Diyarbakır merkez ilköğretim okulları öğrencilerinin beslenme davranışlarının incelenmesi
The investigation of nutritional behavior of the primary school children in the centre of the diyarbakir city
Yazar: ÖZCAN ÖZDEMİR
Danışman: DOÇ.DR. İSMAİL HAMDİ KARA
Dicle Üniversitesi / Tıp Fakültesi / Aile Hekimliği Ana Bilim Dalı
Derece: Tıpta Uzmanlık, 2007
Konu: Aile Hekimliği = Family Medicine

Özet:
6. ÖZETTIPTA UZMANLIK TEZD YARBAKIR MERKEZ LKÖ RET M OKULLARI Ö RENC LER N NBESLENME DAVRANI LARININ NCELENMESDr. Özcan ÖzdemirDicle Üniversitesi T p Fakültesi Aile Hekimli i Anabilim DalDan man: Doç. Dr. smail Hamdi KARAAmaç: Diyarbak r l Merkezinde ilkö retim okullar nda okuyan ö rencilerde, beslenmeözellikleri, vücut a rl ve boy ölçümlerinden elde edilen beden kitle indeksi (BKI),sosyodemografik özelliklerin belirlenmesi amaçland .Yöntem: Ara t rma, kesitsel tipte epidemiyolojik bir çal mad r. Diyarbak r il merkezindekiilkö retim okullar nda Tabakal rastgele örnekleme yöntemi kullan larak, ya ve cinsiyetdikkate al narak seçilen 15 okuldaki 32 s n ftan (1.-8. s n f) tarama yap lacak ö renci say s1148 ki i olarak belirlendi ve 1124 olguya (%97,9) ula ld Ö rencilerin sosyodemografiközellikleri, vücut a rl , boy ölçümleri, BK , ve beslenme özelliklerini içeren sorular n yerald anket formu uyguland .Bulgular: Çal maya al nan 630 erkek (%56,0), 494 k z (%44,0) toplam 1124 ö rencinin yaortalamas 11,1Â±2,4 y l idi. Evlerde bulunan ki i ve çocuk say s ortalamas , s ras yla 7,5Â±2,8ve 4,5Â±2,1 dir. Erkeklerin %43,3 ü, k zlar n ise %43,4 ü evdeki ki i say s n n 7 10 ki i oldu ugruptad r. Ö rencilerin annelerinin %54.8 i okur-yazar de ildir ve %75 i ev han m ikenbabalar n n %17.0 okur yazar de ildir ve %26,2 si i sizdir. CDC-ya a göre BK persentilde erlerine göre erkek ö rencilerin %9,0 u zay f, %11,7 si kilolu ve %3,1 i obezdir. K zö rencilerin ise %7,7 si zay f, %11,3 ü kilolu, %2,4 ü obez olarak saptanm t r. K zlar veerkekler aras nda prevalanslar aras nda farkl l k saptanmam t r (p>0.05). CDC s n flamas nagöre, hem erkeklerde hem de k zlarda, kilolu ve obez olma aç s ndan 10 ya n alt ndakiçocuklarda prevalans n belirgin olarak yüksek oldu u hesaplanm t r. (p<0.0001 ve p<0.0001)Özellikle, 11 ya grubundaki k z ö rencilerin ayn ya grubundaki erkek ö rencilere göre boyve kilo ortalamalar n n daha yüksek oldu u görülmektedir (p<0,0001). Erkeklerde zay fl kprevalans özellikle 11 ve 12 ya ta belirgin olarak yüksektir. (%18,6 ve %15,0; p<0.0001).Sonuç: Bölgemizdeki ilkokullarda ö rencilerin büyümeleri üzerinde en önemli belirleyicifaktörler; sosyoekonomik durum ile ailelerin e itim düzeyleridir. Özellikle bu noktada, birincibasamak sa l k hizmetleri içinde yer alan okul sa l hizmetlerinin yeniden planlanmas ,beslenme e itimine a rl k verilmesi, çocuklar ve ailelerine büyümeyi etkileyen faktörler veönlemleri hakk nda dan manl k yap lmas gerekmektedir.Anahtar kelimeler: ilkö retim okullar , ö renci, beslenme, e itim.56

Abstract:
ABSTRACTTHE INVESTIGATION OF NUTRITIONAL BEHAVIOR OF THEPRIMARYSCHOOL CHILDREN IN THE CENTRE OF THE DIYARBAKIR CITYÖzcan Özdemir, MDDicle University Faculty of Medicine Department of Family PracticeDirector: smail Hamdi KARA, MD, Assoc. Prof.Objective: Our aim was to determine the nutritional properties, body mass index (BMI)calculated from weight and height, and sociodemographic features of primary school childrenin the center of Diyarbak r City.Methods: The study was designed as a cross-sectional epidemiological study. Primary schoolchildren who were selected with stratified randomized sampling method according to age andsex; 32 classroom selected from 15 school (1-8 level) in the center of Diyarbak r City, andnumber of student was determined as 1148 and 1124 student were reached. A questionnaireform containing questions about the sociodemographic features, weight, height, BMI, andnutritional features of students was applied.Results: Mean age of 1124 student in total, 630 boys (56,0%) and 494 girls (44,0%), who wereenrolled to the study was 11,1Â±2,4 years. The mean numbers of residents in homes were7,5Â±2,8, and the numbers of children were 4,5Â±2,1. 43,3% of boys and 43,4% of girls were inthe group containing 7-10 resident in home. 54.8% of mothers were illiterate and 75% of themwere house-wife while 17% of fathers were illiterate and 26,2% of them were unemployed.According to CDC-BMI-for-age percentiles 9,0% of male students were weakness andundernutrient, 11.7% have the risk of being overweight and 3.1% were overweight. Nostatistical difference was found in the prevalence between males and females (p>0.05).According to CDC-BMI-for-age percentiles, the prevalence of risk of being overweight andobese among the children younger than ten years in both males and females were foundsignificantly higher (p<0.0001 and p<0.0001, respectively). Especially the mean weight andheight of female student in group of eleven years old was detected to be high when comparedwith the male students (p<0,0001). The prevalence of weakness in male students wassignificantly high among the eleven and twelve years old children (18,6 and %15,0; p<0.0001).Conclusion: The most important predictors of growth are socioeconomical status andeducation of families among primary school students in our region. Particularly, at this pointschool health care included in primary health care must re-planned, emphasizing to thenutritional education, and the children with their families must be informed about factorsaffecting growth and prevention.Key words: Primary school, student, nutrition, education57