Seen in childhood obesity World Health Organization called a global epidemic. Both developed and Developing Countries Observed in children and adolescents with obesity, it is the most common nutritional problems Observed in society in general and shows a rapid increase.

Body adiposity in children and adolescents varies Depending on the growth and gender. Therefore, the diagnosis of childhood and adolescent obesity is done with the help of percentile curves that so-called charts of different age and gender faktörü Given the large. measurement of an individual’s height and weight before evaluation Based here in body mass index (BMI) testing calculation must be done. This calculation is simple and anyone can do (BMI = Weight (kg) ÷ height (cm) 2). After continuous increases until adulthood body mass index showed a slight decrease in the preschool period. Usually children over 95 percent overweight / obese are included in the class.

For example, if a child has the meaning which has a value lower than the MEASURED BMI of 95 to 100 people, this child of the same age and sex is found in the 95 percentile. According 85-95 bearing children at risk of becoming overweight is between percentiles 5-85 the inter-percentile normal 5 The percentile six with which your child edilirler.siz included low-weight class that is the case than calculate the BMI for your child, you can easily find by looking at the percentile curve percentiles you can follow up.

Possible Causes of Obesity in Children and Walkthrough

Overweight and obesity is an imbalance between the state of being is dependent on many factors, the most common case of energy intake and expenditure. In a variety of genetic and environmental factors contributing been identified. Although there are also some rare hormonal imbalances, metabolic disorders and musculoskeletal disorders are among the potential causes. Approximately 10% of the events that stemmed from genetic or hormonal disorders, obesity is associated with greatly imbalance between caloric intake and expenditure. When thus suggestive of a very rapid increase of this problem in the world we often hear “All my family are overweight” or “my glands my have problems” such words indicate just can not be explained obesity problem with genetic or metabolic factors.

After the initial evaluation, your child is above 95 percentile and clinical investigation into children’s diseases by specialists and it is appropriate to review the causes of obesity. Moreover, when found between BMI of 85-94 percentile family history, blood pressure, total cholesterol, orthopedic problems, BMI would be over in terms of their social situation to do psycho research regarding sudden changes and weight gain. If there is any problem in any of these still need to consult expert opinion. for continued growth in children aged 2-7 years and in the absence of any disease it is generally not recommended to lose weight by entering a negative calorie balance. The protected child grows BMI also occur when the current weight reduction in the creation of this combination of healthy eating and exercise habits is the preferred approach. This is our last count requires patience and a long-term struggle and what can not stress enough the importance of the contribution of the family in this struggle. In some cases, nutrition and exercise experts to contribute to this effort and older children were thought to lose weight and body mass index in the 95th percentile and the expert supervision when found.


Possible Consequences of Child Obesity

One of the most common problems that arise in the case of child and adolescent overweight or obese is a deterioration in psychosocial function. Many overweight children are exposed to the external appearance due to bullying and teasing mAlArA, can not perform well in situations that require physical activity, such as team play, they keep themselves away from such activities. The psychosocial effects often leads to inaction, inactivity, obesity also increases.

Performed scientific studies that have a texture that is stored energy in fat tissue just can not be burned, fat from the blood certain harmful molecules released and that over time these molecules cardiovascular system shows that cause a variety of diseases can affect hormonal balance and metabolism. deterioration in glucose tolerance between these unhealthy conditions, Type II diabetes (sugar) disease, high blood pressure, sleep disorders, respiratory and digestive system disorders, heart diseases. The more fat that is increasing as seen in this risk. Even more remarkable is the middle age and we used to see on some diseases (high blood pressure, diabetes etc.) is also no longer in childhood began to be frequently encountered. For example, according to research ¼ rate of overweight children and adolescents with insulin resistance occurred, the diagnosis of this group of children 3% undiagnosed diabetes has been proposed to find (1). Studies have shown that these abnormalities increase during adolescence, it suggests that about 29% of overweight adolescents develop so-called metabolic syndrome condition characterized by metabolic abnormalities. Also, public pre-school period, considering the health of overweight children is about 1/3, while about half of overweight children in adolescence is becoming overweight adolescents (2).


Treatment and Precautions

Investigation of the case is not ready for the changes: the child’s weight monitoring programs, for adults or the parents’ lifestyle changes are failing if they feel ready. If a program fails reduction in the child’s self-confidence, it can lead to wasted energy future need for weight control. Therefore, to investigate the interest in the subject of family members, it is possible to question the belief there can be weight loss mania, it is necessary to investigate whether changes to be ready for what in practical terms.

Explaining the healthy and balanced diet strategies, preparation of appropriate physical activity programs for the prevention and treatment of obesity is absolute.

Physical activity and eating habits: The first rule of fun activities for children, including style should be enjoyable and rewarding. Children waiting to act is not realistic to be healthy. Closely related to sedentary activities (computer games, watching television) is required to reduce the participation of family members it is of particular importance. Especially children under the age of 10 is determined by the lifestyle of the family members is largely for this reason it is important field of activities and eating habits in the whole family. Let us not forget that children in this age group are mainly fed with food in the house.
make healthy food fun to consume (eg. to place the cut pieces of fruit and vegetables into yogurt), children in food preparation, such as to allow the event to be included in the method may be useful.

Adolescents who are quite willing to be given more responsibility to win their independence in food production. constructive suggestions and motivated about exercise and nutrition for parents of adolescents is also important. Although adolescents generally not preferred by walking and jogging recommended in this group. Alternatively, dancing, basketball, cycling, skating or playful activities proposed knows. Self-confidence is increasing focus on the body, potentially reducing activities, such as done in the mirror at the gym instead of outdoors activities, walks, extreme sports may be preferred. Also, adolescents and adults are fond of his strength-enhancing exercise. Such exercises can also be a motivating effect for a short time. Agility, highlighting instead force activities that require agility or speed may be preferred. In addition, selecting gifts that encourage children to exercise, methods of making such activity should be encouraged from the start to be tested after-school homework.

Targets should be realistic instead chosen to target a specific body weight should be put on healthy eating and being active in the foreground. In addition, if maintained over time, weight and body mass index of children grows slowly be decreased. Weight is 95 percent above the successful protection of children, so that half a kilo a month, under the supervision of experts suggested weight loss diet. However, these objectives should take precedence over healthy eating habits.

One suggested method is the 5 + 2 + 1 rule. This method day in the consumption of at least five kinds of vegetables or fruit, academic studies (homework, projects, etc.) are included except the time still to be made to more than 2 hours and at least 1 hour of physical activity a day. Other healthy choices include family sitting together at the table of the individual (away from the TV), the reward or penalty used as food, high-calorie foods in the kitchen for a snack instead include fruits and vegetables to keep healthy. When hungry when eating natural physiological event that should be described as similar to methods of detection of the toughness should be taught patiently.

Prof. Dr. Abdullah Bereket

1-Sinha, M.K. ve ark. Prevslsnce ofimpaired glucose tolerance among children and adolescents with marked obesity. N.Eng. J. Med. 346(11):802-810, 2002.
2-Cook, S. Ve ark. Prevalance of a metabolic syndrome phenotype in adolescents: findings from the third National Healty and Nutrition Examination Survey. Arch. Pediatr Adolesc Med. 157(8) 821-827, 1988.