Hubungan Ukuran Lingkar Pinggang terhadap Resiko Demensia

Studi kohort skala besar pertama dari jenisnya melihat hubungan antara lingkar pinggang di kemudian hari dan risiko demensia pada populasi orang dewasa Asia yang lebih tua. Dokter, profesional kesehatan, dan peneliti medis cenderung menggunakan indeks massa tubuh (BMI) untuk menentukan apakah berat badan seseorang terlalu tinggi, terlalu rendah, atau “normal.”
ukuran pinggang
Meskipun digunakan secara luas, BMI memiliki kekurangannya – dan satu kekurangan adalah kenyataan bahwa BMI tidak membedakan antara lemak (jaringan adiposa) dan kandungan otot (jaringan tanpa lemak). Untuk alasan ini, beberapa ilmuwan telah menyarankan bahwa rasio pinggang ke tinggi atau pengukuran lingkar pinggang mungkin merupakan indikator yang lebih akurat dari berat badan sehat seseorang.
Namun, ketika sampai pada usia yang lebih tua, adakah hubungan antara lingkar pinggang dan kesehatan kognitif? Satu studi tahun 2019 yang dilaporkan oleh Medical News Today, misalnya, menemukan hubungan antara membawa kelebihan berat badan di sekitar perut dan mengalami atrofi otak, atau penyusutan otak. Ukuran pinggang dapat mengindikasikan risiko demensia. Studi ini mengungkapkan bahwa peserta yang lingkar pinggangnya sama dengan atau lebih tinggi dari 90 sentimeter (cm) untuk pria dan 85 cm untuk wanita memiliki risiko signifikan lebih tinggi terkena demensia.
Hubungan ini tetap ketika para peneliti menyesuaikan usia, IMT, tekanan darah, kadar kolesterol, kesehatan hati, dan beberapa faktor gaya hidup lainnya. Studi ini juga menemukan risiko demensia yang sedikit meningkat untuk peserta dengan berat badan kurang, tetapi hanya setelah para peneliti memperhitungkan faktor komorbiditas dan gaya hidup lainnya.
“Untuk semua dokter yang menangani pengobatan geriatri, obesitas, dan demensia, penelitian ini menekankan bahwa lingkar pinggang harus dipertimbangkan dalam penilaian risiko demensia terkait obesitas pada lansia.” Hye Jin Yoo. Dan Bessesen, dari Fakultas Kedokteran Universitas Colorado di Aurora, tidak terlibat dalam penelitian tersebut tetapi berkomentar tentang signifikansinya.
Dia mengatakan, “Penelitian ini tidak memberi tahu kami mengapa ada perbedaan ini tetapi mungkin menunjukkan peran yang berbeda dari lemak subkutan dan lemak visceral dalam pengembangan demensia, dengan lemak subkutan menjadi pelindung dan lemak visceral memiliki efek berbahaya.”
Lemak visceral adalah yang mengelilingi organ-organ internal, dan memiliki hubungan dengan berbagai kondisi. Lemak subkutan terlihat di bawah kulit. Studi ini terbatas pada populasi Asia, jadi studi lebih lanjut akan diperlukan untuk mereplikasi temuan dalam populasi yang lebih besar.

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