EAT UNTIL YOU DROP

MAJ(P) J. Scott Earwood

Metabolic Syndrome

Sudden death is more common in those who are naturally fat than in the slender
Hippocrates 410 B.C.
Messerli et al Arch Intern Med 1987; 147: 1725 - 1728

I saw few die of hunger, of eating

100.000
Benyamin Franklin

Changing Portion Sizes

2004 2004

2004

2004

2004

National Geographic, August 2004

Relationship Between BMI and Risk of Type 2 Diabetes

Age-Adjusted Relative Risk
93.2

Men Women
54.0 40.3 27.6 21.3 2.9 1.0 4.3 1.0 5.0 1.5 8.1 2.2 15.8 4.4 6.7 11.6 42.1

1.0

<22

<23

23 23.9

24 24.9

25 26.9

27 28.9

29 30.9

31 32.9

33 34.9

35+

Body Mass index (kg/m2)

Chan J et al. Diabetes Care 1994;17:961. Colditz G et al. Ann Intern Med 1995;122:481.

Central Obesity is especially Associated with Increased Rise of Type 2 Diabetes1

Carey VJ et al Am J Epidemiol 1997;64:614-9

7

Solusi 1: Diet Saja

Positif Biaya murah Dapat menurunkan berat badan Mengurangi komplikasi kronis Negatif Efek tidak langsung Waktu lama Kepatuhan pasien Frustasi

Solusi 2 : Olah raga saja

Positif Biaya murah Dapat menurunkan berat badan Disesuaikan menurut kemampuan Negatif Hasil tak langsung Perlu waktu khusus Membuat frustasi

Solusi 3 : Kombinasi terapi (lifestyle + Obat)

Positif Dapat mencegah komplikasi akut maupun kronis Target jelas Lebih terkontrol Negatif Biaya mahal Multi disiplin Butuh kepatuhan Harus monitor teratur

Rekomendasi
Terapi kombinasi Berobat ke rs besar multi disiplin ilmu Memilih obat2an yang lebih murah Program edukasi kepatuhan

In the human body, as in the world, if you control fuel resources, you influence a lot of other things as well.
Dr. Gkhan Hotamisligil, Harvard School of Public Health

TERIMA KASIH