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Amaç: Çalışmanın amacı annelerin besleme davranışlarının, Fenilketonüri (PKU)’li çocukların beslenme durumları ve davranışlarına etkisini saptamaktır. Gereç ve Yöntemler: PKU Aile Derneği’ne üye 2-11 yaş aralığındaki PKU’lu çocuklar ve annelerine, yüz yüze görüşme metodu kullanılarak, ailenin sosyodemografik özelliklerini ve annenin çocuğu besleme davranışlarını belirlemeye yönelik anket formu uygulanmış, çocukların antropometrik ölçümleri alınmıştır. Geriye dönük bir günlük besin tüketim kayıtları alınarak, beslenme bilgi sistemi bilgisayar programı ile günlük alınan enerji, makro ve mikro besin ögeleri hesaplanmış ve günlük gereksinimleri karşılama düzeyleri belirlenmiştir. Çocukların antropometrik değerlendirmesi WHO AnthroPlus Programı ile yapılmış, yaşa göre ağırlık z-skoru (WAZ), yaş göre boy z-skoru (HAZ) ve yaş göre BKİ z-skoru (BAZ) değerleri hesaplanmıştır. Bulgular: Çocukların ortalama WAZ değerinin 0.1±0.9, HAZ değerinin -0.3±1.7 ve BAZ değerinin 0.4±1.8 olduğu, annenin besleme davranışının çocuğun antropometrik ölçülerini etkilediği tespit edilmiştir (p<0.05). Çocukların enerji gereksinimleri %77.7 oranında karşılanırken, protein, B6, B12 ve C vitamini alımlarının önerilerin üzerinde, folat alımının ise önerilerin altında olduğu saptanmıştır. Annenin çocuğun beslenmeyi reddettiğinde gösterdiği besleme davranışının, çocuğun makro ve mikro besin ögesi alımları ile kan fenilalanin düzeyini etkilemediği bulunmuştur (p>0.05). Çocukların büyük çoğunluğunun (%86.7) diyetine uyumlu olduğu, diyetine uyumlu çocukların annelerinin yaşlarının ise daha yüksek olduğu saptanmıştır (p=0.03). Besin alımını reddeden çocukların annelerinin sıklıkla çocuğu beslemekten vazgeçmediği (%80.0), bir süre bekledikten sonra tekrar beslediği (%26.7) ve oyun haline dönüştürerek beslediği (%23.3) belirlenmiştir. Sonuç: Annelerin besleme davranışları çocukların beslenme durumunu etkilemektedir. PKU’lu çocukların yaşam boyu uyguladıkları diyet tedavisine uyumu arttırmak için ebeveynlere destekleyici beslenme eğitimleri planlanarak, tedavinin bir parçası haline getirilmesi sağlanmalıdır.
Purpose: The study aims to determine the effects of mothers' nutritional behaviors on the nutritional conditions and behaviors of children with phenylketonuria (PKU). Tools and Methods: The PKU Family Association applied an survey form to determine the social and demographic characteristics of the family and the behavior of the mother to feed the child, using the face-to-face conversation method to the children and their mothers of the PKU between the ages of 2-11 years, the anthropometric measurements of the children were taken. By taking back-to-day food consumption records, daily energy, macro and micro-food items received with the computer program of the nutrition information system are calculated and the levels of meeting the daily requirements are determined. Anthropometric assessment of children was done with the WHO AnthroPlus Program, the weight z-score (WAZ) according to age, the size z-score (HAZ) according to age and the BMI z-score (BAZ) according to age. The findings: The average WAZ value of children is 0.1±0.9, the HAZ value is -0.3±1.7 and the BAZ value is 0.4±1.8, the mother's nutritional behavior has been found to affect the child's anthropometric measurements (p<0.05). Children’s energy needs are 77.7%, while protein, B6, B12 and C vitamins are above recommendations and folate are below recommendations. It has been found that the nutritional behavior that the mother shows when the child refuses to feed, does not affect the child's macro and micro-food intake and the level of phenylalanine in the blood (p>0.05). The majority of children (86.7%) were found to be consistent with their diet, while the ages of their mothers were higher (p=0.03). It has been determined that the mothers of children who refuse to take food often don’t give up to feed the child (80.0%), re-heated after a period of waiting (26.7%) and feated by turning it into play (23.3). Result: Mother's nutritional behavior affects the child's nutritional status. To improve compliance with the dietary therapy children with PKU throughout their lifetime, it is necessary to ensure that supporting nutrition training for parents is planned to become part of the treatment.
Objective: The aim of this study was to determine the effect of maternal feeding behavior on nutrition status and behaviors of children with phenylketonuria (PKU). Material and Methods: The PKU Family Association’s 2-11 year-old children and their mothers were administered face to face questionnaire to determine the sociodemographic characteristics of the family, mothers’ feeding attitudes of their children and anthropometric measurements of the children. One-day food consumption records were taken retrospectively, daily energy, macro and micro nutrients were calculated by the Nutrition Information System computer program and the level of meeting daily requirements was determined. Children’s anthropometric evaluation was done with WHO AnthroPlus Program, weight for age z-score (WAZ), height for age z-score (HAZ) and BMI for age z-score (BAZ) were calculated. Results: It was found that the mean WAZ value of the children was 0.1 ± 0.9, the HAZ value was -0.3 ± 1.7 and the BAZ value was 0.4 ± 1.8 and the feeding behavior of the mother affected the anthropometric measures of the child (p<0.05). While energy requirements were met by 77.7%, protein, vitamin B6, B12 and C intake was above the recommendations and folate intake was below the recommendations. It was detected that the feeding behavior of the mother when child refused food intake, did not affect the child’s blood phenylalanine level and macro-micro nutrient intake (p>0.05). The majority of the children (86.7%) were found to be compatible with their diet and their mothers were found to higher age (p = 0.03). It was determined that the majority of mothers (80.0%) did not give up when they refused to feed and that feeding (26.7%) after feeding them for a while and trying to feed them into games (23.3%). Conclusion: Feeding attitudes of mothers affect the nutritional status of children. In order to increase compliance with the lifelong dietary treatment of children with PKU, supportive nutrition education for parents should be planned and provided part of the treatment.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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