Clinical Picture at Attendance and Response to Flexible Family-Based Low-Carb Life Style Change in Children With Obesity

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dc.contributor.authorCakmak, Hatice Mine
dc.contributor.authorArslanoglu, Ilknur
dc.contributor.authorSungur, Mehmet Ali
dc.contributor.authorBolu, Semih
dc.date.accessioned2021-12-01T18:47:41Z
dc.date.available2021-12-01T18:47:41Z
dc.date.issued2021
dc.department[Belirlenecek]en_US
dc.description.abstractAim: The study aims 1) to determine the clinical status of obese children at the admittance to the pediatric endocrinology referral center 2) to investigate the efficiency and compliance of the low-carb diet in a pediatric population with or without exercise, metformin Material and Methods: All subjects with the complaint of obesity and BMI percentile >95 were recruited from January 2012-August 2014. We evaluated basal retrospectively, recommended low carbohydrate family-wide eating practice and exercise to all, and metformin to selected cases, and recorded Self- reported adherence at first, third, sixth, and twelfth months. Results: Thirty-six subjects used metformin with a higher ratio of weight loss (90.0%, p=0.010) without a difference in the number of lost kilograms. In 160 cases without metformin; diet only, exercise only, and both diet and exercise groups lost weight significantly according to neither diet nor exercise group (OR:12.08, 95% CI 3.93-41.66, p<0.001; OR:3.04, 95% CI 1.18-7.84, p=0.022 and OR:32.80, 95% CI 7.14-150.77, p<0.001 respectively). Exercise plus diet (95.3%, p=0,002) and only diet (88.9%, p=0,023) were even more efficient than exercise alone (65.5%). In the twelfth month, 13.8% were on follow-up. Conclusion: Obesity gives rise to metabolic complications in the very early stages. A low carbohydrate diet proved to be acceptable and useful. Long-term consistency remains a challenge.en_US
dc.identifier.doi10.6000/1929-4247.2021.10.01.2
dc.identifier.endpage16en_US
dc.identifier.issn1929-4247
dc.identifier.issue1en_US
dc.identifier.startpage9en_US
dc.identifier.urihttps://doi.org/10.6000/1929-4247.2021.10.01.2
dc.identifier.urihttps://hdl.handle.net/20.500.12684/10346
dc.identifier.volume10en_US
dc.identifier.wosWOS:000675598300002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherLifescience Globalen_US
dc.relation.ispartofInternational Journal Of Child Health And Nutritionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectChildrenen_US
dc.subjectComplicationsen_US
dc.subjectLow-carbohydrate dieten_US
dc.subjectMetforminen_US
dc.subjectObesityen_US
dc.subjectRandomized Controlled-Trialen_US
dc.subjectInsulin-Resistanceen_US
dc.subjectGlucose-Toleranceen_US
dc.subjectChildhood Obesityen_US
dc.subjectPediatric Obesityen_US
dc.subjectLow-Carbohydrateen_US
dc.subjectOverweighten_US
dc.subjectManagementen_US
dc.subjectAdolescentsen_US
dc.subjectRisken_US
dc.titleClinical Picture at Attendance and Response to Flexible Family-Based Low-Carb Life Style Change in Children With Obesityen_US
dc.typeArticleen_US

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