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IKK July, 20th 2012

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IKK July, 20th 2012

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Changing lifestyle

High calorie/fat intake


Lack of physical activity
Uncontrolled stress
Pollution/dangerous substances
exposure

WHO. 2002. Common Risk Factor, Move for Health

Role of physical activity and exercise


in disease prevention and rehabilitation
ACSM, Exercise for Chronic Diseases, 2001

General Health Profile


of Indonesia INFECTION

NON INFECTION (ncd)

"If we could give every individual the


right amount of nourishment and
exercise, not too little and not too much,
we would have found the safest way to
health.
Hippocrates (460-377 BC)

FACTORS THAT AFFECT HEALTH

Principles and labs for fitness and

Move for Health


(WHO 2002)

Global initiative for controlling NCD


Urges physically active lifestyle for all
WHO members

10 perilaku hidup bersih dan sehat di rumah tangga


Pusat Promosi Kesehatan Kementerian Kesehatan RI

10 perilaku hidup bersih dan sehat di rumah tangga


Pusat Promosi Kesehatan Kementerian Kesehatan RI

Standar Kompetensi
Dokter (KKI 2006)

to advice a patient about life-style


kemampuan lulusan dokter
mengkomunikasikan cara hidup
aktif (kemampuan tingkat 4)

konsep, teori, prinsip maupun indikasi,


cara melakukan, komplikasi, dan
sebagainya

Key Term
Physical Activities:
Human activities in life which involve muscles and certain
amount of energy expenditure

Exercise:
Structured physical activity characterized by specific
movement performed for health and/or amusement purposes

Sports:
Physical activity characterized by the element of play/game
and involve competition with oneself, others or natural
element

Beyer E. 1992. Dictionary of Sports.

TYPES OF PHYSICAL ACTIVITY

Health

Kesehatan adalah keadaan sehat,


baik secara fisik, mental, spritual
maupun sosial yang
memungkinkan setiap orang
untuk hidup produktif secara
sosial dan ekonomis. (Health
Act/UU No. 36 tahun 2009)

Physical Fitness

The ability to perform daily activities

without undue fatigue and the


capability of maintaining such ability
throughout life

Exercise testing and prescription


A health-related approach

Physical Fitness trend


& changes in intellectual profile

Physically Active
Lifestyle:
how to start?

No need to change overnight, start with one


and add another one every day or so.

Begin physical activity slowly, gradually


build to higher levels

It will reduces the risk of injury and feeling


of defeat from unrealistic goals

http://hgic.clemson.edu/factsheets/hgic4032.htm

Physically Active
Lifestyle

No specific definition
Represents new lifestyle
Increase or change daily activity by

choosing activities with more muscles


involved

For everyone: Children, Adult and


Elderly

Actife Lifestyle
Children
Goals:

To develop motor skills


Maintain health status
Recommendation:

Active physical play 1hour/day

Actife Lifestyle
Adolescents
Goals:

To develop:
movement skills
physical capacity
social skills
Recommendation:

Combination of play, individual and team sports


Intra and/or extra curricular activity
Most days of the week

Actife Lifestyle
Adults
Goals:

Maintain health, productivity and


independence

Provide examples
Socialization
Recommendation:

Combination of moderate exercise and sports


3-5x/week frequency
20-60 minutes/session

THE MANDALA OF HEALTH

http://livelonger.health.gov.au

Levels of Prevention
Reduction of risk
factors before
Early detection
occurrence of
disease, condition, of the
potential for
or injury
the development
of disease or
condition, or the
existence of a
disease while
asymptomatic

Treatment of an
existing
symptomatic
disease process to
ameliorate its
effects, or delay or
prevent its progress

Community Diagnosis

Awareness of NCDs prevalence in


community.

Systematic effort to engage individual


and/or family in active lifestyle.

Public facilities, schools and

workplaces as center of activities.

Utilizing community resources and


potentials.

Further competence
needed

Physical activity and health


Human physical activity
Physical activity level and
measurement

Risk management of physical activity


program

Physical activity group management

Physical activity
program in the
community

Conclusions
Physical inactivity and other common risk
factors contribute to significant increase
of NCD

Be physically active! (You and your


patients)

Increase or change daily physical activity


or engage yourself in exercise or sports

Foundation of healthy and fit community

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