Patterns and Determinants of Non-communicable Diseases Among the Anak Dalam Tribe (SAD) in Hajran and Nyogan Village, Jambi Province

Authors

  • Ummi Kalsum Master of Public Health Program, Faculty of Medicine and Health Sciences, Universitas Jambi
  • Dwi Noerjoedianto Master of Public Health Program, Faculty of Medicine and Health Sciences, Universitas Jambi
  • Nofrans Eka Saputra Department of Psychology, Faculty of Medicine and Health Sciences, Universitas Jambi
  • Nakhlatul Aisya Master of Public Health Program, Faculty of Medicine and Health Sciences, Universitas Jambi
  • Fathan Iman Nugraha Department of Public Health, Faculty of Public Health, Universitas Indonesia

DOI:

https://doi.org/10.22437/proca.v2i3.59979

Keywords:

Central obesity, Diabetes, Hypertension, Indigenous people, Non-communicable disease, Suku Anak Dalam

Abstract

Noncommunicable diseases (NCDs), particularly hypertension and diabetes mellitus (DM), are emerging among the Anak Dalam (SAD) community due to lifestyle changes associated with social transition and settlement. Objective: This study analyzed the patterns and determinants of NCDs among the SAD community in the villages of Nyogan and Hajran, Jambi Province.  Methods: A cross-sectional study was conducted in June–July 2026 among all eligible SAD members aged ≥15 years. Data were collected through interviews and physical measurements. Variables included sociodemographic, behavioral, and biological factors. Data were analyzed using chi-square tests and multiple Cox regression with a 95% confidence level. Results: The prevalence of hypertension was 27%, and that of diabetes mellitus (DM) was 3%. Age ≥40 years (PR=2.253; 95% CI: 1.149–4.419) and central obesity (PR=3.356; 95% CI: 1.787–7.075) were associated with the incidence of NCDs. Central obesity was the dominant factor (PR = 4.406; 95% CI: 1.774–10.939) after adjusting for age, sex, and socioeconomic status. Conclusion: The prevalence of NCDs in the SAD community is beginning to resemble that of the general population. Prevention efforts should focus on controlling central obesity through a balanced diet and early detection, particularly among individuals aged ≥40 years and those with other risk factors

References

[1] Naghavi M, Ong KL, Aali A, Ababneh HS, Abate YH, Abbafati C, et al. Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021. The Lancet 2024;403:2100–32. https://doi.org/10.1016/S0140-6736(24)00367-2.

[2] World Health Organization. Noncommunicable diseases. World Health Organization 2025.

[3] Joseph JJ, Deedwania P, Acharya T, Aguilar D, Bhatt DL, Chyun DA, et al. Comprehensive Management of Cardiovascular Risk Factors for Adults With Type 2 Diabetes: A Scientific Statement From the American Heart Association. Circulation 2022;145. https://doi.org/10.1161/CIR.0000000000001040.

[4] Genitsaridi I, Salpea P, Salim A, Sajjadi SF, Tomic D, James S, et al. 11th edition of the IDF Diabetes Atlas: global, regional, and national diabetes prevalence estimates for 2024 and projections for 2050. Lancet Diabetes Endocrinol 2026;14:149–56. https://doi.org/10.1016/S2213-8587(25)00299-2.

[5] Health Research and Development Agency (Litbangkes). National Riskesdas Report 2013. Jakarta: 2014.

[6] Health Research and Development Agency (Litbangkes). National Riskesdas Report 2018. Jakarta: 2019.

[7] Ayuningtyas D, Kusuma D, Amir V, Tjandrarini DH, Andarwati P. Disparities in Obesity Rates among Adults: Analysis of 514 Districts in Indonesia. Nutrients 2022;14:3332. https://doi.org/10.3390/nu14163332.

[8] Ginting S, Wongta A, Yadoung S, Ounjaijean S, Hongsibsong S. Food Insecurity and Community Resilience Among Indonesia’s Indigenous Suku Anak Dalam. Sustainability 2025;17:7750. https://doi.org/10.3390/su17177750.

[9] Wardani EM. Food security among the Orang Rimba in Jambi: Transformation processes among contemporary Indonesian hunter-gatherers. Dissertation (PhD). Leiden University, 2022.

[10] Popkin BM, Ng SW. The nutrition transition to a stage of high obesity and noncommunicable disease prevalence dominated by ultra‐processed foods is not inevitable. Obesity Reviews 2022;23. https://doi.org/10.1111/obr.13366.

[11] Denekew TW, Gautam Y, Bhandari D, Gautam GP, Sherchand JB, Pokhrel AK, et al. Prevalence and determinants of hypertension in underrepresented indigenous populations of Nepal. PLOS Global Public Health 2022;2:e0000133. https://doi.org/10.1371/journal.pgph.0000133.

[12] Ren Z, Sun W, Wang S, Ying J, Liu W, Fan L, et al. Status and transition of normal-weight central obesity and the risk of cardiovascular diseases: A population-based cohort study in China. Nutrition, Metabolism and Cardiovascular Diseases 2022;32:2794–802. https://doi.org/10.1016/j.numecd.2022.07.023.

[13] Ren H, Guo Y, Wang D, Kang X, Yuan G. Association of normal-weight central obesity with hypertension: a cross-sectional study from the China health and nutrition survey. BMC Cardiovasc Disord 2023;23:120. https://doi.org/10.1186/s12872-023-03126-w.

[14] Jin X, Liu J, Cao Q, Lin J, Wu G, Liu L, et al. Normal-weight central obesity: implications for diabetes mellitus. Front Nutr 2023;10. https://doi.org/10.3389/fnut.2023.1239493.

[15] Oktamianti P, Kusuma D, Amir V, Tjandrarini DH, Paramita A. District-Level Inequalities in Hypertension among Adults in Indonesia: A Cross-Sectional Analysis by Sex and Age Group. Int J Environ Res Public Health 2022;19:13268. https://doi.org/10.3390/ijerph192013268.

[16] Ginting S, Wongta A, Ounjaijean S, Hongsibsong S. Indonesia’s Indigenous Suku Anak Dalam: knowledge for food and environmental sustainability. Front Sustain Food Syst 2025;9. https://doi.org/10.3389/fsufs.2025.1587094.

[17] Wang Q, Song X, Du S, Du W, Su C, Zhang J, et al. Waist Circumference Trajectories in Relation to Blood Pressure and the Risk of Hypertension in Chinese Adults. Nutrients 2022;14:5260. https://doi.org/10.3390/nu14245260.

[18] Hastono SP. Data Analysis in the Health Field. Jakarta: RajaGrafindo Persada; 2016.

[19] Koirala T, B C UB, Shrestha C, Paudel U, Dhital R, Pokharel S, et al. Arterial hypertension and its covariates among nomadic Raute hunter-gatherers of Western Nepal: a mixed-method study. BMJ Open 2023;13:e067312. https://doi.org/10.1136/bmjopen-2022-067312.

[20] Zhou B, Carrillo-Larco RM, Danaei G, Riley LM, Paciorek CJ, Stevens GA, et al. Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants. The Lancet 2021;398:957–80. https://doi.org/10.1016/S0140-6736(21)01330-1.

[21] Thapsuwan S, Phulkerd S, Chamratrithirong A, Gray RS, Jindarattanaporn N, Loyfah N, et al. Relationship between consumption of high fat, sugar or sodium (HFSS) food and obesity and non-communicable diseases. BMJ Nutr Prev Health 2024;7:78–87. https://doi.org/10.1136/bmjnph-2023-000794.

[22] Aji AS, Rohana AJ, Alvitananda AA, Rachmah Q, Paramashanti BA, Sulistyoningrum DC, et al. The sex differences of unhealthy food consumption and its association with metabolic profiles among Indonesian adults. Discover Food 2026;6:43. https://doi.org/10.1007/s44187-025-00782-z.

[23] Pahmi P, Gunawan B, Iskandar J, Soemarwoto R. Reverse Social Impact of Oil Palm Plantation Expansion: A Study of Three Communities in Jambi, Indonesia. Forest and Society 2023;7:61–75. https://doi.org/10.24259/fs.v7i1.24803.

[24] Widyaningsih V, Febrinasari RP, Pamungkasari EP, Mashuri YA, Sumardiyono S, Balgis B, et al. Missed opportunities in hypertension risk factors screening in Indonesia: a mixed-methods evaluation of integrated health post (POSBINDU) implementation. BMJ Open 2022;12:e051315. https://doi.org/10.1136/bmjopen-2021-051315.

[25] Jafar TH, Gandhi M, de Silva HA, Jehan I, Naheed A, Finkelstein EA, et al. A Community-Based Intervention for Managing Hypertension in Rural South Asia. New England Journal of Medicine 2020;382:717–26. https://doi.org/10.1056/NEJMoa1911965.

Downloads

Published

02-09-2026

How to Cite

Kalsum, U., Noerjoedianto, D., Eka Saputra, N., Aisya, N., & Iman Nugraha, F. (2026). Patterns and Determinants of Non-communicable Diseases Among the Anak Dalam Tribe (SAD) in Hajran and Nyogan Village, Jambi Province. Proceedings Academic Universitas Jambi, 2(3), 239-254. https://doi.org/10.22437/proca.v2i3.59979