#increases #risk #kidney #heart #failure
In the wellness centers affiliated with the Ministry of Health, which was launched as a pilot application in 2015 for the purpose of implementing preventive medicine and has been serving with nearly 7 thousand employees in 79 provinces of Turkey for about 4 years, all citizens from 7 to 70, completely free of charge, Dietitian services are provided, accompanied by psychologists and, if necessary, physiotherapists. However, since most citizens are not aware of this service, they either turn to the recommendations that are trending on social media or that they hear from neighbors and friends.
Specialist Dietician Kübra Pekkan Göktuğ, who works at Dudullu Healthy Life Center affiliated with Ümraniye District Health Directorate, one of the 26 Healthy Life Centers in Istanbul, which served approximately 57 thousand people in the first 3 months of this year, said that she has become interested in protein-heavy diets, especially with the influence of social media. He said that children and adolescents with this disease may face conditions such as kidney failure and even heart failure in the future. Göktuğ stated that “gluten-free” diets, which have become “fashionable” in individuals prone to diabetes, mostly with the suggestions of social media influencers, are not always healthy as thought, and may trigger diabetes, and therefore trending diet recommendations should not be relied upon without being followed by an expert dietitian. noted.
“FAMILY PHYSICIANS CAN MAKE APPOINTMENTS”
Specialist Dyt. Göktuğ said, “At Healthy Life Centers, we, dieticians and psychologists, provide free services to our clients in cooperation with the Ministry of Health. Our citizens can apply on an outpatient basis or through their family physician. If they want dietitian support, the family doctor makes an appointment at our centers and directs them. All they have to do is be here on the appointment day and time. “Those who are obese or want to be followed up after obesity surgery can benefit from this service, as well as anyone who is satisfied with their weight but wants to maintain it or has a chronic disease can benefit from this service free of charge,” he said.
“THOSE WHO DO NOT KNOW THESE CENTERS THINK IT IS HARD TO REACH A DIETITIAN”
Pointing out that with the arrival of spring months, diet has gained momentum “as a fashion” due to the anxiety of getting fitter for the summer, Göktuğ said, “As summer approaches, the search for a diet increases. But everyone thinks that it is difficult to reach a dietician, and many people do not know how easily they can come to Healthy Life Centers. We accept all patients from the age of 6 and provide follow-up. “We are getting very successful and very good results with our child clients,” he said.
“ADOLESCENTS EMPLOY MUSCCULAR ATHLETES”
Underlining that childhood obesity has increased significantly in our country, Göktuğ said, “Frankly, at the beginning of my working life, I did not come across so many child patients. But right now, 2 out of 10 of my patients are children. Before, we almost never saw a child with thyroid disease. But now we see children with thyroid disease very frequently. The most fashionable diet we see in adolescents right now is heavy protein diets. They emulate their brothers and sisters who go to the gym. They go on heavy protein diets, thinking that they will be very muscular, well-built, accelerate weight loss and look more fit. However, in the long run, this causes great harm to children’s kidney health or can have consequences such as fatty liver or even heart failure.”
DATE DIET, DANGER OF DIABETES IN THE ZERO GLUTEN DIET
Specialist also said that because he thinks it is difficult to reach a dietician, people generally resort to rote diet practices on social media or unknown websites, etc. Dyt. Göktuğ said, “We can also encounter really serious cases. There may be people who have chronic diseases or who do not know that they are intolerant to any food. Food intolerance is a condition that can occur at any time in life. We can also observe much more severe cases that lead to allergic shock. Social media is a huge information pollution. For example, a client of mine came on a date diet and did not know that he had diabetes. We analyze his blood tests and implement a nutrition program accordingly. He increased his sugar level to 500 with the date diet. Again, a gluten-free diet is very popular. For example, we have had clients whose blood sugar levels were very high due to zero gluten diets. The gluten-free diet is not suitable for everyone. “Those who are predisposed to diabetes or have a family history of diabetes may experience the disease earlier or cause serious irregularities in blood sugar,” he said.
Stating that obesity surgery should not be one of the first methods used for weight problems, Göktuğ concluded his words as follows: “This is one of the trendy things in recent years. Yes, the person reaches his ideal weight, can maintain this weight for 4-5 months, but usually regains the same weight. After that, he can fall into serious despair. The reason for this is that the person turns to obesity surgery before he is psychologically ready for it. For example, we had a similar client. He weighed 125 kilos and actually had an eating disorder. First of all, I referred her to my psychologist friends, after meeting for a few sessions, we felt that she was ready for the diet and we started, and we got good results.”
HE LOST APPROXIMATELY 40 KIGS WITH HIS FOLLOW-UP AT THIS CENTER.
Psychologist Elvan Kandemir Güven, who works at Dudullu Healthy Living Center, said: “Our goal is not to lose weight, but to provide psychological support for the problems the person is experiencing. Because many factors may lie behind not being able to lose weight. It could be an eating disorder, it could be a food addiction, etc. In fact, reasons such as mental processes, perspective on diet, perspective on weight can also make the process difficult. When they receive psychological support and their perspective on losing weight changes, their eating habits may also change. “At this point, psychological support can accelerate and facilitate the weight loss process,” he said.
Food Engineer Demet Şen, who has been under the supervision of experts at the Healthy Living Center for about 2 years, explained that thanks to this center, she got rid of her previous unsuccessful attempts to lose weight due to unsuccessful attempts and said: “I am a food engineer. Even though I was constantly in touch with food, I could not manage my nutrition correctly. Before getting support from a dietician, I tried many things many times and each time I regained the weight I lost. I weighed over 90 kilos, had difficulty moving, and had pain. I started losing weight 1.5 years ago under the supervision of a dietitian and lost 37 kilos. “I have been maintaining my ideal weight for 4-5 months.” (DHA)
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