Gambaran Kadar C-Reactive Protein pada Penyakit Tidak Menular di Indonesia
DOI:
https://doi.org/10.35790/msj.v4i1.44684Abstract
Abstract: Non-communicable diseases (NCDs) are the main cause of death and disability worldwide. Therefore, it is necessary to detect and treat as early as possible for each case of NCDs. C-reactive protein (CRP) is one of the supporting tests that helps to detect and monitor the NCDs. This study aimed to analyze the literatures of C-reactive protein levels in several NCDs in Indonesia. This was a literature review study. The results obtained 15 articles with a total of nine discussed diseases, as follows: cardiovascular diseases, hypertension, type 2 diabetes mellitus (T2DM), colorectal cancer, injury, chronic kidney disease (CKD), obesity, rheumatological diseases, and epilepsy with depression. In several types of NCDs in Indonesia, there were increased CRP levels with a maximum value of 199.4 mg/L and a minimum of 0.02 mg/L in patients aged 18-60 years. In conclusion, CRP levels are increased in the reviewed NCD cases.
Keywords: C-reactive protein; non-communicable diseases
Abstrak: Penyakit tidak menular (PTM) merupakan penyebab utama kematian dan kecacatan di dunia. Dibutuhkan deteksi, screening, dan terapi sedini mungkin untuk setiap kasus PTM. C-Reactive Protein (CRP) merupakan salah satu pemeriksaan penunjang yang membantu mendeteksi dan memonitoring PTM. Penelitian ini bertujuan untuk mendapatkan gambaran kadar C-Reactive Protein pada beberapa penyakit tidak menular di Indonesia. Jenis penelitian ialah suatu literature review. Hasil penelitian mendapatkan 15 artikel dengan total sembilan penyakit yang dibahas yaitu penyakit kardiovaskuler, hipertensi, diabetes melitus tipe 2 (DMT2), kanker kolorektal, cedera, penyakit ginkal kronis (PGK), obesitas, penyakit reumatologi, serta epilepsi dan depresi. Pada beberapa tipe PTM di Indonesia terjadi peningkatan kadar CRP dengan nilai maksimum 199,4 mg/L dan minimum 0,02 mg/L untuk pasien dengan kisaran usia 18-60 tahun. Simpulan penelitian ini ialah terdapat peningkatan kadar CRP pada kasus penyakit tidak menular yang dikaji.
Kata kunci: C-reactive protein; penyakit tidak menular
References
Irwan. Epideomiologi penyakit tidak menular. Yogyakarta: Deepublish; 2016. p. 6-7.
WHO. Noncommunicable diseases progress monitor 2022. Geneva: World Health Organization; 2022. Licence: CC BY-NC-SA 3.0 IGO. Available from: https://www.who.int/publications/i/item/ 9789240047761
Kemenkes. Buku pedoman manajemen penyakit tidak menular. Kementerian Kesehatan RI. Jakarta Selatan: Direktorat Jenderal Pencegahan dan Pengendalian Penyakit; 2019. p. 2-10. Available from: http://p2ptm.kemkes.go.id/dokumen-ptm/buku-pedoman-manajemen-ptm
Kemenkes. Laporan Riset Kesehatan Dasar Tahun 2018. Kementerian Kesehatan RI [Internet]. 2019;1(1):1. Available from: https://www.kemkes.go.id/article/view/19093000001/penyakit-jantung-penyebab-kematian-terbanyak-ke-2-di-indonesia.html
Kemenkes RI. Rencana Aksi Kegiatan Pengendalian Penyakit Tidak Menular [Internet]. 2017. p. 1-5. Available from: http://p2p.kemkes.go.id/wp-content/uploads/2017/12/P2PTM_RAK2017.pdf
Juber N, Lee C-C, Liu JJ. Associations between high-sensitivity C-reactive protein and non-commu-nicable diseases in an Asian population: findings from the IFLS study. Biomarkers. 202126(6):548-56. Doi: 10.1080/1354750X.2021.193617
Liu LB, Li M, Zhuo WY, Zhang YS, Xu AD. The role of Hs-CRP, D-dimer and fibrinogen in differentiating etiological subtypes of ischemic stroke. PLoS One. 2015;10(2):1–9.
Jasmine J, Purwanto DS, Kaligis SHM. Peran interleukin-6 sebagai faktor prediktif derajat keparahan COVID-19. e-Biomedik. 2022;10(1): 3-5.
Daniasih NK, Tiho M, Assa YA. Kadar c-reactive protein (CRP) serum sebagai penanda inflamasi pasien coronavirus disease (COVID-19). e-Biomedik. 2022;10(2):10-11
Noviyanti K, Setiawan L EK. Hubungan profil lipid dan C-reactive protein (CRP) dengan derajat stenosis koroner pada penyakit jantung koroner stabil. Intisari Sains Medis. 2019;10(1):165–8.
Septiani P, Sulastomo H, Purwaningtyas N. Correlation between high-sensitive C-reactive protein and high sensitive troponin I with 6-minute walk distance in acute myocardial infarction. Acta Cardiol Indonesia (ACI). 2019;5(2):136–44.
Itami MN, Rachmawati B, Limijadi EKS, Retnoningrum D. Hubungan neutrophyl lymphocyte ratio dengan C-reactive protein pada pasien stroke non hemoragik. Diponegoro Med J (Jurnal Kedokteran Diponegoro). 2020;9(2):173–8.
Putra SE, Tyas FNI, Hafizhan M, Prabaningtyas RAHR, Mirawati DK. Hubungan profil lipid dan kadar high-sensitivity C-reactive protein dengan outcome pasien stroke iskemik akut. Smart Med J. 2020;3(2):48.
Fu Y, Wu Y, Liu E. C reactive protein and cardiovascular disease: from animal studies to the clinic (Review). Exp Ther Med [Internet]. 2020;20(2):1211–9.
Dolly D, Indranila I, Ariosta A. Hubungan antara high sentitive C-reactive protein (HS-CRP) dan nitric oxide (NO) pada penderita hipertensi. Media Med Muda. 2018;3(1):1–6.
Tsuda K. Associations between high-sensitivity C-reactive protein and membrane fluidity of red blood cells in hypertensive elderly men: an electron spin resonance study. Int J Hypertens. 2012;2012:1–5.
Rosaria E, Nurahmi N, Kurniawan LB. Correlation of glycated haemoglobin with netrin-1 and high sensitive C-reactive protein in type 2 diabetes melitus patients. Medico-Legal Updat. 2020;20(4):1143–7.
Banait T, Wanjari A, Danade V, Banait S, Jain J. Role of high-sensitivity C-reactive protein (Hs-CRP) in non-communicable diseases: a review. Cureus. 2022;14(10):1-12.
Puspitarini ED, Prijambodo P. Relationship between sarcopenia in abdomen CT scan results with C-reactive protein level in colorectal cancer patients at Dr. Soetomo General Academic Hospital Surabaya. Biomol Heal Sci J. 2022;5(1):42–6.
Hart PC, Rajab IM, Alebraheem M, Potempa LA. C-reactive protein and cancer-diagnostic and therapeutic insights. Front Immunol. 2020;11:595835.
Maulana I, Marwan Sikumbang K, Asnawati A. Hubungan jumlah leukosit dan C-reactive protein (CRP) dengan luaran pasien cedera otak traumatik (COT) berdasarkan skor Glasgow Coma Scale (GCS) di RSUD Ulin Banjarmasin. J Neuroanestesi Indones. 2021;10(1):8–15.
Suharto GMF, Sikumbang KM, Pratiwi DIN. Hubungan antara skor GCS dengan kadar C-reactive protein (CRP) pasien cedera otak traumatik di IGD RSUD Ulin Banjarmasin. J Neuroanestesi Indones. 2019;8(3):153–9.
Gosling P, Dickson GR. Serum C-reactive protein in patients with serious trauma. Injury. 1992;23(7):483–6.
Putera EM, Widodo W, Mardiana N. C-reactive protein and hepcidin in non-dialysis chronic kidney disease. Indones J Trop Infect Dis. 2020;8(3):161.
Imroati TA, Thaha M, Wardana A, Widodo S, Pranawa S, Irwanadi C. Comparison of high-sensitivity C-reactive protein level between chronic kidney disease stages. Biomol Heal Sci J. 2018;1(1):1.
Pecoits-Filho R, Heimbürger O, Bárány P, Suliman M, Fehrman-Ekholm I, Lindholm B, et al. Associations between circulating inflammatory markers and residual renal function in CRF patients. Am J Kidney Dis. 2003;41(6):1212–8.
Djamin RD. Korelasi kadar high sensitivity C-reactive protein dengan kadar low density lipoprotein pada penyandang obes. Hum Care J. 2020;5(3):676.
Aronson D, Bartha P, Zinder O, Kerner A, Markiewicz W, Avizohar O, et al. Obesity is the major determinant of elevated C-reactive protein in subjects with the metabolic syndrome. Int J Obes Relat Metab Disord J Int Assoc Study Obes. 2004;28(5):674–9.
Buchari B, Murzalina C, Sary NL. Correlation of tumor necrosis factor-alpha, high sensitivity C-reactive protein, and disease activity score 28 (DAS28) in rheumatoid arthritis patients. Indian J Forensic Med Toxicol. 2021;15(3):2657–63.
Padmandani WPA, Dewi S, Hamijoyo L. Correlation between serum C-reactive protein (CRP) and soluble Cd40 ligand (sCD40L) with disease activity by modified Rodnan skin score (mRSS) in systemic sclerosis patients in Indonesia. Indones J Rheumatol. 2018;10(2):17–24.
Van Venrooij WJ, Pruijn GJM. [The vicious circle that leads to rheumatoid arthritis; experimental evidence of the steps involved in this circle]. Ned Tijdschr Geneeskd. 2009;153(23):232.
Mirawati DK, Widhianingsih NL, Rakhma T, Subandi S, Danuaji R, Budianto P, et al. Relationship between APO-A, APO-B, and C-reactive protein with depression in epileptic patients. Indones J Med. 2020;5(4):282–90.
Fordjour PA, Wang Y, Shi Y, Agyemang K, Akinyi M, Zhang Q, et al. Possible mechanisms of C-reactive protein mediated acute myocardial infarction. Eur J Pharmacol. 2015;760(1):72–80.
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