Çocuklarda Sağlıklı Yaşam Biçimi Davranışlarının Kazandırılması

Year 2025, Volume: 1 Issue: 1, 15 - 19, 08.09.2025

İlke Karabıyık Demir

Abstract

Sağlıklı yaşam biçimi davranışları, bireyin fiziksel, zihinsel ve sosyal iyilik halini koruması ve geliştirmesi açısından temel öneme sahip alışkanlıklar bütünüdür. Çocukluk dönemi, bu davranışların şekillendiği ve yaşam boyu sürecek alışkanlıkların temellerinin atıldığı kritik bir evredir. Bu kritik dönemde kazanılan düzenli fiziksel aktivite, sağlıklı beslenme, yeterli uyku, hijyen alışkanlıkları ve sağlık inancı gibi alışkanlıklar; çocukların gelişimini destekleyen ve uzun vadeli sağlık sonuçlarını şekillendiren temel faktörler arasında yer almaktadır. Literatür, bu davranışların kazanılmasında aile tutumları, çevresel koşullar, bireysel özellikler ve sağlık okuryazarlığının belirleyici olduğunu ortaya koymaktadır. Bu doğrultuda geliştirilen çok bileşenli, ebeveyn odaklı, okul temelli, teknoloji destekli ve topluluk tabanlı müdahalelerin çocuklarda sağlıklı yaşam biçimi davranışlarını desteklemede etkili olduğu görülmektedir. Çocukluk döneminde bu kapsamlı yaklaşımların uygulanması, yalnızca kronik hastalıkların önlenmesi ve yaşam kalitesinin artırılmasını değil, aynı zamanda toplum sağlığının güçlendirilmesini de sağlayarak uzun vadede sürdürülebilir bir yatırım niteliği taşımaktadır.

Promoting Healthy Lifestyle Behaviors in Children

Abstract

Healthy lifestyle behaviors are a set of key habits that are essential for maintaining and enhancing an individual's physical, mental, and social well-being. Childhood is a critical period during which these behaviors are shaped, forming the foundation for lifelong habits. During this pivotal stage, habits such as regular physical activity, healthy nutrition, adequate sleep, hygiene practices, and health beliefs are among the fundamental factors that support children's development and influence long-term health outcomes. The literature indicates that family attitudes, environmental conditions, individual characteristics, and health literacy are decisive factors in acquiring these behaviors. In this context, multi-component, parent-focused, school-based, technology-supported, and community-based interventions have been found effective in promoting healthy lifestyle behaviors in children. Implementing these comprehensive approaches during childhood not only prevents chronic diseases and improves quality of life but also strengthens public health, representing a sustainable long-term investment.

Keywords

Healthy Lifestyle , Nursing , Child

References

• American Diabetes Association. (2020). Children and adolescents: Standards of medical care in diabetes−2020. Diabetes Care, 43(Supplement_1), S163– S182. https://doi.org/10.2337/dc20-S013
• Ashraf, M., Irshad, M., & Parry, N. A. (2020). Pediatric hypertension: An updated review. Clinical Hypertension, 26, 1–6. https://doi.org/10.1186/s40885- 020-00156-w
• Balderas-Arteaga, N., Mendez, K., Gonzalez-Rocha, A., Pacheco-Miranda, S.,
• Bonvecchio, A., & Denova-Gutiérrez, E. (2024). Healthy lifestyle interventions within the curriculum in school-age children: Systematic review and meta- analysis. Health Promotion International, 39(2), daae020. https://doi.org/10.1093/heapro/daae020
• Brand, C., Martins, C. M. D. L., Lemes, V. B., Pessoa, M. L. F., Dias, A. F., Cadore, E. L., … Gaya, A. R. (2020). Effects and prevalence of responders after a multicomponent intervention on cardiometabolic risk factors in children and adolescents with overweight/obesity: Action for health study. Journal of Sports Sciences, 38(6), 682–691. https://doi.org/10.1080/02640414.2020.1725384
• Browne, S., Kechadi, M. T., O'Donnell, S., Dow, M., Tully, L., Doyle, G., & O'Malley, G. (2020). Mobile health apps in pediatric obesity treatment: Process outcomes from a feasibility study of a multicomponent intervention. Journal of Medical Internet Research mHealth and uHealth, 8(7), e16925. https://doi.org/10.2196/16925
• Cheraghi, P., Poorolajal, J., Hazavehi, S. M. M., & Rezapur-Shahkolai, F. (2014). Effect of educating mothers on injury prevention among children aged <5 years using the Health Belief Model: A randomized controlled trial. Public Health, 128(9), 825–830. http://doi.org/10.1016/j.puhe.2014.06.017
• Chia, A., Toh, J. Y., Natarajan, P., Cai, S., Ong, Y. Y., Descarpentrie, A., … Chong, M. F. (2024). Trajectories of lifestyle patterns from 2 to 8 years of age and cardiometabolic risk in children: The GUSTO study. International Journal of Behavioral Nutrition and Physical Activity, 21(1), 9. https://doi.org/10.1186/s12966-024-01564-z
• Eghbal, S. B., Kenari, Z. A., Ashouri, A., Rouhani-Tonekaboni, N., Kasmaei, P., Mehrabian, F., … Fattahi, E. (2023). The effectiveness of educational program based on health belief model on promotion of puberty health concepts among teen girls: A cross-sectional study in north of Iran. BioMed Central Women's Health, 23(1), 239. https://doi.org/10.1186/s12905-023-02391-3
• Espinosa-Curiel, I. E., Pozas-Bogarin, E. E., Hernández-Arvizu, M., Navarro- Jiménez, M. E., Delgado-Pérez, E. E., Martínez-Miranda, J., & Pérez-Espinosa, H. (2022). HelperFriend, a serious game for promoting healthy lifestyle behaviors in children: Design and pilot study. Journal of Medical Internet Research Serious Games, 10(2), e33412. https://doi.org/10.2196/33412
• Fiamenghi, V. I., & Mello, E. D. D. (2021). Vitamin D deficiency in children and adolescents with obesity: A meta-analysis. Jornal de Pediatria, 97, 273–279. https://doi.org/10.1016/j.jped.2020.08.006
• Gözüm, S., & Çapık, C. (2014). Sağlık Davranışlarının Geliştirilmesinde Bir Rehber: Sağlık İnanç Modeli. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 7(3), 230-237. Erişim: https://dergipark.org.tr/tr/pub/deuhfed/issue/46807/586981
• Green, E. C., Murphy, E. M., & Gryboski, K. (2020). The health belief model. In The Wiley Encyclopedia of Health Psychology (pp. 211–214). Wiley. https://doi.org/10.1002/9781119057840.ch68
• Guthold, R., Stevens, G. A., Riley, L. M., & Bull, F. C. (2020). Global trends in insufficient physical activity among adolescents: A pooled analysis of 298 population-based surveys with 1.6 million participants. The Lancet Child & Adolescent Health, 4(1), 23–35. https://doi.org/10.1016/S2352-4642(19)30323- 2
• Ilić, A., Rumbak, I., Brečić, R., Barić, I. C., & Bituh, M. (2022). Increasing fruit and vegetable intake of primary school children in a quasi-randomized trial: Evaluation of the three-year school-based multicomponent intervention. Nutrients, 14(19), 4197. https://doi.org/10.3390/nu14194197
• Jakobovich, R., Berry, E. M., Levita, A., & Levin-Zamir, D. (2023). Developing healthy lifestyle behaviors in early age—An intervention study in kindergartens. Nutrients, 15(11), 2615. https://doi.org/10.3390/nu15112615 Jebeile, H., Kelly, A. S., O'Malley, G., & Baur, L. A. (2022). Obesity in children and adolescents: Epidemiology, causes, assessment, and management. The Lancet Diabetes & Endocrinology, 10(5), 351–365. https://doi.org/10.1016/S2213-8587(22)00047-X
• Kang, K. A., Kim, H. H., Kim, S. J., Song, I. H., Lee, M. J., Lee, S. Y., … Yoon, H. J. (2024). Effectiveness of a healthy lifestyle program based on a mobile serious game for childhood cancer survivors: A quasi-randomized trial. Journal of Pediatric Nursing, 77, 35–44. https://doi.org/10.1016/j.pedn.2024.03.006
• Khodaveisi, M., Azizpour, B., Jadidi, A., & Mohammadi, Y. (2021). Education based on the health belief model to improve the level of physical activity. Physical Activity and Nutrition, 25(4), 17. https://doi.org/10.20463/pan.2021.0022
• Ku, B., & Rhodes, R. E. (2020). Physical activity behaviors in parents of children with disabilities: A systematic review. Research in Developmental Disabilities, 107, 103787. https://doi.org/10.1016/j.ridd.2020.103787
• Kudubeş, A. A., & Bektas, M. (2020). Psychometric properties of the Turkish version of the healthy lifestyle belief scale for adolescents. Journal of Pediatric Nursing, 53, e57–e63. https://doi.org/10.1016/j.pedn.2020.02.006
• Larose, D., Chen, M. C.-S., Panahi, S., Yessis, J., Tremblay, A., & Drapeau, V. (2023). Interventions to promote healthy lifestyle behaviors in children and adolescents in summer day camps: A scoping review. BioMed Central Public Health, 23(1), 773. https://doi.org/10.1186/s12889-023-15521-1
• Lu, C., Chi, X., Liang, K., Chen, S. T., Huang, L., Guo, T., … Zou, L. (2020). Moving more and sitting less as healthy lifestyle behaviors are protective factors for insomnia, depression, and anxiety among adolescents during the COVID-19 pandemic. Psychology Research and Behavior Management, 13, 1223–1233. https://doi.org/10.2147/PRBM.S284103
• Mollborn, S., Pace, J. A., & Rigles, B. (2024). Children’s health lifestyles and the perpetuation of inequalities. Journal of Health and Social Behavior. Advance online publication. https://doi.org/10.1177/00221465241255946
• Moscheo, C., Licciardello, M., Samperi, P., La Spina, M., Di Cataldo, A., & Russo, G. (2022). New insights into iron deficiency anemia in children: A practical review. Metabolites, 12(4), 289. https://doi.org/10.3390/metabo12040289
• Moussi, C., Tahan, L., Habchy, P., Kattan, O., Njeim, A., Abou Habib, L., … Chahine, M. N. (2024). School-based pre- and post-intervention tests assessing knowledge about healthy lifestyles: A national school health awareness campaign on children aged between 3 and 12 years old. Children, 11(2), 213. https://doi.org/10.3390/children11020213
• Muth, N. D., Bolling, C., Hannon, T., & Sharifi, M. (2024). The role of the pediatrician in the promotion of healthy, active living. Pediatrics, 153(3), e2023065480. https://doi.org/10.1542/peds.2023-065480 Peng, S. M., & McGrath, C. (2020). What can we do to prevent small children from suffering from tooth decay? Evidence-Based Dentistry, 21(3), 90–91. https://doi.org/10.1038/s41432-020-0111-9
• Robinson, T. N., Matheson, D., Wilson, D. M., Weintraub, D. L., Banda, J. A., McClain, A., … Desai, M. (2021). A community-based, multi-level, multi- setting, multi-component intervention to reduce weight gain among low socioeconomic status Latinx children with overweight or obesity: The Stanford GOALS randomised controlled trial. The Lancet Diabetes & Endocrinology, 9(6), 336–349. https://doi.org/10.1016/S2213-8587(21)00084-X Rogers, P. C., & Barr, R. D. (2020). The relevance of nutrition to pediatric oncology: A cancer control perspective. Pediatric Blood & Cancer, 67(12), e28213. https://doi.org/10.1002/pbc.28213 Sevil-Serrano, J., Aibar, A., Abós, Á., Generelo, E., & García-González, L. (2022). Improving motivation for physical activity and physical education through a school-based intervention. The Journal of Experimental Education, 90(2), 383–403. https://doi.org/10.1080/00220973.2020.1764466
• Sonğur, C., Kar, A., Kıran, Ş., & Macit, M. (2019). Sağlıklı yaşam biçimi davranışlarının değerlendirilmesi: Klinik sağlık hizmeti alan hastalar üzerinde bir araştırma. Balkan Sosyal Bilimler Dergisi, 8(15), 43–52. Erişim: https://dergipark.org.tr/tr/pub/bsbd/issue/43873/425512
• Suirvi, L., Herlina, & Dewi, A. P. (2022). Efektivitas pendidikan kesehatan berbasis the Health. Jurnal Ners Indonesia, 12(2), 114–121. Erişim: https://www.researchgate.net/publication/361909002_EFEKTIVITAS_PENDID IKAN_KESEHATAN_BERBASIS_THE_HEALTH_BELIEF_MODEL_PADA_P ENDERITA_HIPERTENSI Sümen, A., & Öncel, S. (2017). Türkiye’de lise öğrencilerinin sağlıklı yaşam biçimi davranışlarını etkileyen faktörler: Sistematik derleme. European Journal of Therapeutics, 23(2), 49–94. https://doi.org/10.5152/EurJTher.2017.04044
• T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. (2022). Türkiye Beslenme Rehberi (TÜBER). Ankara. Erişim: https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-ve-hareketli-hayat- db/Dokumanlar/Rehberler/Turkiye_Beslenme_Rehber_TUBER_2022_min.pdf
• Türkiye İstatistik Kurumu (TÜİK). (2023). Türkiye Çocuk Araştırması-2022. Erişim: https://data.tuik.gov.tr/bulten/index?p=turkiye-cocuk-arastirmasi-2022- 49744
• Walker, K., & Jackson, R. (2015). The health belief model and determinants of oral hygiene practices and beliefs in preteen children: A pilot study. Pediatric Dentistry, 37(1), 40–45. Erişim: https://pubmed.ncbi.nlm.nih.gov/25685972/
• World Health Organization. (2022). Child mortality (under 5 years). Erişim: https://www.who.int/news-room/fact-sheets/detail/levels-and-trends-in-child- under-5-mortality-in-2020
• Yalçın, R., & Yılmaz, E. A. (2023). Physical activity levels and healthy lifestyle behaviors of high school students. Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 8(3), 385–392. https://doi.org/10.51754/cusbed.1287299
• Zimmermann, M. B. (2020). Iodine and the iodine deficiency disorders. In Present Knowledge in Nutrition (pp. 429–441). Academic Press. https://doi.org/10.1016/B978-0-323-66162-1.00025-1