OBEZ KADINLARDA YAŞAM KALİTESİ VE DİYET ASİT YÜKÜ ARASINDAKİ İLİŞKİNİN DEĞERLENDİRİLMESİ

Year 2022, , 145 - 149, 31.08.2022

Nurefşan Konyalıgil , Betül Çiçek , Tuba Tekin , Meltem Ünlüsavuran Sönmez

https://doi.org/10.52831/kjhs.1137880

Cited By: 1

Abstract

Amaç: Bu çalışma; obez kadınların diyet asit yüklerinin belirlenmesi ve diyet asit yükü, antropometrik ölçümler ve yaşam kalitesi arasındaki ilişkinin incelenmesi amacıyla yürütülmüştür.
Yöntem: Çalışmaya beden kütle indeksi ≥30-<40 kg/m² arasında olan 140 gönüllü yetişkin birey dahil edildi. Bireylerin besin tüketim durumlarını ve diyet asit yükünü belirlemek amacıyla üç günlük (iki gün hafta içi, bir gün hafta sonu) besin tüketim kaydı alındı. Besin alımına dayanarak potansiyel renal asit yükü (PRAL) ve net endojen asit üretimi (NEAP) çeşitli algoritmalar kullanılarak hesaplandı. Yaşam kalitesinin belirlenebilmesi için Obezlere Özgü Yaşam Kalitesi Ölçeği kullanıldı. Vücut ağırlığı, boy uzunluğu, bel, kalça ve boyun çevresi araştırmacı tarafından ölçüldü.
Bulgular: Kadınların PRAL ve NEAP skorları obezite derecesi arttıkça artış gösterdi (p>0.05). Sigara kullanan obez kadınlarda PRAL skoru, sigara kullanmayanlardan yüksek bulundu (p<0.05). Kadınların vücut ağırlığı ile yaşam kalitesi arasında negatif yönlü bir ilişki bulundu (r=-0.234, p=0.005). Kadınların yaşam kalitesi, sosyo-ekonomik durumu ve konstipasyon durumları ile PRAL ve NEAP skorları arasında ilişki saptanmadı (p>0.05).
Sonuç: Bu çalışmada obezite derecesi arttıkça diyet asit yükü artış göstermiştir. Sigara kullanımı diyet asit yükünü artıran diğer bir neden olarak saptanmıştır. Ayrıca sosyo-ekonomik durum, kabızlık gibi faktörler de diyet asit yükünü etkilemektedir. Bireylerin obezite durumu arttıkça yaşam kalitesi düşmektedir. Bu nedenle obez bireylerde beslenme tedavisi planlanırken diyet asit yükünün değerlendirilmesine ve ağırlık kontrolüne dikkat edilmelidir.

Keywords

Beslenme, Obezite, Yaşam Kalitesi, PRAL, NEAP

EVALUATION OF THE RELATIONSHİP BETWEEN QUALITY OF LIFE AND DIETARY ACID LOAD IN OBESE WOMEN

Abstract

Objective: This study was conducted to determine the dietary acid load of obese women and to examine the relationship between dietary acid load, anthropometric measurements, and quality-of-life.
Method: 140 volunteer adult individuals with body mass index 30-<40 kg/m² were included. To determine the food consumption status and the dietary acid load of the women, food consumption records were taken for three consecutive days (two days on weekdays, one day on the weekend). Potential renal acid load (PRAL) and net endogenous acid production (NEAP) were calculated by various algorithms based on food intake. The Obese-Specific Quality of Life Scale was used to determine the quality of life. The researcher measured body weight, height, waist, hip, and neck circumferences.
Results: PRAL and NEAP scores increased with the increment in the degree of obesity but not significant for statistical (p>0.05). PRAL score in obese smokers was higher than the PRAL score of obese non-smokers (p<0.05). A negative correlation was detected between body weight and quality of life (r=-0.234, p=0.005). There was no significant relationship between quality of life and socio-economic status and constipation status and PRAL and NEAP scores (p>0.05).
Conclusion: In this study, the dietary acid load increased with the increase in obesity. Smoking is another condition that increases dietary acid load. In addition, factors such as socioeconomic status and constipation also affect dietary acid load. Besides, as the obesity status of individuals increases, the quality-of-life decreases. Therefore, attention should be paid on assessing dietary acid load and weight control when planning nutritional therapy in obese individuals.

Keywords

Nutrition, Obesity, Quality of Life, PRAL, NEAP

References

• Blüher M. Obesity: global epidemiology and pathogenesis. Nat Rev Endocrinol. 2019;15(5):288-298.
• World Health Organization. Obesity and overweight. [cited June 20, 2022] http://www.who.int/mediacentre/factsheets/fs311/en/m.
• Schetz M, De Jong A, Deane AM, et al. Obesity in the critically ill: a narrative review. Intensive Care Med. 2019;145:757-769.
• World Obesity Atlas 2022. [cited August 11, 2022] https://www.worldobesity.org/resources/resource-library/world-obesity-atlas-2022.
• Chooi YC, Ding C, Magkos F. The epidemiology of obesity. Metabolism. 2019;92:6-10.
• Hamm LL, Nakhoul N, Hering-Smith KS. Acid-base homeostasis. Clin J Am Soc Nephrol. 2015;10(12):2232-2242.
• Banerjee T, Liu Y, Crews DC. Dietary patterns and CKD progression. Blood Purification. 2016;41(1-3):117-122.
• Xu H, Åkesson A, Orsini N, Håkansson N, Wolk A, Carrero JJ. Modest U-shaped association between dietary acid load and risk of all-cause and cardiovascular mortality in adults. J Nutr. 2016;146(8):1580-1585.
• Remer T, Manz F. Potential renal acid load of foods and its influence on urine pH. J Am Diet Assoc. 1995;95(7):91–7.
• Frassetto LA, Todd KM, Morris RC, Sebastian A. Estimation of net endogenous noncarbonic acid production in humans from diet potassium and protein contents. Am J Clin Nutr. 1998;68:576-83.
• Williams RS, Heilbronn LK, Chen DL, Coster ACF, Greenfield JR, Bonet SD. Dietary acid load, metabolic acidosis and insulin resistance–Lessons from cross-sectional and overfeeding studies in humans. Clin Nutr. 2016;35(5):1084-1090.
• Han E, Kim G, Hong N, Lee Y-H, et al. Association between dietary acid load and the risk of cardiovascular disease: nationwide surveys (KNHANES 2008–2011). Cardiovasc Diabetol. 2016;15(1):122-136.
• Rebholz CM, Coresh J, Grams ME, et al. Dietary acid load and incident chronic kidney disease: results from the ARIC study. Am J Nephrol. 2015;42(6):427-435.
• Akter S, Eguchi M, Kuwahara K,et al. High dietary acid load is associated with insulin resistance: The Furukawa Nutrition and Health Study. Clin Nutr. 2016;35(2):453-459.
• Akter S, Eguchi M, Kurotani K,et al. High dietary acid load is associated with increased prevalence of hypertension: the Furukawa Nutrition and Health Study. Nutr. 2015;31(2):298-303.
• Ferraro PM, Mandel EI, Curhan GC, Gambaro G, Taylor EN. Dietary protein and potassium, diet–dependent net acid load, and risk of incident kidney stones. Clin J Am Soc Nephrol. 2016;11(10):1834-1844.
• Chan R, Wong VW-S, Chu W-CW, et al. Higher estimated net endogenous Acid production may be associated with increased prevalence of nonalcoholic Fatty liver disease in chinese adults in Hong Kong. PLoS One. 2015;10(4):e0122406-18.
• Jia T, Byberg L, Lindholm B, et al. Dietary acid load, kidney function, osteoporosis, and risk of fractures in elderly men and women. Osteoporos Int. 2015;26(2):563-570.
• Açık M, Çakıroğlu FP. The effect of visceral adipocyte measurements and dietary quality on quality of life in obese ındividuals according to metabolic health status. Genel Tıp Derg. 2020;30(3):167-177.
• BeBiS (Beslenme Bilgi Sistemi). Bilgisayar Yazılım Programı Versiyon 7.2, (Ebispro für Windows, Stuttgart, Germany: Turkish version), Bundeslebenmittelschlüssel (BLS II.3), 2011.
• Pekcan G. Beslenme durumunun saptanması. Eds.:Baysal A, Aksoy M, Bozkurt N, ve ark. Diyet El Kitabı, 7. Baskı, Ankara: Hatiboğlu Yayınları; 2013. ss.67-142.
• Global Database on Body Mass Index. http://apps.who.int/bmi/index.jsp. [cited August 11, 2022].
• Waist circumference and waist-hip ratio: report of a WHO expert consultation. https://www.who.int/publications/i/item/9789241501491On [cited August 11, 2022].
• Patrick DL, Bushnell DM, Rothman M. Performane of Two Self- Report Measures for Evaluating Obesity and Weight loss. Obes Res. 2004;2(1):48-57.
• Gunduzoglu NC, Fadıloglu C, Yılmaz C. The examination of validity and reliability for Obese Individuals Specific Quality of Life Scale. Anatolian Journal of Psychiatry. 2014;15:63-68.
• Apovian CM. Obesity: definition, comorbidities, causes, and burden. Am J Manag Care. 2016;22(7 Suppl):176-85.
• Akter S, Nanri A, Mizoue T, et al. Japan Public Health Center–based Prospective Study Group. Dietary acid load and mortality among Japanese men and women: the Japan Public Health Center–based Prospective Study. Am J Clin Nutr. 2017;106(1):146-154.
• Kiefte-de Jong JC, Li Y, et al. Diet-dependent acid load and type 2 diabetes: pooled results from three prospective cohort studies. Diabetologia. 2017;60(2):270-279.
• Choo J, Jeon S, Lee J. Gender differences in health-related quality of life associated with abdominal obesity in a Korean population. BMJ Open. 2014;4:1-8.
• Kucharska AM, Szostak-Węgierek DE, Waśkiewicz A, et al. Dietary acid load and cardiometabolic risk in the Polish adult population. Adv Clin Exp Med. 2018;27(10):1347-54.
• Amodu A, Abramowitz MK. Dietary acid, age, and serum bicarbonate levels among adults in the United States. Clin J Am Soc Nephrol. 2013;8(12):2034-2042.
• Murakami K, Sasaki S, Takahashi Y, Uenishi K. Association between dietary acid–base load and cardiometabolic risk factors in young Japanese women. Br J Nutr. 2008;100(3):642-651.
• Esche J, Shi L, Sánchez-Guijo A, Hartmann MF, Wudy SA, Remer T. Higher diet-dependent renal acid load associates with higher glucocorticoid secretion and potentially bioactive free glucocorticoids in healthy children. Kidney Int. 2016;90(2):325-333.
• Zhang L, Curhan GC, Forman JP. Diet-dependent net acid load and risk of incident hypertension in United States women. Hypertension. 2009;54(4):751-755.
• Abshirini M, Bagheri F, Mahaki B, et al. The dietary acid load is higher in subjects with prediabetes who are at greater risk of diabetes: a case–control study. Diabetol Metab Syndr. 2019;11(1):52-60.
• Bahadoran Z, Mirmiran P, Khosravi H, Azizi F. Associations between dietary acid-base load and cardiometabolic risk factors in adults: the Tehran Lipid and Glucose Study. J Clin Endocrinol Metab. 2015;30(2):201-207.
• Gaede J, Nielsen T, Madsen ML, et al. Population-based studies of relationships between dietary acidity load, insulin resistance and incident diabetes in Danes. J Nutr. 2018;17(1):91.
• Chan R, Leung J, Woo J. Association between estimated net endogenous acid production and subsequent decline in muscle mass over four years in ambulatory older Chinese people in Hong Kong: A prospective cohort study. J Gerontol A Biol Sci Med. 2014; 70(7):905-911.
• Wynn E, Lanham-New SA, Krieg MA, Whittamore DR, Burckhardt P. Low estimates of dietary acid load are positively associated with bone ultrasound in women older than 75 years of age with a lifetime fracture. J Nutr. 2008;138(7):1349-1354.
• Fagherazzi G, Vilier A, Bonnet F, et al. Dietary acid load and risk of type 2 diabetes: The E3N-EPIC cohort study. Diabetologia. 2014;57(2):313–20.
• Akter S, Kurotani K, Kashino I, et al. High Dietary Acid Load Score Is Associated with Increased Risk of Type 2 Diabetes in Japanese Men: The Japan Public Health Centerbased Prospective Study. J Nut. 2016;146(5):1076-1083.
• Engberink MF, Bakker SJL, Brink EJ, et al. Dietary acid load and risk of hypertension: The Rotterdam study. Am J Clin Nutr. 2012;95(6):1438-1444.
• Banerjee T, Tucker K, Griswold M, et al. Dietary Potential Renal Acid Load and Risk of Albuminuria and Reduced Kidney Function in the Jackson Heart Study. J Ren Nutr. 2018;28(4):251-258.