Turkiye Klinikleri Journal of Health Sciences

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Lipödemde Ketojenik Diyet ve Egzersiz Tedavisi: Multidisipliner Yaklaşımlı Bir Vaka Örneği
Ketogenic Diet and Exercise Therapy in Lipedema: A Case Report of a Multidisciplinary Approach
Özge ÖKCÜa, Sanem GÜVENb
aİstanbul Rumeli Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Terapi ve Rehabilitasyon Bölümü, İstanbul, Türkiye
bİstanbul Rumeli Üniversitesi Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, İstanbul, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(3):931-4
doi: 10.5336/healthsci.2021-87351
Article Language: TR
Full Text
ÖZET
 Lipödem; alt ekstremitede asimetrik yağ dokusu birikimi, ağrı, aşırı duyarlılık, minimal travma ile morarma, deri altı yağ dokuda sert nodüller, manşon bulgusu, egzersiz ve diyet tedavisine direnç ile karakterize olup, daha çok kadınlarda görülen kronik bir hastalıktır. Lipödemde uygulanan tedaviler ile hastaların günlük yaşam aktivitelerini kolaylaştırmak; fiziksel, ruhsal ve sosyal sağlığını optimize etmek, hastalık evresinin ilerlemesini önlemek, semptom ve komplikasyonların azaltılmasını sağlamak amaçlanmaktadır. Bu çalışmada, 22 yaşındaki lipödem tanılı kadın hastaya, 8 haftalık ketojenik diyet ve egzersiz kombine tedavisi uygulandı. Bu yeni disiplinler arası teröpatik yaklaşım ile olgunun lipödem evresinde ve Beck Depresyon Ölçeği skorunda iyileşme, ağrısında azalma, yaşam kalitesinde artış gerçekleşti. Elde edilen bu sonuçlar, lipödemde ortaya çıkan komplikasyonların kontrolünde bu yaklaşımın gelecek vadeden bir olasılık olduğunu düşündürmektedir.

Anahtar Kelimeler: Ketojenik diyet; egzersiz tedavisi; yaşam kalitesi
ABSTRACT
 Lipedema is a chronic disease mostly seen in women, characterized by asymmetric adipose tissue accumulation in the lower extremities, pain, hypersensitivity, bruising with minimal trauma, hard nodules in the subcutaneous adipose tissue, cuff sign, and resistance to exercise and diet therapy. With the treatments applied in lipoedema, it is aimed to facilitate the daily life activities of the patients, to optimize their physical, mental and social health, to prevent the progression of the disease stage, and to reduce the symptoms and complications. In this study, an 8-week ketogenic diet and exercise combined treatment was applied to a 22-year-old female patient with a diagnosis of lipedema. With this new interdisciplinary therapeutic approach, there was a decrease in the lipedema stage of the case, the Beck Depression Scale and pain, and an increase in the quality of life. These results suggest that this approach is an promising possibility in the control of complications in lipedema.

Keywords: Ketogenic diet; exercise theraphy; quality of life
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