OKUL ÖNCESİ ASTIMLI ÇOCUKLARDA YATMADAN ÖNCEKİ BESLENME: ÜST SOLUNUM YOLU SEMPTOMLARINI VE ASTIM KONTROLÜNÜ ETKİLER Mİ?

Yıl 2021, Cilt: 84 Sayı: 3, 386 - 395, 31.07.2021

Ayşe Süleyman , Esra Özek , Zeynep Hızlı Demirkale , Sevgi Sipahi Çimen , Cevdet Özdemir , Zeynep Ülker Tamay , Nermin Güler

https://doi.org/10.26650/IUITFD.2020.0031

Öz

Amaç: Bu çalışmada amacımız okul öncesi astımlı çocuklarda yatmadan önceki son beslenme saati, uykuda beslenmeleri, gece yatma saati, sabah kalkma saati ve sosyal çevresi ile ilgili faktörlerin üst solunum yolu semptomları ve astım kontrolü üzerine etkilerini araştırmaktadır. Gereç ve Yöntem: Çalışma, okul öncesi astımlı çocuklar ile benzer cinsiyet, yaş dağılımına sahip sağlıklı çocuklarda yapıldı. Bulgular: Çalışma gurubuna 103’ü (%47,5) astım, 114’ü (%52,5) sağlıklı olmak üzere 217 çocuk alındı. Gece yatmadan önce son 2 saat içinde beslenme sıklığı astımlı çocuklarda %47,6 iken sağlıklı çocuklarda %82,5 idi (p<0,001). Astımlı çocuklarda yatmadan 0-2 saat içinde beslenme ile ses kısıklığı (r=0,429, p=0,001), horlama (r=0,430, p=0,001), burun akıntısı (r=0,429, p=0,001) ve burun tıkanıklığı (r=0,469, p=0,001) arasında pozitif yönde korelasyon vardı. Sağlıklı çocuklarda ise yatmadan 0-2 saat arasında beslenme ile horlama (r=0,227, p=0,016) ve otit sayısı (r=0,294, p=0,002) pozitif yönde korelasyon vardı. Kontrolsüz astım için risk faktörleri çocuğa anne dışında birinin bakması, çocuğun sabah geç uyanması ve gece uyanma sıklığı idi. Sonuç: Okul öncesi astımlı çocuklarda yatmadan 0-2 saat içinde beslenme üst solunum yolu semptomalarında artışa neden olabileceğinden kaçınılmalıdır.

Anahtar Kelimeler

Astım, okul öncesi çocuk, uyku

FEEDING BEFORE BEDTIME IN PRESCHOOL CHILDREN WITH ASTHMA: DOES IT AFFECT UPPER RESPIRATORY SYMPTOMS AND ASTHMA CONTROL?

Öz

Objective: In this study, our aim was to investigate the effects of feeding habits such as the last feed before bedtime, feeding during sleep, bedtime, waking time and factors associated with the social environment on upper airway tract symptoms and asthma control. Material and Method: The study was conducted on children with preschool asthma and their age and sex matched healthy children. Results: The study group included 217 children, 103 of whom have asthma and 114 were (52.5%) healthy. The frequency of feeding in the last 2 hours before going to bed was 47.6% in children with asthma and 82.5% in healthy children (p<0.001). In children with asthma, there was a positive correlation between feeding within 0-2 hours before going to bed and hoarseness (r=0.429, p=0.001), snoring (r=0.430, p=0.001), rhinorrhea (r=0.429, p=0.001) and nasal congestion (r=0.469, p=0.001). In healthy children, the same positive correlation was detected with snoring (r=0.227, p=0.016) and the number of otitis (r=0.294, p=0.002). Caregivers other than mothers, the late awakening and the number of wake-ups during night were determined as risk factors for uncontrolled asthma. Conclusion: Not feeding in 0-2 hours before bedtime seems to be advisable for asthmatic preschool children since it can cause an increase in upper respiratory symptoms.

Anahtar Kelimeler

Asthma, preschool children, sleep

Kaynakça

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