modul 2 kegemukan

7/21/2019 Modul 2 Kegemukan

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MODUL 2 KEGEMUKAN

KELOMPOK 3


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Kelompok 3

AN RAS FAJRUL IKHSAN

MUH. ILYAS NURDIN

AR RASFIDARIANDI NANDA

AMANDA DYNA FARADILLAH ANDI ASWINY PUTRI BASO

HIBAH MUSLIHAT

NURUL EKAWATY AIS

IRMAWANTI SRI WAHYUNI SAHIR

SHERLY SUMARTIYA

SRI RAHAYU ARISMAWATI NINGSIH


3/29

Ske!"#$o

Seo#"!% p#$" &m '' (")&! *"("!% ke *ok(e#&!(&k peme#$k+""! ke+e)"("! #&($!. D"#$"!"m!e+$+ *$ke(")&$ ,")-" $,& *"#$ p#$" (e#+e,&(me!*e#$(" *$",e(e+. I" ($*"k me#okok. Peme#$k+""!

+$k TB /01 m BB 45 k% LP 67 m TD /71867mmH%. Peme#$k+""! +$k l"$! *"l"m ,"("+ !o#m"l.

Se(el") *$pe#$k+" l",o#"(o#$&m *$*"p"(k"! )"+$l+,,9

GDP //1 m%8*l kol (o("l 251 m%8*l LDL kol /51m%8*l HDL kol 32 m%8*l "+"m "( 6 m%8*l l"$!:l"$! *"l"m ,"("+ !o#m"l.


4/29

A!"l$+$+ )"+$l peme#$k+""!


5/29

D"#$ +ke!"#$o ;

IMT

IMT < BB8=TB>m?

< 458=/0>? < 458270

< 31'0 k%8m? =O,e+ 2>


6/29

KLASIFIKASI TOTAL, LDL, HDL-KOLESTEROL, DAN TRIGLISERID MENURUTNCEP ATP III

JAMA 2001;285:24862-4!

LDL kolesterol< 100 mg/dl100 129 mg/dl130 159 mg/dl160 189 mg/dl> 190 mg/dl

Total kolesterol< 200 mg/dl200 239 mg/dl> 240 mg/dl

HDL kolesterol< 40 mg/dl> 60 mg/dl

Optmal!e"dekat optmal#edkt t"gg $%orderl"e&T"gg#a"gat t"gg

D"g"ka"#edkt t"gg $%orderl"e&T"gg

'e"da(T"gg


7/29

TRIGLISERIDA "NCEP-ATP III#

O$%&'() * 150 '+)

S.&/&% %&++&"3.3)&.# 150 - 1'+)

T&++& 200 - 4

'+)

S(+(% %&++& 500 '+)


8/29

kl"+$k"+$ o,e+$("+ ,e#*. IMT *"! l$!%k"# pe#&(me!&( k#$(e#$" A+$" P"+$k

K)(&/(& IMT "/+'2#

R&&/ /-'3&&%(

L$!%k"# pe#&(@ 61 m =l"k$:l"k$>@ 51 m=pe#emp&"!>

61 m =l"k$:l"k$> 51 m=pe#emp&"!>

Be#"( ,"*"!

k"!%

@/57 Re!*") =#$+$ko

me!$!%k"( p"*"m"+"l") kl$!$+l"$!>

Se*"!%

K$+"#"! !o#m"l /57:226 Se*"!% Me!$!%k"(

Be#"( ,"*"!le,$)

231

: Be#$+$ko 231:2'6 Me!$!%k"( Mo*e#"(WHO WPR8IASO8IOTF *"l"m T)e A+$" P"+$ Pe#+pe($e9Re*e!$!% O,e+$(C "!* $(+ T#e"(me!(


9/29


10/29

A!"l$+$+ m"+"l")


11/29

Pe#("!C""!

B"%"$m"!" me(",ol$+me l$p$* B"%"$m"!" mek"!$+me pe!$!%k"("! ,e#"(

,"*"!

Ho#mo! "p" C"!% ,e#)&,&!%"! *e!%"!

pe!$!%k"("! ,e#"( ,"*"! Ap" e($olo%$ o,e+$("+

A*"k") )&,&!%"! "!("#" %e"l" *e!%"!pe!$!%k"("! ,e#"( ,"*"!8o,e+$("+!C"

Ap" kompl$k"+$ "k$,"( +em&" )"+$lpeme#$k+""! C"!% (el") *$*"p"(k"!

Pe!"("l"k+"!""!


12/29

Me(",ol$+me l$p$*


13/29

Mek"!$+me Pe!$!%k"("! ,e#"(

,"*"!


14/29

F"k(o# "k(o# C"!% me!Ce,",k"!pe!$!%k"("! ,e#"( ,"*"!


15/29

O,e+$("+

< pe!$m,&!"! lem"k C"!% ,e#le,$)"!*"l"m (&,&) C"!% *$+e,",k"! ole)pem"+&k"! &ml") m"k"!"! C"!% le,$)

,e+"# *"#$p"*" pem"k"$"!!C" ole)(&,&) +e,"%"$ e!e#%$.

+&m,e# 9 ,&k& ""# +$olo%$ G&C(o! *"! H"ll )"l.556


16/29


17/29

Ke+e$m,"!%"! E!e#%$

Pem"+&k"!Pe!%el&"#"!

R"+" l"p"#R"+" ke!C"!%Pe!Ce#"p"!

m"k"!"!

Metabolic Rate

Te#mo%e!e+$+Ak($$("+


18/29


19/29

Ho#mo! C"!% ,e#)&,&!%"! *e!%"!pe!$!%k"("! ,e#"( ,"*"!

I!+&l$!

Lep($!

Ko#($+ol G#o-() )o#mo!

G)#el$! )o#mo!

T)C#o$* )o#mo!


20/29

pe!C"k$( C"!% *$($m,&lk"! o,e+$("+

C(3&7(9)(3 3&/(%3

R.$&3(%3 &.(.

H.(3% &.(.

G()))(.3 &.(.

H3'() (3'()&%&.

H$.393&(.'&(( +9%

S%3/.

D&(.%.

O%.(3%


21/29

K#$(e#$" *$"%!o+$+ S$!*#om me(",ol$k me!&( WHO=Wo#l* He"l() O#%"!$"($o!> NEP:ATP III *"! IDF

KomponenKriteria diagnosis WHO:

Resistensi insulin plus :

Criteria diagnosis ATP

III : 3 komponen di

bawah ini

I!

Obesitas abdominal/

sentral

Waist to hip ratio :

Laki-laki : > 0,9

Wanita : > 0,85 atau

IM >!0 "#/m

Lin#kar perut :

Laki-laki: $0% &m

Wanita : >88 &m

Lin#kar perut :

Laki-laki: '90 &m

Wanita : '80 &m

(iper-

tri#liseridemia

'$50 m#/dl )' $,* mmol/L+ ' $50 m#/dl )'$,*

mmol/L+

' $50 m#/dl

(ipertensi ' $.0/90 mm(# atau

riaat terapi anti hipertensi1

' $!0/85 mm(#

atau riaat terapi anti

hipertensi1

sistolik ' $!0 mm(#

diastolik ' 85 mm(#

"adar #lukosa darahtin##i

oleransi #lukosa ter#an##u,#lukosa puasa

ter#an##u,resistensi insulin

atau M

' $$0 m#/dl 23 ' $00m#/dl

Mikro-albuminuri 4asio albumin urin dan

kreatinin !0 m#/# atau lau

eksresi albumin %0 m/menit


22/29

S$!*#om me(",ol$k< kom,$!"+$ "k(o#:"k(o# C"!%

mempe#,e+"# #e+$ko +e+eo#"!% &!(&k(e#ke!" pe!C"k$( "!(&!% *$",e(e+ *"!+(#oke

+&m,e# 9 Ame#$"! He"#( A++o$"($o!


23/29

K#$(e#$" +$!*#om me(",ol$k

O,e+$("+ +e!(#"l

Re+$+(e!+$ $!+&l$!

D$+l$p$*em$": k"*"# HDL kole+(e#ol me!&!

: k"*"# (#$%l$+e#$*" me!$!%k"(

H$pe#(e!+$


24/29

O,e+$("+ +e!(#"l

Be#*"+"#k"! +ke!"#$o LP< 67m

L$!%k"# pe#&( me!%%"m,"#k"!"#$!%"! "*$po+" +&,k&("! *"!$+e#"l.


25/29

K"*"# HDL kole+(e#olme!&!

Pe!&!"! k"*"# kole+(e#ol HDL ole)k"#e!" pe!$!%k"("! k"*"# (#$%l$+e#$*"+e)$!%%" (e#"*$ (#"!+e# (#$%l$+e#$*"

ke HDL.

G"!%%&"! m"+&k"! l$p$* po+(:p#"!*$"l p"*" ko!*$+$ #e+$+(e!+$

$!+&l$! +e)$!%%" (e#"*$ %"!%%&"!p#o*&k+$ Al$pop#o(e$! A:/ ole) )"($C"!% +el"!&(!C" me!%"k$,"(k"!

pe!&!"! kole+(e#ol HDL.


26/29

H$pe#(e!+$

Re+$+(e!+$ $!+&l$! &%" ,e#pe#"! p"*"p"(o%e!e+$+ )$pe#(e!+$.I!+&l$!


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