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Bel çevresi çocuklarda obesite veya zayıflığın klinik belirleyicisi olarak yararlı olabilir mi?

Can waist circumference clinically be useful as a predictor of obesity/underweight in children?

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Abstract (2. Language): 
Waist circumference is accepted as a better index of nutrition-related health risks. In this study we aimed to evaluate whether the measurement of waist circumference may clinically be useful as a predictor of obesity/ underweight in children or not. This descriptive and cross-sectional study was carried out on 2572 children selected by the cluster sampling method from 178 primary and high schools in Konya. Height, weight, hip and waist circumference were measured in all the cases. The differences of waist circumference according to age and gender were compared to Body Mass Index specific to age and gender. The mean value of waist circumference in boys was statistically greater than that of girls at the ages of 8, 10, 11, 15, 16, 17 and 18. Body Mass Index was statistically greater in boys than girls in the age group of 18 (p=0.037). Obesity prevalence was 7.7% in 8-yearold girl students and 5.3% in 9- and 14-year-old boy students. Prevalence of being overweight was 10.9% in 13-year-old girl students and 11.5% in 8 year-old boy students. Prevalence of being underweight was 17.9% in 18-year-old girl students and 20.0% in 7-year-old boy students. Waist circumference measurement is a very cheap, simple, easy and non-invasive method. Therefore, child nutrition can be closely monitored by measurement of waist circumference
Abstract (Original Language): 
Bel çevresi beslenme ile ilgili sağlık risklerini göstermede daha iyi bir indeks olarak kabul edilir. Bu çalışmada çocuklarda obesite/zayıflığın klinik belirleyicisi olarak bel çevresi ölçümünün yararlı olup olmayacağını değerlendirmeyi amaçladık. Bu tanımlayıcı ve kesitsel çalışma Konya’da 178 ilköğretim okulu ve liseden küme örneklem yöntemi ile seçilen 2572 çocuk üzerinde yapıldı. Tüm olgularda boy, kilo, kalça ve bel çevreleri ölçüldü. Yaşa ve cinse göre bel çevresi farklılıkları yaş ve cinse özel vücut kitle indeksi ile karşılaş- tırıldı. Erkeklerde 8, 10, 11, 15, 16, 17 ve 18 yaşlarda ortalama bel çevresi değerleri kızlarınkilerden istatistiksel olarak daha yüksek idi. Erkeklerde 18 yaşta vücut kitle indeksi değeri kızlarınkilerden istatistiksel olarak daha yüksek idi (p=0.037). Obesite sıklığı 8 yaşındaki kız öğrencilerde %7.7, 9 ve 14 yaşlarındaki erkek öğrencilerde ise %5.3 idi. Fazla kiloluluk 13 yaşındaki kız öğrencilerde %10.9 ve 8 yaşındaki erkek öğrencilerde %11.5 idi. Düşük kiloluluk 18 yaşındaki kız öğrencilerde %17.9 iken, 7 yaşındaki erkek öğ- rencilerde %20.0 olarak bulundu. Bel çevresi ölçümü çok ucuz, basit, kolay ve invaziv olmayan bir yöntemdir. Bu yüzden bel çevresi ölçümü ile çocuk beslenmesi yakından izlenebilir.
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