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OBEZ BİREYLERDE DİYETLE KALSİYUM ALIMININ VÜCUT AĞIRLIĞI VE VÜCUT YAĞ KAYBI ÜZERİNDEKİ ETKİSİ

Year 2021, Volume: 30 Issue: 2, 182 - 190, 15.09.2021
https://doi.org/10.34108/eujhs.796760

Abstract

Bu çalışma, süt ve süt ürünleri tüketimi ile sağlanan günlük 800 mg ve 1200 mg kalsiyum içeren zayıflama diyetlerinin vücut ağırlığı ve vücut yağ kaybına etkisini karşılaştırmak amacıyla yapılmıştır. Çalışmaya 24-45 yaş arası 60 obez birey dahil edilmiş ve bireyler randomize olarak 30 kişilik 2 gruba ayrılarak 8 hafta süresince diyetisyen tarafından takip edilmiştir. Çalışmanın başında bireylerin genel özelikleri ve beslenme alışkanlıkları anket formu ile sorgulanmış, ayrıca 3 günlük besin tüketim kaydı alınarak enerji ve besin ögesi alımı hesaplanmıştır. Antropometrik ölçümler ise çalışmanın başında ve 8 hafta sonunda alınmıştır. Vücut ağırlık kaybı 800 mg kalsiyum alan grupta 7.4±1.4 kg, 1200 mg kalsiyum alan grupta ise 8.5±1.8 kg olarak (p=0.012); vücut yağ kütlesi kaybı ise 800 mg kalsiyum alan grupta 4.8±1.8 kg, 1200 mg kalsiyum alan grupta 6.4±2.1 kg olarak bulunmuştur (p=0.002). Ayrıca 800 mg kalsiyum alan grupta vücut yağ kütlesinde ortalama %5.3, 1200 mg kalsiyum alan grupta ise ortalama %6.9 azalma saptanmıştır (p=0.031). Sonuç olarak, süt ve süt ürünleri tüketimi ile günlük kalsiyum alımının artırılmasının obez bireylerde vücut ağırlığı ve vücut yağ kütlesinde daha belirgin bir düşüşe neden olduğu söylenebilir. Bu nedenle zayıflama diyetlerinde süt ve ürünleri tüketiminin arttırılmasına daha fazla özen gösterilmesi gerektiği düşünülmektedir.

References

  • Egger G, Dixon J. Beyond obesity and lifestyle: a review of 21st century chronic disease determinants. BioMed Res Int. 2014;2014.
  • Finkler E, Heymsfield SB, St-Onge M-P. Rate of weight loss can be predicted by patient characteristics and intervention strategies. J Acad Nutr Diet. 2012;112(1):75-80.
  • Hills AP, Byrne NM, Lindstrom R, Hill JO. ‘Small Changes' to Diet and Physical Activity Behaviors for Weight Management. Obes Facts. 2013;6(3):228-38.
  • Mozaffarian D. Dairy foods, obesity, and metabolic health: the role of the food matrix compared with single nutrients. Adv Nutr. 2019;10(5):917S-23S.
  • Türkiye’ye Özgü Beslenme Rehberi. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Beslenme ve Diyetetik Bölümü. Ankara 2015. ISBN 978-975-491-408-5.
  • Miller GD, Anderson JJ. The role of calcium in prevention of chronic diseases. J Am Coll Nutr. 1999;18(sup5):371S-2S.
  • Peterlik M, Boonen S, Cross HS, Lamberg-Allardt C. Vitamin D and calcium insufficiency-related chronic diseases: an emerging world-wide public health problem. Int J Environ Res Public Health. 2009;6(10):2585-607.
  • Pereira MA, Jacobs Jr DR, Van Horn L, Slattery ML, Kartashov AI, Ludwig DS. Dairy consumption, obesity, and the insulin resistance syndrome in young adults: the CARDIA Study. Jama. 2002;287(16):2081-9.
  • Wu K, Willett WC, Fuchs CS, Colditz GA, Giovannucci EL. Calcium intake and risk of colon cancer in women and men. J Natl Cancer Inst. 2002;94(6):437-46.
  • Dicker D, Belnic Y, Goldsmith R, Nitzan Kaluski D. Relationship between dietary calcium intake, body mass index and waist circumference in MABAT--The Israeli National Health and Nutrition Study. Isr Med Assoc J. 2008;10(7):512.
  • Heaney RP. Normalizing calcium intake: projected population effects for body weight. J Nutr. 2003;133(1):268S-70S.
  • Rautiainen S, Wang L, Lee I-M, Manson JE, Buring JE, Sesso HD. Dairy consumption in association with weight change and risk of becoming overweight or obese in middle-aged and older women: a prospective cohort study. Am J Clin Nutr. 2016;103(4):979-88.
  • Ismail M, Qahiz N. Can Dietary Calcium Consumption be Beneficial in Body Weight Loss Regimen? J Med Med Sci. 2016;4:282-9.
  • Zemel MB. Mechanisms of dairy modulation of adiposity. J Nutr. 2003;133(1):252S-6S.
  • Zemel MB. Role of calcium and dairy products in energy partitioning and weight management. Am J Clin Nutr. 2004;79(5):907S-12S.
  • Li P, Fan C, Lu Y, Qi K. Effects of calcium supplementation on body weight: a meta-analysis. Am J Clin Nutr. 2016;104(5):1263-73.
  • Chen Y, Chen Y, Chang J, Lin J, Chien Y. Daily calcium inter-ventionfor a weight-loss program re-sulted in more significant decreases in body weight, BMI, body fat mass, and body fat percentage. Obes Res Open J. 2015;2(2):73-80.
  • Zemel M, Richards J, Mathis S, Milstead A, Gebhardt L, Silva E. Dairy augmentation of total and central fat loss in obese subjects. Int J Obes. 2005;29(4):391-7.
  • Zemel MB, Thompson W, Milstead A, Morris K, Campbell P. Calcium and dairy acceleration of weight and fat loss during energy restriction in obese adults. Obes Res. 2004;12(4):582-90.
  • Pekcan G. Beslenme Durumunun Saptanması, Diyet El Kitabı, (Yazarlar. Baysal A, Aksoy M, Besler T, Bozkurt N, Keçecioğlu S, Mercanlıgil SM, et al.) Hatiboğlu Yayınevi, Ankara, (9. Baskı), 2014. p.108-119. 2014.
  • World Health Organization (WHO). Obesity and Overweight. Geneva: WHO Press 2015; p.1-5. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight son erişim tarihi: 12.04.2019.
  • Türkiye Beslenme ve Sağlık Araştırması-2010 Beslenme Durumu ve Alışkanlıklarının eğerlendirilmesi Sonuç Raporu, Sağlık Araştırmaları Genel Müdürlüğü, Sağlık Bakanlığı, Şubat 2014, 480-485. https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayat-db/Yayinlar/kitaplar/diger-kitaplar/TBSA-Beslenme-Yayini.pdf son erişim tarihi: 18.04.2020. 2010.
  • Chourdakis M. Obesity: Assessment and prevention: Module 23.2 from Topic 23 “Nutrition in obesity”. Clinical Nutrition ESPEN. 2020.
  • Bank SS, Ghanjali N, Ghalaeh RS, Azadbakht L. Association between dairy and calcium intake and general and central obesity among female students. J Educ Health Promot. 2013;2.
  • Neves FJ, Tomita LY, Liu ASLW, Andreoni S, Ramos LR. Educational interventions on nutrition among older adults: A systematic review and meta-analysis of randomized clinical trials. Maturitas. 2020.
  • Jacqmain M, Doucet E, Després J-P, Bouchard C, Tremblay A. Calcium intake, body composition, and lipoprotein-lipid concentrations in adults. Am J Clin Nutr. 2003;77(6):1448-52.
  • Tidwell DK, Valliant MW. Higher amounts of body fat are associated with inadequate intakes of calcium and vitamin D in African American women. Nutr Res. 2011;31(7):527-36.
  • Muscariello R, Rendina D, Giannettino R, Ippolito S, Romano O, Coretti F, et al. Calcium daily intake and the efficacy of a training intervention on optimizing calcium supplementation therapy: a clinical audit. Nutr Metab Cardiovas Dis. 2020; https://doi.org/10.1016/j.numecd.2020.08.005.
  • Torres M, Francischetti E, Genelhu V, Sanjuliani A. Effect of a high‐calcium energy‐reduced diet on abdominal obesity and cardiometabolic risk factors in obese Brazilian subjects. Int J Clin Pract. 2010;64(8):1076-83.
  • Davies KM, Heaney RP, Recker RR, Lappe JM, Barger-Lux MJ, Rafferty K, et al. Calcium intake and body weight. J Clin Endocrinol Metab. 2000;85(12):4635-8.
  • Shapses SA, Heshka S, Heymsfield SB. Effect of calcium supplementation on weight and fat loss in women. J Clin Endocrinol Metab. 2004;89(2):632-7.
  • Venti CA, Tataranni PA, Salbe AD. Lack of relationship between calcium intake and body size in an obesity-prone population. J Am Diet Assoc. 2005;105(9):1401-7.
  • Reid IR, Ames R, Mason B, Bolland MJ, Bacon CJ, Reid HE, et al. Effects of calcium supplementation on lipids, blood pressure, and body composition in healthy older men: a randomized controlled trial. Am J Clin Nutr. 2010;91(1):131-9.
  • Subih HS, Zueter Z, Obeidat BM, Al-Qudah MA, Hammoh F, Sharkas G, et al. A high weekly dose of cholecalciferol and calcium supplement enhances weight loss and improves health biomarkers in obese women. Nutr Res. 2018;59:53-64.
  • Chen M, Pan A, Malik VS, Hu FB. Effects of dairy intake on body weight and fat: a meta-analysis of randomized controlled trials. Am J Clin Nutr. 2012;96(4):735-47.
  • Kashkooli S, Choghakhori R, Hasanvand A, Abbasnezhad A. Effect of calcium and vitamin D co-supplementation on lipid profile of overweight/obese subjects: A systematic review and meta-analysis of the randomized clinical trials. Obes Med. 2019;15:100124.
  • Torres MRSG, Sanjuliani AF. Effects of weight loss from a high-calcium energy-reduced diet on biomarkers of inflammatory stress, fibrinolysis, and endothelial function in obese subjects. Nutrition. 2013;29(1):143-51.
  • Zemel MB, Richards J, Milstead A, Campbell P. Effects of calcium and dairy on body composition and weight loss in African‐American adults. Obes Res. 2005;13(7):1218-25.
  • Bush NC, Alvarez JA, Choquette SS, Hunter GR, Oster RA, Darnell BE, et al. Dietary Calcium Intake Is Associated With Less Gain in Intra‐Abdominal Adipose Tissue Over 1 Year. Obesity. 2010;18(11):2101-4.
  • Booth AO, Huggins CE, Wattanapenpaiboon N, Nowson CA. Effect of increasing dietary calcium through supplements and dairy food on body weight and body composition: a meta-analysis of randomised controlled trials. Br J Nutr. 2015;114(7):1013-25.

EVALUATION OF THE EFFECT OF DIETARY CALCIUM INTAKE ON BODY WEIGHT AND BODY FAT LOSS IN OBESE INDIVIDUALS

Year 2021, Volume: 30 Issue: 2, 182 - 190, 15.09.2021
https://doi.org/10.34108/eujhs.796760

Abstract

This study was conducted to compare the effects of weight-loss diets containing daily 800 mg and 1200 mg calcium provided by milk and dairy products on body weight and body fat loss. Obese individuals between the ages of 24-45 were included and they were randomly divided into 2-groups (n=30). General characteristics and nutritional habits were questioned. Moreover energy and nutrient intakes were calculated by taking 3-day food consumption records. Anthropometric measurements were taken at the beginning and the end of the study. Body weight loss was 7.4±1.4 kg and 8.5±1.8 kg (p=0.012); body fat loss was 4.8±1.8 kg and 6.4±2.1 kg in the 800 mg and 1200 mg calcium-diet groups (p=0.002), respectively. An average of 5.3% and 6.9% reduction in body fat mass was found in the 800 mg and 1200 mg calcium-diet groups, respectively (p=0.031). As a result, it can be said that increasing the daily calcium intake with the consumption of milk and dairy products resulted in a more significant decrease in body weight and body fat mass in obese. For this reason, it is thought that more concern should be maintenance to increasing the consumption of milk and dairy products in weight-loss diets.

References

  • Egger G, Dixon J. Beyond obesity and lifestyle: a review of 21st century chronic disease determinants. BioMed Res Int. 2014;2014.
  • Finkler E, Heymsfield SB, St-Onge M-P. Rate of weight loss can be predicted by patient characteristics and intervention strategies. J Acad Nutr Diet. 2012;112(1):75-80.
  • Hills AP, Byrne NM, Lindstrom R, Hill JO. ‘Small Changes' to Diet and Physical Activity Behaviors for Weight Management. Obes Facts. 2013;6(3):228-38.
  • Mozaffarian D. Dairy foods, obesity, and metabolic health: the role of the food matrix compared with single nutrients. Adv Nutr. 2019;10(5):917S-23S.
  • Türkiye’ye Özgü Beslenme Rehberi. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Beslenme ve Diyetetik Bölümü. Ankara 2015. ISBN 978-975-491-408-5.
  • Miller GD, Anderson JJ. The role of calcium in prevention of chronic diseases. J Am Coll Nutr. 1999;18(sup5):371S-2S.
  • Peterlik M, Boonen S, Cross HS, Lamberg-Allardt C. Vitamin D and calcium insufficiency-related chronic diseases: an emerging world-wide public health problem. Int J Environ Res Public Health. 2009;6(10):2585-607.
  • Pereira MA, Jacobs Jr DR, Van Horn L, Slattery ML, Kartashov AI, Ludwig DS. Dairy consumption, obesity, and the insulin resistance syndrome in young adults: the CARDIA Study. Jama. 2002;287(16):2081-9.
  • Wu K, Willett WC, Fuchs CS, Colditz GA, Giovannucci EL. Calcium intake and risk of colon cancer in women and men. J Natl Cancer Inst. 2002;94(6):437-46.
  • Dicker D, Belnic Y, Goldsmith R, Nitzan Kaluski D. Relationship between dietary calcium intake, body mass index and waist circumference in MABAT--The Israeli National Health and Nutrition Study. Isr Med Assoc J. 2008;10(7):512.
  • Heaney RP. Normalizing calcium intake: projected population effects for body weight. J Nutr. 2003;133(1):268S-70S.
  • Rautiainen S, Wang L, Lee I-M, Manson JE, Buring JE, Sesso HD. Dairy consumption in association with weight change and risk of becoming overweight or obese in middle-aged and older women: a prospective cohort study. Am J Clin Nutr. 2016;103(4):979-88.
  • Ismail M, Qahiz N. Can Dietary Calcium Consumption be Beneficial in Body Weight Loss Regimen? J Med Med Sci. 2016;4:282-9.
  • Zemel MB. Mechanisms of dairy modulation of adiposity. J Nutr. 2003;133(1):252S-6S.
  • Zemel MB. Role of calcium and dairy products in energy partitioning and weight management. Am J Clin Nutr. 2004;79(5):907S-12S.
  • Li P, Fan C, Lu Y, Qi K. Effects of calcium supplementation on body weight: a meta-analysis. Am J Clin Nutr. 2016;104(5):1263-73.
  • Chen Y, Chen Y, Chang J, Lin J, Chien Y. Daily calcium inter-ventionfor a weight-loss program re-sulted in more significant decreases in body weight, BMI, body fat mass, and body fat percentage. Obes Res Open J. 2015;2(2):73-80.
  • Zemel M, Richards J, Mathis S, Milstead A, Gebhardt L, Silva E. Dairy augmentation of total and central fat loss in obese subjects. Int J Obes. 2005;29(4):391-7.
  • Zemel MB, Thompson W, Milstead A, Morris K, Campbell P. Calcium and dairy acceleration of weight and fat loss during energy restriction in obese adults. Obes Res. 2004;12(4):582-90.
  • Pekcan G. Beslenme Durumunun Saptanması, Diyet El Kitabı, (Yazarlar. Baysal A, Aksoy M, Besler T, Bozkurt N, Keçecioğlu S, Mercanlıgil SM, et al.) Hatiboğlu Yayınevi, Ankara, (9. Baskı), 2014. p.108-119. 2014.
  • World Health Organization (WHO). Obesity and Overweight. Geneva: WHO Press 2015; p.1-5. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight son erişim tarihi: 12.04.2019.
  • Türkiye Beslenme ve Sağlık Araştırması-2010 Beslenme Durumu ve Alışkanlıklarının eğerlendirilmesi Sonuç Raporu, Sağlık Araştırmaları Genel Müdürlüğü, Sağlık Bakanlığı, Şubat 2014, 480-485. https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayat-db/Yayinlar/kitaplar/diger-kitaplar/TBSA-Beslenme-Yayini.pdf son erişim tarihi: 18.04.2020. 2010.
  • Chourdakis M. Obesity: Assessment and prevention: Module 23.2 from Topic 23 “Nutrition in obesity”. Clinical Nutrition ESPEN. 2020.
  • Bank SS, Ghanjali N, Ghalaeh RS, Azadbakht L. Association between dairy and calcium intake and general and central obesity among female students. J Educ Health Promot. 2013;2.
  • Neves FJ, Tomita LY, Liu ASLW, Andreoni S, Ramos LR. Educational interventions on nutrition among older adults: A systematic review and meta-analysis of randomized clinical trials. Maturitas. 2020.
  • Jacqmain M, Doucet E, Després J-P, Bouchard C, Tremblay A. Calcium intake, body composition, and lipoprotein-lipid concentrations in adults. Am J Clin Nutr. 2003;77(6):1448-52.
  • Tidwell DK, Valliant MW. Higher amounts of body fat are associated with inadequate intakes of calcium and vitamin D in African American women. Nutr Res. 2011;31(7):527-36.
  • Muscariello R, Rendina D, Giannettino R, Ippolito S, Romano O, Coretti F, et al. Calcium daily intake and the efficacy of a training intervention on optimizing calcium supplementation therapy: a clinical audit. Nutr Metab Cardiovas Dis. 2020; https://doi.org/10.1016/j.numecd.2020.08.005.
  • Torres M, Francischetti E, Genelhu V, Sanjuliani A. Effect of a high‐calcium energy‐reduced diet on abdominal obesity and cardiometabolic risk factors in obese Brazilian subjects. Int J Clin Pract. 2010;64(8):1076-83.
  • Davies KM, Heaney RP, Recker RR, Lappe JM, Barger-Lux MJ, Rafferty K, et al. Calcium intake and body weight. J Clin Endocrinol Metab. 2000;85(12):4635-8.
  • Shapses SA, Heshka S, Heymsfield SB. Effect of calcium supplementation on weight and fat loss in women. J Clin Endocrinol Metab. 2004;89(2):632-7.
  • Venti CA, Tataranni PA, Salbe AD. Lack of relationship between calcium intake and body size in an obesity-prone population. J Am Diet Assoc. 2005;105(9):1401-7.
  • Reid IR, Ames R, Mason B, Bolland MJ, Bacon CJ, Reid HE, et al. Effects of calcium supplementation on lipids, blood pressure, and body composition in healthy older men: a randomized controlled trial. Am J Clin Nutr. 2010;91(1):131-9.
  • Subih HS, Zueter Z, Obeidat BM, Al-Qudah MA, Hammoh F, Sharkas G, et al. A high weekly dose of cholecalciferol and calcium supplement enhances weight loss and improves health biomarkers in obese women. Nutr Res. 2018;59:53-64.
  • Chen M, Pan A, Malik VS, Hu FB. Effects of dairy intake on body weight and fat: a meta-analysis of randomized controlled trials. Am J Clin Nutr. 2012;96(4):735-47.
  • Kashkooli S, Choghakhori R, Hasanvand A, Abbasnezhad A. Effect of calcium and vitamin D co-supplementation on lipid profile of overweight/obese subjects: A systematic review and meta-analysis of the randomized clinical trials. Obes Med. 2019;15:100124.
  • Torres MRSG, Sanjuliani AF. Effects of weight loss from a high-calcium energy-reduced diet on biomarkers of inflammatory stress, fibrinolysis, and endothelial function in obese subjects. Nutrition. 2013;29(1):143-51.
  • Zemel MB, Richards J, Milstead A, Campbell P. Effects of calcium and dairy on body composition and weight loss in African‐American adults. Obes Res. 2005;13(7):1218-25.
  • Bush NC, Alvarez JA, Choquette SS, Hunter GR, Oster RA, Darnell BE, et al. Dietary Calcium Intake Is Associated With Less Gain in Intra‐Abdominal Adipose Tissue Over 1 Year. Obesity. 2010;18(11):2101-4.
  • Booth AO, Huggins CE, Wattanapenpaiboon N, Nowson CA. Effect of increasing dietary calcium through supplements and dairy food on body weight and body composition: a meta-analysis of randomised controlled trials. Br J Nutr. 2015;114(7):1013-25.
There are 40 citations in total.

Details

Primary Language Turkish
Subjects Nutrition and Dietetics
Journal Section Research Article
Authors

Gözde Sultan Şahinoğlu 0000-0002-6875-3944

Seray Kabaran 0000-0001-7022-4366

Publication Date September 15, 2021
Submission Date September 18, 2020
Published in Issue Year 2021 Volume: 30 Issue: 2

Cite

APA Şahinoğlu, G. S., & Kabaran, S. (2021). OBEZ BİREYLERDE DİYETLE KALSİYUM ALIMININ VÜCUT AĞIRLIĞI VE VÜCUT YAĞ KAYBI ÜZERİNDEKİ ETKİSİ. Sağlık Bilimleri Dergisi, 30(2), 182-190. https://doi.org/10.34108/eujhs.796760
AMA Şahinoğlu GS, Kabaran S. OBEZ BİREYLERDE DİYETLE KALSİYUM ALIMININ VÜCUT AĞIRLIĞI VE VÜCUT YAĞ KAYBI ÜZERİNDEKİ ETKİSİ. JHS. September 2021;30(2):182-190. doi:10.34108/eujhs.796760
Chicago Şahinoğlu, Gözde Sultan, and Seray Kabaran. “OBEZ BİREYLERDE DİYETLE KALSİYUM ALIMININ VÜCUT AĞIRLIĞI VE VÜCUT YAĞ KAYBI ÜZERİNDEKİ ETKİSİ”. Sağlık Bilimleri Dergisi 30, no. 2 (September 2021): 182-90. https://doi.org/10.34108/eujhs.796760.
EndNote Şahinoğlu GS, Kabaran S (September 1, 2021) OBEZ BİREYLERDE DİYETLE KALSİYUM ALIMININ VÜCUT AĞIRLIĞI VE VÜCUT YAĞ KAYBI ÜZERİNDEKİ ETKİSİ. Sağlık Bilimleri Dergisi 30 2 182–190.
IEEE G. S. Şahinoğlu and S. Kabaran, “OBEZ BİREYLERDE DİYETLE KALSİYUM ALIMININ VÜCUT AĞIRLIĞI VE VÜCUT YAĞ KAYBI ÜZERİNDEKİ ETKİSİ”, JHS, vol. 30, no. 2, pp. 182–190, 2021, doi: 10.34108/eujhs.796760.
ISNAD Şahinoğlu, Gözde Sultan - Kabaran, Seray. “OBEZ BİREYLERDE DİYETLE KALSİYUM ALIMININ VÜCUT AĞIRLIĞI VE VÜCUT YAĞ KAYBI ÜZERİNDEKİ ETKİSİ”. Sağlık Bilimleri Dergisi 30/2 (September 2021), 182-190. https://doi.org/10.34108/eujhs.796760.
JAMA Şahinoğlu GS, Kabaran S. OBEZ BİREYLERDE DİYETLE KALSİYUM ALIMININ VÜCUT AĞIRLIĞI VE VÜCUT YAĞ KAYBI ÜZERİNDEKİ ETKİSİ. JHS. 2021;30:182–190.
MLA Şahinoğlu, Gözde Sultan and Seray Kabaran. “OBEZ BİREYLERDE DİYETLE KALSİYUM ALIMININ VÜCUT AĞIRLIĞI VE VÜCUT YAĞ KAYBI ÜZERİNDEKİ ETKİSİ”. Sağlık Bilimleri Dergisi, vol. 30, no. 2, 2021, pp. 182-90, doi:10.34108/eujhs.796760.
Vancouver Şahinoğlu GS, Kabaran S. OBEZ BİREYLERDE DİYETLE KALSİYUM ALIMININ VÜCUT AĞIRLIĞI VE VÜCUT YAĞ KAYBI ÜZERİNDEKİ ETKİSİ. JHS. 2021;30(2):182-90.