Body mass index, nutrition attitude and behavior of the cases who applied to child and adolescent psychiatry outpatients: the relation with emotional and behavioral problems

Abstract

Purpose: There are relationships between mental disorder symptoms in children and adolescents with body mass index, and nutritional attitudes and behaviors. The aim of this study was to evaluate the body mass index, nutritional attitudes and behaviors of the cases who admitted to child and adolescent psychiatry outpatient clinics and to examine the relationship between these attitudes and behaviors and emotional and behavioral problems. Materials and methods: 169 subjects aged 11-16 years who applied to child and adolescent psychiatry outpatients participated in the study. Participants' internalizing and externalizing problems were evaluated with the Strength and Difficulties Questionnaire (SDQ) Adolescent Form, nutritional attitude and behaviors with Nutrition Attitude Scale (NAS) and Nutrition Behavior Scale (NBS). Body mass indexes were calculated by measuring the weight and height of the volunteers participating in the study. Results: 9.5% of the participants in the study were found to be obese, 10.1% overweight and 65.5% normal weight. The total mean scores of NAS and NBS were 8.29±2.85 and -1.69±4.79, respectively. There was a negative correlation between total NAS score and SDQ behavioral problems score (r=-.233, p=0.003); hyperactivity score (r=-.344, p<0.001) and total difficulty score (r=-.281 p<0.001). A positive relationship was found between total NBS score and SDQ social behavior score (r=.216, p=0.005) Conclusion: Children and adolescents who admitted to child and adolescent psychiatry outpatient clinics have many unhealthy eating attitudes and behaviors. Unhealthy nutrition increases as the externalizing problems and total emotional and behavioral difficulties increase and as the social behaviors decrease. Determining the relationship between nutritional attitudes and behaviors and psychiatric factors can be a guide for understanding and preventing both nutritional and mental problems.

Keywords

• dietary habits
• internalizing problems
• externalizing problems
• mental health

Çocuk ve ergen psikiyatri polikliniğine başvuran olguların beden kitle indeksi, beslenme tutum ve davranışları: duygusal ve davranışsal sorunlarla ilişkisi

Öz

Amaç: Çocuk ve ergenlerdeki ruhsal bozukluk belirtileriyle beden kitle indeksi ve beslenme tutum ve davranışları arasında ilişkiler bulunmaktadır. Bu çalışmanın amacı Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları polikliniklerine başvuran olguların beden kitle indeksi, beslenme tutum ve davranışlarını değerlendirmek ve bu tutum ve davranışlarla duygusal ve davranışsal sorunlar arasındaki ilişkiyi incelemektir. Gereç ve yöntem: Çocuk ve ergen psikiyatrisi polikliniklerine başvuran 11-16 yaş arası 169 kişi çalışmaya katılmıştır. Katılımcıların içe yönelim ve dışa yönelim sorunları Güçler ve Güçlükler Anketi (GGA) Ergen Formu ile, beslenme tutum ve davranışları Beslenme Tutum Ölçeği (BTÖ) ve Beslenme Davranış Ölçeği (BDÖ) ile değerlendirilmiştir. Çalışmaya katılan gönüllülerin kilo ve boyları ölçülerek beden kitle indeksleri hesaplanmıştır. Bulgular: Çalışmaya katılanların %9,5’i obez, %10,1’i aşırı kilolu, %65,5’si normal kilolu olarak saptanmıştır. BTÖ ve BDÖ toplam puan ortalamaları sırasıyla 8,29±2,85 ve -1,69±4,79’dir. BTÖ toplam puanı ile GGA davranış sorunları puanı (r=-,233, p=0,003); hiperaktivite puanı (r=-,344, p<0,001) ve toplam güçlük puanı (r=-,281 p<0,001) arasında negatif yönlü bir ilişki mevcuttur. BDÖ toplam puanı ile GGA sosyal davranışlar puanı arasında pozitif yönlü (r=,216, p=0,005) bir ilişki bulunmuştur. Sonuç: Çocuk ve ergen psikiyatri polikliniklerine başvuran çocuk ve ergenlerde sağlıksız beslenme tutum ve davranışları fazladır. Dışa yönelim sorunları ve toplam duygusal-davranışsal güçlük arttıkça; sosyal davranışlar azaldıkça sağlıksız beslenme artmaktadır. Beslenme tutum ve davranışları ile psikiyatrik faktörlerin ilişkisinin belirlenmesi hem beslenme hem de ruhsal sorunların anlaşılması ve önlenmesi konusunda yol gösterici olabilir.

Anahtar Kelimeler

• diyet alışkanlıkları
• içeyönelim sorunları
• dışayönelim sorunları
• ruh sağlığı

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