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METABOLİK SENDROMLU HASTALARDA AKDENİZ DİYETİNE

Bu tanımlayıcı ve kesitsel çalışma, Metabolik Sendromlu (MetS) hastaların Akdeniz Diyetine (MedDiet) uyumunu değerlendirmiştir. Ulusal Kolesterol Eğitim Programı Yetişkin Paneli III (NCEP ATP III) kriterlerini karşılayan hastalar kabul edilmiştir. Sosyodemografik özellikler, fiziksel aktivite düzeyleri, kan testleri ve antropometrik değişkenler kaydedilmiştir. Besin tüketimini ve uyumu değerlendirmek için sırasıyla 24 saatlik geriye dönük kayıt formu ve Akdeniz Diyeti Uyum Ölçeği (MEDAS) kullanılmıştır. Hastaların (n=203) %9.9'u MedDiet’e sıkı bir şekilde uyumlu, %39.9'u orta derecede uyumlu, %50.2'si ise uyumlu değildi. MEDAS skorları vücut ağırlığı (r=-0.147; P =0.036), bel çevresi (r=-0.141; P =0.044), HDL kolesterol (r=0.193; P =0.006) ile ilişkiliydi. Günlük omega-3 yağ asitleri alımı, MedDiet'e uyum arttıkça arttı (P <0.001). Diyet lifi, oleik asit ve toplam tekli doymamış yağ asitlerinin günlük alımlarında uyumlu olmayan ve uyumlu hastalar arasında önemli farklılıklar gözlendi. Bu çalışma, MetS'li hastalarda MedDiet'e uyumun düşük olduğunu göstermiştir.

Anahtar Kelimeler:

Akdeniz Diyeti, uyum, Metabolik Sendrom, fiziksel aktivite

ADHERENCE TO THE MEDITERRANEAN DIET IN PATIENTS WITH METABOLIC SYNDROME

This descriptive and cross-sectional study evaluated the adherence of patients with Metabolic Syndrome (MetS) to the Mediterranean Diet (MedDiet). Patients who met the National Cholesterol Education Program Adult Panel III (NCEP ATP III) criteria enrolled. Socio-demographic characteristics, physical activity levels, blood tests and anthropometric variables were recorded and evaluated. A 24-hour retrospective record form and Mediterranean Diet Adherence Scale (MEDAS) were used to assess nutritional consumption and adherence, respectively. Of the patients (n=203) 50.2%, 39.9% and 9.9% were non-, moderately and strictly adherent to MedDiet, respectively. MEDAS scores were correlated with body weight (r=-0.147; P =0.036), waist circumference (r=-0.141; P =0.044), HDL cholesterol (r=0.193; P =0.006). Daily omega-3 fatty acids intake increased with higher adherence to MedDiet (P <0.001). Significant differences were observed between non-adherent and adherent subjects in daily intakes of dietary fiber, oleic acid and total monounsaturated fatty acids.This study showed low adherence to MedDiet in patients with MetS.

Keywords:

Mediterranean diet, adherence, Metabolic Syndrome, physical activity,

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