Valentina MADJOVA, Radost ASENOVA, Gergana FOREFA

Bulgaristan’da Aile Hekimliğinde Çocuklarda Obezite ve Aşırı Kilonun Önlenmesindeki Zorluklar

Aile hekimliği fiziksel aktivite ve beslenme konularında çocukların eğitimi için uygun ve doğalbir çevredir. Bu çalışmanın amacı aile hekimliğinde karşılaşılan obezite ve aşırı kilonunönlenmesinde ana zorlukları araştırmaktır. 34 aile hekimi bu çalışmada yar almıştır. Önleyiciölçümlerin organizasyonunun direk olarak gözlenmesinin yanı sıra, aile hekimleri ile degörüşmeler yapılmıştırYazılı belgeler kadar çocuklarda obezite üzerine uygun formlarda materyalin olmaması veyetersiz finansman çocuklarda obezitenin önlenmesinde aile hekimlerin karşılaştığı anaengellerdir. Bulgaristan’daki reformun bu aşamasında çocuklarda obezite ile ilgili problemlerüzerinde yetersiz sayıda ve kalitede önleyici tedbirleri ilgilendiren ciddi organize zorluklarmevcuttur

Anahtar Kelimeler:

Aşırı kilo, şişmanlık, çocuklar, aile hekimi

Difficulties In Prevention Of Overweight And Obesity In Children In General Practice In Bulgaria

General practice is a suitable and natural environment for educating children on the issues ofnutrition and physical activity. The aim of the study is to research the main difficulties inprevention of overweight and obesity encountered in general practice. 34 general practitionersare encompassed in the study. Interviews with general practitioners have been made as well asa direct open observation of the preventive measures organization has been applied. The insufficient funding, lack of materials in appropriate form on the obesity in children as wellas the written documentation are the main barriers the general practitioners meet in theprevention of obesity in children. At this stage of the reform in Bulgaria there are substantialorganizational difficulties with regard to the insufficient volume and quality of preventivemeasures on the problem with obesity in children

Keywords:

Overweight, obesity, children, general practitioner,

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Lack of interest on the part of the parents 62 5 07 13 66 Insufficient time 33 65 52 5 Insufficient funding 67 86 5 65 61 29 Lack of materials 33 5 13 87 8 Written documentation 67 12 5 43 87 8 Total Table 2: Barriers in conducting preventive measures.