M. Erkan ALTUNCU, Yılmaz KÖR, Ahmet İRDEM, Osman BAŞPINAR, Mehmet KESKİN

Obez çocuklarda insülin direnci ve metabolik sendrom sıklığı

Çocukluk çağı obezitesi halk sağlığını tehdit eden en sık hastalıklardan biri olarak kabul edilir. Obezite, koroner kalp hastalığı, hipertansiyon, dislipidemi, insülin direnci ve metabolik sendroma neden olan temel bozukluklardan biridir. Ayrıntılı klinik çalışmalarda çoğu klinik bulgu erişkin yaşta başlamasına rağmen çocukluk çağında başladığı gösterilmiştir. Bu çalışmanın amacı çocukluk çağı obezitesinde metabolik sendrom sıklığını belirlemektir. Obezite şekiayeti olan 8-16 yaş arasında 66 çocukta araştırma yapılmıştır. İnsülin direnci 33 hastada (%50), dislipidemi 49 hastada (%74) ve hipertansiyon 18 hastada (%27) bulunmuştur. Metabolik sendrom sıklığı 28 hastada %42 olarak belirlenmiştir. Sonuç olarak obez çocuklar arasında metabolik sendrom sıklığı oldukça yüksektir.

Anahtar Kelimeler:

Çocukluk çağı, insülin direnci, metabolik sendrom, obezite

Insulin resistant and metabolic syndrome frequency in childhood obesity

Childhood obesity is considered as one of the most common illness threating public health. Obesity is one of the basic life threatening factor causing coronary heart diseases, hypertension, dyslipidemia, insulin resistance and metabolic syndrome. In detailed clinical studies it has been shown that this type of illness, which mostly showing clinical findings in adult age, is based in the childhood. The aim of this study was to evaluate the prevalence of metabolic syndrome in childhood obesity. Insulin resistance was found in 33 patients (50%); dyslipidemia in 49 patients (74%) and hypertension in 18 patients (27%). Metabolic syndrome was observed in 28 (42%) patients. As consequence, metabolic syndrome frequency was very high in obese children.

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