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Group 5

obesity

HEALTHY CONSIDERED
FUNNY
SYMBOL OF PROSPERITY

PAST
obesity

FEARED
THIS TIME SOCIALIZATION DISORDERS
RISKING CARDIOVASCULAR DISEASE
APPROACH: DIET - ACTIVITIES
obesity
Weight is not
proportional to
height

Fat tissue (Adipose


tissue) in the body
excess
CRITERIA / DEFINITION OBESITY

Weight (kg)
BMI =
Height 2 (m2)

Example :
Boy, 12 years old
Weight = 42 kg Height = 137 cm
BMI = 42/1,372 = 22.15kg/m2

BMI = BODY MASS INDEXS


BMI-for-Age Cutoffs

> 95th percentile Overweight

85th to < 95th percentile Risk of


overweight

< 5th percentile Underweight


FACTORS AFFECTING

 Genetics 2 fat parents : 80 % fat


1 fat parent : 40% fat
not fat : 14 % fat

Diet
 Environment Activity
Social economy
behavior
 Neuropsychiatric
CAUSE OBESITY

Energy input >>>>

Energy expenditure <<

Energy imbalance = Obesity


 Acute Sleep apnea
Orthopedic disorders

Liver disfunction
 Short term Psychosocial disorders
Risk factors for heart disease arise

 Long term Settle into adulthood


Coronary heart disease
Diabetes
Skin disorders
Learning achievement

Endocrine disorders :
menstrual speed
short stature
type II diabetes
To the posyandu
Weighed

Weight plot in
Card to health (KMS)
MAIN FACTOR ENERGY

Diet (can be changed)


Sports / physical activity (can be changed)
Genetics (cannot be changed)
ADIPOSE TISSUE

a place to store
excess energy
releases
Adipose Tissue ADIPOCYTOK
INES which
functions to
regulate energy
balance
Adipose Cell
DIET
Consult with professionals to determine calorie
intake, adjust food composition and diet accordingly

x = a large amount of fat reduction


= fat removal

= regulation of fat intake


= limitation of fat intake
GOOD FOOD COMPOSITION

Low Fat - Enough Carbohydrates

AVOID ALLOWED
MORE

X
Full-fat milk, butter,
cheese, pie, biscuits, Bread, potatoes, rice
burned food Fruit &
vegetables

DIETARY HABIT : Eat 3 times a day without snacks


Breakfast with porridge / cereal
PHYSICAL ACTIVITIES
CHANGE WITH

biscuits

coffee

Walk (minimum 10 minutes)


Use stairs, reduce watching TV
 Hypertension
 Check blood pressure
 Disorders of blood lipid profile (dyslipidemia)
 Check blood lipid profile
 Impaired glucose tolerance
 Check fasting blood sugar / OGTT
 TOTAL CHOLESTEROL
 TRIGLISERIDE
 LDL
 HDL
 APO-B
 Goal :
 Slow the rate of rapid weight gain
 Consider growth

 Program :
 Reduce calorie intake (diet)
 Increase energy output (exercise)
 Modification of child and family behavior
 Fix the causative factor
 Involve all parties (school)
<2 years old no reduction is recommended

2 – 7 years old
Lower if obesity with complications
Lower the Weight <1 pound per month

> 7 years old Lower if Obesity is at risk of obesity


with complications
Lower the Weight <1-2 pond per week

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