Öz
Kaynakça
- 1. Shiyko M, Hallinan S, Seif El-Nasr M, Subramanian S, Castaneda-Sceppa C. Effects of Playing a Serious Computer Game on Body Mass Index and Nutrition Knowledge in Women. JMIR Serious Games 2016; 4: 8. DOI:10.2196/games.4977.
- 2. 2 .Joslowski G, Halim J, Goletzke J, Gow M, Ho M, Louie JCY et al. Dietary glycemic load, insulin load, and weight loss in obese, insulin resistant adolescents: RESIST study. Clin Nutr 2015; 34: 89-94. DOI: 10.1016/j.clnu.2014.01.015.
- 3. Alfadda AA, Al-Dhwayan MM, Alharbi AA, Al Khudhair BK, Al Nozha OM, Al-Qahtani NM et al. The Saudi clinical practice guideline for the management of overweight and obesity in adults. Saudi med j 2016; 37:1151. DOI: 10.15537/smj.2016.10.14353.
- 4. Arroyo-Johnson C, Mincey KD. Obesity Epidemiology Worldwide. Gastroenterol Clin North Am 2016; 45: 571-9. Gastroenterol Clin N Am 45 (2016) 571–579. DOI: 10.1016/j.gtc.2016.07.012
- 5. Wan CS, Ward LC, Halim J, Glow ML, Ho M, Briody JN et al. Bioelectrical impedance analysis to estimate body composition, and change in adiposity, in overweight and obese adolescents: comparison with dual-energy x-ray absorptiometry. Bmc Pediatr 2014; 14.1: 249. https://doi.org/10.1186/1471-2431-14-249.
- 6. Nakade M, Aiba N, Suda N, Morita A, Miyachi M, Sasaki S et al. Behavioral change during weight loss program and one-year follow-up: Saku Control Obesity Program (SCOP) in Japan. Asia Pac J Clin Nutr 2012; 21: 22-34. DOI:10.6133/apjcn.2012.21.1.04.
- 7. Ard J. Obesity in the US: what is the best role for primary care? Brit Med J 2015; 350: 7846. doi: https://doi.org/10.1136/bmj.g7846.
- 8. Ockene IS, Hebert JR, Ockene JK, Saperia GM, Stanek E, Nicolosi R et al. Effect of physician-delivered nutrition counseling training and an office-support program on saturated fat intake, weight, and serum lipid measurements in a hyperlipidemic population: Worcester Area Trial for Counseling in Hyperlipidemia (WATCH). Arch Intern Med 1999; 159: 725-31. DOI:10.1001/archinte.159.7.725.
- 9. Tsai AG, Wadden TA, Rogers MA, Day SC, Moore RH, Islam BJ. A primary care intervention for weight loss: results of a randomized controlled pilot study. Obesity 2010; 18: 1614-8. https://doi.org/10.1038/oby.2009.457.
- 10. Tsai AG, Wadden TA. Treatment of obesity in primary care practice in the United States: a systematic review. J Gen Intern Med 2009; 24: 1073-9. DOI: 10.1007/s11606-009-1042-5.
- 11. Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, et al. 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults. Circulation 2014; 129 (Suppl 2): 102-38. DOI: 10.1016/j.jacc.2013.11.004.
- 12. Wadden TA, Volger S, Sarwer DB, Vetter ML, Tsai AG, Berkowitz RI, et al. A two-year randomized trial of obesity treatment in primary care practice. New Engl J Med 2011; 365: 1969-79. DOI: 10.1056/NEJMoa1109220 .
Öz
Aim/Background: Obesity is an
important problem facing healthcare givers. Obesity care requires a
comprehensive approach including diet, exercise, frequent visits and
counseling. Guidelines recommend frequent follow-up visits in the first three months.
However, some patients fail to attend regularly. This study was intended to
examine differences in body mass index (BMI) and body fat percentage (BFP)
after weight loss among overweight subjects with regular and irregular
follow-up attendance. Methods: We
designed a historical cohort study involving patients with BMI of ≥ 25 kg/m2.
Decreases in BMI and BFP between regular follow-up and irregular follow-up
groups were evaluated at the end of three months. Results:
186 patients, 156 women (83.9%) and 30 men (16.1%), with a mean age of 37.8 ±
12.0 years, met the inclusion criteria. One hundred twenty-seven patients
(68.3%) attended regular follow-ups and 59 patients (31.7%) attended
irregularly. Significant differences were found in BMI and fat percentages
between the first visit and at the end of the 3rd month in both groups
(p<0.001). The differences in the decreases in BMI and BFP between the two
groups were significant (p<0.001). Conclusion:
Statistically significant differences were found between the regular and
irregular follow-up groups in terms of decreases in BMI and fat percentages.
Although regular follow-up of obese patients is recommended, even patients
attending only irregularly can achieve significant weight loss.
Amaç: Obezite sağlık
hizmeti verenlerin karşılaştığı önemli bir sorundur. Obezite bakımı; diyet,
egzersiz, sık izlem ve danışmanlığı içeren kapsamlı bir yaklaşım gerektirir.
Kılavuzlar ilk üç ayda sık takip ziyaretleri yapılmasını önermektedir. Ancak,
bazı hastalar takiplere düzenli olarak katılamamaktadır. Bu çalışma, düzenli ve
düzensiz izlem sıklığına sahip olan fazla kilolu bireyler arasında, kilo
verdikten sonra beden kitle indeksi (BKİ) ve vücut yağ yüzdesi (BFP) arasındaki
farkları incelemeyi amaçlamıştır. Yöntem:
BKİ ≥ 25 kg / m2 olan hastaları içeren bir retrospektif kohort
çalışması tasarladık. Düzenli ve düzensiz takip grupları arasında, BKİ ve BFP'
de düşüş, üç ayın sonunda değerlendirildi. Bulgular:
Dahil etme kritelerini karşılayan 186 hastanın, 156’sı kadın (% 83,9) ve 30’u
erkek (% 16,1), yaş ortalaması 37,8 ± 12,0 yıl idi. Takiplere 127 hasta (%
68,3) düzenli, 59 hasta (% 31,7) düzensiz olarak katılmıştı. Her iki grupta da
ilk ziyaret ve 3. ay sonunda BKİ ve yağ yüzdelerinde anlamlı farklılıklar
gözlendi (p <0,001). İki grup arasında BKİ ve BFP'deki azalmadaki farklar
anlamlıydı (p <0,001). Sonuç:
Düzenli ve düzensiz takip grupları arasında BKİ'deki ve yağ yüzdeleri açısından
azalmalarda istatistiksel olarak anlamlı farklılıklar gözlendi. Her ne kadar
obez hastaların düzenli olarak izlenmesi önerilse de, düzensiz takipli hastalar
bile anlamlı kilo verebilirler.
Anahtar Kelimeler
Body fat distribution body mass index electric impedance obesity overweight
Kaynakça
- 1. Shiyko M, Hallinan S, Seif El-Nasr M, Subramanian S, Castaneda-Sceppa C. Effects of Playing a Serious Computer Game on Body Mass Index and Nutrition Knowledge in Women. JMIR Serious Games 2016; 4: 8. DOI:10.2196/games.4977.
- 2. 2 .Joslowski G, Halim J, Goletzke J, Gow M, Ho M, Louie JCY et al. Dietary glycemic load, insulin load, and weight loss in obese, insulin resistant adolescents: RESIST study. Clin Nutr 2015; 34: 89-94. DOI: 10.1016/j.clnu.2014.01.015.
- 3. Alfadda AA, Al-Dhwayan MM, Alharbi AA, Al Khudhair BK, Al Nozha OM, Al-Qahtani NM et al. The Saudi clinical practice guideline for the management of overweight and obesity in adults. Saudi med j 2016; 37:1151. DOI: 10.15537/smj.2016.10.14353.
- 4. Arroyo-Johnson C, Mincey KD. Obesity Epidemiology Worldwide. Gastroenterol Clin North Am 2016; 45: 571-9. Gastroenterol Clin N Am 45 (2016) 571–579. DOI: 10.1016/j.gtc.2016.07.012
- 5. Wan CS, Ward LC, Halim J, Glow ML, Ho M, Briody JN et al. Bioelectrical impedance analysis to estimate body composition, and change in adiposity, in overweight and obese adolescents: comparison with dual-energy x-ray absorptiometry. Bmc Pediatr 2014; 14.1: 249. https://doi.org/10.1186/1471-2431-14-249.
- 6. Nakade M, Aiba N, Suda N, Morita A, Miyachi M, Sasaki S et al. Behavioral change during weight loss program and one-year follow-up: Saku Control Obesity Program (SCOP) in Japan. Asia Pac J Clin Nutr 2012; 21: 22-34. DOI:10.6133/apjcn.2012.21.1.04.
- 7. Ard J. Obesity in the US: what is the best role for primary care? Brit Med J 2015; 350: 7846. doi: https://doi.org/10.1136/bmj.g7846.
- 8. Ockene IS, Hebert JR, Ockene JK, Saperia GM, Stanek E, Nicolosi R et al. Effect of physician-delivered nutrition counseling training and an office-support program on saturated fat intake, weight, and serum lipid measurements in a hyperlipidemic population: Worcester Area Trial for Counseling in Hyperlipidemia (WATCH). Arch Intern Med 1999; 159: 725-31. DOI:10.1001/archinte.159.7.725.
- 9. Tsai AG, Wadden TA, Rogers MA, Day SC, Moore RH, Islam BJ. A primary care intervention for weight loss: results of a randomized controlled pilot study. Obesity 2010; 18: 1614-8. https://doi.org/10.1038/oby.2009.457.
- 10. Tsai AG, Wadden TA. Treatment of obesity in primary care practice in the United States: a systematic review. J Gen Intern Med 2009; 24: 1073-9. DOI: 10.1007/s11606-009-1042-5.
- 11. Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, et al. 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults. Circulation 2014; 129 (Suppl 2): 102-38. DOI: 10.1016/j.jacc.2013.11.004.
- 12. Wadden TA, Volger S, Sarwer DB, Vetter ML, Tsai AG, Berkowitz RI, et al. A two-year randomized trial of obesity treatment in primary care practice. New Engl J Med 2011; 365: 1969-79. DOI: 10.1056/NEJMoa1109220 .
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | İç Hastalıkları |
| Bölüm | Orijinal Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 18 Haziran 2019 |
| Gönderilme Tarihi | 23 Ocak 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 13 Sayı: 2 |
Sağlığın ve birinci basamak bakımın anlaşılmasına ve geliştirilmesine katkıda bulunacak yeni bilgilere sahip yazarların İngilizce veya Türkçe makaleleri memnuniyetle karşılanmaktadır.