Okul Öncesi Çocuklarda Beslenme Şekli ile Kırma Kusurları Arasındaki İlişki

Year 2023, Volume: 17 Issue: 4, 263 - 266, 25.07.2023

Eşay Kıran Yenice , Caner Kara

https://doi.org/10.12956/tchd.1221202

Abstract

Amaç: 3-6 yaş arası okul öncesi çocuklarda sadece anne sütü alımı ile anne sütü ve formula mamanın birlikte alımının kırma kusurları üzerine etkisini karşılaştırmak.
Gereç ve Yöntemler: 88 çocuğun yüz yetmiş altı gözü değerlendirildi. Beslenme şekline göre sadece anne sütü ile beslenenler Grup 1, anne sütü ve formula mama ile beslenenler Grup 2 olarak sınıflandırıldı. Sonuçlar geriye dönük olarak gruplar arasında karşılaştırıldı.
Bulgular: Çalışmaya 40’ı (%45.5) erkek, 48’i (%54.5) kız olmak üzere toplam 88 çocuğun 176 gözü dâhil edildi. Çalışmaya dâhil edilen çocukların %27.3’ünün (n=24) anne doğum yaşı 30 yaşın üzerinde ve %96.6’sının (n=85) doğum ağırlığı 2500 gramın üzerindeydi. Sferik, silendirik ve sferik eşdeğer (SE) değerlerinin ortalama ± standart sapması sırasıyla grup I’de 1.61±1.46 D; -0.98 ±0.69 D, 1.12±1.43 D ve grup II’de 1.00±2.57 D; -0.90±0.81 D ve 0.55 ±2.72 D’di (Sferik için p=0.507; silendirik için p=0.299 ve SE için p=0.799). Anne sütü alan grupta miyopik kırılma daha az olmasına rağmen, gruplar arasında miyop kırma kusuru açısından anlamlı bir fark yoktu.
Sonuç: Sonuç olarak, ortalama kırma kusurları beslenme şekline göre farklıydı, ancak bu çalışmada gruplar arasında anlamlı fark saptanmadı (p<0.050). Daha büyük örneklem büyüklükleri ile daha fazla çalışma yaparak bu bulguyu doğrulamaya ihtiyaç vardır.

Keywords

Anne sütü, emzirme, kırma kusurları, okul öncesi

The Relationship Between Feeding Pattern and Measurements of Refraction in Preschool Children

Abstract

Objective: To compare the effect of feeding human milk as opposed to formula and human milk on refractive error in preschool children aged 3 to 6 years.
Material and Methods: One hundred and seventy six eyes of 88 children were evaluated. According to the feeding pattern, the patients who fed only breast-fed were classified as Group I, and the patients who fed with combination of breast-fed and formula were classified as Group II. Results were retrospectively compared between groups.
Results: A total of 88 children undergone detailed ophthalmological examinations, of which 40 (45.5 %) were males and 48 (54.5 %) were females. Maternal birth age of 27.3% (n=24) of the children included in the study was over 30 years and birth weight of 96.6% (n=85) was over 2500 grams.
The mean ± standard deviation of the spherical, cylindrical and spherical equivalent (SE) values were 1.61±1.46 D; -0.98 ± 0.69 D and 1.12±1.43 D in group I and 1.00±2.57 D; -0.90 ± 0.81 D and 0.55 ± 2.72 D in group II, respectively (p=0.507 for spherical; p=0.299 for cylindrical and p=0.799 for SE). Although myopic refraction was less common in the breastfed group, there was no significant difference in myopic refraction between the groups (p= 0.507).
Conclusion: In conclusion, mean refractive error were different according to feeding pattern, but this study did not show significant differences between groups (p<0.050). There is a need to confirm this finding by performing more studies with a larger sample sizes.

Keywords

Breastfeeding, human milk, preschooler, refractive errors

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