INDEKS

MASSA TUBUH
dr. Ade Dwi Lestari, Mkes, SpOk
Mobile: +628128021830
dr.adel1212@gmail.com
Pengukuran Obesitas
1. Indeks massa tubuh (IMT) /
Body Mass Index (BMI) :
sederhana, bergantung dari
bentuk tubuh dan massa
otot.
2. Obesitas sentral /Central
adiposity : longterm effect
3. Skinfold thickness
4. Total body fat by body
impedance measurement.
Sudah Ideal kah BeratBody
Badan Anda?
Mass Index (BMI)
Indeks Massa Tubuh (IMT)

Body Weight(Kg)
Height (meter)2
Classification of body mass index (BMI) [ WHO, 1997]
Indonesia Prevalensi BB berlebih & obesitas 28,7%

Riskesda Kemenkes 2013

40 Juta Penduduk Indonesia
Obesitas
 IMT & UMUR

A research on obesity among Turkish seafarers Selçuk Nas, Remzi Fışkın

Int Marit Health 2014; 65, 4: 187–191
 Obesitas Sentral
• Lingkar perut Pria > 90 cm
• Wanita > 80 cm
Overweight &
Obesitas
Penumpukan
Lemak Berlebihan
DAMPAK OBESITAS PADA PELAUT

Limitations create
risk both for the
seafarer
themselves and
for other crew
members.
Immediate risks from obesity

• Inability to undertake arduous emergency tasks such as fire-

fighting, evacuation from the vessel and recovering people from the
water.
• Difficulty entering and leaving restricted spaces,
during normal duties and especially if needing rescue because of
collapse or injury
• Increased risk of injury from falls and of acute illness and
incapacity while at sea
• Inability to fit into protective clothing and life saving
equipment.
• Exceeding the design standards for equipment used to work at
heights and for use in life threatening situations, for instance
emergency chutes and free fall lifeboats.
Longterm risks from obesity

• ischaemic heart and other vascular disease,

• hypertension,
• type 2 diabetes,
• sleep apnoea
• musculoskeletal damage, especially in weight
bearing parts of the body such as the hips, knees
and lower back.
• Cancer
Maag

Sendi
High BMI associated with higher workers'
compensation costs.
$470,000 for obese
$270,000 for overweight workers
$180,000 for normal-weight workers.

Tao X, Su P, Yuspeh L, Lavin RA, Kalia-Satwah N, Bernacki EJ. Is obesity associated with adverse workers’
compensation claims outcomes? J Occup Environ Med. 2016;58(9):880-4.
Obesity (ILO/IMO Guidelines Appendix E E65-
68. Appendix C also relevant)
• A fixed limit using a measure such as a BMI of 35 or 40. Unfit if
exceeded >40.
• BMI of 30 or 35 as an initial screen with a requirement to pass
either a standardised exercise test, have an assessment of
physical ability or demonstrate the ability to
perform normal and emergency duties if above this level.
An acceptable standard in one or more of these assessments could
be required.
• In addition or instead of this approach a level of BMI above which
person is considered fit only if no other form of ill health
that might limit physical capabilities (e.g. musculo
skeletal disease) or increase risk of future incident (e.g. diabetes) is
present.
10 Mets Bekerja rutin,
Non rutin

Makan
Bugar
Tidur
ATAU
Keluarga

Hobi
Lelah
Pengukuran
• Tingkat Kelelahan (Subjektif, Objektif : nadi, reaction time)
• Status kebugaran pekerja dan penyesuaian terhadap
beban kerjanya
• Memberi beban latihan jantung paru: VO2Max, Mets
The Compendium of Physical Activities Tracking Guide
2000
Kode Jenis Pekerjaan Mets
11120 Construction, Outside, remodelling 5,5

11121 Custodial work buffling the floor with electric buffer 3,0

11123 Custodial work - dusting, light effort 3,0

11124 Custodial work – feathering arena floor, moderate effor 2,5

11125 Custodial work - general cleaning, moderate effort 4,0

11126 work - mopping, moderate effort 3,5

11127 Custodial work - take out trash, moderate effor 3,0

11128 vacuuming, light effort 2,5

11129 vacuuming, moderate effort 3,0

11130 electrical work, plumbing 3,5

........ ....... ........

FAKTOR PENYEBAB 1.
2.
POLA MAKAN BERLEBIH
KURANG GERAK/
OBESITAS 3.
OLAHRAGA
GENETIK
4. PENGARUH EMOSIONAL
 Berat badan stabil
Berat Berat
badan ↑ badan ↓
Body weight control program

INPUT OUTPUT
Asupan makanan (3J)
∗ Jenis Makanan
∗ Jumlah (Kuantitas)
3J
∗ Jadwal (Frekuensi)
Makanan Sehat, bergizi dan seimbang,
yang menghasilkan Energi lama. Karbohidrat Komplex lebih
baik dari karbohidrat sederhana.
Hindari Makanan berlemak dan siap saji.

Perbanyak Aktifitas fisik &

berolahraga min 30 menit

Timbang Berat Badan secara teratur

Minum Air Putih 2 – 3 liter perhari

Tidur 7,5 – 8,5 jam perhari

Pemeriksaan Kesehatan Rutin.

Workplace Weight Management
• Program Has Benefits Even for Participants without
significant weight loss
• Reduced health care costs
• Improved quality of life (QOL)

Michaud TL, Nyman JA, Jutkowitz E, Su D, Dowd B, Abraham JM. Effect of workplace weight management
on health care expenditures and quality of life. J Occup Environ Med. 2016;58(10):1073-8.