Tip 1 Diyabetli Küçük Çocukların ve Sağlıklı Akranlarının Beslenme Durumları ve Yeme Davranışlarının Değerlendirilmesi: Kontrollü Kesitsel Araştırma

Öz

Amaç: Yeme davranışları Tip 1 Diabetes Mellituslu (T1DM) çocukları etkilemektedir. Amaç T1DM'li küçük çocuklarda ve sağlıklı akranlarında yeme davranışlarını ve beslenme durumunu belirlemek ve T1DM'li çocuklarda yeme davranışlarının glisemik kontrol üzerindeki etkisini değerlendirmektir. Gereç ve Yöntemler: Bu araştırma, T1DM'li küçük çocuklar (n=33) (yaş <7 yıl) ve sağlıklı akranları (n=31) üzerinde yapılan tek merkezli, kontrollü, kesitsel bir çalışmaydı. Küçük çocukların yeme davranışları Davranışsal Pediatrik Beslenme Değerlendirme Ölçeği ile incelendi ve 3-günlük besin tüketim kaydı kullanılarak besin tüketim durumları değerlendirildi. T1DM'li küçük çocukların glikozillenmiş hemoglobin (Hemoglobin A1c) değerleri hastane kayıtlarından elde edildi ve analiz edildi. Bulgular: T1DM’li küçük çocukların sağlıklı akranlarına göre enerji, posa ve kolesterol alımları daha yüksektir(p<0,05). T1DM’li küçük çocuklar, sağlıklı akranlarına göre daha sağlıklı beslenmiş ve daha az davranışsal yeme bozukluğu yaşamışlardır. T1DM'li çocukların ebeveynleri, çocuklarının beslenmesi konusunda kendilerini daha kötü hissettiklerini bildirdi. Yeme davranışı ile glisemik kontrol arasında bir ilişki bulunamadı. Sonuç: T1DM’li okul öncesi çocukların ebeveynleri, çocuklarının hastalığıyla ilgili daha fazla kaygı duyduklarından, yeme davranışlarını, glisemik kontrollerini ve beslenme yönetimini etkileyebilecek diğer faktörleri incelemek için davranışsal gözlem teknikleri kullanılmalıdır

Anahtar Kelimeler

• Beslenme
• davranışsal pediatrik besleme değerlendirme ölçeği
• küçük çocuklar
• tip-1 diyabet
• yeme davranışları

Evaluation of the Nutritional Status and Eating Behaviors of Young Children with Type 1 Diabetes and Healthy Peers: A Controlled Cross Sectional Study

Öz

Aim: Eating behaviors affect young children with type 1 diabetes mellitus (T1DM). The aim is to identify eating behaviors, and nutritional status in young children with T1DM and healthy peers and evaluate the effect of eating behaviors on glycemic control in children with T1DM. Material and Methods: The study was a single-center controlled cross-sectional study of young children with T1DM (n=33) (age<7 years) and healthy peers (n=31).The eating behaviors of the young children were examined through the Behavioral Pediatric Feeding Assessment Scale and the food consumption status was evaluated using a 3-day food record. Glycosilated hemoglobin (Hemoglobin A1c) values of the young children with T1DM were obtained from hospital records, and analyzed. Results: Young children with T1DM have higher energy, fiber, and cholesterol intake than their healthy peers. (p<0.05). The young children with T1DM eat more healthily and have fewer behavioral eating disorders than their healthy peers. Parents of children with T1DM reported feeling worse about the child’s nutrition. No relationship was found between eating behaviors and glycemic control. Conclusion: Because parents of preschool children with type 1 diabetes feel more anxiety about their child’s disease, behavioral observation techniques should be used to examine their eating behavior, glycemic control, and other factors that may affect nutritional management.

Anahtar Kelimeler

• Nutrition
• behavioral pediatric feeding assessment scale
• young children
• type-1 diabetes
• eating behaviors

Kaynakça

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