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The association between maternal features and nutritional problems in children with autism spectrum disorder
No full textObjective
In the literature, there is almost no data on the relationship between
autistic children's nutritional problems and their mothers' demographic
and nutritional characteristics. Therefore, this study aimed to evaluate
whether there was a relationship between maternal features and
nutritional problems in autistic children.
Methods
This study was conducted with the participation of 58 autistic children
(6-19 years) and their mothers. Descriptive data were obtained with a
general questionnaire. For the evaluation of children's nutritional
status, anthropometric measurements and 24-hour dietary recall were
used. Also, the Brief Autism Mealtime Behavior Inventory and ORTO-15
questionnaires were used to evaluate the meal behavior of children and
orthorexia tendency of mothers, respectively.
Results
No significant correlation was found between the Brief Autism Mealtime
Behavior Inventory scores in children of mothers with high and low
orthorexia tendency. There were also no statistically significant
differences between the children of mothers with high and low
educational level in terms of Brief Autism Mealtime Behavior Inventory
scores. Only the dietary vitamin B6 intake was significantly higher in
the children of mothers with high educational level. Maternal age was
associated with the dietary energy and protein intake, unlike, maternal
orthorexia tendency was not associated with the nutritional status and
meal behavior of children. The abdominal pain experience in the last one
month was found to be significantly higher in the children of employed
mothers than children of unemployed mothers.
Conclusion
It is thought that the maternal characteristics are not effective on
meal behavior in children and also maternal age and educational status
have a very limited effect on the nutritional status of children
Farklı meyve atıkları ve organik ham tavuk gübresi atıkları karışımlarından termal ön işlem uygulanarak biyogaz üretiminin incelenmesi
No full textValidity of Six Month L-Thyroxine Dose for Differentiation of Transient or Permanent Congenital Hypothyroidism
No full text
Consensus paper on the evaluation and treatment of resistant hypertension by the Turkish Society of Cardiology
No full textThe Role of Endogenous Eicosapentaenoic Acid and Docosahexaenoic Acid-Derived Resolvins in Systemic Sclerosis
No full textThe effect of obesity on the onset of spontaneous labor and scheduled delivery rates in term pregnancies
No full textDiyarbakır İlinde Meydana Gelen İş Kazalarının Demografik Analizi, Mortalite ve Morbiditeyi Etkileyen Faktörler
No full textGlobal burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019
No full textBackground In an era of shifting global agendas and expanded emphasis on
non-communicable diseases and injuries along with communicable diseases,
sound evidence on trends by cause at the national level is essential.
The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD)
provides a systematic scientific assessment of published, publicly
available, and contributed data on incidence, prevalence, and mortality
for a mutually exclusive and collectively exhaustive list of diseases
and injuries.
Methods GBD estimates incidence, prevalence, mortality, years of life
lost (YLLs), years lived with disability (YLDs), and disability-adjusted
life-years (DALYs) due to 369 diseases and injuries, for two sexes, and
for 204 countries and territories. Input data were extracted from
censuses, household surveys, civil registration and vital statistics,
disease registries, health service use, air pollution monitors,
satellite imaging, disease notifications, and other sources.
Cause-specific death rates and cause fractions were calculated using the
Cause of Death Ensemble model and spatiotemporal Gaussian process
regression. Cause-specific deaths were adjusted to match the total
all-cause deaths calculated as part of the GBD population, fertility,
and mortality estimates. Deaths were multiplied by standard life
expectancy at each age to calculate YLLs. A Bayesian meta-regression
modelling tool, DisMod-MR 2.1, was used to ensure consistency between
incidence, prevalence, remission, excess mortality, and cause-specific
mortality for most causes. Prevalence estimates were multiplied by
disability weights for mutually exclusive sequelae of diseases and
injuries to calculate YLDs. We considered results in the context of the
Socio-demographic Index (SDI), a composite indicator of income per
capita, years of schooling, and fertility rate in females younger than
25 years. Uncertainty intervals (UIs) were generated for every metric
using the 25th and 975th ordered 1000 draw values of the posterior
distribution.
Findings Global health has steadily improved over the past 30 years as
measured by age-standardised DALY rates. After taking into account
population growth and ageing, the absolute number of DALYs has remained
stable. Since 2010, the pace of decline in global age-standardised DALY
rates has accelerated in age groups younger than 50 years compared with
the 1990-2010 time period, with the greatest annualised rate of decline
occurring in the 0-9-year age group. Six infectious diseases were among
the top ten causes of DALYs in children younger than 10 years in 2019:
lower respiratory infections (ranked second), diarrhoeal diseases
(third), malaria (fifth), meningitis (sixth), whooping cough (ninth),
and sexually transmitted infections (which, in this age group, is fully
accounted for by congenital syphilis; ranked tenth). In adolescents aged
10-24 years, three injury causes were among the top causes of DALYs:
road injuries (ranked first), self-harm (third), and interpersonal
violence (fifth). Five of the causes that were in the top ten for ages
10-24 years were also in the top ten in the 25-49-year age group: road
injuries (ranked first), HIV/AIDS (second), low back pain (fourth),
headache disorders (fifth), and depressive disorders (sixth). In 2019,
ischaemic heart disease and stroke were the top-ranked causes of DALYs
in both the 50-74-year and 75-years-and-older age groups. Since 1990,
there has been a marked shift towards a greater proportion of burden due
to YLDs from non-communicable diseases and injuries. In 2019, there were
11 countries where non-communicable disease and injury YLDs constituted
more than half of all disease burden. Decreases in age-standardised DALY
rates have accelerated over the past decade in countries at the lower
end of the SDI range, while improvements have started to stagnate or
even reverse in countries with higher SDI.
Interpretation As disability becomes an increasingly large component of
disease burden and a larger component of health expenditure, greater
research and development investment is needed to identify new, more
effective intervention strategies. With a rapidly ageing global
population, the demands on health services to deal with disabling
outcomes, which increase with age, will require policy makers to
anticipate these changes. The mix of universal and more geographically
specific influences on health reinforces the need for regular reporting
on population health in detail and by underlying cause to help decision
makers to identify success stories of disease control to emulate, as
well as opportunities to improve. Copyright (C) 2020 The Author(s).
Published by Elsevier Ltd
