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Diagnosis & Tatalaksana Obesitas

Dr. H. Eva Decroli , SpPD -KEMD, FINASIM Subbagian Metabolik dan Endokrinologi Bagian Ilmu Penyakit Dalam FK Unand/RS Dr. M. Djamil Padang. Diagnosis & Tatalaksana Obesitas. Pengantar. Latin Ob : akibat dari Esum : makanan Overweight : b erat badan lebih ( kelebihan BB)

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Diagnosis & Tatalaksana Obesitas

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  1. Dr. H. Eva Decroli, SpPD-KEMD, FINASIM Subbagian Metabolik dan Endokrinologi Bagian Ilmu Penyakit Dalam FK Unand/RS Dr. M. Djamil Padang Diagnosis & TatalaksanaObesitas

  2. Pengantar • Latin • Ob : akibatdari • Esum : makanan • Overweight : beratbadanlebih (kelebihan BB) • Obesitas • Kegemukan • Kelainanakibatpenimbunanjaringanlemak yang berlebihan • Etiologi • Genetik • Life style (polamakandanaktivitas) • Lingkungan • Risikomorbiditasoverweight < obesitas

  3. Diagnosis • Indeks Massa Tubuh (Body Mass Index) • BeratBadan (kg) / [TinggiBadan (m)]2 • ↑ IMT → ↑ risikomorbiditas

  4. Diagnosis • Distribusijaringanlemak • Sentral / viseral / android • Subkutan • Intrabdomen (intraperitoneal , retroperitoneal) • Perifer / ginoid • Mengukurlingkarpinggang • Mengukurrasiolingkarpinggang – lingkarpanggul (Waist – Hip Ratio) • ObesSentral • > 1,0 (pria) • > o,85 (wanita)

  5. Оpinggang • Pengukurdisampingsubyek, menggunakan pita • Subyekberdiritegakdenganjarakkedua kaki 20-30 cm • Bidang horizontal setinggipertengahankristailiaka – tepibawahcostaterakhir • Saatakhirekspirasi • ♂ < 90 cm • ♀ < 80 cm • Оpanggul • Bidang horizontal setinggitrochanter mayor

  6. Pemeriksaan • Rasiolingkarpinggang-panggul • Lingkarpinggang (rekomendasi NCEP ATP III) • Densitometri (DXA) • CT-scan abdomen • MRI abdomen

  7. Tatalaksana • Sasaran : ↓ 5 – 10% BB awal (6 bulan) • Manajemennutrisi • Mengurangijumlahkaloridanlemak • ↓ 500 – 1000 kkal diet harian → ↓ 0,5 – 1,0 kgBB/minggu • Peningkatanaktivitasfisik • Farmakologi • Orlistat • Sibutramin • Terapibedah (operasiBariatric)

  8. Tatalaksana

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