Background: Metabolic syndrome is a health problem with its prevalence increasing in the worldwide. It is characterized by a group metabolic factor including abdominal obesity, dyslipidemia, elevated blood pressure and insulin resistance. Metabolic syndrome affected by changes in lifestyle and unhealthy dietary patterns with high cholesterol, saturated fatty acid and trans fatty acid.Objective: The study conducted to know relationship between fat consumption with metabolic syndrome among adult people in Denpasar city.Method: The case control study designed was applied. The cases were adult people who had metabolic syndrome, and the control was healthy people from the case-neighboring household. Total subject were 130, taken by consecutive sampling: 65 cases and 65 controls. The subject identity, fat intake, waist circumference, blood pressure and fasting blood sugar were collected. The food frequency questionnaire (FFQ) was used to measure fat consumption and blood glucose test meter for measuring fasting blood sugar. Mantel Haenzel statistic analysis were used to test the association of fat intake with metabolic syndrome.Result: The study showed that means of syndrome metabolic component in case higher than control (p<0.05). Waist circumference in case was 97.23 cm, blood pressure was 141.4/93.3 mmHg, fasting blood glucose was 132 mg/dl. There were significant difference between intake fat total, cholesterol, saturated fatty acid (SAFA) and frequency of intake in case and control (p<0.05). Intake fat on cases were fat total 85.5% >25% energy total/day, SAFA 90.8% >10%, cholesterol 55.4% >300 mg/day. Odd Ratio Mantel Haenzel analysis showed that fat consumption (fat total, cholesterol and frequency consumption of fat were risk factor to metabolic syndrome (OR >1)).Conclusion: There was significant relations between fat consumption (fat total cholesterol, SAFA, frequency of fat consumption) with metabolic syndrome among adult people for Denpasar City.

Background: Diabetes Mellitus (DM) is a chronic disease with its increasing prevalence worldwide, including in Indonesia and in Bali province especially among adult group. The increasing prevalence of DM is followed by the increasing prevalence of obesity affected by changes in lifestyle and unhealthy dietary patterns.Objective: The study was conducted to investigate relations between dietary patterns and obesity with type 2 DM in Sanglah Hospital, Denpasar.Method: The study was observational analytic with matched case control study. Subject of the study was divided into two groups, i.e. case and control with comparison case and control 1:2 which matched to age and sex. The cases were type 2 DM patients who had recently diagnosed on first visited in Sanglah Hospital. Control 1 was outpatients of non-type 2 DM in Sanglah Hospital and control 2 were taken from the case-neighboring household. Total subject were 147, taken by consecutive method. Collected data were subject identity, dietary patterns, physical activity, weight, height, waist circumference and fasting blood sugar. Dietary patterns were collected using Food Frequency Questionnaire (FFQ), physical activity was collected using modified International Physical Activity Questionnaire (IPAQ), and fasting blood sugar were estimated using biosensor of glucose. Multiple logistic regression models were used to identify risk factors associated with type 2 DM.Result: This study showed that there were 5 variables significantly related with type 2 DM, i.e. interaction of overall obesity with the dietary fiber intake (OR:10.7; 95% CI: 3.5-33.7), family history (OR:5.5, 95% CI: 2.2-13.3), source of high fat animal protein (OR:4.9, 95% CI:1.5-16.1), source of low fat animal protein (OR:0.1, 95% CI: 0-0.5), hypertension (OR:3.7, 95% CI:1.4-9.9)Conclusion: The interaction between overall obesity with dietary fiber intake, family history, source of high fat animal protein, source of low fat animal protein and hypertension were the risk factors of type 2 DM occurrence in Sanglah Hospital, Denpasar.

Obesity was one of the health problems experienced in the society, especially in adult women and the number was increasing rapidly every year. The various factors contribute to the obesity occurrence in adult women and appropriate obesity prevention strategies must be taken. With reference to being needed exploring the obesity perception, its causes, and impact as well as countermeasures strategies based on the needs of the society itself. The study was intended to explore the society perception regarding obesity, ideal weight, and strategies that the society wanted in overcoming obesity. The study was a qualitative study. It was conducted in March-July 2017. The research subjects (participants) were women 25-50 years old, the leader of the Family Welfare education organization, and health workers (nutritionist) in Denpasar city about 22 people. The data were collected included obesity and weight perception, social determinants, the impact of obesity and opinions on obesity prevention strategies. The data were collected through the Focus Group Discussion (FGD) process in adult women, in-depth interviews with the leader of the Family Welfare education organization, and society leaders. It was analyzed and presented descriptively. The results showed that most of the participants stated obesity was identical to overweight. Obesity was a health problem that has an impact on the onset of chronic diseases e.g., diabetes, therefore, less of confidence self. An ideal weight was proportional become a desire. The most participants perceived themselves as fat and far from ideal. They did not want to be fat, however, the various inhibiting factors, unlike dietary habit, were difficult to change, the availability of fast food that was very easily accessible, work, less of exercise, transportation occurred lack of movement. They generally want a comprehensive program through eating arrangements, exercise regularly, education at improving knowledge, and education at balancing menu processing skills. It was carried out together by involving social groups in the community.

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Tour guides working to serve foreign tourists are particularly vulnerable to obesity and non-communicable diseases. They are exposed every day to the lifestyle and diet of the western tourists who are served that tend to be high energy, fat and cholesterol. Lifestyle tour guides should follow the lifestyle of tourists who more activity and banquets, especially at night until the early hours which must also be followed by the tour guide.The study aims to determine the relationship of consumption pattern and obesity status on the tour guide. The study was conducted in Badung Bali Province with the goal of the research is the work Travel guide Travel agency foreign tourists. The samples were carried out by multistage random sampling, with a sample size of 109 people. Data collected from a sample identity, waist circumference, body mass index. Food consumption patterns include the number, type and frequency of consumption of foodstuffs with Semi quantitative method frequeny Food Questionnaire (SQ-FFQ).  It showed the number of subjects as many as 109 people with 73.4% male and 26.6% female.  About   21,1 %  subject  have   over all obesity and   37,6%  have  central  obesity.  Food consumption patterns seen on the amount that exceeds the adequacy of that energy and fat 48.6%, protein 57.8%. The type of foods frequently consumed are chicken, eggs, shrimp, squid is a food consumed regularly >2 times a week. The analysis showed a significant correlation between the pattern of food consumption with  obesity status (p <0.05) and exceeds consumption adequacy, have a higher risk of the obesity  status  than  lower concumption  (RP > 1,00 ;  CI >1). The study showed  a significant correlation between  consumption pattern  with  obesity status   tour guide  in  the  district  of Bali   province  Badung. Keywords:   Consumption pattern,  obesity   status ,  tour guide