1.

The diagnostic step of this scenario

6.1 Anamnesa
When does obesity begin?
What are the habits of food, drinks and sports?
How is physical activity?
Is there riw Anamnesa
When does obesity begin?
What are the habits of food, drinks and sports?
How is physical activity?
Is there a history of obesity and DM in the family?

6.2 Physical examination

The body shape of an obese-gynoid (peer form): fat stored around the hips and buttocks.
Inic types tend to be entitled to women
Apple form (adroid): It's in men. Fat accumulates around the abdomen. Ovid (fruit box
shape): large throughout the body, generally in rich people
There are several ways:
Body mass index
Weight (kg)
BMI =
Height (m2)

6.3 OBESITY MEASUREMENT

1) Measurement by Anthropometrics.
a. Body Mass Index (BMI)
b. RLPP (waist and hip circumference ratio)
c. BROCCA Index

One other way to measure obesity is to use the Brocca index, using the following
formula:
 Brocca: BB = [TB (cm) -100] x 100%

If the result is: 90-110% = Normal weight

110-120% = Overweight

> 120% = Obesity

d. Skin Fold Caliper

Thick subcutaneous fat folds of the skin using "Skin Fold Caliper" in several
places, including:
Triceps: Measured folds of skin that hang freely between the shoulders and
elbows. Mark obesity if the thickness of subcutaneous fat is> 20 mm in men
and> 30 mm in women.
Biceps, scapula, suprailiaca and subcost. If you exceed 1 stan deviation after
being compared to the existing standard, you can be declared obese.

e. Underwater weight
Underwater weight is a measurement of body weight carried out in water and
then body fat is calculated based on the amount of water remaining.
2) Measurement in Laboratory.
a. BOD POD
b. DEXA (dual energy X-ray absorptiometry
Dual energy absoprtiometry X-ray is one way to determine the level and location of
the body in the body by resembling skening of bones. X-rays are used to
determine the amount and location of body fat.
c. Bioelectric impedance analysis (analysis of bioelectric resistance).

Arm circumference measurement for How to:

a) adjust the position of acromion and olecranon

b) place the gauge between acromion and olecranon
c) specify the midpoint of the arm
d) circle the LLA tape at the center of the arm until it is sufficiently measured for
arm circumference
e) the tape should not be too strong or too loose
f) how to read the correct scale

Value of LLA standards:

Male: 29.5 cm

Female: 28.5 cm

Waist circumference measurement:

Male: <90 cm

Female: <80 cm.