DIETARY

MANAGEMENT
FOR PEOPLE WITH
METABOLIC
SYNDROME RISK
DURING
PANDEMIC COVID
19

AGIL DHIEMITRA AULIA DEWI,

S.GZ.,MPH
DEFINITION OF METABOLIC SYNDROME

Collection of conditions associated with metabolic disorder and increased risk

of developing cardiovascular disease

Dyslipidemia

High blood pressure,

Impaired glucose tolerance

Abdominal fat accumulation

DIABETES AND METABOLIC SYNDROME AS RISK FACTORS FOR
COVID-19
Sumber : Covid Dalam Angka, Kemenkes RI 10 Juni 2020
 COVID-19 VS METABOLIC SYNDROME

The condition and mortality of Obesity, prediabetes,

patients infected with SARS-
CoV-2 are likely to be more
serious in cases that involve a
feature of MetS compared
with cases that do not
diabetes and MetS are at
increased risk for impaired
lung function, and especially
impaired restrictive lung
pattern
 SO,
WHAT SHOULD WE DO??
 HOW TO REDUCE THE PARAMETERS
ASSOCIATED WITH METS :

Restriction Of Enrichment In Functional Foods

Energy Restriction
Carbohydrates, Beneficial Fatty And Bioactive
And Weight Loss,
Fat, Acids, Nutrients,

Dietary And
Lifestyle Patterns Diet/Exercise
Sleep
Such The Regimens
Mediterranean Diet

Andersen, C.J. & Fernandez, M.L., 2013; Xu, et al., 2019

Restriction in food intake and quality selection of
nutritional components have huge impacts on
insulin secretion and responses, the cellular redox
and inflammatory states, and bodily insulin
sensitivity
Source : freepik.com; https://www.mcgill.ca/oss/files/oss/styles/hd/public/obese.png?itok=doC1YTb8&timestamp=1549044560
WHAT CAN LOWER RISK OF
CVD??
PUFA (25%),

MUFA (15%),

High Quality Carbohydrate (9%)

Polyphenol

Soluble Fiber
[Li., et al., 2015]; [Sacks, et al., 2017].
WHAT CAN
LOWER RISK
OF CVD??

https://hcofme.com/wp-content/uploads/2013/01/fats1.jpg
OTHERS CONTRIBUTING FACTORS OF METS

CIRCADIAN
Good Sleep
DISRUPTION

GUT MICROBIOTA Probiotic Supplementation

GENETIC
Diet Modification
EPIGENETIC

DIETARY EFFECT Fasting

REFERENCE

 Andersen, C.J. & Fernandez, M.L. Dietary strategies to reduce metabolic syndrome. Rev Endocr Metab Disord (2013) 14:241–254

 Li, Y.; Hruby, A.; Bernstein, A.M.; Ley, S.H.; Wang, D.D.; Chiuve, S.E.; Sampson, L.; Rexrode, K.M.; Rimm, E.B.; Willett, W.C.;
et al. Saturated Fats Compared With Unsaturated Fats and Sources of Carbohydrates in Relation to Risk of Coronary Heart
Disease: A Prospective Cohort Study. J. Am. Coll. Cardiol. 2015, 66, 1538–1548. [CrossRef] [PubMed]
 Nakajima, K. Serious Conditions in COVID-19 Accompanied With a Feature of Metabolic Syndrome. Journal of Clinical
Medicine. 2020. Volume 12, Number 5, May 2020, pages 273-275
 Sacks, F.M.; Lichtenstein, A.H.; Wu, J.H.Y.; Appel, L.J.; Creager, M.A.; Kris-Etherton, P.M.; Miller, M.; Rimm, E.B.; Rudel, L.L.;
Robinson, J.G.; et al. Dietary Fats and Cardiovascular Disease: A Presidential Advisory From the American Heart Association.
Circulation 2017, 136, e1–e23. [CrossRef] [PubMed]
 Xu, H. , Li, X., Adams, H., Kubena, K. and Guo, S. Etiology of Metabolic Syndrome and Dietary Intervention. Int. J. Mol. Sci.
2019, 20, 128;
THANK YOU
THANK YOU