Association of Physical Activity, Sleep Quality, and Vegetable and Fruit Consumption with the Risk of Diabetes Mellitus: A Case-Control Study in Biak Numfor, Papua, Indonesia

Febry Istyanto; Sophian Aswar

doi:10.47650/pjphsr.v5i3.2160

Febry Istyanto D-III Keperawatan Kampus Biak, Politeknik Kesehatan Kemenkes Jayapura, Papua, Indonesia
Sophian Aswar D-III Keperawatan Kampus Biak, Politeknik Kesehatan Kemenkes Jayapura, Papua, Indonesia

DOI: https://doi.org/10.47650/pjphsr.v5i3.2160

Keywords: Diabetes Mellitus, Risk Factors, Physical Activity, Sleep Quality, Vegetable and Fruit Consumption

Abstract

Diabetes Mellitus (DM) is a major metabolic disorder marked by elevated blood glucose levels, which can result in severe health complications. In Indonesia, DM ranks among the top non-communicable diseases (NCDs), highlighting a significant public health crisis. Specifically, the Biak Numfor District in Papua is experiencing a marked rise in DM cases, threatening community health. Recent studies indicate that lifestyle modifications, dietary practices, and limited healthcare access significantly contribute to the rising urgency of addressing diabetes mellitus (DM) in specific regions. This research seeks to evaluate the risk factors influencing the incidence of DM through a multiple linear regression analysis model. Data was gathered from both diagnosed DM patients and a healthy control group in the Subdistrict of Sumberker, with 35 cases and 35 controls selected from each population. In this study, DM is the dependent variable, while the independent variables include physical activity, sleep quality, and the consumption of vegetables and fruits.Multiple linear regression analysis was used to determine the contributing factors to the incidence of DM in units. The results showed that regular physical activity contributed -0.26 units (P Value < 0.001); poor sleep quality contributed 1.7 units (P Value = 0.039). Meanwhile, regular vegetable consumption contributed -5.335 units (P Value = 0.004), and regular fruit consumption contributed -5.08 units (P Value = 0.002). This study concludes that regular physical activity and vegetable and fruit consumption lower the risk of developing DM, while poor sleep quality increases it.

References

Amerkamp, J. et al. (2025) ‘Optimizing the lifestyle of patients with type 2 diabetes mellitus - Systematic review on the effects of combined diet-and-exercise interventions’, Nutrition, Metabolism and Cardiovascular Diseases, 35(5), p. 103746. Available at: https://doi.org/10.1016/j.numecd.2024.09.016.

Dinas Kesehatan Biak Numfor (2023) ‘Profil Kesehatan Kabupaten Biak Numfor Tahun 2022’.

Faswita, W. (2024) ‘Hubungan Aktivitas Fisik Dengan Kadar Gula Darah Pada Pasien Diabetes Mellitus Tipe 2 di Puskesmas Binjai Estate’, Jurnal Ilmiah Keperawatan IMELDA, 10(1), pp. 110–116. Available at: https://doi.org/10.52943/jikeperawatan.v10i1.1632.

Hashimoto, K. et al. (2025) ‘Positive impact of a 10-min walk immediately after glucose intake on postprandial glucose levels’, Scientific Reports, 15(1), p. 22662. Available at: https://doi.org/10.1038/s41598-025-07312-y.

Ingrosso, D.M.F. et al. (2023) ‘Stress and Diabetes Mellitus: Pathogenetic Mechanisms and Clinical Outcome’, Hormone Research in Paediatrics, 96(1), pp. 34–43. Available at: https://doi.org/10.1159/000522431.

Istyanto, F. (2023) KONSEP DASAR EPIDEMIOLOGI. 1st edn. Kab. Nganjuk, Jawa Timur: CV. Dewa Publishing. Available at: https://dewapublishing.com/book/konsep-dasar-epidemiologi/.

Istyanto, F. and Virgianti, L. (2023) ‘Manfaat Dan Potensi Puasa Dalam Mencegah Risiko Penyakit Tidak Menular’, 1(2).

Kemenkes RI (2018) ‘Hasil Utama Riskesdas 2018’. Kementerian Kesehatan Republik Indonesia, Badan Penelitian dan Pengembangan Kesehatan. Available at: https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf.

Kemenkes RI (2019) ‘Buku Pedoman Manajemen Penyakit Tidak Menular’. Direktorat Jenderal Pencegahan dan Pengendalian Penyakit. Available at: https://p2ptm.kemkes.go.id/uploads/VHcrbkVobjRzUDN3UCs4eUJ0dVBndz09/2019/03/Buku_Pedoman_Manajemen_PTM.pdf.

Kurnia, J., Mulyadi, N. and Rottie, J. (2017) ‘Hubungan Kualitas Tidur Dengan Kadar Glukosa Darah Puasa Pada Pasien Diabetes Melitus Tipe 2 di Rumah Sakit Pancaran Kasih GMIM Manado’, Jurnal Keperawatan, 5(1). Available at: https://doi.org/10.35790/jkp.v5i1.14946.

Mukhtar, D. et al. (2025) ‘The Impact of Resistance Training on Metabolic Health and Disease Prevention in Aging Populations’, Journal of the American Institute, 2(4), pp. 534–546. Available at: https://doi.org/10.71364/5hg73n74.

Nelson, K.L., Davis, J.E. and Corbett, C.F. (2022) ‘Sleep quality: An evolutionary concept analysis’, Nursing Forum, 57(1), pp. 144–151. Available at: https://doi.org/10.1111/nuf.12659.

Novita, W., Alini and Syahda, S. (2024) ‘Hubungan Kualitas Tidur Dengan Kadar Gula Darah Penderita Diabetes Melitus Tipe 2 di Desa Tarai Bangun Wilayah Kerja UPT Puskesmas Tambang’, Jurnal Pahlawan Kesehatan, 1(1), pp. 222–229. Available at: http://journal.universitaspahlawan.ac.id/index.php/jpk/article/view/26587 (Accessed: 3 August 2024).

Parrangan, D. (2023) Deteksi PTM, Dinkes Papua Kunjungi Biak Numfor, rri.co.id - Portal berita terpercaya. Available at: https://www.rri.co.id/papua/kesehatan/193415/deteksi-ptm-dinkes-papua-kunjungi-biak-numfor (Accessed: 8 May 2023).

Podraza-Farhanieh, A. et al. (2025) ‘Physical training reduces cell senescence and associated insulin resistance in skeletal muscle’, Molecular Metabolism, 95, p. 102130. Available at: https://doi.org/10.1016/j.molmet.2025.102130.

Puspasari, S. and Sarita, F.R. (2025) ‘The Effect of Aerobic Exercise on Blood Glucose Levels Among Patients with Type 2 Diabetes Mellitus: A Quasi-Experimental Study’, Medical-Surgical Journal of Nursing Research, 4(1), pp. 23–30. Available at: https://doi.org/10.70331/jpkmb.v4i1.49.

Putra, A. and Salsabila, D. (2025) ‘Relationship between sleep quality and the risk of metabolic syndrome in healthcare workers in hospitals’, TAMBUN-Thematic Analysis in Medical and Biomedical Understanding for the Nation, 1(1), pp. 21–27. Available at: https://ejournal.cria.or.id/index.php/medical/article/view/298 (Accessed: 21 August 2025).

Slavin, J.L. and Lloyd, B. (2012) ‘Health Benefits of Fruits and Vegetables1’, Advances in Nutrition, 3(4), pp. 506–516. Available at: https://doi.org/10.3945/an.112.002154.

Zheng, Y., Ley, S.H. and Hu, F.B. (2018) ‘Global aetiology and epidemiology of type 2 diabetes mellitus and its complications’, Nature Reviews. Endocrinology, 14(2), pp. 88–98. Available at: https://doi.org/10.1038/nrendo.2017.151.