Çocuk Beslenmesi ve Sağlıklı Atıştırmalıklar

Yıl 2019, Cilt: 11 Sayı: 5, 255 - 261, 01.09.2019

Muazzez Garipağaoğlu Havvanur Yoldaş

Öz

Çocuklarda beslenmeyi iyileştirme yaklaşımları arasında “doğru besin seçimi” ilk
sırada yer almaktadır. Besin seçimini yaş, cins, aile, açlık-tokluk durumu, besin endüstrisi,
atıştırmalıklar vb. birçok faktör etkilemektedir. Atıştırmalıklar her yaşta birey
tarafından tüketilmesine karşın, en fazla çocuklar tarafından tüketilmektedir. Atıştırmalıklar,
çoğunlukla bir ara öğün, bazen hızlı bir ana öğün, bazen karın doyurmak
için, iş toplantılarında, arkadaş toplantılarında, kutlamalarda, doğum günlerinde, bazen
stresi bastırmak için, bazen de farkında olmaksızın tüketilen besinlerdir. Sağlıklı
atıştırmalık, yağ, şeker ve tuzdan fakir, koruyucu, yapay renklendirici ve aroma içermeyen,
vitamin, mineral ve liften zengin olan besin ya da besinler olarak tanımlanmaktadır.
Sağlıklı bir atıştırmalık yeterlilik, denge, sınırlı ya da kontrollü enerji, ılımlı
ve çeşitlilik sunma özelliklerini taşımalıdır. Bu özelliklere sahip olan atıştırmalıklar,
sağlıklı beslenmeye destek verirler. Bu derlemede, sağlıklı atıştırmalıkların çocuk
beslenmesi ve sağlığı üzerine etkileri ele alınmaktadır.

Anahtar Kelimeler

sağlıklı beslenme, besin, atıştırmalık, çocuk, beslenmesi

Kaynakça

• 1. Gökçay G, Garipağaoğlu M. Beslenme ve beslenme bozuklukları. Neyzi O, Ertuğrul T, Pediatri, 4. Baskı, İstanbul, Nobel Tıp Kitabevleri, 2011, s211-32.
• 2. Walker SP, Wachs TD, Gardner JM, Lozoff B, Wasserman GA, Pollitt E et al. Child development: risk factors for adverse outcomes in developing countries. The Lancet 2007, 369: 145-57.
• 3. Koletzko B. Early nutrition and its later consequences: New opportunities. Adv Exp Med Biol 2005, 569: 69-79.
• 4. Michaelsen KF, Grummer-Strawn L, Bégin F. Emerging issues in complementary feeding: Global aspects. Matern Child Nutr. 2017, 13(S2): e12444.
• 5. Holt C,Wooldridge N, Story M, Sofka D. Children and adolescents with special health care needs, Bright Futures Nutrition. 3rd edition, Elk Grove Village, American Academy of Pediatrics, 2011, p.123-31.
• 6. De Pee S, T van den Briel, J van Hees, MW Bloem. Introducing new and improved food products for better nutrition. In: World Food Programme: Revolution: from food aid to food assistance. Rome 2010, s157-176.
• 7. Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet 2013, 382(9890): 427-451.
• 8. Kelly AS, Barlow SE, Rao G, Inge TH, Hayman LL, Steinberger J et al. Severe obesity in children and adolescents: Identification, associated health risks, and treatment approaches severe obesity. Circulation 2013, 128: 1689-1712.
• 9. Hocevar SN, Key JD. Practice guidelines for the diagnosis, treatment and prevention of childhood and adolescent obesity. J S C Med Assoc 2009, 105(2): 46-50.
• 10. Shashaj B, Bedogni G, Graziani MP, Tozzi AE, DiCorpo ML, Morano D et al. Origin of cardiovascular risk in overweight preschool children: a cohort study of cardiometabolic risk factors at the onset of obesity. JAMA Pediatr 2014, 68(10): 917-24.
• 11. Costa HS, Vasilopoulou E, Trichopoulou A, Finglas P; Participants of EuroFIR Traditional Foods Work Package. New nutritional data on traditional foods for European food composition databases. European Journal of Clinical Nutrition 2010, 64(3): 73–81
• 12. Virudachalam S, Chung PJ, Faerber JA, Pian TM, Thomas K, Feudtner C. Quantifying parental preferences for interventions designed to improve home food preparation and home food environments during early childhood. Appetite. 2016, 98(1): 115-24.
• 13. Story, M, Kaphingst KM, O’Brien RR, Glanz K. Creating Healthy Food and Eating Environments: Policy and Environmental Approaches. Annu Rev Public Health 2008, 29: 253-272.
• 14. Kabaran S, Mercanlıgil SM. Adolesan dönem besin seçimlerini hangi faktörler etkiliyor? Güncel Pediatri 2013, 11: 121-127.
• 15.Waddingham S, Stevens S, Macintyre K, Shaw K. Most of them are junk food but we did put fruit on there and we have water: What children can tell us about the food choices they make. Health Educ. 2015, 115: 126-140.
• 16. Ek A, Sorjonen K, Eli K, Lindberg L, Nyman J, Marcus C et al. Associations between Parental Concerns about Preschoolers' Weight and Eating and Parental Feeding Practices: Results from Analyses of the Child Eating Behavior Questionnaire, the Child Feeding Questionnaire, and the Lifestyle Behavior Checklist. PLoS One 2016, 11(1): e0147257
• 17. Diethelm K, Jankovic N, Moreno LA, Huybrechts I, De Henauw S, De Vriendt T et al. On behalf of the HELENA Study Group. Food intake of European adolescents in the light of different food-based dietary guidelines: results of the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. Public Health Nutr 2011,15: 386–398.
• 18. Nørgaarda MK, Sørensenb BT, Brunsøc K. A concept test of novel healthy snacks among adolescents: Antecedents of preferences and buying intentions. Food Qual Prefer 2014, 33: 17–26.
• 19. Russella CG, Worsleya A, Liema DG. Parents’ food choice motives and their associations with children’s food preferences. Public Health Nutr. 2015, 18: 1018-1027.
• 20. Guthrie J, Mancino L, Jordan Lin CT. Nudging consumers toward better food choices: Policy approaches to changing food consumption behaviors. Psychology and Marketing. 2015, 32: 501–511.
• 21. Gatenby SJ. Eating frequency: Methodological and dietary aspects. British J Nutr 1997, 77 (1): 7-20.
• 22. Scientific Report of the 2015 Dietary Guidelines Advisory Committe. DRI 2015.
• 23. Cleobury L, Tapper K. Reasons for eating ‘unhealthy’ snacks in overweight and obese males and females. Clinical Nutrition 2014, 27(4): 333–341.
• 24. Nielsen NV. What Consumers Are Reaching For Around The World. In: Snacking With a Conscience. The Nielsen Company 2014. (Erişim: http://www.nielsen.com/content/dam/nielsenglobal/ kr/docs/global-report/2014/Nielsen%20Global%20Snacking% 20Report%20September%202014.pdf.
• 25. Vasiljevic M, Pechey R, Marteau TM.Making food labels social: The impact of coulour of nutritional labels and injunctive norms on perceptions and choice of snacks food. Appetite 2015, 91: 56-63.
• 26. Türkiye Beslenme ve Sağlık Araştırması 2010. Beslenme durumu ve alışkanlıklarının değerlendirilmesi sonuç raporu. T.C. Sağlık Bakanlığı, Hacettepe Üniversitesi, Beslenme ve Diyetetik Bölümü, Şubat 2014.
• 27. American Academi of Pediatrics. Snacks, Sweetened Beverages, Added Sugars, and Schools Pediatrics. Council on School Health, Committee on Nutrition, 2015, 135 (3): 576-582.
• 28.Webmaster LB. It’s Snack Time in India. Packaging 2015.
• 29. Briefel RR, Wilson A, Gleason PM. Consumption of low-nutrient, energy-dense foods and beverages at school, home, and other locations among school lunch participants and nonparticipants. J Acad Nutr Diet 2009, 109: 79-90.
• 30. Briefel RR, Wilson A, Cabili C. Reducing calories and added sugars by improving children's beverage choices. J Acad Nutr Diet 2013, 113: 269–275.
• 31. Boots SA, Tiggeman M, Corsini N, Mattiske J. Managing young children’s snack food intake. The role of parenting style and feding strategies. Appetite 2015, 92: 94-101.
• 32. Hess J, Slavin J. Article Snacking for a Cause: Nutritional Insufficiencies and Excesses of U.S. Children, a Critical Review of Food Consumption Patterns and Macronutrient and Micronutrient Intake of US Children. Nutrients. 2014, 6: 4750-4759.
• 33. Reedy J, Krebs-Smith SM. Dietary sources of energy, solid fats, and added sugars among children and adolescents in the United States. J Am Diet Assoc. 2010,110: 1477–1484.
• 34.Williams C. Dietary Guidelines Advisory Committee. Children’s Dietary Intakes. Dietary Guidelines for Americans 2010. (Erişim: www.cnpp.usda.gov/ Publications/DietaryGuidelines/ 2010/ DGAC/Report/Resource1-Children.pdf)
• 35. Gugger C, Bidwai S, Joshi N, Holschuh N, Albertson A. Nutrient contribution of snacking in Americans: Results from the National Health and Nutrition Examination Survey 2011-2012. The FASEB Journal 2015, 29: 587-14.
• 36. Ortinau LC, Hoetel HA, Douglas SM, Leidy HJ. Effects of highprotein vs. high-fat snacks on appetite control, satiety and eating initiation in healthy women. Nutr J 2014, 13: 97.
• 37. The Institute of Medicine (IOM), Nutrition Standards for Foods in Schools. Nutrition Standards for Foods Outside of School Meal Programs Information for Parents, Guardians, Teachers, and School Staff. Centers for Disease Control and Prevention National Center
• for Chronic Disease Prevention and Health Promotion Division of Adolescent and School Health, 2009. (Erişim: http://www.cdc.gov/healthyyouth/nutrition/pdf/nutrition_factsheet_p arents.pdf)
• 38. Texas Public School Nutrition Policy. Texas Department of Agriculture, 2009.
• 39. T.C. Milli Eğitim Bakanlığı, Sağlık İşleri Dairesi Başkanlığı. Okul Kantinlerindeki Gıda Satışı. Genelgesi, 2011.
• 40. American Academi of Pediatrics. Snacks, sweetened beverages, added sugars, and schools council on school health, committee on nutrition. Pediatrics 2015, 135: 575-582.
• 41. US Department of Agriculture, Center for Nutrition Policy and Promotion. Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 2010. (Erişim: www.cnpp. usda.gov/dgas2010-dgacreport.htm).
• 42. Kleinman RE, Greer FR. Pediatric Handbook. Fast foods, organic foods, fad diets. 7th edition. United States of America. American Academy of Pediatrics, 2014, p275-300.
• 43. Bilici S, Köksal E. Okul öncesi ve okul çağı çocuklara yönelik beslenme önerileri ve menü programları. T.C. Sağlık Bakanlığı, Türkiye Halk Sağlığı Kurumu. Ankara, 2013.
• 44. Garipağaoğlu M, Özgüneş N. Okullarda beslenme uygulamaları. Çocuk Dergisi 2008, 8(3): 152–159.
• 45. Cullen KW, Watson K, Zakeri I. Improvements in Middle School Student Dietary Intake After Implementation of the Texas Public School Nutrition Policy. American Journal of Public Health. 2008, 98 (1): 111-117.
• 46. American Academy of Pediatrics. Dietary Recommendations for Children and Adolescents A Guide for Practitioners Consensus Statement From the American Heart Association. Circulation 2005, 112: 2061-2075.
• 47. Ogata BN, Hayes D. Position of the Academy of Nutrition and Dietetics: Nutrition Guidance for Healthy Children Ages 2 to 11 Years. J Acad Nutr Diet. 2014, 114: 1257–1276.
• 48. Oldways Preservation & Exchange Trust. Mediterranean Diet Pyramid. Oldways Preservation & Exchange Trust, 2009. (Erişim: http://oldwayspt.org/resources/heritage-pyramids/mediterranean- pyramid/overview).
• 49. Harvard School of Public Health. The Nutrition Source: Healthy eating plate and healthy eating pyramid. (Erişim: http://www.hsph.harvard.edu/nutritionsource/what-shouldyou- eat/pyramid/)
• 50. Bebispro for Windows, Stuttgart, Germany; Turkish Version (Bebis 7), Istanbul, 2004. Program uses data from Bundeslebensmittelschlüssel