Şule AKTAÇ, Muazzez GARİPAĞAOĞLU, Gülbin GÖKÇAY, Zeynep AKMAN

Çocuk Sağlığı İzlem Polikliniğinde Takip Edilen Dokuz ve On İki Aylık Bebeklerde Tamamlayıcı Beslenme Uygulamaları ve Besin Ögesi Alımlarının Belirlenmesi

Amaç: Bu çalışmanın amacı, 9 ve 12 aylık bebeklerde tamamlayıcı beslenme uygulamaları ile enerji, makro ve mikro besin ögesi alımlarının belirlenmesidir.Gereç ve Yöntem: Bu çalışma, İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı’nın, Çocuk Sağlığı İzlem Polikliniği’nde 1 Şubat-30 Eylül 2011 tarihleri arasında ardı sıra başvuran 9 ve 12 aylık toplam 243 bebekle yürütüldü. Bebeklerin antropometrik ölçümleri alındı, 24 saatlik besin tüketimleri kaydedildi. Bebeklere ve ailelere ilişkin demografik bilgilerin saptanmasında yapılandırılmış anket formu yüz yüze görüşülerek dolduruldu. Ağırlık ve boy ölçüleri, Türk çocukları için geliştirilen standartlara göre değerlendirildi. Günlük alınan enerji ve besin ögeleri BEBİS bilgisayar ortamında besin analiz programı kullanılarak saptandı. Bulgular: Bebekler arasında 4. ve 6. aylarda yalnızca anne sütü SAS alma oranı sırasıyla %83.1, %58.0; 9 ve 12. aylarda anne sütüne devam etme oranları sırasıyla %79.0, %72.6 olarak bulundu. Besin ögeleri açısından demir, iyot ve D vitamini alımı yetersizdi. Süt grubu ve meyve en çok tüketilen besinler iken, et, yumurta en az tüketilen besinler arasında yer alıyordu. Sonuç: Çocuk sağlığı izlem polikliğinde verilen önerilere karşın bebeklerin beslenmesinde saptanan bu sorunlar, ailelerin bebek beslenmesi konusunda daha etkin eğitime gereksinimleri olduğunu göstermektedir

Anahtar Kelimeler:

Anne sütü, besin ögesi, tamamlayıcı beslenme, sütçocuğu

Feeding Practices and Determination of the Energy and Nutrient Intakes of 9-12 Month- old Infants Followed-Up at Well Child Clinic

Objective: The aim of this study was to determine the complementary feeding practices and energy, macro-, and micro- nutrient intakes of infants aged 9-12 months.Material and Method: The study was carried out at Well Child Clinic of the Department of Children’s Health and Diseases of Istanbul University, School of Medicine between February 1, and September 30 2011 and conducted with consecutively admitted 243 infants aged 9 and 12 months. Anthropometric measurements and 24-hour food consumption were recorded. A structured questionnaire was filled by using face-to-face interview method. Turkish reference curves were used to evaluate weight, height and standard deviation scores of infants. Daily intake of energy, and nutrients were determined using food analyse program loaded in BEBİS software program.Results: Most of the infants were exclusively breastfed at 4 83.1% , and 6 months 58.0% , and breastfeeding was maintained at 9, and 12 months for 79.0, and, 72.6% of the infants, respectively. Iron, iodine and vitamin D intakes were insufficient. Milk group and fruits were mostly, and meat, and egg were leastly consumed foods.Conclusion: These problems detected in nutrition of infants despite recommendations provided in well child clinic demonstrates the need for more effective education of families about infant feeding

Keywords:

Breastfeeding, nutrient, complementary feeding, infant,

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