Çocuklarda Metabolik Sendromun Tedavisinde Beslenme Yönetimi

Yıl 2012, Cilt: 10 Sayı: 3, 92 - 97, 01.12.2012

Nalan Hakime Noğay , Gülden Köksal

https://doi.org/10.4274/Jcp.10.04

Öz

Metabolik sendrom, merkezi yada abdominal obezite, hipertrigliseridemi,hipertansiyon, düşük HDL kolesterol ve yüksek açlık glukoz düzeylerinden en az üçünesahip olunması olarak tanımlanmaktadır. Metabolik sendrom daha çok erişkinlerinsorunu olarak bilinirken, son yıllarda çocuklarda da önemli bir sorun olarak karşımızaçıkmaktadır. Çocuklarda metabolik sendromun tanımlanmasında değişik araştırmagrupları tarafından önerilen farklı tanımlamalar vardır. Bu tanımların hepsi deobezitenin bir parçası olan BKI Beden Kitle İndeksi ve bel çevresini, dislipidemininbir parçası olan yükselmiş trigliserit ve düşük HDL kolesterol, yükselmiş kan basıncı veglukoz metabolizmasının bir göstergesi olan bozulmuş açlık glukoz toleransı ya dabozulmuş açlık insülin düzeyleri gibi özellikleri içermektedir. IDF Uluslar arası DiyabetFederasyonu çocuklarda yaş ile ilgili farklılıklardan dolayı, tanımlamaların yaşgruplarına göre yapılmasını önermiştir. Çocuklarda obezite sıklığının artması,metabolik sendrom sıklığını arttıran en önemli neden olarak kabul edilmektedir.Metabolik sendromun bileşenleri kilo kontrolü, diyet ve fiziksel aktivite gibi farklıyaşam tarzı ile kontrol edilebilmektedir. Bu nedenle metabolik sendromun tedavisindeöncelikle beslenme alışkanlıkları ve fiziksel aktivite gibi etmenlere yönelik müdahaleyapılmalıdır. Bu derleme yazıda çocuklarda metabolik sendromun beslenme tedavisi tartışılacaktır

Anahtar Kelimeler

Metabolik sendrom, beslenme, çocuklar

Nutritional Management of Metabolic Syndrome in Children

Öz

The metabolic syndrome is defined as the presence of at least three of the followingcriteria: central or abdominal obesity, hypertrglyceridemia, hypertension, low HDLcholesterol and high fasting glucose levels in an individual. Although metabolicsyndrome is known as a problem of adults, in recent years it appears to be a majorproblem in children also. Identification of the metabolic syndrome in children is basedon different definitions proposed by different research groups. All of the definitionsshare common features: First, all definitions include an obesity element waistcircumference or BMI , two “dyslipidemia” elements elevated triglycerides and lowHDL cholesterol , elevated blood pressure, and a component representing glucosemetabolism impaired fasting glucose or impaired glucose tolerance . Because of theage-related differences in children and adolescents, the IDF suggests definingmetabolic syndrome according to age groups. The increase in the prevalence ofobesity in children, increase in the frequency of metabolic syndrome leading to thecause. Components of metabolic syndrome can be controlled separately by lifestyleinterventions such as weight control, diet, and physical activity. Therefore, the primarytreatment of metabolic syndrome should focus on factors such as dietary habits andphysical activity. In this article, we discuss nutritional therapy of the metabolicsyndrome in children

Anahtar Kelimeler

Metabolic syndrome, nutrition, children

Kaynakça

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