GAMBARAN ASUPAN PURIN, AKTIVITAS FISIK STATUS GIZI DAN KADAR ASAM URAT PADA PENDERITA GOUT DI WILAYAH KERJA PUSKESMAS KEBUN TEBU LAMPUNG BARAT

ABSTRACT
WHOestimates that around 355,000,000 people will suffer from Gout (Apriana et al., 2018). The incidence of gout arthritis is also relatively high in Indonesia. WHO revealed that the prevalence of people with gout arthritis in Indonesia reached 81% so that Indonesia was in the highest order with sufferers of gout arthritis in Asia. Southeast. This study aims to determine the description of purine intake, physical activity, and uric acid levels in Gout Arthritis Sufferers in the Working Area of the Sugar Cane Health Center, West Lampung.
This type of research is descriptive observational research. The sample in this study were all gout patients, 39 respondents who came and received treatment at the Sugar Cane Health Center, West Lampung, as many people. The research was conducted in April 2023. Nutritional status, activity questionnaire form blood uric acid levels. The data analysis used was univariate analysis to explain the characteristics of each variable and obtain an overview of the variations in all the variables studied.
The results of the study on 39 respondents showed that the nutritional status of the respondents was normal 43.6% and followed by pre-obesity of 38.5% and the result of purine intake in the respondents was 100.0%. and the results of the physical activity research conducted by the respondents, namely moderate physical activity by 51.3% , almost all respondents experienced an increase in uric acid levels with a total of 71.8% and a small number of respondents with a had normal uric acid levels.
The conclusion based on research data is that almost all gout sufferers who check uric acid levels at the Sugarcane Garden Health Center in West Lampung Regency experience increased uric acid levels.Suggestions are to reduce the consumption of high purine intake, namely legumes with a limit of 25 grams/day and processed nuts such as tempeh and tofu, consuming at least 50 grams/day, limiting green vegetables such as spinach, kale, cassava leaves to a minimum of 100 grams/day, avoiding chicken offal, as well as four-legged animals, avoiding consumption or carbonated drinks such as soft drinks on the market, and adopting a healthy lifestyle. exercise regularly to prevent joint stiffness.
Keywords: uric acid, intake of purine sources, nutritional status