Konya bölgesinde yaşayan yetişkin poliklinik hastalarında, kan lipit düzeyleri, yaşam biçimleri ve etli ekmek yeme alışkanlıkları arasındaki ilişki
Küçük Resim Yok
Tarih
2009
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Konya ili, nüfus, yaşam biçimi ve beslenme alışkanlıkları açısından, orta Anadolu bölgesinin karakteristik özelliklerini yansıtır. Bu popülasyon ile yapılan çalışmalar, burada yaşayan bireylerin düzenli olmayaegzersiz yaptığını ve doymuş yağ asitleri içeren besin- leri çok tükettiğini ortaya koymuştur. Bunlara ek olarak bu bölgede, ‘Etli Ekmek’ diye adlandırılan ve Konya bölgesine özel olan gıda çok tüketilmektedir. Bizim bu çalışmadaki amacımız, kan lipit düzeyleri, egzersiz sıklığı ve patenti Konya lokantacılar derneği tarafından alınan ‘Konya usulü etli ekmek’ tüketimi arasındaki ilişki- nin saptanmasıdır. Materyaller ve Yöntemler: Bu çalışma’ya katılanların yaş sınırlaması 25-55 arasında olup, çalışma Çumru devlet hastanesinin iç hastalıkları, genel cerrahi, enfeksiyon ve acil polikliniklerine başvuran 1006 hasta üzerinde yapılmıştır. Kan örnekleri, 12 saat açlığı takiben, sabah saat 08.00’de alınmıştır. Trigliserit (TG), total kolesterol ve Yüksek dansiteli lipoprotein (HDL) Kolesterol spektrofotometrik yöntemle ölçülürken, düşük dansiteli lipoprotein (LDL) kolesterol düzeyleri Friedewald formülü ile hesaplanmıştır. Yaşam biçimlerine göre gruplama ise şu şekilde gerçekleştirilmiştir: L0, L1, L2 ve L3 (en azdan en çok olana göre) günlük yaptıkları egzersiz miktarına göre. L0 grup: 101 hasta (% 10), L1 Grup: 195 hasta (% 20), L2 Grup: 354 hasta (% 35), L3 Grup: 356 hasta (% 35).etli ekmek yeme alışkanlıklarına göre ise, EE1, EE2 ve EE3 (en azdan en çok olana göre) olarak gruplama yapılmıştır. EE1 Grup: 201 hasta (% 20), EE2 Grup: 266 hasta (% 26), EE3 Grup 539 hasta (% 54). Elde edilen veriler, SPSS istatistik programı ile analiz edilmiştir. Sonuçlar: Etli ekmek tüketen gruplarda kan lipit düzeyleri yüksek bulunmuştur. Her ne kadar L0 grubu içinde lipit parametreleri arasında fark saptanmamışsa da, L3 grubunda bulunan alt gruplar arasında lipit parametrelerinin farklı olduğu gözlenmiştir. Bu bulgu bize egzersizin lipit parametreleri üzerinde etkili olduğunu göstermiştir. Diğer yandan, E2 grubu içinde oldukça az bir fark görülürken, TG arasındaki fark oldukça belirgindir. Tartışma: Bu çalışmayı iki başlık altında özetleyecek olursak, 1. kan lipit düzeyleri, egzersiz yapma sıklığı ve Konya usulü etli ekmek tüketimi arasındaki ilişki vardır ve en belirgin etki TG düzeyleri üzerindedir. 2. etli ekmek çok tüketen poliklinik hastaları (E3 grubu) içinde, düzenli egzersiz yapanlarda (L3 grubu), lipit profilinin negatif yönde etkilenmediği gözlenmiştir.
Objective: Konya reflects the characteristics of midd- le Anatolia, in means of population, lifestyle and nourishment habits. The researchers assessing the nutriti- on and lifestyle of this population documented that this community do not regular exercise and have an eating habit which contains a lot of saturated fatty acids. In addition, they consume the regional special food named ‘Etli Ekmek’, baked mostly in Konya. Our purpose is to display the relationship among the levels of blood lipids, the frequency of exercise and consumption of ‘Konya style, Etli ekmek”, which had been standardized by the restaurant tribe in Konya. Materials and Methods; This work has been applied to 1006 adult patients patients, between 25 -55 ages that applied to Internal Medicine, General Surgery, Infection and Emergency polyclinics of Çumra Government Hospital. These patients have been added to the study by their written consent. Blood was withdrown by vacuum tubes at 08:00 a.m. in the morning after 12 hours of fasting. Levels of Triglycerides, Total Cholesterol and HDL Cholesterol were analyzed by spectrophotometric methods and LDL Cholesterol was analyzed by Friedewald formula. They were grouped for lifestyle as L0, L1, L2 and L3 (least to most) considering the level of daily exercises they do. ‘Etli ekmek’ consuming groups were classified as EE1, EE2 and EE3 (least to most). We grouped the patients as follows: L0 group: 101 patient (% 10), L1 Group: 195 patient (% 20), L2 Group: 354 patient (% 35), L3 Group: 356 patient (% 35), EE1 Group: 201 patient (% 20), EE2 Group: 266 patient (% 26), EE3 Group 539 patient (% 54). The data observed in this work was analyzed by SPSS statistical packet programme. Results: The values of blood lipids were found to be high in . We did not find any difference in lipid parameters among L0 group, however in L3 group, all lipid parameters were altered. So, we had seen that, exercise has positive impact on lipid values. On the other hand; there was a slight difference among blood lipid values in the group E2. and, only TG levels was found statistically significant. Conclusions If we try to summarize the findings of this study in two main topics; 1.The relationship among lifestyle, habits of eating ‘Etli ekmek’ and blood lipid values is confirmed and there is a relation between gender and lipid levels, in means of TG levels. 2. The second outcome of this study is that; in the adult polyclinic patients who consumed ‘etli ekmek’ a lot (EE3 in group), and had the regular exercise (L3 in group), their lipid profiles were not effected negatively.
Objective: Konya reflects the characteristics of midd- le Anatolia, in means of population, lifestyle and nourishment habits. The researchers assessing the nutriti- on and lifestyle of this population documented that this community do not regular exercise and have an eating habit which contains a lot of saturated fatty acids. In addition, they consume the regional special food named ‘Etli Ekmek’, baked mostly in Konya. Our purpose is to display the relationship among the levels of blood lipids, the frequency of exercise and consumption of ‘Konya style, Etli ekmek”, which had been standardized by the restaurant tribe in Konya. Materials and Methods; This work has been applied to 1006 adult patients patients, between 25 -55 ages that applied to Internal Medicine, General Surgery, Infection and Emergency polyclinics of Çumra Government Hospital. These patients have been added to the study by their written consent. Blood was withdrown by vacuum tubes at 08:00 a.m. in the morning after 12 hours of fasting. Levels of Triglycerides, Total Cholesterol and HDL Cholesterol were analyzed by spectrophotometric methods and LDL Cholesterol was analyzed by Friedewald formula. They were grouped for lifestyle as L0, L1, L2 and L3 (least to most) considering the level of daily exercises they do. ‘Etli ekmek’ consuming groups were classified as EE1, EE2 and EE3 (least to most). We grouped the patients as follows: L0 group: 101 patient (% 10), L1 Group: 195 patient (% 20), L2 Group: 354 patient (% 35), L3 Group: 356 patient (% 35), EE1 Group: 201 patient (% 20), EE2 Group: 266 patient (% 26), EE3 Group 539 patient (% 54). The data observed in this work was analyzed by SPSS statistical packet programme. Results: The values of blood lipids were found to be high in . We did not find any difference in lipid parameters among L0 group, however in L3 group, all lipid parameters were altered. So, we had seen that, exercise has positive impact on lipid values. On the other hand; there was a slight difference among blood lipid values in the group E2. and, only TG levels was found statistically significant. Conclusions If we try to summarize the findings of this study in two main topics; 1.The relationship among lifestyle, habits of eating ‘Etli ekmek’ and blood lipid values is confirmed and there is a relation between gender and lipid levels, in means of TG levels. 2. The second outcome of this study is that; in the adult polyclinic patients who consumed ‘etli ekmek’ a lot (EE3 in group), and had the regular exercise (L3 in group), their lipid profiles were not effected negatively.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
49
Sayı
3
