Adölesanlarda Yeme Bozukluğu Sıklığının Saptanması ve Beslenme Alışkanlıklarının Değerlendirilmesi

Abstract

ABSTRACT Mirioğlu, S.Asessment of Eating Disorders Prevelance and Nutrition Habits in Adolesant Hacettepe University, Graduate School of Health Sciences, Nutrition and Food Sciences Master Thesis, Ankara, 2023 It was aimed to determine the frequency of compliance with the Mediterranean Diet (MD) with the Mediterranean Diet Quality Index (KIDMED) and the frequency of susceptibility to eating disorders with the Eating Attitude Test 40 (EAT-40) for children and adolescents in the adolescent age group. 27,000 students are studying in 46 high schools in the Antakya region. The sample was calculated by selecting p:0.50 according to the known formula for the population size. The high schools and classes to be studied were selected by simple random sampling method. A cross-sectional epidemiological study was conducted. The data was collected under observation in March-April 2022 with a survey form structured in accordance with the purpose of the study. Data form; Collected with KIDMED and EAT-40. In the data form, people's body perception was questioned and height/body weight values were collected based on declaration. Evaluation of the KIDMED scale; ≥8 points optimal , 4-7 points indicate that MD compliance needs to be improved , ≤3 points indicate very low nutritional quality, and those who score "≥30" from the EAT-40 questionnaire are considered to have an eating behavior disorder was evaluated as “prone”. The analysis of the data obtained was made with IBM SPSS 20®, taking the cut-off point of the study as 1-α= 0.05. Body mass index Z scores (BAZ) were calculated according to the height and body weight stated by the students; The prevalence of overweight and obesity is 25.3% in men and 12.9% in women. Students' MD compliance frequency is 53.7% at a moderate level and 9.5% at an optimal level. The frequency of students being prone to eating disorders is 13.7%. While male students' frequency of optimal MD compliance is significantly higher than female students (13.5%, 7.3%, respectively) (p<0.05), female students' susceptibility to eating disorders is higher than male students (16.2%, respectively). , 9.5%) (p<0.05). No significant relationship was found between MD compliance level and susceptibility to eating disorders (p>0.05). There was no statistical difference between students' MD compliance and susceptibility to eating disorders according to their BAZ (p>0.05). It was found that students who were on a diet had higher EAT-40 scores than those who were not on a diet (p<0.05). A significant relationship was found between students' body image and the frequency of susceptibility to eating disorders (p<0.05). The frequency of susceptibility to eating disorders of students who define their bodies as overweight and fat is higher than those who define their bodies as thin and normal (p<0.05). For students in the adolescent age group; Awareness of healthy nutrition and healthy lifestyle behaviors should be increased by providing multidisciplinary training on healthy nutrition, Mediterranean type nutrition, nutrition-related chronic diseases, and eating disorders. It is important to ensure continuity of follow-up studies on students' body weight, height, eating disorders and obesity. Keywords: Adolescent, Mediterranean Diet, Obesity, KIDMED, EAT-40