The Effect of Diet and Exercise on Obesity in Children Living in Aksaray

Yıl 2021, Cilt: 43 Sayı: 6, 600 - 608, 24.09.2021

Huseyin Erdal , Mehmet Semih Demirtaş

https://doi.org/10.20515/otd.905673

Cited By: 1

Öz

Overweight and obesity are defined as being overweight. This situation impairs the health status of both children and adults. In this study, we aimed to examine the effects of diet and exercise on obese children. The sample of this descriptive study was retrospectively collected with 30 patients who were admitted to the Aksaray University Pediatrics outpatient clinic between November 2019-December 2020 with complaints of weight gain / obesity. FITT (frequency, time, type, severity) exercise program was applied to the participants in the study in obese / overweight patients. Homeostasis Model Assessment of Insulin Resistance (HOMA-IR), weight and routine blood tests were repeated for the patients who were called for control two months later. When the changes in HOMA-IR due to the weight differences of the patients were examined, a positive and significant correlation was found (r = 0.583; p = 0.001,). When the changes in HOMA-IR due to weight differences for male and female patients were examined, a positive significant correlation was found (r = 0.624; p = 0.013) and (r = 0.682; p = 0.005), respectively. A significant and positive correlation was found between triglyceride and HOMA-IR (r = 0.721, p = 0.001). When the relationship between HDL and HOMA-IR was examined before diet + exercise, there was a significant and negative correlation (r = -0.551, p = 0.002), and a significant and negative correlation after diet + exercise (r = -0.443, p = 0.014). There was no correlation between LDL and HOMA-IR (r = -0.234, p = 0.260). A positive and highly significant correlation was found between insulin and HOMA-IR (r = 0.981, p = 0.0001). Although no significant correlation was found between LDL cholesterol and weight loss (r=,-0.091, p=0.664), a significant decrease in LDL cholesterol levels after a 2-month family-based diet + exercise therapy approach was one of the important results found in this study (r=. 0.725, p=0.0001).

Diyet ve Egzersizin Aksaray da Yaşayan Çocuklarda Obezite Üzerine Etkisi

Öz

Aşırı kilo ve obezite şişmanlık olarak tanımlanmaktadır. Bu durum hem çocukların hem de yetişkinlerin sağlık durumlarını bozmaktadır. Biz bu çalışmada obez çocuk hastalarda diyet ve egzersiz uygulamasının etkilerini incelemeyi amaçladık. Tanımlayıcı tipteki bu çalışmanın örneklemi Aksaray Üniversitesi Çocuk Sağlığı ve Hastalıkları polikliniğine Kasım 2019-Aralık 2020 tarihleri arasında kilo alma/obezite şikayeti ile başvuran 30 hasta ile retrospektif olarak toplandı. Çalışmaya katılan katılımcılara, obez/aşırı kilolularda önerilen FITT (sıklık, zaman, tip, şiddet) egzersiz programı uygulanmıştır. İki ay sonra kontrole çağrılan hastaların Homeostasis Model Assessment of Insulin Resistance (HOMA-IR), kilo ve rutin kan tetkikleri tekrarlandı. Hastaların kilo farklarına bağlı olarak HOMA-IR deki değişimleri incelendiğinde pozitif yönde ve anlamlı bir korelasyon saptandı (r=0.583; p=0.001,). Erkek ve kız hastalar için kilo farklarına bağlı olarak HOMA-IR deki değişimlere bakıldığında sırasıyla (r=0.624; p=0.013) ve (r= 0.682; p=0.005) pozitif yönde anlamlı korelasyon tespit edildi. Trigliserit ve HOMA-IR arasında anlamlı ve pozitif yönde bir korelasyon saptandı (r= 0.721, p=0.001). HDL ve HOMA-IR arasındaki ilişkiye diyet + egzersiz öncesi bakıldığında anlamlı ve negatif yönde korelasyon (r=-0.551, p=0.002), diyet + egzersiz sonrası bakıldığında ise anlamlı ve negatif yönde korelasyon saptandı (r=-0.443, p= 0.014). LDL ve HOMA-IR arasında korelasyon saptanmadı (r=-0.234, p=0.260). İnsülin ve HOMA-IR arasında pozitif ve yüksek oranda anlamlı bir korelasyon saptandı (r=0.981, p=0.0001). LDL kolesterol ve kilo verme arasında belirgin bir korelasyon saptanamamasına rağmen (r=,-0.091, p=0.664), 2 aylık aile temelli diyet + egzersiz tedavisi yaklaşımı onucunda LDL kolesterol düzeylerinde anlamlı bir düşüşün olması bu çalışmada saptanan önemli sonuçlardan birisi idi (r=0.725, p=0.0001).

Anahtar Kelimeler

homa-indeks, obezite, egzersiz, Diyet

Kaynakça

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