ARALIKLI ORUCUN OBEZİTE TEDAVİSİNDEKİ YERİ

Year 2023, Volume: 17 Issue: 4 - Turkish Journal of Family Medicine and Primary Care, 582 - 589, 19.12.2023

Figen Karahan , Esen Yeşil

https://doi.org/10.21763/tjfmpc.1329260

Abstract

Obezite; yaşam kalitesini düşüren ve uzun süreli tıbbi müdahale gerektiren yüksek morbidite ve mortalite riskleriyle ilişkili, 21. yüzyılın en önemli toplumsal salgını olup, sıklığı yıldan yıla artan kronik bir hastalıktır. Dünya Sağlık Örgütü verilerine göre; dünya çapında obezite prevalansı 1975-2016 arasında yaklaşık üç katına çıkmıştır. Obezitenin tıbbi beslenme tedavisinin amacı, kişiye özgü enerji kısıtlaması içeren uygun beslenme programları oluşturmaktır. Ancak günlük kalori kısıtlama diyetlerinde enerji gereksinimi her gün kısıtlandığı için diyete bağlılık düşüktür. Geleneksel günlük enerji kısıtlama modeline bir alternatif olarak aralıklı oruç, insanlar tarafından büyük ilgi görmüştür. Aralıklı oruç; yemek yeme dönemleriyle birlikte dönüşümlü olarak yemek yememe (oruç) dönemlerini de kapsayan benzersiz bir diyet stratejisini oluşturmaktadır. Aralıklı oruç modelleri; alternatif gün orucu, düzenlenmiş aralıklı oruç (5:2 yöntemi) ve zaman kısıtlı aralıklı oruç yöntemi olmak üzere 3 ana başlıkta sınıflanmaktadır. Yapılan birçok çalışmada, aralıklı orucun klasik kalori kısıtlama diyetleriyle benzer oranda ağırlık kaybı sağladığı bulunmuştur. Bu derlemede aralıklı orucun obezitenin tıbbi beslenme tedavisinde etkin olup olmadığını tartışmak amaçlanmıştır.

Keywords

aralıklı oruç, obezite, beden kitle indeksi

THE PLACE OF INTERMITTENT FASTING IN OBESITY TREATMENT

Abstract

Obesity is the most important social epidemic of the 21st century, which is associated with high morbidity and mortality risks that reduces the quality of life and requires long-term medical intervention, and is a chronic disease whose frequency is increasing year by year. According to the World Health Organization data; The prevalence of obesity worldwide nearly tripled between 1975 and 2016. The aim of medical nutrition therapy of obesity is to create appropriate nutrition programs that include energy restriction specific to the individual. However, adherence to the diet is low in daily calorie restriction diets, as the energy requirement is restricted every day. As an alternative to the traditional daily energy restriction model, intermittent fasting has received a lot of attention from people. intermittent fasting; It constitutes a unique dietary strategy that includes alternating periods of not eating (fasting) along with periods of eating. Intermittent fasting models; It is classified under 3 main headings as alternate day fasting, regulated intermittent fasting (5:2 method) and time-restricted intermittent fasting method. Many studies have found that intermittent fasting provides weight loss at a similar rate to conventional calorie restriction diets. In this review ıt is aimed to discuss whether intermittent fasting is effective in the medical nutrition treatment of obesity.

Keywords

intermittent fasting, obesity, body mass index

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