HUBUNGAN ANTARA IMT, PARITAS, DAN DIABETES MELITUS TIPE 2 DENGAN KEJADIAN PCOS DI RSPUR BANDA ACEH
DOI:
https://doi.org/10.51878/healthy.v5i4.15859Keywords:
PCOS, Indeks Massa Tubuh, Paritas, Diabetes Melitus Tipe 2, Wanita Usia ReproduktifAbstract
Polycystic Ovary Syndrome (PCOS) is an endocrine disorder in reproductive-aged women associated with ovulatory dysfunction and metabolic disturbances, highlighting the importance of examining anthropometric, reproductive, and metabolic factors concurrently. This study aimed to analyze the associations of Body Mass Index (BMI), parity, and Type 2 Diabetes Mellitus (T2DM) with PCOS incidence at Pertamedika Ummi Rosnati Hospital (RSPUR), Banda Aceh, in 2024–2025. An analytical quantitative approach with a retrospective case-control design was employed. The sample comprised 88 reproductive-aged women, including 44 PCOS cases and 44 non-PCOS controls, selected using total sampling. Secondary data were obtained from medical records and analyzed using univariate and bivariate analyses, with the Chi-square test applied at a significance level of p<0.05. The results revealed significant associations between BMI and PCOS incidence (p=0.011), parity and PCOS incidence (p=0.001), and T2DM and PCOS incidence (p=0.009). T2DM had an odds ratio (OR) of 3.286 (95% CI: 1.332–8.107). In conclusion, BMI, parity, and T2DM were significantly associated with PCOS incidence. These findings may inform the clinical assessment of reproductive-aged women, although the retrospective design limits causal interpretation.
ABSTRAK
Polycystic Ovary Syndrome (PCOS) merupakan gangguan endokrin pada wanita usia reproduktif yang berkaitan dengan gangguan ovulasi dan masalah metabolik, sehingga faktor antropometri, reproduksi, dan metabolik perlu dikaji secara bersamaan. Penelitian ini bertujuan menganalisis hubungan Indeks Massa Tubuh (IMT), paritas, dan Diabetes Melitus Tipe 2 (DMT2) dengan kejadian PCOS di Rumah Sakit Pertamedika Ummi Rosnati (RSPUR) Banda Aceh tahun 2024–2025. Penelitian ini menggunakan pendekatan analitik kuantitatif dengan desain case-control retrospektif. Sampel berjumlah 88 wanita usia reproduktif, terdiri atas 44 kasus PCOS dan 44 kontrol non-PCOS, yang dipilih menggunakan teknik total sampling. Data sekunder diperoleh dari rekam medis dan dianalisis secara univariat serta bivariat menggunakan uji Chi-Square dengan tingkat kemaknaan p<0,05. Hasil penelitian menunjukkan hubungan signifikan antara IMT dan kejadian PCOS (p=0,011), paritas dan kejadian PCOS (p=0,001), serta DMT2 dan kejadian PCOS (p=0,009). DMT2 memiliki nilai odds ratio (OR) sebesar 3,286 (95% CI: 1,332–8,107). Disimpulkan bahwa IMT, paritas, dan DMT2 berhubungan signifikan dengan kejadian PCOS. Temuan ini dapat menjadi pertimbangan dalam penilaian klinis wanita usia reproduktif, dengan tetap memperhatikan keterbatasan desain retrospektif.
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