Metabolism is all the chemical processes in our body, especially those that cause food to be used for energy and growth, metabolism is divided into Catabolism and Anabolism, which means breaking and unification, at this Health Talk initiated by Klinik Ampera 20 and Medco Foundation on Friday, August 10 2018, Dr. Eva Carolina Sitompul, SPPD explains the effect of metabolism towards our body, at first she explained that the metabolic syndrome consist of four factors including, Insulin Resistance, High Blood Pressure, High Triglyceride Levels, and Low HDL Cholesterol. Having at least 3 out of 5 factors is considered as Metabolic Syndrome. When someone is diagnosed with Metabolic Syndrome, it then leads to Stroke, Heart Attack, and Diabetes. “Please get rid of the assumption that stroke, heart attack, and diabetes can only occur to us above 50 years old, that is wrong, I have many young patients with heart attack and diabetes” said Dr. Eva. The syndrome itself would occur differently both to Men and Women, one of the points that were mentioned was in terms of waist circumference (lingkar perut), where Men would have 40 inches and women 35 inches.
The discussion continues as Dr Eva explains the symptoms and signs of Diabetes which includes a high blood sugar level, easily exhausted, polydipsia, weight loss, visual impairment, and susceptible to infection. Everything that we eat will indeed increase the sugar level, the main cause of diabetes is mainly because of the insulin resistance when blood sugar is above the normal limit. When we have resistance towards insulin, it means that we are blocking the passage for glucose or sugar to our cells with the help of the insulin so they won’t die, because one insulin can only deliver 1 sugar at a time. This happens when the glucose is trying to get into the cell but is being bounced off over and over again leaving it hanging outside our cells because of the excessiveness. Hypertension is when the state of systolic blood pressure is above 140 mmHg and diastolic pressure is above 90 mmHg, however, Dr. Eva warned us when the number has reached at least 130 mmHg then its best to consult to a Doctor as soon as possible.
Obesities means an excessive fat storage in our body which can be caused by genetics factor and excess nutrition since our childhood. Dyslipidaemia can also occur in metabolic syndrome in the form of increased Triglyceride and LDL but a low HDL cholesterol, this can occur if we eat too much carbohydrate, fatty food, and lack of fiber that causes fat in our blood vessel. Too much fat can cover up our blood vessel and when it reaches an amount of 70% fat covering our blood vessel, it leads to a definite heart attack.“So how are we going to therapy metabolic syndrome? It’s actually easy, just by doing 5 of my questions earlier” said Dr. Eva. The five questions includes to not smoke, eat 5 fruits and vegetables a day, exercise 30 minutes 5 times per week, obtaining a BMI between 18 and 27, and having a routine medical check-up within a year. The Doctor also added 9 steps in lifestyle changes which includes; Stop smoking, choose healthy foods, cholesterol level control, blood pressure control, active exercise, keeping your weight stable, blood sugar control, avoid stress and limit alcohol intake.
The medical graduate of Brawijaya University certified Doctor then ended this health discussion on Metabolism by saying, “It’s better to prevent it from now”.