Özcan ÖZDEMİR, Bünyamin DİKİCİ, İsmail Hamdi KARA, Servet YEL

The prevalence of malnutrition and obesity in choolchildren in the Southeast Anatolia Region of Turkey

Amaç: Bu çalışmada, Güneydoğu Anadolu Bölgesinde, ilköğretim okullarındaki çocuklarda, vücut kitle indeksi (VKI) ile hesaplanan malnutrisyon, kilolu olma ve obezite sıklığının belirlenmesi sosyodemografik özelliklerin belirlenmesi amaçlandı.Yöntem:Araştırma, kesitsel tipte epidemiyolojik bir çalışma olup, “Tabakalı rasgele örnekleme yöntemi” kullanılarak belirlenen 7-16 yaş grubundaki ilköğretim okul çocuklarını kapsamaktadır. Diyarbakır ve Mardin iI merkezlerinde, toplam 20 okul ve 1912 öğrenci anket formlarını doldurdu. Vücut ağırlığı ve boy ölçümlerinden elde edilen vücut kitle indeksi (VKI), çocukların demografik özellikleri, kardeş sayısı, konut-yaşam koşulları, anne ve baba çalışma ve eğitim durumlarına ilişkin ile ilgili soruların yer aldığı bir anket uygulandı. VKI, International Obesity Task Force (IOTF) ve Center for Disease Control and Prevention (CDC-US) gelişim kartlarının persentil değerlerine göre sınıflandırıldı. Bulgular: 1040 erkek (%52,3) ve 872 kız (%47,7), toplam 1912 öğrencinin yaş ortalaması 10,8±2,4 yıl ve VKI ortalaması 17,6±2,8 kg/m2’dir. CDC sınıflamasına göre, erkek öğrencilerin %7,2’si “düşük kilolu” %12,3’ü “aşırı kilolu ve %3,4’ü “obez” iken; IOTF sınıflamasına gore bunların %5,5’u “aşırı kilolu”, %0,6’sı ise “obez” olarak sınıflandırılmıştı. Kız öğrencilerin, CDC sınıflamasına göre %8,4’ü “düşük kilolu” %11,1’i “aşırı kilolu ve %3,3’ü “obez” iken; IOTF sınıflamasına gore bunların %5,2’si “aşırı kilolu”, %1,2’si ise “obez” olarak sınıflandırılmıştı. Kız ve erkek öğrenciler arasında prevalanslar açısından fark bulunmuyordu (p>0.05).Sonuç: Güneydoğu Anadolu Bölgesinde, ilköğretim okullarındaki çocuklarda en önemli sağlık problemlerinden birisi malnutrisyondur; ancak aşırı kilo ve obezite prevalansı da ihmal edilmeyecek düzeylerdedir.

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