Ailedeki Yeme ve Aktivite Alışkanlıkları Ölçeğinin Türkçe Geçerlik ve Güvenirlik Çalışması

Öz

Giriş: Çocukluk çağında fazla kiloluluk ve obezite, artarak devam eden ciddi bir sağlık sorunudur. Başta kardiyovasküler hastalıklar, tip 2 diyabet olmak üzere çok sayıda sağlık problemine yol açmaktadır. Ailedeki yeme davranışları, alışkanlıklar, evdeki beslenme ve fiziksel aktivite ortamı çocukların davranışlarını şekillendirip kilo durumunu belirlemede önemli rol oynar. Bu faktörlerin belirlenmesi, çocuklarda kilo probleminin tedavisi ve önlenmesinde etkili olacaktır. Literatür taramasında bu etkenleri ölçebilen Türkçe bir ölçeğe ulaşılamamıştır. Bu çalışmanın amacı Family Eating and Activity Habits Questionnaire-Revised’ın Türkçe geçerlik ve güvenirliğini incelemektir. Yöntem: Ölçek metni, grup çevirisi ve geri çeviri yöntemi kullanılarak Türkçeye çevrildi. Öncelikle pilot çalışma grubu olarak Adana’da ilkokul ve ortaokul düzeyindeki farklı okullardan öğrencilerin velilerine üç hafta ara ile ön test ve tekrar testi uygulandı. Ardından; ana çalışma grubunda okullarda ve polikliniğe getirilen çocukların velilerine ölçek uygulandı. Bulgular: Pilot çalışmada iç tutarlılığı gösteren Cronbach alfa değeri 0,787; ön test-tekrar testi arası uyumu gösteren Pearson korelasyon analizi sonucu r değeri 0,761 (p<0,001) olarak hesaplandı. Ana çalışmada ise Cronbach alfa değeri 0,780 olarak elde edildi. Fazla kilolu/obez çocukların toplam skorları, normal kilolu çocukların toplam skorundan anlamlı olarak daha yüksekti. Ölçek toplam skoru, çocuğun kilo durumunu % 71 başarı ile belirleyebiliyordu. Sonuç: Elde ettiğimiz geçerlik ve güvenirlik değerleri, Ailedeki Yeme ve Aktivite Alışkanlıkları Ölçeği’nin benzer bir Türkiye örnekleminde kullanılabileceğini düşündürmektedir.

Anahtar Kelimeler

• ailedeki yeme ve aktivite alışkanlıkları ölçeği
• çocukluk çağı obezitesi
• FEAHQ-R

Turkish Validity and Reliability of Family Eating and Activity Habits Questionnaire

Öz

Introduction: Overweight and obesity in childhood is a serious health problem. It causes many health problems; especially cardiovascular diseases and type 2 diabetes. Family eating behaviors, habits, home eating, and physical activity environment play an important role in shaping children’s behaviors and determining their weight status. Identification of these factors may be effective in the treatment and prevention of weight problems in children. In the literature review, a Turkish scale that could measure these factors could not be reached. The aim of this study was to evaluate the Turkish validity and reliability of the Family Eating and Activity Habits Questionnaire-Revised. Method: The text of scale was translated into Turkish using group translation and back translation methods. Firstly, as a pilot study group, pre-tests and retests were applied to the parents of students from different schools in Adana with a three-week interval. Then, in the main study group, the scale was applied to the parents in schools and parents of children in outpatient clinics. Findings: In the pilot study; Cronbach’s alpha value was 0,787 showing internal consistency, and the r value was calculated as 0,761 (p<0,001) according to the Pearson correlation analysis showing the correlation between the pretest and retest. In the main study, Cronbach’s alpha value was 0,780. The total scores of overweight/obese children were significantly higher than the total scores of normal-weight children. The total score of the scale was able to determine the weight status of the child with 71 % success. Results: According to these validity and reliability values; it can be suggested that the Turkish version of the Family Eating and Activity Habits Questionnaire-Revised can be used in a similar Türkiye population.

Anahtar Kelimeler

• family eating and activity habits questionnaire
• childhood obesity
• FEAHQ-R

Kaynakça

1. 1. World Health Organization. Obesity and overweight fact sheet. http://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight. Accessed: 01.04.2024
2. 2. Meşe Yavuz C. Prevalence and Trends of Overweight and Obesity Among Children and Adolescents in Turkey: A Meta-analysis. International Journal of Human and Health Sciences 2023; 7(1).
3. 3. Akabas SR, Lederman SA, Moore BJ, Eds.Textbook of Obesity: Biological, Psychological and Cultural Inluences. First Edit. John Wiley&Sons, Ltd; 2012.p5-41.
4. 4. Reilly JJ, Methven E, McDowell ZC, Hacking B, Alexander D, Stewart L, Kelnar CJH. Health consequences of obesity. Arch Dis Child2003; 88(9):748-752. doi:10.1136/adc.88.9.748
5. 5. Franks PW, Hanson RL, Knowler WC, Sievers ML, Bennett PH, Looker HC. Childhood obesity, other cardiovascular risk factors, and premature death. N Engl J Med2010; 362(6):485-493. doi:10.1056/NEJMoa0904130
6. 6. Ul-Haq Z, MacKay DF, Fenwick E, Pell JP. Meta-analysis of the association between body mass index and health-related quality of life among children and adolescents, assessed using the pediatric quality of life inventory index. J Pediatr2013; 162(2):280-286. doi:10.1016/j.jpeds.2012.07.049
7. 7. Rosenkranz RR, Dzewaltowski DA. Model of the home food environment pertaining to childhood obesity. Nutr Rev 2008; 66(3):123–140. doi:10.1111/j.1753-4887.2008.00017.x
8. 8. Costa A, Oliveira A. Parental Feeding Practices and Children’s Eating Behaviours: An Overview of Their Complex Relationship. Healthcare 2023; 11(3):400. https://doi.org/10.3390/healthcare11030400

9. 9. Garcidueñas-Fimbres TE, Paz-Graniel I, Nishi SK, Salas-Salvadó J, Babio N. Eating Speed, Eating Frequency, and Their Relationships with Diet Quality, Adiposity, and Metabolic Syndrome, or Its Components. Nutrients. 2021; 13(5):1687. https://doi.org/10.3390/nu13051687
10. 10. Avery A, Anderson C, McCullough F. Associations between children's diet quality and watching television during meal or snack consumption: A systematic review. Matern Child Nutr. 2017 Oct;13(4):e12428. doi: 10.1111/mcn.12428.
11. 11. Glanz K, Metcalfe JJ, Folta SC, Brown A, Fiese B. Diet and Health Benefits Associated with In-Home Eating and Sharing Meals at Home: A Systematic Review. Int J Environ Res Public Health. 2021 Feb 7;18(4):1577. doi: 10.3390/ijerph18041577.
12. 12. Bassul C, A Corish C, M Kearney J. Associations between the Home Environment, Feeding Practices and Children's Intakes of Fruit, Vegetables and Confectionary/Sugar-Sweetened Beverages. Int J Environ Res Public Health. 2020 Jul 5;17(13):4837. doi: 10.3390/ijerph17134837
13. 13. Golan M, Weizman A. Reliability and validity of the Family Eating and Activity Habits Questionnaire. Eur J Clin Nutr1998; 52(10):771-777. doi:10.1038/sj.ejcn.1600647
14. 14. Golan M. Fifteen years of the Family Eating and Activity Habits Questionnaire (FEAHQ): an update and review. Pediatr Obes 2014; 9:92–101. doi:10.1111/j.2047-6310.2013.00144.x
15. 15. Neyzi O, Günöz H, Furman A, Bundak R, Gökçay G, Darendeliler F, Baş F. Türk çocuklarında vücut ağırlığı, boy uzunluğu, baş çevresi ve vücut kitle indeksi referans değerleri. Çocuk Sağlığı ve Hastalıkları Dergisi 2008; 51:1-14.
16. 16. Bryant M, Ashton L, Brown J, Jebb S, Wright J, Roberts K, Nixon J. Systematic review to identify and appraise outcome measures used to evaluate childhood obesity treatment interventions (CoOR): Evidence of purpose, application, validity, reliability and sensitivity. Health Technol Assess (Rockv). 2014; 18(51):1-380. doi:10.3310/hta18510
17. 17. Rendina D, Campanozzi A, De Flippo G the SINU Working Group on Nuritional Surveillance in Adolescents. Methodological approach to the assessment of the obesogenic environment in children and adolescents: A review of the literature. Nutr Metab Cardiovasc Dis. 2019; 29(6):561-571.
18. 18. Erdim L. Fazla Kilolu Çocuklara Yönelik Beslenme ve Egzersiz Programının Etkisi. Doktora Tezi, Marmara Üniversitesi, İstanbul, 2012.p46-47,156-162.