Advances in technology and social economy at particular groups of people, especially in urban communities leads to changes in lifestyle eq. changes in diet that tends composition low in fiber, high in fat and lack physical activity. These conditions contribute to the increasing prevalence of obesity. The research objective was to determine the effect of dietary composition and aerobics to weight decrease. This research is a experimental design with randomized pretest-posttest control group design. Samples are adult women in Denpasar City, as many as 33 people, aged 30-50 years, BMI 25-30 kg/m 2 . Group 1 apply a low-fat diet; group 2 low-carb diet; group 3 controls. Before and after the intervention measurement of body weight. Changes in body weight before and after the intervention analyzed by paired t-test. The mean differences in weight loss of the three groups were analyzed with One Way Anova. The results showed low-fat diet and low-carbohydrate diets can lose weight is significantly (p=0.000). Mean weight loss on a low-fat diet 3.61 kg and 3.42 kg of low-carbohydrate diets. Weight loss in low-fat diets and low-carbohydrate diets did not differ significantly (p=0.547). Weight loss can be done by applying a low energy diet with low-fat or low-carbohydrate composition with aerobic exercise.

Lifestyle changes become the foundation in primary and secondary prevention of lipid and lipoprotein disorders. The aim of the study was to know the effectiveness of low fat diet and low carbohydrate diet with aerobic exercise toward lipid profile change. Type of experimental research with pre test-post test control group design. The sample of adult women in the city of Denpasar as many as 33 people, aged 30-50 years, IMT 25-30 kg/m2, allocated to 3 groups. Group 1 applied a low-fat diet, group 2 applied a low-carbohydrate diet and a group of 3 controls. Before and after the intervention a blood lipid profile was measured. Changes in blood lipid profile before and after intervention were analyzed by paired t-test. The difference in mean blood lipid profile in all three groups was analyzed by One Way Anova test. Low-fat diet and low-carbohydrate diet can lower total cholesterol and LDL-C significantly (p <0.05). The average decrease in total cholesterol with low fat diet was 16.82 mg/dL and low carbohydrate diet 14.64 mg/dL. Decreased LDL-C with a low-fat diet of 13.36 mg/dL and low-carbohydrate diet of 7.45 mg/dL. There was no significant difference in lipid profile changes between low fat diets compared to low carbohydrate diets (p>0.05). Thus a low-fat diet is as effective as a low-carb diet to improve lipid profile.

Kejadian obesitas sentral dapat terjadi karena adanya perubahan gaya hidup seperti tingginya konsumsi minuman beralkohol, kebiasaan merokok, tingginya konsumsi makanan berlemak, rendahnya konsumsi sayuran dan buah, dan kurangnya aktivitas fisik. Tujuan penelitian ini adalah untuk mengetahui perbedaan tingkat konsumsi energi, lemak dan aktivitas fisik berdasarkan status obesitas sentral pada pasien rawat jalan di RSUD Wangaya. Penelitian ini merupakan penelitian observasional dengan rancangan kasus kontrol. Populasi adalah semua pasien yang berkunjung ke Poliklinik RSUD Wangaya dan sampel adalah pasien laki -laki dan perempuan berumur di atas 20 tahun dan tidak memiliki penyakit komplikasi berat. Data diperoleh dengan metode wawancara dan pencatatan hasil pengukuran. Berdasarkan hasil analisis uji statistik Independent t-test disimpulkan bahwa terdapat perbedaan yang signifikan antara tingkat konsumsi energi (p = 0,019) dan tingkat konsumsi lemak (p = 0,047) berdasarkan status obesitas sentral. Terdapat pula perbedaan yang signifikan antara aktivitas fisik (p = 0,006) berdasarkan status obesitas sentral. Disarankan kepada pasien dengan risiko obesitas sentral untuk menjaga pola makan, gaya hidup dan aktivitas fisik sehingga penyakit degeneratif yang timbul akibat obesitas dapat dihindari. Kata kunci: asupan energi, asupan lemak, aktifitas fisik, obesitas sentral ABSTRACT DIFFERENCES IN ENERGY AND FAT INTAKES, PHYSICAL ACTIVITY BASED ON CENTRAL OBESITY STATUS IN OUTPATIENTS IN WANGAYA HOSPITAL, DENPASAR CITY Riskesdas 2010 stated that the national prevalence of central obesity reached 18.8 percent for those aged ≥ 15 years and Bali is one of 17 provinces which had a prevalence of central obesity above the national prevalence, it was 22 percent. The purpose of the study was to determine differences in the level of energy and fat intakes, and physical activity by central obesity status in outpatients in Wangaya hospital. This study is an observational study with case-control design. The population was all patients who visited the polyclinic in Wangaya Hospital and the sample was male patients and female aged > 20 years and did not have severe complications of disease. Data were obtained by interviewing and recording the measurement's results. Based on the statistical tests analysis usingIndependent t-test concluded that there were significant differences between the level of energy consumption (p = 0.019) and fat (p=0.047) based on the status of central obesity. There were a significant difference between physical activity (p = 0.006) based on the status of central obesity. It is suggested to patient with the risk of central obesity to maintain good food pattern, good lifestyle and do physical avtivity regularly to avoid degenerative diseases.

Obesity triggers the risk of degenerative diseases. An unhealthy diet and insufficient physical activity have been contributing to the rapid increase in obesity prevalence. This study aims at determining the differences in the risk of degenerative diseases based on energy consumption and exercise habits of City Disaster Management Board/DMB members, especially in Denpasar City. This research is an observational study, targeting all members of Denpasar DMB as a population. Samples were taken purposively with a total of 126 people. The risk difference was tested using chi-square, and the estimated risk of degenerative diseases was analyzed using the Mantel-Haentzel odds ratio. The risk of degenerative diseases based on energy consumption shows a significant risk only in the group of people who did not have exercise habits (Q-suare=4.53; p=0.03), with an estimated risk that is also significant (OR=2.48; 95% CI= 1.07 - 5.74). The estimated risk results indicated that exercise habit is a potential confounding variable in the risk of degenerative diseases based on energy consumption. Lowering energy consumption is not effective enough to prevent the increase of degenerative disease risk, and prevention of new risks of degenerative diseases must include regular exercise.