Beruflich Dokumente
Kultur Dokumente
PENDAHULUAN
A. Latar Belakang
B. Rumusan Masalah
1. Apa pengertian dari obesitas?
2. Apa saja patofisiologi obesitas?
3. Apa saja klasifikasi obesitas?
4. Apa saja gejala dan tanda dari obesitas?
5. Apa saja diagnosis dari obesitas?
6. Bagaimana pengobatan obesitas?
C. Tujuan
1. Untuk mengetahui pengertian dari obesitas
2. Untuk mengetahui patofisiologi obesitas
3. Untuk mengetahui klasifikasi obesitas
4. Untuk mengetahui gejala dan tanda dari obesitas
5. Untuk mengetahui diagnosis dari obesitas
6. Untuk mengetahui pengobatan obesitas
BAB II
TINJAUAN PUSTAKA
A. Pengertian Obesitas
Obesity occurs when there is an imbalance between energy intake and
energy expenditure over time, resulting in increased energy storage
(Wells, 2012). Obesity is the state of excess body fat stores, which
should be distinguished from overweight (i.e., excess body weight
relative to a person’s height) (Wells, 2009).
B. Patofisiologi Obesitas
Genetic factors appear to be the primary determinants of obesity
in some individuals, whereas environmental factors are more
important in others. The specific gene that codes for obesity is
unknown; there is probably more than one gene.
Environmental factors include reduced physical activity or work;
abundant and readily available food supply; increased fat intake;
increased consumption of refined simple sugars; and decreased
ingestion of vegetables and fruits.
Excess caloric intake is a prerequisite to weight gain and
obesity, but whether the primary consideration is total calorie
intake or macronutrient composition is debatable.
Many neurotransmitters and neuropeptides stimulate or depress
the brain’s appetite network, impacting total caloric intake.
Activity is thought to play a role in obesity, but studies designed
to test the benefit of increased physical activity yield inconsistent
results.
Weight gain can be caused by medical conditions (e.g.,
hypothyroidism, Cushing’s syndrome, hypothalamic lesion) or
genetic syndromes (e.g., Prader-Willi’s syndrome), but these are
unusual to rare causes of obesity.
Medications associated with weight gain include insulin,
sulfonylureas, and thiazolidinediones for diabetes, some
antidepressants, antipsychotics, and several anticonvulsants
(Wells, 2009).
C. Klasifikasi Obesitas
D. Gejala dan Tanda
Obesity increase weight, reduces physical movements and also
brings in slowness in emotional and mental activities
Food intake increases
Obesity can result in frustation
Laziness increases
Sometimes obesity can create obstruction to breathing process
Obesity may result in heart problems, diabetes or blood
pressure.
E. Diagnosa
Skinfold thickness
Body density using underwater body weight
Bioelectrical impedance and conductivity
Dual-energy x-ray absorptiometry
Computed axial tomography scan
Magnetic resonance imaging.
Body mass index (bmi) and waist circumference (wc) are
recognized, acceptable markers of excess body fat, which
independently predict disease risk.
Wc, the most practical method of characterizing central
adiposity, is the narrowest circumference between the last rib
and top of the iliac crest.
F. Pengobatan
(Wells, 2012).
1. Non Farmakologi
a. Dietary
A low-calorie diet is essential for weight-loss management in
overweight and obese patients. The Step 1 Diet (Table 99–4) is
a low-calorie diet (LCD) recommended as part of an obesity
education initiative from the National Heart, Lung, and Blood
Institute. 6 In general, the Step 1 Diet restricts daily calories to a
range of 1000 to 1200 kcal (4184 to 5021 kJ)/day for women
weighing less than 165 lb (75 kg) and 1400 to 1600 kcal (5858
to 6694 kJ)/day for all others. However, this daily limit should be
considered after assessing a patient’s normal daily caloric intake
and ensuring that the initial caloric restriction does not exceed
500 to 1000 kcal (2092–4184 kJ)/day. For example, a male
patient who consumes 3000 kcal (12.552 kJ)/day should not
reduce his daily caloric intake to less than 2000 kcal (8368
kJ)/day when initially implementing a dietary program. Further
reduction to the target of 1600 kcal (6694 kJ)/day can be
attempted once the patient has reduced calories successfully as
initially recommended for a period agreeable by the provider and
the patient.