Hanım Ecem DİKTAŞ, Hilal HIZLI, Muazzez GARİPAĞAOĞLU

Adölesanlarda Porsiyon Seçimi ile Beden Kütle İndeksi Arasındaki İlişkinin İncelenmesi

Amaç: Besinlerin artan porsiyon büyüklüklerinin, vücut ağırlığını, dolayısıyla sağlığı önemli derecede etkilediği bilinmektedir. Bu nedenle bu çalışma 14-18 yaş grubu adölesanlarda porsiyon seçimi ile beden kütle indeksi (BKİ) arasındaki ilişkinin incelenmesi amacıyla yapılmıştır. Bireyler ve Yöntem: Randomize, kesitsel bir araştırma olan çalışma, İstanbul ilinde lise eğitimi gören (özel ve devlet lisesi) 14-18 yaşları arasındaki 257’si kız 253’ü erkek, toplam 510 öğrencinin katılımıyla gerçekleştirilmiştir. Antropometrik ölçümler bir diyetisyen tarafindan alınmış, günlük beslenme alışkanlıkları, porsiyon seçimleri ve ailelerin sosyo-ekonomik düzeylerine ilişkin veriler anket formu ile toplanmıştır. Porsiyon seçimleri, öğle yemeği öncesinde (açlık durumunda) ve öğle yemeği sonrasında (tokluk durumunda) olmak üzere 2 kez incelenmistir. Bulgular: Beden kütle indeksine göre öğrencilerin %33.6’sı kilolu ve obez, %2.2’si zayıf, %64.3’ü normal bulunmuştur. Yemek porsiyonlarına daha az dikkat ettiğini belirten öğrencilerin, daha büyük porsiyonu seçtikleri görülmüştür (p

Investigating the Association between Portion Choices and Body Mass Index in Adolescents

Aim: It is known that the increased portion size of foods effects body weight, thereby significantly influences individuals’ health. This study was planned to investigate the association between portion choice and body mass index in a group of adolescents aged between 14 to 18 years. Subjects and Method: This randomized cross-sectional study was carried out with 510 students (257 females, 253 males) aged between 14 and 18 who were students at one private and one public school. Anthropometric measurements of the students were assessed by a dietitian. Surveys about demographic information of families, eating patterns, and portion choices of children (in the presence or absence of hunger) were conducted. A portion survey was conducted two times, before (in the presence of hunger) and after the students’ lunchtime (in the absence of hunger). Results: According to the body mass index (BMI), 33.6% of the students were overweight and obese, 2.2% were underweight, and 64.3% were normal weight. The students who were unaware of the size of their regular portions chose the bigger portion (p

PDF

___

1. Roe LS, Kling SM, Rolls BJ. What is eaten when all of the foods at a meal are served in large portions? Appetite 2016;99:1-9.

2. Steenhuis I, Poelman M. Portion size: latest developments and interventions. Curr Obes Rep. 2017;6(1):10-7.

3. Jelalian E, Steele G, editors. Handbook of Childhood and Adolescent Obesity. 1st ed. New York: Springer; 2008. 145 p.

4. World Health Organization. E-library of Evidence for Nutrition Actions (eLENA). WHO: Geneva, Switzerland. Available from: http://www.who.int/elena/en/ Accessed January 23, 2019.

5. Hetherington MM, Blundell-Birtill P. The portion size effect and overconsumption–towards downsizing solutions for children and adolescents. Nutr Bull. 2018;43(1):61-8.

6. Piernas C, Popkin BM. Increased portion sizes from energy-dense foods affect total energy intake at eating occasions in US children and adolescents: patterns and trends by age group and sociodemographic characteristics, 1977–2006. Am J Clin Nutr. 2011;94(5):1324-32.

7. Albar SA, Alwan NA, Evans CE, Cade JE. Is there an association between food portion size and BMI among British adolescents? Br J Nutr. 2014;112(5):841-51.

8. Smethers AD, Roe LS, Sanchez CE, Zuraikat FM, Keller KL, Kling SM, et al. Portion size has sustained effects over 5 days in preschool children: a randomized trial. Am J Clin Nutr. 2019;5:1361-1372.

9. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149-60.

10. Lohman TG, Roche AF, Martorell R. Anthropometric Standardization Reference Manual. 23th ed. Champaign, IL: Human Kinetics Books; 1988.151 p.

11. US Department of Health and Human Services; US Department of Agriculture. 2015-2020 Dietary Guidelines for Americans. 8th ed. Washington, DC: US Dept of Health and Human Services; December 2015. http://www.health.gov/DietaryGuidelines. Accessed January 22, 2019.

12. Lillegaard IT, Øverby NC, Andersen LF. Can children and adolescents use photographs of food to estimate portion sizes? Eur J Clin Nutr. 2005;59(4):611-7.

13. Türkiye Beslenme Rehberi (TÜBER) 2015, T.C. Sağlık Bakanlığı Yayın No:1031:978-975-590-608.

14. United States Department of Agriculture. Choosemyplate. gov Available from: http://www.choosemyplate.gov/. Accessed January 22, 2019.

15. World Health Organization (WHO), Growth reference data for 5-19 years, WHO Reference, 2007. Available at:http://www.who.int/growthref/en/ Accessed January 23, 2019.

16. Ogden CL, Flegal KM. Changes in terminology for childhood overweight and obesity. Natl Health Stat Report. 2010;(25):1-5.

17. Beslenme Bilgi Sistemi (BEBİS) 4. versiyon, İstanbul, 2004. Veri bankaları: Bundeslebensmittelschlüssel (BLS) 2.3 ve USDA12. www.bebis-tr.com Accessed January 24, 2019.

18. Gibson RS. Principles of Nutritional Assessment. 2nd ed. USA: Oxford University Press; 2005. 218 p.

19. Story M, Stang J. Nutrition needs of adolescents. Guidelines for adolescent nutrition services, Minneapolis, MN:Centre for Leadership, Education and Training in Maternal and Child Nutrition Division of Epidemiology and Community Health, School of Public Health: University of Minnesota; 2005. 21-34 p.

20. US Department of Agriculture, Beltsville Human Nutrition Research Center, US Department of Health and Human Services. What we eat in America, NHANES 2010. Available from: http://www.cdc.gov/nchs/about/ major/nhanes/nhanes2005-2006/dr1tot_c.xpt. Accessed January 22, 2019.

21. Brunstrom JM, Rogers PJ, Pothos EM, Calitri R, Tapper K. Estimating everyday portion size using a method of constant stimuli: In a student sample, portion size is predicted by gender, dietary behaviour, and hunger, but not BMI. Appetite. 2008;51(2):296-301.

22. Huang TTK, Howarth NC, Lin BH, Roberts SB, McCrory MA. Energy intake and meal portions: associations with BMI percentile in US children. Obes Res. 2004;12(11):1875-85.

23. Burger KS, Kern M, Coleman KJ. Characteristics of selfselected portion size in young adults. J Am Diet Assoc. 2007;107:611–8.

24. Westerterp-Plantenga MS, Pasman WJ, Yedema MJW, Wijckmans-Duijsens NEG. Energy intake adaptation of food intake to extreme energy densities of food by obese and non-obese women. Eur J Clin Nutr. 1996;50:401–7.

25. McConahy KL, Smiciklas-Wright H, Birch LL, Picciano MF. Food portions are positively related to energy intake and body weight in early childhood. J Pediatr. 2002;140:340-7.

26. Zlatevska N, Dubelaar C, Holden SS. Sizing up the effect of portion size on consumption: a meta-analytic review. Journal of Marketing. 2014;78(3):140-54.

27. Rolls BJ, Roe LS, Meengs JS. The effect of large portion sizes on energy intake is sustained for 11 days. Obesity 2007;15(6):1535-43.