2.5.3.5 - obesitas bu delmi.ppt

8/19/2019 2.5.3.5 - obesitas bu delmi.ppt

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OBESITAS

( KEGEMUKAN )

Dr.dr. Delmi Sulastri,MSc, SpGK FAKULTAS KEDOKTERAN UNIV. ANDALAS

5


2/21

Obesitas

• Defenisi :•

enin!"atan #asi$ %e&a" 'an %ean b$' tisse an!te#%$"a%isi# ata &e#ata 'i se%#* tb*

• Eti$%$!i : T#ansisi +$%a &a"an –

T#a'isi$na% ,,,,, &$'e#n


3/21

Affluent modern,Western diet

High fat, high sugar,low fiber

Diverse, varied,high animalprotein

Nutritionally adequateBut imprudent

Obesity,coronary heart diseaseDiabetes, hypertensionstroe

!ural traditional diet"ow fat, low sugar,

high fiber#onotonous, little variation#ainly carbohydratestaples

$nadequate in energyand%or nutrients

&ndernutrition increased!is of infection

Adequateand

prudent

Optimal nutrition'tatus

"ower ris of (hronic and

$nfection disease

Nutrition

)ransition


4/21

Obesitas

• E+i'e&i$%$!i

– -/0 +$+%asi E#$+a* ti&# $besitas('ata statisti" International Obesity Task

Force)

– 'i A&e#i"a (1221) 12340 () 'an 6340(7) $besitas 'an 'i+#e'i"si"an /1

se%#* +'' AS $bes


5/21

Obesitas

• 7as+a8i '"" (122) +#e9a%ensi $bes'i a"a#ta 143;0 3 4340 &en'e#itaDM3 230 *i+e#"$%este#$%e&ia3 4310*i+e#t#i!%ise#i'a

• a


6/21


7/21


8/21

BMI = BOD> MASS INDE? (INDEKS MASSA TUBU@

= BERAT (K!) TINGGI (M)

BMI = 1 : 7ANITA IDAMAN

35 : LAKI,LAKI IDAMAN 5,/ : OVER7EIG@T -/ : OBESE

L : - ;/ & () -2/ & (L)


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14/21

OBEKTIF ENATALAKSANAAN

• Menent"an "%asi"asi $besitas

• Men!#an!i as+an "a%$#i 'en!ant8an &enin!"at"an +e&ba"a#an%e&a" b"an LBM

• Me&en*i "ebt*an nt#isi in'i9i''en!an "$&+$sisi sei&ban!

• Me&+e#ta*an"an "esei&ban!annit#$!en


15/21

OBEKTIF ENATALAKSANAAN

• en!$batan fa"t$# #isi"$ $besitas

• Tin'a"an $+e#asi 'i+e#ti&ban!"anbi%a BB - 5/ ,15/ "! 'iatas BBI

• eni&ban!an 'i%a""an tia+ &in!!+a'a "$n'isi 'an a%at an! sa&a


16/21

Mana!e&en $besitas

• Renana te#a+i nt#isi +a'a +asien#a


17/21

Mana!e&en $besitas

• Le&a" 'ibatasi

• Bi%a 'ibe#i"an an$#e"ti"&3 *in'a#i"afein

• Renana +en#nan BB 1C , 1 "! +e#&in!! 'en!an &en!#an!i as+an 5// "a%$#iC*#

• Diet tin!!i se#at. Se#at +a'a se#ea%+a'a saat sa#a+an +a!i a"an &ena*annafs &a"an


18/21

Mana!e&en $besitas

• Mana8e&en 'iet *a#s 'isesai"an'en!an 'ia!n$sis 'an "$n'isi +asien – Diet #en'a* "a%$#i sei&ban!

• &%a* "a%$#i anta#a 1/// , 1// "a%$#iC*#• C&en!at# BB3 a&an3 nutritionally adequate3

'an efe"tif C 8an!"a +an8an!3 +a'a ana",ana"'an DM

– Diet #en'a* "a%$#i "etat• Ret#i"si "a%$#i sa&+ai ;// "a%$#iC*#3 +#$tein

"+

• 'ibe#i"an +a'a $besitas &$#bi'3 e9a%asi "etat


19/21

Mana!e&en $besitas

• #$!#a& a"ti9itas si"

– +e&ba"a#an %e&a"3 &e&+e#ta*an"anBB an! 'ia+ai 'en!an an8#an

a"ti9itas ae#$bi" 1, 8a&C*# – Me&+e#bai"i siste& "a#'i$9as"%e# 'an

&enin!"at"an sensiti9itas ins%in

–

Me&+e#ta*an"an &assa $t$t 'an'ensitas t%an!


20/21

Mana!e&en $besitas

• M$'i"asi +e#i%a" se#ta '"n!an+si"$s$sia%

– C "ebe#*asi%an +e#% &$ti9asi 'a#i +asien

– &$nit$# 8&* &a"an3 BB 'an a"ti9itas sea#a#tin

– Men'i'i" +asien nt" &e&i%i* &a"anan'en!an +e#ti&ban!an "ese*atan

– Mensn 8a'


21/21

Mana!e&en $besitas

• en!$batan &e'i"

– se#$t$ne#!i" a!$nis3 se#$t$nin #e+ta"ein*ibit$#3 a'#ene#!i" a!ent .. @ati,

*ati efe" sa&+in!

• O+e#asi GIT

– Bi%a BB - 1//0 BBI be#%an!sn! -

ta*n3 te#a+i "$nse#9atif !a!a%3&en!a%a&i "$n'isi &e'i" an! se#is

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2.5.3.5 - obesitas bu delmi.ppt