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DIETARY MANAGEMENT
Arsiniati M.Brata-Arbai
Cardio Vascular Disease (CVD)
Prevalence of CVD
- USA 61 million men & women
- Indonesia CVD main cause of death
ranked
1972 11
1986 3
1992 1
METABOLIC SYNDROME (THE METS)
7. Vascular abnormalities
8. Hyperuricaemia
9. Adrenal incidentaloma (increase cortisol secretion)
10.Fatty liver ( fatty disposition)
(Askandar, 2005)
OBESITY
a state in which an excess of fat accumulate
Grade I : Their overweight does not affected their
health, they are able to lead their normal life
Grade II : reduced exercise tolerance, shorteness of
breath on exertion
At increase risk of of one or more of the disorders *
Grade III
- these are pathetic patients
- their activities are restricted by their enormous
mass
- have serious psychological disturbances
- suffering from many of of the disorders *
- life expectation is low
3 out of 5 diagnostic:
1.Abdominal obesity: Men > 90 cm
Women > 80 cm
2. Serum Trigliceride 150 mg/dl
3. Serum HDL Cholesterol: Men < 40 mg/dl
Women < 50 mg/dl
4. Blood pressure 130 / 85
5. Fasting Glucose 110 mg/dl
THERAPEUTIC INTERVENTION FOR METS
Weight management
BMI = weight (kg) / height (m2)
< 18.5 underweight
18.5 24.9 healthy/low health risk
> 25 overweight/ increase risk of disease
> 30 obese (class 1) increase risk of disease
> 35 obese (class II) higher risk of disease
> 40 extremely or morbidly obese (class III)
(Sareen, 2005)
I. Dietary approach
METS MANAGEMENT:
1.DIET
2. PHYSICAL ACTIVITY
3. BEHAVIORAL MODIFICATION