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İştahsız Çocuklara Klinik Yaklaşım

Yıl 2011, Cilt: 9 Sayı: 3, 79 - 84, 01.12.2011

Öz

İştah yiyeceğe karşı duyulan bilinçli istektir ve iştah kontrolü başta gastrointestinalsistem olmak üzere santral sinir sistemi, pankreas ve adrenal bezler tarafından sağlanır.İştahsızlık çocukluk çağında sık görülen bir semptomdur ve değerlendirilmesindegelişim, beslenme ve aile öyküsü önemlidir. İştahsızlık beslenme bozukluklarının birbelirtisi olabilir. Beslenme bozuklukları organik ve fonksiyonel olarak ayrılabilir vebiyolojik, davranışsal ve sosyal faktörlerden etkilenir. Kişisel, ailevi, ekonomik, çevreselve sosyo-kültürel faktörler iştahı etkileyebilir. Bu yazıda aile ve hekim için zor hasta olaniştahsız çocuğa yaklaşım konusunda literatür bilgileri ışığı altında önerilerde bulunulmuştur

Kaynakça

  • 1. Wright C, Birks E. Risk factors for failure to thrive: a population-based survey. Child Care Health Dev 2000;26:5-16.
  • 2. Naslund E, Hellström PM. Appetite signalling: from gut peptides and enteric nerves to brain. Physiol Behav 2007;92:256-62.
  • 3. Temizel İNS. İştahsız çocuk. Çocuk Sağlığı ve Hastalıkları Dergisi 2008;51:176-81.
  • 4. Kutluk G, Ertem D, Pehlivanoğlu E. Bebek ve çocuklarda önemli bir beslenme sorunu: İştahsızlık. Clinic Pediatric 2008;4:32-6.
  • 5. Chatoor I, Schaefer S, Dickson L, Egan J. Non-organic failure to thrive: a developmental perspective. Pediatr Ann 1984;13:829-35.
  • 6. Wright CM, Parkinson KN, Shipton D, Drewett RF. How to toddler eating problems relate to their eating behavior , food preferances, and growth? Pediatrics 2007;120:1069-75.
  • 7. Carruth BR, Ziegler PJ, Gordon A, Barr SI. Pervelance of picky eaters among infants and toddlers and their caregivers’ decisions about offering a new food. J Am Diet Assoc 2004;104:57-64.
  • 8. Fox MK, Devaney B, Reidy K, Razarnorakoto C, Ziegler P. Relationship between portion size and energy intake among infants and toddlers: evidence of self regulation. J Am Diet Assoc 2006;106:77-83.
  • 9. Kral TV, Stunkard AJ, Berkowitz RI, Stallings VA, Brown DD, Faith MS. Daily food intake in relation to dietary energy density in the free- living enviroment: a prospective analiysis of children born at different risk of obesty. Am J Clin Nutr 2007;86:41-7.
  • 10. Bekem Ö, Öztürk Y, Arslan N, Büyükgebiz B. İştahsız çocuklarda beslenme özelliklerinin anket çalışması ile değerlendirilmesi. Dokuz Eylül Tıp Fakültesi Dergisi 2003;1:181-91.
  • 11. Hendricks K, Briefel R, Novak T, Ziegler P. Maternal and child characteristics associated with infant and toddler feding practices. J Am Diet Assoc 2006;106:135-48.
  • 12. Lee K, Song YM. Parent-reported appetite of a child and the child’s weight status over a 2-year period in Korean children. J Am Diet Assoc 2007;107:678-80.
  • 13. Wright CM, Parkinson KN, Drewett RF. How does maternal and child feeding behavior relate to weight gain and failure to thrive? Data from a prospective birth cohort. Pediatrics 2006;117:1262-9.
  • 14. Orrell-Valente JK, Hill LG, Brechwald WA, Dodge KA, Pettit GS, Bates JE. ‘’Just three more bites‘’: an observational analysis of parents’ socialization of children’s eating at mealtime. Appetite 2007;48:37-45.
  • 15. Bellissimo N, Pencharz PB, Thomas SG, Anderson GH. Effect of mealtime on food intake after a glucose preload in boys. Pediatr Res 2007;61:745-9.
  • 16. Francis LA, Birch LL. Does eating during television viewing affect preschool children’s intake. J Am Diet Assoc 2006;106:598-600.
  • 17. King NA, Hester J, Gately PJ. The effect of a medium-term activity- and diet- induced energy deficit on subjective appetite sensations in obese children. Int J Obes (Lond) 2007;31:334-9.
  • 18. Isguven P, Arslanoğlu I, Erol M, Yıldız M, Adal E ,Erguven M. Serum levels of ghrelin, IGF-I, IGFBP-3, insulin thyroid hormones and cortisol in prepubertal children with iron deficiency. Endocr J 2007;54:985-90.
  • 19. Briefel R, Hanson C, Fox MK, Novak T, Ziegler P. Feeding Infands and Toddlers Study: Do vitamin and mineral supplements contribute to nutrient adequacy or excess among US infants and toddlers? J Am Diet Assoc 2006;106:52-65.
  • 20. Ahmed T, Haboubi M. Assement and management of nutrition in older people and its importance health. Clin İnterv Aging 2010;5:207-16.
  • 21. Homnick DN, Marks JH, Hare KL, Bomnema SK. Long term trial of cyproheptadine as an appetite sitimulant in cystic fibrosis. Pediatr Pulmonol 2005;40:251-6.
  • 22. Boonstra VH, Arends NJ, Stijnen T, Blum WF, Akkerman O, Hokken-Koelega AC. Food intake of children with short stature born small for gestational age before and during a randomized GH trial. Horm Res 2006;65:23-30.
  • 23. Goncalves CG, Ramos EJ, Romanova IV, Suziki S, Chen C, Meguid MM. Omega-3 fatty acids improve appetite in canser anorexia, but tumor resecting restores it. Surgery 2006;139:202-8.
  • 24. Bekem Ö, Büyükgebiz B, Aydın A, Öztürk Y, Taşcı C, Arslan N, et al. Procinetic agents in children with poor appetite. Acta Gastroenterol Belg 2005;68:416-8.

Clinical Approach to Children with Low Appetite

Yıl 2011, Cilt: 9 Sayı: 3, 79 - 84, 01.12.2011

Öz

Appetite is a conscious desire for food and it is regulated mainly by the gastrointestinalsystem, pancreas and adrenal glands. Poor appetite is a common problem in childhood.For assessment, history of development, nutrition and family are important. Poor appetitemay also be a symptom of feeding disorders. Even though the etiology of feedingdisorders may be classified as organic or functional, it indeed reflects the complexinteraction of biological, behavioral and social factors. Personal, familial, economic andsociocultural factors may affect appetite. In this review, approaches to a child with lowappetite who presents a difficult problem for his/her family and doctor are discussed inthe light of recent literature

Kaynakça

  • 1. Wright C, Birks E. Risk factors for failure to thrive: a population-based survey. Child Care Health Dev 2000;26:5-16.
  • 2. Naslund E, Hellström PM. Appetite signalling: from gut peptides and enteric nerves to brain. Physiol Behav 2007;92:256-62.
  • 3. Temizel İNS. İştahsız çocuk. Çocuk Sağlığı ve Hastalıkları Dergisi 2008;51:176-81.
  • 4. Kutluk G, Ertem D, Pehlivanoğlu E. Bebek ve çocuklarda önemli bir beslenme sorunu: İştahsızlık. Clinic Pediatric 2008;4:32-6.
  • 5. Chatoor I, Schaefer S, Dickson L, Egan J. Non-organic failure to thrive: a developmental perspective. Pediatr Ann 1984;13:829-35.
  • 6. Wright CM, Parkinson KN, Shipton D, Drewett RF. How to toddler eating problems relate to their eating behavior , food preferances, and growth? Pediatrics 2007;120:1069-75.
  • 7. Carruth BR, Ziegler PJ, Gordon A, Barr SI. Pervelance of picky eaters among infants and toddlers and their caregivers’ decisions about offering a new food. J Am Diet Assoc 2004;104:57-64.
  • 8. Fox MK, Devaney B, Reidy K, Razarnorakoto C, Ziegler P. Relationship between portion size and energy intake among infants and toddlers: evidence of self regulation. J Am Diet Assoc 2006;106:77-83.
  • 9. Kral TV, Stunkard AJ, Berkowitz RI, Stallings VA, Brown DD, Faith MS. Daily food intake in relation to dietary energy density in the free- living enviroment: a prospective analiysis of children born at different risk of obesty. Am J Clin Nutr 2007;86:41-7.
  • 10. Bekem Ö, Öztürk Y, Arslan N, Büyükgebiz B. İştahsız çocuklarda beslenme özelliklerinin anket çalışması ile değerlendirilmesi. Dokuz Eylül Tıp Fakültesi Dergisi 2003;1:181-91.
  • 11. Hendricks K, Briefel R, Novak T, Ziegler P. Maternal and child characteristics associated with infant and toddler feding practices. J Am Diet Assoc 2006;106:135-48.
  • 12. Lee K, Song YM. Parent-reported appetite of a child and the child’s weight status over a 2-year period in Korean children. J Am Diet Assoc 2007;107:678-80.
  • 13. Wright CM, Parkinson KN, Drewett RF. How does maternal and child feeding behavior relate to weight gain and failure to thrive? Data from a prospective birth cohort. Pediatrics 2006;117:1262-9.
  • 14. Orrell-Valente JK, Hill LG, Brechwald WA, Dodge KA, Pettit GS, Bates JE. ‘’Just three more bites‘’: an observational analysis of parents’ socialization of children’s eating at mealtime. Appetite 2007;48:37-45.
  • 15. Bellissimo N, Pencharz PB, Thomas SG, Anderson GH. Effect of mealtime on food intake after a glucose preload in boys. Pediatr Res 2007;61:745-9.
  • 16. Francis LA, Birch LL. Does eating during television viewing affect preschool children’s intake. J Am Diet Assoc 2006;106:598-600.
  • 17. King NA, Hester J, Gately PJ. The effect of a medium-term activity- and diet- induced energy deficit on subjective appetite sensations in obese children. Int J Obes (Lond) 2007;31:334-9.
  • 18. Isguven P, Arslanoğlu I, Erol M, Yıldız M, Adal E ,Erguven M. Serum levels of ghrelin, IGF-I, IGFBP-3, insulin thyroid hormones and cortisol in prepubertal children with iron deficiency. Endocr J 2007;54:985-90.
  • 19. Briefel R, Hanson C, Fox MK, Novak T, Ziegler P. Feeding Infands and Toddlers Study: Do vitamin and mineral supplements contribute to nutrient adequacy or excess among US infants and toddlers? J Am Diet Assoc 2006;106:52-65.
  • 20. Ahmed T, Haboubi M. Assement and management of nutrition in older people and its importance health. Clin İnterv Aging 2010;5:207-16.
  • 21. Homnick DN, Marks JH, Hare KL, Bomnema SK. Long term trial of cyproheptadine as an appetite sitimulant in cystic fibrosis. Pediatr Pulmonol 2005;40:251-6.
  • 22. Boonstra VH, Arends NJ, Stijnen T, Blum WF, Akkerman O, Hokken-Koelega AC. Food intake of children with short stature born small for gestational age before and during a randomized GH trial. Horm Res 2006;65:23-30.
  • 23. Goncalves CG, Ramos EJ, Romanova IV, Suziki S, Chen C, Meguid MM. Omega-3 fatty acids improve appetite in canser anorexia, but tumor resecting restores it. Surgery 2006;139:202-8.
  • 24. Bekem Ö, Büyükgebiz B, Aydın A, Öztürk Y, Taşcı C, Arslan N, et al. Procinetic agents in children with poor appetite. Acta Gastroenterol Belg 2005;68:416-8.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Research Article
Yazarlar

Fatih Ünal

Yayımlanma Tarihi 1 Aralık 2011
Yayımlandığı Sayı Yıl 2011 Cilt: 9 Sayı: 3

Kaynak Göster

APA Ünal, F. (2011). İştahsız Çocuklara Klinik Yaklaşım. Güncel Pediatri, 9(3), 79-84.
AMA Ünal F. İştahsız Çocuklara Klinik Yaklaşım. Güncel Pediatri. Aralık 2011;9(3):79-84.
Chicago Ünal, Fatih. “İştahsız Çocuklara Klinik Yaklaşım”. Güncel Pediatri 9, sy. 3 (Aralık 2011): 79-84.
EndNote Ünal F (01 Aralık 2011) İştahsız Çocuklara Klinik Yaklaşım. Güncel Pediatri 9 3 79–84.
IEEE F. Ünal, “İştahsız Çocuklara Klinik Yaklaşım”, Güncel Pediatri, c. 9, sy. 3, ss. 79–84, 2011.
ISNAD Ünal, Fatih. “İştahsız Çocuklara Klinik Yaklaşım”. Güncel Pediatri 9/3 (Aralık 2011), 79-84.
JAMA Ünal F. İştahsız Çocuklara Klinik Yaklaşım. Güncel Pediatri. 2011;9:79–84.
MLA Ünal, Fatih. “İştahsız Çocuklara Klinik Yaklaşım”. Güncel Pediatri, c. 9, sy. 3, 2011, ss. 79-84.
Vancouver Ünal F. İştahsız Çocuklara Klinik Yaklaşım. Güncel Pediatri. 2011;9(3):79-84.