Aulia Nur P.

as Speaker 1 (nurse)
Grahya Febriella M.N.P. as Speaker 2 (ex-obese girl)
Karina Setiawan as Speaker 3 (nutritionist)
Putwi Marinesya Nur as Moderator named
Moderator

: Good morning ladies and gentlemen. My name is Putwi Marinesya Nur. Im

a student of nursing in Diponegoro Universitys Nursing School. Its an
honor for me to be able stand before you to guide this seminar. The seminar
topic is Healthy Living for Obesity Prevention. The purpose of the seminar is
to know what obesity is, what the difference of obesity and being overweight.
What the causes of obesity and how to avoid obesity. In this very special
occasion, I would like to introduce the speakers to you.
We have 3 speaker. First Speaker is Nurse Aulia Nur Prasetya. Shes nurse
who works at Internal Disease Unit, Diponegoro National Hospital. She was
born on December 24, 1987. She lives on Grand Candi 56A, Semarang. She
will talk about the obesity is, the symtoms and the causes of obesity. Please
welcome, Nurse Aulia Nur. (leading to giving applause, smile to aulia and
pleasing aulian to sit down).
The second speaker is Miss Grahya Febriella. Miss Grahya is a student of
Hotel Management Course, Diponegoro University. She was born on
February 11, 1995. She lives on Graha Sapta 22B, Semarang. She would like
to share her experience being obese and how she could lose her weight and
get an ideal weight. (leading to giving applause, smile to aulia and pleasing
aulian to sit down).
And the last, Nutritionist Karina Setiawan. Shes the nutritionist in Mayo
Nutrition Clinic. She was born on Februari 24, 1988. She lives on
Diponegroro Resident 14E, Semarang. She woul like to talk about how to
prevent obese with healthy living. (leading to giving applause, smile to aulia
and pleasing aulian to sit down).
This seminar

will last for 45 minutes which each speaker will give

presentation in 12 minutes and 9 minutes for discussion session. Okay, for

first material of sminar will be delivered by Nurse Aulia, Nurse Aulia the
floor is your, please.

Speaker 1

: Thank you Miss Putwi. Okay! Good morning ladies and gentlemen. Im
Aulia Nur Prasetya. Im Nurse in Internal Disease Unit, Diponegoro Nasional
Hospital. Its an honor for me to have a presentation in front of distinguished
audience. Id like to talk to you today about obesity.
What is Obesity? Whats the deferrence of being obese and veing
overweight? Okay, this is the answer. Obesity and overweight are defined as
abnormal or excessive fat accumulation that presents a risk to health. A crude
population measure of obesity is the body mass index (BMI), a persons
weight (in kilograms) divided by the square of his or her height (in metres).
How about the deferrence? A person with a BMI of 30 or more is generally
considered obese. A person with a BMI equal to or more than 25 is
considered overweight.
Obesity are major risk factors for a number of acute diseases and chronic
diseases, such as:

High Cholesterol: Cholesterol is found in lipids in the bloodstream.

Although it may be inherited, it's often caused by poor diet and lack of
exercise.

Hypertension: Like high cholesterol, high blood pressure can eventually

lead to heart disease. It is a risk factor for heart attack and stroke.

Type 2 Diabetes: Type 2 diabetes affects the way your body metabolizes
sugar by either resisting or not producing enough insulin. Although the
exact cause is unknown, obesity and a sedentary lifestyle are known
contributors.

Cancer: Obesity is thought to be a risk factor for certain cancers, such as

uterine, ovarian, cervical, breast, colorectal and prostate cancer.

Breathing Disorders: Fatal breathing conditions such as asthma and

sleep apnea are often caused or exacerbated by being overweight or
obese.

Gallbladder Disease: Increased cholesterol and body fat are key

components in the development of gallbladder disease. About 25 percent
of obese people develop gallbladder stones and require surgery as a
result

Whats cause of Obesity?

1. Lack of Energy Balance
Energy balance means that your energy IN equals your energy OUT.
Overweight and obesity happen over time when you take in more
calories than you use (National Heart, Lung, and Blood Institute, 2012).
2. Environment
In fact, our environment that doesn't support healthy lifestyle habits
encourages obesity. Some reason include (National Heart, Lung, and
Blood Institute, 2012):
a. Lack of neighborhood sidewalks and safe places for having
recreation for people to be physically active.
b. Work schedules. People often say that they don't have time to be
physically active because of long work hours and time spent
commuting.
c. Lack of access to healthy foods. Some people don't live in
neighborhoods that have supermarkets that sell healthy foods, such
as fresh fruits and vegetables. Or, for some people, these healthy
foods are too costly.
d. Food advertising. Often children are the targets of advertising for
high-calorie, high-fat snacks and sugary drinks. The goal of these
ads is to sway people to buy these high-calorie foods, and often they
do.
3. Genetic
Your chances of being overweight are greater if one or both of your
parents are overweight or obese. While there are some rare genetic
conditions that can cause obesity, such as Prader-Willi syndrome, there's
no reason why most people can't lose weight.
4. Medical Reason
In some cases, underlying medical conditions may contribute to weight
gain. Such as an underactive thyroid gland (hypothyroidism),
Some medications also can contribute to weight gain (NHS, 2016).
5. Pregnancy
After giving birth, some women find it hard to lose the weight because
they gained weight to support their babies growth and development.

What Are the Signs and Symptoms of Overweight and Obesity?

Weight gain usually happens over time. Most people know when they've
gained weight. Some of the signs of overweight or obesity include (National
Heart, Lung, and Blood Institute, 2012):
1. Clothes feeling tight and needing a larger size.
2. The scale showing that you've gained weight.
3. Having extra fat around the waist.
4. A higher than normal body mass index and waist circumference.
Its all presentation that i can give. Thank you.
Moderator

: Thank you very much Nurse Aulia for your very interesting presentation.
Please give a big applause to Nurse Aulia. From Nurse Aulias Presentation we
can conclude that obesity is abnormal or excessive fat accumulation that
presents a risk to health. A person with a BMI of 30 or more is generally
considered obese. Obesity is major risk factors for a number of chronic
diseases, including diabetes, cardiovascular diseases and cancer. The most
frequent cause of obesity is lack of balance energy. Okay then, we will
continue this seminar. Heres with us Miss Grahya. She was an obese girl who
has succesed get her ideal weight right now. She will share her story about
being obese and how to get her ideal weight again. So, ladies and gentlemen
please give big applause for Miss Grahya.

Speaker 2

: Thank you Miss Putwi. Okay, Good Morning ladies and gentlemen. Let me
introuduce my self to you, Im Grahya Febriella, a graduate student of Hotel
Management Course, Diponegoro University. Its an honor to stand in front of
you in this great seminar. Here, I would like to share my story about being
obese and how I got my ideal weight.
Since I was little, I was very fat. This is because my parents would give
everything that I wanted, like candy, pizza, cotton candy, and many other foods
that were the reasons why I am obese. Since I was in elementary school, I'm
used to peoples ridicule about my body shape. They often call me faty (fat),
pig, distended girl from Semarang and more. At that time, I didnt take lightly
what people said about me.
But more I became older I started to feel embarrassed with those nicknames.
When I was 14 years old, my weight was 69 kilograms while my height was

157, and my body mass indec was 27,9. That was mean I was overweight. You
know, junior high school is place youll find your puppies love. You want to
have a great appearance in front of him/her, right? Of course. That is what I
felt too, that time. I wanted became more pretty than before because I had
puppies love crush. I wanted to lose my weight to look more pretty. So, I told
my parents that I wat to became slimer that time. But, they said Youve been
pretty already. You dont have to lose your weight to look pretty. I dont want
you sick because you loss your weight. So, just do as usual you do. Eat well
and rest well. So, I persisted with being overweight that time because of my
parents. Actually, besided that reason, I had another reason why I wanted to
lose weight. Its because of my body shape, I had trouble finding clothes that
fit sizes for my body. I hated I couldnt do shopping with my friends because I
always had difficulty finding the right size.
Then, I went to girls high school. I found so many beautiful girls with great
body shape. I'm really embarrassed with myself. I envied to those girls who
had a great body. My desire to became slimer was going up. Because I know
my parent wouldnt permit me to go diet, I did it secretly. I reduced my eating
portions. I deliberately skipped my lunch time. I also exercised every day.
Even, I'm took slimming drugs to support that goal. For any weeks, my plan
was working well.
But, after a month I often felt tenderness in the abdomen and nausea. The
climax, I fainted during gym class. Then, I was taken to the hospital. I was
stated to gastritis and fatigue. Then, my parents realized that I was on diet. I
was scolded by my parents because of it. They told me to not go on a diet
because it could make me sick. Okay, so I was failed again to go diet. Even
after I left the hospital, I didnt stop eating and didnt do any excercises. And
somehow, my weight reached 98 kilograms with my height 170 cm that means
Iwas obese beacuse my BMI was 33,8 when I went to the university.
I was accepted in Hotel Management Course, Diponegoro University was
unexpected. Because student of hotel management should have a good
appearance and agile. With 98 kilograms, my appearance was not good, i also
found difficulty to moving freely. Beside of that, I began get problem with my
respiratory system. So, I tried to explain to my parent, because of this reason I
had to lose my weight. They tried to understand and supported me. I went to

nutritionist and asked suggestion to reduce my weight. She suggested me

healthy diet method.
I didnt reduce portion of my meal, I just changed the type of food. I replaced
white rice with brown rice as carbohydrate. I also reduced the intake of salt
and fat. I prefered eating foods that are boiled and steamed than foods that
fried and baked. I also often eat and drink vegetables and fruits. I didnt eat
snack, I repleace snacks with fruit to prop hunger. I also exercised four times
per week with an intensity thats not an exaggeration. That is about15 to 30
minutes. I did sports like running over treadmill and weight training.
Sometimes, I played basketball or swimming.
With that effort I could lose weight by 40 kilograms for 8 months. My weight
became 58 kilograms. Succesed lossing my weight make me more confident. I
can go shop with my friend to get some clothes. I also can apply internship
program as a receptionist or marketing agent of hotel.
I can do this, so I think you can do this too. I was an obese girl that had been
able to lose her weight. You all are not obese yet. So, itll be more easy to you
to lose your weught. Dont wait until you became an obese because become
obese is not good for your social life also your health.
Its all my story. I hope my story can inspire you to more concern about your
weight. Thank you.
Moderator

: Thank you very much Misss Grahya for your inspiring story. Please give a
big applause to Miss Grahya. Okay then, we will continue this seminar. Heres
with us Nutritionist Karina. So, ladies and gentlemen please give big applause
for Nutritionist Karina.

Speaker 3

: Good morning, My Name is Setiawan, Karina Setiawan. Im a nutritionist in

Mayo Nutrition Clinic. Its an honor to stand in front of you in this great
seminar. Here, I would like to deliver the material about how to prevent obese.
How Can Overweight and Obesity Be Prevented?
Following a healthy lifestyle can help you prevent overweight and obesity. Many
lifestyle habits begin during childhood. Thus, parents and families should encourage
their children to make healthy choices, such as following a healthy diet and being
physically active (National Heart, Lung, and Blood Institute, 2012).

Preventing Obesity in Infants

The longer babies are breastfed, the less likely they are to become overweight as they
grow older. Breastfed babies are 15 to 25 percent less likely to become overweight.
For those who are breastfed for six months or longer, the likelihood is 20 to 40
percent less (Stanford Health Care, 2016).
2

Preventing Obesity in Children and Adolescents

Young people generally become overweight or obese because they don't get enough
physical activity in combination with poor eating habits. Genetics and lifestyle also
contribute to a child's weight status.
There are a number of steps you can take to help prevent overweight and obesity
during childhood and adolescence. They include:
a

Gradually work to change family eating habits and activity levels rather than
focusing on weight. Change the habits and the weight will take care of itself.

Be a role model. Parents who eat healthy foods and are physically activity set an
example that increases the likelihood their children will do the same.

Encourage physical activity. Children should have an hour of moderate physical

activity most days of the week. More than an hour of activity may promote
weight loss and subsequent maintenance.

Reduce time in front of the TV and computer to less than two hours a day.

Encourage children to eat only when hungry, and to eat slowly.

Avoid using food as a reward or withholding food as a punishment.

Keep the refrigerator stocked with fat-free or low-fat milk and fresh fruit and
vegetables instead of soft drinks and snacks high in sugar and fat.

Serve at least five servings of fruits and vegetables daily.

Encourage children to drink water rather than beverages with added sugar, such
as soft drinks, sports drinks and fruit juice drinks.

Preventing Obesity in Adults

Many of the strategies that produce successful weight loss and maintenance will help
prevent obesity. Improving your eating habits and increasing physical activity play a
vital role in preventing obesity. Things you can do include:
a

Eat five to six servings of fruits and vegetables daily. A vegetable serving is one
cup of raw vegetables or one-half cup of cooked vegetables or vegetable juice. A
fruit serving is one piece of small to medium fresh fruit, one-half cup of canned
or fresh fruit or fruit juice, or one-fourth cup of dried fruit.

Choose whole grain foods such as brown rice and whole wheat bread. Avoid
highly processed foods made with refined white sugar, flour and saturated fat.

Weigh and measure food to gain an understanding of portion sizes. For example,
a three-ounce serving of meat is the size of a deck of cards. Avoid super-sized
menu items particularly at fast-food restaurants. You can achieve a lot just with
proper choices in serving sizes.

Balance the food "checkbook." Eating more calories than you burn for energy
will lead to weight gain.

Weigh yourself regularly.

Avoid foods that are high in "energy density" or that have a lot of calories in a
small amount of food. For example, a large cheeseburger and a large order of
fries may have almost 1,000 calories and 30 or more grams of fat. By ordering a
grilled chicken sandwich or a plain hamburger and a small salad with low-fat
dressing, you can avoid hundreds of calories and eliminate much of the fat
intake. For dessert, have fruit or a piece of angel food cake rather than the "death
by chocolate" special or three pieces of home-made pie.

Crack a sweat: accumulate at least 30 minutes or more of moderate-intensity

activity on most, or preferably, all days of the week. Examples include walking a
15-minute mile, or weeding and hoeing the garden.

Make opportunities during the day for even just 10 or 15 minutes of some
calorie-burning activity, such as walking around the block or up and down a few
flights of stairs at work. Again, every little bit helps.