Analysis of Factors Affecting Uric Acid Levels (Case Study in Diploma III Nursing Students of Stikes Dirgahayu Samarinda in 2022)
Abstract
The research aimed to determine the factors influencing uric acid levels in Diploma III students of Nursing STIKES Dirgahayu Samarinda in 2022. This research analytically uses a Cross-Sectional Design to determine the Factors of Uric Acid Levels of Students. The research was carried out at Campus of STIKES Dirgahayu Samarinda from January to August 2022. The research sample was 42 Diploma III students for the 2019/2020 academic year. The research activities are as follows: (1) preparation, (2) implementation by collecting data, namely examining uric acid levels using Accu Cek and distributing questionnaires, (4) data analysis, and (5) reporting. The results showed that: (1) the number of respondents who had urate levels was classified as consisting of 9 male sex (21.40%) and only six female respondents (14.28%); (2) types of food that affect the incidence of high uric acid are seafood, organ meats and nuts; and (3) exercise activities can also cause high uric acid events.
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Introduction
Ordinary people know uric acid as gout arthritis caused by the accumulation of monosodium urate crystals in the body uric acid results from the final metabolism of foods containing purine substances. Purine substances are components of nucleic acids found in the nucleic of body cells. Increased uric acid levels in the body can cause pain in the joint area, which is very painful for the sufferer accumulating crystals in the communal area results in high uric acid levels in the blood. Consuming foods high in purines can increase uric acid levels in the blood. High-fat foods, such as fried foods, coconut, milk foods, margarine, butter, and fruits, such as durian and avocado, also increase uric acid levels (Krisnatuti, 2007).
In the 2012 Basic Health Research, it was found that the prevalence of hyperuricemia in Indonesia was found to be 11.9%; in East Java, it was 26.4% (Ministry of Health RI, 2013). Differences in uric acid levels according to age and gender. Before puberty in males and females, it is around 3.5 mg/dL. After puberty, uric acid levels in men increase gradually. They can reach 5.2 mg/dL, and in women, they usually remain low because they have the hormone estrogen, which can excrete uric acid in the body. Uric acid levels in women begin to show an increase in the postmenopausal period and can reach 4.7 mg/dL. It is said that normal uric acid levels in adult men are 3.4 – 7.0 mg/dL, and in adult women, 2.4 – 5.7 mg/dL, Uric acid circulating in the blood will not cause pain if the levels are within normal limits. Herliana, 2103).
According to data from the Central for Disease Control and Prevention (CDC), in the last decade, approximately 12.7 million (17%) children and adolescents were obese. In 2011-2012, as many as 20.25% of children aged between 12 to 19 years were obese, and this was the highest compared to other age groups. In a survey conducted by Riskesdas in 2010 and 2013 in Indonesia, the prevalence of adolescents aged 16-18 years who were obese increased from 1.4% to 7.3%. (Journal e-Biomedik (EBM), Volume 6, Number 1, January-June 2018).
Conclusion
4.1 Conclusion
Based on the results of research and discussion, it can be concluded, namely as follows:
1) The number of respondents with urate levels is classified as consisting of 9 males sex (21.40%) and only six female respondents (14.28%).
2) Types of food that affect the incidence of high uric acid are seafood, organ meats and nuts.
3) Sport activities can also cause high uric acid events.
4.2 Suggestion
It is necessary to carry out further research that is carried out in more detail and depth by involving many respondents, especially on the factors that most influence the incidence of gout.