MANAGEMENT OF

DYSLIPIDEMIA RISK FACTORS

AT FINISHING AREA EMPLOYEES PT. RAPP

CO ASSISTANT
PUBLIC HEALTH AND MEDICAL
COMMUNITY
MEDICAL FACULTY OF RIAU UNIVERSITY
Contents :
1. Definition of dyslipidemia
2. Risk factors of dyslipidemia
3. Symptoms of dyslipidemia
4. Complication of dyslipidemia
5. Prevention of dyslipidemia
National Academy on
an Aging Society 
Many workers or
employees that suffer
chronic illness wich Based on the periodic report
dyslipidemia as the of company doctor in 2011 
main risk factor The most diseases of
Indonesian workers are
endocrine and metabolic
diseases rank the top 22%
 In Asia, the Malay Research conducted
population was noted on companies located
to have the highest in the Industrial Area
prevalence of total Pulo
cholesterol (35.6%) Gadungdyslipidemia
compared to other is also one of the
countries such as India important health
(24.4%), and followed issues.
by China (23.9%).
From the data of MCU at area finishing  70 workers
(34%) have dyslipidemia at Townsite 1 clinic.

Dyslipidemia is the biggest contributor for 5

biggest disease in PT. RAPP

This is influenced by dietary habits, sedentary

lifestyle and lack of activity
 Data analysis
Umur pekerja * dislipidemia Crosstabulation

dislipidemia

normal dislipidemia Total

Umur pekerja 20-30 th Count 27 4 31
% within Umur pekerja 87.1% 12.9% 100.0%

31-40 th Count 56 87 143

% within Umur pekerja 39.2% 60.8% 100.0%

>40 Count 7 27 34
% within Umur pekerja 20.6% 79.4% 100.0%

Total Count 90 118 208

% within Umur pekerja 43.3% 56.7% 100.0%

Chi-Square Tests

Asymp. Sig. (2-

Value df sided)
Pearson Chi-Square 32.367a 2 .000
Likelihood Ratio 34.686 2 .000
Linear-by-Linear Association 28.312 1 .000

N of Valid Cases 208

a. 0 cells (,0%) have expected count less than 5. The minimum expected count is
 kebiasaan olahraga * dislipidemia Crosstabulation

dislipidemia

normal dislipidemia Total

kebiasaan olahraga <3x seminggu Count 73 108 181
% within kebiasaan 40.3% 59.7% 100.0%
olahraga
>3x seminggu Count 17 9 26
% within kebiasaan 65.4% 34.6% 100.0%
olahraga
Total Count 90 117 207
% within kebiasaan 43.5% 56.5% 100.0%
olahraga

Chi-Square Tests
Asymp. Sig. (2-
Value df sided) Exact Sig. (2-sided) Exact Sig. (1-sided)
Pearson Chi-Square 5.807a 1 .016

Continuity Correctionb 4.832 1 .028

Likelihood Ratio 5.781 1 .016

Fisher's Exact Test .020 .014

Linear-by-Linear Association 5.778 1 .016

N of Valid Cases 207

a. 0 cells (,0%) have expected count less than 5. The minimum expected count is 11,30.
b. Computed only for a 2x2 table
 IMT * dislipidemia Crosstabulation

dislipidemia

normal dislipidemia Total

IMT normal Count 56 59 115
% within IMT 48.7% 51.3% 100.0%
obesitas Count 34 59 93
% within IMT 36.6% 63.4% 100.0%
Total Count 90 118 208
% within IMT 43.3% 56.7% 100.0%

Chi-Square Tests

Asymp. Sig. (2- Exact Sig. (2- Exact Sig. (1-

Value df sided) sided) sided)
Pearson Chi-Square 3.085a 1 .079

Continuity Correctionb 2.611 1 .106

Likelihood Ratio 3.101 1 .078

Fisher's Exact Test .092 .053

Linear-by-Linear Association 3.071 1 .080

N of Valid Cases 208

a. 0 cells (,0%) have expected count less than 5. The minimum expected count is 40,24.

b. Computed only for a 2x2 table

Abnormality/disorder in the blood
Fat (cholesterol, triglycerides)

DYSLIPIDEMIA : The abnormality/disoreder of fat

metabolism
Fat metabolism:
–Total cholesterol = the common term “cholesterol”
–triglycerides
–LDL cholesterol (bad cholesterol)
–HDL cholesterol (good cholesterol)
 What is cholesterol????
The resulting fat from the body (liver) and the rest from
outside the body (food) that circulate in the blood vessels

LDL
Bad
Cholesterol
Cholesterol

Good HDL
Cholesterol
LDL

HDL
 Risk Factors of Dyslipidemia

can be modified

1. AgeMale with age ≥ 40 years old or

female with age ≥ 50 years old or
menopausal
2. gender (male> female)
3. family history with hyperlipidemia
4. family history with heart attack
 THE DANGERS OF CHOLESTEROL
• Fat (cholesterol + triglycerides) accumulates in the walls of
blood vessels  narrowed and clogged blood vessels

• The narrowing and blockage of blood vessels

(atherosclerosis)  infarction of tissue(heart, brain)
• In the Heart Coronary Heart Disease
• In the Brain Stroke
• In the EyeSudden blind (Rare Case)

• FATAL complication can result, even DEATH

 VIDEO
E:\KOASS 2016\5. IKM 12 DESEMBER 2016-14 JANUARI
2017\dislipid\What is Atherosclerosis_.mp4
E:\KOASS 2016\5. IKM 12 DESEMBER 2016-14 JANUARI
2017\dislipid\video atheroslerosis\Atherosclerosis - 3D
Animation __ ABP ©.mp4
 Dyslipidemia impact for company

Dyslipidemia

Cardiovascular
stroke Diabetes Melitus
disease

•It took care of the old

•Need Control regularly
•Difficult to cure
 •It took care of the old
•Need Control regularly
•Difficult to cure

Increase the Health

Decrease the
costs incurred by
employee productivity
the company

Decrease the
production of the
company
 Symptoms of Dyslipidemia

Symptoms: not typical

• headache
• neck strain
• pins and needles
• without symptoms
Dyslipidemia Risk Factors
which must be controlled

physical
activity
REDUCE ANIMAL FOOD PRODUCTS CONSUMPTION
• Brain, organ meats, egg yolks, fatty red meat (beef, lamb,
pork), and animal fats

INCREASE FRESH FISH CONSUMPTION, AS ANTIOXIDANTS

• Suggested for fish consumption of 2-3 times per week

REDUCE CONSUMPTION OF PURE CARBS

• Refined carbohydrates: sugar
• Sweet foods such as soy sauce, shredded, beef jerky,
chocolate
• INCREASE FIBER CONSUMPTION
– Vegetables and fruits are contain high soluble fiber 
such as: water squash, eggplant, radish, melon,
watermelon, starfruit and guava
– foods that contain high soluble fiber  jelly, seaweed,
grass jelly

• SOYBEAN MILK CONSUMPTION

• USE LITTLE OF OIL FOR COOKING
– Sautéing, boiling, cook, bake and steaming
Foodstuff that recommended

• Rice in sufficient quantities, high-fiber bread,

sweet potatoes, potatoes, cassava, cereals.
• Fresh fish, skinless chicken, egg whites, tempe,
tofu, nuts, soy milk, low fat milk, yogurt and low-
fat cheese.
• Fresh fruits and fresh vegetables or in juice form,
as the source of fiber.
• Olive oil, Rice brand oil, Canola, sunflower seed
oil, corn, sesame, soy.
 Foodstuffs are avoided

• Food products / fatty cakes and beverages, such as cake ,pie,

dodol, cola, syrup, candy, alcohol, sugar.
• lamb, pork, brain, bowel, yellow eggs, sausage, whole milk
sweetened condensed milk, cream, yogurt and cheese made
from whole milk, ice cream.
• The vegetables are cooked with butter, cheese, coconut milk.
Preserved Fruit with sugar such as canned fruit, candied fruit.
• Butter, lard, coconut milk, coconut, mayonaise
• Wrapped rice:
carbohydrate
• fat
• fiber

• continuously
• once in a while
once a week
 Physical Exercise

• Recommended Physical exercise

– walking, running or jogging, biking, swimming,
gymnastic
 Physical Exercise

• Phases of physical exercise

– Heating 5-10 minutes
– Aerobic exercise (walking, jogging / running, cycling,
swimming, gymnastics) that 70-85% of maximum
heart rate (220 - age) for 20-30 minutes
– Cooling slowly for 5-10 minutes
– Frequency of training: 4-5 times per week

Or it could 2-3x / week with duration 45-60

minutes aerobic phase
 DYSLIPIDEMIA DIET/LOW FAT DIET

• Energy : 1900-2000 calories,

• Fat : 50 grams
• Protein : 60 grams
• Carbohydrate : 320 grams
 MENU SEHARI

Pagi
Pagi:
• Roti Tawar Gandum 2-3 iris tipis (70-100 gram)
• Selai kacang 2 sendok teh (20 gram)
• Sayuran/Salad 1 mangkuk sedang
• Margarin (:meadowlea) 1 sendok teh (5 gram)
• Susu kedelai/susu rendah lemak bubuk 4 sendok
makan rata/peres(20 gram)/gelas
• Gula pasir / madu 1-2 sendok teh (10 gram)
Selingan Pukul 10.00:

• Buah/ Juice segar Apel atau Pier 1 buah sedang

 Siang
• Siang:
• Nasi 1 gelas belimbing (150 gram)
• Ikan / ayam tanpa kulit 1 potong sedang (50 gram /berat mentah)
• Tempe 2 potong sedang ( 50 gram/berat mentah)
• Sayuran/lalapan sayur 1 mangkuk sedang
• Buah Nenas/Pepaya 1 potong sedang (100 gram)
• Minyak Canola/Minyak Jagung (gunakan untuk menumis 1 – 2 macam
masakan)

Selingan Pukul 16.00:

• Selingan Pkl 16.00:
• Buah /Juice segar Mangga atau Apel 1 buah sedang
Malam
• Malam:
• Nasi 1 gelas belimbing ( 150 gram)
• Ikan / ayam 1 potong sedang (50 gram /berat
mentah)
• Tahu 2 buah kecil (100 gram/berat mentah)
• Sayuran/lalapan sayur 1 mangkuk sedang
• Buah Pepaya 1 potong sedang (100 gram)
• Minyak Canola/Rice Brand Oil ( gunakan untuk menumis 1 – 2
macam masakan)

Selingan Pukul 21.00:

• Selingan Pkl.21.00:
• Buah Pisang/Jeruk 1 buah sedang