FAZLA KİLOLU VE OBEZ ÖĞRENCİLERİN BESLENME ÖZ-YETERLİK, BESLENME TUTUM VE DAVRANIŞLARI ARASINDAKİ İLİŞKİNİN İNCELENMESİ

Year 2023, Volume: 24 Issue: 3, 272 - 280, 13.07.2023

Cahide Çevik , Ozlem Orsal

https://doi.org/10.18229/kocatepetip.1056303

Abstract

AMAÇ: Bu çalışmada fazla kilolu ve obez öğrencilerin beslenme özyeterlik, beslenme tutum ve beslenme davranışı arasındaki ilişkinin incelenmesi amaçlanmıştır.
GEREÇ VE YÖNTEM: Bu çalışma beden kitle indeksi persentil değeri 85’in üzerinde olan, 5. 6. ve 7. sınıfta eğitim gören 192 öğrenci ile gerçekleştirilmiştir. Veriler kişisel bilgi formu, çocuk beslenme öz-yeterliği, beslenme tutum ve beslenme davranış ölçeği ile elde edilmiştir.
BULGULAR: Öğrencilerin beslenme öz-yeterliği puan ortalaması 5.58±5.07, beslenme tutum puan ortalaması 12.72±2.52, beslenme davranış puan ortalaması ise 2.92±6.03 bulunmuştur. Cinsiyet ve beden kitle indeksi sınıflamasına göre ölçek puanları arasında anlamlı farklılık olmadığı, ailesinde fazla kilolu birey olmayan öğrencilerin daha olumlu beslenme tutumuna sahip olduğu tespit edilmiştir. Beslenme öz-yeterliği ile beslenme tutum ve beslenme davranışı arasında pozitif ilişki bulunmuştur.
SONUÇ: Fazla kilolu ve obez çocukların beslenme öz-yeterlikleri, beslenme tutumları ve beslenme davranış düzeyleri orta düzeyin üzerindedir. Fazla kilo ve obeziteye yatkınlığı arttıran fastfood yeme alışkanlığı, TV, bilgisayar gibi teknolojik aletlerle geçirilen süre gibi faktörler beslenme öz-yeterliği, beslenme tutumu ve beslenme davranış düzeylerinde etkilidir.

Keywords

Çocukluk çağı obezitesi, Beslenme öz yeterliği, Beslenme tutumu, Beslenme davranışı, Öğrenci.

Supporting Institution

Eskişehir Osmangazi Üniversitesi Bilimsel Araştırmaları Koordinasyon Birimi

Project Number

65-202042A210

INVESTIGATION OF THE RELATIONSHIP BETWEEN NUTRITIONAL SELF-EFFICACY, ATTITUDE AND BEHAVIOURS OF STUDENTS WITH OVERWEIGHT AND OBESITY

Abstract

OBJECTIVE: The aim of this study was to investigate the relationship between nutritional self-efficacy, nutritional attitudeand behaviour of students with overweight and obesity.
MATERIAL AND METHODS: This study was carried out with 192 students in 5th, 6th and 7th grades whose body mass index percentile value was over 85. The data were obtained with personal information form, dietary self-efficacy scale, nutrition attitude scale and dietary behaviour scale in this study.
RESULTS: The nutritional self-efficacy mean score of the students was 5.58 ± 5.07, the nutritional attitude was 12.72 ± 2.52, and the nutritional behaviour mean score was 2.92 ± 6.03. There was no significant difference found between scale scores according to gender and body mass index classification, and students without an overweight family member had a more positive nutritional attitude. A positive relationship was found between nutritional self-efficacy and nutritional attitude and nutritional behaviour.
CONCLUSIONS: Nutritional self-efficacy, nutritional attitudes and nutritional behaviour levels of children with overweight and obesity were found to be above the moderate level. Factors such as fast food eating habits and time spent with technological devices such as computers and TV, which increase the susceptibility to overweight and obesity, are effective in the levels of nutritional self-efficacy, nutritional attitude and nutritional behaviour.

Keywords

Childhood obesity, Nutritional self-efficacy, Nutritional attitude, Nutritional behaviours, Student

Project Number

65-202042A210

References

• 1. Biswas T, Islam A, Islam MDS, et al. Overweight and Obesity Among Children and Adolescents in Bangladesh: A Systematic Review And Meta-Analysis. public health. 2017;142: 94:101. Erişim Tarihi: 14.04.2020.
• 2. World Health Organization (WHO). Date of access: 05.06.2020. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
• 3. Moxley E, Habtzghi D, Klinkhamer N, et al. Prevention and treatment of pediatric obesity: a strategy involving children, adolescents and the family for improved body composition. Journal of Pediatric Nursing, 2019;45: 13–19.
• 4. COSI-TUR. https://hsgm.saglik.gov.tr/depo/haberler/turkiye-cocukluk-cagi-sismanlik/COSI-TUR-2016-Kitap.pdf. Date of access: 08.01.2019.
• 5. Kelsey MM, Zaepfel A, Bjornstad P, et al. Age-Related Consequences of Childhood Obesity. Gerontology. 2014;60:222-228.
• 6. Shustak RJ, Cohen MS. What Influences Outcomes in Pediatric and Congenital Cardiovascular Disease?: A Healthy Lifestyle; Obesity and Overweight. Progress in Pediatric Cardiology. 2019;54:101141.
• 7. Hall E, Chai W, Albrecht JA. Relationships between nutrition-related knowledge, self-efficacy, and behavior for fifth grade students attending Title I and non-Title I schools. Appetite. 2016;96:245-253.
• 8. Poddar KH, Hosig KW, Anderson ES, et al. Web-Based Nutrition Education Intervention Improves Self-Efficacy and Self-Regulation Related to Increased Dairy Intake in College Students. American Dietetic Association. 2010;110:1723-1727.
• 9. Larsen AL, McArdle JJ, Robertson T, et al. Nutrition self-efficacy is unidirectionally related to outcome expectations in children. Appetite. 2015;84:166-170.
• 10. Yılmaz A, Kocataş S. Obesity Prevalence, Nutritional Behaviors and Physical Activity Levels in the Secondary School Students. Journal of Public Health Nursing. 2019;1:(3).
• 11. Konca E, Ermiş E, Ermiş A, et al. Analysis of Physical Activity States And Nutritional Habits of Students Between The Ages of 7 And 14. Turkish Studies Social Sciences. 2019;14(1): 105-117.
• 12. Keskin K, Alpkaya U, Çubuk A, et al. Analysis of the Relationship between the Levels of Physical Activity and the Nutritional Behaviours of 12- 14 Year Old Children. Istanbul University Journal of Sport Science. 2017;7(3):1303-1414.
• 13. Karacabey K, Angın M. Nutrition Self-Sufficiency Levels In Children Between 10-15 Ages of Training In Different Schools and Effecting Factors. Journal of Nursing Science 2019;2(2): 14-17.
• 14. Öztürk M. Evaluation of Childrens Dietary Habits According to Interaction Model of Client Health Behavior. Istanbul University, Institude of Health Science, Departmant of Public Health Nursing. Doctoral Thesis. Istanbul, 2010.
• 15. Parcel GS, Edmundson E, Perry CL et al. Measurement of self-efficacy for diet-related behaviors among elemantary school children. Journal of School Health. 1995;65(1): 23-27.
• 16. Edmundson E, Parcel GS, Perry CL et al. The effect of the Child and Adolescent Trial for Cardiovascular Health intervention on psychosocial determinants of cardiovascular disease risk behavior among third- grade students. American Journal of Health Promotion. 1996;10 (3):217-225.
• 17. Öztürk Haney M, Erdoğan S. Factors Related to Dietary Habits and Body Mass Index Among Turkish School Children: A Cox's Interaction Model-Based Study. Journal of Advanced Nursing. 2013;69(6):1346-1356.
• 18. Arvidson C. Children’s cardiovascular health promotion attitude scale: an ınstrument development. Unpublished Doctoral Dissertation, Texas Woman’s University, Denton, TX, USA.1990.
• 19. Öztürk Haney M, Bahar Z. Childrens’ Cardiovascular Health Promotion Attitude Scale’s Validity and Reliability. Dokuz Eylül Üniversitesi Hemşirelik Yüksek Okulu Elektronik Dergisi. 2014;7(2): 92-97.
• 20. Dorling JL, Bhapkar M, Das SK et al. Change in self-efficacy, eating behaviors and food cravings during two years of calorie restriction in humans without obesity. Appetite. 2019;143:104397.
• 21. Elliott MA, Brewster SE, Thomson JA, et al. Testing the bi-dimensional effects of attitudes on behavioural intentions and subsequent behavior. Br J Psychol. 2015;106(4):656-674.
• 22. Stok FM, Renner B, Clarys P, et al. Understanding Eating Behavior during the Transition from Adolescence to Young Adulthood: A Literature Review and Perspective on Future Research Directions. Nutrients. 2018;10: 667.
• 23. Öztürk Y, Alpkaya U, Keskin K, et al. Analysis The Relationship Between The Nutritional Behaviours of 11-13 Year Old Children And Their Attıtudes Towards Their Obese Peers. The Journal of International Social Research. 2017;10(53): 623-626.
• 24. Shah B, Cost KT, Fuller A, et al. Sex and gender differences in childhood obesity: contributing to the research agenda. BMJ Nutrition, Prevention & Health 2020;0- 000074.
• 25. Erdem S, Gökmen Özel H, Çınar Z, et al. The Effects of Nutrition Attitude and Behaviors of the Families on Nutrition Status in Children at Different Socioeconomic Status. Journal of Nutrition and Dietetics. 2017;45(1):3-11.
• 26. Toschke AM, Thorsteinsdottir KH, Kries RV. Meal frequency, breakfast consumption and childhood obesity. International Journal of Pediatric Obesity. 2009;4: 242-248.
• 27. Antonogeorgos G, Panagiotakos DB, Papadimitriou A, et al. Anthracopoulos M, Nicolaidou P. Breakfast consumption and meal frequency interaction with childhood obesity. Pediatric Obesity. 2012;7: 65–72.
• 28. Holmstrup ME, Owens CM, Fairchild TJ, et al. Effect of meal frequency on glucose and insulin excursions over the course of a day. e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism. 2010;5: e 277-e280.
• 29. Sağlam Ö, Salman Ö, Soylu Y. Investigation Of The Relationship Between Childhood Traumas and Adult Obesity Due To Child Rearing Styles. Turkish Journal Of Social Work. 2019;3(2): 136-150.
• 30. Savona- Ventura Scerri C, Savano- Ventura C. Contrıbutory Influences Promotıng Childhood Adiposity in a Mediterranean Island Populatıon. Jackson CG. (Eds). Chilhood Obesity Causes, Management and Challenges. Nova Science Publishers, New York. S: 76-77.2013.