Hubungan antara Sedentary Lifestyle dengan Angka Kejadian Fibroadenoma Mammae di RSUD dr. Soegiri Lamongan

Latar Belakang : Fibroadenoma mammae (FAM) merupakan tumor jinak paling sering ditemukan pada wanita usia reproduktif. Tumor ini bersifat bifasik, berasal dari unit lobular saluran terminal, dan menunjukkan proliferasi jaringan epitel serta fibrosa. Salah satu faktor risiko yang diduga berpengaruh adalah sedentary lifestyle, yaitu kebiasaan duduk, bersandar, atau berbaring dalam waktu lama tanpa aktivitas fisik yang memadai. Sedentary lifestyle dapat menghambat produksi neurotropin yang berperan dalam transmisi sinaps otak, sehingga memengaruhi keseimbangan hormonal dan proses pertumbuhan sel di jaringan tubuh, termasuk jaringan payudara.
Tujuan : mengetahui seberapa besar hubungan antara sedentary lifestyle dengan angka kejadian Fibroadenoma mammae di RSUD Dr. Soegiri Lamongan.
Metode : Penelitian ini merupakan studi observasional analitik dengan pendekatan cross-sectional di RSUD Dr. Soegiri Lamongan pada periode Januari - Oktober 2024. Sampel terdiri dari pasien rawat inap dengan diagnosis tumor jinak payudara yang tercatat dalam rekam medis rumah sakit. Kriteria inklusi mencakup pasien dengan diagnosis tumor jinak payudara, dengan kriteria eksklusi meliputi pasien dengan tumor ganas dan pasien FAM yang juga memiliki tumor di bagian tubuh lain. Sampel diambil secara simple random sampling, dengan total 35 responden. Data sedentary lifestyle dikumpulkan menggunakan Sedentary Behavior Questionnaire (SBQ), dan dianalisis menggunakan uji Chi-Square.
Hasil : Sebanyak 85,7% responden terdiagnosis FAM, dan 77,1% memiliki sedentary lifestyle tinggi (>5 jam/hari). Hasil uji statistik menunjukkan adanya hubungan yang signifikan antara sedentary lifestyle dengan kejadian FAM (p = 0,001), dengan kekuatan korelasi sedang (r = 0,521).
Kesimpulan : Terdapat hubungan signifikan antara sedentary lifestyle dan kejadian fibroadenoma mammae.

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Background : Fibroadenoma mammae (FAM) is the most commonly found benign breast tumor in women of reproductive age. This biphasic tumor originates from the terminal duct lobular unit and exhibits proliferation of both epithelial and fibrous tissues. One of the suspected contributing risk factors is a sedentary lifestyle, which refers to prolonged periods of sitting, reclining, or lying down without sufficient physical activity. A sedentary lifestyle can inhibit the production of neurotrophins, which play a role in synaptic transmission in the brain, thus affecting hormonal balance and cell growth processes in body tissues, including breast tissue.
Objective : To determine the relationship between sedentary lifestyle and the incidence of fibroadenoma mammae at Dr. Soegiri Regional Hospital Lamongan. Methods : This research is an analytical observational study using a cross- sectional approach conducted at Dr. Soegiri Regional Hospital Lamongan from January to October 2024. The sample consisted of inpatient individuals diagnosed with benign breast tumors recorded in the hospital’s medical records. Inclusion criteria included patients diagnosed with benign breast tumors, while exclusion criteria were patients with malignant tumors and FAM patients who also had tumors in other parts of the body. The samples were selected using simple random sampling, with a total of 35 respondents. Sedentary lifestyle data were collected using the Sedentary Behavior Questionnaire (SBQ) and analyzed using the Chi- Square test.
Results : A total of 85.7% of respondents were diagnosed with FAM, and 77.1% had a high sedentary lifestyle (>5 hours/day). Statistical analysis showed a significant relationship between sedentary lifestyle and the incidence of FAM (p = 0.001), with a moderate correlation strength (r = 0.521).
Conclusion : There is a significant relationship between sedentary lifestyle and the incidence of fibroadenoma mammae.