Yıl: 2021 Cilt: 46 Sayı: 3 Sayfa Aralığı: 1267 - 1277 Metin Dili: İngilizce DOI: 10.17826/cumj.906467 İndeks Tarihi: 29-07-2022

Water/fluid intake in students and influencing factors

Öz:
Purpose: The aim of this study was to investigate the water/fluid intake patterns of students and affecting factors. Materials and Methods: In this cross-sectional study, water/fluid intake and affecting factors among 4922 students studying in primary, secondary and high schools in Ortahisar district of Trabzon province in 2017-2018 academic year were investigated. As the data collection tool, a questionnaire form evaluating sociodemographic characteristics and water/fluid consumption patterns was used. Results: The plain water intake of the students was determined as 1199 ± 572 mL/day and the total fluid intake was found as 1611 ± 688 mL/day. In addition, it was revealed that daily fluid intake of 2098 (62.6%) of the students was below the sufficient amount advised by National Academy of Medicine (NAM). It was found that the amount of daily fluid intake of boys, older children, those whose maternal education level is high school or low, those who have maximum two siblings, and those who are not engaged in sportive activities was inadequate. Conclusion: Daily fluid intake of more than half of the students is below the amount advised by NAM for children by age and gender groups. Considering the possible adverse consequences of this situation on health, it is suggested that appropriate interventions should be made to increase fluid intake of children
Anahtar Kelime: Drinking water Water intake Adolescent Children Students

Öğrencilerde su/sıvı alımı ve etkileyen faktörler

Öz:
Amaç: Bu çalışmada öğrencilerin su/sıvı tüketim özellikleri ve etkileyen faktörlerin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Kesitsel tipteki bu çalışmada Trabzon ili Ortahisar ilçesindeki ilkokul, ortaokul ve liselerde 2017- 2018 yılında eğitim gören 4922 öğrencinin su/sıvı tüketimi ve etkileyen faktörler değerlendirilmiştir. Veri toplama aracı olarak sosyodemografik özellikler ve su/sıvı tüketim özelliklerinin değerlendirildiği anket formu kullanılmıştır. Bulgular: Araştırmaya katılan öğrencilerin sade su tüketim miktarının 1199 ± 572 mL/gün, toplam sıvı tüketim miktarının ise 1611 ± 688 mL/gün olduğu tespit edilmiştir. Ayrıca öğrencilerin 2098’inin (%62,6) günlük toplam sıvı tüketiminin National Academy of Medicine (NAM) tarafından önerilen düzeyin altında olduğu belirlenmiştir. Erkeklerin, büyük çocukların, anne eğitim düzeyi lise ve altında olanların, kardeş sayısı iki ve daha az olanların ve sportif faaliyeti olmayanların günlük sıvı tüketim miktarının daha yetersiz olduğu saptanmıştır. Sonuç: Öğrencilerin yarısından fazlasının günlük sıvı tüketiminin NAM’ın çocuklar için yaş ve cinsiyet gruplarına göre önerdiği miktarın altında olduğu belirlenmiştir. Bu durumun sağlık üzerindeki olası olumsuz sonuçları dikkate alınarak çocukların sıvı alımını artırmak için uygun müdahalelerin yapılması önerilmektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Institute of Medicine. Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate. The National Academies Press, Washington. 2005.
  • 2. Jéquier E, Constant F. Water as an essential nutrient: the physiological basis of hydration. Eur J Clin Nutr. 2010;64:115–23.
  • 3. European Food Safety Authority. Scientific Opinion on Dietary Reference Values for Water. EFSA J. 2010;8:1459.
  • 4. Schwartz AE, Leardo M, Aneja S, Elbel B. Effect of a school-based water intervention on child body mass index and obesity. JAMA Pediatr. 2016;170:220–6.
  • 5. Su SB, Wang JN, Lu CW, Guo HR. Reducing urinary tract infections among female clean room workers. J Womens Health. 2006;15:870–6.
  • 6. Roussel R, Fezeu L, Bouby N, Balkau B, Lantieri O, Alhenc-Gelas François et al. Low water intake and risk for new-onset hyperglycemia. Diabetes Care. 2011;34:2551–4.
  • 7. Manz F, Wentz A. The importance of good hydration for the prevention of chronic diseases. Nutr Rev. 2005;63:2-5.
  • 8. Edmonds CJ, Jeffes B. Does having a drink help you think? 6-7-Year-old children show improvements in cognitive performance from baseline to test after having a drink of water. Appetite. 2009;53:469–72.
  • 9. Dougherty KA, Baker LB, Chow M, Kenney WL. Two percent dehydration impairs and six percent carbohydrate drink improves boys basketball skills. Med Sci Sports Exerc. 2006;38:1650–8.
  • 10. Bar-Or O, Dotan R, Inbar O, Rotshtein A, Zonder H. Voluntary hypohydration in 10-to 12-year-old boys. J Appl Physiol. 1980;48:104–8.
  • 11. D’Anci KE, Constant F, Rosenberg IH. Hydration and cognitive function in children. Nutr Rev. 2006;64:457–64.
  • 12. Kaushik A, Mullee MA, Bryant TN, Hill CM. A study of the association between children’s access to drinking water in primary schools and their fluid intake: can water be “cool” in school? Child Care Health Dev. 2007;33:409–15.
  • 13. Azoulay A, Garzon P, Eisenberg MJ. Comparison of the mineral content of tap water and bottled waters. J Gen Intern Med. 2001;16:168–75.
  • 14. Collison KS, Zaidi MZ, Subhani SN, Al-rubeaan K, Shoukri M, Al-Mohanna FA. Sugar-sweetened carbonated beverage consumption correlates with BMI, waist circumference, and poor dietary choices in school children. BMC Public Health. 2010;10:234.
  • 15. Ebbeling CB, Feldman HA, Chomitz VR, Antonelli TA, Gortmaker SL, Osganian SK et al. A randomized trial of sugar-sweetened beverages and adolescent body weight. N Engl J Med. 2012;367:1407–16.
  • 16. Malik VS, Popkin BM, Bray GA, Despres JP, Willett WC, Hu FB. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a metaanalysis. Diabetes Care. 2010;33:2477–83.
  • 17. Armfield JM, Spencer AJ, Roberts-Thomson KF, Plastow K. Water fluoridation and the association of sugar-sweetened beverage consumption and dental caries in Australian children. Am J Public Health. 2013;103:494–500.
  • 18. Oza-Frank R, Zavodny M, Cunningham SA. Beverage displacement between elementary and middle school, 2004–2007. J Acad Nutr Diet. 2012;112:1390–6.
  • 19. Drewnowski A, Rehm CD. Socioeconomic gradient in consumption of whole fruit and 100% fruit juice among US children and adults. Nutr J. 2015;14:3.
  • 20. Vieux F, Maillot M, Constant F, Drewnowski A. Water and beverage consumption among children aged 4-13 years in France: analyses of INCA 2 (Étude Individuelle Nationale des Consommations Alimentaires 2006-2007) data. Public Health Nutr. 2016;19:2305–14.
  • 21. Sui Z, Zheng M, Zhang M, Rangan A. Water and beverage consumption: Analysis of the Australian 2011–2012 National Nutrition and Physical Activity Survey. Nutrients. 2016;8:678.
  • 22. Vieux F, Maillot M, Constant F, Drewnowski A. Water and beverage consumption patterns among 4 to 13-year-old children in the United Kingdom. BMC Public Health. 2017;17:479.
  • 23. T. C. Sağlık Bakanlığı Sağlık Araştırmaları Genel Müdürlüğü. Türkiye Beslenme ve Sağlık Araştırması 2010. Beslenme Durumu ve Alışkanlıklarının Değerlendirilmesi Sonuç Raporu (Turkey Nutrition and Health Survey 2010: Status and Assessment of Nutritional Habits Final Report). 2014.
  • 24. Guelinckx I, Iglesia I, Bottin JH, De Miguel‑Etayo P, González‑Gil EM, Salas-Salvado J et al. Intake of water and beverages of children and adolescents in 13 countries. Eur J Nutr. 2015;54:69–79.
  • 25. Iglesia I, Guelinckx I, De Miguel‑Etayo PM, González-Gil EM, Salas-Salvadó J, Kavouras SA et al. Total fluid intake of children and adolescents: cross‑sectional surveys in 13 countries worldwide. Eur J Nutr. 2015;54:57–67.
  • 26. Kavouras SA, Bougatsas D, Johnson EC, Arnaoutis G, Tsipouridi S, Panagiotakos DB. Water intake and urinary hydration biomarkers in children. Eur J Clin Nutr. 2017;71:530–5.
  • 27. Piernas C, Barquera S, Popkin BM. Current patterns of water and beverage consumption among Mexican children and adolescents aged 1-18 years: analysis of the Mexican National Health and Nutrition Survey 2012. Public Health Nutr. 2014;17:2166–75.
  • 28. Drewnowski A, Rehm CD, Constant F. Water and beverage consumption among children age 4-13y in the United States: analyses of 2005–2010 NHANES Data. Nutr J. 2013;12:85.
  • 29. Kant AK, Graubard BI. Contributors of water intake in US children and adolescents: associations with dietary and meal characteristics - National Health and Nutrition Examination Survey 2005-2006. Am J Clin Nutr. 2010;92:887–96.
  • 30. Bello LL, Al-Hammad N. Pattern of fluid consumption in a sample of Saudi Arabian adolescents aged 12-13 years. Int J Paediatr Dent. 2006;16:168–73.
  • 31. Jomaa L, Hwalla N, Constant F, Naja F, Nasreddine L. Water and beverage consumption among children aged 4–13 years in Lebanon: Findings from a National Cross-Sectional Study. Nutrients. 2016;8:554.
  • 32. Fenández-Alvira JM, Iglesia I, Ferreira-Pêgo C, Babio N, Salas-salvadó J, Moreno LA. Fluid intake in Spanish children and adolescents; a cross-sectional study. Nutr Hosp. 2014;29:1163–70.
  • 33. Duffey KJ, Huybrechts I, Mouratidou T, Libuda L, Kersting M, deVriendt T et al. Beverage consumption among European adolescents in the HELENA study. Eur J Clin Nutr. 2012;66:244–52.
  • 34. Bougatsas D, Arnaoutis G, Panagiotakos DB, Seal AD, Johnson EC, Bottin JH et al. Fluid consumption pattern and hydration among 8-14 years-old children. Eur J Clin Nutr. 2018;72:420–7.
  • 35. Senterre C, Dramaix M, Thiébaut I. Fluid intake survey among schoolchildren in Belgium. BMC Public Health. 2014;14:651.
  • 36. Popkin BM, Armstrong LE, Bray GM, Caballero B, Frei B, Willet WC. A new proposed guidance system for beverage consumption in the United States. Am J Clin Nutr. 2006;83:529–42.
  • 37. Kenney EL, Long MW, Cradock AL, Gortmaker SL. Prevalence of inadequate hydration among US children and disparities by gender and race/ethnicity: National Health and Nutrition Examination Survey, 2009-2012. Am J Public Health. 2015;105:e113–8.
  • 38. Feferbaum R, de Abreu LC, Leone C. Fluid intake patterns: an epidemiological study among children and adolescents in Brazil. BMC Public Health. 2012;12:1005.
  • 39. Popkin BM, D’Anci KE, Rosenberg IH. Water, hydration and health. Nutr Rev. 2010;68:439–58.
  • 40. Pate RR, Heath GW, Dowda M, Trost SG. Associations between physical activity and other health behaviors in a representative sample of US adolescents. Am J Public Health. 1996;86:1577–81.
  • 41. Vereecken C, Maes L. Young children’s dietary habits and associations with the mothers’ nutritional knowledge and attitudes. Appetite. 2010;54:44–51.
  • 42. Patrick H, Nicklas TA. A review of family and social determinants of children’s eating patterns and diet quality a review of family and social determinants of children’s eating patterns and diet quality. J Am Coll Nutr. 2005;24:83–92.
  • 43. Ebenegger V, Marques-Vidal PM, Nydegger A, Laimbacher J, Niederer I, Bürgi F et al. Independent contribution of parental migrant status and educational level to adiposity and eating habits in preschool children. Eur J Clin Nutr. 2011;65:210–8.
  • 44. Pinket AS, De Craemer M, Maes L, De Bourdeaudhuij I, Cardon G, Androutsos O et al. Water intake and beverage consumption of pre-schoolers from six European countries and associations with socioeconomic status: the ToyBox-study. Public Health Nutr. 2016;19:2315–25.
  • 45. Beltrán-Aguilar ED, Barker L, Sohn W, Wei L. Water intake by outdoor temperature among children aged 1–10 years: Implications for community water fluoridation in the U.S. Public Health Rep. 2015;130:362–71.
  • 46. Hobson WL, Knockel ML, Byington CL, Young PC, Hoff CJ, Buchi KF. Bottled, filtered, and tap water use in Latino and Non-Latino children. Arch Pediatr Adolesc Med. 2007;161:457–61.
  • 47. Etale A, Jobin M, Siegrist M. Tap versus bottled water consumption: The influence of social norms, affect and image on consumer choice. Appetite. 2018;121:138–46.
  • 48. Gorelick MH, Gould L, Nimmer M, Wagner D, Heath M, Bashir H, Brousseau DC. Perceptions about water and ıncreased use of bottled water in minority children. Arch Pediatr Adolesc Med. 2011;165:928– 32.
  • 49. Doria MF. Bottled water versus tap water: understanding consumers’ preferences. J Water Health. 2006;4:271–6.
  • 50. Patel AI, Bogart LM, Klein DJ, Cowgill B, Uyeda KE, Hawes-Dawson J, Schuster MA. Middle school student attitudes about school drinking fountains and water intake. Acad Pediatr. 2014;14:471–7.
APA PARLAK SOMUNCU B, TOPBAS M, ŞAHİN K, AGRALI GUNDOGMUS C, ÜSTÜNDAĞ M, DİLAVER İ, Bostan Y, Çan G (2021). Water/fluid intake in students and influencing factors. , 1267 - 1277. 10.17826/cumj.906467
Chicago PARLAK SOMUNCU BÜŞRA,TOPBAS MURAT,ŞAHİN KÜBRA,AGRALI GUNDOGMUS Cansu,ÜSTÜNDAĞ Medine Gözde,DİLAVER İrem,Bostan Yusuf Emre,Çan Gamze Water/fluid intake in students and influencing factors. (2021): 1267 - 1277. 10.17826/cumj.906467
MLA PARLAK SOMUNCU BÜŞRA,TOPBAS MURAT,ŞAHİN KÜBRA,AGRALI GUNDOGMUS Cansu,ÜSTÜNDAĞ Medine Gözde,DİLAVER İrem,Bostan Yusuf Emre,Çan Gamze Water/fluid intake in students and influencing factors. , 2021, ss.1267 - 1277. 10.17826/cumj.906467
AMA PARLAK SOMUNCU B,TOPBAS M,ŞAHİN K,AGRALI GUNDOGMUS C,ÜSTÜNDAĞ M,DİLAVER İ,Bostan Y,Çan G Water/fluid intake in students and influencing factors. . 2021; 1267 - 1277. 10.17826/cumj.906467
Vancouver PARLAK SOMUNCU B,TOPBAS M,ŞAHİN K,AGRALI GUNDOGMUS C,ÜSTÜNDAĞ M,DİLAVER İ,Bostan Y,Çan G Water/fluid intake in students and influencing factors. . 2021; 1267 - 1277. 10.17826/cumj.906467
IEEE PARLAK SOMUNCU B,TOPBAS M,ŞAHİN K,AGRALI GUNDOGMUS C,ÜSTÜNDAĞ M,DİLAVER İ,Bostan Y,Çan G "Water/fluid intake in students and influencing factors." , ss.1267 - 1277, 2021. 10.17826/cumj.906467
ISNAD PARLAK SOMUNCU, BÜŞRA vd. "Water/fluid intake in students and influencing factors". (2021), 1267-1277. https://doi.org/10.17826/cumj.906467
APA PARLAK SOMUNCU B, TOPBAS M, ŞAHİN K, AGRALI GUNDOGMUS C, ÜSTÜNDAĞ M, DİLAVER İ, Bostan Y, Çan G (2021). Water/fluid intake in students and influencing factors. Cukurova Medical Journal, 46(3), 1267 - 1277. 10.17826/cumj.906467
Chicago PARLAK SOMUNCU BÜŞRA,TOPBAS MURAT,ŞAHİN KÜBRA,AGRALI GUNDOGMUS Cansu,ÜSTÜNDAĞ Medine Gözde,DİLAVER İrem,Bostan Yusuf Emre,Çan Gamze Water/fluid intake in students and influencing factors. Cukurova Medical Journal 46, no.3 (2021): 1267 - 1277. 10.17826/cumj.906467
MLA PARLAK SOMUNCU BÜŞRA,TOPBAS MURAT,ŞAHİN KÜBRA,AGRALI GUNDOGMUS Cansu,ÜSTÜNDAĞ Medine Gözde,DİLAVER İrem,Bostan Yusuf Emre,Çan Gamze Water/fluid intake in students and influencing factors. Cukurova Medical Journal, vol.46, no.3, 2021, ss.1267 - 1277. 10.17826/cumj.906467
AMA PARLAK SOMUNCU B,TOPBAS M,ŞAHİN K,AGRALI GUNDOGMUS C,ÜSTÜNDAĞ M,DİLAVER İ,Bostan Y,Çan G Water/fluid intake in students and influencing factors. Cukurova Medical Journal. 2021; 46(3): 1267 - 1277. 10.17826/cumj.906467
Vancouver PARLAK SOMUNCU B,TOPBAS M,ŞAHİN K,AGRALI GUNDOGMUS C,ÜSTÜNDAĞ M,DİLAVER İ,Bostan Y,Çan G Water/fluid intake in students and influencing factors. Cukurova Medical Journal. 2021; 46(3): 1267 - 1277. 10.17826/cumj.906467
IEEE PARLAK SOMUNCU B,TOPBAS M,ŞAHİN K,AGRALI GUNDOGMUS C,ÜSTÜNDAĞ M,DİLAVER İ,Bostan Y,Çan G "Water/fluid intake in students and influencing factors." Cukurova Medical Journal, 46, ss.1267 - 1277, 2021. 10.17826/cumj.906467
ISNAD PARLAK SOMUNCU, BÜŞRA vd. "Water/fluid intake in students and influencing factors". Cukurova Medical Journal 46/3 (2021), 1267-1277. https://doi.org/10.17826/cumj.906467