İzmir ilinde bir ortaokulda obezite ve beslenme alışkanlıklarının incelenmesi
Year 2025,
Volume: 13 Issue: 3, 64 - 68, 07.11.2025
Bekir Can Acar
Umut Gök
,
Nilgün Harputluoğlu
,
Kurtuluş Öngel
,
Oya Halıcıoğlu
Abstract
Amaç: Obezite, Dünya Sağlık Örgütü tarafından sağlık için risk oluşturan anormal veya aşırı yağ birikimi olarak tanımlanmaktadır. Obezite sanılanın aksine sadece yetişkinlerde sık görülen bir durum olmayıp, çocukluk çağında da ortaya çıkabilen kronik, multifaktöriyel bir hastalıktır. Bu çalışmada bir ortaokulda beslenme, ve yaşam alışkanlıkları ile obezitenin ilişkisinin incelenmesi amaçlanmıştır.
Gereç ve Yöntem: Tanımlayıcı, kesitsel tipteki bu araştırma ortaokul öğrencileri arasında (10-14 yaş), toplam 284 öğrenci ile yürütülmüştür. Tüm öğrencilerde beden kitle indeksi, boya göre ağırlık, beden kitle indeksi persentil ve beden kitle indeksi standart sapma değerleri hesaplandı. Veriler SPSS versiyon 20 kullanılarak analiz edilmiştir. P değeri <0.05 istatistiksel olarak anlamlı kabul edildi.
Bulgular:Toplamda 284 çocuk çalışmaya dahil edildi: 159 erkek (%56.7) ve 125 kız (%43.3). Çalışma popülasyonunun yaş ortalaması 12.10±1.27 yıldı. Obezite ile fiziksel aktivite puanı arasında anlamlı bir ilişki saptanmadı (p=0.229). Çocuklarda obezite ile anne ve babada obezite arasında anlamlı bir ilişki saptandı (sırasıyla p=0.046, p=0.046).
Sonuçlar:Çalışma, 10-14 yaş arası çocukların yaklaşık beşte birinin (%20,8) obez veya fazla kilolu olduğunu göstermiştir. Yine bu yaş grubunda obezite anne ve baba obezitesi ile ilişkili bulunmuş ve ailenin diyetinden etkilenmiştir. Bu sonuçlar daha ileri çalışmalarla desteklenmelidir.
Ethical Statement
2013/23 tarih ve sayılı yerel etik kurul onayı eklenmiştir
Supporting Institution
Hayır
References
-
1. WHO Obesity and overweight, http://www.who.int/mediacentre/factsheets/fs311/en/. Erişim tarihi. 25.10.21
-
2. Rohilla R, Rajput M, Rohilla J, Malik M, Garg D, Verma M. Prevalence and correlates of overweight/obesity among adolescents in an urban city of north India. J Family Med Prim Care. 2014 Oct-Dec;3(4):404-8.
-
3. Strauss R. Childhood obesity. Curr Probl Pediatr. 1999;29:1-29.
-
4. Ramsewak S, Moty N, Putteeraj M, Somanah J, Nirmala LP. Parenting style and its effect on eating disorders and substance abuse across the young population. Discov Psychol. 2022;2(1):9.
-
5. Frankel LA, Powell E, Jansen E. The Relationship between Structure-Related Food Parenting Practices and Children's Heightened Levels of Self-Regulation in Eating. Child Obes. 2018 Feb/Mar;14(2):81-88.
-
6. Lopez NV, Schembre S, Belcher BR, O'Connor S, Maher JP, Arbel R, Margolin G, Dunton GF. Parenting styles, food-related parenting practices, and children's healthy eating: A mediation analysis to examine relationships between parenting and child diet. Appetite. 2018 Sep 1;128:205-213.
-
7. Dişcigil G. The epidemic of childhood and adolescence today:obesity. Turk J Family Med. 2007; 11: 92-6.
-
8. Öner N, Vatansever U, Sarı A, Ekuklu E, Guzel A, Karasalihoğlu S, et al. Prevalence of underweight, overweight and obesity in Turkish adolescents. Swiss Med Wkly. 2004; 134:529-33.
-
9. Toyran M, Özmert E, Yurdakok K. Television viewing and its effect on physical health of schoolage children. Turk J Pediatr. 2002; 44: 194-203.
-
10. Kocaoğlu B, Köksal O. The effect of socio-economic conditions on growth, development and obesity in adolescents. Nutrition and Diet Journal. 1985; 14:25- 37
-
11. Güzel A, Üner S, Arslan EU, Yardım MS, Araz Ö, Ünlü HK, et al. Çocuklar İçin Fiziksel Aktivite Öz Yeterlik Ölçeği Türkçe Geçerlik ve Güvenirliği. Bezmialem Science 2020;8(4):363-370.
-
12. Cinaz P, Bideci A. Obezite. Günöz H, Öcal G, Yordam N, Kurtoğlu S (et al). Paediatric Endocrinology. 1st Edition, Paediatric Endocrinology and Oxyology Association Publications 1, Kalkan Printing House, 2003:487–505.
-
13. Bean MK, Caccavale LJ, Adams EL, Burnette CB, LaRose JG, Raynor HA, Wickham EP. Parent Involvement in Adolescent Obesity Treatment: A Systematic Review. 3rd, Mazzeo SE. Pediatrics. 2020 Sep;146(3):e20193315.
-
14. Neyzi O, Ertuğrul T. Pediatrics 1, Nobel Medical Bookshop, 1989; 378-82
-
15. Wijnhoven TM, van Raaij JM, Spinelli A, Rito AI, Hovengen R, Kunesova M, et al. WHO European Childhood Obesity Surveillance Initiative 2008: weight, height and body mass index in 6-9-year-old children. Pediatr Obes. 2013 Apr;8(2):79-97.
-
16. T.C.Ministry of Health. Obesity and Diabetes Clinical Guide. http://thsk.saglik.gov.tr/obezite-sismanlik/773- worldwide -prevalence -frequency.html. Date accessed:25.10.21
-
17.T.C.Ministry of Health, Directorate General of Public Health. http://beslenme.gov.tr/index.php?lang=tr&page=40. Date of access: 25.10.21
-
18. Köksal G. 2008. Obesity in the Pre-School Period. Ministry of Health Publication No: 729. Ankara. Klasmat Printing.
-
19. Arcan C, Kubik MY, Fulkerson JA, Story M. Sociodemographic differences in selected eating practices among alternative high school students. J Am Diet Assoc. 2009 May;109(5):823-9.
-
20. Sethi S. Çocukluk çağı obezite sorunuyla mücadele. South Med J. 2011 Ocak;104(1):3-4.
-
21. Peker Ş, Çiloğlu F, Buruk Ş, Bulca Z. 2000. Exercise Biochemistry and Obesity, Istanbul, Nobel Medical Bookshops, pp. 83–97.
-
22. Robinson TN. Reducing children‟s television viewing to prevent obesity. JAMA 1999; 282: 1561- 67.
-
23. Kühne G. [Aspects of prevention of obesity in children and adolescents - a European perspective]. Dtsch Med Wochenschr. 2011 Aug;136(31-32):1613-5.
-
24. Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH. Long term morbidity and mortality of overweight adolescents: a follow-up of the Harvard Growth Study of 1922 to 1935. N Eng J Med 1992; 327: 1350- 5.
-
25. Ebbelıng CB, Pawlak DB, Ludwig, DS. Childhood obesity:public-health crisis, common sense cure. Lancet. 2002; 360: 473-82.
-
26. Saelens BE, Ernst MM, Epstein LH. Maternal child feeding practices and obesity: a discordant sibling analysis. International Journal of Eating Disorder. 2000; 27(4), 459-63.
-
27. Magarey AM, Daniels LA, Boulton TJ, Cockington RA. Does fat intake predict adiposity in healthy children and adolescents aged 2--15 y? A longitudinal analysis. Eur J Clin Nutr. 2001 Jun;55(6):471-81.
-
28. Gürel S, İnan G. Childhood Obesity Diagnosis Methods, Prevalence and Etiology. ADÜ Medical Faculty Journal. 2001; 2(3): 39- 46.
-
29. Tanvig M. Offspring body size and metabolic profile - effects of lifestyle intervention in obese pregnant women. Dan Med J. 2014 Jul;61(7):B4893.
-
30. Costanzo P,Woody E, Domain-specific parenting styles and their impact on the child's development of particular deviance: the example of obesity proneness. J Soc Clin Psychol. 1985; 3: 425-445.
-
31. Özenoğlu A, Sabuncu T, Ünüvar E. 2000. “The Distribution of Energy and Nutrients in the Daily Diets of Adolescents with Exogenous Obesity”. Trends in Endocrinology.. 2000; 9(1): 38- 43.
Investigation of obesity and nutrition habits in a middle school in İzmir province
Year 2025,
Volume: 13 Issue: 3, 64 - 68, 07.11.2025
Bekir Can Acar
Umut Gök
,
Nilgün Harputluoğlu
,
Kurtuluş Öngel
,
Oya Halıcıoğlu
Abstract
Aim: Obesity is defined as abnormal or excessive fat accumulation that presents risk for health by World Health Organization. Contrary to what is believed, obesity is not only a common condition among adults but it is a chronic, multifactorial disorder which may present at childhood. The aim of this study was to examine the relationship between nutrition, living habits and obesity in a middle school.
Material and Methods: This descriptive, cross-sectional study was conducted with a total of 284 middle school students (10-14 years old). In all students, body mass index, weight for height, body mass index percentile and body mass index standart deviation values were calculated. Data were analyzed using SPSS version 20. A p value<0.05 was considered as statistically significant.
Results:Overall, 284 children were included to the study: 159 boys (56.7%) and 125 girls (43.3%). Mean age was 12.10±1.27 years in the study population. No significant correlation was detected between obesity and physical activity score (p=0.229). A significant correlation was detected between obesity in children and maternal and paternal obesity (p=0.046, p=0.046, respectively).
Conclusions:The study showed that approximately one-fifth (20.8%) of children aged 10-14 years are obese or overweight. Again, in this age group, obesity was correlated with maternal and paternal obesity and affected by diet of the family. Physical activity might not be associated with obesity. These results should be supported by further studies.
Ethical Statement
Local ethics committee approval dated and numbered 2013/23 has been added
Supporting Institution
None.
References
-
1. WHO Obesity and overweight, http://www.who.int/mediacentre/factsheets/fs311/en/. Erişim tarihi. 25.10.21
-
2. Rohilla R, Rajput M, Rohilla J, Malik M, Garg D, Verma M. Prevalence and correlates of overweight/obesity among adolescents in an urban city of north India. J Family Med Prim Care. 2014 Oct-Dec;3(4):404-8.
-
3. Strauss R. Childhood obesity. Curr Probl Pediatr. 1999;29:1-29.
-
4. Ramsewak S, Moty N, Putteeraj M, Somanah J, Nirmala LP. Parenting style and its effect on eating disorders and substance abuse across the young population. Discov Psychol. 2022;2(1):9.
-
5. Frankel LA, Powell E, Jansen E. The Relationship between Structure-Related Food Parenting Practices and Children's Heightened Levels of Self-Regulation in Eating. Child Obes. 2018 Feb/Mar;14(2):81-88.
-
6. Lopez NV, Schembre S, Belcher BR, O'Connor S, Maher JP, Arbel R, Margolin G, Dunton GF. Parenting styles, food-related parenting practices, and children's healthy eating: A mediation analysis to examine relationships between parenting and child diet. Appetite. 2018 Sep 1;128:205-213.
-
7. Dişcigil G. The epidemic of childhood and adolescence today:obesity. Turk J Family Med. 2007; 11: 92-6.
-
8. Öner N, Vatansever U, Sarı A, Ekuklu E, Guzel A, Karasalihoğlu S, et al. Prevalence of underweight, overweight and obesity in Turkish adolescents. Swiss Med Wkly. 2004; 134:529-33.
-
9. Toyran M, Özmert E, Yurdakok K. Television viewing and its effect on physical health of schoolage children. Turk J Pediatr. 2002; 44: 194-203.
-
10. Kocaoğlu B, Köksal O. The effect of socio-economic conditions on growth, development and obesity in adolescents. Nutrition and Diet Journal. 1985; 14:25- 37
-
11. Güzel A, Üner S, Arslan EU, Yardım MS, Araz Ö, Ünlü HK, et al. Çocuklar İçin Fiziksel Aktivite Öz Yeterlik Ölçeği Türkçe Geçerlik ve Güvenirliği. Bezmialem Science 2020;8(4):363-370.
-
12. Cinaz P, Bideci A. Obezite. Günöz H, Öcal G, Yordam N, Kurtoğlu S (et al). Paediatric Endocrinology. 1st Edition, Paediatric Endocrinology and Oxyology Association Publications 1, Kalkan Printing House, 2003:487–505.
-
13. Bean MK, Caccavale LJ, Adams EL, Burnette CB, LaRose JG, Raynor HA, Wickham EP. Parent Involvement in Adolescent Obesity Treatment: A Systematic Review. 3rd, Mazzeo SE. Pediatrics. 2020 Sep;146(3):e20193315.
-
14. Neyzi O, Ertuğrul T. Pediatrics 1, Nobel Medical Bookshop, 1989; 378-82
-
15. Wijnhoven TM, van Raaij JM, Spinelli A, Rito AI, Hovengen R, Kunesova M, et al. WHO European Childhood Obesity Surveillance Initiative 2008: weight, height and body mass index in 6-9-year-old children. Pediatr Obes. 2013 Apr;8(2):79-97.
-
16. T.C.Ministry of Health. Obesity and Diabetes Clinical Guide. http://thsk.saglik.gov.tr/obezite-sismanlik/773- worldwide -prevalence -frequency.html. Date accessed:25.10.21
-
17.T.C.Ministry of Health, Directorate General of Public Health. http://beslenme.gov.tr/index.php?lang=tr&page=40. Date of access: 25.10.21
-
18. Köksal G. 2008. Obesity in the Pre-School Period. Ministry of Health Publication No: 729. Ankara. Klasmat Printing.
-
19. Arcan C, Kubik MY, Fulkerson JA, Story M. Sociodemographic differences in selected eating practices among alternative high school students. J Am Diet Assoc. 2009 May;109(5):823-9.
-
20. Sethi S. Çocukluk çağı obezite sorunuyla mücadele. South Med J. 2011 Ocak;104(1):3-4.
-
21. Peker Ş, Çiloğlu F, Buruk Ş, Bulca Z. 2000. Exercise Biochemistry and Obesity, Istanbul, Nobel Medical Bookshops, pp. 83–97.
-
22. Robinson TN. Reducing children‟s television viewing to prevent obesity. JAMA 1999; 282: 1561- 67.
-
23. Kühne G. [Aspects of prevention of obesity in children and adolescents - a European perspective]. Dtsch Med Wochenschr. 2011 Aug;136(31-32):1613-5.
-
24. Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH. Long term morbidity and mortality of overweight adolescents: a follow-up of the Harvard Growth Study of 1922 to 1935. N Eng J Med 1992; 327: 1350- 5.
-
25. Ebbelıng CB, Pawlak DB, Ludwig, DS. Childhood obesity:public-health crisis, common sense cure. Lancet. 2002; 360: 473-82.
-
26. Saelens BE, Ernst MM, Epstein LH. Maternal child feeding practices and obesity: a discordant sibling analysis. International Journal of Eating Disorder. 2000; 27(4), 459-63.
-
27. Magarey AM, Daniels LA, Boulton TJ, Cockington RA. Does fat intake predict adiposity in healthy children and adolescents aged 2--15 y? A longitudinal analysis. Eur J Clin Nutr. 2001 Jun;55(6):471-81.
-
28. Gürel S, İnan G. Childhood Obesity Diagnosis Methods, Prevalence and Etiology. ADÜ Medical Faculty Journal. 2001; 2(3): 39- 46.
-
29. Tanvig M. Offspring body size and metabolic profile - effects of lifestyle intervention in obese pregnant women. Dan Med J. 2014 Jul;61(7):B4893.
-
30. Costanzo P,Woody E, Domain-specific parenting styles and their impact on the child's development of particular deviance: the example of obesity proneness. J Soc Clin Psychol. 1985; 3: 425-445.
-
31. Özenoğlu A, Sabuncu T, Ünüvar E. 2000. “The Distribution of Energy and Nutrients in the Daily Diets of Adolescents with Exogenous Obesity”. Trends in Endocrinology.. 2000; 9(1): 38- 43.