Özel bir hastanenin beslenme ve diyet polikliniğine başvuran obez kadınların beslenme durumlarının değerlendirilmesi
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2019
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Abstract
Obezite, özellikle gelişmiş ve gelişmekte olan ülkelerde prevalansı giderek artan ve toplum sağlığını büyük ölçüde tehdit eden 21. Yüzyılın küresel boyuttaki en ciddi tedavi edilmesi gereken sağlık sorunudur. Bu çalışmanın amacı; beslenme ve diyet polikliniğine başvuran yetişkin obez kadınların beslenme durumunun değerlendirilmesidir. Çalışma Temmuz 2018- Aralık 2018 tarihleri arasında, yaşları 18-65 yaş arası değişen, BKİ ≥ 30 kg/m² olan ve araştırmaya katılmaya gönüllü kadınlar (256 kadın) üzerinde yürütülmüştür. Katılımcılara bu araştırma için özel olarak geliştirilmiş bir anket uygulanmıştır. Beslenme durumları 24 saatlik besin tüketim kaydı ile belirlenmiştir. Çalışmaya katılan kadınların BKİ ortalaması 36,2±4,7 kg/m²'dir. Kadınların %49,2'si 1. Derece obez iken %20,3'ü morbid obezdir. Obez kadınların yaş, eğitim, statü, sigara kullanma alışkanlığı ve kronik bir hastalık olup olmama durumu ile Beden Kütle İndeks (BKİ)'leri arasında istatiksel olarak önemli ilişki gözlenmiştir(p<0,05). Çalışmaya katılan kadınların %89,1'i öğün atlamaktadır. Özellikle öğlen öğününü atlayan kadınların BKİ'leri, atlamayan kadınlarınkinden anlamlı derecede yüksek bulunmuştur (p<0,05). Çalışmaya katılan kadınların iştah derecesi ortalaması 7,9±2,1'dır. Üzüntülü/öfkeli/yorgun olduğu zaman beslenme durumu artan kadınların iştah derecesi, beslenme durumu azalanlarınkinden daha yüksek değere sahip bulunmuştur (p<0,05). Çalışmaya katılan kadınlardan beslenme bilgi kaynağı TV/radyo olan kadınların BKİ değeri, beslenme bilgi kaynağı diyetisyen olan kadınlardan anlamlı derecede daha yüksek bulunmuştur(p<0,05). Araştırmaya dahil edilen kadınların %83,6'sında daha önceden zayıflama diyeti, %84,4'ünde de zayıflamak için diyet dışı yöntemler uygulandığı saptanmıştır. Bu yöntemlerden zayıflama ilacı, besin destekleri ve akupunktur yöntemini deneyen kadınların BKİ değerleri, denemeyen kadınların BKİ değerinden anlamlı derecede yüksek bulunmuştur(p<0,05). Çalışma sonuçları, obez kadınların beslenme durumuna yapılacak değerlendirmelere ve önerilere yardımcı olacaktır. Anahtar Kelimeler: Obezite, Beslenme durumu, Diyet.
Obesity is the most serious global health problem of 21st century that has to be treated. It is increasingly prevalent in developed and developing countries and threatens public health. The aim of this study is; to evaluate the nutritional status of adult obese women who were admitted to the nutrition and diet clinic. The study was carried out between July 2018 and December 2018 on women (256 females) aged between 18-65 years, whose BMI ≥ 30 kg/m² and who volunteered to participate in the study. A questionnaire developed specifically for this study was applied to the participants. Nutritional status was determined by a 24-hour food consumption record. The average BMI of the women participating in the study was 36.2±4.7 kg/m². While 49.2% of women are in 1st grade obesity class, 20.3% are morbid obese. There was a statistically significant relation between obese women's age, education, status, smoking habits, and the presence of a chronic discomfort and BMI (p<0.05). 89.1% of the women participating in the study skipped meals. The BMI value of women who skipped lunch, in particular, was found to be significantly higher than that of non-skipping women (p<0.05). The mean appetite of women participating in the study was 7.9±2.1. The appetite level of women who increase nutritional status when they are sad / angry / tired, is higher than the women who decrease nutritional status (p<0.05). The BMI of the women whose source of nutritional information were TV/radio, were significantly higher than the women whose source were dieticians (p<0.05). It was found that 83.6% of the women included in the study had previously used slimming diet and 84.4 of the women had used non-dietary methods. The BMI values of the women who tried weight loss medication, nutritional supplements and acupuncture method were significantly higher than the BMI of women who did not try (p<0.05). The results of the study will help with evaluation and recommendation on the nutritional status of obese women. Keywords: Obesity, Nutritional status, Diet.
Obesity is the most serious global health problem of 21st century that has to be treated. It is increasingly prevalent in developed and developing countries and threatens public health. The aim of this study is; to evaluate the nutritional status of adult obese women who were admitted to the nutrition and diet clinic. The study was carried out between July 2018 and December 2018 on women (256 females) aged between 18-65 years, whose BMI ≥ 30 kg/m² and who volunteered to participate in the study. A questionnaire developed specifically for this study was applied to the participants. Nutritional status was determined by a 24-hour food consumption record. The average BMI of the women participating in the study was 36.2±4.7 kg/m². While 49.2% of women are in 1st grade obesity class, 20.3% are morbid obese. There was a statistically significant relation between obese women's age, education, status, smoking habits, and the presence of a chronic discomfort and BMI (p<0.05). 89.1% of the women participating in the study skipped meals. The BMI value of women who skipped lunch, in particular, was found to be significantly higher than that of non-skipping women (p<0.05). The mean appetite of women participating in the study was 7.9±2.1. The appetite level of women who increase nutritional status when they are sad / angry / tired, is higher than the women who decrease nutritional status (p<0.05). The BMI of the women whose source of nutritional information were TV/radio, were significantly higher than the women whose source were dieticians (p<0.05). It was found that 83.6% of the women included in the study had previously used slimming diet and 84.4 of the women had used non-dietary methods. The BMI values of the women who tried weight loss medication, nutritional supplements and acupuncture method were significantly higher than the BMI of women who did not try (p<0.05). The results of the study will help with evaluation and recommendation on the nutritional status of obese women. Keywords: Obesity, Nutritional status, Diet.
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Beslenme ve Diyetetik, Beslenme, Beslenme bozuklukları, Beslenme durumu, Nutrition and Dietetics, Nutrition, Beslenme incelemeleri, Nutrition disorders, Nutritional status, Diyet, Nutrition surveys, Hastaneler, Diet, Hospitals, Hastaneler-özel, Hospitals-private