k.8.Penerapan Gaya Hidup Sehat Aktif 2014_scele

8/10/2019 k.8.Penerapan Gaya Hidup Sehat Aktif 2014_scele

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J Kurniarobbi

Nani Cahyani Sudarsono


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J Kurniarobbi

Nani Cahyani Sudarsono


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the social and economic environment,

the physical environment, and

the persons individual characteristicsand behaviours.

WHO: http://www.who.int/


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http://livelong

er.health.gov.au


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WHO. 2002. Common Risk Factor, Move for HealthWHO Global Strategy on Diet, Physical Activity and Health

Elevated consumption ofenergy-dense, nutrient-

poor foods that are high

in fat, sugar and salt


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WHO. 2002. Common Risk Factor, Move for HealthWHO Global Strategy on Diet, Physical Activity and Health

Reduced levels of physical activity at home, at school, at work

and for recreation and transport


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Elevated consumption of energy-dense,nutrient-poor foods that are high in fat,sugar and salt

Reduced levels of physical activity athome, at school, at work and forrecreation and transport

Uncontrolled stress

Use of tobacco

Pollution/dangerous substancesexposure WHO. 2002. Common Risk Factor, Move for Health

WHO Global Strategy on Diet, Physical Activity and Health


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Laporan RISKESDAS 2007


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Penurunan proporsi penyakit menular sebagaipenyebab dasar kematian tahun 2001-2007 tidakterlalu besar dibandingkan dengan periodesebelumnya (1995-2001). Di lain pihak,peningkatan proporsi penyakit tidak menular

selama periode tahun 1995- 2001 dan periodetahun 2001-2007 hampir sama.

Dengan demikian Pemerintah khususnyaDepartemen Kesehatan dan Dinas Kesehatanmenghadapi beban ganda, yaitu ancaman

penyakit menular yang penurunannyamelambat dan cenderung menetap, sertapeningkatan penyakit tidak menular yangmelaju cukup cepat.

Badan Penelitian dan Pengembangan KesehatanDepartemen Kesehatan Republik Indonesia, Desember 2008


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Kriteria aktivitas fisik "aktif: individu yang melakukan aktivitas

fisik berat atau sedang atau keduanya

aktivitas fisik 'kurang aktif: individu yang tidak melakukan

aktivitas fisik sedang ataupun berat perilaku sedentari : perilaku santai antara lain duduk,

berbaring, dan lain sebagainya dalam sehari-hari baik di

tempat kerja (kerja di depan komputer, membaca, dll), di

rumah (nonton TV, main game, dll), di perjalanan

/transportasi (bis, kereta, motor), tetapi tidak termasukwaktu tidur

Laporan RISKESDAS 2013


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Aktivitas fisik berat secara terus menerus melakukan kegiatan fisik minimal 10 menit

sampai meningkatnya denyut nadi dan napas lebih cepat daribiasanya (misalnya menimba air, mendaki gunung, lari cepat,menebang pohon, mencangkul, dll) selama minimal tiga hari dalamsatu minggu dan total waktu beraktivitas =1500 MET minute.

Aktivitas fisik sedang melakukan aktivitas fisik sedang (menyapu, mengepel, dll) minimal

lima hari atau lebih dengan total lamanya beraktivitas 150 menitdalam satu minggu.

Aktivitas fisik ringan Selain dari dua kondisi tersebut termasuk dalam aktivitas fisik

ringan

(referensi: WHO GPAQ, 2012; WHO STEPS, 2012)Laporan RISKESDAS 2013


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The Metabolic Equivalent of Task

Unit used to estimate the metabolic

cost of physical activity

A metabolic rate consuming 3.5

milliliters of oxygen per kilogram of

body weight per minute

The value of 1 MET is approximately

equal to a persons resting energy

expenditure


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Code Specific activities MET

07010 light lying quietly and watching television 1.0

21005 sitting, light office work, in general ?

05025

05026

05027

home activities multiple household tasks all at once,

light effort

moderate effort

vigorous effort

?

21040

21045

21050

walking,

less than 2.0 mph, very slow

3.0 mph, moderate speed, not carrying anything

3.5 mph, brisk speed, not carrying anything

?

2011 Compendium of Physical Activities


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"If we could give every individual theright amount of nourishment andexercise, not too little and not too much,

we would have found the safest way tohealth.

Hippocrates (460-377 BC)

octopedia.blogspot.com


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10 perilaku hidup bersih dan sehat di rumah tangga

Pusat Promosi Kesehatan Kementerian Kesehatan RI


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10 perilaku hidup bersih dan sehat di rumah tangga

Pusat Promosi Kesehatan Kementerian Kesehatan RI


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Konsil Kedokteran Indonesia 2012


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to advice a patient about healthy

active living

kemampuan lulusan dokter

mengkomunikasikan cara hidup aktif(kemampuan tingkat 4)

konsep, teori, prinsip maupun indikasi,

cara melakukan, komplikasi, dansebagainya

Konsil Kedokteran Indonesia 2012


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Physical Activities (Aktivitas Fisik) Human activities in life which involve muscles and certain

amount of energy expenditure

Exercise (Latihan Fisik): Structured physical activity characterized by specificmovement performed for health and/or amusement

purposes

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

natural elementBeyer E. 1992. Dictionary of Sports.


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Helping youth be active is fun for the

whole family and friends offer encouragement

some things can be done together encourage and support physical activity in the community

In todays world, physical activity has

to be built into busy schedules.

Public Health Agency of CanadaThe College of Family Physicians of Canada

Canadian Paediatric Society

The Canadian Society for Exercise Physiology 2002


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511 years children 1217 years children


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Primary

Reduction of risk

factors beforeoccurrence ofdisease, condition, orinjury

Secondary

Early detection ofthe potentialfor thedevelopment ofdisease or condition,or the existence of adisease while

asymptomatic

Tertiary

Treatment of anexisting symptomatic

disease process toameliorate its effects,or delay or prevent itsprogress

Perjalanan penyakit DM tipe 2


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AwalDM

Komplikasi

Kecacatan

Faktor lingkungan

(misal: gizi, gemuk,

kuranggerak)

Genetik :

Kematian

Hiperglikemi

HipertensiRetinopati

Nefropati

Aterosklerosis

Neuropati

Kebutaan

Gagal ginjal

PJK

Amputasi

Perjalanan penyakit DM tipe 2

Resistensi insulin

Hiperinsulinemia

TGT*

* =Toleransi Glukosa Terganggu

WHO Tech Report Series 1994

Slide: courtesy of Prof DR Dr Pradana Soewondo, SpPD-KEMD


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The Importance of treating Type 2 DiabetesType 2 diabetes is a progressive disease

Adapted from Type 2 Diabetes BASICS. International Diabetes Center 2000

Diagnosis

Insulin

Glucose

Prediabetes

(IFG/IGT)NGT Diabetes

Macrovascular changes

Microvascular changes

Inadequate

-cell function

Postprandial glucose

Fasting glucose

Insulin resistance

Insulin secretion

Slide: courtesy of Prof DR Dr Pradana Soewondo, SpPD-KEMD


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Role of physical activity and exercise

in disease prevention and rehabilitation

ACSM, Exercise for Chronic Diseases, 2001


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Self studyonline Health Care Providers Action Guide from Exercise is

Medicine

Canadian Physical Activity Guidelines & Canadian

Sedentary Behaviour Guidelines 2012

SEAL (Sports and Exercise as an

Active Lifestyle) elective on year V

FMUI


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k.8.Penerapan Gaya Hidup Sehat Aktif 2014_scele

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