i̇st tıp fak derg Journal of Istanbul Faculty of Medicine 1305-6441 Istanbul University 10.26650/IUITFD.1392706 Health Services and Systems (Other) Sağlık Hizmetleri ve Sistemleri (Diğer) ASSESSMENT OF INDIVIDUAL, BEHAVIORAL, AND ENVIRONMENTAL FACTORS INFLUENCING OVERWEIGHT/ OBESITY DEVELOPMENT IN CHILDREN AGED 10–14 YEARS 10-14 YAŞ ARALIĞINDAKİ ÇOCUKLARDA FAZLA KİLO/OBEZİTE GELİŞİMİNİ ETKİLEYEN BİREYSEL, DAVRANIŞSAL VE ÇEVRESEL FAKTÖRLERİN DEĞERLENDİRİLMESİ Karamelikli Elnaz KARABUK UNIVERSITY, FACULTY OF HEALTH SCIENCES https://orcid.org/0000-0002-2276-6184 Gül Hülya ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF PUBLIC HEALTH 03 27 2024 87 2 153 164 11 18 2023 03 04 2024 Copyright © 1916, Journal of Istanbul Faculty of Medicine 1916 Journal of Istanbul Faculty of Medicine

Objective: Childhood obesity has emerged as a pressing global public health issue. This study aims to examine the influence of individual, behavioral, and environmental factors on student body mass index (BMI), thereby contributing to a deeper understanding of the multifaceted determinants of obesity among children.Material and Method: This study employed a crosssectional survey using a structured questionnaire to collect sociodemographic, physical activity, and dietary behavior data of students. In addition, the study administered a school information form to evaluate the physical condition of school buildings and quality of school canteen services.Result: Among the students, 24% and 13% were in the overweight and obese categories, respectively. Mean student age was 12.41±1.13 years. The mean ages of students with obesity were significantly lower than those of students who were underweight or had normal weight. The distribution of student BMI according to obesity status among family members was statistically highly significant. Among students with obesity, the families of 30.1% were obese, whereas this percentage was 8.9% in families of students without obesity. The relationship between gender, age, family history of obesity, time spent watching TV, physical activity duration, canteen shopping frequency, and BMI distributions was significant. Mean distance between school and home was higher in the underweight/normal weight group than the other two groups. However, this difference did not reach statistical significance (p>0.05).Conclusion: Addressing childhood obesity requires a holistic approach encompassing various interventions targeting individual behaviors, environmental influences, and societal norms. By promoting physical activity, regulating food environments, and providing education on healthy diets, we can work together to combat the epidemic of childhood obesity, and promote the health and wellbeing of future generations.

Amaç: Çocukluk çağı obezitesi önemli bir küresel halk sağlığı sorunu haline gelmiştir. Bu çalışma, öğrencilerin vücut kitle indeksi (VKİ) düzeylerini etkileyen çeşitli bireysel, davranışsal ve çevresel faktörlerin etkisini incelemeyi amaçlamaktadır. Bu şekilde, çocuklardaki obezitenin çok yönlü belirleyicilerinin daha derinlemesine anlaşılmasına katkıda bulunmayı hedeflemektedir.Gereç ve Yöntem: Kesitsel tipteki bu çalışmada, öğrencilerin sosyo-demografik, fiziksel aktivite ve beslenme davranışları hakkında bilgi sağlayan yapılandırılmış bir anket formu, okulların fiziki durumunu ve okul kantinlerini değerlendirmek için de okul bilgi formu uygulanarak veriler toplanmıştır.Bulgular: Çalışmadaki öğrencilerde fazla kilolu oranı %24, obezite oranı ise %13 saptanmıştır. Ortalama yaş, tüm öğrenciler için 12,41±1,13 olarak belirlendi. Obez öğrencilerin yaş ortalamaları, zayıf/normal kilolu öğrencilerinkinden önemli ölçüde daha düşüktü. Öğrencilerin VKİ'lerinin aile bireyleri arasındaki obezite durumuna göre dağılımı istatistiksel olarak ileri derecede anlamlı bulunmuştur. Obez öğrencilerin %30,1'inin aileleri obezdi, bu oran obez olmayan öğrencilerin ailelerinde %8,9'du. Zayıf/ normal kilolu grupta, okul ile ev arasındaki ortalama mesafe diğer iki gruptan daha yüksekti. Ancak bu fark istatistiksel olarak anlamlı değildi (p>0,05).Sonuç: Çocukluk obezitesi ile başa çıkmak için bütünsel bir yaklaşım gereklidir ki bu, bireysel davranışları, çevresel etkileri ve toplumsal normları hedef alan çeşitli müdahaleleri içermelidir. Fiziksel aktiviteyi teşvik ederek, besin ortamlarını düzenleyerek ve sağlıklı beslenme konusunda eğitim vererek, çocukluk obezitesi salgınıyla mücadele edebilir ve böylelikle gelecek nesillerin sağlığını ve refahını artırabiliriz.

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