Yetişkin Bireylerin Diyet Enerji Yoğunluğu ile Beden Kütle İndeksi Arasındaki İlişkinin Değerlendirilmesi

Amaç: Bu çalışma yetişkin bireylerde diyet enerji yoğunluğu ile Beden Kütle İndeksi (BKİ) arasındaki ilişkinin değerlendirilmesi amacıyla yapılmıştır. Bireyler ve Yöntem: Çalışma Mardin Nusaybin Toplum Sağlığı Merkezi Obezite Danışma Birimi'ne başvuran 19-65 yaş arasındaki 201 yetişkin birey üzerinde yapılmıştır. Bireylerin demografik özellikleri, biyokimyasal değerleri, beslenme alışkanlıkları ve besin tüketimleri ile ilgili verileri yüz yüze anket yöntemi ile elde edilmiştir. Bireylerin antropometrik ölçümleri yapılarak BKİ değerleri hesaplanmıştır. BKI değerleri DSÖ kriterlerine göre sınıflandırılmıştır. Üç günlük besin tüketim kayıtları incelenerek sadece yiyeceklerden gelen diyet enerji yoğunlukları ve yiyecek miktarları hesaplanmıştır. Bulgular: Bireylerin yaş ortalaması 33.9±10.0 yıl'dır. BKİ sınıflamasına göre zayıf olan bireylerde diyet enerji yoğunluğu 1.05±0.23 kkal/g, normal olan bireylerde ise 1.19±0.18 kkal/g'dır. Diyet enerji yoğunluğu en fazla olanlar morbid obez bireylerdir (1.50±0.18 kkal/g) (p

Evaluation of the Relationship Between Dietary Energy Density with Body Mass Index in Adult Individuals

Aim: This study was performed to evaluate the association between dietary energy density and body mass index (BMI) in adults. Subjects and Methods: The study was conducted on 201 individuals, aged between 19-65 years old who were admitted to Obesity Consultation Unit of Mardin Nusaybin Community Health Center. Data about general demographic characteristics, biochemical analysis, nutritional habits and food consumption of individuals were collected via a questionnaire with a face to face interview. Anthropometric measurements of participants were measured and BMI were calculated. BMI were classified according to WHO criteria. Dietary energy density and food quantities were calculated by the assessment of the three-day food consumption records. Results: The mean age of the individuals was 33.9±10.0 years. The diet energy density of underweight and normal subjects was found 1.0±0.23 kcal/g and 1.19±0.18 kcal/g, respectively. The most dietary energy density was found in morbid obese and it was significantly higher than the other groups (1.5 ±0.18 kcal/g) (p<0.05). While the lowest daily energy intake was found in underweight subjects (1100±221.9 kcal), the highest was found in morbid obese (2119±321.7 kcal). The daily amount of foods consumed by underweight, normal and overweight was 1076±249.2 g, 1160±396.7 g and 1306±299.0 g, respectively. The highest percentage of energy from carbohydrate was found in underweight group (58.5±3.1%), while the highest percentage of energy from fat and protein was found in morbid obese group (34.1±4.0%, 15.9 ±1.3%, respectively). A positive association between BMI and dietary energy density was found (r=0.281; p<0.05). Conclusion: As a result of the study a positive relationship between the dietary energy density and BMI was found. It was concluded that providing a nutritional model application based on low-density energy consumption is an important strategy in the prevention and treatment of obesity.

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  • 1. Rolls BJ, Williams RA, Keller KL. The role of dietary energy density in weight management. In:Gill T, editor. Managing and Preventing Obesity: Behavioural Factors and Dietary Interventions. Cambridge: Woodhead Publishing; 2014. p. 135-148.
  • 2. Bechthold A. Food energy density and body weight: A scientific statement from the DGE. Ernahrungs Umschau 2014; 61(1):2-11.
  • 3. Rolls BJ, Drewnowski A, Ledikwe JH. Changing the energy density of the diet as a strategy for weight management. JADA 2005;195:98-103.
  • 4. Murakami K, Sasaki S, Takahashi Y, Uenishi K. Dietary energy density is associated with body mass index and waist circumference, but not with other metabolic risk factors, in free-living young Japanese women. Nutrition 2007;23:798-806.
  • 5. Altunkaynak BZ, Özbek E. Obezite: nedenleri ve tedavi seçenekleri. Van Tıp Dergisi 2006;13(4):138-142.
  • 6. National Institutes of Health, National Heart, Lung and Blood Institute, NHLBI Obesity Education Initiative, North American Association for the Study of Obesity. The Practical Guide Identification, Evaluation and Treatment of Overweight and Obesity in Adults. 2000.
  • 7. Ledikwe JH, Blanck HM, Kettel Khan L, Serdula MK, Seymour JD, Tohill BC, et al. Dietary energy density is associated with energy intake and weight status in US adults. Am J Clin Nutr 2006;83(6):1362-1368.
  • 8. Mendoza JA, Drewnowski A, Christakis DA. Dietary energy density is associated with obesity and the metabolic syndrome in U.S. adult. Diabetes Care 2007;30(4):974-979.
  • 9. Wang J, Luben R, Khaw KT, Bingham S, Wareham NJ, Forouhi NG. Dietary energy density predicts the risk of incident type 2 diabetes: the European Prospective Investigation of Cancer (EPIC)-Norfolk Study. Diabetes Care 2008;31(11):2120-2125.
  • 10. Pérez-Escamilla R, Obbagy JE, Altman JM, Essery EV, McGrane MM, Wong YP, et al. Dietary energy density and body weight in adults and children: A systematic review. J Acad Nutr Diet 2012;112(5):671-684.
  • 11. Howarth NC, Murphy SP, Wilkens LR, Hankin JH, Kolonel LN. Dietary energy density is associated with overweight status among 5 ethnic groups in the multiethnic cohort study. J Nutr 2006;136(8):2243- 2248.
  • 12. Ello-Martin JA, Roe LS, Ledikwe JH, Beach AM, Rolls BJ. Dietary energy density in the treatment of obesity: a year-long trial comparing 2 weight-loss diets. Am J Clin Nutr 2007;85:1465-1477.
  • 13. Rolls BJ, Roe LS, Beach AM, Kris-Etherton PM. Provision of foods differing in energy density affects long-term weight loss. Obes Res 2005;13:1052-1060.
  • 14. Stelmach-Mardas M, Rodacki T, Dobrowolska-Iwanek J, Brzozowska A, Walkowiak J, Wojtanowska-Krosniak A, et al. Link between food energy density and body weight changes in obese adults. Nutrients 2016;229 (8):1-13.
  • 15. Pekcan G. Beslenme Durumunun Saptanması (Eds: Baysal A, Aksoy M, Besler T, Bozkurt N, Keçecioğlu S, Kutluay Merdol T ve arkadaşları). Diyet El Kitabı. 11. Baskı. Hatiboğlu Basın ve Yayım San. Tic. Ltd. Şti, Ankara, 2008, s. 99-119.
  • 16. Ashwell M. Charts based on body mass index and waistto-height ratio to assess the health risks of obesity: A review. TOOBESJ 2011;3:78-84
  • 17. Report of a WHO consultation. Obesity: Preventing and Managing the Global Epidemic. WHO Technical Report Series. no.894. 2000. Erişim: (http://www.who. int/nutrition /publications/obesity/WHO_TRS_894/en/) Erişim tarihi: 28/09/2016.
  • 18. Merdol T. Standart Yemek Tarifeleri. 4.baskı. Hatiboğlu Basın ve Yayım San. Tic. Ltd. Şti, Ankara, 2011.
  • 19. Bebis Nutrition Data Base Software Data Base (2004). The German Food Code and Nutrient Data Base (BLS II.3, 1999) with additions from USDA-srandother sources, İstanbul, Turkey
  • 20. Ledikwe JH, Blanck HM, Khan LK, Serdula MK, Seymour JD, Tohill BC, et al. Dietary energy density determined by eight calculation methods in a nationally representative United States population. J Nutr 2005;135(2):273-278.
  • 21. Drewnowski A. Obesity and the food environment: Dietary energy density and diet costs. Am J PrevMed 2004;27:154-162.
  • 22. Dietary Guidelines Advisory Committee (DGAC). Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans. Washington, 2010.
  • 23. Food and Agriculture Organization & World Health Organization [FAO/ WHO]. Diet, Nutrition and the Prevention of Chronic Diseases. Tech. Rep. Series, 916, 2003.
  • 24. National Heart, Lung, and Blood Institute, 1998
  • 25. US Departament of Health and Human Services & US Departament of Agriculture, 2010.
  • 26. Ledikwe JH, Blanck HM, Khan LK, Serdula MK, Seymour JD, Tohill BC, et al. Low-energy-density diets are associated with high diet quality in adults in the United States. J Am DietAssoc 2006;106(8):1172- 1180.
  • 27. Johnson L, Wilks DC, Lindroos AK, Jebb SA. Reflections from a systematic review of dietary energy density and weight gain: is the inclusion of drinks valid? Obes Rev 2009;10(6):681-692.
  • 28. Iqbal SI, Helge JW, Heitmann BL. Do energy density and dietary fiber influence subsequent 5-year weight changes in adult men and women? Obesity 2006;14(1):106-114.
  • 29. Vernarelli JA, Mitchell DC, Rolls BJ, Hartman TJ. Dietary energy density is associated with obesity and other biomarkers of chronic disease in US adults. Eur J Nutr 2015;54(1):59-60.
  • 30. Stookey JD. Energy density, energy intake and weight status in a large free-livings ample of Chinese adults: exploring the underlying roles of fat, protein, carbohydrate, fiber and water intakes. Eur J ClinNutr 2001;55(5):349-359.
  • 31. Raynor HA, Van Walleghen EL, Bachman JL, Looney SM, Phelan S, Wing RR. Dietary energy density and successful weight loss maintenance. Eat Behav 2011;12(2):119-125.