The Effect of Nutrition in The First Year of Life on Development in Preschool Period

Yıl 2025, Cilt: 7 Sayı: 1, 10 - 14

Osman Sağsöz , Guzın Zeren Ozturk , Saliha Büşra Aksu

Öz

Objective: Early detection of nutritional problems and timely interventions in early childhood can prevent developmental issues. This study aimed to investigate the impact of nutrition during the first year of life on developmental outcomes in the preschool period.
Material and Method: We conducted a single-center descriptive study with 139 children aged 1-6 years and their mothers, who attended Şişli Hamidiye Etfal Hospital Family Medicine Polyclinics between March and June 2019. Mothers who agreed to participate provided written consent. After completing a structured information form, the Denver II Developmental Screening Test Turkey Standardization (DGTT II) was administered to the children.
Results: Of the participants, 35 mothers (25.2%) had only one child, and the DGTT II results for these children were significantly better (p = 0.015). Children who were exclusively breastfed during the first 6 months had a higher rate of normal DGTT II results (p = 0.038). Conversely, children who were not fed formula had significantly higher rates of normal DGTT II results (p = 0.028). Those who were given cow’s milk before 1 year of age had a higher rate of abnormal DGTT II results (p = 0.037).
Conclusion: The study found a significant association between abnormal DGTT II results and male gender, living in an extended family, not being an only child, not being exclusively breastfed for the first 6 months, and being fed with formula or cow’s milk. Regular monitoring of children in large and multi-child families, along with providing mothers with education on infant nutrition during pregnancy and postpartum, may reduce developmental problems.

Anahtar Kelimeler

child development, nutritional status, preschool, child

Bir Yaş Altı Beslenmenin Okul Öncesi Dönemde Gelişime Etkisi

Öz

Amaç: Erken çocukluk döneminde beslenme sorunlarının tespiti ve müdahaleler, gelişimsel sorunları önleyebilir. Çalışmamızda, 1 yaş altı beslenmenin okul öncesi dönemdeki gelişim üzerindeki etkisini araştırmayı amaçladık.
Gereç ve Yöntem: Mart ve Haziran 2019 tarihleri arasında Şişli Hamidiye Etfal Hastanesi Aile Hekimliği Polikliniklerine başvuran ve yazılı onam ile çalışmaya katılmayı kabul eden 1-6 yaş arasındaki 139 çocuk ve anneleri ile tek merkezli tanımlayıcı bir çalışma gerçekleştirdik. Anneler hazırlanan bilgi formunu doldurduktan sonra, çocuklara Denver II Gelişimsel Tarama Testi Türkiye Standardizasyonu (DGTT II) uygulandı.
Bulgular: Tek çocuğu olan anne sayısı 35 (% 25,2) idi ve tek çocuğu olan annelerin çocuklarının DGTT II sonuçları anlamlı derecede daha yüksekti (p=0,015). İlk 6 ay sadece anne sütü ile beslenenlerin DGTT II sonuçlarının normal çıkma oranı daha yüksek bulundu (p=0,038). Formül mama ile beslenmeyen çocukların DGTT II sonuçlarının normal çıkma oranı anlamlı derecede daha yüksek bulundu (p=0,028). 1 yaşından önce inek sütü verilen çocukların DGTT II sonuçlarının anormal çıkma oranı daha yüksek bulundu (p=0,037).
Sonuç: Çalışmada, DGTT II anormal sonuçları ile erkek cinsiyet, geniş bir ailede yaşama, tek çocuk olmama, ilk 6 ay sadece anne sütü ile beslenmeme, formül mama ve inek sütü ile beslenme arasında anlamlı bir ilişki bulundu. Geniş ve çok çocuklu ailelerde yaşayan çocukların sık gözlemlenmesi, annelere hamilelik ve doğum sonrası bebek beslenmesi konusunda eğitim verilmesi, gelişimsel sorunları azaltabilir.

Anahtar Kelimeler

beslenme durumu, çocuk gelişimi, okul öncesi, çocuk

Kaynakça

• Vaughan V, Litt I. Nelson Textbook Of Pediatrics. 14th ed. Philedelphia: Saunders; 1992.
• Bhutta ZA, Hafeez A, Rizvi A, Ali N, Khan A, Ahmad F, et al. Reproductive, maternal, newborn, and child health in Pakistan: challenges and opportunities. The Lancet. 2013;381(9884):2207–18.
• Black MM, Walker SP, Fernald LCH, Andersen CT, DiGirolamo AM, Lu C, et al. Early childhood development coming of age: science through the life course. The Lancet. 2017;389:77–90.
• Carey W, Crocker A, Elias E, Feldman H, Coleman W. Developmental-Behavioral Pediatrics: Expert Consult. 4th ed. Fletcher J, editor. Philedelphia: Saunders; 2009.
• Anlar B, Yalaz K, Ural Bayoğlu B. Denver II gelişimsel tarama testi Türk çocuklarına uyarlanması ve standardizasyonu el kitabı. Ankara: Gelişimsel Çocuk Nörolojisi Derneği; 1996. 1–38.
• Durmazlar N, Ozturk Ç, Ural B, Karaagaoglu E, Anlar B. Turkish children’s performance on Denver II: effect of sex and mother’s education. Dev Med Child Neurol. 2008;40:411–6.
• Muluk NB, Bayoğlu B, Anlar B. Language development and affecting factors in 3- to 6-year-old children. European Archives of Oto-Rhino-Laryngology. 2014;271:871–8.
• Çelikkiran S, Bozkurt H, Coskun M. Denver Developmental Test Findings and their Relationship with Sociodemographic Variables in a Large Community Sample of 0–4-Year-Old Children. Noro Psikiyatr Ars. 2015;52:180–4.
• Brito CML, Vieira GO, Costa M da CO, Oliveira NF de. Desenvolvimento neuropsicomotor: o teste de Denver na triagem dos atrasos cognitivos e neuromotores de pré-escolares. Cad Saude Publica. 2011;27:1403–14.
• To T, Guttmann A, Dick PT, Rosenfield JD, Parkin PC, Tassoudji M, et al. Risk Markers for Poor Developmental Attainment in Young Children. Arch Pediatr Adolesc Med. 2004 Jul 1;158(7):643.
• Epir S, Yalaz K. Urban Turkısh Children’s Performance on The Denver Developmental Screening Test. Dev Med Child Neurol. 2008;26:632–43.
• Güven F, Say A, Sarı E, Değirmenci S, Külcü UN, Sarı İ. Sosyoekonomik ZKTB Özelliklerin Denver-II Test Performansına Etkisi. Zeynep Kamil Tıp Bülteni. 2012;43:108-13.
• Bortagarai FM, Moraes AB, Pichini FDS, Souza APR. Risk factors for fine and gross motor development in preterm and term infants. Codas. 2021;33:e20200254.
• Guxens M, Mendez MA, Moltó-Puigmartí C, Julvez J, García-Esteban R, Forns J, et al. Breastfeeding, Long-Chain Polyunsaturated Fatty Acids in Colostrum, and Infant Mental Development. Pediatrics. 2011;128:e880–9.
• Belfort MB, Rifas-Shiman SL, Kleinman KP, Guthrie LB, Bellinger DC, Taveras EM, et al. Infant Feeding and Childhood Cognition at Ages 3 and 7 Years. JAMA Pediatr. 2013;167:836.
• Jama A, Gebreyesus H, Wubayehu T, Gebregyorgis T, Teweldemedhin M, Berhe T, et al. Exclusive breastfeeding for the first six months of life and its associated factors among children age 6-24 months in Burao district, Somaliland. Int Breastfeed J. 2020;15:5.
• Bjerve KS, Brubakk AM, Fougner KJ, Johnsen H, Midthjell K, Vik T. Omega-3 fatty acids: essential fatty acids with important biological effects, and serum phospholipid fatty acids as markers of dietary ω3-fatty acid intake. Am J Clin Nutr. 1993;57:801S-806S.
• Wahyuni S, Budi NGMAA, Mulyo GPE, Mulyati S, Fauzia F. Predictors of Exclusive Breast Milk Failure Before Six Months: A Study on Exclusive Breastfeeding in the City of Bogor, West Java, Indonesia. Open Access Maced J Med Sci. 2022;10(B):197–204.
• Florida Boa, G., & Agustine, U. (). Counselling of Mothers to Improve Interest in Exclusive Breastfeeding. KnE Life Sciences. 2022;7:636–646. https://doi.org/10.18502/kls.v7i2.10364
• American Academy of Pediatrics Committee on Nutrition. Pediatric Nutrition. 7th ed. Kleinman R, Greer F, editors. Elk Grove Village; 2014.
• Cartagena DC, Ameringer SW, McGrath J, Jallo N, Masho SW, Myers BJ. Factors Contributing to Infant Overfeeding with Hispanic Mothers. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2014;43:139–59.
• Bennett WE, Hendrix KS, Thompson-Fleming RT, Downs SM, Carroll AE. Early cow’s milk introduction is associated with failed personal–social milestones after 1 year of age. Eur J Pediatr. 2014;173:887–92.
• Mennella JA, Trabulsi JC, Papas MA. Effects of cow milk versus extensive protein hydrolysate formulas on infant cognitive development. Amino Acids. 2016;48:697–705.
• Foods to avoid giving young babies and children. National Health Service. Available from: https://www.nhs.uk/conditions/baby/weaning-and-feeding/foods-to-avoid-giving-babies-and-young-children/#:~:text=Occasionally%2C%20honey%20contains%20bacteria%20that,re%20over%201%20year%20old Accessed on: 27.08.2024
• Navia B, Ortega RM, Rodríguez-Rodríguez E, Aparicio A, Perea JM. [Mother’s age as a conditioning factor of food consumption and energy and nutrients intake of their offspring at pre-school age]. Nutricion Hospitalaria. 2009;24:452-458.
• Smithers LG, Brazionis L, Golley RK, Mittinty MN, Northstone K, Emmett P, et al. Associations between dietary patterns at 6 and 15 months of age and sociodemographic factors. Eur J Clin Nutr. 2012;66:658-66. doi: 10.1038/ejcn.2011.219.