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-  2019 

Evaluation Of Behavioral Modification For Children With Poor Appetite

Keywords: ??tahs?zl?k,beslenme sorunlar?,beslenme kurallar?

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Abstract:

Poor appetite is a frequent problem in childhood and there is no common approach for treatment. The aim of this study is to investigate the feasibility and effectiveness of the treatment of behavioral modification proposed for the poor appetite in the absence of organic disease. Concurrently, in the light of feedback received from the families, it is evaluated whether children have an increase in their daily calorie intake. A total of 96 children aged between two to ten years old who referred to the outpatient clinics of our hospital with the complaint of poor appetite between August-November 2017. The ones who were not diagnosed with an organic disease were included in the study. Anthropometric values of children were measured and nutrition characteristics were investigated through questionnaire. Three-day meal lists of children were obtained from families; and then, nutrition rules were given to families to apply for two months. At the end of two months, a questionnaire was administered to the families to investigate which rules they benefited from. Calories and protein intake at the beginning of the study were compared with the values attained after two months of behavioral modification. In addition, children were divided into three groups as two-four-year-old, five-seven-year-old, eight-ten-year-old, and the feasibility of the behavioral modification was analyzed according to age. It was found that 84.3% of the families could apply the nutritional rules and 79% of the families benefited from them. According to the results, the calorie intake of the children calculated at the beginning of the study were 25% lower than the amount they should take and this was consistent with the appetite status reported by the mother. Compared with the initial values of the children, there is a statistically significant increase in caloric values obtained at the end of the study. We found that calorie intake in children with poor appetite unrelated to an organic disease was low in terms of the age of the children, compatible with the statement of the mother. We concluded that behavioral modification is effective in treatment, families benefit from practice, and behavior modification treatment may be beneficial especially when administered before the age of eight

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