Resul YILMAZ, Mustafa ÖZÇETİN, Haluk ESMERAY, Ünal ERKORKMAZ

Ebeveyn besleme tarzı anketi geçerlik ve güvenirlik çalışması

Amaç: Ebeveynlerin besleme alışkanlığını belirlemek için kullanılan, anne babanın cevapladığı, Parental Feeding Style Questionnaire (PFSQ) anketinin Türk çocuklarında geçerlik ve güvenirliğinin gösterilmesi amaçlanmıştır. Gereç ve Yöntem: Bu kesitsel çalışmada çocuklarda yeme davranışı anketi Türkçe’ye uyarlandı. Anaokulu ve anasınıfı öğrencileri ile çocuk polikliniğine başvuran hastaların anne babalarına uygulandı. 650 anketin 468’i değerlendirmeye alındı. Faktör yapıları incelendi. Veriler istatistik paket programı ile değerlendirildi (PASW ver.18, ID:33478001 SPSS inc. Chicago, IL). Bulgular: İki yüz kırk üçü erkek, 225’i kız çocuğun toplam 468 ebeveynine anket uygulandı ve yaş ortalaması 5,84±1,28 yıl saptandı. Ankete ait alt ölçeklerin Cronbach Alfa katsayıları ise 0,54 ile 0,83 arasında değişmiştir. Yapı geçerliği, iç tutarlığı ve alt grup ilişkileri açısından özgün anket ile çok yakın sonuçlar elde edilmiştir. Çıkarımlar: Ebeveyn besleme tarzı ve çocukların kilosu arasındaki ilişkinin kanıtlarının, uzun süreli gözleme dayalı çalışmalar yoluyla ortaya koyulması gerekmektedir. Son yıllarda gözlemlenen şişmanlıktaki çarpıcı artışlar ve özellikle çocukluk dönemindeki şişmanlık artışı göz önüne alındığında, çocukluk döneminde şişmanlık gelişimi üzerine yapılacak araştırmalara yönelik yatırıma öncelik verilmesi gerekmektedir

Reliability and validity study of parental feeding style questionnaire

Aim: We aimed to confirm the validity and internal reliability of Parental Feeding Style Questionnaire (PFSQ) which was a parent-report measure and was designed to assess variations in parent’s feeding styles. Material and Method: For this cross sectional study, PFSQ was translated to Turkish and conducted among parents of both preschool students and patients who applied to the pediatric outpatient clinic. 468 of 650 responded questionnaires were examined for factor structure. The data were analyzed by PASW ver.18 and SPSS program. Results: The questionnaire was conducted among parents of 243 boys and 225 girls, the mean age was 5.84±1.28 Reliability coefficients (Cronbach Alphas) of subscales ranged from 0.54 to 0.83 Factor structure, internal reliability and subscale correlations were similar to original PFSQ. Conclusions: Evidence for associations between parental feeding style and subsequent weight trajectory of children needs to be established through longitudinal follow-up studies.Given the dramatic increase in obesity that has been observed in recent years, and particularly the increase in childhood obesity, investment in research in the development of obesity in childhood should be given a high priority.

PDF

___

1. Marchi M, Cohen P. Early childhood eating behaviors and adolescent eating disorders. J Am Acad Child Adolesc Psychiatry 1990; 29: 112-7.
2. Ritchie LD, Welk G, Styne D, Gerstein DE, Crawford PB. Family environment and pediatric overweight: what is a parent to do? J Am Diet Assoc 2005; 105: 70-9.
3. Bruch H. Developmental considerations of anorexia nervosa and obesity. Can J Psychiat 1981; 26: 212-7.
4. Brink PJ, Ferguson K, Sharma A. Childhood memories about food: the successful dieters project. J Child Adolesc Psychiat Nurs 1999; 12: 17-25.
5. Baughcum AE, Burklow KA, Deeks CM, Powers SW, Whitaker RC. Maternal feeding practices and childhood obesity: a focus group study of low-income mothers. Arch Pediat Adolesc Med 1998; 152: 1010-4.
6. Wardle J, Sanderson S, Guthrie CA, Rapoport L, Plomin R. Parental feeding style and the inter-generational transmission of obesity risk. Obes Res 2002; 10: 453-62.
7. Costanzo PR, Woody EZ. Domain-specific parenting styles and their impact on the child’s development of a particular deviance: the example of obesity proneness. J Soc Clin Psychol 1985; 3: 425-45.
8. Whitaker RC, Deeks CM, Baughcum AE. Specker BL. The relationship of childhood adiposity to parent body mass index and eating behavior. Obes Res 2000;8:234-40.
9. Klesges RC, Coates TJ, Brown G, et al. Parental influences on children’s eating behavior and relative weight. J Appl Behav Anal 1983; 16: 371-8.
10. Klesges RC, Stein RJ, Eck LH, Isbell TR, Klesges LM. Parental influence on food selection in young children and its relationships to childhood obesity. Am J Clin Nutr 1991; 53: 859-64.
11. Patterson RE, Typpo JT, Typpo MH, Krause GF. Factors related to obesity in preschool children. J Am Diet Assoc 1991; 86: 1376-81.
12. Drucker RR, Hammer LD, Agras WS, Bryson S. Can mothers influence their child’s eating behaviour? J Develop Behav Pediatr 1999; 20: 88-92.
13. Koivisto UK, Fellenius J, Sjoden PO. Relations between parental mealtime practices and children’s food intake. Appetite 1994; 22: 245-57.
14. Edwards C, Nicholls D, Croker H, Van Zyl S, Viner R, Wardle J. Family based behavioural treatment of obesity: acceptability and effectiveness in the UK. Eur J Clin Nutr 2006; 60: 587-92.
15. Lake JK, Power C, Cade TJ. Child to adult body mass index in the 1958 British birth cohort: associations with parental obesity. Arch Dis Child 1997; 77: 376-81.
16. Faith MS, Berkowitz RI, Stallings VA, Kerns J, Storey M, Stunkard AJ. Parental feeding attitudes and styles and child body mass index: prospective analysis of a gene-environment interaction. Pediatrics 2004; 114: 429-36.
17. Koeppen-Schamerus G, Wardle J, Plomin R. A genetic analysis of weight and overweight in four year old twin pairs. Int J Obes Relat Metab Disord 2001; 25: 838-44.
18. Waxman M, Stunkard AJ. Caloric intake and expenditure of obese boys. J Pediatr 1980; 96: 187-93.
19. Saelens BE, Ernst MM, Epstein LH. Maternal child feeding practices and obesity: a discordant sibling analysis. Int J Eat Relat Metab Disord 2000; 27: 459-63.
20. Sallis JF, Broyles SL, Frank-Spohrer G, Berry CC, Davis TB, Nader PR. Child’s home environment in relation to the mother’s adiposity. Int J Obes Relat Metab Disord 1995; 19: 190-7.
21. Baughcum AE, Powers SW, Johnson SB, et al. Maternal feeding practices and beliefs and their relationships to overweight in early childhood. J Dev Behav Pediatr 2001; 22: 391-408.
22. Wardle J, Carnell S. Parental feeding practices and children’s weight. Acta Paediatr 2007; 96 :5-11.