BESLENME BOZUKLUĞU İLE TAKİP EDİLEN PEDİATRİK HASTALARIN KLİNİK VE DEMOGRAFİK ÖZELLİKLERİNİN DEĞERLENDİRİLMESİ

Abstract

ÖZET Amaç: Yeme sorunları ve iştahsızlık çocukluk çağında sık görülen durumlardır. Ancak çocukların az bir kısmında yeme bozukluğu saptanır. Yeme bozukluğu saptanan çocukların erken tanınması ve tedavilerinin düzenlenmesi önemlidir. Bu çalışmada çocukluk çağı yeme bozukluğu tanısı ile takip edilen hastaların klinik ve demografik özelliklerinin değerlendirilmesi amaçlanmıştır. Yöntem: Bezmialem Vakıf Üniversitesi, Çocuk Gastroenteroloji Polikliniğine Ocak 2013 ve Aralık 2014 tarihleri arasında başvuran, çocukluk çağı yeme bozukluğu tanısı almış 18 yaş altı yüz çocuğun demografik, klinik özellikleri, tanıları dosya taraması yöntemi ile önceden hazırlanmış araştırma formuna işlendi. Çocukluk çağı yeme bozuklukları uygun kriterler ışığında sınıflandırıldı. Yeme bozukluklarının yukarda tanımlanan özelliklerinin hem grupların kendi içinde hem de gruplar arasında tanımlayıcı istatistikleri yapıldı. Bulgular: Olgular, 64 (%64) duyusal besin reddi, 4 (%4) infantile anoreksi, 4 (%4) posttravmatik yeme bozukluğu, 17 (%17) komorbid yeme bozuklukları ve 11 (%11) kompleks yeme bozukluğu şeklindeydi. Olguların boy z skorları -0,81±1,75, kilo z skorları ise -0,92±1,55 ve yaş ortalaması 36,57±32,21 ay (Min:3 maks:184 median:27) olarak bulundu. Sonuç: Elde edilen veriler ışığında yeme bozukluklarının genel özellikleri tartışıldı. Bu çalışma yeme bozuklukları klinisyen, diyetisyen, psikolog/psikiyatrist, fizyoterapist ve/veya konuşma terapistinin de içinde bulunduğu bir ekip tarafından değerlendirilmesi ve yönetilmesi gerektiğini göstermektedir.

Keywords

• uyusal besin reddi
• infantil anoreksi
• oral motor disfonksyon
• posttravmatik yeme bozukluğu
• yeme bozukluğu

The Evaluation of Clinical and Demographic Characteristics of Pediatric Patients Being Followed with Feeding Disorder

Abstract

Purpose: Eating problems and anorexia are frequent conditions in childhood. However, a small proportion of children are diagnosed with feeding disorders. It is very important for children with eating disorders to be diagnosed early and to begin treatment. This study aimed to evaluate the clinical and demographic characteristics of patients being followed with feeding disorders.

Methods: This study was carried out among one hundred children diagnosed with feeding disorders under 18 years old who attended the Gastroenterology Outpatient Clinic at Bezmialem University Hospital between January 2013 and December 2014. Clinical and demographic characteristics of patients were recorded in the prepared research form by the file scanning method. Childhood eating disorders were classified using appropriate criteria, and the Chatoor classification was used.

Results: One hundred cases were described as 64 (%64) sensory food aversions, 4 (%4) infantile anorexia, 4 (%4) posttraumatic feeding disorders, 17 (%17) comorbid feeding disorders, and 11 (%11) complex feeding disorders. Height z scores were -0.81±1.75, weight z scores were -0.92±1.55, and the average age of cases was 36.57±32.21 months (min: 3, max: 184, median: 27).

Conclusion: This study concluded that eating disorders should be evaluated and managed by a multidisciplinary team including a clinician, dietician, psychologist/psychiatrist, physiotherapist, and/or speech therapist.

Keywords

• feeding disorder
• oral motor dysfunction
• sensory food aversion
• infantil anorexia
• post traumatic feeding disorder

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