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    Poor Appetite in School Children: Is It a False Perception of Parents?
    (Galenos Yayincilik, 2015) Kaymaz, Nazan; Bulur, Nurcan; Yildirim, Sule; Cevizci, Sibel; Topaloglu, Naci; Tekin, Mustafa; Binnetoglu, Fatih Koksal
    Aim: Poor appetite is a common symptom in childhood that can either be organic or nonorganic. Prolonged poor appetite may affect children's growth negatively. However picking at food or refusing to eat stresses parents out. In this study, we aimed to investigate the relationship between parental perception of the child's body measurements and appetite in school children who were admitted to the outpatient clinic with the complaint of sustained poor appetite. Materials and Methods: A total of 105 school children (6-15 years old) with the complaint of poor appetite who were investigated several times previously with no organic reason were included in the study. The study was conducted with a questionnaire that was filled out by parents recording demographics. Anthropometric measurements including body weight and height were measured by the same researcher. Body mass index was calculated and BMI for-age was determined. Patients with normal BMI percentile values and patients with low BMI percentile values were compared. Results: 105 children (M/F: 51/54) with a mean age of 8.2 +/- 1.9 years were studied. Mean body weight and height of children were 23.8 +/- 5.7 kg and 124.1 +/- 11.6 cm, respectively. Mean BMI of children was 15.2 +/- 1.5. According to BMI percentiles 65.7% (n=69) of children were normal weight, 30.5% (n=32) were underweight, and 3.8% (n=4) were overweight. When compared in terms of BMI percentiles no difference was found between the groups. Conclusion: Perception of the parents of their children's growth is influenced by many factors and usually does not reflect the facts. In our study, we found that the majority of the children with poor appetite were in normal weight range according to BMI percentile. Nevertheless, nearly one third of the children were underweight, a fact that should not be ignored.
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    Prolonged pacifier usage in infancy does not cause eating behavior problem later
    (Turkish J Pediatrics, 2015) Kaymaz, Nazan; Yildirim, Sule; Cevizci, Sibel; Bulur, Nurcan; Topaloglu, Naci; Binnetoglu, Fatih Koksal; Tekin, Mustafa
    The objective of this study conducted in children aged 3-7 years was to determine whether pacifier use during infancy is associated with eating problems in later periods. A total of 85 children (55.2 +/- 12.3 months) admitted to hospital with eating problems and with no organic pathology in scans, and 97 healthy children (52.24 +/- 10.97 months) without eating problems, were assigned to case and control groups, respectively. Eating problems were classified into five groups and investigated via a questionnaire. The presence of eating problems was analyzed for association with pacifier use. There was no significant difference between the two groups in terms of pacifier use (chi-square test: 0.141, p=0.707), and pacifier use is not related to a poor appetite in later periods. Pediatric healthcare providers and parents should be informed with regard to the subject.
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    The Characteristics of Non-Diabetic Mothers with Macrosomic Newborns
    (Galenos Publ House, 2016) Kaymaz, Nazan; Cevizci, Sibel; Yildirim, Sule; Aylanc, Hakan; Bulur, Nurcan; Gencer, Meryem; Topaloglu, Naci
    Introduction: Fetal macrosomia is a condition with heterogeneous etiologic factors and its' frequency is increasing in recent years. Many macrosomic infants are born without any risk factors and accurate prediction of macrosomia is not possible with only single risk factor. The aim of this study was to research the characteristics of healthy mothers without diabetes who gave birth to macrosomic infants. Materials and Methods: This case-control study comprised 291 healthy pregnant women who were monitored and delivered at Mardin Women and Children's Hospital. Inclusion criteria were (a) no disease or conditions that may affect birth weight, (b) normal healthy pregnancy and (c) singleton live infants born between 37-42 weeks with no structural defects. A birth weight above 4.000 g was defined as macrosomic neonate. The study group was divided in two; group 1 had a birth weight less than 4.000 g and group 2 had a birth weight above 4.000 g. Characteristics of mother and newborn were analyzed to determine any association with macrosomia. Results: The logistic regression analysis results indicated that the risk of macrosomic infant were male gender of the infant [odds ratio (OR): 3.39; 95% confidence interval (CI): 2.010-5.211; p<0.001], maternal age being above 35 years (OR: 2.25; 95% CI: 1.919-4.005; p=0.026) and duration of gestation being above 40 weeks (OR: 1.72; 95% CI: 1.103-2.949; p=0.009). Conclusions: There are various factors behind having a macrosomic infant in the absence of glucose intolerance. These risk factors should be taken into consideration for possible complication of macrosomia and mothers with the risk factors should be informed.