Birinci Basamakta Obeziteye Yaklaşım

Öz

Özet

Obezitenin prevalansı tüm dünyada olduğu gibi ülkemizde de artmaktadır. Obezite modern yaşantının doğal bir sonucu olarak görünmekte ve kardiyovasküler hastalıklar, metabolik sendrom, Tip 2 Diyabetes Mellitus gibi hastalıklarla bağlantılıdır. Bu nedenle obezite ve obeziteyle ilişkili hastalıkların önlenmesinde birinci basamak sağlık hizmetleri çok önemlidir. Bu yazıda birinci basamak sağlık hizmetlerinde obeziteye yaklaşım konusu gözden geçirilecektir.

Anahtar Kelimeler

• Obezite,diyet,birinci basamak sağlık hizmetleri

Approach Of Obesity In Primary Health Care

Abstract

The prevalence of obesity is increasing all over the world as our country. Obesity seems to be a natural consequence of modern life and it is associated with many diseases such as cardio vascular diseases, metabolic syndrome, Type 2 Diabetes Mellitus. That is why primary health care is very important to prevent obesity and obesity associated diseases. In this review issue of approach the obesity in primary health care will be overviewed. 

Keywords

• Obesity,diet,primary health care

Kaynakça

1. 1. World Health Organization 2008. Global strategy on diet physical activity and health.
2. 2. Bahçeci M. Obezite. In: TEMD Obezite, Dislipidemi, Hipertansiyon Çalışma Grubu eds. Türkiye Endokrinoloji ve Metabolizma Derneği Hipertansiyon, Obezite, ve Lipid Metabolizması Tanı ve Tedavi Rehberi. 2011, Ankara, Miki Matbaacılık, pp: 50-80.
3. 3. Samuel Klein and Johannes A. Romijn. Obesity. Williams Textbook of Endocrinology 11 th Edition 2008:1563- 1587
4. 4. Satman İ, Şengül AM, Uygur S, Salman F, Baştar İ, Sargın M, Tütüncü Y, Karşıdağ K, Dinççağ N, Özcan C, Yılmaz MT. The TURDEP Group. Population based study of diabetes and risk characteristics in Turkey: results of the Turkish diabetes epidemiology study (TURDEP). Diabetes Care 2002;25:1551-1556.
5. 5. Satman İ, Alagöl F, Ömer B, et al. Türkiye Diyabet, Hipertansiyon, Obezite ve Endokrinolojik hastalıklar prevalans çalışması-II (TURDEP-II). www.turkendocrin. org/files/fileD_156.pdf
6. 6. The challenge of obesity in the WHO European Region and the strategies for response, Ed. Francesco Branca,Haik Nikogosian ve Tim Lobstein, WHO, Denmark, 2007.
7. 7. World Health Organization. Obesity and Overweight Fact Sheet No:311, Geneva, WHO. http://who.int/ mediacentre/ factsheets/fs3117en/print.html.
8. 8. James. WP. What are health risks? The medical consequences of obesity and its health risks.Exp. Clin Endocrinol Diabetes 1998:106 (Suppl 2):1-6

9. 9. Han TS, van Leer EM, Seidell JC, Lean MEJ. Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sample. British Med J 1995;311:1401-5.
10. 10. Lean MEJ, Han TS, Morrison CE. Waist circumference indicates the need for weight measurement. British Med J. 1995;311:158-61.
11. 11. Berthoud HR,Morrison C. The brain ,appetite and obesity. Annu Rev Psychol 2008;59:55
12. 12. Licinio J,Caglayan S,Ozata M,et al.Phenotypic effects of leptin replacement on morbid obesity,diabetes mellitus,hypogonadism, and behaviour in leptin-deficient adults.Proc Natl Acad Sci USA 2004;101:4531
13. 13. Bray GA, Fisler J,York DA. Neuroendocrine control of the development of obesity: understanding gained from studies of experimental animal models. Front Neuroendocrinology 1990;11:128
14. 14. Trasande L,Cronk C,Durkin M, et al. Environment and obesity in the National Children’s study. Environ Health Perspect 2009;117:159.
15. 15. T.C Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü Türkiye Obezite ile Mücadele ve Kontrol Programı (2010-2014)
16. 16. Von Kries R, Koletzko B, Sauerwald T, et al. Breast feding and obesity: cross sectional study ,BMJ 1999;319:147
17. 17. Harder T,Bergmann R,Kallischnigg G,Plagemann A. Duration of breastfeeding and risk overweight: a metaanalysis. Am J Epidemiol 2005;162:397.
18. 18. Considine RV, Caro JF. Obesity: The Problem and Its Management.Endocrinology Adult and Pediatric 6th Edition.2010:555-565
19. 19. Oranzo JA, Scott JG. Diagnosis and treatment of obesity in Adults: An Applied Evidence- Based Review. J Am Board Fam Pract 2004;17:359-369
20. 20. Low AK, Bauldin MJ, Sumrall CD, Loustalot FV, Land KK. A Clinician’s approach to medical management of obesity. Am J Med Sci 2006;331:175-182
21. 21. National Institutes Health, National Heart ,Lung and Blood:Institute:Clinical Guidelines on the Identification,Evalution ,and Treatment Overweight and Obesity in Adults: The Evidence Report,Obes Res 6:51- 209:1998
22. 22. Wadden TA, Stenberg J, Letizia KA, et al. 5 Year perspective .Int. J. Obes Metab. Relat. Disord. 1989; 13:39-46.
23. 23. Arslan P, Bozkurt N, Karaağaoğlu N ve ark. Yeterli -Dengeli Beslenme ve Sağlıklı Zayıfama Rehberi, s. 144- 149, Ankara, 2001.
24. 24. Ulusal Gıda ve Beslenme Stratejisi Çalışma Grubu Raporu, Devlet Planlama Teşkilatı İktisadi Sektörler ve Koordinasyon Genel Müdürlüğü, Yayın No DPT: 2670, Ankara, 2003.
25. 25. Toplumun Beslenmede Bilinçlendirilmesi Saha Personeli İçin Toplum Beslenmesi Programı Eğitim Materyali, Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü, Hacettepe Üniversitesi Beslenme ve Diyetetik Bölümü, Ankara, 2002.
26. 26. Hellerstein MK, Parks EJ. Obesity and Overweight. In: Gardner DG, Shobeck D; eds. Greenspan’s Basic and Clinical Endocrinology. 8th ed. New York; McGrawHill; 2007:796-816
27. 27. Gastrointestinal surgery for severe obesity:National Institutes of Health Consensus Development Conference Statement.Am J Clin Nutr 1992;55;615s-619
28. 28. Oranzo JA, Scott JG. Diagnosis and treatment of obesity in Adults: An Applied Evidence- Based Review. J Am Board Fam Pract 2004;17:359-369
29. 29. Lau DCW, Douketis JD, Morrison KM, Hramiak IM, Sharma AM. 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children (summary). CMAJ 2007;176 (8 Suppl):1-13