Evaluation of psychopathologies and slow cognitive pace in morbid obese and obese children

The World Health Organization (WHO) defines obesity as one of the biggest public health problems of our age as excessive and abnormal fat accumulation. Obesity, the frequency of which increases gradually in childhood and adolescence, also directly contributes to adult obesity. There are many factors that contribute to the development of obesity. These can be environmental, genetic, hormonal, lifestyle-related endogenous or exogenous obesity. The prevalence of obesity is increasing rapidly in both adults and children, especially in urban areas of low- and middle-income countries. Globally, childhood obesity has increased 8-fold since 1975. Due to the increasing prevalence of obesity in childhood; Many adult disease backgrounds occur, including type 2 diabetes mellitus, hypertension, fatty liver disease, obstructive sleep apnea syndrome and dyslipidemia. The most common cause of obesity in children; It is excessive caloric intake in children with a genetic predisposition. This results in a positive energy balance. Although this is the most common cause, since there is not usually a single cause, causes and comorbidities should be examined while evaluating obesity in this age. Examination of these leads to targeted intervention in conjunction with lifestyle interventions. Attention deficit and hyperactivity disorder (ADHD) is basically grouped into two main symptom clusters. These two main symptom clusters are divided into attention deficit dominant type and hyperactivity dominant type. Although there are some differences between these two types, they are transitive among themselves. There is a group of patients with ADHD, especially in the attention deficit subtype, who cannot be classified into any symptom cluster. In this group of patients; Symptoms such as difficulty in taking action, being lethargic, looking sleepy, appearing to be confused, confusion, and getting tired quickly are clustered under another symptom group called Sluggish Cognitive Tempo (SCT). Although it is considered as an ADHD variant by some authorities, the opinion that SBT is another disease has been in the foreground recently. Although sluggish cognitive tempo (SCT) is seen especially with the attention deficit subtype of ADHD, it has more frequent comorbidities with depression, anxiety disorder and social withdrawal rather than conduct disorder, oppositional defiant disorder (ODD), which often accompanies ADHD. . There is no study in the literature evaluating the relationship between SCT and childhood obesity. This study aims to fill the gap in the literature in this area and to look at the relationship between childhood obesity and psychiatric comorbidities from a different perspective.