Özlem BEKEM, Yeşim ÖZTÜRK, Nur ARSLAN, Benal BÜYÜKGEBİZ

İştahsız çocuklarda beslenme özelliklerinin anket çalışması ile değerlendirilmesi

Amaç: İştahsızlık çocukluk çağında sık görülen bir semptomdur ve değerlendirilmesinde gelişim, beslenme ve aile öyküsü önemlidir.Bu yazıda, kendi ünitemize iştahsızlık yakınması ile başvuran çocuklarda beslenme özelliklerinin anket çalışması ile araştırılması amaçlanmıştır. Gereç ve yöntem: Çalışmaya, Temmuz 2001 ve Haziran 2002 tarihleri arasında iştahsızlık yakınması ile başvuran 36 çocuk alındı. Olguların antropometrik ölçümleri hesaplandı ve anket aracılığıyla beslenme öyküleri değerlendirildi. Bulgular: Çocukların 17 (%47,2)'si kız, 19 (%52,8)'u erkek ve yaşları 1,2-12,9 yıl (ortalama 5,8±3,0 yıl) arasında idi. Olguların %63,9'unda malnütrisyon saptandı. Uy-gun beslenme süresi çocukların ancak %16,7'sinde mevcuttu. Beslerken oyun oyna-ma, atıştırma alışkanlığı ve yemek sırasında televizyon seyretme yüksek oranda saptandı. Sonuç: İştahsızlığın önlenmesi ve yeterli beslenmenin sağlanması için doğumdan itibaren çocuğun yaşına uygun beslenme önerilerine uyulmalıdır. Karşılaşılan uygunsuz yeme davranışlarını değerlendirirken ise ayrıntılı bir beslenme öyküsü alınması gereklidir.

Anahtar Kelimeler:

Anketler, İştah, Çocuk, Çocuk beslenme bozuklukları, Kötü beslenme

Evaluation of feeding customs in children with poor appetite by a questionnaire

Objective: Poor appetite is a common problem in childhood. For assessment, history of development, nutrition and family is important. The aim of this study is to evaluate feeding customs of children with poor appetite by a questionnaire. Material and method: Thirty-six children who presented with poor appetite to our clinic between July 2001 and June 2002 were enrolled in the study. The anthropometrical measurements were calculated and feeding histories were evaluated by a questionnaire. Results: Of these cases 17 (47.2 %) were girls, 19 (52.8 %) were boys and their ages were between 1.2-12.9 years (mean 5.8 $\pm$ 3.0 years). Malnutrition was found in 63.9 % of the cases. Appropriate feeding time was found only in 16.7 % of the cases. Playing games during feeding, snacking on between meals and watching televisicn during meals were seen frequently. Conclusion: To prevent poor appetite and sustain adequate nutrition, feeding recommendations according to age should be obeyed from birth on. For evaluation of feeding disorders a detailed feeding history should be taken.

Keywords:

Questionnaires, Appetite, Child, Child Nutrition Disorders, Malnutrition,

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1.Babbitt RL, Hoch TA, Coe DA et al. Behavioral asses-sment and treatment of pediatric feeding disorders. JDev Behav Pediatr 1994;15:278-291.
2.O'Brien S, Repp AC, Williams GE, Christophersen ER.Pediatric feeding disorders. Behav Modif 1991;15:394-418.
3.Arvedson JC. Behavioral issues and implications withpediatric feeding disorders. Semin Speech Lang 1997;18:51-69.
4.Satter E. The feeding relationship: problems and inter-ventions. J Pediatr 1990;117:181-189
5.Chatoor I, Schaefer S, Dickson L, Egan J. Non-organicfailure to thrive: a developmental perspective. PediatrAnn 1984;13:829-835.
6.Manikam R, Perman JA. Pediatric feeding disorders. JClin Gastroenterol 2000;30:34-46.
7.Sanders MR, Patel RK, Le Grice B, Shepherd RW.Children with persistent feeding difficulties: an obser-vational analysis of the feeding interactions of problemand non-problem eaters. Health Psychol 1993;12:64-73.
8.Mathisen B, Skuse D, Wolke D, Reilly S. Oral-motordysfunction and failure to thrive among inner-cityinfants. Dev Med Child Neurol 1989;31:293-302.
9.Heyman S. Gastric emptying in children. J Nucl Med1998;39:865-869.
10.Reynolds JC, Putnam PE. Prokinetic agents. Gastro-enterol Clin North Am 1992;21:567-596.
11.Hyman PE, Napolitano JA, Diego A et al. Antroduo-denal manometry in the evaluation of chronic functio-nal gastrointestinal symptoms. Pediatrics 1990;86:39-44
12.Chen JDZ, Lin Z, Pan J, McCallum RW. Abnormalgastric myoelectrical activity and delayed gastricemptying in patients with symptoms suggestive ofgastroparesis. Dig Dis Sci 1996;41:1538-1545.
13.Douglas J. Chronic and severe eating problems inyoung children. Health visitor 1991;64:334-336.
14.Gahagan S, Holmes R. A stepwise approach to evalu-ation of undernutrition and failure to thrive. PediatrClin North Am 1998;45:169-187.
15.Zenel AJ Jr. Failure to thrive: a general pediatrician’sperspective. Pediatr Rev 1997;18:371-378.
16.Finney JW. Preventing common feeding problems ininfants and young children. Pediatr Clin North Am1986;33:775-788.
17.Waterlow JC. Classification and definition of protein-calorie malnutrition. Br Med J 1972;3:566-569.
18.Berteus Forslund H, Lindroos AK. Meal patterns andobesity in Swedish women-a simple instrumentdescribing usual meal types, frequency and temporaldistribution. Eur J Clin Nutr 2002;56:740-747.
19.Jason J. Breast-feeding in 1991. N Engl J Med 1991;325:1036-1037.
20.Angelsen NK, Vik T, Jacobsen G, Bakketeig LS. Breastfeeding and cognitive development at age 1 and 5 years.Arch Dis Child 2001;85:183-188.
21.Sullivan SA, Birch LL. Infant dietary experience andacceptance of solid foods. Pediatrics 1994;93:271-277.
22.Tunçbilek E, Unalan T, Coşkun T. Indicators ofnutritional status in Turkish preschool children: resultsof Turkish Demographic and Health Survey 1993. JTrop Pediatr 1996;42:78-84.
23.Birch LL, Fisher JA. Appetite and eating behavior inchildren. Pediatr Clin North Am 1995;42:931-953.