FİZİK TEDAVİ VE REHABİLİTASYON YÜKSEKOKULU ÖĞRENCİLERİNİN AĞIRLIK DURUMLARI İLE BESLENME ALIŞKANLIKLARININ DEĞERLENDİRİLMESİ

Abstract

Amaç: Bu çalışma, Fizik Tedavi Yüksekokulu öğrencilerinin ağırlık durumları ile beslenme alışkanlıklarını belirlemek, gerekiyorsa sağlıklı beslenmelerine katkıda bulunmak amacıyla yapıldı. Gereç ve yöntem: Bu çalışmaya yaş ortalaması 19,2 ± 0,9 yıl olan, 54’ü erkek, 105’i kız toplam 159 öğrenci katıldı. Öğrencilerin ağırlık ve boyları ölçüldü, beden kitle indeksleri hesaplandı. Üç günlük besin tüketimleri alındı. Günlük alınan enerji ve besin öğeleri, bilgisayar ortamında besin analizi (BEBİS) programı ile belirlendi; Amerikan Besin Öneri Komitesi (RDA)’nin değerleri ile karşılaştırıldı. Bulgular: Beden kitle indeksine göre, öğrencilerin %80,5’inin normal, %13,8’inin zayıf, %5,7’sinin de hafif şişman olduğu görüldü. Günlük enerjinin, önerilerin altında alındığı, enerjinin karbonhidrat, protein ve yağdan gelen oranlarının kızlarda sırasıyla %48, %16, %36, erkeklerde %52, %16 ve %32 olduğu belirlendi. Kızların folik asit, demir ve kalsiyumu, erkeklerin kalsiyum, lif ve magnezyumu yetersiz (%66 altı) aldıkları, erkeklerin C vitamini dışındaki hemen tüm besin öğelerini kızlardan istatistiksel olarak daha yüksek oranda (p < 0,01) aldıkları gözlendi. Sonuç: Öğrencilerin lif, folik asit, kalsiyum, demir ve magnezyum gibi önemli besin öğelerini ve enerjiyi yetersiz aldıkları, büyük çoğunluğunun normal vücut ağırlığına sahip olduğu, ancak zayıflık oranının kızlarda yüksek olduğu belirlendi.

Keywords

• Üniversite öğrencileri, ağırlık, besin alımı

References

1. Al-Shawi AN. Nutrient intakes of university women in Kuwait. J R Soc Health 1992; 112:114-118.
2. AHA Scientific statement: Summary of the scientific conferen- ce on dietary fatty acids and cardiovascular health. J Nutr 2001; 131: 1322-1326.
3. Anderson JJB. Minerals. In:Krause's Food Nutrition, and Diet Therapy. Mahan LK, Escott-Stump S (eds), Saunders, Philadelp- hia, 2004, pp.120-164.
4. Anding JD, Suminski RR, Boss L. Dietary intake, body mass in- dex, exercise, and alcohol: are college women following the di- etary guidelines for Americans. J Am Coll Health 2001; 49:167- 171.
5. Baghurst K. Dietary guidelines: The development process in Australia and New Zealand. J Am Diet Assoc 2003; 103:17-21.
6. Baric IC, Satalic Z, Lukesic Z. Nutritive value of meals, dietary and nutritive status in Croation university students according to gender. Int J Food Sci Nutr 2003; 54:473-484.
7. Bilgisayar ortamında besin analiz programı. (BEBİS), 4. versi- yon. İstanbul, 2004.
8. Brouwer IA, Van Dusseldorp M, West CE, Meyboom S, Tho- mas CM, Duran M, van het Hof KH, Estes TK, Hautvast JG, Steegers-Theunissen RP. Dietary folate from vegetables and cit- rus fruit decreases plasma homocysteine concentrations in hu- mans in a dietary controlled trial. J Nutr 1999; 129:1135-1139.

9. Cohen LA. International symposium on the role of tomato pro- ducts and carotenoids in disease prevention:An introduction. Exp Biol Med 2002; 227: 843-937.
10. Council on Scientific Affairs. Dietary fiber and health. JAMA 1989;262:542-546.
11. Çelik F, Toksöz P. Dicle Üniversitesi Beden Eğitimi ve Spor Bö- lümünde okuyan öğrencilerin besin tüketim düzeyleri ve beslen- me alışkanlıkları. Beslenme ve Diyet Dergisi 1999; 28:4-9.
12. Debate RD, Topping M, Sargent RG. Racial and gender differen- ces in weight status and dietary practices among college stu- dents. Adolescence 2001; 144:819-833.
13. Demory-Luce D, Morales M, Nicklas T, Baranowski T, Zakeri I, Berenson G. Changes in food group consumption patterns from childhood to young adulthhood: The Bogalusa Heart Study. J Am Diet Assoc 2004; 104:1684-1691.
14. Dincer MK, Waigandt A. Dietary intake and physical activity be- haviors of male and female college students. Am J Health Pro- mot 1997; 11:360-362.
15. Dietary guidelines: Past experience and new approaches. April 30-May 1, Toronto, Canada. Proceedings of a symposium. J Am Diet Assoc. 2003; 103 (Suppl 2):3-9.
16. Dietary References Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein and Amino Acids. National Acadamy of Sciences. Institute of Medicine of the National Aca- demies. Washington, DC:National Academy Press; 2002.
17. Elmadfa I, Freisling H. Fat intake, diet variety and health promo- tion. Forum Nutr 2005; 57:1-10.
18. Ergülen S, Saygun M, Çöl M, Sayan M. Ankara Üniversitesi öğ- rencilerinde anemi sıklığı, etkili faktörler ve beslenme alışkan- lıkları üzerine bir araştırma. Beslenme ve Diyet Dergisi 2001; 30:2431.
19. Executive summary of the clinical guidelines on the identificati- on, evaluation, and treatment of overweight and obesity in adults. Am J Clin Nutr 1998; 98:899-917.
20. Executive summary of the third report of the National Choleste- rol Education Program (NCEP) expert panel on detection, eva- luation, and treatment of high blood cholesterol in adults (Adults treatment panel III). JAMA 2001; 285:2486-2497.
21. Evans AE, Sawyer-Morse MK, Betsinger A. Fruit and vegetable consumption among Mexican-American college students. J Am Diet Nutr 2000; 100:1399-1402.
22. Franz MJ. So many nutrition recommendations-Contradictory or compatible? Diab Spect 2003; 16:56-63.
23. Fregapane G, Asensio-Garcia C. Dietary assessment of an edu- cated young Spanish population using a self-administered meal- based food frequency questionnaire. Eur J Epidemiol 2000; 16:183-191.
24. Gallagher ML. Vitamins, In:Krause's Food Nutrition, and Diet Therapy. Mahan LK, Escott-Stump S (eds), Saunders, Philadelp- hia, 2004, pp. 76-120.
25. Georgiou C, Betts NM, Hoerr SI, Keim K, Petrs PK, Stewart B, Voichick J. Among young adults, college students and graduates practiced more healthful habits and made more healthful food choices than did nonstudents. J Am Diet Assoc 1997; 97:754-759.
26. Hampl JS, Betts NM. Comparisons of dietary intake and sources of fat in low-and high-fat diets of 18-to24-year-olds. J Am Diet Assoc 1995; 95:893-897.
27. Hilton JJ. Folic acid intake of young women. JOGNN 2002; 31:172-177.
28. Horacek T, White A, Betts NM, Hoerr S, Georgiou C, Nitzke S, Ma K, Greene G. Self-efficacy, perceived benefits, and weight satisfaction discriminate among stages of change for fruit and vegetable intakes for young men and women. J Am Diet Assoc 2002; 102:1466-1470.
29. Kashket S, DePaola D. Cheese consumption and the develop- ment and progression of dental caries. Nutr Rev 2002; 60:97- 103.
30. Kerver JM, Yang EJ, Bianchi L, Song WO. Dietary patterns as- sociated with risk factors for cardiovascular disease in healthy US adults. Am J Clin Nutr 2003; 78:1103-1110.
31. Kimura N, Fukuwatari T, Sasaki R, Hayakawa F, Shibata K. Vi- tamin intake in Japanese women college students. J Nutr Sci Vi- taminol 2003; 49:149-155.
32. Kushi LH, Lenart EB, Willet WC. Health implications of Medi- terranean diets in light of contemporary knowledge. 1. Plant fo- ods and dairy products. Am J Clin Nutr 1995; 61(6 suppl):1407- 1415.
33. Lee KW, Lee HJ, Surh YJ, Lee CY. Vitamin C and cancer che- moprevention: reappraisal. Am J Clin Nutr 2003; 78:1074-1078.
34. Mammas I, Bertsias G, Linardakis M, Moschandreas J, Kafatos A. Nutrient intake and food consumption among medical stu- dents in Greece assessed during a Clinical Nutrition course. Int J Food Sci Nutr 2004; 55:17-26.
35. McGinnis J, Foege W. Actual causes of death in the United Sta- tes. JAMA 1993; 270:2207-2212.
36. McLaren DS, Frigg M:Sight and life guidebook vitamin A in he- alth and disease. Second edition. Switzerland, 2001, pp. 3-19.
37. McMurry K. Setting dietary guidelines: The US process. J Am Diet Assoc 2003;103 (12 suppl): 10-16.
38. Monneuse MO, Bellisle F, Koppert G. Eating habits, food and health related attitudes and beliefs reported by French students. Eur J Clin Nutr 1997; 51:46-53.
39. Oguntona CR, Razaq MA, Akintola TT. Pattern of dietary inta- ke and consumption of street foods among Nigerian students. Nutr Healt 1998; 12:247-256.
40. Proceedings and abstracts of the International research conferen- ce on food, nutrition, and cancer. Washington, DC, USA, July 15-16, 2004.
41. Psaltopoulu t, Naska A, Orfanos P, Trichopoulos D, Mountoka- lakis T, Trichopoulou A. Olive oil, the Mediterranean diet, and arterial blood pressure: Greek European Prospective investigati- on into cancer and nutrition (EPIC) study. Am J Clin Nutr 2004; 80: 1012-1018.
42. Quiles JL, Manas M, Martinez MA, Ochoa JJ, Yago MD, Rami- ez-Tortosa MC, Carazo E, Martinez-Victoria E. Dietary intake and anthropometric measures in a Spanish students group. Inter- nat. J Vit Nutr Res 1996; 66:371-377.
43. Rozen GS, Rennert G, Rennert HS, Diab G, Daud D, Ish-Sha- lom S. Calcium intake and bone mass development among Isra- eli adolescent girls. J Am Coll Nutr 2001; 20:219-224.
44. Scalbert A, Johnson IT, Saltmarsh M. Polyphenols: antioxidants and beyond. Proceedings of the 1st International conference on Polphenols and health. Am J Clin Nutr 2005; 81(1 suppl): 215- 217.
45. Soriano JM, Molto JC, Manes J. Dietary intake and food pattern among university students. Nutr Res 2000; 20:1249-1258.
46. Türkiye’ye özgü beslenme rehberi. T.C Sağlık Bakanlığı, Temel Sağlık Hizmetleri Genel Müdürlüğü. Hacettepe Üniversitesi, Beslenme ve Diyetetik Bölümü. Ankara, 2004.
47. Weisburger JH. Eat to live, not live to eat. Nutrition 2000; 16:767-773.
48. Willet WC. Diet and health:what should we eat? Science 1994; 264:532-537.
49. Wu H, Dwyer KM, Fan Z, Shircore A, Fan J, Dwyer JH. Dietary fiber and progression af atherosclerosis: The Los Angeles Athe- rosclerosis Study. Am J Clin Nutr 2003; 78:1085-1091.