2-6 YAŞ GRUBU ÇOCUKLARDA ANNE SÜTÜ ALIM SÜRESİ İLE BEDEN KÜTLE İNDEKSİ ARASINDAKİ İLİŞKİNİN DEĞERLENDİRİLMESİ
Öz
Amaç: Çalışmanın amacı, 2-6 yaş grubu çocukların anne sütü alım süresi ile beden kütle indeksi (BKİ) arasındaki ilişkinin değerlendirilmesidir.
Gereç ve Yöntem: Çalışma, 2-6 yaş grubu 131 çocuk üzerinde yapılmıştır. Ebeveynlerine, çocuğa ait genel özellikler (cinsiyet, yaş, ilaç, besin takviyesi ve hastalık geçmişini sorgulayan) ve geçmişte anne sütü alım süresini içeren sorulardan oluşan anket uygulanmıştır. Çocukların boy uzunluğu ve vücut ağırlığı değerleri, ebeveynlerinin beyanı ile elde edilmiştir. Veriler SPSS Statistics 22 programında analiz edilmiştir.
Bulgular: Yaş grupları 24-72 ay olan 131 çocuğun, %46.6’sı erkek, %53.4’ü kızdır. Çocukların %3.8’i anne sütü almamış, %19.1’i 6 aydan az, %11.5’i 6 ay, %47.3’ü 6-24 ay, %18.3’ü 24 aydan daha uzun süre anne sütü ile beslenmiştir. Çocukların BKİ durumları incelendiğinde; %72.5’i normal, %17.6’sı şişman, %9.9’u obezdir. Çalışmada, zayıf grupta çocuk bulunmamaktadır. Çocukların anne sütü alım süresi ile BKİ değerleri arasında istatistiksel olarak anlamlı fark saptanmamıştır (p=0.376>0.05). 6 aydan az anne sütü alan çocukların %23.1’i, ilk 6 ay anne sütü alan çocukların %7.7’si, 6-24 ay anne sütü alanların %38.4’ü ve 24 aydan daha uzun süre anne sütü alanların ise %30.8’i obezdir.
Sonuç: 2-6 yaş grubu çocuklarda, anne sütü alım süresi ve BKİ değeri arasında istatistiksel olarak anlamlı bir ilişki saptanmamıştır.
Destekleyen Kurum
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Proje Numarası
-
Teşekkür
-
Kaynakça
- 1. Topal S, Çınar N, Altınkaynak S. Süt çocukluğu döneminde beslenme. DÜ Sağlık Bil Enst Derg. 2016; 6(1): 63-70.
- 2. Ateşağaoğlu P, Mete M, Gökçay G, et al. Anne sütü ile beslenmenin çocuk ruh sağlığına etkileri. Çocuk Dergisi. 2013; 13(3): 101-108.
- 3. Dvorak B, Fituch CC, Williams CS, et al. Increased epidermal growth factor levels in human milk of mothers with extremely premature infants. Pediatr Res. 2003; 54: 15-19.
- 4. Y de Vries J, Pundir S, Mckenzie E, et al. Maternal circulating vitamin status and colostrum vitamin composition in healthy lactating women-A systematic approach. Nutrients. 2018; 10(6): 687.
- 5. Palmeira P, Carneiro-Sampaio M. Immunology of breast milk. Rev Assoc Med Bras. 2016; 62: 584-593.
- 6. Continued breastfeeding for healthy growth and development of children. Erişim: https://www.who.int/elena/titles/continued_breastfeeding/en/. Erişim tarihi: 05.02.2019.
- 7. Selimoğlu MA, Celiloğlu ÖS, Celiloğlu C. Anne sütü ile beslenmenin ileri yaşama etkileri. Türk Ped Arş. 2010; 45: 309-314.
- 8. Holmes VA, Cardwell C, McKinley MC, et al. Association between breast-feeding and anthropometry and CVD risk factor status in adolescence and young adulthood: The Young Hearts Project, Northern Ireland. Public Health Nutr. 2010; 13(6):771-778.
- 9. Gür E. Anne sütü ile beslenme. Türk Ped Arş. 2007; 42(S): 11-5.
- 10. Contarato AA, Rocha ED, Czarnobay SA, et al. Independent effect of type of breastfeeding on overweight and obesity in children aged 12-24 months. Cad Saude Publica. 2016; 32(12): e00119015.
- 11. Savino F, Liguori SA, Fissore MF, et al. Breast milk hormones and their protective effect on obesity. Int J Pediatr Endocrinol. 2009; 1-8.
- 12. Arslan M. The relationship between healthcare professionals’ mindful eating, eating attitudes, and body mass index. Progr Nutr. 2019; 21(4): 900-908.
- 13. Arslan M, Aydemir İ. Relationship between emotional appetite, eating attitudes, sleep quality, and body mass index in healthcare workers: a multi-centre study. Psychiatry and Clinical Psychopharmacology. 2019; 29(6): 1-8.
- 14. Aktaç Ş. Anne sütü hormonları ve obezite ilişkisi. Turkiye Klinikleri J Nutr Diet-Special Topics. 2017; 3(2): 80-87.
- 15. Harder T, Bergmann R, Kallischnigg G, et al. Duration of breastfeeding and risk of overweight: A Meta-analysis. Am J Epidemiol. 2005; 162: 397-403.
- 16. Ortega-García JA, Kloosterman N, Alvarez L, et al. Full breastfeeding and obesity in children: A Prospective study from birth to 6 years. Child Obes. 2018; 14(5): 327-337. 17. Boland M. Exclusive breastfeeding should continue to six months. Paediatr Child Health. 2005; 10(3): 148.
- 18. Body mass index-for-age percentiles. Erişim: https://www.cdc.gov/growthcharts/data/set1clinical/cj41c023.pdf. Erişim tarihi: 01.10.2018
- 19. Body mass index-for-age percentiles. Erişim: https://www.cdc.gov/growthcharts/data/set1clinical/cj41c024.pdf. Erişim tarihi: 01.10.2018
- 20. Healthy Weight, Nutrition, and Physical Activity. Erişim: https://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html. Erişim tarihi: 01.10.2018
- 21. Türkiye Nüfus ve Sağlık Araştırması 2013. Erişim: http://www.hips.hacettepe.edu.tr/tnsa2013/rapor/TNSA_2013_ana_rapor.pdf. Erişim tarihi: 10.10.2020
- 22. Türkiye Nüfus ve Sağlık Araştırması 2018. Erişim: http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pdf. Erişim tarihi: 10.10.2020
- 23. Johns HM, Forster DA, Amir LH, et al. Prevalence and outcomes of breast milk expressing in women with healthy term infants: a systematic review. BMC Pregnancy Childbirth. 2013; 13: 212.
- 24. Ryan AS, Zhou W, Arensberg MB. The effect of employment status on breastfeeding in the United States. Womens Health Issues. 2006; 16(5): 243-251.
- 25. Tchoubi S, Sobngwi-Tambekou J, Noubiap JJ, et al. Prevalence and risk factors of overweight and obesity among children aged 6-59 months in Cameroon: A Multistage, stratified cluster sampling nationwide survey. PLoS One. 2015; 10(12): e0143215.
- 26. Çevik C, Ergün S, Karadaş A, et al. Overweight and obesity in preschoolers in a region in western Turkey and related factors. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2019; 6(4): 247-252.
- 27. Sorrie MB, Yesuf ME, GebreMichael TG. Overweight/Obesity and associated factors among preschool children in Gondar City, Northwest Ethiopia: A cross-sectional study. PLoS One. 2017; 12(8): e0182511.
- 28. Hassan NE, El-Masry SA, El Batrawy SR, et al. Relationship between breast feeding duration and risk of overweight/obesity among Egyptian children. Egyptian Pediatric Association Gazette. 2018; 66(1): 9-14.
- 29. Vafa M, Moslehi N, Afshari S, et al. Relationship between breastfeeding and obesity in childhood. J Health Popul Nutr. 2012; 30(3): 303-310.
- 30. Liese AD, Hirsch T, Von Mutius E, et al. Inverse association of overweight and breast feeding in 9 to 10-y-old children in Germany. Int J Obes Relat Metab Disord. 2001; 25: 1644-1650.
- 31. Hancox RJ, Stewart AW, Braithwaite I, et al. Association between breastfeeding and body mass index at age 6-7 years in an international survey. Pediatric Obesity. 2014; 10(4); 283-287.
- 32. Sandoval Jurado L, Jiménez Báez MV, Olivares Juárez S, et al. Breastfeeding, complementary feeding and risk of childhood obesity. Aten Primaria. 2016; 48(9): 572-578.
- 33. Jensen SM, Ritz C, Ejlerskov KT, et al. Infant BMI peak, breastfeeding, and body composition at age 3 y. Am J Clin Nutr. 2015; 101(2): 319-325.
- 34. Wang X, Martinez MP, Chow T, et al. BMI growth trajectory from ages 2 to 6 years and its association with maternal obesity, diabetes during pregnancy, gestational weight gain, and breastfeeding. Pediatr Obes. 2020; 15(2): e12579.
EVALUATION OF THE RELATIONSHIP BETWEEN DURATION OF BREAST MILK INTAKE AND BODY MASS INDEX IN CHILDREN AGED 2-6
Öz
Objective: The aim of this study is to evaluate the relationship between duration of breast milk intake and body mass index (BMI) in children aged 2-6.
Materials and Methods: The study was conducted on 131 children aged 2-6 years. A questionnaire, consisting of questions regarding the general characteristics of the child (gender, age, drug/ nutritional supplement and disease history) and duration of breast milk intake in the past, was conducted on the parents. The height and body weight values of the children were obtained from the statements of their parents. The data were analyzed by SPSS Statistical program (version 22).
Results: Among the 131 children whose age groups were between 24-72 months, 46.6% were boys and 53.4% were girls. Of the children 3.8% did not receive breast milk at all, 19.1% received for less than 6 months and 11.5% for the first 6 months. 47.3% of the children received breast milk between 6-24 months. On the other hand, 18.3% received breast milk for longer than 24 months. When the BMI status of the children was examined; 72.5% were found to be normal, 17.6% were overweight and 9.9% were obese. In this study, there were no children in the underweight category. The relationship between the duration of breast milk intake and BMI values of children was found to be statistically insignificant (p=0.376>0.05). Of the children 23.1% who received breast milk for less than 6 months, 7.7% who received breast milk for the first 6 months, 38.4% who received breast milk between 6-24 months and 30.8% who received breast milk for longer than 24 months, were found to be obese.
Conclusion: Relationship between the duration of breast milk intake and BMI in children aged 2-6 were not found to be statistically significant.
Anahtar Kelimeler
Proje Numarası
-
Kaynakça
- 1. Topal S, Çınar N, Altınkaynak S. Süt çocukluğu döneminde beslenme. DÜ Sağlık Bil Enst Derg. 2016; 6(1): 63-70.
- 2. Ateşağaoğlu P, Mete M, Gökçay G, et al. Anne sütü ile beslenmenin çocuk ruh sağlığına etkileri. Çocuk Dergisi. 2013; 13(3): 101-108.
- 3. Dvorak B, Fituch CC, Williams CS, et al. Increased epidermal growth factor levels in human milk of mothers with extremely premature infants. Pediatr Res. 2003; 54: 15-19.
- 4. Y de Vries J, Pundir S, Mckenzie E, et al. Maternal circulating vitamin status and colostrum vitamin composition in healthy lactating women-A systematic approach. Nutrients. 2018; 10(6): 687.
- 5. Palmeira P, Carneiro-Sampaio M. Immunology of breast milk. Rev Assoc Med Bras. 2016; 62: 584-593.
- 6. Continued breastfeeding for healthy growth and development of children. Erişim: https://www.who.int/elena/titles/continued_breastfeeding/en/. Erişim tarihi: 05.02.2019.
- 7. Selimoğlu MA, Celiloğlu ÖS, Celiloğlu C. Anne sütü ile beslenmenin ileri yaşama etkileri. Türk Ped Arş. 2010; 45: 309-314.
- 8. Holmes VA, Cardwell C, McKinley MC, et al. Association between breast-feeding and anthropometry and CVD risk factor status in adolescence and young adulthood: The Young Hearts Project, Northern Ireland. Public Health Nutr. 2010; 13(6):771-778.
- 9. Gür E. Anne sütü ile beslenme. Türk Ped Arş. 2007; 42(S): 11-5.
- 10. Contarato AA, Rocha ED, Czarnobay SA, et al. Independent effect of type of breastfeeding on overweight and obesity in children aged 12-24 months. Cad Saude Publica. 2016; 32(12): e00119015.
- 11. Savino F, Liguori SA, Fissore MF, et al. Breast milk hormones and their protective effect on obesity. Int J Pediatr Endocrinol. 2009; 1-8.
- 12. Arslan M. The relationship between healthcare professionals’ mindful eating, eating attitudes, and body mass index. Progr Nutr. 2019; 21(4): 900-908.
- 13. Arslan M, Aydemir İ. Relationship between emotional appetite, eating attitudes, sleep quality, and body mass index in healthcare workers: a multi-centre study. Psychiatry and Clinical Psychopharmacology. 2019; 29(6): 1-8.
- 14. Aktaç Ş. Anne sütü hormonları ve obezite ilişkisi. Turkiye Klinikleri J Nutr Diet-Special Topics. 2017; 3(2): 80-87.
- 15. Harder T, Bergmann R, Kallischnigg G, et al. Duration of breastfeeding and risk of overweight: A Meta-analysis. Am J Epidemiol. 2005; 162: 397-403.
- 16. Ortega-García JA, Kloosterman N, Alvarez L, et al. Full breastfeeding and obesity in children: A Prospective study from birth to 6 years. Child Obes. 2018; 14(5): 327-337. 17. Boland M. Exclusive breastfeeding should continue to six months. Paediatr Child Health. 2005; 10(3): 148.
- 18. Body mass index-for-age percentiles. Erişim: https://www.cdc.gov/growthcharts/data/set1clinical/cj41c023.pdf. Erişim tarihi: 01.10.2018
- 19. Body mass index-for-age percentiles. Erişim: https://www.cdc.gov/growthcharts/data/set1clinical/cj41c024.pdf. Erişim tarihi: 01.10.2018
- 20. Healthy Weight, Nutrition, and Physical Activity. Erişim: https://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html. Erişim tarihi: 01.10.2018
- 21. Türkiye Nüfus ve Sağlık Araştırması 2013. Erişim: http://www.hips.hacettepe.edu.tr/tnsa2013/rapor/TNSA_2013_ana_rapor.pdf. Erişim tarihi: 10.10.2020
- 22. Türkiye Nüfus ve Sağlık Araştırması 2018. Erişim: http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pdf. Erişim tarihi: 10.10.2020
- 23. Johns HM, Forster DA, Amir LH, et al. Prevalence and outcomes of breast milk expressing in women with healthy term infants: a systematic review. BMC Pregnancy Childbirth. 2013; 13: 212.
- 24. Ryan AS, Zhou W, Arensberg MB. The effect of employment status on breastfeeding in the United States. Womens Health Issues. 2006; 16(5): 243-251.
- 25. Tchoubi S, Sobngwi-Tambekou J, Noubiap JJ, et al. Prevalence and risk factors of overweight and obesity among children aged 6-59 months in Cameroon: A Multistage, stratified cluster sampling nationwide survey. PLoS One. 2015; 10(12): e0143215.
- 26. Çevik C, Ergün S, Karadaş A, et al. Overweight and obesity in preschoolers in a region in western Turkey and related factors. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2019; 6(4): 247-252.
- 27. Sorrie MB, Yesuf ME, GebreMichael TG. Overweight/Obesity and associated factors among preschool children in Gondar City, Northwest Ethiopia: A cross-sectional study. PLoS One. 2017; 12(8): e0182511.
- 28. Hassan NE, El-Masry SA, El Batrawy SR, et al. Relationship between breast feeding duration and risk of overweight/obesity among Egyptian children. Egyptian Pediatric Association Gazette. 2018; 66(1): 9-14.
- 29. Vafa M, Moslehi N, Afshari S, et al. Relationship between breastfeeding and obesity in childhood. J Health Popul Nutr. 2012; 30(3): 303-310.
- 30. Liese AD, Hirsch T, Von Mutius E, et al. Inverse association of overweight and breast feeding in 9 to 10-y-old children in Germany. Int J Obes Relat Metab Disord. 2001; 25: 1644-1650.
- 31. Hancox RJ, Stewart AW, Braithwaite I, et al. Association between breastfeeding and body mass index at age 6-7 years in an international survey. Pediatric Obesity. 2014; 10(4); 283-287.
- 32. Sandoval Jurado L, Jiménez Báez MV, Olivares Juárez S, et al. Breastfeeding, complementary feeding and risk of childhood obesity. Aten Primaria. 2016; 48(9): 572-578.
- 33. Jensen SM, Ritz C, Ejlerskov KT, et al. Infant BMI peak, breastfeeding, and body composition at age 3 y. Am J Clin Nutr. 2015; 101(2): 319-325.
- 34. Wang X, Martinez MP, Chow T, et al. BMI growth trajectory from ages 2 to 6 years and its association with maternal obesity, diabetes during pregnancy, gestational weight gain, and breastfeeding. Pediatr Obes. 2020; 15(2): e12579.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Proje Numarası | - |
| Yayımlanma Tarihi | 30 Nisan 2021 |
| Gönderilme Tarihi | 1 Mart 2021 |
| Yayımlandığı Sayı | Yıl 2021 Cilt: 2 Sayı: 1 |
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