ISSN 1306-0015 | E-ISSN 1308-6278
Original Article
Effective sociodemographic and clinical factors in weight loss in childhood obesity
1 Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim Araştırma Hastanesi, Çocuk Sağlığı ve Hastalıkları Kliniği, İstanbul, Türkiye  
2 Zeynep Kamil Kadın ve Çocuk hastalıkları Eğitim ve Araştırma Hastanesi, Çocuk Endokrinolojisi Bölümü, İstanbul, Türkiye  
3 Zeynep Kamil Kadın ve Çocuk hastalıkları Eğitim ve Araştırma Hastanesi, Çocuk Endokrinolojisi Bölümü, İstanbul, Türkiye; Koç Üniversitesi Tıp Fakültesi, Çocuk Endokrinoloji Bölümü, İstanbul, Türkiye  
Turk Pediatri Ars 2018; 53: 169-176
DOI: 10.5152/TurkPediatriArs.2018.6210
Key Words: Exercising frequency, metformin, obesity in childhood, sociodemographic factors, weight loss
Abstract

Aim: Obesity is a more common and important health problem in childhood. We aimed to determine sociodemographic and clinical factors contributing weight loss.


Material and Methods
: Medical records of 120 obese patients (6-18 years old) applied at least twice for follow-up between 2012 (January)-2016 (September) were reviewed. Age, gender, socioeconomic status, family obesity, comorbidities, medications, operations, exercise frequency, screen time, physical examination findings and biochemical/hormone values [thyroid hormone, fasting insulin/glucose, cholesterol levels, Homeostasis model assesment insulin resistance (HOMA-IR), oral glucose tolerance test results (if applied) were recorded. Patients with a difference between the initial and last body mass index standart deviation higher than -0.2 were defined as “the good losing weight” group; the rest as “the poorly losing weight” group. The SPSS 22.0 program was used for analyzes.


Results
: Puberty stage showed a significant difference (p=0,019); 65% of patients in the poorly losing weight group but 54% of other group were at stage 4-5 . The initial body mass index standart deviation and exercise frequency were higher in the good losing weight group, the last measured body mass index standart deviation was lower (p=0). In the other group, baseline HOMA-IR was higher (p=0.037); there were more metformin-initiated patients but the difference was not significant.


Conclusion
: We observed that exercise frequency was higher in cases with good weight loss; therefore, we consider that increasing physical activity is an important step. Other crucial outcomes are that the initial body mass index standart deviation is higher while HOMA-IR is lower in those cases and that puberty stage is higher in poorly weight losing patients.


Cite this article as
: Şendur R, Özcabı B, Yeşiştepe Mutlu G, Bozaykut A. Effective sociodemographic and clinical factors in weight loss in childhood obesity. Turk Pediatri Ars 2018; 53(3): 169-76.

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