Okulöncesi Çocuklar ve Adölesanların Meyve ve Sebze Tüketimi, Tutum ve Bilgileri

Yıl 2022, , 389 - 396, 04.10.2022

M. Ali Cebirbay , Ebru Bayrak

https://doi.org/10.53424/balikesirsbd.1097015

Öz

Amaç: Araştırmanın amacı, okul öncesi dönem çocukları ve ergenlerin günlük tüketim porsiyonları, meyve ve sebze tüketimine ilişkin tutum ve bilgileri ile karşılaştırılmasıdır. Gereç ve Yöntem: Araştırmanın örneklemini Konya'da yaşayan okul öncesi çocuklar (n=453) ve ergenler (n=453) olmak üzere iki grupta 906 katılımcı oluşturmaktadır. Araştırmada tarama modeli kullanılmış ve katılımcılar rastgele seçilmiştir. Veriler, dört bölümden oluşan bir anket ile elde edilmiştir. Bulgular: Sonuçlara göre okul öncesi çocukların %30.9'unun hafif şişman ve %11.7'sinin obez, adölesanların ise %16.3'ünün hafif şişman ve %11'inin obez olduğu belirlendi. Meyveler için günlük önerilen porsiyon tüketimi (RDS) çocuklarda (%98.7) (p>0.05) ve adölesanlarda (%95.1) (p=0.000) yüksek bulunurken, sebzelerde ise sırasıyla %26.7 (p>0.05) ve %74.4 (p=0.000) olarak bulundu. Okul öncesi dönem çocuklarının anne-babalarının ve adölesanların beslenme bilgi puan ortalamaları sırasıyla (x̄±SE) 53.8±0.807 ve 36.2±0.508 bulundu (p=0.000). Sonuç: Okulöncesi çocukların ve adölesanların yeterince meyve tükettikleri, ancak sebzelerde özellikle okul öncesi çocuklarda tüketim düzeyini düşük olduğu belirlendi. Okulöncesi dönem ve adölesan dönemde sağlıklı beslenme alışkanlıklarının geliştirilmesiyle meyve ve sebze tüketim düzeyi artırılabilir.

Anahtar Kelimeler

Meyve ve Sebze Tüketimi, Okulöncesi Çocuklar, Adölesanlar.

Fruit and Vegetable Consumption, Attitudes and Knowledge in Preschool Children and Adolescents

Öz

Aim: The aim of the study was compared to the daily consumption servings, attitudes, and knowledge of fruit and vegetable consumption in preschool children and adolescents. Materials and Methods: The study sample consists of 906 participants within two groups including preschool children (n=453) and adolescents (n=453) living in Konya, Turkey. A survey model was used in the study and participants were selected randomized. The data were obtained by a questionnaire consisting of four parts. Results: According to results, 30.9% of the preschool children were found to be overweight and 11.7% obese, whereas 16.3% of the adolescents were overweight and 11% obese. The recommended daily consumption serving (RDS) for fruits was found to be high in both children (98.7%) (p>0.05) and adolescents (95.1%) (p=0.000), but in vegetables it was 26.7% (p>0.05) and 74.4%, respectively (p=0.000). The mean nutrition knowledge score of preschool children’s parents and adolescents was found (x̄±SE) 53.8±0.807 and 36.2±0.508 respectively (p=0.000). Conclusion: It was determined that preschool children and adolescents consumed enough for fruit, but in preschool children the vegetable consumption was low. The fruit and vegetable consumption can be increased by developing healthy eating habits in the preschool and adolescence period.

Anahtar Kelimeler

Fruit and Vegetable Consumption, Preschool Children, Adolescents.

Kaynakça

• Akman, M., Akan, H., İzbirak, G., Tanrıöver, Ö., Tilev, S. M., Yıldız, A., Tektaş, S., Vitrinel, A., & Hayran, O. (2010). Eating patterns of Turkish adolescents: a cross-sectional survey. Nutrition Journal, 9(1), 67. https://doi.org/10.1186/1475-2891-9-67
• Bahar, A., Ozmen Senturk, B., Buyukdemir, S., Kutluturk, G., Mutlu, Z. N., Baki, S., Kulaksiz, B., Altinkaynak, M., & Saka, B. (2020). The prevalence of obesity in adolescent age group and its relationship with dietary habbits, family history, anthropometric measurements and muscle analysis. Clinical Science of Nutrition, 2(1), 21–29. https://doi.org/10.5152/ClinSciNutr.2019.990
• Beech, B. M., Rice, R., Myers, L., Johnson, C., & Nicklas, T. A. (1999). Knowledge, attitudes, and practices related to fruit and vegetable consumption of high school students. Journal of Adolescent Health, 24(4), 244–250. https://doi.org/10.1016/S1054-139X(98)00108-6
• Boeing, H., Bechthold, A., Bub, A., Ellinger, S., Haller, D., Kroke, A., Leschik-Bonnet, E., Müller, M. J., Oberritter, H., Schulze, M., Stehle, P., & Watzl, B. (2012). Critical review: vegetables and fruit in the prevention of chronic diseases. European Journal of Nutrition, 51(6), 637–663. https://doi.org/10.1007/s00394-012-0380-y
• Cooke, L. J., Wardle, J., Gibson, E., Sapochnik, M., Sheiham, A., & Lawson, M. (2004). Demographic, familial and trait predictors of fruit and vegetable consumption by pre-school children. Public Health Nutrition, 7(2), 295–302. https://doi.org/10.1079/PHN2003527
• De Cosmi, V., Scaglioni, S., & Agostoni, C. (2017). Early Taste Experiences and Later Food Choices. Nutrients, 9(2), 107. https://doi.org/10.3390/nu9020107
• Di Noia, J., & Cullen, K. W. (2015). Fruit and Vegetable Attitudes, Norms, and Intake in Low-Income Youth. Health Education & Behavior, 42(6), 775–782. https://doi.org/10.1177/1090198115578752
• Hill, C. R., Blekkenhorst, L. C., Radavelli-Bagatini, S., Sim, M., Woodman, R. J., Devine, A., Shaw, J. E., Hodgson, J. M., Daly, R. M., & Lewis, J. R. (2020). Fruit and Vegetable Knowledge and Intake within an Australian Population: The AusDiab Study. Nutrients, 12(12), 3628. https://doi.org/10.3390/nu12123628
• Holley, C. E., Farrow, C., & Haycraft, E. (2017). Investigating offering of vegetables by caregivers of preschool age children. Child: Care, Health and Development, 43(2), 240–249. https://doi.org/10.1111/cch.12400
• Kähkönen, K., Hujo, M., Sandell, M., Rönkä, A., Lyytikäinen, A., & Nuutinen, O. (2020). Fruit and vegetable consumption among 3–5-year-old Finnish children and their parents: Is there an association? Food Quality and Preference, 82, 103886. https://doi.org/10.1016/j.foodqual.2020.103886
• Kähkönen, K., Rönkä, A., Hujo, M., Lyytikäinen, A., & Nuutinen, O. (2018). Sensory-based food education in early childhood education and care, willingness to choose and eat fruit and vegetables, and the moderating role of maternal education and food neophobia. Public Health Nutrition, 21(13), 2443–2453. https://doi.org/10.1017/S1368980018001106
• Kamphuis, C. B. M., Giskes, K., de Bruijn, G.-J., Wendel-Vos, W., Brug, J., & van Lenthe, F. J. (2006). Environmental determinants of fruit and vegetable consumption among adults: a systematic review. The British Journal of Nutrition, 96(4), 620–635.
• Kelishadi, R., & Azizi-Soleiman, F. (2014). Controlling childhood obesity: A systematic review on strategies and challenges. Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences, 19(10), 993–1008.
• Lally, P., Bartle, N., & Wardle, J. (2011). Social norms and diet in adolescents. Appetite, 57(3), 623–627. https://doi.org/10.1016/j.appet.2011.07.015
• Lasarte-Velillas, J. J., Hernández-Aguilar, M. T., Martínez-Boyero, T., Soria-Cabeza, G., Soria-Ruiz, D., Bastarós-García, J. C., Gil-Hernández, I., Pastor-Arilla, C., & Lasarte-Sanz, I. (2015). Estimación de la prevalencia de sobrepeso y obesidad infantil en un sector sanitario de Zaragoza utilizando diferentes estándares de crecimiento. Anales de Pediatría, 82(3), 152–158. https://doi.org/10.1016/j.anpedi.2014.03.005
• McClain, A. D., Chappuis, C., Nguyen-Rodriguez, S. T., Yaroch, A. L., & Spruijt-Metz, D. (2009). Psychosocial correlates of eating behavior in children and adolescents: a review. International Journal of Behavioral Nutrition and Physical Activity, 6(1), 54. https://doi.org/10.1186/1479-5868-6-54
• Mei, Z., Ogden, C. L., Flegal, K. M., & Grummer-Strawn, L. M. (2008). Comparison of the Prevalence of Shortness, Underweight, and Overweight among US Children Aged 0 to 59 Months by Using the CDC 2000 and the WHO 2006 Growth Charts. The Journal of Pediatrics, 153(5), 622–628. https://doi.org/10.1016/j.jpeds.2008.05.048
• Ministry of Health. (2014). TURKEY CHILDHOOD (AGES 7-8) OBESITY SURVEILLANCE INITIATIVE (COSI-TUR) 2013. https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayat-db/Yayinlar/ingilizce-yayinlar/Turkey_Childhoodages_7-8_Obesity_Surveillance_Initiavite_Cosi-Tur_2013_Key_Findings.pdf
• Ministry of Health. (2017). Turkey Nutrition And Health Survey 2017 (TNHS). https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayat-db/TBSA_RAPOR_KITAP_2017_ENG_.pdf
• Müller, R. de M., Tomasi, E., Facchini, L. A., Piccini, R. X., Silveira, D. S. da, Siqueira, F. V., Thumé, E., Silva, S. M., & Dilélio, A. S. (2014). Prevalence of overweight and associated factors in under-five-year-old children in urban population in Brazil. Revista Brasileira de Epidemiologia, 17(2), 285–296. https://doi.org/10.1590/1809-4503201400020001ENG
• Nazarova, E., & Kuzmichev, Y. (2016). The height-, weight- and BMI-for-age of preschool children from Nizhny Novgorod city, Russia, relative to the international growth references. BMC Public Health, 16(1), 274. https://doi.org/10.1186/s12889-016-2946-8
• Neslişah, R., & Emine, A. Y. (2011). Energy and nutrient intake and food patterns among Turkish university students. Nutrition Research and Practice, 5(2), 117. https://doi.org/10.4162/nrp.2011.5.2.117
• Nicklaus, S. (2017). The Role of Dietary Experience in the Development of Eating Behavior during the First Years of Life. Annals of Nutrition and Metabolism, 70(3), 241–245. https://doi.org/10.1159/000465532
• Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2012). Prevalence of obesity in the United States, 2009-2010. NCHS Data Brief, 82, 1–8.
• Olimat, A. N., Delaquis, P. J., & Holley, R. A. (2017). Quantitative Microbiology in Food Processing (A. de Souza Sant’Ana, Ed.). John Wiley & Sons, Ltd. https://doi.org/10.1002/9781118823071
• Onur, N., Sarper, F., & Onur, F. (2017). Farklı Sosyo-Ekonomik Düzeydeki Ailelerin Sebze-Meyve Tüketim Durumları (The Cases of Consuming Vegetables and Fruit of the Families in Different Socio-Economic Levels). Journal of Tourism and Gastronomy Studies, 5(1), 105–123. https://doi.org/10.21325/jotags.2017.62
• Orlet Fischer, J., Mitchell, D. C., Wright, H. S., & Birch, L. L. (2002). Parental influences on young girls’ fruit and vegetable, micronutrient, and fat intakes. Journal of the American Dietetic Association, 102(1), 58–64. https://doi.org/10.1016/S0002-8223(02)90017-9
• Pem, D., & Jeewon, R. (2015). Fruit and Vegetable Intake: Benefits and Progress of Nutrition Education Interventions- Narrative Review Article. Iranian Journal of Public Health, 44(10), 1309–1321.
• Rasmussen, M., Krølner, R., Klepp, K.-I., Lytle, L., Brug, J., Bere, E., & Due, P. (2006). Determinants of Fruit and Vegetable Consumption Among Children and Adolescents: a Review of the Literature. Part I: Quantitative Studies. International Journal of Behavioral Nutrition and Physical Activity, 3(1), 22. https://doi.org/10.1186/1479-5868-3-22
• Salwa, M., Subaita, F., Choudhury, S. R., Khalequzzaman, M., al Mamun, M. A., Bhuiyan, M. R., & Haque, M. A. (2021). Fruit and vegetables consumption among school-going adolescents: Findings from the baseline survey of an intervention program in a semi-urban area of Dhaka, Bangladesh. PLOS ONE, 16(6), e0252297. https://doi.org/10.1371/journal.pone.0252297
• Scaglioni, S., de Cosmi, V., Ciappolino, V., Parazzini, F., Brambilla, P., & Agostoni, C. (2018). Factors Influencing Children’s Eating Behaviours. Nutrients, 10(6), 706. https://doi.org/10.3390/nu10060706
• Seidu, A.-A., Aboagye, R. G., Frimpong, J. B., Iddrisu, H., Agbaglo, E., Budu, E., Hagan, J. E., & Ahinkorah, B. O. (2021). Determinants of Fruits and Vegetables Consumption among In-School Adolescents in Ghana. Adolescents, 1(2), 199–211. https://doi.org/10.3390/adolescents1020016
• Slavin, J. L., & Lloyd, B. (2012). Health Benefits of Fruits and Vegetables. Advances in Nutrition, 3(4), 506–516. https://doi.org/10.3945/an.112.002154
• Smith, A. D., Herle, M., Fildes, A., Cooke, L., Steinsbekk, S., & Llewellyn, C. H. (2017). Food fussiness and food neophobia share a common etiology in early childhood. Journal of Child Psychology and Psychiatry, 58(2), 189–196. https://doi.org/10.1111/jcpp.12647
• Song, W., Derito, C. M., Liu, M. K., He, X., Dong, M., & Liu, R. H. (2010). Cellular Antioxidant Activity of Common Vegetables. Journal of Agricultural and Food Chemistry, 58(11), 6621–6629. https://doi.org/10.1021/jf9035832
• TDG. (2016). Turkish Dietary Guideline 2016. https://dosyasb.saglik.gov.tr/Eklenti/10922,17ocaktuberingilizcepdf.pdf?0
• Tibbs, T., Haire-Joshu, D., Schectmann, K. B., Brownson, R. C., Nanney, M. S., Houston, C., & Auslander, W. (2001). The relationship between parental modeling, eating patterns, and dietary intake among African-American parents. Journal of the American Dietetic Association, 101(5), 535–541. https://doi.org/10.1016/S0002-8223(01)00134-1
• Vereecken, C. A., Keukelier, E., & Maes, L. (2004). Influence of mother’s educational level on food parenting practices and food habits of young children. Appetite, 43(1), 93–103. https://doi.org/10.1016/j.appet.2004.04.002
• Wallace, T. C., Bailey, R. L., Blumberg, J. B., Burton-Freeman, B., Chen, C. O., Crowe-White, K. M., Drewnowski, A., Hooshmand, S., Johnson, E., Lewis, R., Murray, R., Shapses, S. A., & Wang, D. D. (2020). Fruits, vegetables, and health: A comprehensive narrative, umbrella review of the science and recommendations for enhanced public policy to improve intake. Critical Reviews in Food Science and Nutrition, 60(13), 2174–2211. https://doi.org/10.1080/10408398.2019.1632258
• Wang, X., Ouyang, Y., Liu, J., Zhu, M., Zhao, G., Bao, W., & Hu, F. B. (2014). Fruit and vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose-response meta-analysis of prospective cohort studies. BMJ, 349(jul29 3), g4490–g4490. https://doi.org/10.1136/bmj.g4490
• WHO. (2006). WHO Child Growth Standards: Length/Height for-Age, Weight-for-Age, Weight-for-Length, Weight-for-Height and Body Mass Index-for-Age: Methods and Development. WHO Multicentre Growth Reference Study Group.
• WHO. (2015). Global and Regional Food Consumption Patterns and Trends. http://www.who.int/nutrition/topics/3_foodconsumption/en/
• Wind, M., de Bourdeaudhuij, I., te Velde, S. J., Sandvik, C., Due, P., Klepp, K.-I., & Brug, J. (2006). Correlates of Fruit and Vegetable Consumption Among 11-Year-Old Belgian-Flemish and Dutch Schoolchildren. Journal of Nutrition Education and Behavior, 38(4), 211–221. https://doi.org/10.1016/j.jneb.2006.02.011
• Wyse, R., Campbell, E., Nathan, N., & Wolfenden, L. (2011). Associations between characteristics of the home food environment and fruit and vegetable intake in preschool children: A cross-sectional study. BMC Public Health, 11(1), 938. https://doi.org/10.1186/1471-2458-11-938
• Yosmaoğlu, H. B., Baltacı, G., & Derman, O. (2010). Effectiveness of Body Fat Measurement Methods in Obese Adolescents. Fizyoterapi Rehabilitasyon, 21(3), 125–131.