POLA HIDUP SEHAT kebugaran tubuh .pptx

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1. POLA HIDUP SEHAT dr. Martin Winardi, Sp.PD Spesialis Penyakit Dalam RS Hermina Daan Mogot

2. Curriculum Vitae Nama: dr. Martin Winardi, Sp . PD Pendidikan : S1 Dokter Umum FKUI/RSCM 1998-2004 Sp1 Penyakit Dalam FKUI/RSCM 2008-2013 Pekerjaan : Dokter Spesialis Penyakit Dalam R S Hermina Daan Mogot Dokter Spesialis Penyakit Dalam RS Duta Indah Teluk Gong Organisasi : P APDI Banten IDI Tangeran g

3. Cardiovascular Disease Sekelompok penyakit pada jantung dan pembuluh darah : Penyakit jantung koroner Penyakit pembuluh darah otak Penyakit arteri perifer Penyakit jantung rematik Penyakit jantung bawaan

4. Coronary Artery Disease (Penyakit Jantung Koroner)

5. Stroke – “Brain Attack”

6. Peripheral Arterial Disease

7. Which of the following is the risk factor of cardiovascular disease?

8. Hidup sehat Aktivitas fisik Diet sehat / seimbang Berhenti merokok Cek kesehatan berkala

9. Best Proven Nonpharmacological Interventions for Prevention and Treatment of Hypertension Intervention Approximate Impact on SBP Weight loss - 5 mmHg Healthy diet - 11 mmHg Reduced dietary sodium - 5/6 mmHg Enhanced dietary potassium - 4/5 mmHg Physical activity Aerobic - 5/8 mm Hg Dynamic resistance - 4 mm Hg Isometric resistance - 5 mm Hg Reduced alcohol consumption - 4 mm Hg Whelton PK, et al. 2017 High Blood Pressure Clinical Practice Guideline: Executive Summary

10. Physical Activity Dose Whelton et al. JACC 71 ( 19 ): 2018

11. Physical Activity Dose Whelton et al. JACC 71 ( 19 ): 2018 HRR = HRmax – HRrest Eg.: Age 40, HRrest = 60 bpm = (220 - Age) - HRrest HRR = (220 – 40) – 60 65 to 75% HRR = 78 to 90 bpm = 180 – 60 = 120 Training HR = 60 + 78 = 138 bpm to 60 + 90 = 150 bpm

12. Heart Rate Zones Aaron Swanson, DPT. dynamicsportspt.com HR max = 220 – Age Age 40 180 bpm 162 bpm 144 bpm 126 bpm 108 bpm 90 bpm

13. Format of An Aeorbic Training Session Study Guide, PHED P106Shape Up . home.portervillecollege.edu

14. Healthy Diet DASH = Dietary Approaches to Stop Hypertension

15. Manfaat DASH diet (Dietary Approaches to Stop Hypertension) Menurunkan tekanan darah Sangat efektif untuk menurunkan berat badan Menurunkan kolesterol Mencegah dan membantu mengobati diabetes Menurunkan risiko penyakit jantung, stroke, batu ginjal dan depresi

16. Obesity

17. Before and After

18. Body mass index Index massa tubuh IMT = BB (kg) / TB 2 (m) BB = 70 kg TB = 170 cm = 1,7m IMT = 70/(1,7x1,7) = 24.2

19. Cigarette smoking

20. 27 Risk of myocardial infarction increases with every single cigarette smoked per day Number of cigarettes smoked per day Odds Ratio of Myocardial Infarction Never 1-2 3-4 5-6 7-8 9-10 11-12 13-14 15-16 17-18 19-20 >=21 Source : K. K. Teo et al Tobacco use and risk of myocardial infarction in 52 countries in the INTERHEART study Lancet 368 (9536):647-658, 2006. INTERHEART study 52 countries 12 461 cases, 14 637 controls

21. Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 Years of Age N Engl J Med 2013;368:341-50.

22. Low Risk < 7.5% Elevated Risk > 7.5%

23. KESIMPULAN

24. Terima Kasih