A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015
Yıl: 2018 Cilt: 10 Sayı: 1 Sayfa Aralığı: 59 - 67 Metin Dili: İngilizce DOI: 10.4274/jcrpe.5043 İndeks Tarihi: 23-09-2019
A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015
Öz: Objective: Obesity in childhood and adolescence is one of the most serious public health problems due to a remarkable increase in prevalence in recent years and its close relationship with non-communicable diseases, such as diabetes and hypertension, resulting in increased adult morbidity and mortality. This study aims to quantify the secular trend in different regions of Turkey from 1990 to 2015 by performing a meta-analysis of childhood and adolescent obesity prevalence studies conducted. Methods: Uludag University Library Database was searched for relevant articles published prior to March 2017. The heterogeneity of the studies in the meta-analysis was tested by the I2 statistic and Cochran’s Q test. The obesity trend analyses were examined by chi-square trend analysis with respect to five year periods. The statistical significance level was taken as α=0.05.Results: A total of 76 papers were initially identified addressing childhood and adolescent obesity in Turkey. Fifty-eight papers were selected for analysis. The prevalence of obesity increased from 0.6% to 7.3% with an 11.6-fold increase between the periods 1990-1995 to 2011-2015. The prevalence of obesity increased in both genders. However, boys were more likely to be obese than girls.Conclusion: Studies on obesity prevalence in the 5-19 age group in Turkey have gained importance, especially in the 2000s. While a remarkable number of prevalence studies, mostly regional, have been conducted between 2005-2011, a gradual decline was observed thereafter. Further national and population-based surveys on prevalence of obesity in children and adolescents are definitely needed in Turkey.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Itagi V. Patil R. Obesity in children and adolescents and its relationship with hypertension. Turkish J Med Sci 2011;41:259-266.
- WHO. Fiscal policies for diet and the prevention of noncommunicable diseases. WHO Reg Off Eur 2015;36. http://www.who.int/dietphysicalactivity/publications/ fiscal-policies-diet-prevention/en/.
- Ng M. Fleming T. Robinson M. Thomson B. Graetz N. Margono C. Mullany EC. Biryukov S. Abbafati C. Abera SF. Abraham JP. AbuRmeileh NM. Achoki T. AlBuhairan FS. Alemu ZA. Alfonso R. Ali MK. Ali R. Guzman NA. Ammar W. Anwari P. Banerjee A. Barquera S. Basu S. Bennett DA. Bhutta Z. Blore J. Cabral N. Nonato IC. Chang JC. Chowdhury R. Courville KJ. Criqui MH. Cundiff DK. Dabhadkar KC. Dandona L. Davis A. Dayama A. Dharmaratne SD. Ding EL. Durrani AM. Esteghamati A. Farzadfar F. Fay DF. Feigin VL. Flaxman A. Forouzanfar MH. Goto A. Green MA. Gupta R. Hafezi-Nejad N. Hankey GJ. Harewood HC. Havmoeller R. Hay S. Hernandez L. Husseini A. Idrisov BT. Ikeda N. Islami F. Jahangir E. Jassal SK. Jee SH. Jeffreys M. Jonas JB. Kabagambe EK. Khalifa SE. Kengne AP. Khader YS. Khang YH. Kim D. Kimokoti RW. Kinge JM. Kokubo Y. Kosen S. Kwan G. Lai T. Leinsalu M. Li Y. Liang X. Liu S. Logroscino G. Lotufo PA. Lu Y. Ma J. Mainoo NK. Mensah GA. Merriman TR. Mokdad AH. Moschandreas J. Naghavi M. Naheed A. Nand D. Narayan KM. Nelson EL. Neuhouser ML. Nisar MI. Ohkubo T. Oti SO. Pedroza A. Prabhakaran D. Roy N. Sampson U. Seo H. Sepanlou SG. Shibuya K. Shiri R. Shiue. Singh GM. Singh JA. Skirbekk V. Stapelberg NJ. Sturua L. Sykes BL. Tobias M. Tran BX. Trasande L. Toyoshima H. van de Vijver S. Vasankari TJ. Veerman JL. Velasquez-Melendez G. Vlassov VV. Vollset SE. Vos T. Wang C93. Wang X94. Weiderpass E95. Werdecker A96. Wright JL97. Yang YC98. Yatsuya H99. Yoon J100. Yoon SJ. Zhao Y. Zhou M. Zhu S. Lopez AD. Murray CJ. Gakidou E.Global. regional. and national prevalence of overweight and obesity in children and adults during 1980-2013: A systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014;384:766-781.
- Sağlık Bakanlığı. Türkiye Beslenme ve Sağlık Araştırması 2010: Beslenme Durumu ve Alışkanlıklarının Değerlendirilmesi Sonuç Raporu.; 2014.
- T.C. Sağlık Bakanlığı. Temel Sağlık Hizmetleri Genel Müdürlüğü. Türkiye’de okul çağı çocuklarında büyümenin izlenmesi projesi araştırma raporu. Ankara. 2011:1-121. http://beslenme.gov.tr/content/ files/yayinlar/kitaplar/diger_kitaplar/tocbi_kitap.pdf
- Gümüş E. Satman I. Yetkin İ. Hatun Ş. Çakır B. Türkiye Diyabet Programı 1. 2015:1-66.
- http://www.uludag.edu.tr/kutuphane/default/database
- Neyzi O. Bundak R. Gökçay G. Günöz H. Furman A. Darendeliler F. Baş F. Reference Values for Weight. Height. Head Circumference. and Body Mass Index in Turkish Children. J Clin Res Pediatr Endocrinol 2015;7:280-293.
- Kuczmarski RJ. Ogden CL. Grummer-Strawn LM. Flegal KM. Guo SS. Wei R. Mei Z. Curtin LR. Roche AF. Johnson CL. CDC growth charts: United States. Adv Data 2000;(314):1-27.
- http://www.who.int/growthref/who2007_bmi_for_age/en/
- Agirbasli M. Tanrikulu B. Arikan S. Izci E. Ozguven S. Besimoglu B. Ciliv G. Maradit-Kremers H. Trends in body mass index. blood pressure and parental smoking habits in middle socio-economic level Turkish adolescents. J Hum Hypertens 2008;22:12-17.
- Agirbasli M. Cakir S. Ozme S. Ciliv G. Metabolic syndrome in Turkish children and adolescents. Metabolism 2006;55:1002-1006.
- Ucar B. Kilic Z. Colak O. Oner S. Kalyoncu C. Coronary risk factors in Turkish schoolchildren: Randomized cross-sectional study. PED Pediatr Int 2000;42:259-267.
- Soylu A. Kavukcu S. Turkmen M. Cabuk N. Duman M. Effect of socioeconomic status on the blood pressure in children living in a developing country. Pediatr Int 2000;42:37-42.
- Kurdak H. Bozdemir N. Saatci E. Ozturk P. Ozcan S. Akpinar E. Self-perceived body weight status and weight-control behaviors of high school students in a southern city of Turkey. Coll Antropol 2010;34:1295-1302.
- Ece A. Ceylan A. Gürkan F. Dikici B. Bilici M. Davutoglu M. et al. Diyarbakir ve Çevresi Okul Çocuklarinda Boy Kisaligi. Dusuk Agirlik ve Obezite Sikligi. Van Tip Derg 2004;11:128-136.
- Saglam H. Tarim Ö. Prevalence and correlates of obesity in schoolchildren from the city of Bursa. Turkey. J Clin Res Pediatr Endocrinol 2008;1:80-88.
- Sur H. Kolotourou M. Dimitriou M. Kocaoglu B. Keskin Y. Hayran O. Manios Y. Biochemical and behavioral indices related to BMI in schoolchildren in urban Turkey. Prev Med (Baltim) 2005;41:614-621.
- Gundogdu Z. Relationship between BMI and blood pressure in girls and boys. Public Health Nutr 2008;11:1085-1088.
- Aydin N. İrgİl E. Akiş N. Pala K. Nilüfer Halk Sağlığı Eğitim Araştırma Bölgesinde Dört İlköğretim Okulundaki Öğrencilerin Sağlık Durumlarının Değerlendirilmesi. Uludag Univ Tip Fak Derg 2004;30:1-6.
- Simsek F. Ulukol B. Berberoglu M. Gulnar SB. Adiyaman P. Ocal G. Ankara’da bir ilköğretim okulu ve lisede obezite sıklığı. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2005;58:163-166.
- Turkkahraman D. Bircan I. Tosun O. Saka O. Prevalence and risk factors of obesity in school children in Antalya. Turkey. Saudi Med J 2006;27:1028-1033.
- Süzek H. Arı Z. Uyanık BS. Muğla’da yaşayan 6-15 yaş okul çocuklarında kilo fazlalığı ve obezite prevalansı. Türk Biyokim Derg 2005;30:290- 295.
- Nur N. Cetinkaya S. Yilmaz A. Ayvaz A. Bulut MO. Sumer H. Prevalence of hypertension among high school students in a middle anatolian province of Turkey. J Heal Popul Nutr 2008;26:88-94.
- Bayat M. Erdem E. Barik O. Baser M. Tasci S. Blood pressure. height. weight and body mass index of primary school students in a low socioeconomic district in Turkey. Int Nurs Rev 2009;56:375-380.
- Anamur Uguz M. Bodur S. Konya il merkezindeki ergenlik öncesi ve ergen çocuklarda aşırı ağırlık ve şişmanlık durumunun demografik özelliklerle ilişkisi. Genel Tıp Derg 2007;17:1-7.
- Discigil G. Prevalence of hypertension and related factors in primary school students in Aydın. Turkiye Aile Hekim Derg 2008;12:70-74.
- Dinc G. Saatli G. Baydur H. Ozcan C. Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: a strong relationship in a population with a relatively low prevalence of overweight. Anadolu Kardiyol Derg 2009;9:450-456.
- Discigil G. Tekin N. Soylemez A. Obesity in Turkish children and adolescents: Prevalence and non-nutritional correlates in an urban sample. Child Care Health Dev 2009;35:153-158.
- Ozturk A. Mazicioglu M. Poyrazoglu S. Cicek B. Gunay O. Kurtoglu S. The relationship between sleep duration and obesity in Turkish children and adolescents. Acta Paediatr 2009;98:699-702.
- Kara IH. Dikici B. Yel S. Ozdemir Ö. The prevalence of malnutrition and obesity in schoolchildren in the Southeast Anatolia Region of Turkey. Duzce Med J 2010;12:54-62.
- Etiler N. Cizmecioglu FM. Hatun S. Hamzaoglu O. Nutritional status of students in Kocaeli. Turkey: A population-based study. Pediatr Int 2011;53:231-235.
- Ozturk A. Akturk S. İlköğretim öğrencilerinde obezite prevalansı ve ilişkili risk faktörleri. TAV Prev Med Bull 2011;10:53-60.
- Ozmen D. Ozmen E. Ergin D. Cetinkaya AC. Sen N. Dundar PE. Taskin EO. The association of self-esteem. depression and body satisfaction with obesity among Turkish adolescents. BMC Public Health 2007;7:80.
- Simsek E. Akpinar S. Bahcebasi T. Senses DA. Kocabay K. The prevalence of overweight and obese children aged 6-17 years in the West Black Sea region of Turkey. Int J Clin Pract 2008;62:1033-1038.
- Ari Z. Süzek H. Muğla merkez köylerindeki bir grup ilköğretim okulu öğrencisinde serum lipid profili ve obezite taraması. Serum Lipid Profile and Obesity Scanning of A Group of Primary School Students in Central Villages of Mugla Province. ADÜ Tıp Fakültesi Derg 2008;9:11-16.
- Akis N. Pala K. Meriç-Utku A. Seyithan B. Sarandöl E. Aytekin H. Hypertension in children (12-14 years)--a case-control study in Bursa. Turkey. Turk J Pediatr 2009;51:437-443.
- Calisir H. Karacam Z. The prevalence of overweight and obesity in primary schoolchildren and its correlation with sociodemographic factors in Aydin. Turkey. Int J Nurs Pract 2011;17:166-173.
- Aslan Baran D. Bursa il merkezinde ilköğretim çağındaki çocuklarda hipertansiyon sıklığının ve risk faktörlerinin araştırılması. Ulusal Tez Merkezi 2008.
- Borici S. Agaoglu NB. Baykan OA. Agirbasli M. Blood pressure and anthropometric measurements in Albanian versus Turkish children and adolescents. Acta Cardiol 2009;64:747-754.
- Arı Yuca S. Yılmaz C. Cesur Y. Doğan M. Kaya A. Başaranoğlu M. Prevalence of Overweight and Obesity in Children and Adolescents in Eastern Turkey-Original Article. J Clin Res Pediatr Endocrinol 2010;2:159-163.
- Kaya CA. Akman M. Unalan PC. Demir HP. Keskin S. Weight. diet and physical activity habits of Turkish adolescents living in a semi-urban area of Istanbul: gender differences. Obe Metab 2010;6:94-99.
- Pirincci E. Durmus B. Gündogdu C. Acik Y. Prevalence and risk factors of overweight and obesity among urban school children in Elazig city. Eastern Turkey. 2007. Ann Hum Biol 2010;37:44-56.
- Aksoydan E. Cakir N. Adölesanlarin beslenme alişkanliklari. fiziksel aktivite düzeyleri ve vücut kitle indekslerinin değerlendirilmesi. Gulhane Med J 2011;53:264-270.
- Duzova A. Yalcinkaya F. Baskin E. Bakkaloglu A. Soylemezoglu O. Prevalence of hypertension and decreased glomerular filtration rate in obese children: results of a population-based field study. Nephrol Dial Transplant 2013;28(suppl 4):iv166-iv171.
- Kesim S. Cicek B. Aral CA. Ozturk A. Mazicioglu MM. Kurtoglu S. Oral health. obesity status and nutritional habits in Turkish children and adolescents: An epidemiological study. Balkan Med J 2016;33:164-172.
- Akcam M. Boyaci A. Pirgon O. Dundar B. Isparta ilindeki on okulda çocukluk çağı şişmanlık sıklığı değişiminin değerlendirilmesi. Turkish Arch Pediatr 2008;(1):152-155.
- Akan H. Izbirak G. Tanriover O. Kaspar EÇ. Yıldız A. Tilev SM. Tektaş S. Vitrinel A. Ergenlerde prehipertansiyon ve hipertansiyon sikligi. Turk Aile Hek Derg 2010;14:115-123.
- Akman M. Akan H. Izbirak G. Tanriöver Ö. Tilev SM. Yildiz A. Tektaş S. Vitrinel A. Hayran O. Eating patterns of Turkish adolescents: a crosssectional survey. Nutr J 2010;9:67.
- Kayıran PG. Taymaz T. Kayıran SM. Memioğlu N. Taymaz B. Gürakan B. Türkiye’nin üç farklı bölgesinde ilköğretim okulu öğrencilerinde kilo fazlalığı . obezite ve boy kısalığı sıklığı. 2011;(1):13-18.
- Albayrak B. Kutlu Y. The determination of blood pressure. anger expression and body mass index in adolescents in Turkey: a pilot study. Coll Antropol 2012;36:87-92.
- Dündar C. Öz H. Obesity-Related Factors in Turkish School Children. Sci World J 2012;2012:1-5.
- Onsuz FM. Demir F. Prevalence of hypertension and its association with obesity among school children aged 6-15 living in Sakarya province in Turkey. Turkish J Med Sci 2015;45:907-912.
- Ercan S. Dallar YB. Onen S. Engiz O. Prevalence of obesity and associated risk factors among adolescents in Ankara. Turkey. J Clin Res Pediatr Endocrinol 2012;4:204-207.
- Yorulmaz H. Perçin Paçal F. 16-18 Yaş Grubundaki Gençlerin Beslenme Aliskanliklarinin Ve Obezite Durumlarinin Incelenmesi. Turkiye Klin J Med Sci 2012;32:364-370. 56. Inanc B. 7-15 Years Of Age Group Children’s Hypertension and Obesity. J Clin Anal Med 2013;4:116-119.
- Cabar HD. Ozeren GS. Altay B. Nutritional habits and obesity: Primary school students in Sinop. the northernmost point of Turkey. J Exp Clin Med 2014;31:13-17.
- Kaya M. Sayan A. Birinci M. Yildiz M. Turkmen K. The obesity prevalence among students between the ages of 5 and 19 in Kutahya. Turkish J Med Sci 2014;44:10-15.
- Demirci H. Nuhoglu C. Ursavas IS. Isildak S. Basaran EO. Kilic MY. Obesity and asymptomatic hypertension among children aged 6-13 years living in Bursa. Turkey. Fam Pract 2013;30:629-633.
- Polat M. Yıkılkan H. Aypak C. Görpelioğlu S. The relationship between BMI and blood pressure in children aged 7-12 years in Ankara. Turkey. Public Health Nutr 2014;17:2419-2424.
- Turhan E. Tözün M. Doğanay S. İzmir’E Bağlı Dokuz Ilçede Ilköğretim Birinci Sınıf Öğrencilerinde Obezite Sıklığı. J Clin Anal Med 2015;6:755- 759.
- Sarı HY. Yılmaz M. Serin E. Kısa SS. Yeşiltepe Ö. Tokem Y. Rowley H. Obesity and hypertension in adolescents and adults with intellectual disability. Acta Paul Enferm 2016;29:169-177.
- Gokler ME. Bugrul N. Metintas S. Kalyoncu C. Adolescent obesity and associated cardiovascular risk factors of rural and urban life (Eskisehir. Turkey). Cent Eur J Public Health 2015;23:20-25.
- Ozcebe H. Bosi TB. Yardim N. Ertuğrul Ç. Nermin Ç. Bekir K. Seçil Ö. Türkiye’ de çocuklarda fazla kiloluluk ve şişmanlık prevalansları [Owerweight and obesity among children in Turkey]. TAF Prev Med Bull 2015;14:145-152.
- Dastan I. Cetinkaya V. Delicen ME. The obesity and overweight prevalence among students between the ages of 7 and 18 in İzmir. Bakirkoy Tip Derg / Med J Bakirkoy 2014;10:139-146.
- Cam H. Top F. A Study on the Prevalence of Prehypertension and Hypertension and its Association with Obesity in Adolescents [Adolesanlarda Prehipertansiyon ve Hipertansiyon Prevalansi ile Obezite Arasindaki Iliskinin Incelenmesi]. Med Sci | Int Med J 2015;4:2143.
- Kecialan R. Kosif R. Examining Of The Relationship Between Waist To Height Ratio. The Dietary Habits And Body Mass Index (BMI) Of Students In A Vocational Health High School. HealthMED 2016;10:149- 161.
APA | ALPER Z, Ercan I, UNCU Y (2018). A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015. , 59 - 67. 10.4274/jcrpe.5043 |
Chicago | ALPER ZULEYHA,Ercan Ilker,UNCU YEŞİM A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015. (2018): 59 - 67. 10.4274/jcrpe.5043 |
MLA | ALPER ZULEYHA,Ercan Ilker,UNCU YEŞİM A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015. , 2018, ss.59 - 67. 10.4274/jcrpe.5043 |
AMA | ALPER Z,Ercan I,UNCU Y A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015. . 2018; 59 - 67. 10.4274/jcrpe.5043 |
Vancouver | ALPER Z,Ercan I,UNCU Y A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015. . 2018; 59 - 67. 10.4274/jcrpe.5043 |
IEEE | ALPER Z,Ercan I,UNCU Y "A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015." , ss.59 - 67, 2018. 10.4274/jcrpe.5043 |
ISNAD | ALPER, ZULEYHA vd. "A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015". (2018), 59-67. https://doi.org/10.4274/jcrpe.5043 |
APA | ALPER Z, Ercan I, UNCU Y (2018). A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015. Journal of Clinical Research in Pediatric Endocrinology, 10(1), 59 - 67. 10.4274/jcrpe.5043 |
Chicago | ALPER ZULEYHA,Ercan Ilker,UNCU YEŞİM A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015. Journal of Clinical Research in Pediatric Endocrinology 10, no.1 (2018): 59 - 67. 10.4274/jcrpe.5043 |
MLA | ALPER ZULEYHA,Ercan Ilker,UNCU YEŞİM A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015. Journal of Clinical Research in Pediatric Endocrinology, vol.10, no.1, 2018, ss.59 - 67. 10.4274/jcrpe.5043 |
AMA | ALPER Z,Ercan I,UNCU Y A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015. Journal of Clinical Research in Pediatric Endocrinology. 2018; 10(1): 59 - 67. 10.4274/jcrpe.5043 |
Vancouver | ALPER Z,Ercan I,UNCU Y A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015. Journal of Clinical Research in Pediatric Endocrinology. 2018; 10(1): 59 - 67. 10.4274/jcrpe.5043 |
IEEE | ALPER Z,Ercan I,UNCU Y "A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015." Journal of Clinical Research in Pediatric Endocrinology, 10, ss.59 - 67, 2018. 10.4274/jcrpe.5043 |
ISNAD | ALPER, ZULEYHA vd. "A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015". Journal of Clinical Research in Pediatric Endocrinology 10/1 (2018), 59-67. https://doi.org/10.4274/jcrpe.5043 |