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Öğe Baby-led complementary feeding: Randomized controlled study(Wiley, 2018) Dogan, Erkan; Yilmaz, Gonca; Caylan, Nilgun; Turgut, Mahmut; Gokcay, Gulbin; Oguz, Melahat MelekBackground Baby-led weaning (BLW) is an approach to introducing solid foods to infants that gives control of the feeding process to the infant. Anecdotal evidence suggests that BLW is becoming popular with parents, but scientific research is limited to a few publications. This study assessed growth, hematological parameters and iron intake in 6-12-month-old infants fed by traditional or baby-led complementary feeding. Methods We recruited 280 healthy 5-6-month-old infants allocated to a control (traditional spoon feeding; TSF) group or an intervention (BLW) group in a randomized controlled trial. Infant growth, hematologic parameters and iron intake were evaluated at age 12 months. Results Infants in the TSF were significantly heavier than those in the BLW group. Mean weight in the BLW group was 10.4 +/- 0.9 kg compared with 11.1 +/- 0.5 kg in the TSF group. There was no statistically significant difference in the iron intake from complementary foods between the BLW (7.97 +/- 1.37 mg/day) and TSF (7.90 +/- 1.68 mg/day) participants who completed the diet records. Hematologic parameters were similar at 12 months. The incidence of choking reported in the weekly interviews was not different between the groups. Conclusions To the best of our knowledge, this is the first randomized -controlled study to have examined the impact of weaning method on iron intake, hematological parameters and growth in breast-fed infants. BLW can be an alternative complementary feeding type without increasing the risk of iron deficiency, choking or growth impairment.Öğe Comparison of the Fractional Exhaled Nitric Oxide Levels in Adolescents at Three Schools Located Three Different Distances from a Large Steel Mill(Hindawi Ltd, 2017) Acat, Murat; Aydemir, Yusuf; Yazjcj, Onur; Turgut, Mahmut; Cortuk, Mustafa; Cakar, Murat; Yasar, ZehraObjectives. Exposure to ambient metals and air pollutants in urban environments has been associated with impaired lung health and inflammation in the lungs. Fractional exhaled nitric oxide (FeNO) is a reliablemarker of airway inflammation. In this study, we aimed to compare the FeNO levels of three schools that have different distances from iron and steel industry zone for assessing the effects of heavy metals and air pollution on their respiratory health. Methods. Pulmonary function test and FeNO measurements were evaluated in 387 adolescents in three schools which have different distance from plant. Results. FeNO levels were significantly higher in School I (n = 142; 18.89 +/- 12.3ppb) and School II (n = 131; 17.68 +/- 7.7 ppb) than School III (n = 114; 4.28 +/- 3.9 ppb). Increased FeNO concentration was related to the distance of iron and steel industry zone in young adults. Conclusion. The FeNO concentrations in school children were inversely proportional to the distance from the steel mill. There are needed some studies that can evaluate the safe distance and legislation must consider these findings.