Amaç: Obezite, çocuk ve adölesanların %25-30’unu etkileyen önemli bir sağlık problemidir. Bu çalışmada, Keçiören Eğitim ve Araştırma Hastanesi çocuk sağlığı ve hastalıkları polikliniğine başvuran 6-17 yaş aralığındaki çocuklarda hangi yaşlarda obezitenin zirve yaptığı ve obezite gelişiminde rol oynayan risk faktörlerinin (beslenme, aktivite, aile öyküsü) belirlenmesi amaçlanmıştır.Gereç ve Yöntemler: Çalışma kesitsel olarak planlanıp, Ekim 2019- Aralık 2019 tarihleri arasında Ankara Keçiören Eğitim ve Araştırma Hastanesi Pediatri Polikliniğine herhangi bir sebeple başvuran 3000 adet 6-17 yaş arası çocuklar ve velileri dahil edilmiştir.
Bulgular: Çocukların %78.6’sında obezite yok iken %21.4’ünde obezite mevcuttu. Doğum ağırlığı ile obezite arasında anlamlı ilişki bulunmuştur (p= 0.001). Televizyon izleme, bilgisayar ile uğraşma, video oyun oynama için ayrılan günlük sürenin ile obezite arasında anlamlı ilişki saptanmıştır (p<0.001). Spor, bisiklet sürme, dışarıda oynama gibi fiziksel aktiviteler ile obezite arasında anlamlı ilişki saptanmıştır (p=0.045). Obezite oranı fiziksel aktivite süresinin artması ile anlamlı derecede azalmıştır. Çalışmamızda annesi obez olan çocuklarda obezite 1.77 (1.25-2.50) kat, babası obez olan çocuklarda obezite 2.01 (1.42-2.85) kat daha fazla görülmüştür (p<0.001).
Sonuç: Tüm yaş gruplarında olduğu gibi çocukluk çağında da obezite görülme sıklığı giderek artmaktadır. Bu artışın önüne geçebilmek için gerekli önlemlerin en erken safhada alınması gerekmektedir. Çocuklarda obezitenin önlenmesi ve tedavisinin temelinde yeterli ve dengeli beslenme ve fiziksel aktivitenin önemi büyüktür. Öncelikli amaç yaşam tarzı değişikliği olmasına rağmen obeziteye bağlı ciddi komplikasyonların varlığında gereklilik halinde farmakoterapi veya cerrahi tedavi de denenebilmektedir.
Objective: Obesity is an important health problem affecting 25-30% of children and adolescents. This study, it was aimed to determine the age intervals in which obesity reaches to peak incidence and risk factors playing role in the development obesity among children and adolescents aged 6-17 years who presented to pediatrics outpatient clinic of Ankara Keçiören Training and Research Hospital.
Material and Methods: This cross-sectional study included 3.000 children and adolescents aged 6-17 years and their parents who presented with any reason to pediatrics outpatient clinic of Ankara Keçiören Training and Research Hospital between October, 2019 and December, 2019.
Results: Obesity was detected in 21.4% of children while 78.6% were not obese. A significant correlation was detected between birth weight and obesity (p=0.001). A significant correlation was found between obesity and time spent for TV, computer and video games per day (p<0.001). The obesity was significantly decreased by increasing duration of physical activity. In the study, the obesity incidence was 1.77-folds (1.25-2.50) higher in children with obese mother and 2.01-folds (1.42-2.85) in children with obese father.
Conclusion: The obesity incidence is progressively increasing in childhood as with other age groups. To prevent such increase, measures should be taken as early as possible. An adequate and balanced nutrition and physical activity are of important in prevention and treatment of obesity. Although primary goal is to achieve lifestyle modifications, pharmacotherapy or surgery may be attempted in the presence of severe obesity-related complications.
Primary Language | English |
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Subjects | Internal Diseases |
Journal Section | ORIGINAL ARTICLES |
Authors | |
Early Pub Date | May 3, 2023 |
Publication Date | May 29, 2023 |
Submission Date | June 23, 2022 |
Published in Issue | Year 2023 Volume: 17 Issue: 3 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 6 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.