Obesitas

What is obesity?

Overweight and obesity are defined as

abnormal
or
excessive
fat
accumulation that presents a risk to
health.(WHO)

Risk Factor

1.genetics,
2.nutrition,
3.lifestyle and
4.psychology

Diagnosis

1. Antropometri Measurement (height and weight)

2. Nutritional Status Measurement
a.
Menentukan BMI
b. Tentukan index BMI

Diagnosis
a. BMI Clasification based on DEPKES

Diagnosis
b.

BMI Clasification based on WHO

Grade 1 overweight (commonly and
simply called overweight) - BMI of 2529.9 kg/m2
Grade 2 overweight (commonly called
obesity) - BMI of 30-39.9 kg/m2
Grade 3 overweight (commonly called
severe or morbid obesity) - BMI 40
kg/m2

Comorbid of Obesity

Respiratory
Malignant
Psychological
Cardiovascular
Central nervous
system (CNS)
Obstetric and
perinatal
Surgical
Pelvic

Gastrointestinal (GI)
Orthopedic
Metabolic
Reproductive (in
women)
Reproductive (in men)
Cutaneous
Extremity
Miscellaneous

Consequences of Obesity
Mortality: Result of increasing fat cell
production

Consequences of Obesity
Morbidity: Results of Enlarged Fat Cells and Their
Products such as
Diabetes Mellitus
Increase fat cell size->demand of insulin

Heart Disease

High Blood Pressure

Increse insulin->increase Na reabsorption
Gall bladder disease
Increase cholesterol->increase factor of nidation

Cancer

Consequences of Obesity
Morbidity: Results of Enlarged Fat Cells and
Their Products such as
Sleep apnea
Fat deposition on pharingeal area->intermittent airway obstruction>low oxigenation

Osteoarthritis
High body weight->merusak persendian (ga kuat)

Social Disapproval
Usually for woman

Management of Obesity
1. Diet
2. Aktivitas fisik

Management of Obesity

Management of Obesity

Management of Obesity

Management of Obesity
Manfaat aktivitas fisik
Menjaga kesehatan
Meningkatkan kebugaran jasmani
Menjaga postur tubuh yang baik
Meningkatkan keseimbangan tubuh
Menjaga berat badan ideal
Menjaga agar otot dan tulang yang kuat
Meningkatan rasa percaya diri
Menurunkan stres

Management of Obesity
Klasifikasi aktivitas fisik adalah :
1. low intensity physical activity: 0-3 METs.
2. moderate-intensity physical activity: 3-6 METs
Bekerja cukup keras untuk meningkatan
denyut jantung dan berkeringat, namun masih
bisa bercakap-cakap.
Contoh: jalan 4,8 km/jam (4,5 METs),
badminton-santai (4,5 METs), bersepeda- lahan
datar dan pelan 16,1-19,3 km/jam (6,0 METs),
dansa-slow (3,0 METs), renang santai (6,0
METs), tenis double (5,9 METs).

Management of Obesity
3. vigorously intensity physical activity: >6 METs.
Contoh: Jalan cepat (setengah jam) 7,2 km/jam
(6,3 METs), Jogging 8,1 km/jam (8,0 METs), lari
11,3 km/jam (11,5 METs), basket-game (8,0
METs), sepak bola kompetisi (10,0 METs), Tenistunggal (8,0 METs).
1 METs adalah jumlah energi yang dibutuhkan
untuk aktivitas duduk diam dan seimbang
dengan konsumsi kalori sebesar 1 kkal/kg/jam.

Management of Obesity

Reference
1. Depkes
2. WHO
3. Medscape