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ASTIM HASTALARINDA YEME TUTUMUNUN DEĞERLENDİRİLMESİ

Year 2016, Volume: 30 Issue: 1, 33 - 40, 01.05.2016

Abstract

Amaç: Çalışmamızın amacı astım hastalarında yeme tutumlarının incelenmesidir. Gereç ve Yöntem: Çalışmaya stabil dönemdeki astım hastaları (n=77; ortanca yaş:41) ve astım grubuyla yaş, cinsiyet, eğitim düzeyi açısından benzer özellikli sağlıklı bireyler (n=63; ortanca yaş:42) alınmıştır. Katılımcıların sosyodemografik bilgileri alınmış, boy ve kiloları ölçülerek beden kitle indeksleri hesaplanmıştır. Astım kontrolü için Astım Kontrol Testi (AKT) uygulanmıştır. Tüm katılımcılara Yeme tutumu testi (YTT), Beck anksiyete ölçeği (BAÖ), Beck depresyon ölçeği (BDÖ) uygulanmıştır. Bulgular: Astım grubunda YTT puanları, anksiyete ve depresyon düzeyleri kontrol grubuna göre anlamlı düzeyde yüksek bulunmuştur (sırasıyla P=0.039, P (sırasıyla P=0.039, P<0.01, P<0.01). Vücut kitle indeksi
açısından fark saptanmamıştır. Astım hastalarının %10.4 ünün YTT’den 30 ve üzerinde puan aldığı ve bozulmuş yeme davranışı olduğu, kontrol grubunda bu oranın %1.6 olduğu belirlenmiştir (P=0.041). Ayrıca BDÖ ≥17 olan astımlı hasta oranı %27.3 saptanırken bu oran kontrol grubunda %7.9 saptanmıştır (P=0.004). Astım hastalarında AKT puanı ile BDÖ puanı arasında negatif yönde anlamlı korelasyon saptanırken (r=-0.304, P<0.01), YTT ile
arasında korelasyon saptanmamıştır. Sonuç: Çalışmamız astımlı hastalarda yeme
davranışındaki bozulmayı göstermesi bakımından önemlidir. Astımlı hastalarının takibinde, hastanın psikolojik ve fiziksel durumlarının da dikkate alınarak yaşam kalitesinin artırılması gerektiği düşüncesindeyiz.

References

  • 1. Masoli M, Fabian D, Holt S, Beasley R. The global burden of asthma: executive summary of The GINA Dissemination Committee report. Allergy 2004; 59(5):469-78.
  • 2. Yan DC, Ou LS, Tsai TL, Wu WF, Huang JL. Prevalence and severity of symptoms of asthma, rhinitis, and eczema in 13-to 14-yearold children in Taipei, Taiwan. Ann Allergy Asthma Immunol 2005; 95(6):579-85
  • 3. Demir AU, Karakaya G, Bozkurt B, Sekerel BE, Kalyoncu AF. Asthma and allergic diseases in schoolchildren: third cross-sectional survey in the same primary school in Ankara, Turkey. Pediatr Allergy Immunol 2004;15:531-8
  • 4. Ones U, Akcay A, Tamay Z, Guler N, Zencir M. Rising trend of asthma prevalence among Turkish schoolchildren (ISAAC phases I and III). Allergy 2006;61:1448-53
  • 5. Beuther DA, Sutherland ER. Overweight, obesity,and incident asthma:a meta-analysis of prospective epidemiologic studies. Am J Respir Crit Care Med 2007;175:661-6.
  • 6. BeuTher DA, Weiss ST, Sutherland ER. Obesity and asthma. Am J Respir Crit Care Med 2006; 174(2):112-19
  • 7. Katon W, Lozano P, Russo J, McCauley E, Richardson L, Bush T. The prevalence of DSMIV anxiety and depressive disorders in youth with asthma compared to controls. J Adol Health 2007;41:455–63
  • 8. Roy-Byrne PP, Davidson KW, Kessler RC, Asmundson GJ, Goodwin RD, Kubzansky et al. Anxiety disorders and comorbid medical illness. Gen Hosp Psychiatry 2008 May-Jun;30(3):208-25
  • 9. Goodwin RD, Jacobi F, Thefeld W. Mental disorders and asthma in the community. Arch Gen Psychiatry 2003 Nov;60(11):1125-30
  • 10. Richardson LP, Lozano P, Russo J, McCauley E, Bush T, Katon W. Asthma symptom burden: relationship to asthma severity and anxiety and depression symptoms. Pediatrics 2006;118:1042–51
  • 11. Ulaş B, Uncu F, Üner S. Sağlık Yüksekokulu Öğrencilerinde Olası Yeme Bozukluğu Sıklığı ve Etkileyen Faktörler. İnönü Üniversitesi Sağlık Bilimleri Dergisi 2013;2:15-22
  • 12. Uysal MA. Astım Kontrol Testinin Türkçe Versiyonun Geçerlilik ve Güvenilirliği. 15. Türk Toraks Derneği Yıllık Kongresi. Kongre Kitabı 2012: SS023
  • 13. Nathan RA, Sorkness CA, Kosinski M, Schatz M, Li JT, Marcus Pet al. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunol 2004; 113:59-65
  • 14. Garner DM, Garfinkel PE. The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychol Med 1979; 9:273-279.
  • 15. Savaşır I, Erol N. Yeme Tutum Testi: Anoreksi Nervoza Belirtileri İndeksi. Psikoloji Dergisi 1989;7:19-25.
  • 16. Beck AT. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-71.
  • 17. Hisli N. Beck Depresyon Envanterinin üniversite öğrencileri için geçerliliği ve güvenirliliği. Psikoloji Dergisi 1989;7:3-13.
  • 18. Beck AT, Epstein N, Brown G. An inventory for measuring clinical anxiety: Psychometric properties. J Consult Clin Psychol 1988;56:893- 97.
  • 19. Ulusoy M, Şahin N, Erkmen H. Turkish version of The Beck Anxiety Inventory: Psychometric properties. J Cogn Psychother 1998;12:28-35.
  • 20. Goodwin RD, Lewinsohn PM, Seeley JR. Cigarette smoking and panic attacks among young adults in the community: the role of parental smoking and anxiety disorders. Biol Psychiatry 2005;58:686–93
  • 21. Hasler G, Gergen PJ, Kleinbbaum DG, Ajdacic V, Gamma A, Eich D et al. Asthma and panic in young adults. A 20-year prospective community study. Am J Respir Crit Care Med 2005; 171:1224–30.
  • 22. Katon WJ, Richardson L, Lozano P, McCauley E. The relationship of asthma and anxiety disorders. Psychosom Med 2004;66:349–55
  • 23. Van Lieshout RJ, Bienenstock J, MacQueen GM. A review of candidate pathways underlying the association between asthma and major depressive disorder. Psychosom Med 2009 Feb;71(2):187-95
  • 24. Nascimento I, Nardi AE, Valença AM, Lopes FL, Mezzasalma MA, Nascentes R, et al. Psychiatric disorders in asthmatic outpatients. Psychiatry Res 2002 15;110(1):73-80
  • 25. Weissman MM, Bland RC, Canino GJ, Faravelli C, Greenwald S, Hwu HG et al. The crossnational epidemiology of panic disorder. Archives of General Psychiatry 1997;54:305-99
  • 26. V GS. Neuroinflammatory Hypothesis in Major Depressive Disorder. Current Approaches in Psychiatry 2014;6(1):1-9
  • 27. Nermin Çapan. Asthma and Obesity. Solunum Hastalıkları Cilt 2013;24(2):82–4.
  • 28. Schaub B, Von Mutius E. Obesity and asthma, what are the links? J Allergy Clin Immunol 2006;117:969-77.
  • 29. Kılıç H, Oguzülgen IK, Bakir F, Turktas H. Asthma in obese women: outcome and factors involved. J Investig Allergol Clin Immunol 2011;21:290-6
  • 30. Demirci K, Demirci S, Akpınar A, Demirdaş A, Atay İM. Evaluation of Eating Attitude in Patients with Migraine. Arch Neuropsychiatr 2015;52: 367-70

THE EVALUATION OF EATING ATTITUDES IN PATIENTS WITH ASTHMA

Year 2016, Volume: 30 Issue: 1, 33 - 40, 01.05.2016

Abstract

Aim: The aim of the present study was to investigate the eating attitudes in asthma patients. Material and Methods: Asthma patients in stable period (n=77; median age:41) and age, gender and education matched healthy controls (n=63; median age:42) were enrolled for this study. Sociodemographic data were recorded and the body mass index was calculated as kilograms per meter squared. Asthma control test (ACT) was evaluated for asthma control. Eating Attitudes Test (EAT), Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI) were applied to all participants. Results: The patients with asthma had significantly higher EAT scores, levels of anxiety and depression compared to controls (P=0.039, P(P=0.039, P<0.01, P<0.01, respectively). There was no difference in terms of body mass index. 10.4% of the asthma patients had an EAT score of 30 or higher, which is suggestive of a disordered eating attitude, whereas this rate was
1.6% in healthy controls (P=0.041). Besides, asthma patient rate, that have BDİ ≥17 was
detected 27.3%, while this rate was 7.9% in control grup (P=0.004). Between ACT and BDI scores was detected significant negative correlation in asthma patients (r=-0 304, P<0.01), but there was no correlation between EAT and ACT scores. Conclusion: Our study is important to show connection between the asthma and disordered eating attitudes. In the follow-up of patients with asthma, we think that the patient's psychological and physical condition of taking into consideration the need to increase the quality of life.

References

  • 1. Masoli M, Fabian D, Holt S, Beasley R. The global burden of asthma: executive summary of The GINA Dissemination Committee report. Allergy 2004; 59(5):469-78.
  • 2. Yan DC, Ou LS, Tsai TL, Wu WF, Huang JL. Prevalence and severity of symptoms of asthma, rhinitis, and eczema in 13-to 14-yearold children in Taipei, Taiwan. Ann Allergy Asthma Immunol 2005; 95(6):579-85
  • 3. Demir AU, Karakaya G, Bozkurt B, Sekerel BE, Kalyoncu AF. Asthma and allergic diseases in schoolchildren: third cross-sectional survey in the same primary school in Ankara, Turkey. Pediatr Allergy Immunol 2004;15:531-8
  • 4. Ones U, Akcay A, Tamay Z, Guler N, Zencir M. Rising trend of asthma prevalence among Turkish schoolchildren (ISAAC phases I and III). Allergy 2006;61:1448-53
  • 5. Beuther DA, Sutherland ER. Overweight, obesity,and incident asthma:a meta-analysis of prospective epidemiologic studies. Am J Respir Crit Care Med 2007;175:661-6.
  • 6. BeuTher DA, Weiss ST, Sutherland ER. Obesity and asthma. Am J Respir Crit Care Med 2006; 174(2):112-19
  • 7. Katon W, Lozano P, Russo J, McCauley E, Richardson L, Bush T. The prevalence of DSMIV anxiety and depressive disorders in youth with asthma compared to controls. J Adol Health 2007;41:455–63
  • 8. Roy-Byrne PP, Davidson KW, Kessler RC, Asmundson GJ, Goodwin RD, Kubzansky et al. Anxiety disorders and comorbid medical illness. Gen Hosp Psychiatry 2008 May-Jun;30(3):208-25
  • 9. Goodwin RD, Jacobi F, Thefeld W. Mental disorders and asthma in the community. Arch Gen Psychiatry 2003 Nov;60(11):1125-30
  • 10. Richardson LP, Lozano P, Russo J, McCauley E, Bush T, Katon W. Asthma symptom burden: relationship to asthma severity and anxiety and depression symptoms. Pediatrics 2006;118:1042–51
  • 11. Ulaş B, Uncu F, Üner S. Sağlık Yüksekokulu Öğrencilerinde Olası Yeme Bozukluğu Sıklığı ve Etkileyen Faktörler. İnönü Üniversitesi Sağlık Bilimleri Dergisi 2013;2:15-22
  • 12. Uysal MA. Astım Kontrol Testinin Türkçe Versiyonun Geçerlilik ve Güvenilirliği. 15. Türk Toraks Derneği Yıllık Kongresi. Kongre Kitabı 2012: SS023
  • 13. Nathan RA, Sorkness CA, Kosinski M, Schatz M, Li JT, Marcus Pet al. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunol 2004; 113:59-65
  • 14. Garner DM, Garfinkel PE. The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychol Med 1979; 9:273-279.
  • 15. Savaşır I, Erol N. Yeme Tutum Testi: Anoreksi Nervoza Belirtileri İndeksi. Psikoloji Dergisi 1989;7:19-25.
  • 16. Beck AT. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-71.
  • 17. Hisli N. Beck Depresyon Envanterinin üniversite öğrencileri için geçerliliği ve güvenirliliği. Psikoloji Dergisi 1989;7:3-13.
  • 18. Beck AT, Epstein N, Brown G. An inventory for measuring clinical anxiety: Psychometric properties. J Consult Clin Psychol 1988;56:893- 97.
  • 19. Ulusoy M, Şahin N, Erkmen H. Turkish version of The Beck Anxiety Inventory: Psychometric properties. J Cogn Psychother 1998;12:28-35.
  • 20. Goodwin RD, Lewinsohn PM, Seeley JR. Cigarette smoking and panic attacks among young adults in the community: the role of parental smoking and anxiety disorders. Biol Psychiatry 2005;58:686–93
  • 21. Hasler G, Gergen PJ, Kleinbbaum DG, Ajdacic V, Gamma A, Eich D et al. Asthma and panic in young adults. A 20-year prospective community study. Am J Respir Crit Care Med 2005; 171:1224–30.
  • 22. Katon WJ, Richardson L, Lozano P, McCauley E. The relationship of asthma and anxiety disorders. Psychosom Med 2004;66:349–55
  • 23. Van Lieshout RJ, Bienenstock J, MacQueen GM. A review of candidate pathways underlying the association between asthma and major depressive disorder. Psychosom Med 2009 Feb;71(2):187-95
  • 24. Nascimento I, Nardi AE, Valença AM, Lopes FL, Mezzasalma MA, Nascentes R, et al. Psychiatric disorders in asthmatic outpatients. Psychiatry Res 2002 15;110(1):73-80
  • 25. Weissman MM, Bland RC, Canino GJ, Faravelli C, Greenwald S, Hwu HG et al. The crossnational epidemiology of panic disorder. Archives of General Psychiatry 1997;54:305-99
  • 26. V GS. Neuroinflammatory Hypothesis in Major Depressive Disorder. Current Approaches in Psychiatry 2014;6(1):1-9
  • 27. Nermin Çapan. Asthma and Obesity. Solunum Hastalıkları Cilt 2013;24(2):82–4.
  • 28. Schaub B, Von Mutius E. Obesity and asthma, what are the links? J Allergy Clin Immunol 2006;117:969-77.
  • 29. Kılıç H, Oguzülgen IK, Bakir F, Turktas H. Asthma in obese women: outcome and factors involved. J Investig Allergol Clin Immunol 2011;21:290-6
  • 30. Demirci K, Demirci S, Akpınar A, Demirdaş A, Atay İM. Evaluation of Eating Attitude in Patients with Migraine. Arch Neuropsychiatr 2015;52: 367-70
There are 30 citations in total.

Details

Other ID JA27KZ65ZS
Journal Section Research Article
Authors

Nigar Dirican This is me

Kadir Demirci This is me

Mehmet Akgönül This is me

Publication Date May 1, 2016
Published in Issue Year 2016 Volume: 30 Issue: 1

Cite

APA Dirican, N., Demirci, K., & Akgönül, M. (2016). ASTIM HASTALARINDA YEME TUTUMUNUN DEĞERLENDİRİLMESİ. İzmir Göğüs Hastanesi Dergisi, 30(1), 33-40.