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Sağlıklı Çocuklarda Tuz Tüketimi, Kan Basıncı ve Kardiyovasküler Hastalık İlişkisi

Salt Intake, Blood Pressure and Cardiovascular Disease in Healthy Children

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Abstract (2. Language): 
The level of blood pressure decrease obtained by salt restriction in children is very small. Furthermore, the relation of decreased blood pressure in these studies has not been linked to the risk and prevalence of hypertension related diseases. However, the results of these studies are important for three reasons: 1) There is a strong relationship between the blood pres¬sure in childhood and adulthood. 2) Blood pressure in this period has been associated with early atherosclerosis in the second decade of life. 3) Dietary salt intake in the early periods of life has a programming effect on the blood pressure in adolescence and adulthood. Dietary salt intake in developed countries is consider¬ably high and this is associated with increased risk of hyperten¬sion. Nutritionists recommend that daily salt intake should be decreased to 5-6 g from the current level of 10-15 g. Thus, in infancy breast feeding should be supported and afterwards, the consumption of fast food and processed food with high salt con¬tent should be decreased.
Abstract (Original Language): 
Çocuklarda tuz alımının kısıtlanması ile kan basıncında sağlanan azalma çok azdır. Ayrıca, bu çalışmalarda elde edilen kan basıncı düşüşünün, hipertansiyon ile ilişkili hastalık riski ve yaygınlığına etkisi de dökümante edilmemiştir. Bununla birlikte, bu çalışmaların sonuçları üç nedenle önemlidir: 1) Çocukluk çağındaki kan basıncı ile erişkin kan basıncı arasında güçlü bir ilişki vardır. 2) Bu dönemdeki kan basıncı ile yaşamın ikinci on yılındaki erken ate-roskleroz arasında ilişki saptanmıştır. 3) Yaşamın erken dönemindeki tuz alımının adölesan ve erişkin yaşlardaki kan basıncı üzerinde bir erken programlama etkisi bulunmaktadır. Günümüzde gelişmiş ülkelerde çocukların tuz alımı gereksiz ölçüde yüksektir ve ileride hipertansiyon gelişimi riskini artırmaktadır. Beslenme uzmanları tuz tüketiminde şu an için 10-15 g olan düzeyi 5-6 g'a düşürmeyi önermektedirler. Bu amaçla, sütçocukluğu döneminde anne sütü ile beslenmenin desteklenmesine, daha sonra da yüksek tuz içerik¬li "fast food" ve işlenmiş gıdaların tüketilmesinin önlenmesine çalışılmalıdır.
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