Çocuklarda Hipertansiyon Risk Faktörü Olarak Obezite ve Metabolik Sendrom

Yıl 2023, Cilt: 45 Sayı: 5, 747 - 754, 27.09.2023

Bağdagül Aksu Zeynep Yuruk Yildirim Alev Yılmaz Cemile Pehlivanoğlu Özde Nisa Türkkan Aslı Derya Kardelen Al Ilmay Bilge Aydan Şirin Sevinç Emre

https://doi.org/10.20515/otd.1344723

Öz

Hipertansiyon (HT), çocuklarda giderek artan önemli bir sağlık sorunudur. Son 20 yıl içinde çevresel ve sosyal faktörlerdeki değişiklikler, daha az fiziksel aktivite, hızlı beslenme alışkanlıkları, obezite ve metabolik sendrom, HT gelişimini doğrudan etkilemektedir. Çalışmamızın amacı, 18 yıllık bir süreçte HT tanısıyla izlenen çocuklarda yıllar içinde obezite ve metabolik sendrom sıklığının artıp artmadığını belirlemektir. Ocak 2001-Aralık 2018 tarihleri arasında Çocuk Nefroloji Polikliniği’nde HT nedeni ile başvuran ve HT tanısı kesinleşen 377 hasta retrospektif olarak değerlendirildi. Hastalar, 2001-2009 döneminde başvuran hastalar (Grup I) ve 2010-2018 döneminde başvuran hastalar (Grup II) olmak üzere iki gruba ayrıldı ve iki grup obezite ve metabolik sendrom açısından karşılaştırıldı. Ortalama başvuru yaşı 11,4±4,5 yıldı. Hastaların %64’ü erkekti. Grup 2’deki hastaların yaş, VKİ, metabolik sendrom ve ailede hipertansiyon olma öyküsü Grup 1’den yüksekti. İki grup arasında obezite açısından fark yoktu (p>0,05). Çalışmamızın sonuçları, hipertansiyon tanısıyla izlediğimiz hastalarda son yıllarda 2009 ve öncesine göre hem VKİ’de hem de metabolik sendrom görülme oranında artış olduğunu göstermiştir. Bu değişiklikler, özellikle ergenlerde belirgindir. Çocuk ve ergenlerde sodyum alımının azaltılması ve yaşam tarzı değişikliği önerileriyle obezitenin önlenmesi, HT gelişiminin engellemesi ve tedavisinde ilk aşamayı oluşturur.

Anahtar Kelimeler

çocuk, hipertansiyon, metabolik sendrom, obezite

Destekleyen Kurum

Çalışmamızı destekleyen herhangi bir kurum yoktur.

Obesity and Metabolic Syndrome as Risk Factors for Hypertension in Children

Öz

Hypertension (HT) is an increasingly important health problem in children. Changes in environmental and social factors in the last 20 years, less physical activity, fast eating habits, obesity and metabolic syndrome directly affect the development of HT. The aim of our study is to determine whether the prevalence of obesity and metabolic syndrome has increased over the years in children followed up with a diagnosis of HT over a period of 18 years. Between January 2001 and December 2018, 377 patients who were admitted to the Pediatric Nephrology Outpatient Clinic due to HT and diagnosed with HT were evaluated retrospectively. The patients were divided into two groups, patients admitted between 2001-2009 (Group I) and patients admitted between 2010-2018 (Group II), and the two groups were compared in terms of obesity and metabolic syndrome. The mean age at presentation was 11.4±4.5 years. 64% of the patients were male. The patients in Group 2 had higher age, BMI, metabolic syndrome and family history of hypertension than Group 1. There was no difference in obesity between the two groups (p>0.05). The results of our study showed that there has been an increase in the rate of both BMI and metabolic syndrome in patients followed up with a diagnosis of hypertension in recent years compared to 2009 and before. These changes are particularly pronounced in adolescents. Reducing sodium intake in children and adolescents and preventing obesity with lifestyle change recommendations constitute the first step in the prevention and treatment of HT development.

Anahtar Kelimeler

child, hypertension, metabolic syndrome, obesity

Kaynakça

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