Orthorexia Nervosa and Family Functionality in Children and Adolescents with Type 1 Diabetes Mellitus Tip 1 Diabetes Mellitusu olan Çocuk ve Ergenlerde Ortoreksiya Nervosa ve Aile İşlevselliği

Year 2017, Volume: 39 Issue: 2, 1 - 6, 25.04.2017

Tülin Fidan , Zerrin Orbak Kezban Karabağ Kübra Koçak

https://doi.org/10.20515/otd.308029

Cited By: 4

Abstract

Abstract: Type 1 diabetes is an autoimmune disorder characterized
by an absolute insülin. Deficiency (1).In this study we examine the eating
attitudes of children and adolescents with Type 1 diabetes. A total of 96 child
and adolescents, 48 with DM Type 1 and 48 healthy controls were included in the
study. The data regarding the socio-demographic features of the child and
adolescents were collected by a form and ORTHO-11 were administered. In this
study, in statistical analyses p<0.05 was considered as statistically
significant for all values. In total sample, 55.2 % were male and the mean age
was 12.18± 3.23 years (range: 7-19 years). Of the child and adolescents with DM
type I only 10.4 % were having more than 3 times meal in a day and,%52.1 were
chow down while watching TV and %62.3 were watching TV more than 2hours/ a
day.  We were unable to find a
significant difference between eating attitudes of child and adolescents
according to age and sex (p> 0.05). We found a significant difference in the
mean scores of ortorexia between two groups (t=-2.135,p<0.05).The main
treatment in DM type 1 was insulin replacement and diet.In this study only 10%
children and adolescents with DM type 1 were having their diets regularly and
most of them eating fast food. Also they were watching television more than 2
hours in a day and while watching TV they were chowing down. This is similar
with previous reports that watching TV too much complicate making regular diet
but healthy eating behavior was found better than controls.

Keywords: Orthorexia nervosa, DM, family functionality, child mental health

Öz: Diabetes Mellitus Tip 1, insulin eksikliği
ile karakterize, diyet ve sürekli insulin tedavisi gerektiren süregen, otoimmun
bir hastalıktır (1). Bu çalışmada DM Tip 1 tanısı olan çocukların yemek yeme
alışkanlıkları değerlendirilmiştir.  AÜTF
Çocuk Endokrinoloji Polikliniğinde DM tip 1 tanısıyla takip edilen 48 çocukla
ve kontrol grubu olarak sağlıklı 48 çocuk bu çalışmaya dahil edilmiştir.
Çocuklara yeme alışkanlıklarını sorgulayan bizim tarafımızdan hazırlanan form
ve ORTO-11 ölçeği uygulanmış ve sonuçlar istatistiksel olarak SPSS 15.0 ile
değerlendirilmiştir. Tüm veriler için p <0.05 anlamlı olarak kabul
edilmiştir. 7–19 yaş aralığındaki çocukların yaş ortalaması 12.18± 3.23 olarak
hesaplandı. Çocukalrın  %55,2’si erkekti.
Sadece %10.4’ü günlük diyetini 3 öğünden fazla yapıyordu.%85.4’ü fastfood
tüketirken,%52.1’i TV izlerken atıştırıyordu ve %62.3’ü günde 2 saatten fazla
TV seyrediyordu. Yaş ve cinsiyete göre beslenme alışkanlıkları arasında anlamlı
farklılık bulunamadı (p>0.05). Sağlıklı yemek yeme alışkanlığının
değerlendiren Orto-11 test puanları, DM tip 1 grubunda 24.30±5.98; kontrol
grubunda 26.81± 5.67 idi. Her iki grup arasındaki fark anlamlı bulundu
(t=2.135,p<0.05). DM tip 1 tanılı çocuklarda kesin tedavi insulin ve
diyettir. Bu çalışmadaDM tip 1 tanılı çocukların çoğunun günlük TV izleme
sürelerinin iki  saatten fazla olması ve
yarısının TV seyrederken atıştırmasının diyete uyumda zorluk oluşturduğu
söylenebilir. Sağlıklı yemek yeme alışkanlığının değerlendiren Orto-11 test
sonucuna göre DM tip 1 grubunun sağlıklı yemek yeme alışkanlığı kontrol grubuna
göre daha iyi bulunmuştur.

Anahtar Kelimeler: ortoreksiya nervosa, DM, aile işlevselliği,
çocuk ruh sağlığı

Keywords

ortoreksiya nervosa, DM, aile işlevselliği

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