Effect of Brown Rice Intervention on BMI and Waist Circumference in Patients with Type 2 Diabetes Mellitus


  • Dea Intan Permatasari Undergraduate Program in Applied Nutrition and Dietetics, Department of Nutrition, Malang Health Polytechnic
  • Endang Sutjiati Undergraduate Study Program of Applied Nutrition and Dietetics, Department of Nutrition, State Health Polytechnic of Malang
  • Etik Sulistyowati Undergraduate Study Program of Applied Nutrition and Dietetics, Department of Nutrition, State Health Polytechnic of MalangUndergraduate Study Program of Applied Nutrition and Dietetics, Department of Nutrition, State Health Polytechnic of Malang




Type 2 Diabetes Mellitus, Brown Rice, BMI, Waist Circumference


Brown rice, derived from white rice with the removal of the husk, contains higher dietary fiber and a lower glycemic index than regular white rice. These advantages can be an alternative diet for individuals with type 2 diabetes mellitus. Type 2 diabetes mellitus is a metabolic disease ranked as the fourth leading cause of death in the world, often associated with obesity. In addition, insulin insensitivity in individuals with type 2 diabetes leads to increased hunger (polyphagia) and overeating, resulting in increasing BMI and waist circumference. The purpose of this study is to determine the effect of the brown rice diet intervention on BMI and waist circumference of patients with type 2 diabetes. This study was a pre-experimental study without control variables and the sample was not selected randomly, using a one-group pretest-posttest design with a 3-month intervention. Data analysis in this study used the Shapiro-Wilk normality test followed by the paired t-test to determine the difference between two paired samples. The statistical results showed significant changes in BMI and abdominal circumference (p = 0.002 and p = 0.008, respectively). In conclusion, there are differences in BMI and abdominal circumference of patients with type 2 diabetes mellitus before and after the intervention of a brown rice-based diet menu.


  • Sahlan Zamaa M, Sainudin S. Hubungan Kepatuhan Pengobatan Dengan Kadar Gula Darah Sewaktu Pada Pasien Diabetes Melitus Tipe II. Jambura Nurs J. 2019;1(1):11–8.
  • Nuraini HY, Surpiatna R. ARTIKEL PENELITIAN Hubungan Pola Makan , Aktivitas Fisik dan Riwayat Penyakit Keluarga Terhadap Diabetes Melitus Tipe 2. 2016;05(01):5–14.
  • Sagita RW, Rusita I, Anto YV. Hubungan Indeks Massa Tubuh (Imt) Dengan Kadar Glukosa Darah Pada Pasien Dengan Diabetes Melitus Tipe 2 Di Rsud Wates. 2020;09(1):14–8.
  • Fatimah RN. Diabetes Melirus Tipe 2. J Major. 2015;4(5):93–101.
  • Kozuka C, Yabiku K, Takayama C, Matsushita M, Shimabukuro M, Masuzaki H. Natural food science based novel approach toward prevention and treatment of obesity and type 2 diabetes: Recent studies on brown rice and γ-oryzanol. Obes Res Clin Pract [Internet]. 2013;7(3):e165–72. Available from: http://dx.doi.org/10.1016/j.orcp.2013.02.003
  • Sulistyowati E, Rudijanto A, Soeharto S, Handayani D. The Identification of Characteristic Macro- and Micronutrients and the Bioactive Components of Indonesian Local Brown Rice as a Functional Feed in Obesity Nutrition Therapy. Curr Nutr Food Sci. 2019;16(4):494–500.
  • Maryusman T, Fauziyah A, Fatmawati I, Firdausa NI, Imtihanah S. Pengaruh Kombinasi Diet Tinggi Serat dan Senam Aerobik terhadap Penurunan Berat Badan. J Kedokt dan Kesehat. 2018;14(1):56.
  • Sugiyono. Metode Penelitian Kombinasi (Mix Method). Bandung: Alfabeta; 2015.
  • Suherman E. Strategi Pembelajaran Matematika Kontemporer. Bandung: JICA UPI; 2013.
  • Tripathy JP, Thakur JS, Jeet G, Chawla S, Jain S, Pal A, et al. Prevalence and risk factors of diabetes in a large community-based study in North India: results from a STEPS survey in Punjab, India. Diabetol Metab Syndr. 2017;9(8):1–8.
  • Aamir AH, Ul-Haq Z, Mahar SA, Qureshi FM, Ahmad I, Jawa A, et al. Diabetes Prevalence Survey of Pakistan (DPS-PAK): Prevalence of type 2 diabetes mellitus and prediabetes using HbA1c: A population-based survey from Pakistan. BMJ Open. 2019;9(2):1–9.
  • Trisnawati SK, Setyorogo S. Faktor Risiko Kejadian Diabetes Melitus Tipe II Di Puskesmas Kecamatan Cengkareng Jakarta Barat Tahun 2012. J Ilm Kesehat. 2013;5(1):6–11.
  • Asiimwe D, Mauti GO, Kiconco R. Prevalence and Risk Factors Associated with Type 2 Diabetes in Elderly Patients Aged 45-80 Years at Kanungu District. J Diabetes Res. 2020;2020.
  • Ha MS, Son WM. Combined exercise is a modality for improving insulin resistance and aging-related hormone biomarkers in elderly Korean women. Exp Gerontol [Internet]. 2018;114(May):13–8. Available from: https://doi.org/10.1016/j.exger.2018.10.012
  • Vaidya A, Krettek A. Physical activity level and its sociodemographic correlates in a peri-urban Nepalese population: A cross-sectional study from the Jhaukhel-Duwakot health demographic surveillance site. Int J Behav Nutr Phys Act. 2014;11(1).
  • Sorop O, van den Heuvel M, van Ditzhuijzen NS, de Beer VJ, Heinonen I, van Duin RWB, et al. Coronary microvascular dysfunction after long-term diabetes and hypercholesterolemia. Am J Physiol - Hear Circ Physiol. 2016;311(6):H1339–51.
  • Ohishi M. Hypertension with diabetes mellitus: Physiology and pathology review-article. Hypertens Res. 2018;41(6):389–93.
  • Roifah I. Analisis Hubungan Lama Menderita Diabetes Mellitus Dengan Kualitas Hidup Penderita Diabetes Mellitus. J Ilmu Kesehat. 2017;4(2):7.
  • Putra, I. W. A., & Berawi K. Empat Pilar Penatalaksanaan Pasien Diabetes Mellitus Tipe 2. Majority [Internet]. 2015;4(9):8–12. Available from: http://juke.kedokteran.unila.ac.id/index.php/majority/article/view/1401
  • L. Kathleen Mahan JLR. Krause’s Food & The Nutrition Care Process. Poisoning & Drug overdose. Canada: El; 2017.
  • Kaur B, Ranawana V, Henry J. The Glycemic Index of Rice and Rice Products: A Review, and Table of GI Values. Crit Rev Food Sci Nutr. 2016;56(2):215–36.
  • Fa A, Ch W, Dn F, Ne S. Hubungan antara Kandungan Karbohidrat dan Indeks Glikemik pada Pangan Tinggi Karbohidrat Relationship between Carbohydrate Content and the Glycemic Index in High-Carbohydrate Foods. 2019;(September).
  • Wijaya A, Wande N, Wirawati IAP. Hubungan lingkar perut dengan kadar gula darah puasa pada mahasiswa Fakultas Kedokteran Universitas Udayana angkatan 2014. Intisari Sains Medis. 2019;10(2):279–83.
  • PERKENI. Pengelolaan dan Pengobatan Diabetes Melitus Tipe 2 Dewasa. Pedoman Pengelolaan dan Pencegah Diabetes Melitus Tipe 2 di Indones. 2019;1:132.
  • Verma S, Hussain ME. Obesity and diabetes: An update. Diabetes Metab Syndr Clin Res Rev [Internet]. 2017;11(1):73–9. Available from: http://dx.doi.org/10.1016/j.dsx.2016.06.017
  • Ruban A, Stoenchev K, Ashrafian H, Teare J. Current Treatments for Obesity. Clin Med (Northfield Il) [Internet]. 2019;19(3):205–12. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542229/pdf/clinmed-19-3-205.pdf
  • Pletsch EA, Hamaker BR. Brown rice compared to white rice slows gastric emptying in humans. Eur J Clin Nutr [Internet]. 2018;72(3):367–73. Available from: http://dx.doi.org/10.1038/s41430-017-0003-z
  • Sawada K, Takemi Y, Murayama N, Ishida H. Relationship between rice consumption and body weight gain in Japanese workers: White versus brown rice/multigrain rice. Appl Physiol Nutr Metab. 2019;44(5):528–32.
  • Hooper L, Abdelhamid A, Bunn D, Brown T, Summerbell CD, Skeaff CM. Effects of total fat intake on body weight. Cochrane Database Syst Rev. 2015;2015(8).
  • Wang L, Lin Q, Yang T, Liang Y, Nie Y, Luo Y, et al. Oryzanol Modifies High Fat Diet-Induced Obesity, Liver Gene Expression Profile, and Inflammation Response in Mice. J Agric Food Chem. 2017;65(38):8374–85.
  • Francisqueti FV, Minatel IO, Ferron AJT, Bazan SGZ, Silva V dos S, Garcia JL, et al. Effect of gamma-oryzanol as therapeutic agent to prevent cardiorenal metabolic syndrome in animals submitted to high sugar-fat diet. Nutrients. 2017;9(12).
  • Delzenne NM, Olivares M, Neyrinck AM, Beaumont M, Kjølbæk L, Larsen TM, et al. Nutritional interest of dietary fiber and prebiotics in obesity: Lessons from the MyNewGut consortium. Clin Nutr. 2020;39(2):414–24.




How to Cite

Permatasari DI, Sutjiati E, Sulistyowati E. Effect of Brown Rice Intervention on BMI and Waist Circumference in Patients with Type 2 Diabetes Mellitus. IJHN [Internet]. 2023 Jul. 6 [cited 2024 Jun. 19];10(1):77-8. Available from: https://ijhn.ub.ac.id/index.php/ijhn/article/view/638