SEHAT DITINJAU DARI ASPEK BIOPSIKOSOSIOSPIRITUAL

Dr. Zaenal M. Sofro, AIFM, Sports & Circulatory Med

Fak.Kedokteran UGM

Physiologic Requirements to Perform Exercise

Gravity: role of baroreceptor reflex in orthostatic adjustment

Baroreceprotsin aorta & carotid bodies

Cardiovascular ctr in medulla oblongata

Vaso-constric

tion

Heart rate

Sym

p.

+

Para

sym

p.

-

pressure

Tn. XXXUsia : 52 Tahun *

-30

-28

-25

-23

-20

-18

-15

-13

-10

-8

-5

-3

0

3

5

8

10

13

15

18

20

23

25

28

30

-30 -28 -25 -23 -20 -18 -15 -13 -10 -8 -5 -3 0 3 5 8 10 13 15 18 20 23 25 28 30

Tekanan Darah & Denyut Jantung

30405060708090

100110120130140150160170180190200210220

1 2 3 4 5 6 7 8Waktu (Menit)

TD

(m

mH

g)

30405060708090100110120130140150160170180190200210220

DJ (

kali

/ m

en

it)

Sist. Diast D.J

0 1 2 3 4 5 6 7

Keterangan : 1. Reaksi Hypertonie 2a. Hypotonie Asympatothone

2. Hypotonie Sympatothone 3. Reaksi VasovagaleParameter Real Standart

QT Interval 0,40 0,40

MAP 104,99 100

Pulse Pressure 45 40

IMT 36,59

Keterangan Obesitas Lebih 24,7 Kg

E.C.G. Sinus Normal

ZONA 2

52

49,1

47

48

49

50

51

52

VO2 Max REAL

94,47%

No. Induk

Instansi

Periksa Ke

Tgl. Periksa

Nama

Keluhan

Pakai obat

Umur

Berat Badan

Tinggi Badan

L.P.B.

DJ. Max pred.

% DJP

: (02635)

: Atlet Sepak Bola

: SATU

: 13 Desember 2003

: Atlet 1

: -

: -

: 22 Tahun

: 57 Kg

: 165,5 Cm

: 1,63 m²

: 198 x per menit

: 76,77

PWC Pred 194 watt

PWC Real 103,09 %

DJ Latiuhan 150 – 170 /menit

Kondisi DJ Sistolik Diastolik

Istirahat 70 110 80

Beban Akhir 152 175 80

Pemulihan 107 145 80

E.K.G. Sinus Normal

VO2 Max 49.1 cc/kg/menit

MET 14.0 MET

IMT 20,81

KET. Ideal

0Kg

0 1 2 3 4 5 6 7 8 9 10

Kombinasi Tekanan Darah dan Denyut Jantung

155

135

110

125

145

165

175185 195

80808080 80 808080 80

127115

7096

103

140

158152

165

30405060708090

100110120130140150160170180190200210220

1 3 5 7 9 11 13

Kenaikan Beban 25 watt

TD

30405060708090100110120130140150160170180190200210220

DJ

0 1 2 3 4 5 6 7 8 9 10 11

Intensitas Latihan untuk Meningkatkan STAMINA

20 15150

100 110 120 130 140 150 160 170 180 190 200

Denyut Jantung

Aerobik

Dianjurkan

Anaerobik

194

200,0

190

192

194

196

198

200

PRED REAL

103,09%

ERGOMETRY TEST

Cardiac Physiology Electrocardiography Diagnosis

Electrocardiogram (ECG/EKG)

• Note: Tissue fluids conduct electricity.

• EKG:– Measure of the

electrical activity of the heart.

PENGARUH JENIS MINUMAN TERHADAP OSMOLARITAS TUBUH

Two Very Different Experimental Observations

urine flow

osmolarity

drink 1200 ml water

urine flow

osmolarity

drink 1200 ml isotonic saline

V1 V2V3

V4

V5

V6

6 PRECORDIAL (CHEST) LEADS

Spine

Sternum

Willem Einthoven(1860-1927)

ST Elevation Infarction

Here’s a diagram depicting an evolving infarction:

A. Normal ECG prior to MI

B. Ischemia from coronary artery occlusion results in ST depression (not shown) and peaked T-waves

C. Infarction from ongoing ischemia results in marked ST elevation

D/E. Ongoing infarction with appearance of pathologic Q-waves and T-wave inversion

F. Fibrosis (months later) with persistent Q- waves, but normal ST segment and T- waves

020406080

80604020 100

% Carbohydrate

% Fat

Carbohydrate and fat utilization during exercise

ExerciseMo

derate

Light

Intense

Percent of VO 2 max

25% 50% 75% 100%

[Blood L

actate]

Untrained

Trained

Effect of Training on Blood Lactate / Lactate Threshold

LTLT

0 10 20 30 40 50 60 70 80 90

20

50

40

80

100

120

Gen

era

l L

eve

l o

f P

hys

iolo

gic

Fu

ncti

on

%

Age, yearSedentary Person

Active Person

Physical activity

Initiation and Maintenance of PA Behavior Change

• Self efficacy beliefs critical in initiation

• Pleasure, satisfaction, and self regulatory skills (goal setting and monitoring) are most important in sustaining PA behavior

TouchTouch

- John Hughlings Jackson (1835-1911)

Father of English Neurology

Quoted by Stephen Porges 11/01

SocialSympatheti

c Parasympathetic“Love

”Transa

ction

(Mouth

) Contact

(Eye

s)

AlarmOrie

nt

Fight/F

light

Discharg

eRest

Freeze Imm

obility

Disass

ocia

tion

Slee

p (4

Stag

e) Alarm

“Voo

doo

Death

”

Catat

onia

34

Social Engagement

Fight, Flight, Freeze

Immobility

Safe

Danger

Life Threatening

Ventral

Vagal

Sympathetic

Nervous System

DorsalVagal

System

Ekman’s Emotional Faces

Diet and risk of NCD

• Up to 80 % of cases of CHD and up to 90 % of type 2 diabetes could be avoided through changing lifestyle factors.

• About one third of cancers could be prevented by eating healthily, maintaining normal weight and being physically active throughout the life span.

How long will you have to walk in order

to burn those extra 305 calories?*  

*Based on 130-pound person

Maintaining a Healthy Weight is a Balancing ActCalories In = Calories Out

Mildly Dehidrated

Extremely Dehydrated

A Healthy Environment Means

Healthier Kids

Most People with Health Conditions

Don’t Do What They Should

Oops…I Forgot

I Don’tCare

I Don’tUnderstand

I’m TooBusy

I’m Confused

I’mAfraid I Can’t

Afford It

JAZAA KUMULLAH KHAIRAN KATSIRAN