Tri Juli Edi Tarigan1, Erni Hernawati Purwaningsih2, Yusra3, Murdani Abdullah4, Nafrialdi5, Joedo Prihartono6, Made Ratna Saraswati7, Abdullah Shidqul Azmi8, Imam Subekti1
1Division of Endocrinology, Department of Internal Medicine, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
2Department of Medical Pharmacy, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
3Department of Clinical Pathology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
4Division of Gastroenterology, Department of Internal Medicine, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
5Department of Pharmacology and Theurapeutics, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
6Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
7Division of Endocrinology, Department of Internal Medicine, Sanglah Hospital, Faculty of Medicine, Udayana University, Denpasar, Indonesia.
8Faculty of Medicine, Syarif Hidayatullah State Islamic University, Jakarta, Indonesia.
DOI: 10.4103/jnsbm.JNSBM_109_19
ABSTRACT
Objective: Health problems among taxi drivers can affect their performance and increase the risk of accidents. The aim of this study was to determine the prevalence of dysglycemia and metabolic risk factors affecting taxi drivers in Jakarta to provide baseline information for programs to prevent type 2 diabetes mellitus (T2DM) in this specific population. Methods: This cross-sectional study involved 106 male taxi drivers from 1006 total taxi drivers in Jakarta, Indonesia. All drivers underwent a general medical interview, physical examination, and oral glucose tolerance test. Results: The prevalence of dysglycemia in the taxi driver population was 54.7% (29.2% prediabetes and 25.5% diabetes). Central obesity was identified in 74.1% of dysglycemic individuals (P = 0.032). In the final multivariate analysis, waist circumference was the dominant factor that predicted dysglycemia (odds ratio 0.8; 95% confidence interval 1.01–5.26; P = 0.048). Conclusions: There is a high prevalence of dysglycemia in taxi drivers in Jakarta compared with the prevalence of dysglycemia in Indonesia (29.9% prediabetes and 6.9% diabetes), of which waist circumference is the strongest predictor. Programs must be implemented to prevent T2DM in this population.
Keywords: Dysglycaemia, taxi driver, waist circumference
