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土耳其幼儿期(1至5岁)的饮食行为及其与社会人口学特征的关联

Eating Behaviors in Early Childhood (1-5 Years) and Their Association With Sociodemographic Characteristics in Turkey.

作者信息

Gökalp Cengiz, Yıldız Süleyman, Halıcıoğlu Baltalı Oya

机构信息

Pediatrics and Child Health, Mardin Derik State Hospital, Mardin, TUR.

Pediatrics and Child Health, University of Health Sciences İzmir Tepecik Training and Research Hospital, İzmir, TUR.

出版信息

Cureus. 2021 Aug 4;13(8):e16876. doi: 10.7759/cureus.16876. eCollection 2021 Aug.

Abstract

Eating problems are common in childhood and being seen in 25%-45% of healthy children. The period following the first year of life up to five years is when eating problems are most frequently reported and also when the child acquires eating habits. Several studies have shown that eating behavior is affected by the family environment, and by parental eating habits and modes of feeding their children. The purpose of this study was to investigate the eating behavior characteristics of children in early childhood, to determine the frequency of problematic eating behaviors, and to compare these with the family's sociodemographic characteristics. The study consisted of 255 children aged 1-5 years, with no chronic disease, presenting to İzmir Tepecik Education and Research Hospital Child Health and Diseases Department general pediatric clinics between February and April, 2017, together with their parents. In the study, 39 questions were asked to parents related to children's demographic characteristics and eating behaviour. Problematic eating behavior was present in 43.9% of the study group. Analysis identified feeding bottle use, feeding with the use of an assistant object, eating lasting longer than half an hour, and the child not feeding itself as the most frequent eating problems. Malnutrition was present in 104 (65.8%) of the children with problematic eating behavior. Examination of unhealthy eating behavior in the light of the study findings showed no significant association between eating behaviors and variables such as type and time of delivery, maternal education level, maternal employment status, maternal age, or the number of children in the family. In terms of nutrition status, Turkey appears to exhibit problems associated with both developed and developing countries. Public nutrition in Turkey fluctuates significantly depending on the region, the season, socioeconomic levels, and differences between urban and rural settlements. Early-onset of eating-related problems can have a negative effect on children's subsequent physical, emotional, and social development. Determination in the early period of eating problems seen in children and investigation of the causes thereof is important in terms of identifying a potential solution. It is important to work with the family to that end, and for children to be followed-up by pediatricians at regular intervals.

摘要

饮食问题在儿童时期很常见,在25%-45%的健康儿童中都有出现。从出生后第一年到五岁这段时间是饮食问题最常被报告的时期,也是儿童养成饮食习惯的时期。多项研究表明,饮食行为会受到家庭环境、父母饮食习惯以及喂养孩子方式的影响。本研究的目的是调查幼儿的饮食行为特征,确定问题饮食行为的发生率,并将其与家庭的社会人口学特征进行比较。该研究纳入了255名年龄在1至5岁之间、无慢性病的儿童,他们于2017年2月至4月期间与其父母一同前往伊兹密尔特佩奇克教育与研究医院儿童健康与疾病科的普通儿科门诊就诊。在研究中,向家长询问了39个与孩子人口学特征和饮食行为相关的问题。研究组中有43.9%的儿童存在问题饮食行为。分析确定使用奶瓶喂养、借助辅助物品喂养、进食持续时间超过半小时以及孩子不会自己进食是最常见的饮食问题。在有问题饮食行为的儿童中,104名(65.8%)存在营养不良。根据研究结果对不健康饮食行为进行检查发现,饮食行为与分娩类型和时间、母亲教育水平、母亲就业状况、母亲年龄或家庭孩子数量等变量之间没有显著关联。在营养状况方面,土耳其似乎同时存在与发达国家和发展中国家相关的问题。土耳其的公共营养状况因地区、季节、社会经济水平以及城乡定居点差异而有很大波动。与饮食相关问题的早期出现可能会对儿童随后的身体、情感和社会发展产生负面影响。在儿童早期确定饮食问题并调查其原因对于找到潜在解决方案很重要。为此与家庭合作很重要,并且儿科医生要定期对儿童进行随访。

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