Obezite, birden \u00e7ok sebebi olan, tekrar edebilen kronik ve ilerleyici bir hastal\u0131k. Ola\u011fan\u0131n \u00fczerinde ya\u011f dokusu birikimi hayat kalitesini bozmakta ve tip 2 diabetes mellitus, hipertansiyon, kan ya\u011flar\u0131nda bozulmalar, kalp-damar hastal\u0131klar\u0131, ast\u0131m, kanser ve osteoartrit \u00fczere hastal\u0131klara yakalanma riskini art\u0131rarak beklenen hayat m\u00fcddetinin de k\u0131salmas\u0131na neden oluyor. \u00dcstelik say\u0131lar\u0131n her ge\u00e7en y\u0131l \u00e7o\u011falmas\u0131 obezitenin topluma aktard\u0131\u011f\u0131 y\u00fck\u00fc de art\u0131r\u0131yor.<\/p>\n
D\u00fcnya genelinde eri\u015fkin n\u00fcfusta obezite s\u0131kl\u0131\u011f\u0131n\u0131n yakla\u015f\u0131k y\u00fczde 13 olarak kestirim edildi\u011fini s\u00f6yleyen Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 Uzman\u0131 Do\u00e7. Dr. \u00d6zlem Halilo\u011flu, \u201cHer 100 bireyden 39’u fazla kilolu. Obezite s\u0131kl\u0131\u011f\u0131n\u0131n 1975 y\u0131l\u0131ndan bu yana en az \u00fc\u00e7 kat artt\u0131\u011f\u0131, hala yakla\u015f\u0131k 650 milyonu yeti\u015fkin, 340 milyonu ergen ve 39 milyonu \u00e7ocuk olmak \u00fczere d\u00fcnya \u00e7ap\u0131nda toplam 1 milyardan fazla obeziteli birey oldu\u011fu kestirim edilmektedir” diye konu\u015ftu. <\/p>\n
‘AVRUPA KITASININ EN K\u0130LOLU \u00dcLKES\u0130Y\u0130Z’<\/b><\/p>\n
Obezitenin yaln\u0131zca y\u00fcksek gelirli ya da \u00fcst-orta gelir k\u00fcmesi hastal\u0131\u011f\u0131 olmad\u0131\u011f\u0131n\u0131, geli\u015fmekte olan \u00fclkelerde de say\u0131lar\u0131n s\u00fcratle artt\u0131\u011f\u0131na dikkat \u00e7eken Do\u00e7. Dr. Halilo\u011flu, bununla birlikte, eri\u015fkinlerdekine emsal formda \u00e7ocukluk ve ad\u00f6lesan devirde de obezite s\u0131kl\u0131\u011f\u0131ndaki art\u0131r\u0131\u015f\u0131n da vurgulanmas\u0131 gereken bir \u00f6teki nokta oldu\u011funu s\u00f6yledi.<\/p>\n
Ara\u015ft\u0131rmalara nazaran obezite s\u0131kl\u0131\u011f\u0131n\u0131n T\u00fcrkiye’de de y\u00fczde 30’un \u00fczerine \u00e7\u0131kt\u0131\u011f\u0131na ve Avrupa k\u0131tas\u0131ndaki en kilolu \u00fclke pozisyonuna geldi\u011fine dikkat \u00e7eken Do\u00e7. Dr. \u00d6zlem Halilo\u011flu, \u201cT\u00fcrkiye’de 1997-98 y\u0131llar\u0131nda ger\u00e7ekle\u015ftirilen T\u00fcrkiye Diyabet Epidemiyoloji (TURDEP-I) \u00e7al\u0131\u015fmas\u0131nda eri\u015fkinlerdeki obezite s\u0131kl\u0131\u011f\u0131 y\u00fczde 22.3 bulunmu\u015fken, bu \u00e7al\u0131\u015fmadan 12 y\u0131l sonra, t\u0131pk\u0131 merkezlerde yap\u0131lan TURDEP-II \u00e7al\u0131\u015fmas\u0131nda s\u0131kl\u0131\u011f\u0131n y\u00fczde 35’e y\u00fckseldi\u011fi g\u00f6sterilmi\u015ftir” tabirlerini kulland\u0131. <\/p>\n
‘E\u015eL\u0130K ETT\u0130\u011e\u0130 HASTALIKLARLA B\u0130RL\u0130KTE SORUNUN BOYUTU B\u00dcY\u00dcYOR’<\/b><\/p>\n
Obezitenin kardiyometabolik, mental, mekanik bir\u00e7ok hastal\u0131kla birlikte g\u00f6r\u00fclebildi\u011fini ve bu nedenle d\u00fcnyada oldu\u011fu \u00fczere \u00fclkemiz i\u00e7in de giderek b\u00fcy\u00fcyen bir sorun oldu\u011funa i\u015faret eden Do\u00e7. Dr. Halilo\u011flu, prediyabet ve tip 2 DM, dislipidemi (kan ya\u011flar\u0131nda bozulmalar), hipertansiyon, kalp-damar hastal\u0131klar\u0131, karaci\u011fer ya\u011flanmas\u0131, polikistik over sendromu, infertilite (k\u0131s\u0131rl\u0131k), uyku apne sendromu, ast\u0131m, osteoartrit (kire\u00e7lenmeler), idrar ka\u00e7\u0131rma, depresyon ve kanserin obeziteyle birlikte geli\u015febilen hastal\u0131klar ortas\u0131nda yer ald\u0131\u011f\u0131n\u0131 belirtti.<\/p>\n
‘TANIDA YALNIZCA SAYILAR YETERS\u0130Z KALIYOR’<\/b><\/p>\n
\u201cObezite kronik bir hastal\u0131k olmas\u0131na kar\u015f\u0131n, \u00f6b\u00fcr kronik hastal\u0131klarda oldu\u011fu \u00fczere obezitenin tan\u0131s\u0131 ve idaresi ile ilgili ayr\u0131nt\u0131l\u0131 klinik teklifler yetersiz kalmaktad\u0131r” diyen Do\u00e7. Dr. \u00d6zlem Halilo\u011flu, s\u00f6zlerine \u015f\u00f6yle devam etti:<\/p>\n
\u201cGeleneksel olarak eri\u015fkinlerde obezitenin tan\u0131s\u0131 ve s\u0131n\u0131fland\u0131rmas\u0131 i\u00e7in en s\u0131k kullan\u0131lan metot v\u00fccut kitle indeksi hesaplamad\u0131r. V\u00fccut kitle indeksi (BK\u0130), bir ki\u015finin kilogram cinsinden beden tart\u0131s\u0131n\u0131n metre cinsinden uzunlu\u011funun karesine (kg\/m2 ) b\u00f6l\u00fcnmesiyle hesaplan\u0131r. Obezitesi olan bireylerde v\u00fccut kitle indeksinin yan\u0131 s\u0131ra, bel etraf\u0131, bel-kal\u00e7a oran\u0131, bel \u00e7evresi\/boy oran\u0131, boyun etraf\u0131, el bile\u011fi etraf\u0131 ve deri k\u0131vr\u0131m\u0131 kal\u0131nl\u0131\u011f\u0131 \u00fczere antropometrik \u00f6l\u00e7\u00fcmler de k\u0131ymetlendirilir.<\/p>\n
Yine son y\u0131llarda biyoimpedans ayg\u0131tlar\u0131 kullan\u0131larak beden kompozisyonu belirlenmekte ve bireyin ya\u011f, iskelet kas\u0131, kemik k\u00fctlesi hakk\u0131nda bir \u00f6ng\u00f6r\u00fc sahibi olunabilmektedir. Fakat unutulmamal\u0131d\u0131r ki biyoimpedans prosed\u00fcr\u00fc ile \u00f6l\u00e7\u00fclen ya\u011f \u00f6l\u00e7\u00fcs\u00fcn\u00fcn visseral (i\u00e7 organlar\u0131n \u00e7evresindeki) ya\u011f m\u0131 yoksa cilt alt\u0131 ya\u011f m\u0131 oldu\u011funu ay\u0131rt edilememektedir.<\/p>\n
\u00d6zellikle tedavi se\u00e7imleri kelam konusu oldu\u011funda tam bir klinik k\u0131ymetlendirme yap\u0131lmas\u0131 yerine \u00e7oklukla yaln\u0131zca antropometrik \u00f6l\u00e7\u00fcmlere dayanan bir yakla\u015f\u0131m uygulanmakta. Bu ba\u011flamda yaln\u0131zca say\u0131lar\u0131n de\u011fil, hastalar\u0131n da ayr\u0131nt\u0131l\u0131 klinik de\u011ferlendirmeden ge\u00e7meden tedaviye ba\u015flanmamas\u0131n\u0131n gereklili\u011finin alt\u0131 \u00e7izilmeli.”<\/p>\n
‘AVRUPA OBEZ\u0130TE DERNE\u011e\u0130 DE TE\u015eH\u0130S\u0130N BK\u0130’YE DAYANMAMASI GEREKT\u0130\u011e\u0130N\u0130 S\u00d6YL\u00dcYOR’<\/b><\/p>\n
Beden kitle indeksi yoluna dayanan tan\u0131sal yakla\u015f\u0131mlar\u0131n son periyotlarda obezite hastal\u0131\u011f\u0131n\u0131 k\u00e2fi formda yans\u0131tmad\u0131\u011f\u0131n\u0131n fark edildi\u011fini belirten Do\u00e7. Dr. Halilo\u011flu, konuyla ilgili \u015fu bilgileri aktard\u0131:<\/p>\n
\u201cSadece BK\u0130 bazl\u0131 tan\u0131mlamalarda ya\u011f dokusunun bedendeki fonksiyonu ve da\u011f\u0131l\u0131m\u0131 ile ilgili k\u00e2fi bilgi al\u0131namamaktad\u0131r. \u00d6rne\u011fin BK\u0130 bazl\u0131 saptamalarda fazla kilolu kategorisindeki (BK\u0130 25-30kg\/m2) kar\u0131n ya\u011flanmas\u0131 olan bireylerin de obezite ba\u011fl\u0131 hastal\u0131klar a\u00e7\u0131s\u0131ndan y\u00fcksek risk ta\u015f\u0131d\u0131\u011f\u0131 bilinmektedir. Yap\u0131lan \u00e7al\u0131\u015fmalarda kar\u0131n b\u00f6lgesi ya\u011flanmas\u0131n\u0131n kardiyometabolik komplikasyon olu\u015fma riskini artt\u0131rd\u0131\u011f\u0131 g\u00f6sterilmi\u015f olup, beden ya\u011f da\u011f\u0131l\u0131m\u0131n\u0131n uygun bir g\u00f6stergesi olan \u201cbel \u00e7evresi\/boy\u00f6 oran\u0131n\u0131n komplikasyon geli\u015fmesinde BK\u0130den daha g\u00fczel bir parametre oldu\u011fu saptanm\u0131\u015ft\u0131r.”<\/p>\n
Do\u00e7. Dr. Halilo\u011flu, \u201cT\u00fcm bu bilgiler \u0131\u015f\u0131\u011f\u0131nda, Avrupa Obezite Derne\u011fi (EASO) de obezite te\u015fhisinin yaln\u0131zca BK\u0130 \u00f6l\u00e7\u00fcm\u00fcne dayanmamas\u0131 gerekti\u011fini, antropometrik \u00f6l\u00e7\u00fcm olarak BK\u0130 ve bel \u00e7evresi\/boy oran\u0131n\u0131n birlikte k\u0131ymetlendirilmesi ve hastan\u0131n tam klinik de\u011ferlendirmesinin yap\u0131lmas\u0131 ile obezite te\u015fhis ve idaresinin \u015fekillenmesi gereklili\u011fini bildirmi\u015flerdir” dedi.<\/p>\n
‘K\u0130\u015e\u0130YE \u00d6ZEL TEDAV\u0130 PLANLANMALI’<\/b><\/p>\n
Obezite ba\u011flant\u0131l\u0131 hastal\u0131klar\u0131n \u00f6nlenmesi i\u00e7in \u015fahsa \u00f6zel tedavi planlamas\u0131n\u0131n yap\u0131lmas\u0131 gerekti\u011finin alt\u0131n\u0131 \u00e7izen Do\u00e7. Dr. \u00d6zlem Halilo\u011flu,”Do\u011fru tedavi gayesi koyarak, uzun devirde hem mental hem de fizik\u00ee kapasitelerde d\u00fczg\u00fcnle\u015fme ve hayat kalitesinde d\u00fczelme sa\u011fland\u0131\u011f\u0131 unutulmamal\u0131d\u0131r” diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
D\u00fcnya genelinde 1 milyardan fazla ki\u015fi obezite ile \u00e7aba ediyor. Uzmanlar, obezitenin sadece v\u00fccut kitle indeksiyle de\u011fil, ayr\u0131nt\u0131l\u0131 klinik de\u011ferlendirmelerle te\u015fhis edilmesi gerekti\u011fini vurguluyor. \u0130\u015fte obezitenin nedenleri ve yeni tedavi yollar\u0131…<\/p>\n","protected":false},"author":1,"featured_media":44746,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[29],"tags":[2407,6562,2007,521,1313],"class_list":["post-44745","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-bel","tag-hastalikla","tag-obezite","tag-tani","tag-yag"],"_links":{"self":[{"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/posts\/44745","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/comments?post=44745"}],"version-history":[{"count":1,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/posts\/44745\/revisions"}],"predecessor-version":[{"id":44747,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/posts\/44745\/revisions\/44747"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/media\/44746"}],"wp:attachment":[{"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/media?parent=44745"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/categories?post=44745"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/tags?post=44745"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}