ATOPİK DERMATİTLİ ÇOCUKLARDA SÜT ÇOCUKLUĞU DÖNEMİNDE BESLENMENİN DEĞERLENDİRİLMESİ

Year 2023, Volume: 17 Issue: 3 - Turkish Journal of Family Medicine and Primary Care, 459 - 465, 20.09.2023

Aslı Güçlü , Ümit Aydoğan , Yusuf Çetin Doğaner , Ahmet Bolat

https://doi.org/10.21763/tjfmpc.1280596

Abstract

Giriş: Atopik dermatit (AD); kronik, kaşıntılı, tekrarlayıcı ataklarla giden inflamatuar bir cilt hastalığıdır. AD, astım ve alerjik rinokonjonktivit gibi alerjiye bağlı hastalıkların bebeklik döneminde değişen immün sistem gelişimiyle ilgili olduğu düşünülmektedir. Yenidoğan döneminden itibaren beslenme immun sistem gelişimini etkileyerek, bireyin sağlığını uzun vadede etkilemektedir.1 Bu çalışmamızda, AD tanısı alan çocuklarda hayatın ilk 6 aylık sürecinde anne sütü ve/veya formül mama ile beslenme oranlarının değerlendirmesi amaçlandı.
Yöntem: Çalışma, Gülhane Eğitim ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları Polikliniği’ne müracaat eden ve AD tanısı konulan çocukların ebeveynleri ile yapılmıştır. Çalışmaya toplam 75 ebeveyn dahil edilmiştir. Ebeveynlere yazılı onamları alınarak, araştırmacılar tarafından hazırlanılan, katılımcıların ve çocukların sosyodemografik özellikleri, özgeçmişi, ilk 6 ay beslenme şekli, annenin laktasyon dönemindeki beslenme şekli gibi bilgileri içeren anket formu uygulanmıştır. Veriler SPSS programı ile uygun testlerle analiz edilmiştir.
Bulgular: Ebeveynleri çalışmaya dahil edilen AD tanılı çocukların ilk 6 ayda %73,3’ü sadece anne sütü ile, %24’ü anne sütü ve formül mama ile geri kalan %2,7 çocuk ise sadece formül mama ile beslendiği saptanmıştır. AD tanı yaşı ile AD tanılı çocukların sosyodemografik özellikleri, soy geçmişi, ilk 6 ay beslenme şekilleri, emzirme döneminde annenin beslenme şekli ve tıbbi özgeçmişleri arasındaki fark incelendiğinde istatistiksel olarak anlamlı fark olmadığı gözlenmiştir (p>0,05).
Sonuç: AD tanısı alan hastaların hayatın ilk 6 aylık döneminde beslenme şekillerinin incelendiği çalışmamızda hastaların en fazla sadece anne sütü ile beslendiği tespit edilmiştir. AD tanı yaşı ile hayatın ilk 6 ayında beslenme şekli ve annenin laktasyon döneminde beslenme biçimi arasında anlamlı fark bulunmamıştır.

Keywords

Atopik dermatit, süt çocukluğu, beslenme, anne sütü

Evaluatıon Of Nutrıtıon Durıng Influence In Chıldren Wıth Atopıc Dermatıtıs

Abstract

Objective: Atopic dermatitis (AD); It is an inflammatory skin disease with chronic, itchy, recurrent attacks. Allergy-related diseases such as AD, asthma and allergic rhinoconjunctivitis are thought to be related to the changing immune system development in infancy. From the neonatal period, nutrition affects the development of the immune system and affects the health of the individual in the long term. In this study, it was aimed to evaluate the rates of feeding with breast milk and/or formula in the first 6 months of life in children diagnosed with AD.
Materials and Methods: The study was carried out with the parents of children who applied to Gulhane Training and Research Hospital Pediatric Health and Diseases Polyclinic and were diagnosed with AD. A total of 75 parents were included in the study. A questionnaire containing information such as the sociodemographic characteristics of the participants and the children, their backgrounds, diet for the first 6 months, and the mother's diet during the lactation period, which was prepared by the researchers after obtaining the written consent of the parents, was applied. The data were analyzed with the SPSS program with appropriate tests.
Results: In the first 6 months, 73.3% of the children with AD whose parents were included in the study were fed only with breast milk, 24% with breast milk and formula, and the remaining 2.7% with only formula. When the relationship between the age at diagnosis of AD and the sociodemographic characteristics of the children with AD, family history, feeding patterns in the first 6 months, diet of the mother during breastfeeding and medical history was examined, it was observed that there was no statistically significant relationship (p>0.05).
Conclusion: In our study, in which the nutrition patterns of patients diagnosed with AD were examined in the first 6 months of life, it was determined that the patients were mostly fed only with breast milk. There was no significant difference between the age at diagnosis of AD and the diet in the first 6 months of life and the mother's diet during the lactation period.

Keywords

Atopic dermatitis, infancy, nutrition, breast milk

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