referat obesitas

7/17/2019 referat obesitas

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{\rtf\ansi\deff0\ansicpg1252{\fonttbl{\f0\froman times new roman;}{\f1\ftech symbol;}}{\colortbl\red0\green0\blue0;\red0\green0\blue255;\red0\green0\blue127;}{\info{\author acer}}\jexpand\viewkind1\viewscale100\paperw11893\paperh16840\margl666\margr133\margt666\margb240\pard\li4013\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li4013\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li4013\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li4013\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100\b \ul {BAB 1 : PENDAHULUAN}\b0 \ul0 \par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-320\slmult0 \fs22\cf0\f0\charscalex100 {Obesitas mulaimenjadi masalah kesehatan diseluruh dunia, bahkan WHO menyatakan }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {bahwa obesitassudah merupakan suatu epidemi global, sehingga obesitas sudah }\

par\pard\li773\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {merupakan suatu problem kesehatan yang harus segera ditangani.}\par\pard\li1493\ri0\sl-386\slmult0\fs20\cf0\f0\charscalex100 {Di Indonesia, terutama di kota-kota besar, dengan adanya perubahan gaya hidup }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {yang menjurus ke westernisasi dan sedentary berakibat pada perubahan pola makan / }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {konsumsi masyarakat yang merujuk pada pola makantinggi kalori, tinggi lemak dan }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {kolesterol, terutama terhadap penawaran makanan siap sa

ji (fast food) yang berdampak }\par\pard\li773\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {meningkatkan risiko obesitas.}\par\pard\li1493\ri0\sl-386\slmult0\fs20\cf0\f0\charscalex100 {Obesitas sudah dapat terjadi sejak bayi dan 15% obesitas pada bayi, 25% obesitas }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {pada balita, serta 80% obesitas pada remaja dengan salah satu orang tua obese akan }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {menetap sampai dewasa.. Obesitas pada anak sampai saat ini masihmerupakan masalah }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {yang kompleks, penyebabnya yang multifaktorial menyulitkan penatalaksanaannya. }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {Disamping itu, banyak orangtua masih berpendapat bahwa anak gemuk itu lucu dan ceria, }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {yang diartikan pasti sehat. Mereka tidak menyadari bahwa obesitas berdampa

k negatif }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {terhadap tumbuh kembang anak terutama aspek perkembangan psikososial.Anak yang }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {gemuk cenderung diolok-olok serta dipermalukan disekolah, dan sulit berteman. Pada usia }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {sekolah umumnya mereka sudah menyadari bahwa gemuk merupakan hal yang tidak }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {menyenangkanakibat penolakan sosial serta isolasi. Beban menjadi seorang gemuk akan }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {mempengaruhi prestasidisekolah serta kehidupan sosial. Masalah ini biasanya menetap }\par\pard\li773\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {sampai dewasa. }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {Selain itu obesitas pada masa anak berisiko tinggi menjadi obesitas dimasa dewasa dan }\par\pard\li773\ri0\sl-373

\slmult0 \fs20\cf0\f0\charscalex100 {berpotensi mengalami pelbagai penyebab kesakitan dan kematian antara lain penyakit }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {jantung koroner, diabetes mel itus, dan lain \uc1\u8211X lain. Profil lipid darah pada anak obesitas }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {menyerupai profil lipid pada penyakit kardiovaskuler dan anak yang obesitas mempunyai }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {risiko hipertensi lebih besar. PenelitianSyarif menemukan hipertensi pada 20 \uc1\u8211X 30% anak }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {yang obesitas, terutama obesitas tipe abdominal. Dengan demikian obesitas pada anak }\par\pard\li7


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73\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {memerlukan perhatian yangserius dan pananganan yang sedini mungkin,dengan }\par\pard\li773\ri

0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {melibatkan peran serta orang tua.}\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0\fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-400\slmult0 \fs24\cf0\f0\charscalex100 {1}\par\pard\sect\sectd\sbkpage\pgwsxn11893\pghsxn16840\marglsxn666\margrsxn133\margtsxn666\margbsxn240\cols2\colno1\colw4080\colsr-0\colno2\colw7013\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-280\slmult0 \fs22\cf0\f0\charscalex100\b {Definisi dan Kriteria Obesitas}\b0\par\column\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100\b \ul {BAB 2 : PEMBAHASAN}\b0 \ul0 \par\pard\sect\sectd\sbknone\pgwsxn11893\pghsxn16840\marglsxn666\margrsxn133\pard\li773\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {Obesitas didefinisikan sebagaisuatu kelainan atau penyakit yang ditandai dengan }\par\pard\li773\r

i0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {penimbunan jaringan lemak tubuh secara berlebihan. Untuk menentukan obesitas }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {diperlukan kriteria yang berdasarkan pengukuran antropometri dan/atau pemeriksaan }\par\pard\li773\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {laboratorik, pada umumnya digunakan:}\par\pard\li1133\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {a) Pengukuran berat badan (BB) yang dibandingkan dengan standar dan disebut }\par\pard\li1493\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {obesitas bila BB >120% BB standar.}\par\pard\li1133\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100{b) Pengukuran berat badan dibandingkan tinggi badan (BB/TB). Dikatakan obesitasbila }\par\pard\li1493\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {BB/TB> persentile ke 95 atau > 120% atau Z-score = + 2 SD.}\par\pard\li1133\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {c) Pengukuran lemak subkutan dengan me

ngukur }\fs22\cf0\f0\charscalex100\i {skinfold thickness }\i0 \fs22\cf0\f0\charscalex100 {(tebal lipatan }\par\pard\li1493\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {kulit/TLK).Sebagai indikator obesitas bila TLK Triceps > persentil ke 85.}\par\pard\li1133\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {d) Pengukuran lemak secara laboratorik, misalnya densitometri, hidrometri yang tidak }\par\pard\li1493\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {digunakan pada anak karena sulit dan tidak praktis. DXA adalah metode yang paling }\par\pard\li1493\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {akurat,tetapi tidak praktis untuk di lapangan.}\par\pard\li1133\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100{e) Indeks Massa Tubuh (IMT), > persentil ke 95 sebagai indikator obesitas.}\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-333\slmult0 \fs22\cf0\f0\charscalex100\b {Angka kejadian obesitas anak dan remaja}\b0 \par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0

\charscalex100 {Prevalensi obesitas pada anak usia 6-17 tahun diAmerika Serikat dalam tiga dekade }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {terakhir meningkat dari 7,6-10,8% menjadi 13-14%. Prevalensi }\fs20\cf0\f0\charscalex100\i {overweight}\i0 \fs20\cf0\f0\charscalex100 { dan obesitas }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {pada anak usia 6-18 tahun di Rusia adalah 6% dan 10%, di Cina adalah 3,6% dan 3,4%, }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {dan di Inggris adalah 22-31% dan 10-17%, bergantung pada umur dan jenis kelamin. }\par\pard\li773\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {Prevalensi obesitas pada anak-anak sekolah di Singapura meningkat d


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ari 9% menjadi 19%.}\par\pard\li1493\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {Di Indonesia, prevalensi obesitas pada balita menurut SUSENASmenunjukkan }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {pe

ningkatan baik di perkotaan maupun pedesaan. Di perkotaan padatahun 1989 }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {didapatkan 4,6% lelaki dan 5,9% perempuan. Pada tahun 1992 didapatkan 6,3% lelakidan }\par\pard\li773\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {8% untuk perempuan. Prevalensi obesitas tahun 1995 di 27 propinsi adalah 4,6%.}\par\pard\li1493\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {Di DKI Jakarta, prevalensi obesitas meningkat dengan bertambahnya umur. Pada }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {umur 6-12 tahun ditemukan obesitas sekitar 4%,pada anak remaja 12-18 tahun ditemukan }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {6,2%, dan pada umur 17-18 tahun 11,4%. Kasus obesitas pada remaja lebih banyak }\par\pard\li773\ri0\sl-386\slmult0 \*\tx6920\fs20\cf0\f0\charscalex100 {ditemukan pada wanita (10,2%) dibanding lelaki (3,1%).}\tab \fs20\cf0\f0\charscalex100 {Pada penelitian Djer 1998, }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {prevalensi obesitas anak di sebuah SD Negeri di kawasan Jakarta Pusat sebesar 9,6%.}\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {Penelitian mutakhir yang dilakukan oleh Meilany 2002, menunjukkan prevalensi obesitas }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {anak di tiga SD swastadi kawasan Jakarta Timur sebesar 27,5%. Menurut data rekam }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {medik, kasus baru obesitas yang datang di poliklinik Gizi Anak Bagian IKA FKUI-RSUPNCM }\par\pard\li9680\ri0\sl-213

\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-266\slmult0 \fs24\cf0\f0\charscalex100 {2}\par\pard\sect\sectd\sbknone\pgwsxn11893\pghsxn16840\marglsxn666\margrsxn133\pard\sect\sectd\sbkpage\pgwsxn11893\pghsxn16840\marglsxn666\margrsxn133\margtsxn666\margbsxn240\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {dalam periode tahun 1995-2000 adalah sebanyak 100 pasien, dan 35% di antaranya }\par\pard\li773\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {adalah balita. }\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-333\slmult0 \fs22\cf0\f0\charscalex100\b {Perjalanan Perkembangan Obesitas}\b0 \par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {Menurut Dietz terdapat 3 periode kritis dalam masa tumbuh kembang ana

k dalam kaitannya }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100{dengan terjadinya obesitas, yaitu: a) periode pranatal , terutama trimester 3kehamilan, b) }\par\pard\li773\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {periode adiposity rebound pada usia 6 \uc1\u8211X 7 tahun dan c) periode adolescence.}\par\pard\li1493\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {Pada bayi dan anak yang obesitas, sekitar 26,5% akan tetap obesitasuntuk 2 }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {dekadeberikutnya dan 80% remaja yang obesitas akan menjadi dewasa yang obesitas. }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {Menurut Taitz, 50% remaja yang obesitas sudah mengalami obesitas sejak bayi. Sedang }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {penelitian di Jepang menunjukkan1/3 dari anak obesitas tumbuh menjadi obesitas di masa }\par\pard\li773\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {dewasa dan risiko obesitas ini diperkira

kan sangat tinggi, dengan OR 2,0 \uc1\u8211X 6,7. }\par\pard\li1493\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 { Penelitian di Amerika menunjukkan bahwa obesitas pada usia 1-2 tahun dengan }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {orangtua normal, sekitar 8% menjadi obesitas dewasa, sedang obesitas pada usia 10-14 }\par\pard\li773\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {tahun dengan salah satu orang tuanya obesitas, 79% akan menjadi obesitas dewasa.}\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-333\slmult0 \fs22\cf0\f0\charscalex100\b {Faktor Penyebab}\b0 \par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100{Berdasarkan hukum termodinamik, obesitas disebabkan adanya keseimb


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angan energi }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {positif, sebagai akibat ketidak seimbangan antara asupan energi dengan keluaran energi, }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {sehinggaterjadi kelebihan energi yang disimpan dalam bentuk jaringan lemak. Sebagian }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {besar gangguankeseimbangan energi ini disebabkan oleh faktor eksogen/nutrisional }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {(obesitas primer) sedang faktor endogen (obesitas sekunder) akibat kelainan hormonal, }\par\pard\li773\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {sindrom atau defek genetik hanya sekitar 10%.}\par\pard\li1680\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {Penyebab obesitas belum diketahui secara pasti. Obesitas adalah suatu penyakit }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {multifaktorial yang diduga bahwa sebagian besar obesitas disebabkan oleh karena interaksi }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {antara faktor genetik dan faktor lingkungan, antara lain aktifitas, gaya hidup, sosial ekonomi }\par\pard\li773\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {dan nutrisional yaitu perilaku makan dan pemberian makanan padat terlalu dini padabayi.}\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-360\slmult0 \fs22\cf0\f0\charscalex100 {1. Faktor Genetik . }\par\pard\li1853\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {Apabila kedua orang tua obesitas, 80 % anaknya akan menjadi obesitas. Apabila }\par\pard\li1133\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {salah satu orang tuanya obesitas, kejadian obesitas menjadi 40 % dan bila kedua orang }\par\pard\li1133\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {tua tidak obesitas, maka prevalensinya menjadi 14 %. Kegemukan dapa

t diturunkan dari }\par\pard\li1133\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {generasi sebelumnya kepada generasi berikutnya di dalam sebuahkeluarga. Itulah }\par\pard\li1133\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {sebabnya seringkali dijumpai orangtua yang gemuk cenderung memiliki anak-anak yang }\par\pard\li1133\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {gemukpula. Dalam hal ini nampaknya faktor genetik telah ikut campurdalam }\par\pard\li1133\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {menentu

kan jumlah unsur sel lemak dalam tubuh seseorang. Hal ini dimungkinkan }\par\pard\li1133\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {karenapada saat ibu yang obesitas sedang hamil maka unsur sel le

mak yang }\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-280\slmult0 \fs24\cf0\f0\charscalex100 {3}\par\pard\sect\sectd\sbkpage\pgwsxn11893\pghsxn16840\marglsxn666\margrsx

n133\margtsxn666\margbsxn240\pard\li1133\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1133\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1133\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1133\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {berjumlah besar dan melebihi ukuran normal, secara otomatis akan diturunkan kepada }\par\pard\li1133\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {sang bayi selama dalamkandungan. Tidaklah mengherankan apabila bayi yang }\par\pard\li1133\

ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {dilahirkannya pun memiliki unsurlemak tubuh yang relatif sama besar.}\par\pard\li1853\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {Selain itu pengaruh keturunan (genetik) juga dapat berdampak pada }\par\pard\li1133\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {komposisi/bentuk tubuh. Menurut pendapat Erminawati (2009: 8), manusia memiliki tiga }\par\pard\li1133\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {bentuk tipe tubuh yaitu:}\par\pard\li1853\ri0\sl-373\slmult0 \*\tx2213\fs20\cf0\f0

\charscalex100 {a.}\tab \fs20\cf0\f0\charscalex100\i {Mesomorp}\i0 \fs20\cf0\f0\charscalex100 { (atletis), yaitu tipe tubuh yang memiliki ciri-ciri: tubuh tinggi, bahu }\par\pard\li2213\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {yang lebar, pinggang yang relative kecil, bentuk kepala yang persegi, dan }\par\pard\li2213\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {perkembangan otot yang lebihbesar.}\par\pard\li1853\ri0\sl-373\slmult0 \*\tx2213\fs20\cf0\f0\charscalex100{b.}\tab \fs20\cf0\f0\charscalex100\i {Ektomorp}\i0 \fs20\cf0\f0\charscalex100 { (tubuh kurus dan tinggi), yaitu tipe tubuh yang memiliki ciri-ciri: }\par\pard\li2213\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {tubuhnya tinggi, badan kurus, cepat merasa kedinginan, permukaan kulit


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}\par\pard\li2213\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {yang relatif luas dibandingkan dengan volume tubuhnya.}\par\pard\li1853\ri0\sl-386\slmult0 \*\tx2213\fs20\cf0\f0\charscalex100 {c.}\tab \fs20\cf0\f0\charscalex100\i {Endomorph}\i0 \fs20\cf0\f0\charscalex100 { (tubuh bulat dan pendek), yaitu tipe tubuh yang memiliki ciri-ciri: }\par\pard\li2213\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {bentuk tubuhnya bulat dan gemuk, volume batang tubuhnya relative lebih }\par\pard\li2213\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {besar, mempunyai usus kurang lebih 60 cm, dua kali lebih panjang daripada }\par\pard\li2213\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {umumnya.}\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-333\slmult0 \fs22\cf0\f0\charscalex100 {2. Faktor lingkungan.}\par\pard\li1053\ri0\sl-413\slmult0 \*\tx1413\fs22\cf0\f1\charscalex100 {\uc1\u61623X}\tab \fs22\cf0\f0\charscalex100 {Aktifitas fisik.}\par\pard\li1413\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {Aktifitas fisik merupakan komponen utama dari }\fs22\cf0\f0\charscalex100\i {energy expenditure}\i0 \fs22\cf0\f0\charscalex100 {, yaitu sekitar 20-}\par\pard\li1413\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {50% dari total }\fs22\cf0\f0\charscalex100\i {energy expenditure. }\i0 \fs22\cf0\f0\charscalex100 {Penelitian di negara maju mendapatkan hubungan }\par\pard\li1413\ri0\sl-373\slmult0\fs22\cf0\f0\charscalex100 {antara aktifitas fisik yang rendah dengan kejadianobesitas. Individu dengan aktivitas }\par\pard\li1413\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {fisik yang rendah mempunyai risiko peningkatanberat badan sebesar \uc1\u8805X 5 kg. }\par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {Penelitian di Jepang menunjukkan risiko

obesitas yang rendah (OR:0,48) pada }\par\pard\li1413\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {kelompok yang mempunyai kebiasaan olahraga, sedang penelitian di Amerika }\par\pard\li1413\ri0\sl-373\slmult0\fs22\cf0\f0\charscalex100 {menunjukkan penurunan berat badan dengan jogging (OR: 0,57), aerobik (OR: 0,59), }\par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {tetapi untuk olah raga tim dan tenis tidak menunjukkan penurunanberat badan yang }\par\pard\li1413\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100{signifikan.}\par\pard\li1413\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1413\ri0\sl-360\slmult0 \fs22\cf0\f0\charscalex100 {Penelitian terhadap anak Amerika dengan tingkat sosial ekonomi yang sama }\par\pard\li1413\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {menunjukkan bahwa mereka yang nonton TV \uc1\u8805X 5 jam perhari mempunyai risiko }\par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {obesitas sebesar 5,3 kali le

bih besar dibanding mereka yang nonton TV \uc1\u8804X 2 jam }\par\pard\li1413\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {setiap harinya. }\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-466\slmult0 \fs24\cf0\f0\charscalex100 {4}\par\pard\sect\sectd\sbkpage\pgwsxn11893\pghsxn16840\marglsxn666\margrsxn133\margtsxn666\margbsxn240\pard\li1053\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1053\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1053\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1053\ri0\sl-413\slmult0 \*\tx1413\fs22\cf0\f1\charscalex100 {\uc1\u61623X}\tab \fs22\cf0\f0\charscalex100 {Faktor nutrisional. }\par\pard\li1413\ri0\sl-400\slmult0 \fs22\cf0\f0\charscalex100 {Peranan faktor nutrisi dimulai sejak dalam kandungan dimana jumlah lemak tubu

h }\par\pard\li1413\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {dan pertumbuhan bayi dipengaruhi berat badan ibu. Kenaikan berat badan dan lemak }\par\pard\li1413\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {anak dipengaruhi oleh : waktu pertama kali mendapat makanan padat, asupan tinggi }\par\pard\li1413\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {kalori dari karbohidrat dan lemak serta kebiasaan mengkonsumsi makanan yang }\par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {mengandung energi tinggi.}\par\pard\li1413\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {Penelitian di Amerika dan Finlandia menunjukkan bahwa kelompok dengan asupan }\par\pard\li1413\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {tinggi lemak mempunyai risiko peningkatan


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berat badan lebih besar dibanding }\par\pard\li1413\ri0\sl-386\slmult0\fs20\cf0\f0\charscalex100 {kelompok dengan asupan rendah lemak dengan OR 1.7.Penelitian lain menunjukkan }\par\pard\li1413\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {peningkatan konsumsi daging akan meningkatkan risiko obesitas sebesar 1,46 kali. }\par\pard\li1413\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {Keadaan ini disebabkan karena makanan berlemak mempunyai }\fs20\cf0\f0\charscalex100\i {energy density }\i0 \fs20\cf0\f0\charscalex100 {lebih }\par\pard\li1413\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {besar dan lebih tidak mengenyangkan serta mempunyai efek termogenesis yang }\par\pard\li1413\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {lebih kecil dibandingkan makanan yang banyak mengandung protein dan karbohidrat. }\par\pard\li1413\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {Makanan berlemak juga mempunyai rasa yang lezat sehingga akan meningkatkan }\par\pard\li1413\ri0\sl-373\slmult0 \*\tx7840\fs22\cf0\f0\charscalex100 {selera makan yang akhirnya terjadi konsumsi yang berlebihan.}\tab \fs22\cf0\f0\charscalex100 {Selain itu kapasitas }\par\pard\li1413\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {penyimpanan makronutrien juga menentukan keseimbangan energi. Protein }\par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {mempunyai kapasitas penyimpanan sebagai protein tubuhdalam jumlah terbatas dan }\par\pard\li1413\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {metabolisme asam amino di regulasi dengan ketat, sehingga bila intake protein }\par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {berlebihan dapat dipastikan akan di oksidasi; sedangkarbohidrat mempunyai }\par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {kapasitas penyimpanan dalam bentuk glikogen hanya dalam jumlah kecil

. Asupan }\par\pard\li1413\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {danoksidasi karbohidrat di regulasi sangat ketat dan cepat, sehingga perubahan }\par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {oksidasi karbohidrat mengakibatkan perubahan asupan karbohidrat. Bila cadangan }\par\pard\li1413\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {lemak tubuh rendah dan asupan karbohidrat berlebihan, maka kelebihan energi dari }\par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {karbohidrat sekitar 60-80% disimpan dalam bentuk lemak tubuh. Lemak mempunyai }\par\pard\li1413\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {kapasitas penyimpanan yang tidak terbatas. Kelebihan asupan lemak tidak di ringi }\par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {peningkatan oksidasi lemak sehingga sekitar 96% lemak akan disimpan dalam }\par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {jaringan lemak.}\par\pard\li1053\ri0\sl-213\slmult0 \fs18\cf0\par

\pard\li1053\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1053\ri0\sl-373\slmult0 \*\tx1413\fs22\cf0\f1\charscalex100 {\uc1\u61623X}\tab \fs22\cf0\f0\charscalex100 {Faktor sosial ekonomi.}\par\pard\li1413\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1413\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {Perubahan pengetahuan, sikap, perilaku dan gaya hidup, pola makan, serta }\par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {peningkatan pendapatan mempengaruhi pemilihan jenis dan jumlah makanan yang }\par\pard\li1413\ri0\sl-373\slmult0\fs22\cf0\f0\charscalex100 {dikonsumsi. Suatu data menunjukkan bahwa beberapa tahun terakhir terlihat adanya }\par\pard\li1413\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {perubahan gaya hidup yang menjurus pada penurunan aktifitas fisik, seperti: ke }\par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {sekolah dengan naik kendaraan dan kurangnya aktifitas bermaindengan teman serta }\par\pard\li1413\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex

100 {lingkungan rumah yang tidak memungkinkan anak-anak bermain diluar rumah, }\par\pard\li1413\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {sehingga anak lebih senang bermain komputer / }\fs20\cf0\f0\charscalex100\i {games}\i0 \fs20\cf0\f0\charscalex100 {, nonton TV atau video }\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-386\slmult0\fs24\cf0\f0\charscalex100 {5}\par\pard\sect\sectd\sbkpage{\shp{\*\shpinst\shpleft1440\shptop5053\shpright5986\shpbottom5066\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2030\shpz0\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}


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{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4546}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4546,0);(4533,13);(13,13);(0,0);(0,0);(4546,0);(4546,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft5973\shptop5053\shpright10386\shpbottom5066\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2031\shpz1\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4413}}

{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4413,0);(4413,13);(13,13);(0,0);(0,0);(4426,0);(4413,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}

{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop6093\shpright5973\shpbottom6106\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2032\shpz2\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4533}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4533,0);(4533,13);(0,13);(0,0);(0,0);(4533,0);(4533,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45

824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft5973\shptop6093\shpright10386\shpbottom6106\shpfhdr0\shp


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wr3\shpwrk0\shpfblwtxt1\shplid2033\shpz3\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4413}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4413,0);(4400,13);(0,13);(0,0);(0,0);(4400,0);(4413,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop6560\shpright5973\shpbottom6573\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2034\shpz4\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}

{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4533}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4533,0);(4533,13);(0,13);(0,0);(0,0);(4533,0);(4533,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}

{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft5973\shptop6560\shpright10386\shpbottom6573\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2035\shpz5\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4413}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}

{\sp{\sn pVerticies}{\sv 8;7;(4413,0);(4400,13);(0,13);(0,0);(0,0);(4400,0);(4413,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}


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{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop7400\shpright5973\shpbottom7413\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2036\shpz6\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4533}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4533,0);(4533,13);(0,13);(0,0);(0,0);(4533,0);(4533,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft5973\shptop7400\shpright10386\shpbottom7413\shpfhdr0\shp

wr3\shpwrk0\shpfblwtxt1\shplid2037\shpz7\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4413}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4413,0);(4400,13);(0,13);(0,0);(0,0);(4400,0);(4413,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}

{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop8240\shpright5973\shpbottom8253\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2038\shpz8\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}

{\sp{\sn geoRight}{\sv 4533}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4533,0);(4533,13);(0,13);(0,0);(0,0);(4533,0);(4533,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}


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{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft5973\shptop8240\shpright10386\shpbottom8253\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2039\shpz9\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4413}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4413,0);(4400,13);(0,13);(0,0);(0,0);(4400,0);(4413,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}

{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop8706\shpright5973\shpbottom8720\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2040\shpz10\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4533}}{\sp{\sn geoBottom}{\sv 14}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4533,0);(4533,13);(0,13);(0,0);(0,0);(4533,0);(4533,0);}}

{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft5973\shptop8706\shpright10386\shpbottom8720\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2041\shpz11\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}

{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4413}}{\sp{\sn geoBottom}{\sv 14}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4413,0);(4400,13);(0,13);(0,0);(0,0);(4400,0);(4413,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}


11/115

{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop9160\shpright5973\shpbottom9173\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2042\shpz12\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4533}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4533,0);(4533,13);(0,13);(0,0);(0,0);(4533,0);(4533,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}

{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft5973\shptop9160\shpright10386\shpbottom9173\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2043\shpz13\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4413}}{\sp{\sn geoBottom}{\sv 13}}

{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4413,0);(4400,13);(0,13);(0,0);(0,0);(4400,0);(4413,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}

{\shp{\*\shpinst\shpleft1440\shptop9626\shpright5986\shpbottom9640\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2044\shpz14\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4546}}{\sp{\sn geoBottom}{\sv 14}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4546,0);(4546,13);(0,13);(0,0);(13,0);(4533,0);(45


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46,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft5973\shptop9626\shpright10386\shpbottom9640\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2045\shpz15\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 4413}}{\sp{\sn geoBottom}{\sv 14}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(4413,0);(4426,13);(0,13);(0,0);(13,0);(4413,0);(4413,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}

{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop5053\shpright1440\shpbottom6106\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2046\shpz16\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}

{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 0}}{\sp{\sn geoBottom}{\sv 1053}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(13,13);(13,1040);(0,1053);(0,1053);(0,0);(0,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}

{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop6093\shpright1440\shpbottom6573\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2047\shpz17\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 0}}


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{\sp{\sn geoBottom}{\sv 480}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(13,13);(13,466);(0,466);(0,480);(0,0);(0,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop6560\shpright1440\shpbottom7413\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2048\shpz18\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 0}}{\sp{\sn geoBottom}{\sv 853}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(13,13);(13,840);(0,853);(0,853);(0,0);(0,0);

}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop7400\shpright1440\shpbottom8253\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2049\shpz19\shpbxpage\shpbypage

{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 0}}{\sp{\sn geoBottom}{\sv 853}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(13,13);(13,840);(0,853);(0,853);(0,0);(0,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}

{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop8240\shpright1440\shpbottom8720\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2050\shpz20\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}


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r3\shpwrk0\shpfblwtxt1\shplid2053\shpz23\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 13}}{\sp{\sn geoBottom}{\sv 1053}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(13,0);(13,1040);(0,1040);(0,1040);(0,0);(0,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft5973\shptop6106\shpright5986\shpbottom6560\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2054\shpz24\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}





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{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft5973\shptop7400\shpright5986\shpbottom8240\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2056\shpz26\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 13}}{\sp{\sn geoBottom}{\sv 840}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(13,0);(13,840);(0,840);(0,840);(0,0);(0,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft5973\shptop8240\shpright5986\shpbottom8706\shpfhdr0\shpw

r3\shpwrk0\shpfblwtxt1\shplid2057\shpz27\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 13}}{\sp{\sn geoBottom}{\sv 466}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(13,0);(13,453);(0,466);(0,453);(0,0);(0,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}




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{\shp{\*\shpinst\shpleft10386\shptop8240\shpright10386\shpbottom8720\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2064\shpz34\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 0}}{\sp{\sn geoBottom}{\sv 480}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(13,0);(13,480);(0,466);(0,466);(0,13);(0,0);


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}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft10386\shptop8706\shpright10386\shpbottom9173\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2065\shpz35\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 0}}{\sp{\sn geoBottom}{\sv 467}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(13,0);(13,480);(0,466);(0,466);(0,13);(0,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}





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{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(2693,0);(2693,13);(13,13);(0,0);(0,0);(2706,0);(2693,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft4133\shptop11920\shpright10386\shpbottom11920\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2068\shpz38\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 6253}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(6253,0);(6253,13);(13,13);(0,0);(0,0);(6266,0);(62

53,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop12960\shpright4133\shpbottom12973\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2069\shpz39\shpbxpage\shpbypage




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pwr3\shpwrk0\shpfblwtxt1\shplid2073\shpz43\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 2693}}{\sp{\sn geoBottom}{\sv 14}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(2693,0);(2693,13);(0,13);(0,0);(0,0);(2693,0);(2693,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft4133\shptop14346\shpright10386\shpbottom14360\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2074\shpz44\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}





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{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft4133\shptop14840\shpright10386\shpbottom14853\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2076\shpz46\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 6253}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(6253,0);(6253,13);(0,13);(0,0);(0,0);(6253,0);(6253,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop15346\shpright4146\shpbottom15346\shpfhdr0\sh

pwr3\shpwrk0\shpfblwtxt1\shplid2077\shpz47\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 2706}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(2693,0);(2706,13);(0,13);(0,0);(13,0);(2693,0);(2693,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}




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{\shp{\*\shpinst\shpleft4133\shptop11920\shpright4146\shpbottom12960\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2084\shpz54\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 13}}{\sp{\sn geoBottom}{\sv 1040}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(13,0);(13,1040);(0,1040);(0,1040);(0,0);(0,0


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);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft4133\shptop12960\shpright4146\shpbottom13453\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2085\shpz55\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 13}}{\sp{\sn geoBottom}{\sv 493}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(13,0);(13,493);(0,493);(0,493);(0,0);(0,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}





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{\sp{\sn geoBottom}{\sv 507}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(13,0);(13,493);(0,493);(0,493);(0,0);(0,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft4133\shptop14853\shpright4146\shpbottom15346\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2088\shpz58\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 13}}{\sp{\sn geoBottom}{\sv 493}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(13,0);(13,493);(0,493);(0,493);(0,0);(0,0);}

}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft10386\shptop11920\shpright10386\shpbottom12973\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2089\shpz59\shpbxpage\shpbypage




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824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft10386\shptop14840\shpright10386\shpbottom15346\shpfhdr0\


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shpwr3\shpwrk0\shpfblwtxt1\shplid2093\shpz63\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 0}}{\sp{\sn geoBottom}{\sv 506}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(13,0);(13,506);(0,506);(0,493);(0,13);(0,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}\pgwsxn11893\pghsxn16840\marglsxn666\margrsxn133\margtsxn666\margbsxn240\pard\li1413\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1413\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1413\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1413\ri0\sl-386\slmult0 \*\tx3613\fs22\cf0\f0\charscalex100 {dibanding melakukan}\tab \fs22\cf0\f0\charscalex100 {aktifitas fisik. Selain itu juga keter

sediaan dan harga dari }\fs22\cf0\f0\charscalex100\i {junk }\i0 \par\pard\li1413\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100\i {food}\i0 \fs22\cf0\f0\charscalex100 { yang mudah terjangkau akan berisiko menimbulkan obesitas.}\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li773\ri0\sl-320\slmult0 \fs22\cf0\f0\charscalex100\b {Patofisiologi}\b0 \par\pard\li773\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {Obesitas terjadi karena adanya kelebihan energi yang disimpan dalam bentuk jaringan }\par\pard\li773\ri0\sl-386\slmult0 \fs20\cf0\f0\charscalex100 {lemak. Gangguan keseimbangan energi ini dapat disebabkan oleh faktor eksogen (obesitas }\par\pard\li773\ri0\sl-373\slmult0 \fs20\cf0\f0\charscalex100 {primer) sebagai akibat nutrisional (90%) danfaktor endogen (obesitas sekunder) akibat }\par\pard\li773\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {adanya kelainan hormonal, sindrom atau defek

genetik (meliputi 10%).}\par\pard\sect\sectd\sbknone\pgwsxn11893\pghsxn16840\marglsxn666\margrsxn133\cols2\colno1\colw5413\colsr-0\colno2\colw5680\pard\li2093\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li2093\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li2093\ri0\sl-333\slmult0 \fs22\cf0\f0\charscalex100\b {Obesitas Idiopatik}\b0\par\pard\li880\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li880\ri0\sl-213\slmult0\fs18\cf0\par\pard\li880\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li880\ri0\sl-400\slmult0 \fs22\cf0\f0\charscalex100 {>90% kasus }\par\pard\li880\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li880\ri0\sl-253\slmult0 \fs22\cf0\f0\charscalex100 {Perawakan tinggi (umumnya >50th persentil }\par\pard\li880\ri0\sl-373\slmult0 \fs22\cf0\f0\charscalex100 {TB/U) }\par\pard\li880\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li880\ri0\sl-253\slmult0 \fs20\cf0\f0\charscalex100 {Riwayat obesitas dalam keluarga umumnya }\par\pard\li880\ri0\sl-386\slmult0 \fs22\cf0\f0\charscalex100 {positif}\par\pard\li880\ri0\sl-453\slmult0 \fs22\cf0\f0\charscalex100 {Fungsi men

tal normal }\par\pard\li880\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li880\ri0\sl-253\slmult0 \fs22\cf0\f0\charscalex100 {Usia tulang : normal atau }\fs22\cf0\f0\charscalex100\i {advanced}\i0 \par\pard\li880\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li880\ri0\sl-253\slmult0 \fs22\cf0\f0\charscalex100 {Pemeriksaan fisis umumnya normal }\par\column\pard\li1133\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1133\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1133\ri0\sl-333\slmult0 \fs22\cf0\f0\charscalex100\b {Obesitas Endogen}\b0 \par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-400\slmult0 \fs22\cf0\f0\charscalex100 {


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\charscalex100 {Perawakan pendek (umumnya


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93,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft4133\shptop1440\shpright10386\shpbottom1453\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2095\shpz1\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 6253}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(6253,0);(6253,13);(13,13);(0,0);(0,0);(6266,0);(6253,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}





32/115

{\sp{\sn geoBottom}{\sv 14}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(6253,0);(6253,13);(0,13);(0,0);(0,0);(6253,0);(6253,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop3906\shpright4133\shpbottom3920\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2098\shpz4\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 2693}}{\sp{\sn geoBottom}{\sv 14}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(2693,0);(2693,13);(0,13);(0,0);(0,0);(2693,0);(269

3,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft4133\shptop3906\shpright10386\shpbottom3920\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2099\shpz5\shpbxpage\shpbypage




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824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft4133\shptop5586\shpright10386\shpbottom5600\shpfhdr0\shp


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wr3\shpwrk0\shpfblwtxt1\shplid2103\shpz9\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 6253}}{\sp{\sn geoBottom}{\sv 14}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(6253,0);(6253,13);(0,13);(0,0);(0,0);(6253,0);(6253,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop6053\shpright4133\shpbottom6066\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2104\shpz10\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}





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{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop6893\shpright4133\shpbottom6906\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2106\shpz12\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 2693}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(2693,0);(2693,13);(0,13);(0,0);(0,0);(2693,0);(2693,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft4133\shptop6893\shpright10386\shpbottom6906\shpfhdr0\shp

wr3\shpwrk0\shpfblwtxt1\shplid2107\shpz13\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 6253}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(6253,0);(6253,13);(0,13);(0,0);(0,0);(6253,0);(6253,0);}}{\sp{\sn pSegmentInfo}{\sv 2;16;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}




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{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}{\shp{\*\shpinst\shpleft1440\shptop8200\shpright4133\shpbottom8213\shpfhdr0\shpwr3\shpwrk0\shpfblwtxt1\shplid2110\shpz16\shpbxpage\shpbypage{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn rotation}{\sv 0}}{\sp{\sn geoRight}{\sv 2693}}{\sp{\sn geoBottom}{\sv 13}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVertici

Date post:	08-Jan-2016
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