rendah mengalami hipermobilitas sendi daripada perempuan, tetapi secara statistik tidak signifikan (OR= 0,89; CI 95%= 0,53 hingga 1,48; p= 0,656). Usia anak yang lebih tua (≥9 tahun) memiliki risiko lebih rendah mengalami hipermobilitas sendi daripada daripada anak dengan usia lebih muda dan secara statistik signifikan (<9 tahun) (OR= 0,52; CI 95%= 0,31 hingga 0,89; p= 0,016). Anak dengan berat badan lebih (overweight) menurunkan risiko hipermobilitas sendi daripada anak dengan berat badan normal, dan secara statistik mendekati signifikan (OR= 0,78; CI 95%= 0,60 hingga 0,89; p= 0,066).

Simpulan : Tidak ada hubungan signifikan antara jenis kelamin dengan hipermobilitas sendi. Usia dan indeks massa tubuh mempengaruhi hipermobilitas sendi pada anak usia sekolah dasar.

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References

Adib N, Davies K, Grahame R, Woo P, Murray KJ. Joint hypermobility syndrome in childhood. A not so benign multisystem disorder?. Rheumatology (Oxford). 2005; 44: 744–750.

Grahame R, Hakim AJ. Hypermobility syndrome. Rheumatol. Sixth Ed. 2015; 2(2): 1724–1727.

I Putu SA, Suartika IW. Hubungan umur, jenis kelamin, indeks massa tubuh dan jumlah skor beighton terhadap hipermobilitas sendi pada anak sekolah dasar di kota Tabanan bulan Mei – Juli tahun 2017. Medicina (B. Aires). 2018; 49.

Vougiouka O, Moustaki M, Tsanaktsi M. Benign hypermobility syndrome in Greek schoolchildren. Eur. J. Pediatr. 2000; 159: 628.

De Kort LMO, Verhulst JAPM, Engelbert RHH, Uiterwaal CSPM, De Jong TPVM. Lower urinary tract dysfunction in children with generalized hypermobility of joints. J. Urol. 2003; 170: 1971–1974.

Gazit Y, Nahir AM, Grahame R, Jacob G. Dysautonomia in the joint hypermobility syndrome. Am. J. Med. 2003; 115(1): 33–40. https://doi.org/10.1016/s0002-9343(03)00235-3.

Lamari NM, Chueire AG, Cordeiro JA. Analysis of joint mobility patterns among preschool children. Sao Paulo Med. J. 2005; 123(3): 119–123. https://doi.org/10.1590/s1516- 31802005000300006.

Remvig L, Jensen DV, Ward RC. Epidemiology of general joint hypermobility and basis for the proposed criteria for benign joint hypermobility syndrome: review of the literature. J Rheumatol. 2007; 34(4): 804–9.

Clinch J, Deere JK, Sayers A, Palmer S, Riddoch C, Tobias JH, Clark EM. Epidemiology of generalized joint laxity (hypermobility) in fourteen-year-old children from the UK: a population-based evaluation. Arthritis Rheum. 2011; 63(9): 2819–2827. https://doi.org/10.1002/art.30435.

Bird HA. Joint hypermobility in children. Rheumatology. 2005;

(6): 703–704. https://doi.org/10.1093/rheumatology/ keh639.

Smits-Engelsman B, Klerks M, Kirby A. Beighton score: a valid measure for generalized hypermobility in children. J Pediatr. 2011; 158(1): 119–123.e4. https://doi.org/10.1016/ j.jpeds.2010.07.021.

Jansson A, Saartok T, Werner S, Renström P. General joint laxity in 1845 Swedish school children of different ages: age- and gender-specific distributions. Acta Paediatr. 2004; 93(9): 1202–1206. https://doi.org/10.1080/08035250410023971.

Gyldenkerne B, Iversen K, Roegind H, Fastrup D, Hall K, Remvig L. Prevalence of general hypermobility in 1213-year- old school children and impact of an intervention against injury and pain incidence. Int Musculoskelet Med. 2009; 9(1): 10–15. https://doi.org/10.1080/14038190601103621.

Corben T, Lewis JS, Petty NJ. Contribution of lumbar spine and hip movement during the palms to floor test in individuals with diagnosed hypermobility syndrome. Physiother. Theory Pract. 2 0 0 8 . 2 4 ( 1 ) : 1 – 1 2 . h t t p s : / / d o i . o r g / 1 0 . 1 0 8 0 / 09593980701686708.

Sirajudeen MS, Waly M, Alqahtani M, Alzhrani M, Aldhafiri F, Muthusamy H, et al. Generalized joint hypermobility among school-aged children in Majmaah region, Saudi Arabia. Peer J. 2020 Aug 11; 8: e9682. https://doi.org/10.7717/peerj.9682.

Engelbert RHH, Bank RA, Sakkers RJB, Helders PJM, Beemer FA, Uiterwaal CSPM. Pediatric generalized joint hypermobility with and without musculoskeletal complaints: a localized or systemic disorder?. Pediatrics. 2003 Mar; 111(3):e248–54. https://doi.org/10.1542/peds.111.3.e248.

Seçkin Ü, Tur BS, Yılmaz O, Yağcı I, Bodur H, Arasıl T. The

prevalence of joint hypermobility among high school students. Rheumatol. Int. 2005; 25: 260–263. https://doi.org/10.1007/ s00296-003-0434-9.

Sperotto F, Balzarin M, Parolin M, Monteforte N, Vittadello F, Zulian F. Joint hypermobility, growing pains and obesity are mutually exclusive as causes of musculoskeletal pain in schoolchildren. Clin. Exp. Rheumatol. 2014; 32(1): 131–136.

Pasiński M, Pasińska M. Motor system disturbances in overweight children with genetically determined syndrome. Pediatr Pol. 2008; 83: 549–552.

Antonio, D. H. & Magalhaes, C. S. Survey on joint hypermobility in university students aged 1825 years old. Adv Rheumatol 58, 3 (2018). https://doi.org/10.1186/s42358-018- 0008-x.

Bout-Tabaku S, Klieger SB, Wrotniak BH, Sherry DD, Zemel BS, Stettler N. Adolescent obesity, joint pain, and hypermobility. Pediatr Rheumatol Online J. 2014 Mar 29; 12: 11. https://doi.org/10.1186%2F1546-0096-12-11.

Additional Files

Published

2022-07-30

How to Cite

1.
Tri Sudaryanto W, Repisalta YS, Bintari NJ. Korelasi antara Indeks Massa Tubuh, Jenis Kelamin, Usia dan Hipermobilitas Sendi pada Anak Usia Sekolah Dasar: Correlations between Body Mass Index, Gender, Age, and Joint Hypermobility in Elementary School Students. Medica Hospitalia J. Clin. Med. [Internet]. 2022 Jul. 30 [cited 2024 Dec. 22];9(2):181-6. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/747

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