Çocukluk Döneminde Obesite Sorunu

Year 1982, Volume: 35 Issue: 4, 717 - 726, 31.12.1982

Gönül Öcal

Abstract

Bu çalışma, çocukluk döneminde giderek artan obesite sıklığını ve buna neden olan genetik, çevresel, psikolojik ve nöroendokrin mekanizmaları incelemektedir. Enerji dengesini bozan hipotalamik disfonksiyonlar, hormonal bozukluklar, aşırı beslenme ve fiziksel aktivite eksikliği gibi etkenler detaylı olarak ele alınmıştır. Çocuklukta obezitenin hipertansiyon, diyabet, ortopedik problemler, psikososyal uyum bozuklukları ve endokrin patolojilere zemin hazırladığı vurgulanmaktadır. Tanı sürecinde antropometrik ölçümler (özellikle cilt kalınlığı), biyokimyasal parametreler ve gelişim değerlendirmeleri kullanılmıştır. Tedavi yaklaşımında yaşa uygun beslenme düzeni, egzersiz programları, psikolojik destek ve gerekirse medikal müdahale önerilmektedir. Ayrıca önleyici yaklaşım olarak anne sütüyle beslenmenin teşviki ve solid besinlere geçişin geciktirilmesi savunulmaktadır.

Keywords

çocukluk, obesite, sorun

Obesity Problems in Childhood

Abstract

This study explores the increasing prevalence of obesity in childhood and the genetic, environmental, psychological, and neuroendocrine factors contributing to it. Disruptions in energy balance due to hypothalamic dysfunctions, hormonal abnormalities, overnutrition, and insufficient physical activity are discussed in detail. Childhood obesity is linked to complications such as hypertension, diabetes, orthopedic issues, psychosocial challenges, and endocrine disorders. Diagnostic assessment includes anthropometric measurements (especially skinfold thickness), biochemical tests, and developmental evaluations. The recommended treatment approach involves age-appropriate dietary adjustments, exercise programs, psychological support, and medical interventions when necessary. Preventive strategies emphasize exclusive breastfeeding and delayed introduction of solid foods.

Keywords

çocukluk, obesite, sorun

References

• 1. Berwick DM — Are we what we eat? *Pediatrics*, 61: 496, 1978.
• 2. Bogert LJ, Briggs GM, Calloway DF — *Nutrition*, 8th Ed., W.B. Saunders, Philadelphia, London, 1973, p. 452.
• 3. Bondy PK, Rosenberg LE — Obesity and the adipose cell. In: *Metabolic Control and Disease*, 8th Ed., W.B. Saunders Co., Philadelphia, 1980, p. 495.
• 4. Börjeson M — The etiology of obesity in children. *Acta Pediatr. Scand.*, 65: 279, 1976.
• 5. Brook CGD — Evidence for a sensitive period in adipose cell replication in man. *Lancet*, II: 624, 1972.
• 6. Brook CGD — Fat cells in childhood obesity. *Lancet*, I: 224, 1975.
• 7. Botvin GO, Cantlon A, Carter BJ, Williams CL — Reducing adolescent obesity through a school health program. *J. Pediatr.*, 95: 1060, 1979.
• 8. Chandra RK, Kutty KM — Immunocompetence in obesity. *Acta Pediatr. Scand.*, 69: 25, 1980.
• 9. Committee to Review the Ten-State Nutrition — Trends in fatness and origin of obesity. *Pediatrics*, 57: 443, 1976.
• 10. Committee on Nutrition — Nutritional aspects of obesity in infancy and childhood. *Pediatrics*, 68: 880, 1981.
• 11. Davies DP, Gray DP, Elwood AC, Hopkinson C, Smith S — Effect of solid foods on growth of bottle-fed infants in first three months of life. *Br. J.*, 2: 7, 1977.
• 12. De Luise M, Blackburn GL, Flier JS — Reduced activity of the red-cell sodium-potassium pump in human obesity. *N. Engl. J. Med.*, 303: 107, 1980.
• 13. De Swiet M, Fayers P, Coper L — Effect of feeding habits on weight in infancy. *Lancet*, I: 892, 1977.
• 14. Dine MS, Cartside PS, Glueck CJ, Rheines L, Greche G, Khoury P — Where do the heaviest children come from? *Pediatrics*, 63: 1, 1979.
• 15. Ferris AG, Beal VA, Laus MJ, Hosmer OW — The effect of feeding on fat deposition in early infancy. *Pediatrics*, 64: 397, 1979.
• 16. Hirsch J, Knittle JL — Cellularity of obese and non-obese adipose tissue. *Pediatr. Proc.*, 29: 1516, 1970.
• 17. Hager A — Adipose tissue cellularity in childhood in relation to the development of obesity. *Brit. Med. Bull.*, 37: 287, 1981.
• 18. Kramar MS — Do breast-feeding and delayed introduction of solid foods protect against subsequent obesity? *J. Pediatr.*, 98: 883, 1981.
• 19. Neyzi O, Alp H — Ergenlik çağının özellikleri. *İstanbul Tıp Fakültesi Mecmuası*, 40: 187, 1977.
• 20. Neumann CG — Obesity in the preschool-age child. *Pediatr. Clin. North Amer.*, 24: 117, 1977.
• 21. Neumann CG, Meyer EE — Management of the obese adolescent. *Pediatr. Clin. North Amer.*, 24: 123, 1977.
• 22. Pisacano JC, Lichter H, Ritter J, Siegal AP — An attempt at prevention of obesity in infancy. *Pediatrics*, 61: 360, 1978.
• 23. Poskitt EME, Cole IJ — Nature, nurture and childhood overweight. *Br. Med. J.*, 1: 603, 1978.
• 24. Salans LB, Cushman SW, Weismann RE — Studies of human adipose tissue: Adipose cell size and number in non-obese and obese patients. *J. Clin. Invest.*, 52: 929, 1973.
• 25. Sohar E, Scapa E, Ravid M — Constancy of relative body weight in children. *Arch. Dis. Child.*, 48: 389, 1973.
• 26. Traitz LS — Obesity in pediatric practice: Infantile obesity. *Pediatr. Clin. North Amer.*, 24: 107, 1977.
• 27. Udal JN, Harrison GG, Vaucher Y, Welson PD, Morrow G — Interaction of maternal and neonatal obesity. *Pediatrics*, 62: 17, 1978.
• 28. Vuille JC, Melbin T — Obesity in 10-year-olds. *Pediatrics*, 64: 564, 1979.
• 29. Zerfas AJ, Sharr IJ, Neumann CG — Official assessment of nutritional status. *Pediatr. Clin. North Amer.*, 24: 253, 1977.