Annelere Yönelik Beslenme Eğitiminin Yeme Farkındalığı Çocuk Besleme Davranışları ve Antropometrik Ölçümler Üzerine Etkisi: Randomize Kontrollü Pilot Çalışma

Yıl 2022, Cilt: 10 Sayı: 1, 116 - 129, 10.03.2022

Tuba Özaydın , Raziye Çelen , Gülperi Demir

https://doi.org/10.33715/inonusaglik.1027883

Öz

Bu öntest-sontest randomize kontrollü pilot çalışma, annelere yönelik beslenme eğitiminin yeme farkındalığı, çocuk besleme davranışları ve antropometrik ölçümler üzerine etkisini belirlemek amacıyla yapılmıştır. Çalışma bir devlet anaokulunda öğrenim gören, üç-altı yaş arası çocuğu olan 24 anne ile yürütüldü. Müdahale grubundaki annelere, anne ve çocuk beslenmesine yönelik sekiz oturumdan oluşan sekiz haftalık bir eğitim verildi. Veriler; Bilgi Formu, Yeme Farkındalığı Ölçeği, Davranışsal Pediatrik Besleme Değerlendirmesi Ölçeği ve antropometrik ölçümler ile toplandı. Eğitimden sonra müdahale grubundaki annelerin yeme farkındalığı puan ortalaması kontrol grubuna göre daha yüksek, ancak istatiksel olarak anlamlı değildi (p>0.05). Müdahale grubunun eğitim öncesi davranışsal pediatrik besleme değerlendirme ölçeği puan ortalaması kontrol grubuna göre daha yüksektir (p>0.05). Müdahale ve kontrol grubundaki annelerin Beden Kitle İndeksi (BKİ)’nde anlamlı bir fark görülmedi (p>0.05). Bu pilot çalışmadan elde edilen sonuçlar doğrultusunda, beslenme eğitimlerinin yanı sıra web tabanlı, oyun destekli uygulamalar içeren programlar eğitime entegre edilerek eğitimin etkinliğinin arttırılması önerilir.

Anahtar Kelimeler

Anne, Beslenme, Çocuklar, Eğitim, Okul Öncesi

Destekleyen Kurum

This study was supported by Research Fund of the Selcuk University

Proje Numarası

Project Number: 20401041

Teşekkür

Selçuk Üniversitesi BAP Koordinatörlüğü'ne teşekkür ederiz.

THE EFFECT OF NUTRITION EDUCATION FOR MOTHERS ON EATING AWARENESS, CHILDREN’S FEEDING BEHAVIOURS AND ANTHROPOMETRIC MEASUREMENTS: A PILOT RANDOMIZED CONTROLLED TRIAL

Öz

This pretest-posttest randomized controlled, pilot study was conducted to determine the effect of feeding education for mothers on eating awareness, child nutrition behaviors and anthropometric measurements. It was conducted with 24 mothers with three to six-year-old children attending a public kindergarten. An eight-week education consisting of eight sessions on mother and child feeding was given to mothers in the intervention group. The data were collected using the Information Form, the Eating Awareness Scale, and the Behavioral Pediatric Feeding Assessment Scale and performing anthropometric measurements. After the education program, the eating awareness mean score of the mothers in the intervention group was higher than the control group; however, the increase was not statistically significant (p> 0.05). Prior to the education, the mean behavioral pediatric feeding assessment scale score of the intervention group was higher than that of the control group (p>0.05). There was no significant difference in Body Mass Index (BMI) of the mothers in the intervention and control groups (p> 0.05). In line with the results obtained from this pilot study, it is recommended to increase the effectiveness of education by integrating programs containing web-based, game-supported applications into education as well as nutrition education.

Anahtar Kelimeler

Children, Education, Mother, Nutrition, Preschool

Proje Numarası

Project Number: 20401041

Kaynakça

• Aktaç, Ş., Kızıltan, G., Avcı, S. (2019). The Effect of Family Participation in Nutrition Education Intervention on the Nutritional Status of Preschool Age Children. Egitim ve Bilim, 44(199). Alberts, H. J., Thewissen, R., Raes, L. (2012). Dealing with problematic eating behaviour. The effects of a mindfulness-based intervention on eating behaviour, food cravings, dichotomous thinking and body image concern. Appetite, 58(3), 847-851.
• Benton, D. (2004). Role of parents in the determination of children’s food preferences. Int J Obes, 28, 858-869.
• Brazeau, A.S., Leong, A., Meltzer, S.J., Cruz, R., DaCosta, D., Nelson, M.H., . . . Dasgupta K. (2014) Group-based activities with on-site childcare and online support improve glucose tolerance in women within 5 years of gestational diabetes pregnancy. Cardiovasc Diabetol, 13, 104.
• Bulduk, S., Yabancı, N., Demircioğlu, Y. (2002). Özel durumlarda beslenme (1. Baskı). İstanbul: Ya-Pa Yayınları.
• CDC, T. C. f. D. C. a. P. (2020). Preschoolers (3-5 years of age). Available from https://www.cdc.gov/ncbddd/childdevelopment/positiveparenting/preschoolers.html Accessed 05 October 2021.
• Chung, S., Zhu, S., Friedmann, E., Kelleher, C., Kozlovsky, A., Macfarlane, K.W., . . . Griffith, K.A. (2016) Weight loss with mindful eating in African American women following treatment for breast cancer: a longitudinal study. Support Care Cancer, Apr, 24(4), 1875-1881.
• Clark, H. R., Goyder, E., Bissell, P., Blank, L., Peters, J. (2007). How do parents' child-feeding behaviours influence child weight? Implications for childhood obesity policy. Journal of public health, 29(2), 132-141.
• Connor, K. M., Davidson, J. R. (2003). Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and anxiety, 18(2), 76-82.
• Crist, W., Napier-Phillips, A. (2001). Mealtime behaviors of young children: A comparison of normative and clinical data. Journal of Developmental & Behavioral Pediatrics, 22(5), 279-286.
• Framson, C., Kristal, A. R., Schenk, J. M., Littman, A. J., Zeliadt, S., Benitez, D. (2009). Development and validation of the mindful eating questionnaire. Journal of the American Dietetic Association, 109(8), 1439-1444.
• Gibson, R. S. (2005). Principles of nutritional assessment: Oxford university press, USA.
• Golan, M., Crow, S. (2004). Parents are key players in the prevention and treatment of weight-related problems. Nutrition reviews, 62(1), 39-50. Knol, L.L., Myers, H.H., Black, S., Robinson, D., Awololo, Y., Clark, D., …Higginbotham, J.C. (2016). Development and Feasibility of a Childhood Obesity Prevention Program for Rural Families: Application of the Social Cognitive Theory. Am J Health Educ, 47(4), 204-214.
• Köse, G., Tayfur, M., Birincioğlu, İ., Dönmez, A. (2016). Yeme farkındalığı ölçeği’ni Türkçeye uyarlama çalışması. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 3, 125-134.
• Krushnapriya, S., Sahoo, B., Choudhury, A. K., Sofi, N. Y., Kumar, R., Bhadoria, A. S. (2015). Childhood obesity: causes and consequences. Journal of family medicine and primary care, 4(2), 187.
• Merdol, T. K. (2012). Okul öncesİ dönem çocuklarinin beslenmesi. Ankara: Saǧlık Bakanlıǧı Yayınları.
• Morshed, A. B., Tabak, R. G., Schwarz, C. D., Haire-Joshu, D. (2019). The Impact of a Healthy Weight Intervention Embedded in a Home-Visiting Program on Children's Weight and Mothers’ Feeding Practices. Journal of nutrition education and behavior, 51(2), 237-244.
• Önal, S., Var, E. Ç., Uçar, A. (2017). Davranışsal Pediatrik Besleme Değerlendirmesi Ölçeği (DPBDÖ)’ni Türkçe’ye Uyarlama Çalışması. Nevşehir Bilim ve Teknoloji Dergisi, 6(1), 93-101.
• Pandya, S. P. (2020). Adolescents living with food allergies in select global cities: Does a WhatsApp-based mindful eating intervention promote wellbeing and enhance their self-concept? Journal of Pediatric Nursing, 55, 83-94.
• Scarinci, I. C., Hansen, B., Kim, Y.-i. (2020). A Cluster-Randomized Controlled Trial to Evaluate a Community-Based Healthy Eating and Nutrition Label Interpretation Intervention Among Latinx Immigrant Mothers and Their Daughters. Journal of Community Health, 1-11.
• Skinner, J. D., Carruth, B. R., Bounds, W., Ziegler, P., Reidy, K. (2002). Do food-related experiences in the first 2 years of life predict dietary variety in school-aged children? Journal of nutrition education and behavior, 34(6), 310-315.
• Stage, V. C., Wilkerson, K., Hegde, A., Lisson, S., Babatunde, O. T., Goodell, L. S. (2018). Head Start administrator and teacher perceptions of parental influence on preschool children’s nutrition education. Journal of Early Childhood Research, 16(2), 160-175.
• Wardlaw, G. M., Insel, P. M., Seyler, M. F. (1994). Contemporary nutrition: issues and insights: Mosby-Year Book, Inc.
• Wardle, J., Carnell, S., Cooke, L. (2005). Parental control over feeding and children’s fruit and vegetable intake: how are they related? Journal of the American Dietetic Association, 105(2), 227-232.
• Wardle, J., Sanderson, S., Guthrie, C. A., Rapoport, L., Plomin, R. (2002). Parental feeding style and the inter‐generational transmission of obesity risk. Obesity research, 10(6), 453-462.
• Warkentin, S., Mais, L. A., Latorre, M. d. R. D. d. O., Carnell, S., Taddei, J. A. d. A. C. (2018). Parents matter: associations of parental bmi and feeding behaviors with child BMI in Brazilian preschool and school-aged children. Frontiers in nutrition, 5, 69.
• WHO. (2018). Taking action on childhood obesity. Avaible from https://apps.who.int/iris/bitstream/handle/10665/274792/WHO-NMH-PND-ECHO-18.1-eng.pdf Accessed 10 November 2021.
• WHO. (2020). BMI Classification Avaible from https://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi Accessed 12 November 2021.
• Williams, S., & Greene, J. (2018). Childhood overweight and obesity: Affecting factors, education and intervention. Journal of Childhood Obesity, 3(2), 1-9.
• Young, L., Anderson, J., Beckstrom, L., Bellows, L., Johnson, S. L. (2003). Making new foods fun for kids. Journal of nutrition education and behavior, 35(6), 337-338.