Sağlıklı Çocuk Beslenmesi

Yazarlar

Şükrü Güngör

Özet

Sağlıklı çocuk beslenmesi, doğumdan itibaren başlayan ve yetişkinlik dönemindeki yaşam kalitesini doğrudan etkileyen kritik bir süreçtir. Yaşamın ilk altı ayında sadece anne sütü önerilirken, altıncı aydan itibaren uygun tamamlayıcı besinlere geçilmesi büyüme ve gelişim için esastır. Bu dönemde kazanılan alışkanlıklar bireyin kişiliğinin bir parçası haline gelir ve yanlış beslenme uygulamaları obezite, diyabet ve hipertansiyon gibi kronik hastalıkların temelini oluşturabilir. 6-23 ay arası olan tamamlayıcı beslenme döneminde, bebeklerin protein ihtiyacı dikkatle dengelenmeli; aşırı protein alımının obezite riskini artırdığı "protein hipotezi" ile açıklanmaktadır. Oyun ve okul çağı dönemlerinde (2-12 yaş), çocukların çevreye ilgisi artarken iştahları azalabilir. Bu süreçte ebeveynlerin olumlu rol model olması, öğünlerin aile sofrasında yenmesi ve hazır gıdalardan kaçınılması hayati önem taşır. Ergenlik dönemi ise hızlı fiziksel ve hormonal değişimlerin yaşandığı, enerji ve besin öğesi gereksinimlerinin en üst düzeye çıktığı bir evredir. Bu dönemde kemik gelişimi ve kas kütlesi artışı nedeniyle kalsiyum ve demir alımı kritik öneme sahiptir. Sağlıklı bir gelecek için çocukluktan itibaren doğal gıdalara erişim sağlanmalı, şeker ve tuz kısıtlanmalı, fiziksel aktivite teşvik edilmelidir.

Healthy child nutrition is a critical process that begins at birth and directly affects the quality of life in adulthood. While only breast milk is recommended for the first six months of life, transitioning to appropriate complementary foods from the sixth month is essential for growth and development. Habits acquired during this period become part of the individual's personality, and poor nutritional practices can lay the foundation for chronic diseases such as obesity, diabetes, and hypertension. During the complementary feeding period between 6-23 months, the protein needs of infants must be carefully balanced; the "protein hypothesis" explains that excessive protein intake increases the risk of obesity. In the play and school-age periods (2-12 years), children's interest in the environment increases while their appetite may decrease. During this process, it is vital for parents to be positive role models, for meals to be eaten at the family table, and to avoid processed foods. Adolescence is a stage where rapid physical and hormonal changes occur, and requirements for energy and nutrients reach their peak. In this period, calcium and iron intake are of critical importance due to bone development and increased muscle mass. For a healthy future, access to natural foods should be provided from childhood, sugar and salt should be restricted, and physical activity should be encouraged.

Referanslar

Selimoğlu M.A. (2018) Tamamlayıcı Beslenme. Mukadder Ayşe Selimoğlu (Ed). Sağlıkta ve Hastalıkta Çocuk Beslenmesi (1. Baskı) içinde (s.59-66). Ankara: Nobel Tıp Kitapevleri .Ltd. Şti. ISBN: 978-605-9215-58-9.

Gülden KÖKSAL. (2013) Çocuklarda beslenme destek tedavisi. Gülden Köksal (Ed) Nutrıguıde 2 Çocuklarda Beslenme Destek Tedavisi (1. Baskı) içinde (s. 1-30) Ankara: Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş. Türkiye Klinikleri Yayın Seri No:126. ISBN:978-975-9118-33-4

D’Auria, E.; Borsani, B.; Pendezza, E.; Bosetti, A.; Paradiso, L.; Zuccotti, G.V.; Verduci, E. Complementary Feeding: Pitfalls for Health Outcomes. Int. J. Environ. Res. Public Health 2020, 17, 7931. https://doi.org/10.3390/ijerph17217931

Koletzko B, Demmelmair H, Grote V, Prell C, Weber M. High protein intake in young children and increased weight gain and obesity risk. Am. J. Clin. Nutr. 2016;103:303–304.

Appleton J, Russell CG, Laws R, Fowler C, Campbell K, Denney-Wilson E. Infant formula feding practices associated with rapid weight gain: A systematic review. Matern. Child Nutr. 2018;14: e12602.

Agostoni C, Grandi F, Giannì ML, Silano M, Torcoletti M, Giovannini M, Riva E. Growth patterns of breast fed and formula fed infants in the first 12 months of life: An Italian study. Arch. Dis. Child. 1999;81:395–399.

Dewey KG. Growth characteristics of breast-fed compared to formula-fed infants. Biol. Neonate 1998;74:94–105.

Bell KA, Wagner CL, Feldman HA, Shypailo RJ, Belfort MB. Associations of infant feeding with trajectories of body composition and growth. Am. J. Clin. Nutr. 2017;106:491–498.

Iguacel I, Monje L, Cabero MJ, Aznar LAM, Samper MP, Rodríguez-Palmero M, Rivero M, Rodríguez G. Feeding patterns and growth trajectories in breast-fed and formula-fed infants during the introduction of complementary food. Nutr. Hosp. 2019;36;777–785.

Agostoni C, Decsi T, Fewtrell M, et al. Complementary feding: a commentary by the ESPGHAN committee on nutrition. J Pediatr Gastroenterol Nutr 2008;46:99-110.

Committee on Nutrition American Acdemy of Pediatrics. Complementary feeding. In: Kleinman RE (Ed), Pediatric Nutrition Handbook, 6th ed, American Academy of Pediatrics, Elk Grove Village, IL 2009:113-30.

Fomon SJ. Potential renal solute load: considerations relating to complementary feedings of breastfed infants. Pediatrics 2000;106:1284.

Fewtrell M, Bronsky J, Campoy C, Domellöf M, Embleton N, Fidler Mis N, Hojsak I, Hulst JM, Indrio F, Lapillonne A, et al. Complementary feeding: A position paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) Committee on nutrition. J. Pediatr. Gastroenterol. Nutr. 2017;64:119–132.

Michaelsen KF, Greer FR. Protein needs early in life and long-term health. Am. J. Clin. Nutr. 2014; 99; 718S–722S.

Druet C, Stettler N, Sharp S, Simmons RK, Cooper C, Smith GD, Ekelund U, Lévy-Marchal C, Jarvelin MR, Kuh D, et al. Prediction of childhood obesity by infancy weight gain: An individual-level meta-analysis. Paediatr. Perinat. Epidemiol. 2012; 26: 19–26.

Weng SF, Redsell SA, Swift JA, Yang M, Glazebrook CP. Systematic review and meta-analyses of risk factors for childhood overweight identifiable during infancy. Arch. Dis. Child. 2012; 97: 1019–1026.

Larson NI, Neumark-Sztainer D, Hannan PJ, Story M. Family meals during adolescence are associated with higher diet quality and healthful meal patterns during young adulthood. Jam Diet Assoc 2007;107:1502-10.

WHO/FAO/UNU Expert consultation:Human energy reguirments. Rome, World Health Organization, 2004.

WHO/FAO/UNU Expert consultation. Protein and amino acid requirments in human nutrition. Geneva, Switzerland: FAO: 2007, WHO Technical Report Series No: 935.

Möhler R, Wartha O, Steinacker JM, Szagun B, Kobel S. Parental Self-Efficacy as a Predictor of Children's Nutrition and the Potential Mediator Effect between the Health Promotion Program "Join the Healthy Boat" and Children's Nutrition. Int J Environ Res Public Health. 2020 Dec 17;17(24):9463. doi: 10.3390/ijerph17249463.

(Schwartz MB, Leider J, Cohen JFW, Turner L, Chriqui JF. Association between Nutrition Policies and Student Body Mass Index. Nutrients. 2020 Dec 23;13(1):13. doi: 10.3390/nu13010013. PMID: 33374504; PMCID: PMC7822196.)

Alvisi P, Brusa S, Alboresi S, Amarri S, Bottau P, Cavagni G, Corradini B, Landi L, Loroni L, Marani M, et al. Recommendations on complementary feeding for healthy, full-term infants. Ital. J. Pediatr. 2015; 41: 36.

Pan L, Li R, Park S, Galuska DA, Sherry B, Freedman DS. A longitudinal analysis of sugar-sweetened beverage intake in infancy and obesity at 6 years. Pediatrics 2014; 134: S29–S35.

Grote V, Theurich M, Luque V, Gruszfeld D, Verduci E, Xhonneux A, Koletzko B. Complementary feeding, infant growth, and obesity risk: Timing, composition, and mode of feeding. Nestlé Nutr. Inst. Workshop Ser. 2018; 89; 93–103.

European Food Safety Authority (EFSA). Scientific opinion on dietary reference values for carbohydrates and dietary fibre. EFSA Panel on Dietetic Products, Nutrition, and Allergies (NDA). EFSA J. 2010; 8: 1462.

Koletzko, B.; Von Kries, R.; Closa, R.; Escribano, J.; Scaglioni, S.; Giovannini, M.; Beyer, J.; Demmelmair, H.; Gruszfeld, D.; Dobrzanska, A.; et al. Lower protein in infant formula is associated with lower weight up to age 2 y: A randomized clinical trial. Am. J. Clin. Nutr. 2009, 89, 1836–1845.

Totzauer, M.; Luque, V.; Escribano, J.; Closa-Monasterolo, R.; Verduci, E.; ReDionigi, A.; Hoyos, J.; Langhendries, J.P.; Gruszfeld, D.; Socha, P.; et al. E_ect of lower versus higher protein content in infant formula through the first year on body composition from 1 to 6 years: Follow-up of a randomized clinical trial. Obesity 2018, 26, 1203–1210.

Pimpin, L.; Jebb, S.; Johnson, L.;Wardle, J.; Ambrosini, G.L. Dietary protein intake is associated with body mass index and weight up to 5 y of age in a prospective cohort of twins. Am. J. Clin. Nutr. 2016, 103, 389–397.

Partridge SR. Current dietary advice and challenges for adolescents. Br Med Bull. 2020 Oct 14;135(1):28-37. doi: 10.1093/bmb/ldaa015. PMID: 32491163.)

Eckert KL, Loffredo VA, O’Connor K. Adolescent physiology. In: O’Donohue WT, Tolle LW (eds.). Behavioral Approaches to Chronic Disease in Adolescence. New York: Springer, 2009,29–45.

Corkins MR, Daniels SR, de Ferranti SD et al. Nutrition in children and adolescents. Med Clin North Am 2016;100:1217–35.

National Health and Medical Research Council. Nutrient Reference Values for Australia and New Zealand Including Recommended Dietary Intakes. In: Commonwealth of Australia. Canberra, Australia: Commonwealth of Australia, 2006

Public Health England. Government Dietary Recommendations: Government Recommendations for Energy and Nutrients for Males and Females Aged 1–18 Years and 19+ Years. London, UK: Public Health England, 2016.

National Institute for Health. Nutrient Recommendations: Dietary Reference Intakes (DRI). Washington (DC), USA: National Institute for Health, 2011.

Das JK, Salam RA, Thornburg KL et al. Nutrition in adolescents: physiology, metabolism, and nutritional needs.Ann N Y Acad Sci 2017;1393:21–33.

Cheng HL, Amatoury M, Steinbeck K. Energy expenditure and intake during puberty in healthy nonobese adolescents: a systematic review. Am J Clin Nutr 2016;104:1061–74.

World Health Organisation. Double Burden of Malnutrition. Geneva, Switzerland: World Health Organisation, 2018.

Candler T, Costa S,HeysMet al. Prevalence of thinness in adolescent girls in low- and middle-income countries and associations with wealth, food security, and inequality. J Adolesc Health 2017;60:447-454.

Nead KG, Halterman JS, Kaczorowski JM et al. Overweight children and adolescents: a risk group for iron deficiency. Pediatrics 2004;114:104–8.

UNICEF. The State of the World’s Children 2019. Children, Food and Nutrition: Growing Well in a Changing World. New York: UNICEF, 2019.

Vereecken C, Pedersen TP, Ojala K et al. Fruit and vegetable consumption trends among adolescents from 2002 to 2010 in 33 countries. Eur J Public Health 2015;25:16–9.

Ronca DB, Blume CA, Cureau FV et al. Diet quality index for Brazilian adolescents: the ERICA study. Eur J Nutr 2019;59:539–56.

Darfour-Oduro SA, Buchner DM, Andrade JE et al. A comparative study of fruit and vegetable consumption and physical activity among adolescents in 49 low-andmiddle- income countries. Sci Rep 2018;8:1623.

Development Initiatives. 2018 Global Nutrition Report: Shining a Light to Spur Action on Nutrition. Bristol, UK: Development Initiatives, 2018.

Ramos E, Costa A, Araujo J, Severo M, Lopes C. Effect of television viewing on food and nutrient intake among adolescents. Nutrition 2013;29:1362-7.

Abarca-Gómez L, Abdeen ZA, Hamid ZA et al. 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;390:2627–42.

Wang J, Freire D, Knable L et al. Childhood and adolescent obesity and long-term cognitive consequences during aging. J Comp Neurol 2015;523:757–68.

Zheng Y, Manson JE, Yuan C et al. Associations of weight gain from early to middle adulthood with majör health outcomes later in life. JAMA 2017;318:255–69.

Lascar N, Brown J, Pattison H et al. Type 2 diabetes in adolescents and young adults. Lancet Diabetes Endocrinol 2018;6:69–80.

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24 Ekim 2022

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