Publication: Obez Aileye Sahip 6-18 Yaş Obez Çocukların Ailelerine ve Kendilerine Verilen Sağlıklı Beslenme Eğitimi ve Tıbbi Beslenme Tedavilerinin Çocuklardaki Obezite Tedavisine Etkisinin Değerlendirilmesi
Abstract
Amaç: Bu çalışma obez aileye sahip 6-18 yaş aralığındaki obez çocukların ailelerine ve kendilerine verilen sağlıklı beslenme eğitimi ve tıbbi beslenme tedavilerinin (TBT) çocuklardaki obezite tedavisine etkisini değerlendirmek amacıyla yapılmıştır. Materyal ve Metod: Çalışma Merzifon Kara Mustafa Paşa Devlet Hastanesi Diyet Polikliniğine başvuran 8-17 yaş arası toplam 79 obez çocuk ve ebeveyni ile 8 hafta boyunca yürütülmüştür. Çocuklara ve ailelerine sırasıyla, TBT ve sağlıklı beslenme eğitimi verilmeden önce Akdeniz Diyeti Kalite Ölçeği (KIDMED) ve Akdeniz Diyetine Bağlılık Ölçeği (MEDAS), fiziksel aktivitelerini değerlendirmek için 8-14 yaş arası çocuklara 'Çocuklarda Fiziksel Aktivite anketi (PAQ-C)', 14-18 yaş arası çocuklara 'Adölesanlarda Fiziksel Aktivite Anketi (PAQ-A)' uygulanmıştır. Ebeveynlere ise 'Aile Beslenme ve Fiziksel Aktivite Tarama Ölçeği (ABFA_TR) ve Obezite Ön Yargı Ölçeği (GAMS-27)' yapılmıştır. Çalışma sonu KIDMED ve MEDAS çocuklara ve ebeveynlerine tekrar uygulanmıştır. Obez çocuklar ve ebeveynlerinin analiz cihazı ile vücut analizleri yapılarak antropometrik ölçümleri alınmıştır. Bulgular: Ebeveynin diyete uyumu ile çocuğun diyete uyumu arasında istatistiksel olarak anlamlı ilişki bulundu (p<0,05). Başlangıçta alınan KIDMED ve MEDAS ortalaması çalışma sonunda alınan test ortalamasına kıyasla daha düşük bulundu (p<0,05). Çocuklarda ve ebeveynlerde izlem süresi boyunca kilo, beden kitle indeksi (BKİ), bel çevresi, yağ oranı, iç organ yağ alanı, insülin, glikoz, trigliserit, total kolesterol ve düşük dansiteli kolesterol değerlerinde anlamlı bir azalma olduğu saptandı (p<0,05). Sonuç: Çalışmaya katılım sağlayan babalar annelere kıyasla diyete uyum konusunda daha başarısız bulunmuştur. Diyete uyumlu olan ebeveynlerin çocukları diyete uyumluyken, diyete uyum sağlayamayan ebeveynlerin çocukları da diyete uyumsuz olarak bulunmuştur. Bu sonuçlar, ebeveyn destekli beslenme tedavilerinin çocukların sağlıklı beslenmeyi benimsemesi üzerindeki etkisini ortaya koymaktadır. Anahtar Sözcükler: Obezite, Çocuk, Ebeveyn, KIDMED, MEDAS, Tıbbi Beslenme Tedavisi
Purpose: This study was carried out to evaluate the effects of healthy nutrition education and medical nutrition therapies (MNT) given to both their families and themselves, on the obesity treatment of obese children aged 6-18 years with obese parents. Materials and Methods: The research was carried out for 8 weeks with 79 obese children aged 8-17 years and their parents in the nutrition and diet clinic of Merzifon Kara Mustafa Pasa State Hospital. Mediterranean Diet Quality Index for children and adolescents (KIDMED) and Mediterranean Diet Adherence Screener (MEDAS) were applied to evaluate the adherence to the Mediterranean Diet before the children and families were given MNT and healthy nutrition education. In order to evaluate their physical activities, the 'Physical Activity Questionnaire for Older Children (PAQ-C)' was applied to children aged 8-14, and the 'Physical Activity Questionnaire for Adolescents (PAQ-A)' was administered to children aged 14-18. 'Family Nutrition and Physical Activity Screening Scale (FNPA) and Obesity Bias Scale (GAMS-27)' were administered to parents. At the end of the study, KIDMED and MEDAS were re-administered to the children and parents. Anthropometric measurements were taken by the researcher by performing body analyzes on obese children and their parents with an analysis device. Results: There was a statistically significant relationship between the parent's compliance with the diet and the child's compliance with the diet (p<0,05). The mean of KIDMED and MEDAS at the beginning was found to be lower than the mean of the test taken at the end of the study (p<0,05). It was determined that there was a significant decrease in weight, body mass index (BMI), waist circumference, fat ratio, visceral fat area, insulin, glucose, triglyceride, total cholesterol and low-density cholesterol values in children and parents during the follow-up period (p<0,05). Discussion: Fathers who participated in the study were found to be more unsuccessful in complying with the diet compared to mothers. The children of parents who were compliant with the diet were found to be compliant with the diet, while the children of parents who were unable to comply with the diet were also found to be non-compliant with the diet. These results reveal the effect of parent-supported nutrition therapies on children's adoption of healthy nutrition. Keywords: Obesity, Child, Parent, KIDMED, MEDAS, Medical Nutrition Therapy
Purpose: This study was carried out to evaluate the effects of healthy nutrition education and medical nutrition therapies (MNT) given to both their families and themselves, on the obesity treatment of obese children aged 6-18 years with obese parents. Materials and Methods: The research was carried out for 8 weeks with 79 obese children aged 8-17 years and their parents in the nutrition and diet clinic of Merzifon Kara Mustafa Pasa State Hospital. Mediterranean Diet Quality Index for children and adolescents (KIDMED) and Mediterranean Diet Adherence Screener (MEDAS) were applied to evaluate the adherence to the Mediterranean Diet before the children and families were given MNT and healthy nutrition education. In order to evaluate their physical activities, the 'Physical Activity Questionnaire for Older Children (PAQ-C)' was applied to children aged 8-14, and the 'Physical Activity Questionnaire for Adolescents (PAQ-A)' was administered to children aged 14-18. 'Family Nutrition and Physical Activity Screening Scale (FNPA) and Obesity Bias Scale (GAMS-27)' were administered to parents. At the end of the study, KIDMED and MEDAS were re-administered to the children and parents. Anthropometric measurements were taken by the researcher by performing body analyzes on obese children and their parents with an analysis device. Results: There was a statistically significant relationship between the parent's compliance with the diet and the child's compliance with the diet (p<0,05). The mean of KIDMED and MEDAS at the beginning was found to be lower than the mean of the test taken at the end of the study (p<0,05). It was determined that there was a significant decrease in weight, body mass index (BMI), waist circumference, fat ratio, visceral fat area, insulin, glucose, triglyceride, total cholesterol and low-density cholesterol values in children and parents during the follow-up period (p<0,05). Discussion: Fathers who participated in the study were found to be more unsuccessful in complying with the diet compared to mothers. The children of parents who were compliant with the diet were found to be compliant with the diet, while the children of parents who were unable to comply with the diet were also found to be non-compliant with the diet. These results reveal the effect of parent-supported nutrition therapies on children's adoption of healthy nutrition. Keywords: Obesity, Child, Parent, KIDMED, MEDAS, Medical Nutrition Therapy
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