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ATAU
OBESITAS
= 27 is overweight.
Recommended BMI range
Underweight less than 18.5
Normal 18.5 - less than 25
Overweight 25 - less than 30
Obese 30 - 40
Very obese over 40
BATAS LINGKAR PINGGANG
(WHO 2008) – JAPI 2009
Patients with
abdominal obesity
(high waist
circumference) often
present with one or
more additional
CV risk factors
Adverse cardiometabolic effects of
products of adipocytes
↑ Lipoprotein lipase Hypertension
↑ IL-6 ↑ Agiotensinogen
Inflammatio
↑ Insulin Atherogenic
n
↑ dyslipidaemia
↑ TNFα
Adipose FFA
↑ Resistin
tissue
↑ Leptin
↑ Adipsin
(Complement D) ↑ Lactate
Type
↑ Plasminogen 2 diabetes
↓ Adiponectin
activator inhibitor-1
(PAI-1)
Atherosclerosis
Thrombosis
Lyon 2003; Trayhurn et al 2004; Eckel et al 2005
Abdominal obesity: required for
diagnosing the metabolic syndrome
IDF criteria of the metabolic syndrome
• High waist circumference
Plus any two of
• ↑ Triglycerides (≥ 1.7 mmol/L [150 mg/dL])‡
• ↓ HDL cholesterol‡
– Men < 1.0 mmol/L (40 mg/dL)
– Women < 1.3 mmol/L (50 mg/dL)
• ↑ Blood pressure ≥ 130 / >85 mm Hg‡
• ↑ FPG (≥ 5.6 mmol/L [100 mg/dL]), or diabetes
‡
or specific treatment for these conditions
• Peringatan
● Diet yang tidak dapat menurunkan BB :
• Bila penurunan cepat dalam bbrp minggu /3 bulan ( mis dengan
produk-produk diet populer )
DIET POPULER CIRINYA..
(PNS, 2012)
Makanan Pokok:
Karbohidrat
Kompleks
Lauk Pauk:
Protein rendah
lemak
Amati
Nikmati
Rasanya
Jangan
Hadirlah
Menghakimi
Sepenuhnya
Diri Anda
PERBANYAK AKTIFITAS
• Kurangi Duduk
• Parkir lebih jauh
• Naik tangga
• Cuci Mobil
Olahraga di Kursi
OLAHRAGA PENGHILANG LEMAK PERUT
(CARDIO)
• Jalan kaki
• Jogging
• Jalan cepat
• Lari
• Renang
• Bersepeda
• Low Impact*
AKUPUNTUR & HYPNOSIS
MAKANAN PENURUN KOLESTEROL
(DENGAN PORSI YANG BENAR)
• Sayuran Hijau
• Oatmeal
• Ikan laut dan tawar
• Kacang-kacangan
• Biji-bijian
• Coklat (Cacao) tapi tinggi purin
• Minyak Zaitun
• Alpukat
• Teh Hijau
• Air Putih
TERIMA KASIH