YETİŞKİN KADINLARDA ARALIKLI AÇLIK DİYETİNİN ANTROPOMETRİK PARAMETRELERE ETKİSİ

Amaç: Bu araştırmada aralıklı açlık diyetinin yetişkin kadınlarda zaman kısıtlaması olmayan diyete kıyasla antropometrik parametrelere etkisinin araştırılması amaçlandı. Yöntem: Araştırma Şubat-Mart 2022 tarihlerinde Denizli’de özel bir beslenme danışmanlığı merkezine başvuran ortalama yaşı 39.4±11.2 yıl olan, hafif şişman ve obez gönüllü 54 yetişkin kadın birey ile yürütüldü. Bireyler, aralıklı açlık diyeti uygulayan müdahale grubu (n=27) ve zaman kısıtlaması olmadan diyet uygulayan kontrol grubu (n=27) olmak üzere randomize olarak 2 gruba ayrıldı ve tüm gruplara 6 hafta boyunca oluşan sağlıklı zayıflama diyeti uygulandı. Araştırmanın başlangıcında sosyodemografik özellikleri, hastalık bilgisi ve beslenme alışkanlıkları sorgulanarak anket formuna kaydedildi. Katılımcıların sirkadiyen ritim özelliklerini belirlemek için Sabahçıl-Akşamcıl Ölçeği ve fiziksel aktivite alışkanlıklarını belirlemek için Uluslararası Fiziksel Aktivite Anketi (IPAQ) uygulandı. İlave olarak, araştırmanın başında ve 6. haftasında bireylerin antropometrik ölçümleri ve 24 saatlik geriye dönük besin tüketim kayıtları değerlendirildi. Bulgular: Katılımcıların sirkadiyen ritimleri; %46.2’si ara tip, %29.6’sı sabahçıl ve %27.8’i akşamcıl tipe yakın bulundu (p>0.05). Toplam vücut ağırlığı kaybı kontrol grubunda ortalama 4.97±1.97 kg iken, müdahale grubunda 5.13±1.98 kg bulundu (p>0.05). Müdahale öncesi ve sonrasında antropometrik ölçümler ile vücut kompozisyonlarındaki değişim gruplar arasında istatistiksel olarak önemli bulunmadı (p>0.05). Müdahale ve kontrol grubunda başlangıca göre 6 hafta sonunda günlük ortalama karbonhidrat (p=0.001; p=0.019), protein (p=0.003; p=0.001) alımları önemli olarak daha yüksek olduğu belirlendi. Diyet müdahalesi sonrası, gruplar arasındaki enerji ve besin ögeleri alım düzeyleri değişimleri açısından istatistiksel önemli farklılık bulunmadı (p>0.05). Sonuç: Bu çalışmada, kısa süreli uygulanan enerji kısıtlı aralıklı açlık diyeti ile zaman kısıtlaması olmayan geleneksel diyet modellerinin antropometrik ölçümlere olan etkisinin benzer olduğu görüldü.

Anahtar Kelimeler:

Ağırlık Yönetimi, Aralıklı Açlık, Sürekli Enerji Kısıtlama, Obezite, Zayıflama

THE EFFECT OF INTERMITTENT FASTING DIET ON ANTHROPOMETRIC PARAMETERS IN ADULT FEMALES

Objective: In this study, it was aimed to investigate the effects of intermittent fasting diet on anthropometric parameters in adult women compared to a diet without time restriction. Method: The study was carried out with 54 adult female volunteers with a mean age of 39.4±11.2 years, overweight and obese, who applied to a private nutrition counseling center in Denizli between February and March 2022. Individuals were randomly divided into 2 groups as intervention group (n=27) applying intermittent fasting diet and control group (n=27) applying diet without time restriction, and all groups were applied a healthy weight loss diet for 6 weeks. At the beginning of the study, sociodemographic characteristics, disease information, and nutritional habits were questioned and recorded in the questionnaire. Morning-Evening Scale was used to determine the circadian rhythm characteristics of the participants and the International Physical Activity Questionnaire (IPAQ) was applied to determine their physical activity habits. In addition, anthropometric measurements and 24-hour retrospective food consumption records of individuals were evaluated at the beginning and 6th week of the study. Results: Participants' circadian rhythms; 46.2% were found to be intermediate type, 29.6% to morning and 27.8% to evening type (p>0.05). While the mean total body weight loss was 4.97±1.97 kg in the control group, it was 5.13±1.98 kg in the intervention group (p>0.05). Anthropometric measurements and changes in body compositions before and after the intervention were not statistically significant between the groups (p>0.05). In the intervention and control groups, the mean daily carbohydrate (p=0.001; p=0.019), and protein (p= 0.003; p= 0.001) intakes were found to be significantly higher at the end of 6 weeks compared to the baseline. There was no statistically significant difference between the groups in terms of changes in energy and nutrient intake levels after dietary intervention (p>0.05). Conclusion: In this study, it was observed that the effects of short-term energy-restricted intermittent fasting diet and non-time-restricted traditional diet models on anthropometric measurements were similar.

Keywords:

Weight Management, Intermittent Fasting, Continuous Energy Restriction, Obesity, Weight Loss,

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Arhire LI, Mihalache L, Covasa M. Irisin: a hope in understanding and managing obesity and metabolic syndrome. Front Endocrinol. 2019; 10:524.
Lobstein T, Jackson-Leach R, Powis, J, Brinsden H, Gray M. World Obesity Atlas 2023; World Obesity Federation: London, UK, 2022. [cited 6 Ağustos 2023]; Available From: [ https://data.worldobesity.org/publications/WOF-Obesity-Atlas-V5.pdf]
Wharton S, Lau DC, Vallis M, et al. Obesity in adults: a clinical practice guideline. CMAJ. 2020;192(31):875-891.
Cantão dos Santos H, Onofre Ferriani L, Geraldo Mill J. Obesity indicators and insulin resistance: a systematic review. Saúde e Pesquisa. 2021;14(1):e9602.
Harris L, Hamilton S, Azevedo LB, et al. Intermittent fasting interventions for treatment of overweight and obesity in adults: a systematic review and meta-analysis. JBI Evid Synth. 2018;16(2):507-547.
Chao AM, Quigley KM, Wadden TA. Dietary interventions for obesity: clinical and mechanistic findings. J Clin Invest. 2021;131(1):e140065.
Antoni, R, Johnston KL, Collins AL, Robertson MD. Investigation into the acute effects of total and partial energy restriction on postprandial metabolism among overweight/obese participants. Br J Nutr. 2016;115(6):951-959.
Longo VD, Panda S. Fasting, circadian rhythms, and time-restricted feeding in healthy lifespan. Cell Metab. 2016;23(6):1048-1059.
Zang B, He L, Xue L. Intermittent fasting: potential bridge of obesity and diabetes to health?. Nutrients. 2022;14(5):981.
Dorothea K, Petra C, Markus G, Tibor K. Adherence to time-restricted feeding and impact on abdominal obesity in primary care patients: Results of a pilot study in a pre–post design. Nutrients. 2019;11(12):2854.
Gabel K, Marcell J, Cares K, et al. Effect of time restricted feeding on the gut microbiome in adults with obesity: A pilot study. Nutr Health. 2020;26(2):79-85.
Varady KA, Cienfuegos S, Ezpeleta M, Gabel, K. Clinical application of intermittent fasting for weight loss: progress and future directions. Nat Rev Endocrinol. 2022;18(5):309-321.
Türkiye Beslenme Rehberi (TÜBER) 2015. T.C. Sağlık Bakanlığı Yayın No: 1031, Ankara 2016. Erişim: https:// hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme- hareketli-hayat-db/Yayinlar/rehberler/2015-beslenme- rehberi.pdf. Erişim tarihi: 6 Ağustos 2023.
Fidilio E, Comas M, Giribés M, et al. Evaluation of resting energy expenditure in subjects with severe obesity and its evolution after bariatric surgery. Obes Surg. 2021;31:4347-4355.
Baysal MA, Aksoy M, Besler HT et al. Diyet El Kitabı.7. baskı. Hatiboğlu Yayınevi, Ankara, 2013.
Organization WH. Waist circumference and waist-hip ratio: report of a WHO expert consultation, Geneva, 8-11 December 2008.
Norgan NG. Laboratory and field measurements of body composition. Public Health Nutr.2005;8(7):1108-1122.
Craig CL, Marshall AL, Sjöström M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-1395.
Öztürk M. Üniversitede eğitim öğretim gören öğrencilerde uluslararası fiziksel aktivite anketinin (IPAQ) geçerliliği ve güvenirliği ve fiziksel aktivite düzeyinin belirlenmesi. Master’s Thesis, Sağlık Bilimleri Enstitüsü, Hacettepe Üniversitesi. Ankara. 2005.
Horne JA, Östberg OA. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol. 1976;4(2):97-110.
Pündük Z, Deniz Y, ve Akçakoyun F. Beden eğitimi ve spor öğrencilerinde sirkadiyen değişkenliğin incelenmesi: Balıkesir Üniversitesi örneği. ÇOMÜ Spor Bilimleri Dergisi. 2019;2(1):35-43.
De Young CG, Hasher L, Djikic M, Criger B, Peterson JB. Morning people are stable people: Circadian rhythm and the higher-order factors of the Big Five. Pers Individ Dif. 2007;43(2):267-276.
Vasim I, Majeed CN, DeBoer MD. Intermittent Fasting and Metabolic Health. Nutrients. 2022;14(3):631.
Malinowski B, Zalewska K, Węsierska A, et al. Intermittent fasting in cardiovascular disorders an overview. Nutrients. 2019;11(3):673.
Zuo L, He F, Tinsley GM, Pannell BK, Ward E, Arciero PJ. Comparison of High-Protein, Intermittent Fasting Low-Calorie Diet and Heart Healthy Diet for Vascular Health of the Obese. Front. Physiol. 2016;7:350.
Kaner G, Kürklü NS, Adıgüzel KT, Koyu EB. İzmir'de beslenme ve diyet polikliniğine başvuran kadınlarda obezite prevalansı ve ilişkili risk faktörlerinin belirlenmesi. Pamukkale Tıp Derg. 2017;10(3):250-257.
T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. 2019. Türkiye Beslenme ve Sağlık Araştırması 2017 (TBSA). [cited 12 Haziran 2022]; Available From: [https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayat db/Yayinlar/kitaplar/TBSA_RAPOR_KITAP_20.08.pdf]
T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu. Türkiye Kronik Hastalıklar ve Risk Faktörleri Sıklığı Çalışması. Ankara: Sağlık Bakanlığı 2013. [cited 17 Temmuz 2022 ]; Available From: [https://www.who.int/ncds/surveillance/steps/WHO_Turkey_Risk_Factors_A4_TR_19.0 6.2018.pdf]
Paterson DH, Warburton DE. Physical activity and functional limitations in older adults: a systematic review related to Canada's Physical Activity Guidelines. Int J Behav Nutr Phys Act. 2010;7(1):1-22.
Pündük Z, Gür H, Ercan I. A reliability study of the Turkish version of the Morningness-Eveningness Questionnaire. Turk Psikiyatri Derg. 2005;16(1):40-45.
Suh S, Yang HC, Kim N, Yu, et al. Chronotype differences in health behaviors and health-related quality of life: a population-based study among aged and older adults. Behav Sleep Med. 2017;15(5):361-376.
Noruzi Z, Shiraseb F, Mirzababaei A, Mirzaei K. Association of the dietary phytochemical index with circadian rhythm and mental health in overweight and obese women: a cross-sectional study. Clin Nutr ESPEN. 2022;48:393-400.
Mousavi SA, Mirzababaei A, Shiraseb F, Clark CCT, Mirzaei K. The association between modified Nordic diet with sleep quality and circadian rhythm in overweight and obese woman: a cross-sectional study. Eat Weight Disord. 2022;27(5):1835-1845.
Hassapidou M, Vlassopoulos A, Kalliostra M, et al. European Association for the Study of Obesity Position Statement on Medical Nutrition Therapy for the Management of Overweight and Obesity in Adults Developed in Collaboration with the European Federation of the Associations of Dietitians. Obes Facts. 2023;16(1):11-28.
Schroder JD, Falqueto H, Mânica A, et al. Effects of time-restricted feeding in weight loss, metabolic syndrome and cardiovascular risk in obese women. J Transl Med. 2021;19(1):1-1.
Tuzgöl T. Sağlıklı Yetişkin. Bireylerde Aralıklı Oruç Diyetinin Sağlıklı Bir Şekilde Ağırlık Kaybına Etkisinin Değerlendirilmesi. Master’s Thesis, Sağlık Bilimleri Enstitüsü. Marmara Üniversitesi, İstanbul.2018.
Gabel K, Hoddy KK, Haggerty N, et al. Effects of 8-hour time restricted feeding on body weight and metabolic disease risk factors in obese adults: a pilot study. Nutr Healthy Aging. 2018;4(4):345-353.
Gu L, Fu R, Hong J, Ni H, Yu K, Lou H. Effects of intermittent fasting in human compared to a non-intervention diet and caloric restriction: A meta-analysis of randomized controlled trials. Front Nutr. 2022;9:871682.
Moro T, Tinsley G, Bianco A, et al. Effects of eight weeks of time restricted feeding (16/8) on basal metabolism, maximal strength, body composition, inflammation, and cardiovascular risk factors in resistance- trained males. J Transl Med. 2016;14(1):1-10.
Maukonen M, Kanerva N, Partonen T, et al. Chronotype differences in timing of energy and macronutrient intakes: A population‐based study in adults. Obesity (Silver Spring). 2017;25(3):608-615.