Yetişkinlerde Diyet Asit Yükü ve Mental Sağlık Arasındaki İlişki: Pilot Çalışma

Abstract

Amaç: Yetişkinlerde diyet asit yükünün depresyon, anksiyete ve stres üzerine etkisinin değerlendirilmesi amaçlanmıştır. Yöntem: Çalışmaya 18 yaş ve üzeri ve herhangi bir kronik hastalığı olmayan 251 yetişkin katılımcı (%49 erkek, %51 kadın) dahil edilmiştir. Veriler, anket aracılığıyla toplanmıştır. Anket genel bilgiler, Godin Boş Zaman Fiziksel Aktivite Anketi, Depresyon, Anksiyete Stres (DASS)-21 Ölçeği ve 24 saatlik retrospektif besin tüketim kaydından oluşmaktadır. Diyet asit yükünü değerlendirmek için potansiyel renal asit yükü (PRAL) ve net endojen asit üretimi (NEAP) hesaplamaları kullanılmıştır. Bulgular: Yüksek PRAL ve NEAP gruplarında yaş anlamlı olarak daha düşük, bekar katılımcıların oranı anlamlı olarak daha yüksektir (p<0.05). Diyet asit yükü ile DASS-21 arasında anlamlı bir ilişki bulunamamıştır (p<0.05). Diyet enerjisi, protein, B12 vitamini, niasin, fosfor, çinko alımı ve kırmızı et tüketimi yüksek PRAL ve NEAP gruplarında anlamlı olarak daha yüksektir (p<0.05). Buna karşılık diyet posası, antioksidan, C vitamini, potasyum alımı ve meyve tüketimi anlamlı olarak daha düşüktür (p<0.05). Tiamin, magnezyum ve demirin diyetle alımının artması anksiyete alt ölçek puanında anlamlı bir azalma ile ilişkiliyken (p<0.05); sebze tüketiminin artması DASS-21 toplam ve stres alt ölçek puanlarında anlamlı bir azalma ile ilişkilidir (p<0.05). Sonuç: Bu çalışmada diyet asit yükü ile mental sağlık arasında bir ilişki gösterilememiştir. Ancak batı tarzı beslenme alışkanlıkları ve meyve ve sebze tüketiminin azaltılması diyetin asit yükünü artırarak uzun vadede sağlık sorunlarına neden olabilir.

Keywords

• Diyet asit yükü
• Mental sağlık
• Depresyon
• Anksiyete
• Stres
• BKİ

Association of Dietary Acid Load and Mental Health in Adults: Pilot Study

Abstract

Objective: It was aimed to evaluate the effect of dietary acid load on depression, anxiety and stress in adults. Methods: Two hundred and fifty-one adult participants (49% male, 51% female) aged 18 years and over and without any chronic disease were included in the study. The data was collected via a questionnaire. The questionnaire consists of general information, Godin Leisure Time Physical Activity Questionnaire, Depression, Anxiety Stress (DASS)-21 Scale and 24-hour retrospective food consumption record. Potential renal acid load (PRAL) and net endogenous acid production (NEAP) calculations were used to assess dietary acid load. Results: Age was significantly lower, and the ratio of single participants was significantly higher in the high PRAL and NEAP groups (p<0.05). No significant relationship was found between dietary acid load and DASS-21 (p<0.05). Dietary energy, protein, vitamin B12, niacin, phosphorus, zinc intake and red meat consumption were significantly higher in the high PRAL and NEAP groups (p<0.05). On the contrary, dietary fiber, antioxidant, vitamin C, potassium intake and fruit consumption were significantly lower (p<0.05). While increased dietary intake of thiamine, magnesium, and iron was significantly associated with a decrease in anxiety subscale score (p<0.05); increased vegetable consumption was significantly associated with a decrease in DASS-21 scale and stress subscale scores (p<0.05). Conclusion: This study did not demonstrate a relationship between dietary acid load and mental health. However, western style eating habits and reduced fruit and vegetable consumption can increase the acid load of the diet, causing health problems in the long term.

Keywords

• Dietary acid load
• Mental health
• Depression
• Anxiety
• Stress
• BMI

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