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Otizm Spektrum Bozukluğu Olan Çocuklarda Beslenme Aktivitesinin İncelenmesi

Year 2019, Volume 6, Issue 3, 232 - 242, 30.12.2019

Abstract

Amaç: Sağlıklı beslenme çocukların gelişimi için önemlidir. Sağlıksız beslenme engelli çocuklarda sıklıkla görülmektedir. Özellikle otizm spektrum bozukluğu (OSB) olan çocuklarda yemek yeme aktivitesinin sıklıkla etkilendiği belirtilmektedir. Bu nedenle bu çalışmada OSB’li çocukların yeme davranışlarının incelenmesi amaçlanmıştır. Gereç ve Yöntem: Çalışmada veri toplama aracı olarak sosyodemografik bilgi formu, Otizm Öğün Davranışı Kısa Formu ve Duyu Profili Oral Duyusal İşlem alt parametresi kullanıldı. Sosyodemografik bilgi formunda ebeveyn yaşı, mesleği, eğitim düzeyi, aile yapısı, Engelli Sağlık Kurulu Raporu’nda yer alan tanı(lar), yemek yeme davranışını etkileyebilecek diğer faktörler (kabızlık, çiğneme-yutma problemi, vb.) ve ebeveyn tutumları kaydedildi. Veriler frekans, yüzde, aritmetik ortalama ve standart sapma ile verildi. Bulgular: OSB’li çocuklarda yemek çeşitliliğinde kısıtlılık olduğu, oral duyusal işlemlemede zorluk yaşadıkları, yemek yeme saatlerinin belli olmadığı, yemek yeme sırasında genellikle görsel uyaranların kullanıldığı, ebeveynlerin çocuklarını bağımsız bir şekilde yemek yemesi için teşvik etmediği, OSB’de uygulanan diyetler konusunda bilgi sahibi olduğu ve bu diyetleri uygulamaya çalıştığı saptandı. Sonuç: OSB’li bireylerde yemek yeme aktivitesinde problem olduğu, bu problemin ailenin yaşam kalitesine etki edebileceği ve bu nedenle OSB’li bireylerle çalışan profesyonellerin gerekli durumlarda gerekli yönlendirmeleri yapmasının önemli olduğunu ve ailelere çocuk beslenmesi konusunda eğitim verilebileceğini düşünmekteyiz.

References

  • Aktitiz, S., Yalçın, E., & Göktaş, Z. (2019). Otizm spektrum bozuklukları tedavisinde beslenme yaklaşımları. Sağlık Akademisi Kastamonu, 4(2), 53-69.
  • Bandini, L. G., Anderson, S. E., Curtin, C., Cermak, S., Whitney Evans, E., Scampini, R. ve diğerleri. (2010). Food selectivity in children with autism spectrum disorders and typically developing children. The Journal of Pediatrics, 157(2), 259-264. doi: 10.1016/j.jpeds.2010.02.013
  • Beighley, J. S., Matson, J. L., Rieske, R. D., & Adams, H. L. (2013). Food selectivity in children with and without an autism spectrum disorder: Investigation of diagnosis and age. Research in Developmental Disabilities, 34(10), 3497-3503. doi: 10.1016/j.ridd.2013.07.026
  • Bicer, A. H., & Alsaffar, A. A. (2013). Body mass index, dietary intake and feeding problems of Turkish children with autism spectrum disorder (ASD). Research in Developmental Disabilities, 34(11), 3978-3987. doi: 10.1016/j.ridd.2013.08.024
  • Case-Smith, J., Weaver, L. L., & Fristad, M. A. (2015). A systematic review of sensory processing interventions for children with autism spectrum disorders. Autism, 19(2), 133-148. doi: 10.1177/1362361313517762
  • Cermak, S. A., Curtin, C., & Bandini, L. G. (2010). Food selectivity and sensory sensitivity in children with autism spectrum disorders. American Dietetic Association, 110(2), 238-246. doi: 10.1016/j.jada.2009.10.032
  • Curtiss, S. L., & Ebata, A. T. (2019). The nature of family meals: A new vision of families of children with autism. Journal of Autism and Developmental Disorders, 49(2), 441-452. doi: 10.1007/s10803-018-3720-9
  • De Moor, J., Didden, R., & Korzilius, H. (2007). Behavioural treatment of severe food refusal in five toddlers with developmental disabilities. Child: Care, Health and Development, 33(6), 670-676. doi: 10.1111/j.1365-2214.2007.00734.x
  • Dunn, W. (1999). Sensory Profile: User's Manual. San Antonio, TX: Psychological Corporation.
  • Engel-Yeger, B., Hardal-Nasser, R., & Gal, E. (2016). The relationship between sensory processing disorders and eating problems among children with intellectual developmental deficits. British Journal of Occupational Therapy, 79(1), 17-25. doi: 10.1177/0308022615586418
  • Girli, A., Özgönenel, S. Ö., Sarı, H. Y., & Ardahan, E. (2016). Otizmi olan çocukların beslenme durumunun değerlendirilmesi. Çocuk ve Medeniyet Dergisi, 1(1), 87-99.
  • Kaleli, S., Kılıç, N., Balçin, D., Bingöllü, E., & Açıcı, N. (2017). Sakarya Özel Eğitim Kurumunda eğitim gören çocukların beslenme tarzında ebeveynlerin bilgi ve tutumlarının incelenmesi. Online Türk Sağlık Bilimleri Dergisi, 2(2), 19-26.
  • Kayihan, H., Akel, B. S., Salar, S., Huri, M., Karahan, S., Turker, D. ve diğerleri. (2015). Development of a Turkish version of the sensory profile: Translation, cross-cultural adaptation, and psychometric validation. Perceptual and Motor Skills, 120(3), 971-986. doi: 10.2466/08.27.PMS.120v17x8
  • Kodak, T., & Piazza, C. C. (2008). Assessment and behaviroral treatment of feeding and sleeping disorders in children with autism spectrum disorders. Child and Adolescent Psychiatric Clinics of North America, 17(4), 887-905. doi: 10.1016/j.chc.2008.06.005
  • Köksal Akyol, A., & Didin, E. (2019). Algısal Gelişim. İçinde A. Köksal Akyol (Ed.), Erken Çocukluk Döneminde Gelişim I (2. Baskı, pp. 298-318). Ankara: Anı Yayıncılık.
  • Köksal, G. (2008). Engellilerde beslenme. Ankara: TC Sağlık Bakanlığı, Temel Sağlık Hizmetleri Genel Müdürlüğü, Beslenme ve Fiziksel Aktiviteler Daire Başkanlığı.
  • Kral, T. V., Eriksen, W. T., Souders, M. C., & Pinto-Martin, J. A. (2013). Eating behaviors, diet quality, and gastrointestinal symptoms in children with autism spectrum disorders: A brief review. Journal of Pediatric Nursing, 28(6), 548-556. doi: 10.1016/j.pedn.2013.01.008
  • Lukens, C. T., & Linscheid, T. R. (2008). Development and validation of an inventory to assess mealtime behavior problems in children with autism. Journal of Autism and Developmental Disorders, 38(2), 342-352. doi: 10.1007/s10803-007-0401-5
  • Matson, J. L., & Fodstad, J. C. (2009). The treatment of food selectivity and other feeding problems in children with autism spectrum disorders. Research in Autism Spectrum Disorders, 3(2), 455-461. doi: 10.1016/j.rasd.2008.09.005
  • Matson, J. L., Hattier, M. A., & Belva, B. (2012). Treating adaptive living skills of persons with autism using applied behavior analysis: A review. Research in Autism Spectrum Disorders, 6(1), 271-276. doi: 10.1016/j.rasd.2011.05.008
  • Meral, B. F. (2017). Otizm spektrum bozukluğu olan çocuklarda beslenme problemleri ve bilimsel dayanaklı davranışsal müdahaleler. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 18(03), 493-508. doi: 10.21565/ozelegitimdergisi.323301
  • Meral, B. F., & Fidan, A. (2014a). Psychometric properties of the screening tool of feeding problems (STEP) in Turkish children with ASD. Research in Developmental Disabilities, 35(4), 908-916. doi: 10.1016/j.ridd.2014.01.008
  • Meral, B. F., & Fidan, A. (2014b). A study on Turkish adaptation, validity and reliability of the Brief Autism Mealtime Behavior Inventory (BAMBI). Procedia-Social and Behavioral Sciences, 116, 403-408. doi: 10.1016/j.sbspro.2014.01.230
  • Meral, B. F., & Fidan, A. (2015). Measuring the impact of feeding covariates on health-related quality of life in children with autism spectrum disorder. Research in Autism Spectrum Disorders, 10, 124-130. doi: 10.1016/j.rasd.2014.11.009
  • Moh, T. A., & Magiati, I. (2012). Factors associated with parental stress and satisfaction during the process of diagnosis of children with autism spectrum disorders. Research in Autism Spectrum Disorders, 6(1), 293-303. doi: 10.1016/j.rasd.2011.05.011
  • Noğay, N. H. (2012). Beslenmenin beyin gelişimi üzerindeki etkisi. Ejovoc (Electronic Journal of Vocational Colleges), 2(2), 42-45.
  • Öz, N. S. (2019). Tipik gelişen ve otizm spektrum bozukluğu olan çocukların yeme davranışları ve ebeveynlerin yemek zamanı tutumlarının arasındaki ilişkinin incelenmesi (Yayımlanmamış yüksek lisans tezi). Hacettepe Üniversitesi, Ankara.
  • Posar, A., & Visconti, P. (2018). Sensory abnormalities in children with autism spectrum disorder. Jornal de Pediatria (Versão em Português), 94(4), 342-350. doi: 10.1016/j.jped.2017.08.008
  • Prado, E., & Dewey, K. (2012). Nutrition and brain development in early life. A&T Technical Brief, 4, 1- 14.
  • Schaaf, R. C., Toth-Cohen, S., Johnson, S. L., Outten, G., & Benevides, T. W. (2011). The everyday routines of families of children with autism: Examining the impact of sensory processing difficulties on the family. Autism, 15(3), 373-389. doi: 10.1177/1362361310386505
  • Schreck, K. A., & Williams, K. (2006). Food preferences and factors influencing food selectivity for children with autism spectrum disorders. Research in Developmental Disabilities, 27(4), 353-363. doi:10.1016/j.ridd.2005.03.005
  • Schreck, K. A., Williams, K., & Smith, A. F. (2004). A comparison of eating behaviors between children with and without autism. Journal of Autism and Developmental Disorders, 34(4), 433-438. doi: 10.1023/B:JADD.0000037419.78531.86
  • Vissoker, R. E., Berger, D., Latzer, Y., & Gal, E. (2018). Food selectivity, gastrointestinal symptoms and urine organic acids in autism spectrum disorder: A pilot study. Current Nutrition & Food Science, 14(2), 171-179. doi: 10.2174/1573401313666170525133604

Investigation of Feeding Activities in Children with Autism Spectrum Disorders

Year 2019, Volume 6, Issue 3, 232 - 242, 30.12.2019

Abstract

Objectives: Healthy nutrition is important for the development of children. Nutritional disorders are frequently seen in children with disabilities. It is reported that eating activity is frequently affected especially in children with autism spectrum disorder (ASD). Therefore, this study aimed to investigate the eating behaviors of children with ASD and their parents’ attitude. Materials and Methods: Sociodemographic information form, Brief Autism Mealtime Behavior Inventory and Sensory Profile Oral Sensory Processing section were used as data collection tools. Semi-structured interviews were conducted with the parents about other factors (constipation, chewing-swallowing problem, etc.) that might affect the child-feeding behavior. Data were given with frequencies, percents, arithmetic means and standard deviations. Results: It is found that children with ASD had limited food diversity (47.22%, n:17), difficulty in oral sensory processing (63.88%, n:23), and uncertain meal times (47.22%, n:17). The findings showed that parents generally used visual stimuli during feeding time (50%, n:18), did not encourage their children to eat independently (47.22%, n:17), had information about diets applied in ASD (80.55%, n:29) and tried to apply these diets (30.55%, n:11). Conclusion: It is thought that there is probably a problem in eating activity in children with ASD and therefore it is important for professionals working with children with ASD to make the necessary referrals.

References

  • Aktitiz, S., Yalçın, E., & Göktaş, Z. (2019). Otizm spektrum bozuklukları tedavisinde beslenme yaklaşımları. Sağlık Akademisi Kastamonu, 4(2), 53-69.
  • Bandini, L. G., Anderson, S. E., Curtin, C., Cermak, S., Whitney Evans, E., Scampini, R. ve diğerleri. (2010). Food selectivity in children with autism spectrum disorders and typically developing children. The Journal of Pediatrics, 157(2), 259-264. doi: 10.1016/j.jpeds.2010.02.013
  • Beighley, J. S., Matson, J. L., Rieske, R. D., & Adams, H. L. (2013). Food selectivity in children with and without an autism spectrum disorder: Investigation of diagnosis and age. Research in Developmental Disabilities, 34(10), 3497-3503. doi: 10.1016/j.ridd.2013.07.026
  • Bicer, A. H., & Alsaffar, A. A. (2013). Body mass index, dietary intake and feeding problems of Turkish children with autism spectrum disorder (ASD). Research in Developmental Disabilities, 34(11), 3978-3987. doi: 10.1016/j.ridd.2013.08.024
  • Case-Smith, J., Weaver, L. L., & Fristad, M. A. (2015). A systematic review of sensory processing interventions for children with autism spectrum disorders. Autism, 19(2), 133-148. doi: 10.1177/1362361313517762
  • Cermak, S. A., Curtin, C., & Bandini, L. G. (2010). Food selectivity and sensory sensitivity in children with autism spectrum disorders. American Dietetic Association, 110(2), 238-246. doi: 10.1016/j.jada.2009.10.032
  • Curtiss, S. L., & Ebata, A. T. (2019). The nature of family meals: A new vision of families of children with autism. Journal of Autism and Developmental Disorders, 49(2), 441-452. doi: 10.1007/s10803-018-3720-9
  • De Moor, J., Didden, R., & Korzilius, H. (2007). Behavioural treatment of severe food refusal in five toddlers with developmental disabilities. Child: Care, Health and Development, 33(6), 670-676. doi: 10.1111/j.1365-2214.2007.00734.x
  • Dunn, W. (1999). Sensory Profile: User's Manual. San Antonio, TX: Psychological Corporation.
  • Engel-Yeger, B., Hardal-Nasser, R., & Gal, E. (2016). The relationship between sensory processing disorders and eating problems among children with intellectual developmental deficits. British Journal of Occupational Therapy, 79(1), 17-25. doi: 10.1177/0308022615586418
  • Girli, A., Özgönenel, S. Ö., Sarı, H. Y., & Ardahan, E. (2016). Otizmi olan çocukların beslenme durumunun değerlendirilmesi. Çocuk ve Medeniyet Dergisi, 1(1), 87-99.
  • Kaleli, S., Kılıç, N., Balçin, D., Bingöllü, E., & Açıcı, N. (2017). Sakarya Özel Eğitim Kurumunda eğitim gören çocukların beslenme tarzında ebeveynlerin bilgi ve tutumlarının incelenmesi. Online Türk Sağlık Bilimleri Dergisi, 2(2), 19-26.
  • Kayihan, H., Akel, B. S., Salar, S., Huri, M., Karahan, S., Turker, D. ve diğerleri. (2015). Development of a Turkish version of the sensory profile: Translation, cross-cultural adaptation, and psychometric validation. Perceptual and Motor Skills, 120(3), 971-986. doi: 10.2466/08.27.PMS.120v17x8
  • Kodak, T., & Piazza, C. C. (2008). Assessment and behaviroral treatment of feeding and sleeping disorders in children with autism spectrum disorders. Child and Adolescent Psychiatric Clinics of North America, 17(4), 887-905. doi: 10.1016/j.chc.2008.06.005
  • Köksal Akyol, A., & Didin, E. (2019). Algısal Gelişim. İçinde A. Köksal Akyol (Ed.), Erken Çocukluk Döneminde Gelişim I (2. Baskı, pp. 298-318). Ankara: Anı Yayıncılık.
  • Köksal, G. (2008). Engellilerde beslenme. Ankara: TC Sağlık Bakanlığı, Temel Sağlık Hizmetleri Genel Müdürlüğü, Beslenme ve Fiziksel Aktiviteler Daire Başkanlığı.
  • Kral, T. V., Eriksen, W. T., Souders, M. C., & Pinto-Martin, J. A. (2013). Eating behaviors, diet quality, and gastrointestinal symptoms in children with autism spectrum disorders: A brief review. Journal of Pediatric Nursing, 28(6), 548-556. doi: 10.1016/j.pedn.2013.01.008
  • Lukens, C. T., & Linscheid, T. R. (2008). Development and validation of an inventory to assess mealtime behavior problems in children with autism. Journal of Autism and Developmental Disorders, 38(2), 342-352. doi: 10.1007/s10803-007-0401-5
  • Matson, J. L., & Fodstad, J. C. (2009). The treatment of food selectivity and other feeding problems in children with autism spectrum disorders. Research in Autism Spectrum Disorders, 3(2), 455-461. doi: 10.1016/j.rasd.2008.09.005
  • Matson, J. L., Hattier, M. A., & Belva, B. (2012). Treating adaptive living skills of persons with autism using applied behavior analysis: A review. Research in Autism Spectrum Disorders, 6(1), 271-276. doi: 10.1016/j.rasd.2011.05.008
  • Meral, B. F. (2017). Otizm spektrum bozukluğu olan çocuklarda beslenme problemleri ve bilimsel dayanaklı davranışsal müdahaleler. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 18(03), 493-508. doi: 10.21565/ozelegitimdergisi.323301
  • Meral, B. F., & Fidan, A. (2014a). Psychometric properties of the screening tool of feeding problems (STEP) in Turkish children with ASD. Research in Developmental Disabilities, 35(4), 908-916. doi: 10.1016/j.ridd.2014.01.008
  • Meral, B. F., & Fidan, A. (2014b). A study on Turkish adaptation, validity and reliability of the Brief Autism Mealtime Behavior Inventory (BAMBI). Procedia-Social and Behavioral Sciences, 116, 403-408. doi: 10.1016/j.sbspro.2014.01.230
  • Meral, B. F., & Fidan, A. (2015). Measuring the impact of feeding covariates on health-related quality of life in children with autism spectrum disorder. Research in Autism Spectrum Disorders, 10, 124-130. doi: 10.1016/j.rasd.2014.11.009
  • Moh, T. A., & Magiati, I. (2012). Factors associated with parental stress and satisfaction during the process of diagnosis of children with autism spectrum disorders. Research in Autism Spectrum Disorders, 6(1), 293-303. doi: 10.1016/j.rasd.2011.05.011
  • Noğay, N. H. (2012). Beslenmenin beyin gelişimi üzerindeki etkisi. Ejovoc (Electronic Journal of Vocational Colleges), 2(2), 42-45.
  • Öz, N. S. (2019). Tipik gelişen ve otizm spektrum bozukluğu olan çocukların yeme davranışları ve ebeveynlerin yemek zamanı tutumlarının arasındaki ilişkinin incelenmesi (Yayımlanmamış yüksek lisans tezi). Hacettepe Üniversitesi, Ankara.
  • Posar, A., & Visconti, P. (2018). Sensory abnormalities in children with autism spectrum disorder. Jornal de Pediatria (Versão em Português), 94(4), 342-350. doi: 10.1016/j.jped.2017.08.008
  • Prado, E., & Dewey, K. (2012). Nutrition and brain development in early life. A&T Technical Brief, 4, 1- 14.
  • Schaaf, R. C., Toth-Cohen, S., Johnson, S. L., Outten, G., & Benevides, T. W. (2011). The everyday routines of families of children with autism: Examining the impact of sensory processing difficulties on the family. Autism, 15(3), 373-389. doi: 10.1177/1362361310386505
  • Schreck, K. A., & Williams, K. (2006). Food preferences and factors influencing food selectivity for children with autism spectrum disorders. Research in Developmental Disabilities, 27(4), 353-363. doi:10.1016/j.ridd.2005.03.005
  • Schreck, K. A., Williams, K., & Smith, A. F. (2004). A comparison of eating behaviors between children with and without autism. Journal of Autism and Developmental Disorders, 34(4), 433-438. doi: 10.1023/B:JADD.0000037419.78531.86
  • Vissoker, R. E., Berger, D., Latzer, Y., & Gal, E. (2018). Food selectivity, gastrointestinal symptoms and urine organic acids in autism spectrum disorder: A pilot study. Current Nutrition & Food Science, 14(2), 171-179. doi: 10.2174/1573401313666170525133604

Details

Primary Language Turkish
Subjects Health Care Sciences and Services
Journal Section Articles
Authors

Sinem KARS (Primary Author)
HACETTEPE ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, ERGOTERAPİ BÖLÜMÜ, ERGOTERAPİ PR.
0000-0001-8774-2602
Türkiye


Hatice ABAOĞLU
HACETTEPE ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, ERGOTERAPİ BÖLÜMÜ, ERGOTERAPİ PR.
0000-0001-8060-3730
Türkiye


Meral HURİ
HACETTEPE ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, ERGOTERAPİ BÖLÜMÜ, ERGOTERAPİ PR.
0000-0002-8738-9594
Türkiye

Publication Date December 30, 2019
Application Date November 25, 2019
Acceptance Date December 30, 2019
Published in Issue Year 2019, Volume 6, Issue 3

Cite

APA Kars, S. , Abaoğlu, H. & Huri, M. (2019). Otizm Spektrum Bozukluğu Olan Çocuklarda Beslenme Aktivitesinin İncelenmesi . Hacettepe University Faculty of Health Sciences Journal , 6 (3) , 232-242 . Retrieved from https://dergipark.org.tr/en/pub/husbfd/issue/50250/650711