Obez Bireylerde Metabolik Sağlık Durumuna Göre Visseral Adipozite Ölçümlerinin ve Diyet Kalitesinin Yaşam Kalitesi Üzerindeki Etkisi
Yükleniyor...
Tarih
2020 Eylül
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Yetişkin obez katılımcılarda metabolik sağlık durumuna göre visseral adipozite ve diyet kalitesi ile yaşam kalitesi arasındaki ilişki
değerlendirilmiştir.
Gereç ve Yöntem: Kriterleri sağlayan 137 obez birey dahil edildikten sonra bireylerden bazı kan örnekleri ve antropometrik ölçümleri alınmış
ve kan basıncı ölçümü yapılmıştır. Ankette yer alan genel bilgiler, obezlere özgü yaşam kalitesi ölçeği ve besin tüketim kaydı bölümlerini
katılımcılar tarafından doldurulması sağlanmıştır. Bazı biyokimyasal ve antopometrik parametrelerden yola çıkılarak visseral adipozit ölçüm
indeksleri hesaplanmıştır. Bunlar: VAI, DAAT, LAP indekstir. Besin tüketim kaydından yola çıkılarak HEI-2015 hesaplanmıştır. Metabolik
sağlık durumuna göre sınıflandırılması için NCEP ATP III tanı kriterlerinden yararlanılmıştır. Verilerin analizi için SPSS 21.0 paket programı
kullanıldı.
Bulgular: MetS’lu bireylerde yaşam kalitesi skoru 46.2±15.8 olup MetS görülmeyen bireylere göre (54.9±19.8) daha düşük bulunmuştur. Metabolik sağlık durumuna göre her iki grupta visseral adipozite ölçümleri ile yaşam kalitesi arasında herhangi bir ilişki bulunmazken, bütün
katılımcılarda VAİ ve LAP-indeks ile yaşam kalitesi arasında ters ilişki bulunmuştur (r= -0.213 ve p=0.012; r= -0.305 ve p<0.001, sırasıyla).
Hem metabolik sağlık profili hem de bütün katılımcılarda SYİ-2015 skoru ile yaşam kalitesi arasında herhangi bir ilişki saptanmazken,
MetS’lu grupta tam tahıl, yağ asitleri, eklenmiş şeker ve doymuş yağdan gelen skor ile yaşam kalitesi skoru arasında pozitif ilişki bulunmuştur
(p<0.05).
Sonuç: Sonuç olarak, obezlerde artmış bazı antropometrik değişkenlerin ve visseral adipozitenin, MetS varlığının, SYİ-2015’in bazı komponentlerinden gelen indeks skorundaki azalmanın, düşük yaşam kalitesi ile ilişkili olduğu görülmüştür.
Objective: In adult obese participants, the relationship between visceral adiposity and diet quality and quality of life was evaluated according to metabolic health status. Material and Methods: After the inclusion of 137 obese individuals who provided the criteria, some blood samples and anthropometric measurements were taken from the individuals.The general information, obese-specific quality of life scale and food record in the questionnaire were answered by the participants. Visceral adiposity measurements were performed using some anthropometric and biochemical parameters. These include visceral adiposity index (VAI), lipid accumulation product (LAP) and deep-abdominal-adipose-tissue(DAAT). HEI-2015 is calculated from the food record. NCEP-ATPIII diagnostic criteria were used for classification according to metabolic health status. Statistical analysis was conducted using SPSS21.0 version. Results: The quality of life score was 46.2±15.8 in individuals with MetS and it was lower than those without MetS (54.9±19.8). According to the state of metabolic health, there was no relationship between visceral adipocyte measurements and quality of life in both groups, but there was an inverse relationship between VAI and LAP-index and quality of life(r=-0.213 and p=0.012;r=-0.305 and p<0.001,respectively). In both groups and all participants, there was found no relationship between HEI-2015 score and quality of life, whereas there was a positive correlation between the score of whole grains, fatty acids, added sugar and saturated fat, and quality of life score in the MetS group(p<0.05). Conclusion: Finally, it was seen that some anthropometric variables and visceral adiposity, MetS presence, and decreased index score from some components of HEI-2015 were associated with lower quality of life.
Objective: In adult obese participants, the relationship between visceral adiposity and diet quality and quality of life was evaluated according to metabolic health status. Material and Methods: After the inclusion of 137 obese individuals who provided the criteria, some blood samples and anthropometric measurements were taken from the individuals.The general information, obese-specific quality of life scale and food record in the questionnaire were answered by the participants. Visceral adiposity measurements were performed using some anthropometric and biochemical parameters. These include visceral adiposity index (VAI), lipid accumulation product (LAP) and deep-abdominal-adipose-tissue(DAAT). HEI-2015 is calculated from the food record. NCEP-ATPIII diagnostic criteria were used for classification according to metabolic health status. Statistical analysis was conducted using SPSS21.0 version. Results: The quality of life score was 46.2±15.8 in individuals with MetS and it was lower than those without MetS (54.9±19.8). According to the state of metabolic health, there was no relationship between visceral adipocyte measurements and quality of life in both groups, but there was an inverse relationship between VAI and LAP-index and quality of life(r=-0.213 and p=0.012;r=-0.305 and p<0.001,respectively). In both groups and all participants, there was found no relationship between HEI-2015 score and quality of life, whereas there was a positive correlation between the score of whole grains, fatty acids, added sugar and saturated fat, and quality of life score in the MetS group(p<0.05). Conclusion: Finally, it was seen that some anthropometric variables and visceral adiposity, MetS presence, and decreased index score from some components of HEI-2015 were associated with lower quality of life.
Açıklama
Anahtar Kelimeler
Yaşam kalitesi, visseral adipozite, sağlıklı yeme indeksi, obezite, metabolik sendrom, Quality of life, visceral adiposity, healthy eating index, obesity, metabolic syndrome
Kaynak
Selçuk Genel Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
30
Sayı
3
Künye
Açık, M., Çakıroğlu, F. P., (2020). Obez Bireylerde Metabolik Sağlık Durumuna Göre Visseral Adipozite Ölçümlerinin ve Diyet Kalitesinin Yaşam Kalitesi Üzerindeki Etkisi. Selçuk Genel Tıp Dergisi, 30(3), 167-177.
