Obesitas Pada Anak: DR - Sri S.Nasar, Spa (K)
Obesitas Pada Anak: DR - Sri S.Nasar, Spa (K)
Obesitas Pada Anak: DR - Sri S.Nasar, Spa (K)
Non-changeable Modifiable
Genetics Physical Activity
Greater risk of Sedentary behavior
obesity in children Eating Habits
of obese and Environment
overweight
parents
Syndromal
Hormonal
Modifiable causes
Physical Activity
Lack of regular exercise.
Sedentary behavior
High frequency of television viewing, computer
usage, or similar behavior that takes up time that
can be used for physical activity.
Eating Habits
Over-consumption of high-calorie foods.
Dietary management
Physical activity (exercise)
Behaviour modification
Family involvement
Alternative therapy
Dietary management
Hypocaloric balance diet
Reduces caloric intake 200-500 kcal/day
of usual intake
50-60% carbohydrate, 20-30% fat, and 15-20%
protein
The step one and step two diets for
lowering blood cholesterol level
Average total fat 30% of total calorie
Saturated fatty acids <10% of total calorie
(step-one) & < 7% (step two), PUFA up to 10%
of total calorie
Cholesterol < 300 mg/day
Principle of exercise
Frequency 3-5x/week
Intensity 50-60% maximal ability
Duration 15 min initially, building to 30-40 min
Mode : use large muscles walking, swimming
Interest : patient dependent tennis, dancing,
martial arts
Enjoyment : important factor
Incorporation into functional activities walking
to school, taking stairs vs elevator
Reducing passive activities tv watching,
videogames
Behaviour modification
Diet and activity self monitoring
Set weekly goal
Stimulus control
Eat meals and snacks at scheduled times, etc
Cue elimination
Store all food out of sight, leave the table
immediately after eating, etc
Behaviour substitution
Substitute exercise for snacking, etc
Parental support
Family Involvement
Parents are the most important role models
for children.
Some ways that parents can establish a
lifetime of healthy habits for their family:
Create a Healthy Eating Environment