Yarı kırsal alanda 6-14 yaş grubu çocuklarda obezite sıklığı ve ilişkili faktörler

Yıl 2019, Cilt: 12 Sayı: 3, 475 - 484, 30.09.2019

Ahmet Ergin , Nurhan Meydan Acımış , Caner Özdemir , Betül Akbay , Yeşim Kınacı Çimen Nurullah Uzuner Umut Demireriden

https://doi.org/10.31362/patd.517468

Öz

Amaç:Bu çalışmada Denizli İli Serinhisar İlçesi’nde bulunan ilkokul ve ortaokullarda öğrenim gören 6-14 yaş grubu çocuklardaki fazla tartılılık/obezite prevalansı ve ilişkili faktörlerin belirlenmesi amaçlanmıştır.

Gereç ve Yöntem:Kesitsel tipteki bu araştırmanın evrenini Denizli İli Serinhisar İlçesi’ndeki devlet okullarında öğrenim gören tüm 6-14 yaş grubu öğrenciler oluşturmaktadır. Örneklem seçilmemiş olup evrenin tamamına ulaşılması hedeflenmiştir. Çalışmaya katılmayı kabul eden 1253 öğrenci (%82,4) üzerinde değerlendirme yapılmıştır. Öğrencilerin anne-babalarına 26 soruluk bir anket formu uygulanmıştır.Vücut ağırlığı ve boy ölçümleri yapılarak beden kitle indeksleri hesaplanmıştır. Beden kitle indeksi 5. persentil altında olanlar zayıf, ≥85.- <95.persentil arası olanlar fazla tartılı ve ≥95. persentil üzeri olanlar obez olarak kabul edilmiştir.

Bulgular:Öğrencilerin %4’ü zayıf, %16’sı fazla tartılı ve %12’si obezdir. Erkeklerin fazla tartılı/obez olma durumu (%17,7 ve %15,2) kızlara (%13,3 ve %9,2) göre (p=0,004); annesi fazla tartılı/obez olanların fazla tartılı/obez olma durumu (%17,6 ve %16,7) annesi normal tartılı olanlara (%12,2 ve %6,8) göre (p<0,001); babası fazla tartılı/obez olanların fazla tartılı/obez olma durumu (%17,2 ve %15,5) babası normal tartılı olanlara (%9,8 ve %4,8) göre (p<0,001) ve doğum kilosu yüksek olanların fazla tartılı/obez olma durumu (%22,0 ve %15,9) doğum kilosu normal olanlara (%13,6 ve %11,3) göre (p<0,001) anlamlı olarak farklı bulunmuştur.

Sonuçlar:6-14 yaş arasında yaklaşık her üç çocuktan biri fazla tartılı veya obezdir. Fazla tartılılık/obezite; erkeklerde, anne veya babası fazla tartılı/obez olanlarda ve doğum kilosu yüksek olanlarda daha fazladır.

Anahtar Kelimeler

Beden kitle indeksi, çocuk, fazla tartılı, kırsal, obezite

Overweight/obesity and associated factors in children at 6-14 years of age in semi rural area

Öz

Purpose: The main of this study is to determine the obesity prevalance and the influencing factors in the primary and middle school students at the age of 6-14 in Denizli Serinhisar district.

Material and Methods: The universe of this cross-sectional study consists of students from 6-14 years of age who are studying at all public schools in the Denizli province of Serinhisar. The sample is not selected and it is aimed to reach to cover the whole of the universe. A questionnaire consisting of 26 questions was prepared for the parents of the children. The body weights determined by the investigator's measurements were calculated by dividing the height lengths by the height. The obtained body mass indexes were evaluated. Those with body mass index below the 5.percentile were considered under weight, those with between ≥85.- <95.persentile, overweight and those with ≥95. percentile, obese.

Results: 4.0% of the students were found to be underweight, 16.0% overweight and 12.0% obese. Overweight/obesity in boys (17.7% and 15.2%) comparing with girls (13.3% and 9.2%) (p=0.004); overweight/obesity in children with overweight/obese mother (17.6% and 16.7%) comparing with normal weight mother (12.2% and 6.8%) (p<0.001);  overweight/obesity in children with overweight/obese father (17.2% and 15.5%) comparing with normal weight father (9.8% and 4.8%)(p<0.001); overweight/obesity in children with high birth weight (22.0% and 15.9%) comparing with normal birth weight (13.6% and 11.3%) (p<0.001) were found to be statistically different.

Conclusions: In this study, one out of every three children is overweight or obese. Overweight/obesity are higher in boys, in mothers or fathers overweight/obese and in those with high birth weight.

Anahtar Kelimeler

Body mass index, child, obesity, overweight, rural

Kaynakça

• 1. Cummings JH et al. A new look dietary carbonhydrate: chemistry, physiology and health. Eur J Clin Nutr 1997; 51(7): 417-423.
• 2. Bakhshi E, Eshraghian MR, Mohammad K, Foroushani AR, Zeraati H, Fotouhi A et al. Sociodemographic and smoking associated with obesity in adult women in Iran: Results from the National Health Survey. J Public Health 2008; 30: 429-435.
• 3. Türkiye Endokrinoloji ve Metabolizma Derneği. Obezite tanı ve tedavi kılavuzu-2014. Erişim: http://www.temd.org.tr/files/file/OBEZITE_TTK_web.pdf [Erişim tarihi: 20 Ocak 2018]
• 4. NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. Lancet 2017; 390: 2627-2642.
• 5. T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu, Obezite, Diyabet ve Metabolik Hastalıklar Daire Başkanlığı. Türkiye çocukluk çağı (7-8 yaş ) şişmanlık araştırması (COSI-TUR) 2013. Erişim: http://beslenme.gov.tr/content/files/yayinlar/kitaplar/diger_kitaplar/cosi_temel_bulgular.pdf [Erişim tarihi: 20 Ocak 2018]
• 6. World Health Organization (WHO). Growth reference data for 5-19 years. WHO Reference 2007. Erişim: http://www.who.int/growthref/who2007_bmi_for_age/en/ [Erişim tarihi: 20 Ocak 2018]
• 7. Vicente-Rodríguez G, Rey-López J, MartínMatillas M, et all. Television watching, videogames, and excess of body fat in Spanish adolescents: The AVENA study. Nutrition 2008;24: 654-662.
• 8. World Health Organization (WHO). The World Health Report 1998-Life in the 21st century: A vision for all. Erişim: http://www.who.int/whr/1998/en/whr98_en.pdf [Erişim Tarihi: 22 Ocak 2018].
• 9. Imperatore G. Childhood obesity: Is it time for action? Nutrition, Metabolism and Cardiovascular Diseases 2006; 4:235-238.
• 10. Larsen L, Mandleco B, Williams M, Tiedeman M. Childhood obesity: Prevention practices of nurse practitioners. J Am Acad Nurse Pract 2006;18:70-79.
• 11. Giammattei J, Blix G, Marshak HH, Wollitzer AO, Pettitt DJ. Television watching and soft drink consumption: associations with obesity in 11 to 13 year old school children. Arch Pediatr Adolesc Med 2003;157: 882-886.
• 12. Sorof JM, Lai D, Turner J, Poffenberger T, Portman RJ. Overweight, ethnicity, and the prevalence of hypertension in school aged children. Pediatrics 2004;113:475-482.
• 13. Deckelbaum RJ, Williams CL. Childhood obesity: the health issue. Obes Res 2001;9: 239-243.
• 14. Pyle SA, Sharkey J, Yetter G, Felix E, Furlong MJ and Poston WSC (2006), Fighting an epidemic: The role of schools in reducing childhood obesity. Psychol. Schs 43:361–376.
• 15. Judge S, Jahns L. Association of overweight with academic performance and social and behavioral problems: an update from the early childhood longitudinal study. Journal of School Health 2007;77(10):672-678.
• 16. Story, M. School-based approaches for preventing and treating obesity. International Journal of Obesity 1999;23:43-51.
• 17. Centers for Disease Control and Prevention (CDC). Childhood Obesity Causes and Consequences. Erişim: https://www.cdc.gov/obesity/childhood/causes.html [Erişim tarihi: 20 Ocak 2018]
• 18. Centers for Disease Control and Prevention (CDC). Defining Childhood Obesity. BMI for Children and Teens. Erişim: https://www.cdc.gov/obesity/childhood/defining.html Erişim Tarihi: 22 Ocak 2018
• 19. World Health Organization (WHO). Obesity and overweight. Erişim: http://www.who.int/mediacentre/factsheets/fs311/en/ Erişim Tarihi: 22 Ocak 2018
• 20. Colorado Child Health Survey. Colorado Department of Public Health and Environment, Center for Health and Environmental Information and Statistics, 2012. Erişim: https://www.colorado.gov/pacific/sites/default/files/LPH_MCH_Issue-Brief-4_Children-Youth-Obesity.pdf [Erişim tarihi: 22 Ocak 2018].
• 21. Yujun C ,Xihe Z, Xueping W. Overweight, obesity, and screen-time viewing among Chinese school-aged children: National prevalence estimates from the 2016 Physical Activity and Fitness in China—The Youth Study Journal of Sport and Health Science 2017;6:404-409.
• 22. Shafaghi K, Shariff ZM, Taib MN, Rahman HA, Mobarhan MG, Jabbari H. Parental body mass index is associated with adolescent overweight and obesity in Mashhad, Iran. Asia Pac J Clin Nutr 2014;23(2):225-231.
• 23. Süzek H, Arı Z, Uyanık BS. Muğla’da yaşayan 6-15 yaş okul çocuklarında kilo fazlalığı ve obezite prevalansı. Turk J Biochem 2005;30 (4):290-295.
• 24. Tütüncü İ. Kastamonu il merkezinde 13 ilköğretim okulunda 5-15 yaş grubu öğrencilerde fazla tartılılık ve obezite prevalansı. Acıbadem Üniversitesi Sağlık Bilimleri 2014;5:145-51.
• 25. Ercan S, Dallar YD, Önen S, Engiz Ö. Prevalence of obesity and associated risk factors among adolescents in Ankara, Turkey. J Clin Res Pediatr Endocrinol 2012;4:204-207.
• 26. Rao DP, Kropac E, Do MT, Roberts KC and Jayaraman GC. Childhood overweight and obesity trends in Canada. Health Promot Chronic Dis Prev Can 2016;36:194-98.
• 27. Ayyildiz TK, Kurtuncu M, Kulakci H and Celik S. Factors affecting the prevalence of obesity among primary school students in Turkey. Iran Red Crescent Med J 2014;16(12):e17785.
• 28. Polat M, Yıkılkan H, Aypak C, Görpelioğlu S. The relationship between BMI and blood pressure in children aged 7–12 years in Ankara, Turkey. Public Health Nutr 2014;17:2419-42.
• 29. Etsuko W, Jung SL, Katsumi M, Kiyoshi K. Clustering patterns of obesity-related multiple lifestyle behaviours and their associations with overweight and family environments: a cross-sectional study in Japanese preschool children. BMJ Open 2016;6:e012773.
• 30. Qiao Y, Ma J, Wang Y, et al. Birth weight and childhood obesity: a 12-country study. International Journal of Obesity Supplements 2015;5(Suppl 2):S74-S79.