Talat Soner YILMAZ, Abdülhalik GÜLÜCÜ, Hüseyin DEMİRCİ

Erişkin Obezitesinde Çocukluk Çağı Travmalarının Rolü

Amaç: Obezite tüm dünyada sık görülen, morbidite ve mortalite nedeni olan önemli bir halk sağlığı sorunudur. Etiyolojisinde genetik ve çevresel etkenler rol oynar. Çalışmamızda çevresel etkenlerden olan çocukluk çağı travmalarının erişkin obezitesindeki rolü incelenmiştir. Yöntem: Çalışma grubu 78 hasta ve 31 sağlıklı gönüllü olmak üzere 109 (76 kadın, 33 erkek) katılımcıdan oluşturuldu. BKİ ve kan basınçları kaydedildi. Biyokimyasal belirteçlerden AKŞ, kreatin, ALT, AST, LDL, HDL, TG, total kolesterol, açlık insülini çalışıldı. İnsülin direnci ‘homeostatic model assessment-insulin resistance (HOMA-IR)’ yöntemi ile belirlendi. Hasta ve kontrol grubunun tüm bireylerine çocukluk çağı travma ölçeği anketi (ÇÇTÖ) uygulandı. Bulgular: Duygusal ihmal puanı hasta grubunda anlamlı olarak daha yüksekti (p=0.009). Diğer bileşenler açısından anlamlı farklılık saptanmadı. Fiziksel ihmal puanı ise BKİ düzeyi 35.0-39.9 kg/m2 olan hastalarda anlamlı olarak daha yüksekti (p=0.030). Toplam CTQ, fiziksel ve duygusal ihmal puanı ile insülin ve HOMA indeksi arasında anlamlı pozitif korelasyon saptandı. Sonuç: Obez hastalarda kontrol grubuna göre duygusal ihmal puanının ve evre 2 obez hastalarda fiziksel ihmal puanının anlamlı olarak yüksek saptanması, erişkin obezitesinin etiyolojisinde çocukluk çağı travmalarının rolünün olabileceğini düşündürmektedir. Konunun tüm yönleriyle aydınlatılabilmesi için daha fazla ve geniş ölçekli çalışmalara gerek vardır. (Anadolu Psikiyatri Derg 2020; 21(3):261-268)

The Role of Childhood Traumas in Adult Obesity

Objective: Obesity is a common public health problem which is a cause of morbidity and mortality worldwide. Genetic and environmental factors play a role in the etiology. In this study, the role of childhood traumas in adult obesity was examined. Methods: The study group consisted of 109 (76 female, 33 male) participants, 78 patients and 31 healthy volunteers. BMI and blood pressures were recorded. FBG (fasting blood glucose), creatinine, ALT, AST, LDL, HDL, triglyceride, total cholesterol, fasting insulin were studied. Insulin resistance was evaluated by HOMA-IR. CTQ was applied to all subjects of the patient and control group. Results: Emotional neglect score was significantly higher in the patient group (p=0.009). There was no significant difference in terms of other components. Physical neglect score was significantly higher in patients with BMI 35.0-39.9 kg/m2 (p=0.030).There was a significant positive correlation between total CTQ, physical and emotional neglect score and insulin and HOMA-IR. Conclusion: Emotional neglect score in obese patients and physical neglect score in stage 2 obese patients were significantly higher, suggesting that childhood traumas may have a role in the etiology of adult obesity. Further and large-scale studies are needed to enlighten all aspects of the subject. (Anatolian Journal of Psychiatry 2020; 21(3):261-268)

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