A study of eating behaviors in adolescents with obesity and signs of metabolic syndrome
Aim. To study the dietary behavior of obese adolescents and their modification to improve the effectiveness of treatment, complication prevention and metabolic syndrome. Material and Methods. On the base of the "SI "Institute of children and adolescence health care of NAMS", 226 o...
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| Autores principales: | , |
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| Formato: | article |
| Lenguaje: | EN UK |
| Publicado: |
Danylo Halytsky Lviv National Medical University
2019
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/b513f666bc0f4d5994c77a01708ee231 |
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| Sumario: | Aim. To study the dietary behavior of obese adolescents and their modification to improve the effectiveness of treatment, complication prevention and metabolic syndrome.
Material and Methods. On the base of the "SI "Institute of children and adolescence health care of NAMS", 226 obese patients aged 13 to 18 years were examined. All patients had a comprehensive clinical and laboratory examination: anthropometric measurements, biochemical blood tests with lipid, protein metabolism, hepatic enzyme levels and bilirubin. The criterion for insulin resistance was NOMA-IR (Homostasis model assessment of Insulin Resistance, Matthews D.R., 1985). The study of eating behavior in children and adolescents with obesity was conducted using the questionnaire using the the Dutch Eating Behavior Questionnaire (DEBQ).
Results and Discussion. Most obesity patients reported complaints not only of asthenovegetative nature, but also of dyspepsia and pain, with statistically significant prevalence in persons with signs of metabolic syndrome. The results of the study of levels of total bilirubin, hepatic enzymes and liver protein metabolism were within the age range. The atherogenic changes in the lipid profile of the blood and the presence of insulin resistance were detected, wich associated with metabolic syndrom. An analysis of the Dutch questionnaire showed that in the majority of children and adolescents with obesity there was a restrictive type of dietary behavior 73.9±3.2%, quite common variants were external - in 43.8±3.1% and emotionogenic type of food behavior - 32.3±3,1%. Detected violations of eating behavior indicate their significant contribution to the development and progression of obesity. Thus, the modification of eating behavior is one of the most important tasks in the treatment of obesity patients and prevention of metabolic syndrome. |
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