Can individuals with metabolic syndrome meet their recommended daily nutrients?
Metabolik sendromlu bireyler günlük besin ögesi gereksinimlerini karşılayabiliyor mu?
Fatma Nişancı kılınç 1, Biriz Çakır 1 * , Merve Ekici 1, Ahmet Temizhan 2
1 Kırıkkale Üniversitesi Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, Kırıkkale, Türkiye
2 Sağlık Bilimleri Üniversitesi Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, Ankara, Türkiye
* Corresponding Author
Ortadogu Tıp Derg, Volume 11, Issue 4, pp. 548-554
https://doi.org/10.21601/ortadogutipdergisi.553694
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Abstract
Aim: This study was carried out to determine nutrition status, habits and the level of meeting daily nutrient requirements of individuals with metabolic syndrome.
Material and Methods: This study was conducted on 113 individuals, over 19 years old, with metabolic syndrome according to International Diabetes Federation criteria. Height, body weight, waist circumference were measured, body mass indexes were calculated, demographic characters, nutrition habits and food consumption status were asked and compared recommended values. All data was evaluated by using Nutrition Information System and Statistical Package for the Social Sciences 21.0 for Windows.
Results: In this study, 71.7% of the individuals were women, mean age was 47.54+10.14 years, 53.1% of them graduated from primary school, 2.6% were overweight, 71.7% were obese and 25.7% were morbid obese. Men had 2524.1±890.5 kcal/day energy, 52.9% of men met vitamin A, 35.3% of them met vitamin C, 35.3% of them met calcium and magnesium intake; women had 1999.0±615.9 kcal/day energy, 37.8% of them met energy from the protein, 33.3% of them met the vitamin B6, 11.1% of them met calcium, 44.4% of them met iron, 17.8% of them met magnesium intake according to the recommended values for Turkey.
Conclusion: It was determined that vitamin C intake in men, the energy ratio from protein, vitamin B6 and iron intake in women, and fiber, calcium and magnesium intake in both genders were low and the number of individuals meeting the recommended intake levels was low (<50%).
Öz
Amaç: Bu çalışma, metabolik sendromlu bireylerin beslenme alışkanlıkları, besin tüketimleri ve günlük besin ögesi gereksinimlerinin karşılanma düzeyinin belirlenmesi amacıyla yapılmıştır.
Gereç ve Yöntemler: Çalışma, 19 yaş üstü, Uluslararası Diyabet Federasyonu kriterlerine göre metabolik sendrom tanısı almış 113 bireyde yürütülmüştür. Bireylerin boy uzunlukları, vücut ağırlıkları, bel çevreleri ölçülmüş, beden kütle indeksleri hesaplanmış, demografik özellikleri, beslenme alışkanlıkları ile besin tüketim durumları sorgulanmış, elde edilen veriler önerilen değerler ile karşılaştırılmıştır. Verilerin değerlendirilmesinde Beslenme Bilgi Sistemi (BEBİS) ve SPSS 21.0 programı kullanılmıştır.
Bulgular: Bireylerin %71,7’si kadın, yaş ortalaması 47,54+10,14 yıl, %53,1’i ilköğretim mezunu olup %2,6’sı fazla kilolu, %71,7’si obez ve %25,7’si morbid obezdir. Erkeklerin diyetle 2524,1±890,5 kkal/gün enerji aldıkları, %52,9’nun A vitamini, %35,3’nün C vitamini, %35,3’nün kalsiyum ve magnezyum; kadınların ise 1999,0±615,9 kkal/gün enerji aldıkları, %37,8’inin proteinden gelen enerji oranı, %33,3’nün B6 vitamini, %11,1’inin kalsiyum, %44,4’nün demir, %17,8’nin magnezyum alımlarının önerilen miktarları karşıladığı görülmüştür.
Sonuçlar: Bu çalışmada, erkeklerde C vitamini, kadınlarda proteinden gelen enerji oranı, B6 vitamini ve demir, her iki cinsiyette ise posa, kalsiyum ve magnezyum alımının düşük olduğu, önerilen alım düzeylerini karşılayan birey sayısının düşük oranda olduğu (<%50) belirlenmiştir.
- International Diabetes Federation. “The IDF consensus worldwide definition of the metabolic syndrome”. Brussels, International Diabetes Federation, 2006. http://www.idf.org/metabolic-syndrome Erişim tarihi: 16.03.2017.
- Kozan Ö, Oğuz, A, Erol Ç, ve ark. http://www.metsend.org/pdf/Metsar-metsend.pdf Türkiye Metabolik Sendrom Araştırması (METSAR), 2004, Erişim tarihi: 29.08.2018
- Gören B, Fen T. Metabolik Sendrom. Türkiye Klinikleri Journal of Medical Sciences 2008; 28: 686-96.
- García-Fernández E, Rico-Cabanas L, Rosgaard N, Estruch R, Bach-Faig A. Mediterranean diet and cardiodiabesity: A review. Nutrients 2014; 6: 3474-3500. (doi: 10.3390/nu6093474).
- Türkiye’ye Özgü Besin ve Beslenme Rehberi. Yenilenmiş 1.Baskı, Ankara: Hacettepe Üniversitesi, Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, 2015: 88-92.
- BeBiS (Beslenme Bilgi Sistemi). (2011), Bilgisayar Yazılım Programı Versiyon 7.2, (Ebispro für Windows, Stuttgart, Germany: Türkçe Versiyonu), Veri Kaynakları: Bundeslebenmittelschlüssel (BLS II.3), Alman Veri Besin Bileşim Veri Bankası ve Başka Kaynaklar.
- Pucci G, Alcidi R, Tap L, Battista F, Mattace-Raso F. Sex-and gender-related prevalence, cardiovascular risk and therapeutic approach in metabolic syndrome: A Review of the Literature. Pharmacol Res 2017; 120: 34–42.
- Ünal B, Ergör G, Horasan G, Kalaça S, Sözmen K. Türkiye Kronik Hastalıklar ve Risk Faktörleri Sıklığı Çalışması. Ankara: Sağlık Bakanlığı Yayın No: 909, 2013: 143-150.
- Wu HF, Tam T, Jin L, ve ark. Age, gender, and socioeconomic gradients in metabolic syndrome: Biomarker evidence from a large sample in Taiwan, 2005-2013. Ann Epidemiol 2017; 27: 315-22.
- Buckland G, Salas-Salvad´o J, Roure E, Bull´o M, Serra-Majem L. Sociodemographic risk factors associated with metabolic syndrome in a Mediterranean population. Public Health Nutr 2008; 11: 1372–78.
- Dallongeville J, Cottel D, Ferrieres J, Arveiler D, Bingham A, Ruidavets JB, ve ark. Household income is associated with the risk of metabolic syndrome in sex-specific manner. Diabetes Care 2005; 28: 409-15.
- Berrington de Gonzalez A, Hartge P, Cerhan JR, Flint AJ, Hannan L, Maclnnis RJ, ve ark. Body-mass index and mortality among 1.46 million white adults. N Engl J Med 2010; 363: 2211-19.
- Flegal KM, Kit, BK, Orpana, H, Graubard, BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: A systematic review and meta-analysis. JAMA 2013; 309: 71–82.
- Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report. NIH Publication No:02-5215, 2002.
- Franko DL, Striegel-Moore RH, Thompson D, ve ark. The relationship between meal frequency and body mass index in black and white adolescent girls: More is less. Int J Obes 2008; 32: 23-29.
- Stote KS, Baer DJ, Spears K, ve ark. A controlled trial of reduced meal frequency without caloric restriction in healthy, normal-weight, middle-aged adults. Am J Clin Nutr 2007; 85: 981–88.
- Tran VD, Lee A.H, Jancey J, James A.P, Howat P, Mai LT. Physical activity and nutrition behaviour outcomes of a cluster-randomized controlled trial for adults with metabolic syndrome in Vietnam. Trials 2017; 18: 18. (doi: 10.1186/s13063-016-1771-79).
- Turi BC, Codogno JS, Fernandes RA, Monteiro HL. Low levels of physical activity and metabolic syndrome: cross-sectional study in the Brazilian public health system. Cien Saude Colet 2016; 1043-50.
- Sharma M, Mahna R. Obesity, metabolic syndrome and physical activity in Indian adults. J Metabolic Synd 2012; 1: 4. (doi: 10.4172/2167-0943.1000114).
- Iglesia R, Loria-Kohen V, Zulet M, Martinez J, Reglero G, Ramirez de Molina A. Dietary strategies implicated in the prevention and treatment of metabolic syndrome. Int J Mol Sci 2016; 10: 17 (11), pii: E1877.
- World Health Organization. “Obesity and Overweight”. http://www.who.int/mediacentre/factsheets/fs311/en. Erişim tarihi: 10.02.2017.
- Ristic-Medic D, Vucic V. Dietary fats and metabolic syndrome. J Nutrition Health Food Sci 2013; 1: 8. (doi: 10.15226/jnhfs. 2013. 00105).
- Hoffmann IS, Cubeddu LX. Salt and the metabolic syndrome. Nutr Metab Cardiovasc Dis 2009; 19: 123-28.
- Toshiro F. Insulin resistance and salt-sensitive hypertension in metabolic syndrome. Nephrol Dial Transplant 2007; 22: 3102–07. (doi: 10.1093/ndt/gfm409).
- Liu S, Song Y, Ford SE, Manson JE, Buring JE, Ridker P.M. Dietary calcium, vitamin D, and the prevalence of metabolic syndrome in middle-aged and older U.S. women. Diabetes Care 2005; 28: 2926–32.
Citation
Nişancı kılınç, Fatma, Biriz Çakır, Merve Ekici, and Ahmet Temizhan. "Can individuals with metabolic syndrome meet their recommended daily nutrients?".
Ortadoğu Tıp Dergisi 2019 11 no. 4 (2019): 548-554.
https://doi.org/10.21601/ortadogutipdergisi.553694