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Günümüzün Çocukluk ve w Adolesan Çağı Epidemisi: Obezite

TODAY'S EPIDEMIC IN CHILDHOOD AND ADOLESCENCE: OBESITY

Journal Name:

  • Türkiye Aile Hekimliği Dergisi

Publication Year:

  • 2007

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Today, obesit y has increased in all age groups and become an important health issue not only in developed countries but in developing countries as well. The World Health Organization reported in 2005 that, childhood obesity has reached worrisome levels. In addition, the rapid increase in childhood obesity rates among Mediterranean countries was found to be remarkable. Obesity in childhood and adolescence causes chronic diseases such as atherosclerotic heart disease, dyslipidemia, type 2 dia¬betes as well as social and psychological problems. Its prevalence was found to be higher in the low socio-economic class of devel¬oped countries and the high socio-economic class of developing countries. Several environmental, psychological and genetic fac¬tors are associated with obesity. Eating habits, life style, decreased physical activity is considered to be responsible in rapid increase of childhood obesity rather than genetic factors. Prevention is the most important step in obesity management. The primary goal of management plans should be to promote healthy eating habits and life style. Primary care physicians and health workers have an important responsibility to prevent, detect, and manage obesity in childhood and adolescence. In con¬clusion, primary care settings should take the necessary steps and advocate in the community to prevent today's epidemic, child¬hood and adolescence obesity.
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Abstract (Original Language): 
Günümüzde, obezite, tüm yaş gruplarında hızla artmış, gelişmiş ülkeler kadar gelişmekte olan ülkelerin de önemli bir sağlık sorunu haline gelmiştir. Dünya Sağlık Örgütü 2005 raporunda, çocukluk çağında, obezitenin endişe verici boyutlara ulaştığı bildirilmiştir. Obezitenin, Akdeniz ülkeleri çocuklarındaki hızlı artışı dikkat çekicidir. Çocukluk ve adolesan çağda görülen obezite, ateroskle-rotik kalp hastalıkları, hiperlipidemi, tip 2 diyabet gibi kronik has¬talıkların yanı sıra bir çok psikolojik ve sosyal soruna da neden olmaktadır. Obezite sıklığı, gelişmiş ülkelerde, düşük sosyo-ekono-mik düzey ile, gelişmekte olan ülkelerde ise yüksek sosyo-ekono-mik düzey ile ilişkilendirilmiştir. Obezite gelişiminde, bir çok çevresel, psikolojik ve genetik faktör rol oynar. Son dönem obezite pre-valansındaki hızlı artıştan, genetik faktörlerden çok kültürel yapı içinde yeme alışkanlıkları, yaşam tarzı, azalmış fiziksel aktivite so¬rumlu tutulmaktadır. Çocukluk çağında obezite yönetiminin en önemli basamağını koruyucu önlemler oluşturur. Yönetim planının ana hedefi sağlıklı yaşam tarzı ve beslenme alışkanlıklarının ka¬zanılmasıdır. Çocuk ve adolesanları obeziteden koruma, obezite geliştiyse, tanıyıp uygun yönetim planı oluşturma konusunda birinci basamak hekimleri ve sağlık çalışanlarına önemli sorumluluk düşmektedir. Sonuç olarak, birinci basamak çalışanları, ciddi koruma stratejileri oluşturarak ve uygulanmasını sağlayarak, günümü¬zün epidemisi, çocukluk çağı obezitesini önleme konusunda ge¬rekli adımların atılmasına öncülük etmelidirler.
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92-96
  • Turkish

REFERENCES

References: 

1. http://www.iotf.org/aboutobesity.asp International Obesity Task Force adresinden 11.7.2006 tarihinde erişilmiştir
2. http://www.who.int/dietphysicalactivity/publications/facts/obesity/en adresinden 11.7.2006 tarihinde erişilmiştir
3. http://www.euro.who.int/document/mediacentre/fs1305e.pdf The challenge of obesity in the WHO European Region. 11.7.2006 tarihinde erişilmiştir
4. Himes JH, Dietz WH. Guidelines for overweight in adolescent preventive services: recommendations from an expert committee. The Expert Committee on Clinical Guidelines for Overweight in adolescent Preventive Services. Am J Clin Nutr 1994; 59: 307-16.
5. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ
2000; 320: 1240-3.
6. de Onis M, Blösner M. Prevalence and trends of overweight among presho-ol children in developing countries. Am J Clin Nutr 2000; 72: 1032-9.
7. Dişcigil G, Gürel FS, Gemalmaz A, Başak O, Tekin N. Prevalence and Predictors of Childhood Obesity in Aydın-Turkey. 12th Regional Conference of Wonca Europe ESGP/FM Abstract Book 2006; SPOP 1.6: 280.
8. Öner N, Vatansever U, Sari A ve ark. Prevalence of underweight, overweight and obesity in Turkish adolescents. Swiss Med Wkly 2004; 134: 529-33.
9. Toyran M, Özmert E, Yurdakok K. Television viewing and its effect on physical health of schoolage children. Turk J Pediatr 2002; 44: 194-203.
10.
Çifçil
i S, Ünalan P, Kalaça Ç, Apaydın Ç, Uzuner A. Çocukluk, Obezite ve Televizyon. Pediatri Dergisi 2003; 12: 67-71.
11. Kirchengast S, Schober E. Obesity among female adolescents in Vienna, Austria-the impact of childhood weight status and ethnicity. BJOG 2006; 113:
1188-94.
12. Martorell R, Khan LK, Hughes ML, Grummer-Strawn LM. Overweight and obesity in preschool children from developing countries. Int J Obes 2000;
24: 959-67.
13. Lobstein T, Frelut M-l. Prevalence of overweight among children in Euro¬pe, Obes Rev 2003, 4: 195-200.
14. http://www.parliament.the-stationery-office.co.uk/pa/cm200304/cmselect/ cmhealth/23/23.pdf - Obesity: Third Report of Session 2003-4 adresinden 11.7.2006 tarihinde erişilmiştir
15. Maffeis C. Aetiology of overweight and obesity in children and adolescents. Eur J Pediatr 2000; 159: 35-44.
16. Deckelbaum RJ, Williams CL. Childhood obesity: the health issue. Obes Res 2001; 9(Suppl 4): 239-43.
17. Wabitsch M. Overweight and obesity in European children and adolescents: causes and consequences, treatment and prevention: An introduction. Eur J
Pediatr 2000; 159: 5-7.
18. Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH. Long term morbi¬dity and mortality of overweight adolescents: a follow-up of the Harvard Growth Study of 1922 to 1935. N Eng J Med 1992; 327: 1350-5.
19. Sedula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T.
Do obese children become obese adults? A review of the literature. Prev Med
1993; 22: 167-77.
20. Whitaker RC, Wright JA, Pepe MS, Siedel KD, Dietz WH. Predicting
obesity in young adulthood from childhood and parental obesity. N Eng J
Med 1997; 337: 869-73.
21. Gordon - Larsen P, Mullan K, Ward DS, Popkin BM. Acculturation and overweight-related behaviours among immigrants to the US: The national longitudinal study of adolescent health. Soc Sci Med 2003; 57: 2023-34.
22. Shatenstein B, Ghadirian P. Influences on diet, health behaviours and their outcome in select ethnocultural and religious groups. Nutrition 1998; 14: 223¬30.
23. Martinez ES, Allen B, Ortega CF, Mejia GT, Galal O, Ponce EL. Over¬weight and obesity status among adolescents from Mexico and Egypt. Arch of
Med Res 2006; 37: 535-42.
24. Manios Y, Dimitriou M, Moschonis G, Kocaoglu B, Sur H, Keskin Y et
al. Cardiovascular risk factors among children of different socioeconomic sta¬tus in Istanbul, Turkey: direction for public health and nutrition policy. Lipid Health Dis 2004; 3: 11-7.
25. Wardle J, Brodersen NH, Cole TJ, Jarvis MJ, Boniface DR. Development of adiposity in adolescence: five year longitudinal study of an ethnically and socioeconomically diverse sample of young people in Britain. BMJ 2006;
332:1130-5.
26. Lissau I, Sorensen TIA. Parental neglect during childhood and increased risk of obesity in young adulthood. Lancet 1994; 343: 324-7.
27. Bultman S, Michaud E, Woychik R. Molecular characterization of the mo¬use agouti locus. Cell 1992; 71:1195-204.
28. Naggert J, Fricker L, Varlamov O. Hyperproinsulinemia in obese fat/ fat mice associated with carboxypeptidase E mutation with reduced enzyme ac¬tivity. Nat Genet 1995; 10: 135-42.
29. Zhang Y, Proenca R, Maffei M. Positional cloning of the mouse obese ge¬ne and its human homologue. Nature 1994; 372: 425-32.
30.
Güre
l FS, İnan G. Çocukluk çağı obezitesi tanı yöntemleri, prevalansı ve et-yolojisi. ADÜ Tıp Fakültesi Dergisi 2001; 2: 39-46.
31. Diamanti-Kandarakis E, Bergiele A. The influence of obesity on hyperand-rogenism and infertility in the female. Obes Rev 2001; 2: 231-8.
32. Michelmore KF. Polycystic ovary syndrome in adolescence and early adult¬hood. Hum Fertil 2000; 3: 96-100.
33. Power C, Lake J, Cole T. Measurement and long-term health risks of child and adolescent fatness. Inter J of Obesity 1997; 21: 507-26.
34. Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The relation of overweight to cardivascular risk factors among children and adolescents: The
Bogalusa Heart Study. Pediatrics 1999; 103: 1175-82.
35. Sorof JM, Lai D, Turner J, Poffenberger T, Portman RJ. Overweight,
Ethnicity,
and the Prevalence of Hypertension in School-Aged Children. Pe¬diatrics 2004; 113: 475-82.
36. von Kries R, Koletzko B, Sauerwald T ve ark. Breast feeding and obesity:
cross sectional study. BMJ1999; 319: 147-50.
37. Fowler - Brown A , Kahwatı L. Prevention and treatment of overweight in children and adolescents. Am Fam Phys June 2004; 69: 2591-9.
38. Patient Information Collection: Nutrition. Am Fam Physician 2004; 69: 923¬39.
39. Moran R. Evaluation and treatment of childhood obesity. Am Fam
Physician. 1999; 59: 861-78.
40. Barlow SE, Dietz WH. Obesity evaluation and treatment: expert committee recomendations. Pediatrics 1998; 102: E29.
41. Lyznicki JM, Young DC, Riggs JA, Davis RM. Obesity: Assessment and Management in primary care. Am Fam Phys 2001; 63: 2185-96.

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