Menstrual Döngünün Dinlenme Enerji Harcaması ve Besin Tercihi Üzerindeki Etkisi

Abstract

Amaç: Bu çalışmada katılımcıların foliküler ve luteal fazdaki dinlenme enerji harcaması, besin alımı, besin tercihleri, yeme farkındalığı ve vücut kompozisyonlarının değerlendirilmesi amaçlanmıştır. Yöntem: Çalışmaya, en az 6 aydır düzenli menstrual döngüye sahip ve beden kütle indeksi (BKİ)’ne göre normal 18-45 yaş aralığındaki 58 katılımcı dahil edilmiştir. Katılımcılar hem foliküler hem de luteal fazlarda dinlenme enerjisi harcaması ölçümü, vücut ağırlığı ve vücut kompozisyonu analizi için davet edilmiştir. Ayrıca, besoin tüketimi ve besin tercihleri değerlendirilmiş ve her iki fazda da Yeme Farkındalığı Ölçeği uygulanmıştır. Bulgular: Oksijen tüketimi (VO2) ve dinlenme enerji harcaması (DEE) ölçümleri luteal fazda foliküler faza göre anlamlı olarak yüksektir (p<0,05). Foliküler ve luteal fazlarda vücut ağırlığı ölçümleri, vücut kompozisyon analizi ve besin alımları arasında anlamlı bir fark bulunmamıştır (p>0.05). Yüksek proteinli, düşük yağlı besinler, yağlı besinler ve şekerli besin tercihleri luteal fazda artma eğiliminde olsa da fazlar arasında istatistiksel olarak anlamlı bir fark bulunmamıştır (p>0.05). Son olarak, Yeme Farkındalığı disinhibisyon alt ölçeğinin ortalama puanı luteal fazda anlamlı olarak daha yüksek bulunmuştur (p=0.004). Sonuç: Menstrual döngünün farklı evrelerindeki hormonal dalgalanmalar, besin alımını ve dinlenme metabolizma hızını etkileyebilecek önemli bir faktördür. Ancak yeme farkındalığı, yeme bozukluklarının önlenmesinde ve ağırlık yönetiminde önemlidir.

Keywords

• Menstrual döngü
• Foliküler
• Luteal
• Dinlenme enerji harcaması
• Besin

Effect of Menstrual Cycle on Resting Energy Expenditure and Food Preferences

Abstract

Objective: It was aimed to evaluate the participants' resting energy expenditure, nutrient intake, food preferences, mindful eating and body composition in the follicular and luteal phase. Method: The study included 58 participants between the ages of 18-45 years, who had a stable menstrual cycle for a minimum of six months and normal body mass index (BMI). Participants were invited for resting energy expenditure, body weight and body composition analysis in both the follicular and luteal phases. Nutrient intake and food preferences were evaluated, and Mindful Eating Scale was applied in both phases. Results: Oxygen consumption (VO2) and resting energy expenditure (REE) were significantly higher in the luteal phase (p < .05). There was no significant difference between measurements of body weight and body composition analysis and nutrient intakes in both phases (p > .05). Although the preference for high-protein/low-fat foods, fatty foods and sugary foods tended to increase in the luteal phase, there was no significant difference between the phases (p > .05). Finally, it was shown that the mean score of Disinhibition subscale of Mindful Eating Scale was noticeably higher during the luteal period (p = .004). Conclusion: Changes in hormone levels during the menstrual cycle phases are an important factor to consider that may affect REE and impulsive eating. However, mindful eating strategies, dietary interventions and education programs are important in preventing the development of obesity and eating behavior disorders in predisposed individuals.

Keywords

• Follicular
• food intake
• luteal
• menstrual cycle
• resting energy expenditure

References

1. Arabacı, R., & Çankaya, C. (2007). Beden eğitimi öğretmenlerinin fiziksel aktivite düzeylerinin araştırılması. Uludağ Üniversitesi Eğitim Fakültesi Dergisi, 20(1), 1-15.
2. Arnoni-Bauer, Y., Bick, A., Raz, N., Imbar, T., Amos, S., Agmon, O.,…Weiss, R. (2017). Is it me or my hormones? Neuroendocrine activation profiles to visual food stimuli across the menstrual cycle. The Journal of Clinical Endocrinology & Metabolism, 102(9), 3406-3414. https://doi.org/10.1210/jc.2016-3921
3. Asarian, L., & Geary, N. (1999). Cyclic estradiol treatment phasically potentiates endogenous cholecystokinin’s satiating action in ovariectomized rats1, 2. Peptides, 20(4), 445-450. https://doi.org/10.1016/s0196-9781(99)00024-8
4. Benton, M. J., Hutchins, A. M., & Dawes, J. J. (2020). Effect of menstrual cycle on resting metabolism: A systematic review and meta-analysis. PLoS One, 15(7), e0236025. https://doi.org/10.1371/journal.pone.0236025
5. Buffenstein, R., Poppitt, S. D., McDevitt, R. M., & Prentice, A. M. (1995). Food intake and the menstrual cycle: a retrospective analysis, with implications for appetite research. Physiology & Behavior, 58(6), 1067-1077. https://doi.org/10.1016/00319384(95)02003-9
6. Chaudhari, S., & Huerta-Franco, M.-R. (2017). Relationship of food craving behavior with body mass index and body composition in reproductive age females. Food and Nutrition Sciences, 8(07), 699. http://dx.doi.org/10.4236/fns.2017.87049
7. Chung, S.-C., Bond, E. F., & Jarrett, M. E. (2010). Food intake changes across the menstrual cycle in Taiwanese women. Biological research for nursing, 12(1), 37-46. https://doi.org/10.1177/1099800410364554
8. Coquoz, A., Regli, D., & Stute, P. (2022). Impact of progesterone on the gastrointestinal tract: a comprehensive literature review. Climacteric, 25(4), 337-361. https://doi.org/10.1080/13697137.2022.2033203

9. Cumberledge, E. A., Myers, C., Venditti, J. J., Dixon, C. B., & Andreacci, J. L. (2018). The effect of the menstrual cycle on body composition determined by contact-electrode bioelectrical impedance analyzers. International Journal of Exercise Science, 11(4), 625. https://doi.org/10.70252/gvos2163
10. Davidsen, L., Vistisen, B., & Astrup, A. (2007). Impact of the menstrual cycle on determinants of energy balance: a putative role in weight loss attempts. International Journal of Obesity, 31(12), 1777-1785. https://doi.org/10.1038/sj.ijo.0803699
11. Elliott, S. A., Ng, J., Leow, M. K.-S., & Henry, C. J. K. (2015). The influence of the menstrual cycle on energy balance and taste preference in Asian Chinese women. European Journal of Nutrition, 54(8), 1323-1332. https://doi.org/10.1007/s00394014-0812-y
12. Framson, C., Kristal, A. R., Schenk, J. M., Littman, A. J., Zeliadt, S., & Benitez, D. (2009). Development and validation of the mindful eating questionnaire. Journal of the American Dietetic Association, 109(8), 1439-1444. https://doi.org/10.1016/j.jada.2009.05.006
13. Frank, A., Brown, L. M., & Clegg, D. J. (2014). The role of hypothalamic estrogen receptors in metabolic regulation. Frontiers in Neuroendocrinology, 35(4), 550-557. https://doi.org/10.1016/j.yfrne.2014.05.002
14. Garcia-Garcia, I., Neseliler, S., Morys, F., Dadar, M., Yau, Y. H., Scala, S. G.,…Vainik, U. (2022). Relationship between impulsivity, uncontrolled eating and body mass index: a hierarchical model. International Journal of Obesity, 46(1), 129-136. https://doi.org/10.1038/s41366-021-00966-4
15. Gearhardt, A. N., & Hebebrand, J. (2021). The concept of “food addiction” helps inform the understanding of overeating and obesity: YES. The American Journal of Clinical Nutrition, 113(2), 263-267. https://doi.org/10.1093/ajcn/nqaa343
16. Gorczyca, A. M., Sjaarda, L. A., Mitchell, E. M., Perkins, N. J., Schliep, K. C., Wactawski-Wende, J., & Mumford, S. L. (2016). Changes in macronutrient, micronutrient, and food group intakes throughout the menstrual cycle in healthy, premenopausal women. European Journal of Nutrition, 55(3), 1181-1188. https://doi.org/10.1007/s00394-015-0931-0
17. Harris, N. M., Lindeman, R. W., Bah, C. S. F., Gerhard, D., & Hoermann, S. (2023). Eliciting real cravings with virtual food: Using immersive technologies to explore the effects of food stimuli in virtual reality. Frontiers in Psychology, 14, 956585. https://doi.org/10.3389/fpsyg.2023.956585
18. Harvey, J., Wing, R. R., & Mullen, M. (1993). Effects on food cravings of a very low calorie diet or a balanced, low calorie diet. Appetite, 21(2), 105-115. https://doi.org/10.1016/01956663(93)90003-3
19. Hayzaran, M. (2018). Determination of the university student’s hedonic hunger status with different scales. (Number of Thesis: 493237) [Başkent University, Post Graduate Thesis]. YÖK Thesis Centre.
20. Hızlı Güldemir, H., Kıyak, Ş., Ertosun, A. F., Eryılmaz, İ., & Gasanova, P. (2020). Investigation of changes in nutritional status and anthropometric measurements depending on the menstrual cycle in women: a cross-sectional study. Online Turkish Journal of Health Sciences (OTJHS), 5(3). https://doi.org/10.26453/otjhs.599949
21. Ihalainen, J. K., Löfberg, I., Kotkajuuri, A., Kyröläinen, H., Hackney, A. C., & Taipale-Mikkonen, R. S. (2021). Influence of Menstrual Cycle or Hormonal Contraceptive Phase on Energy Intake and Metabolic Hormones—A Pilot Study. Endocrines, 2(2), 79-90. https://www.mdpi.com/2673-396X/2/2/8
22. Jahangir, A. (2018). Do nutritional deficiencies lead to menstrual irregularities. Int. J. Nutr. Sci. Food Technol, 4(5), 27-31.
23. Jastreboff, A. M., Sinha, R., Lacadie, C., Small, D. M., Sherwin, R. S., & Potenza, M. N. (2013). Neural correlates of stress-and food cue–induced food craving in obesity: association with insulin levels. Diabetes Care, 36(2), 394-402. https://doi.org/10.2337/dc12-1112
24. Jetté, M., Sidney, K., & Blümchen, G. (1990). Metabolic equivalents (METS) in exercise testing, exercise prescription, and evaluation of functional capacity. Clin Cardiol, 13(8), 555-565. https://doi.org/10.1002/clc.4960130809
25. Kammoun, I., Saâda, W. B., Sifaou, A., Haouat, E., Kandara, H., Salem, L. B., & Slama, C. B. (2017). Change in women's eating habits during the menstrual cycle. Annales d'endocrinologie, 78(1), 33-37. https://doi.org/10.1016/j.ando.2016.07.001
26. Klump, K. L., Keel, P. K., Racine, S. E., Burt, S. A., Neale, M., Sisk, C. L.,…Hu, J. Y. (2013). The interactive effects of estrogen and progesterone on changes in emotional eating across the menstrual cycle. Journal of Abnormal Psychology, 122(1), 131. https://doi.org/10.1037/a0029524
27. Köse, G., Tayfur, M., Bı̇rı̇ncı̇oğlu, İ., & Dönmez, A. (2016). Adaptation study of the mindful eating questiıonnare (MEQ) into Turkish. Journal of Cognitive-Behavioral Psychotherapy and Research, 5(3), 125-134. https://dx.doi.org/10.5455/JCBPR.250644
28. Kyle, U. G., Bosaeus, I., De Lorenzo, A. D., Deurenberg, P., Elia, M., Gómez, J. M.,…Pirlich, M. (2004a). Bioelectrical impedance analysis—part I: review of principles and methods. Clinical Nutrition, 23(5), 1226-1243. https://doi.org/10.1016/j.clnu.2004.06.004
29. Kyle, U. G., Bosaeus, I., De Lorenzo, A. D., Deurenberg, P., Elia, M., Gómez, J. M.,…Pirlich, M. (2004b). Bioelectrical impedance analysis—part II: utilization in clinical practice. Clinical Nutrition, 23(6), 1430-1453. https://doi.org/10.1016/j.clnu.2004.09.012
30. Lazarevich, I., Camacho, M. E. I., del Consuelo Velázquez-Alva, M., & Zepeda, M. Z. (2016). Relationship among obesity, depression, and emotional eating in young adults. Appetite, 107, 639-644. https://doi.org/10.1016/j.appet.2016.09.011
31. Ledoux, T., Nguyen, A. S., Bakos-Block, C., & Bordnick, P. (2013). Using virtual reality to study food cravings. Appetite, 71, 396-402. https://doi.org/10.1016/j.appet.2013.09.006
32. Ma, R., Mikhail, M. E., Culbert, K. M., Johnson, A. W., Sisk, C. L., & Klump, K. L. (2020). Ovarian hormones and reward processes in palatable food intake and binge eating. Physiology, 35(1), 69-78. https://doi.org/10.1152/physiol.00013.2019
33. Matsuura, Y., Inoue, A., Kidani, M., & Yasui, T. (2020). Change in appetite and food craving during menstrual cycle in young students. International Journal of Nutrition and Metabolism, 12(2), 25-30. http://dx.doi.org/10.5897/IJNAM2019.0264
34. McNeil, J., & Doucet, É. (2012). Possible factors for altered energy balance across the menstrual cycle: a closer look at the severity of PMS, reward driven behaviors and leptin variations. European Journal of Obstetrics & Gynecology and Reproductive Biology, 163(1), 5-10. https://doi.org/10.1016/j.ejogrb.2012.03.008
35. McVay, M. A., Copeland, A. L., Newman, H. S., & Geiselman, P. J. (2012). Food cravings and food cue responding across the menstrual cycle in a non-eating disordered sample. Appetite, 59(2), 591-600. https://doi.org/10.1016/j.appet.2012.07.011
36. Murakami, K., Sasaki, S., Takahashi, Y., Uenishi, K., Watanabe, T., Kohri, T.,…Shibata, K. (2008). Dietary glycemic index is associated with decreased premenstrual symptoms in young Japanese women. Nutrition, 24(6), 554-561. https://doi.org/10.1016/j.nut.2008.02.003
37. Nieman, D. C., Austin, M. D., Benezra, L., Pearce, S., McInnis, T., Unick, J., & Gross, S. J. (2006). Validation of Cosmed’s FitMate™ in measuring oxygen consumption and estimating resting metabolic rate. Research in Sports Medicine, 14(2), 89-96. https://doi.org/10.1080/15438620600651512
38. National Institutes of Health (NIH). (2001). Nutrient Recommendations: Dietary Reference Intakes (DRI). The National Academies Press. Retrieved 21 March from. https://ods.od.nih.gov/HealthInformation/nutrientrecommendations.aspx#dri
39. Nowak, J., Podsiadło, A., Hudzik, B., Jagielski, P., Grochowska-Niedworok, E., Gąsior, M., & Zubelewicz-Szkodzińska, B. (2020). Food intake changes across the menstrual cycle: A preliminary study. Pielęgniarstwo i Zdrowie Publiczne, 10(1), 1-7. http://dx.doi.org/10.17219/pzp/114280
40. Öktem, Ö., & Urman, B. (2012). Reproductive life cycle: folliculogenesis and menstruation. Turk J Obstet Gynecol, 9(1), 1-24. https://doi.org/10.5505/tjod. 2012.37039
41. Patricio, B.-P., & Sergio, B.-G. (2019). Normal menstrual cycle. Menstrual Cycle, 15. http://dx.doi.org/10.5772/intechopen.79876
42. Pekcan, G. (2008). Beslenme durumunun saptanması. In Diyet El Kitabı (pp. 67-141). Hatipoglu Yayinevi.
43. Racine, S. E., Keel, P. K., Burt, S. A., Sisk, C. L., Neale, M., Boker, S., & Klump, K. L. (2013). Individual differences in the relationship between ovarian hormones and emotional eating across the menstrual cycle: a role for personality? Eating Behaviors, 14(2), 161-166. https://doi.org/10.1016/j.eatbeh.2013.02.007
44. Reed, B. G., & Carr, B. R. (2015). The normal menstrual cycle and the control of ovulation.
45. Santollo, J., & Eckel, L. A. (2008). Estradiol decreases the orexigenic effect of neuropeptide Y, but not agouti-related protein, in ovariectomized rats. Behavioural Brain Research, 191(2), 173-177. https://doi.org/10.1016/j.bbr.2008.03.019
46. Silvestris, E., De Pergola, G., Rosania, R., & Loverro, G. (2018). Obesity as disruptor of the female fertility. Reproductive Biology and Endocrinology, 16, 1-13. https://doi.org/10.1186/s12958-018-0336-z
47. Souza, L. B. d., Martins, K. A., Cordeiro, M. M., Rodrigues, Y. d. S., Rafacho, B. P. M., & Bomfim, R. A. (2018). Do food intake and food cravings change during the menstrual cycle of young women? Revista Brasileira de Ginecologia e Obstetrícia, 40, 686-692. https://doi.org/10.1055/s-0038-1675831
48. Thompson, B. M., Hillebrandt, H. L., Sculley, D. V., Barba-Moreno, L., & Janse de Jonge, X. A. (2021). The acute effect of the menstrual cycle and oral contraceptive cycle on measures of body composition. European Journal of Applied Physiology, 121(11), 3051-3059. https://doi.org/10.1007/s00421-02104771-9
49. Tutar, M., Sekmenli, N., Erol, G., Karaarslan, E., Yildiz, M., & Kozanhan, B. (2023). Does the menstrual phase affect gastric emptying? Prospective, observational study. European Review for Medical & Pharmacological Sciences, 27(5). https://doi.org/10.26355/eurrev_202303_31564
50. Türkoğlu, İ., & Pekcan, G. (2013). Evaluation of intra-individual variations in the resting metabolic rate, body composition and food intake during the menstrual cycle. Beslenme ve Diyet Dergisi, 41(3), 212-220.
51. Vandarakis, D., Salacinski, A. J., & Broeder, C. E. (2012). The Reliability and Validity of the COSMED Fitmate Canopy System for Assessing Resting Metabolic Rate. ACSM Annual Meeting. Northern Illinois University, DeKalb, IL, USA.
52. Xu, Y., & López, M. (2018). Central regulation of energy metabolism by estrogens. Molecular Metabolism, 15, 104-115. https://doi.org/10.1016/j.molmet.2018.05.012
53. Yen, J.-Y., Liu, T.-L., Chen, I.-J., Chen, S.-Y., & Ko, C.-H. (2018). Premenstrual appetite and emotional responses to foods among women with premenstrual dysphoric disorder. Appetite, 125, 18-23. https://doi.org/10.1016/j.appet.2018.01.029