Kilo Alımı
Özet
Kilo alımı, vücut ağırlığının yaş, boy ve cinsiyete göre olması gereken değerlerin üzerine çıkması olarak tanımlanmakta ve teşhisinde Beden Kitle İndeksi (BKİ) ile bel çevresi ölçümleri temel alınmaktadır. Bu durumun etiyolojisinde yanlış beslenme ve hareketsiz yaşam tarzı gibi faktörlerin yanı sıra hipotiroidi, Cushing sendromu, insülin direnci ve kullanılan çeşitli ilaçlar gibi tıbbi nedenler de önemli rol oynamaktadır. Birinci basamak sağlık hizmetlerinde tanı süreci, hastanın klinik bulguları ve laboratuvar tetkikleriyle desteklenirken, tedavi stratejileri bireyselleştirilmiş diyet, fiziksel aktivite artışı ve gerektiğinde uzman kliniklere sevki içermektedir.
Weight gain is defined as body weight exceeding the expected values based on age, height, and gender, with diagnosis primarily relying on Body Mass Index (BMI) and waist circumference measurements. Its etiology involves lifestyle factors such as poor nutrition and physical inactivity, alongside medical conditions like hypothyroidism, Cushing's syndrome, insulin resistance, and the effects of specific medications. In primary care, the diagnostic process is supported by clinical findings and laboratory tests, while treatment strategies focus on individualized diet, increased physical activity, and referral to specialized clinics when necessary.
Referanslar
Altuntaş Y. (2019). Kilo artışı/fazlalığı. Ali İhsan Taşçı (ed.), Semptomlar ve klinik durumlar (663-673). İstanbul: Nobel Tıp Kitapevi
Gallagher D, Visser M, Sepúlveda D, et al. How useful is body mass index for comparison of body fatness across age, sex, and ethnic groups? Am J Epidemiol. 1996 Feb 1;143(3):228-39. doi: 10.1093/oxfordjournals.aje.a008733.
TEMD (2019) Obezite Tanı ve Tedavi Kılavuzu. (14.02.2022 tarhinde https://file.temd.org.tr/Uploads/publications/guides/documents/20190506163904-2019tbl_kilavuz5ccdcb9e5d.pdf?a=1 adresinden ulaşılmıştır.)
TEMD Obezite, Dislipidemi, Hipertansiyon Grubu çalışma sonuçları (Int J Endocrinol. 2013,2013:767202.)
Uğur Altun, B. (2013) Endokrinolojide temel ve klinik bilgiler. (2. Baskı). İstanbul: Nobel Tıp Kitapevi
Rauber F, Steele EM, Louzada MLDC, et al. Ultra-processed food consumption and indicators of obesity in the United Kingdom population (2008-2016). PLoS One. 2020 May 1;15(5):e0232676. doi: 10.1371/journal.pone.0232676.
Piercy KL, Troiano RP, Ballard RM, et al. The Physical Activity Guidelines for Americans. JAMA. 2018 Nov 20;320(19):2020-2028. doi: 10.1001/jama.2018.14854.
Bush T, Lovejoy JC, Deprey M, et al. The effect of tobacco cessation on weight gain, obesity, and diabetes risk. Obesity (Silver Spring). 2016 Sep;24(9):1834-41. doi: 10.1002/oby.21582.
Mineur YS, Abizaid A, Rao Y, et al. Nicotine decreases food intake through activation of POMC neurons. Science. 2011 Jun 10;332(6035):1330-2. doi: 10.1126/science.1201889.
McHill AW, Wright KP Jr. Role of sleep and circadian disruption on energy expenditure and in metabolic predisposition to human obesity and metabolic disease. Obes Rev. 2017 Feb;18 Suppl 1:15-24. doi: 10.1111/obr.12503.
Tse LA, Wang C, Rangarajan S, et al. Timing and Length of Nocturnal Sleep and Daytime Napping and Associations With Obesity Types in High-, Middle-, and Low-Income Countries. JAMA Netw Open. 2021 Jun 1;4(6):e2113775. doi: 10.1001/jamanetworkopen.2021.13775. Erratum in: JAMA Netw Open. 2021 Aug 2;4(8):e2124602.
Arble DM, Bass J, Behn CD, et al. Impact of Sleep and Circadian Disruption on Energy Balance and Diabetes: A Summary of Workshop Discussions. Sleep. 2015 Dec 1;38(12):1849-60. doi: 10.5665/sleep.5226.
Markwald RR, Melanson EL, Smith MR, et al. Impact of insufficient sleep on total daily energy expenditure, food intake, and weight gain. Proc Natl Acad Sci U S A. 2013 Apr 2;110(14):5695-700. doi: 10.1073/pnas.1216951110.
Knudsen N, Laurberg P, Rasmussen LB, et al. Small differences in thyroid function may be important for body mass index and the occurrence of obesity in the population. J Clin Endocrinol Metab. 2005 Jul;90(7):4019-24. doi: 10.1210/jc.2004-2225.
Fox CS, Pencina MJ, D'Agostino RB, et al. Relations of thyroid function to body weight: cross-sectional and longitudinal observations in a community-based sample. Arch Intern Med. 2008 Mar 24;168(6):587-92. doi: 10.1001/archinte.168.6.587.
Wajchenberg BL, Bosco A, Marone MM, et al. Estimation of body fat and lean tissue distribution by dual energy X-ray absorptiometry and abdominal body fat evaluation by computed tomography in Cushing's disease. J Clin Endocrinol Metab. 1995 Sep;80(9):2791-4. doi: 10.1210/jcem.80.9.7673425.
Koch CA, Doppman JL, Watson JC, et al. Spinal epidural lipomatosis in a patient with the ectopic corticotropin syndrome. N Engl J Med. 1999 Oct 28;341(18):1399-400. doi: 10.1056/NEJM199910283411814.
Dunaif A, Segal KR, Futterweit W, et al. Profound peripheral insulin resistance, independent of obesity, in polycystic ovary syndrome. Diabetes. 1989 Sep;38(9):1165-74. doi: 10.2337/diab.38.9.1165.
Holmer H, Pozarek G, Wirfält E, et al. Reduced energy expenditure and impaired feeding-related signals but not high energy intake reinforces hypothalamic obesity in adults with childhood onset craniopharyngioma. J Clin Endocrinol Metab. 2010 Dec;95(12):5395-402. doi: 10.1210/jc.2010-0993. Epub 2010 Sep 8.
Kapoor E, Collazo-Clavell ML, Faubion SS. Weight Gain in Women at Midlife: A Concise Review of the Pathophysiology and Strategies for Management. Mayo Clin Proc. 2017 Oct;92(10):1552-1558. doi: 10.1016/j.mayocp.2017.08.004.
Kohrt WM, Wierman ME. Preventing Fat Gain by Blocking Follicle-Stimulating Hormone. N Engl J Med. 2017 Jul 20;377(3):293-295. doi: 10.1056/NEJMcibr1704542.
Koball AM, Clark MM, Collazo-Clavell M, et al. The relationship among food addiction, negative mood, and eating-disordered behaviors in patients seeking to have bariatric surgery. Surg Obes Relat Dis 2016;12(1):165-70.
Ferentinos P., Dikeos D. Genetic correlates of medical comorbidity associated with schizophrenia and treatment with antipsychotics, 381–390.
Kominiarek MA, Peaceman AM. Gestational weight gain. Am J Obstet Gynecol. 2017 Dec;217(6):642-651. doi: 10.1016/j.ajog.2017.05.040.
Goldstein RF, Abell SK, Ranasinha S, et al. Association of Gestational Weight Gain With Maternal and Infant Outcomes: A Systematic Review and Meta-analysis. JAMA. 2017 Jun 6;317(21):2207-2225. doi: 10.1001/jama.2017.3635.
Leslie WS, Hankey CR, Lean ME. Weight gain as an adverse effect of some commonly prescribed drugs: a systematic review. QJM. 2007 Jul;100(7):395-404. doi: 10.1093/qjmed/hcm044.
TEMD (2020). Tiroid Hastalıkları Tanı ve Tedavi Kılavuzu. (15.02.2022 tarihinde https://file.temd.org.tr/Uploads/publications/guides/documents/20200929134733-2020tbl_kilavuzf527c34496.pdf?a=1 adresinden ulaşılmıştır.)
TEMD (2020) Adrenal ve Gonadal Hastalıklar Kılavuzu. (16.02.2022 tarihinde https://file.temd.org.tr/Uploads/publications/guides/documents/20210104142630-2021tbl_kilavuz72fa0dcdc2.pdf?a=1 adresinden ulaşılmıştır.)
TEMD (2020) Hipofiz Hastalıkları Tanı, Tedavi ve İzlem Kılavuzu. (16.02.2022 tarihinde https://file.temd.org.tr/Uploads/publications/guides/documents/20210208141646-2021tbl_kilavuz240b0d8bba.pdf adresinden ulaşılmıştır.)
Unipolar depression in adults: Assessment and diagnosis (2022) (15.02.2022 tarihinde https://www.uptodate.com/contents/unipolar-depression-in-adults-assessment-and-diagnosis?search=depresyon%20&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2 adresinden ulaşılmıştır.)
Bipolar disorder in adults: Clinical features (2022) (15.02.2022 tarihinde https://www.uptodate.com/contents/bipolar-disorder-in-adults-clinical-features/abstract/1 adresinden ulaşılmıştır.)
HSGM (2017). Birinci Basamak Sağlık Kurumları İçin Obezite ve Diyabet Klinik Rehberi 2017. (18.02.2022 tarihinde https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayat-db/Diyabet/diyabet-rehberleri/Obezite-ve-Diyabet-Klinik-Rehberi.pdf adresinden ulaşılmıştır.)
